COVID-19 TESTING IMPACT CALCULATOR

The results assume that 100% of an organization’s population is tested prior to initiating a screening protocol.

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How many people are in your organization? *

What percentage reliably wear masks? *

50% of people

Do you have a contact tracing program? *

Do you offer unmasked communal activities such as dining?*

Yes

If you offer unmasked group activities such as dining or meetings, how many people are in a group? *

6Group Size

Choose a time period for estimating testing costs.*

Cost Considerations

If your employees will be paid during testing, what is their average hourly wage? *

If you are paying people to conduct testing, what is their average hourly wage? *

Advanced

Hours available for taking samples during one day? *

Default = 8 hours

Mask efficiency? *

Default = 0.3 // Max = 1.0

Contact tracing efficiency? *

Default = 0.5

Number of infected cases per contact tracer? *

Default = 6

Estimated R0 'TYPICAL'? *

Default = 2.5

Estimated R0 'HOT SPOT'? *

Default = 3.5

Prevalence 'TYPICAL'? *

Default = 1%

Prevalence 'HOT SPOT'? *

Default = 3%

ANTIGEN 1

POC LFA

No Instrument

Instrument cost

Default Value: 0.00

Test cost

Default Value: 10.00

Control & PPE cost per test*

Default Value: $3.00

Hourly throughput*

Default Value: 0

Sample acquistion & prep (min)*

Default Value: 3.5

Test cycle time (min)*

Default Value: 20.0

Other process time (min)*

Default Value: 1.0

FTE/instrument operation*

Default Value: 0.0

Sensitivity*

Default Value: 50.0

Specificity*

Default Value: 95.0

Outsourced Lab Test*

Default Value: No

Outsourced Sampling*

Default Value: No

Lab turn around time (hrs)*

Default Value: 0

ANTIGEN 2

POC

Instrument required

Instrument cost

Default Value: 1000.00

Test cost

Default Value: 30.00

Control and PPE cost per test ($)*

Default Value: 3.00

Hourly throughput*

Default Value: 2

Sample acquistion & prep (min)*

Default Value: 3.5

Test cycle time (min)*

Default Value: 30.0

Other process time (min)*

Default Value: 1.0

FTE/instrument operation*

Default Value: 10.0

Sensitivity*

Default Value: 75.0

Specificity*

Default Value: 98.0

Outsourced Lab Test*

Default Value: No

Outsourced Sampling*

Default Value: No

Lab turn around time (hrs)*

Default Value: 0

PCR 1

POC Molecular

Instrument required

Instrument cost

Default Value: 3000.00

Test cost

Default Value: 50.00

Control and PPE cost per test ($)*

Default Value: 3.00

Hourly throughput*

Default Value: 2

Sample acquistion & prep (min)*

Default Value: 3.0

Test cycle time (min)*

Default Value: 45.0

Other process time (min)*

Default Value: 0.0

FTE/instrument operation*

Default Value: 15.0

Sensitivity*

Default Value: 95.0

Specificity*

Default Value: 99.0

Outsourced Lab Test*

Default Value: No

Outsourced Sampling*

Default Value: No

Lab turn around time (hrs)*

Default Value: 48

PCR 2

Off-site Molecular

Central Lab

Instrument cost

Default Value: 0.00

Test cost

Default Value: 100.00

Sample acquisition per test ($)*

Default Value: 0.00

Hourly throughput*

Default Value: 0

Sample acquistion & prep (min)*

Default Value: 3.0

Test cycle time (min)*

Default Value: 300.0

Other process time (min)*

Default Value: 0.0

FTE/instrument operation*

Default Value: 0.0

Sensitivity*

Default Value: 99.0

Specificity*

Default Value: 99.0

Outsourced Lab Test*

Default Value: Yes

Outsourced Sampling*

Default Value: Yes

Lab turn around time (hrs)*

Default Value: 48

Pooling

Off-site Molecular

Central Lab

Instrument cost

Default Value: 0.00

Test cost

Default Value: 20.00

Sample acquisition per test ($)*

Default Value: 0.00

Hourly throughput*

Default Value: 0

Sample acquistion & prep (min)*

Default Value: 3.0

Test cycle time (min)*

Default Value: 300.0

Other process time (min)*

Default Value: 0.0

FTE/instrument operation*

Default Value: 0.0

Sensitivity*

Default Value: 99.0

Specificity*

Default Value: 99.0

Outsourced Lab Test*

Default Value: Yes

Outsourced Sampling*

Default Value: Yes

Lab turn around time (hrs)*

Default Value: 48

test

Test Results

Advanced Variables

Time waiting to be sampled (min)*

Default Value = 15

Number of days a person is contagious?*

Default Value = 10

Safety factor 'TYPICAL' *

Default Value = 0.8

Safety factor 'HOT SPOT'*

Default Value = 0.6

Mask multiplier

Determined from selection above

Contact tracing multipier

Determined from selection above

Contact tracing multiplier*

Robust contact tracing

Determined from selection above

Fraction of people who develop symptoms?*

Default Value = 0.5

Maximum number of days between testing?*

Default Value = 21

Adjusted R0 'TYPICAL'

Determined from selection above

Adjusted R0 'HOT SPOT'

Determined from selection above

Return message if outbreak cannot be controlled

Does your organization have communal dining?

K = Rnot / (Days contagious X Transmissivity of disease)*

Default Value = 20

s/TF min*

s/TF max*

ok delay (days)*

s/TF min*

s/TF max*

ok delay (days)*

Additional Test Results

ANTIGEN 1

Test Inputs

Use Case Information

Total number of people to be tested

Time all testing needs to be done (hrs)

Hourly test personnel cost

Disease prevalence in this population

Hourly wage of person being tested

Analysis

Number of instruments required*

Staff for sample acquisition*

Staff for instrument operation*

Staff required for contact tracing*

Acceptable delay (days)*

Population false positives (Daily)*

Population false negatives (Daily)*

Population true positives (Daily)*

Daily contact tracing cost*

Test meets max turnaround time*

PPV*

NPV*

False discovery rate*

False omission rate*

Total time for a test (min)*

Number of people to be tested in a day*

Number of people for confirmatory test*

Number of people at home*

Number of contacts at home*

Recommended testing frequency (hrs)*

Labor cost per test*

Required hourly throughput*

Total instrument capital cost*

Cost per test*

Daily test cost*

Daily lost wage cost*

Staff required for testing*

Population false positives*

Population true positives*

Population false negatives*

Recommended testing frequency (Days)*

Total staff required*

Total daily test cost*

Total weekly test cost*

Advanced

Effective test fraction*

Stability criterion*

Positives found per day*

False positives (check)*

Number of close contacts waiting for test results*

ANTIGEN 2

Test Inputs

Use Case Information

Total number of people to be tested

Time all testing needs to be done (hrs)

Hourly test personnel cost

Disease prevalence in this population

Hourly wage of person being tested

Analysis

Number of instruments required*

Staff for sample acquisition*

Staff for instrument operation*

Staff required for contact tracing*

Acceptable delay (days)*

Population false positives (Daily)*

Population false negatives (Daily)*

Population true positives (Daily)*

Daily contact tracing cost*

PPV*

NPV*

False discovery rate*

False omission rate*

Total time for a test (min)*

Number of people for confirmatory test*

Number of contacts at home*

Recommended testing frequency (hrs)*

Labor cost per test*

Required hourly throughput*

Cost per test*

Daily test cost*

Daily lost wage cost*

Total daily test cost*

Population false positives*

Population false negatives*

Population true positives*

Staff required for testing*

Total instrument capital cost*

Total staff required*

Recommended testing frequency (Days)*

Total weekly test cost*

Test meets max turnaround time*

Number of people to be tested in a day*

Number of people at home*

Advanced

Effective test fraction*

Stability criterion*

Positives found per day*

False positives (check)*

Number of close contacts waiting for test results*

PCR 1

Test Inputs

Use Case Information

Total number of people to be tested

Time all testing needs to be done (hrs)

Hourly test personnel cost

Disease prevalence in this population

Hourly wage of person being tested

Analysis

Number of instruments required*

Staff for sample acquisition*

Staff for instrument operation*

Staff required for contact tracing*

Acceptable delay (days)*

Population false positives (Daily)*

Population false negatives (Daily)*

Population true positives (Daily)*

Daily contact tracing cost*

PPV*

NPV*

False discovery rate*

False omission rate*

Total time for a test (min)*

Number of people for confirmatory test*

Number of contacts at home*

Recommended testing frequency (hrs)*

Population false positives*

Population false negatives*

Population true positives*

Total daily test cost*

Daily lost wage cost*

Daily test cost*

Cost per test*

Required hourly throughput*

Labor cost per test*

Total instrument capital cost*

Staff required for testing*

Total staff required*

Recommended testing frequency (Days)*

Total weekly test cost*

Test meets max turnaround time*

Number of people to be tested in a day*

Number of people at home*

Advanced

Effective test fraction*

Stability criterion*

Positives found per day*

False positives (check)*

Number of close contacts waiting for test results*

PCR 2

Test Inputs

Use Case Information

Total number of people to be tested

Time all testing needs to be done (hrs)

Hourly test personnel cost

Disease prevalence in this population

Hourly wage of person being tested

Analysis

Number of instruments required*

Staff for sample acquisition*

Staff for instrument operation*

Staff required for contact tracing*

Acceptable delay (days)*

Population false positives (Daily)*

Population false negatives (Daily)*

Population true positives (Daily)*

Daily contact tracing cost*

PPV*

NPV*

False discovery rate*

False omission rate*

Total time for a test (min)*

Number of people for confirmatory test*

Number of contacts at home*

Recommended testing frequency (hrs)*

Labor cost per test*

Cost per test*

Daily test cost*

Daily lost wage cost*

Population false positives*

Population false negatives*

Population true positives*

Total daily test cost*

Required hourly throughput*

Total instrument capital cost*

Staff required for testing*

Total staff required*

Recommended testing frequency (Days)*

Total weekly test cost*

Test meets max turnaround time*

Number of people to be tested in a day*

Number of people at home*

Advanced

Effective test fraction*

Stability criterion*

Positives found per day*

False positives (check)*

Number of close contacts waiting for test results*

Pooling

Test Inputs

Use Case Information

Total number of people to be tested

Time all testing needs to be done (hrs)

Hourly test personnel cost

Disease prevalence in this population

Hourly wage of person being tested

Analysis

Number of instruments required*

Staff for sample acquisition*

Staff for instrument operation*

Staff required for contact tracing*

Acceptable delay (days)*

Population false positives (Daily)*

Population false negatives (Daily)*

Population true positives (Daily)*

Daily contact tracing cost*

PPV*

NPV*

False discovery rate*

False omission rate*

Total time for a test (min)*

Number of people for confirmatory test*

Number of contacts at home*

Recommended testing frequency (hrs)*

Labor cost per test*

Cost per test*

Daily test cost*

Daily lost wage cost*

Population false positives*

Population false negatives*

Population true positives*

Total daily test cost*

Required hourly throughput*

Total instrument capital cost*

Staff required for testing*

Total staff required*

Recommended testing frequency (Days)*

Total weekly test cost*

Test meets max turnaround time*

Number of people to be tested in a day*

Number of people at home*

Advanced

Effective test fraction*

Stability criterion*

Positives found per day*

False positives (check)*

Number of close contacts waiting for test results*

Text Input Title*

Test Inputs

POC instrument-based antigen test from nasal sample

Instrument cost

Test cost

Control & PPE cost per test*

Hourly throughput*

Sample acquistion & prep (min)*

Test cycle time (min)*

Other process time (min)*

FTE/instrument operation*

Sensitivity*

Specificity*

Outsourced Lab Test*

Outsourced Sampling*

Lab turn around time (hrs)*

Use Case Information

Total number of people to be tested

Time all testing needs to be done (hrs)

Hourly test personnel cost

Disease prevalence in this population

Hourly wage of person being tested

Analysis

Number of instruments required*

FTE for sample acquisition*

FTE for instrument operation*

Labor cost per test*

Required hourly throughput*

Total instrument capital cost*

Staff required for testing*

Cost per test*

Daily test cost*

Daily lost wage cost*

Staff required for contact tracing*

Total staff required*

Population false positives*

Population false negatives*

Population true positives*

Recommended testing frequency (Days)*

Total daily test cost*

Total weekly test cost*

Daily contact tracing cost*

Acceptable delay (days)*

Test meets max turnaround time*

PPV*

NPV*

False discovery rate*

False omission rate*

Total time for a test (min)*

Number of people to be tested in a day*

Number of people for confirmatory test*

Number of people at home*

Number of contacts at home*

Population false positives (Daily)*

Population false negatives (Daily)*

Population true positives (Daily)*

Recommended testing frequency (hrs)*

Advanced

Effective test fraction*

Stability criterion*

Positives found per day*

False positives (check)*

Number of close contacts waiting for test results*

Test Inputs

POC instrument-based antigen test from nasal sample

Instrument cost

Test cost

Sample acquisition per test ($)*

Hourly throughput*

Sample acquistion & prep (min)*

Test cycle time (min)*

Other process time (min)*

FTE/instrument operation*

Sensitivity*

Specificity*

Outsourced Lab Test*

Outsourced Sampling*

Lab turn around time (hrs)*

Use Case Information

Total number of people to be tested

Time all testing needs to be done (hrs)

Hourly test personnel cost

Disease prevalence in this population

Hourly wage of person being tested

Analysis

Number of instruments required*

FTE for sample acquisition*

FTE for instrument operation*

Labor cost per test*

Required hourly throughput*

Total instrument capital cost*

Staff required for testing*

Cost per test*

Daily test cost*

Daily lost wage cost*

Staff required for contact tracing*

Total staff required*

Population false positives*

Population false negatives*

Population true positives*

Recommended testing frequency (Days)*

Total daily test cost*

Total weekly test cost*

Daily contact tracing cost*

Acceptable delay (days)*

Test meets max turnaround time*

PPV*

NPV*

False discovery rate*

False omission rate*

Total time for a test (min)*

Number of people to be tested in a day*

Number of people for confirmatory test*

Number of people at home*

Number of contacts at home*

Population false positives (Daily)*

Population false negatives (Daily)*

Population true positives (Daily)*

Recommended testing frequency (hrs)*

Advanced

Effective test fraction*

Stability criterion*

Positives found per day*

False positives (check)*

Number of close contacts waiting for test results*

Test Inputs

POC instrument-based antigen test from nasal sample

Instrument cost

Test cost

Control cost per test ($)*

Hourly throughput*

Sample acquistion & prep (min)*

Test cycle time (min)*

Other process time (min)*

FTE/instrument operation*

Sensitivity*

Specificity*

Outsourced Lab Test*

Outsourced Sampling*

Lab turn around time (hrs)*

Use Case Information

Total number of people to be tested

Time all testing needs to be done (hrs)

Hourly test personnel cost

Disease prevalence in this population

Hourly wage of person being tested

Analysis

Number of instruments required*

FTE for sample acquisition*

FTE for instrument operation*

Labor cost per test*

Required hourly throughput*

Total instrument capital cost*

Staff required for testing*

Cost per test*

Daily test cost*

Daily lost wage cost*

Staff required for contact tracing*

Total staff required*

Population false positives*

Population false negatives*

Population true positives*

Recommended testing frequency (Days)*

Total daily test cost*

Total weekly test cost*

Daily contact tracing cost*

Acceptable delay (days)*

Test meets max turnaround time*

PPV*

NPV*

False discovery rate*

False omission rate*

Total time for a test (min)*

Number of people to be tested in a day*

Number of people for confirmatory test*

Number of people at home*

Number of contacts at home*

Population false positives (Daily)*

Population false negatives (Daily)*

Population true positives (Daily)*

Recommended testing frequency (hrs)*

Advanced

Effective test fraction*

Stability criterion*

Positives found per day*

False positives (check)*

Number of close contacts waiting for test results*

Test Inputs

POC instrument-based antigen test from nasal sample

Instrument cost

Test cost

Sample acquisition per test ($)*

Hourly throughput*

Sample acquistion & prep (min)*

Test cycle time (min)*

Other process time (min)*

FTE/instrument operation*

Sensitivity*

Specificity*

Outsourced Lab Test*

Outsourced Sampling*

Lab turn around time (hrs)*

Use Case Information

Total number of people to be tested

Time all testing needs to be done (hrs)

Hourly test personnel cost

Disease prevalence in this population

Hourly wage of person being tested

Analysis

Number of instruments required*

FTE for sample acquisition*

FTE for instrument operation*

Labor cost per test*

Required hourly throughput*

Total instrument capital cost*

Staff required for testing*

Cost per test*

Daily test cost*

Daily lost wage cost*

Staff required for contact tracing*

Total staff required*

Population false positives*

Population false negatives*

Population true positives*

Recommended testing frequency (Days)*

Total daily test cost*

Total weekly test cost*

Daily contact tracing cost*

Acceptable delay (days)*

Test meets max turnaround time*

PPV*

NPV*

False discovery rate*

False omission rate*

Total time for a test (min)*

Number of people to be tested in a day*

Number of people for confirmatory test*

Number of people at home*

Number of contacts at home*

Population false positives (Daily)*

Population false negatives (Daily)*

Population true positives (Daily)*

Recommended testing frequency (hrs)*

Advanced

Effective test fraction*

Stability criterion*

Positives found per day*

False positives (check)*

Number of close contacts waiting for test results*

Test Inputs

POC instrument-based antigen test from nasal sample

Instrument cost

Test cost

Sample acquisition per test ($)*

Hourly throughput*

Sample acquistion & prep (min)*

Test cycle time (min)*

Other process time (min)*

FTE/instrument operation*

Sensitivity*

Specificity*

Outsourced Lab Test*

Outsourced Sampling*

Lab turn around time (hrs)*

Use Case Information

Total number of people to be tested

Time all testing needs to be done (hrs)

Hourly test personnel cost

Disease prevalence in this population

Hourly wage of person being tested

Analysis

Number of instruments required*

FTE for sample acquisition*

FTE for instrument operation*

Labor cost per test*

Required hourly throughput*

Total instrument capital cost*

Staff required for testing*

Cost per test*

Daily test cost*

Daily lost wage cost*

Staff required for contact tracing*

Total staff required*

Population false positives*

Population false negatives*

Population true positives*

Recommended testing frequency (Days)*

Total daily test cost*

Total weekly test cost*

Daily contact tracing cost*

Acceptable delay (days)*

Test meets max turnaround time*

PPV*

NPV*

False discovery rate*

False omission rate*

Total time for a test (min)*

Number of people to be tested in a day*

Number of people for confirmatory test*

Number of people at home*

Number of contacts at home*

Population false positives (Daily)*

Population false negatives (Daily)*

Population true positives (Daily)*

Recommended testing frequency (hrs)*

Advanced

Effective test fraction*

Stability criterion*

Positives found per day*

False positives (check)*

Number of close contacts waiting for test results*

Important Information

The COVID-19 Testing Impact Calculator:

Provides education and guidance for asymptomatic screening of an organization.
Helps determine the testing frequency needed to identify and isolate potentially contagious people.
The results assume that 100% of an organization’s population is tested prior to initiating a screening protocol.
Does NOT ensure that COVID-19 will be kept out of your organization.
Does NOT replace the need for other mitigation efforts such as increased social distancing, increased ventilation, and appropriate hygiene practices.
The Calculator is subject to the disclaimers set forth on the site and the End User License Agreement.

Assumptions

Calculations

The COVID-19 Testing Impact Calculator uses the following default assumptions for all calculations:

The number of days a person is contagious is 10.
The percentage of the US population that develops COVID-19 symptoms after becoming infected is 50%.
The maximum number of days between testing is 21.
The time an individual must wait to be sampled is 15 minutes.
Assumes the prevalence of COVID-19 within an organization is no greater than that of the broader community.

Test Groups

The COVID-19 Testing Impact Calculator uses the following assumptions for test groups:

The default assumptions do not represent any one individual test.
Tests used for asymptomatic screening are currently used off-label and under practitioner guidance.
Due to limited data for asymptomatic screening, the default settings chosen for each test group is a conservative estimate based upon consultation with industry experts.

Understanding Test Sensitivity & Test Specificity

Tests with lower sensitivity may result in more false negatives, meaning the test is more likely to miss a true infection by producing a negative test result in people who are actually infected with COVID-19.
Tests with lower specificity may result in more false positives, meaning if you receive a positive result, it indicates that you are likely to be infected with COVID-19, particularly if you are tested during the first week of infection and are symptomatic.

Recommendations:

If you receive a negative test result but are symptomatic, then consider quarantining and obtain a confirmatory test.
If you receive a positive result you are likely to be infected with COVID-19 if you are symptomatic.
If you receive a positive result when using a test with specificity below 99% and are not symptomatic (asymptomatic), the likelihood of false positives exists. You should consider a confirmatory molecular PCR test.

Changing your mitigation strategies may change your numbers. Explore how better approaches lead to better outcomes.

View User Guide

Purchase PPE and Testing Supplies

COVID-19 TESTING IMPACT CALCULATOR

The results assume that 100% of an organization’s population is tested prior to initiating a screening protocol.

Start Here

POC LFA

POC

POC Molecular

Off-site Molecular

Off-site Molecular

Additional Test Results

Test Inputs

Use Case Information

Analysis

Advanced

Test Inputs

Use Case Information

Analysis

Advanced

Test Inputs

Use Case Information

Analysis

Advanced

Test Inputs

Use Case Information

Analysis

Advanced

Test Inputs

Use Case Information

Analysis

Advanced

Test Inputs

POC instrument-based antigen test from nasal sample

Use Case Information

Analysis

Advanced

Test Inputs

POC instrument-based antigen test from nasal sample

Use Case Information

Analysis

Advanced

Test Inputs

POC instrument-based antigen test from nasal sample

Use Case Information

Analysis

Advanced

Test Inputs

POC instrument-based antigen test from nasal sample

Use Case Information

Analysis

Advanced

Test Inputs

POC instrument-based antigen test from nasal sample

Use Case Information

Analysis

Advanced

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