$40 PPD Test Near Me. 2 Step PPD Test For TB $80
Welcome to Statcare – The PPD Test Experts! At Statcare, we perform PPD Testing for tuberculosis (TB) on a walk-in basis, all 7 days a week. We do more TB Screening Tests than anyone in NYC or Long Island and at a lower price than CVS or Walgreens. Find a Statcare near you and get the test injected by a medical provider, not a pharmacist. In our FAQ’s you will find answers to all questions re: the role of skin testing for tuberculosis.
Why choose Statcare for PPD Test & 2-Step PPD Test?
Statcare’s location in Brooklyn is open until 9 PM on weekdays. All other locations (Bronx, Queens, and Long Island) are open until 8 PM on weekdays, 5 PM on weekends, and open on all holidays. Statcare is open 365 days a year for TB testing. There is no facility as convenient for working folks or students looking to get a PPD test for TB done.
Lowest Cost PPD Test NYC
Statcare charges $40 for a regular PPD and $80 for 2-step PPD. The regular PPD includes 2 visits and the 2-step PPD includes 4 visits to any Statcare location ($20/visit). For example, CVS charges $56 for the same test ($28 each visit). And if you have a positive PPD test, you need to find another place to get a Chest X-Ray whereas Statcare performs Chest X-Rays on-site.
If your PPD testing result is truly positive as per our doctor and you need a Chest X-Ray, we can do the X-Ray on site. Other medical offices will send you somewhere else for the Chest X-Ray (another trip to a new facility). And don’t be surprised if your Chest X-ray report there recommends a CT Scan to be sure your lungs are normal.
Want to avoid this runaround? Come to Statcare – the PPD Testing experts! Statcare professionals know what they are doing and even our radiologists are excellent at reading your Chest X-Ray – they will not recommend unnecessary CT Scans.
Also, if you have a form that needs other things done (blood test, MMR titers, vaccines, or hearing tests and vision tests), we do them all!
Healthcare professionals count on Statcare
Statcare is accredited by The Joint Commission that accredits hospitals in the US. When you come to us, you can count on quality!
Any wonder why all healthcare professionals count on Statcare?
Statcare is also a CDC-certified Travel Clinic and sees patients from all countries. We understand issues with BCG vaccines and the prevalence of tuberculosis in those countries that may affect your test result interpretation.
If you are getting the PPD for immigration, Statcare civil surgeons are certified by Department of Homeland Security USCIS for performing immigration medical exams for Green Card and US citizenship.
If you know your schedule, call us after 8 AM and book your visit now! Call (855) 9 FOR DOC
Going away to college and need PPD Testing? Have a pre-employment form? Statcare can take care of anything else that may be needed on that form (such as a urinalysis, vision test, audiometry, blood test for MMR titers, or a vaccine). Other places may not have the infrastructure or the resources to do these tests. Statcare does. All 7 days a week!
PPD Tests 365 days a year, including weekends and all holidays!
Statcare serves the Long Island residents of Nassau County, Suffolk County, Queens, and Brooklyn, as well as the Bronx in NYC. If you have any questions about any conditions we treat or services we offer, call (855) 9 FOR DOC today.
PPD Test, TB Skin Test, Tuberculin Test FAQs
Statcare is a one-stop facility for PPD’s and Chest X-Rays in Astoria, NY and Hicksville, Long Island. We also have locations in the Bronx and Brooklyn. Tuberculosis screening is a 2-3-day affair and involves 2 visits, which means you can’t just get it done close to a weekend if your doctor’s office will be closed that weekend.
- You don’t need an appointment. Just walk in! Get the PPD done whenever it is convenient for you.
- You can return in 48-72 hours at a time convenient to you and have it read – all 7 days a week.
- Statcare is open every day, even on holidays. 7 days a week.
- Statcare is open all evenings. This makes it very convenient for you to come to our urgent care after work.
- Statcare has an X-Ray machine on site. Need to get a Chest X-Ray? No problem! We can do it right away. All our X-rays are read by a radiologist. No trips to an X-Ray facility for a Chest X-ray. No appointments either!
- Better still, we even complete your forms at the time of the reading of the tuberculin test and give it to you before you leave!
Any wonder why healthcare professionals (nurses, nursing aides, home attendants) from Nassau, Suffolk, and Queens come to us all year-round for their annual TB test? Statcare providers are US Citizenship and Immigration Services (USCIS)-certified civil surgeons for immigration physicals in Astoria, NYC and Long Island.
Testing for TB can have unplanned consequences. If you had the PPD done elsewhere but your doctor’s office is now closed for the weekend or holiday and you need to have the PPD read today to avoid repeat testing, then you can surely come to Statcare.
If you have prior records of a recent PPD test and merely want it transcribed, attested, or updated, Statcare providers will complete this as well for you at the time of your visit. Statcare does PPD testing for employees of the NYC Office of Children and Family Services (day care and child care), NYC employees of the Housing Authority and the NYC Department of Health and Mental Hygiene.
An abnormal or a positive PPD reading only means you have been exposed to the bacteria that cause TB. It does not mean you have disease. You may need further investigation with a chest X-ray to identify if there is any evidence of active disease in the lungs.
After that, treatment may be given to lower your risk of eventually getting TB (reactivation of the disease). A positive skin test for tuberculin does not mean that you have active tuberculosis disease. It only shows that you were exposed to the bacteria that cause TB. More tests need to be done to identify if there is active TB disease.
- Persons with HIV infection
- Recent contacts of persons with active TB disease
- Persons with evidence of old, healed TB lesions on chest X-rays
- Persons with organ transplants and other immunosuppressed persons, including those receiving prolonged corticosteroid therapy (the equivalent of >15 mg/d of prednisone for one month or more) and TNF-a blockers
- Persons who have immigrated within the past 5 years from areas with high TB rates*
- Injection drug users
- Persons who live or work in institutional settings where exposure to TB may be likely, such as hospitals, prisons, homeless shelters, SROs, and nursing homes
- Mycobacteriology laboratory personnel
- Persons with clinical conditions associated with increased risk of progression to active TB, including: silicosis; chronic renal failure; diabetes; more than 10% below ideal weight or BMI < 18.5; gastrectomy/jejunoileal bypass; some hematologic disorders (such as leukemia and lymphomas); and certain cancers (such as carcinoma of the head, neck, or lung, leukemias, and lymphomas)
- Children < 5 years, and children or adolescents exposed to adults in high-risk categories
- Persons with prolonged stay in areas with high TB rates*
A 15-mm induration is considered to be positive PPD test result for:
- Persons at low risk for active TB disease for whom testing is not generally indicated
* Countries with high rates of TB include China, Dominican Republic, Ecuador, Haiti, Honduras, India, Mexico, Pakistan, Peru, Philippines, South Korea, and all of Africa.
You must alert your provider regarding a prior positive PPD result because you may not need any repeat PPD testing for TB and may qualify for a waiver. You will still need to be seen at Statcare, as we cannot determine this over the phone.
If you have ever had a positive PPD skin test and/or have a chest X-ray report, please bring it with you. Our front desk staff cannot answer your medical questions. Save them for the provider when you come for the visit.
Yes. As discussed earlier, a PPD test can have different cutoffs based on size and be read as a positive PPD reading or a negative PPD reading. This is why going to the right place can make all the difference.
A positive PPD reading or a negative PPD reading depends on your medical condition, age, risk factors, and also the reason the PPD test was done. For example, USCIS has a different cutoff for immigration purposes. NYC Department of Health has its own guidelines for NYC as tuberculosis is more common in NYC.
A 2-step PPD is when two PPD tests are done sequentially with a gap of 7-10 days between the first and second PPD. A PPD test is not a perfect screening test for TB and in about 20% of patients it can be falsely negative. This means there is a chance that the person has been exposed to TB but the PPD testing did not pick it up.
A 2-step PPD skin test improves the detection of exposure to tuberculosis with more accuracy. A 2-step PPD has a false negative rate of about 5%. Usually, all healthcare facilities and nursing homes require a 2-step PPD test. However, if your employer does not require a 2-step PPD, there is no reason to do a two-step PPD test.
The NYS DOH guidelines state:
“When the TST (tuberculin skin test) is used, two-step PPD testing is recommended as a baseline for newly hired employees. For two-step PPD testing, persons whose initial TST result is negative are given a second TST, administered 1-3 weeks after the first TST was placed.
The two-step test is needed at baseline because in some persons with latent TB infection, the reaction to a TST wanes over time. The initial TST may ‘boost’ responses to a subsequent test. In the absence of a known exposure, a positive reaction to the second step of a two-step TST is considered to be due to boosting as opposed to recent infection with M. tuberculosis.
A second TST is not needed if an employee has had a documented, negative TST during the previous 12 months. If an IGRA test is used for screening, there is no need to perform a two-step baseline. The TST reading(s) and/or the IGRA laboratory report should be documented in the employee health record.”
Yes. You need a Chest X-Ray if any of the PPD turns positive. So, if your first PPD is read as a positive PPD, you don’t need to do the second PPD in the 2-step PPD series. Instead, you will need a Chest X-Ray for the positive PPD reading. Also, for healthcare workers and other non-immunocompromised patients, a negative PPD reading is any induration 10 mm or less. However, for Immigration Medical Exam purposes, any PPD more than 4 mm is considered to be a positive PPD reading. A lot of doctors fail to write the mm and the record just shows a positive PPD reading or a negative PPD reading – this is insufficient for Immigration Medical Exam paperwork.
There is a relatively new and expensive blood test called IGRA, which has been available for testing for TB and screening for exposure to tuberculosis for a few years now. Statcare can draw your blood and send it for the IGRA test once you have pre-paid for the test. It is also called a Quantiferon Gold Test.
Tuberculosis screening may be done with any approved test to detect M. tuberculosis infection, such as the tuberculin skin test (TST), or one of the whole blood interferon-gamma release assays (IGRAs) approved by the Food and Drug Administration (FDA).
As per the CDC “IGRAs are used to determine if a person is infected with M. tuberculosis by measuring the immune response to tuberculosis proteins in whole blood. Specimens are mixed with peptides that simulate antigens derived from M. tuberculosis and controls. In a person infected with M. tuberculosis, the white blood cells recognize the simulated antigens and release interferon-gamma (IFN- γ); results are based on the amount of IFN- γ released.”
- IGRA requires just one visit for TB testing. IGRAs are therefore the preferred method of testing for groups of people who have poor rates of return for TST reading and interpretation (e.g., homeless persons).
- IGRAs do not cause booster phenomenon.
- IGRA results can be available earlier than 48 hours.
- IGRA is unaffected by environmental mycobacteria.
- The blood sample must be processed within 8-30 hours after collection.
- Data is limited when used in children younger than 5 years of age, persons recently exposed to TB, immuno-compromised persons, and those who will be tested repeatedly (serial testing).
- QFT testing is based on the amount of IFN-γ released.
- T-SPOT TB testing depends on the number of cells that release IFN-γ.
Labs provide both the qualitative and quantitative IGRA results.
In countries where TB is common, BCG (Bacillus Calmette–Guérin) vaccine is used to protect infants and young children from serious, life-threatening disease, specifically miliary TB and TB meningitis.
BCG vaccination is not given in the United States. The effect of BCG vaccine on tuberculin skin testing (PPD) results may cause confusion. It is thought that the tuberculin skin test reactivity caused by BCG vaccine gets reduced with the passage of time. However, periodic and repeated skin testing may boost the reactivity to PPD.
IGRAs use M. tuberculosis antigens that do not cross-react with BCG, and therefore, do not cause false positive reactions in people who got BCG in their countries. However, IGRA is an expensive blood test and the data in repeatedly tested individuals is lacking. IGRA is therefore not routinely recommended as a testing modality to screen for TB.
PPD: Purified protein derivative standard
TST: Tuberculin skin test or a PPD test
PPD Test: TB skin test; tuberculin skin test; Mantoux test. Used to screen for TB or exposure to tuberculosis, a disease caused by Mycobacterium tuberculosis
2-Step PPD: A two-step PPD is done to establish exposure to TB with a higher degree of certainty (often done in healthcare workers such as doctors, nurses, and home attendants who work in hospitals, labs, and nursing homes, etc.)
TB: Tuberculosis, a disease caused by Mycobacterium tuberculosis
IGRA: Interferon-Gamma Release Assays
BCG: Bacillus Calmette–Guérin
QFT-GIT: QuantiFERON®-TB Gold In-Tube test