I work in a retirement community that includes all levels of care from Independent living to Long term care/skilled care. Like most healthcare facilities, we require that all new hires be tested for TB using the two step skin test method. If either skin test reacts 10mm or greater, we require a chest Xray to rule out active disease process. We currently require the applicant to be responsible for seeing their own physician and covering the cost of the xray. I am wondering what the standard is in other facilities regarding the cost of chest xrays when needed. We have recently been asked why we don't pay for the test since it is our requirement. What is the policy in other facilities? Thanks for the help.