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Cowlitz County coroner proposes in-house Randox testing to cut autopsy and toxicology costs

5929723 · September 24, 2025
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Summary

Coroner’s staff reported 2024 autopsy and reimbursement data, proposed purchasing a Randox analytical instrument that staff say would speed toxicology screening, and outlined potential savings versus private lab costs. The proposal would not eliminate full autopsies and requires training and ongoing test costs.

The coroner’s office presented its proposed 2026–27 budget and a plan to use a Randox in‑office analytical instrument to reduce autopsy and toxicology expenses.

Office staff said the county conducted 79 full autopsies in 2024 — 6 infants and 73 adults — and reported total autopsy charges for the year and associated reimbursements. The coroner’s presentation said autopsy reimbursements are handled through the state process and noted the reimbursement rate for children under age 3 is 100%; adult autopsy reimbursements were described as 40% of charges. The office reported total autopsy costs (including full externals and consults) and a 2024 reimbursement total of about $84,050.17; staff said reimbursements can take…

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