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Medical components
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United States
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Cost in USD (2013)
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Medical components
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India
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Mexico
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diagnostic & follow-up visits (quantity)a
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Cost in USD (2013)b
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Cost in USD (2013)b
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Chest radiograph
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3
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$35.82
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Panel physician screening exam
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$26.46
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$190
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Sputum smears
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5
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$9.99
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Chest radiograph
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Included in exam fee, $6.00 for subsequent
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Included in exam fee
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Cultures
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5
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$20.07
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Sputum smears
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$32.68
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Included in exam fee
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Complete blood count with differential
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3
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$7.93
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Cultures
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$32.68
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Included in exam fee
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Serum chemistry
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1
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$15.71
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Treatment at panel physician site
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$79.40
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Included in exam fee
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Drug susceptibility tests
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4
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$10.50
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Additional medical examsc
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$259.00
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Included in exam fee
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Hepatic function panel
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3
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$15.17
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Treatment at local healthcare site
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60.00
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Included in exam fee
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- Notes: In the United States, each person with active tuberculosis receives three diagnostic visits and five follow-up visits. The costs for medical components were computed using the 2013 Physician Fee Schedule from the Centers for Medicare and Medicaid Services
- Diff differential
- aPersons with Class B1 TB designation do not receive all diagnostic and follow-up visits unless they are diagnosed with active tuberculosis
- bAll prices obtained from Indian and Mexican panel physicians and are presented in 2013 dollars. We estimated that 30% of the panel physician screening exam costs in India is attributable to TB, and 50% of the panel physician screening exam in Mexico costs is attributable to TB. Note that the higher fraction is assumed for Mexico, because, in India, culture/smear testing and treatment are charged separately only for applicants that need such services. Treatment at panel physician consists of the medication and directly observed therapy
- cAdditional medical exams means the total costs for additional smears, cultures, chest radiographs, drug susceptibility testing, and liver testing at panel physician sites
