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Matt, you and some others have the cost of testing in NC wrong. The $.10 per bird or $5 per flock is not correct. In NC it cost $5 for up to 50 birds, which works out to your $.10 per bird if you have 50 birds, or $5 per flock if you have less than 50 birds. In reality, it cost $5 for the first 50 birds and if you have 51 birds, it will cost you $5 more for the next 50 and so on.
Like speckeledhen suggested, NPIP testing doesnt cover everything and doesnt mean you have a healthy flock. NPIP was started to protect the large commercial flocks from the the hobby farmer that is constantly swapping out their own birds and possibly bringing in something that could desimate there commercial operations. AI testing is now included in NPIP testing because of the birdflue scares just a few years ago. With that said, there are still numerous diseases that are not included in the NPIP testing.
The only real benefit I see in being NPIP certified is it enables you to transport live birds across state lines without the risk of having your birds conficated if caught or checked. It works like the coggins testing in horses, if you cross the state line with a horse and you dont have the coggins reports with you, your animals can be impounded until they are tested and found free of coggins. You foot the bill for all testing, including boarding and feed, or until you can produce the papers stating your animals are disease free. NPIP works similar and just stops a bunch of hassel before it starts, but it still doesnt mean your flock is free from all diseases.