36C24820Q0208-003.docx
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- 36C24820Q0208
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36C24820Q0208 Price Cost Schedule.docx
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?.## PRICE/COST SCHEDULE
| Base Period: | January 1, 2020 thru September 30, 2020 | |
| Option Year One: | October 1, 2020 thru September 30, 2021 | |
| Option Year Two: | October 1, 2021 thru September 30, 2022 | |
| Option year Three: | October 1, 2022 thru September 30, 2023 | |
| Option year Four: | October 1, 2023 thru September 30, 2024 |
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 10.00 |
| EA |
| __________________ |
| __________________ |
Cylinders-Monthly rental of "H" Style tank (244cu. FT) Includes Maintenance Est. Monthly qty: 2,(Estimated Yearly Quantity Minimum Maximum 5-10).
Contract Period: Base POP Begin: 01-01-2020 POP End: 09-30-2020
| 175.00 |
| EA |
| __________________ |
| __________________ |
Cylinders-Monthly rental of "E" style tank (22 cu. Ft Includes initial maintenance. Est Monthly qty: 8, (Estimated Yearly Quantity Minimum Maximum 100-175).
| 215.00 |
| EA |
| __________________ |
| __________________ |
Monthly refills for "H" tank, est. 3 per patient, Estimated Monthly qty: 5 cycl, (Estimated Yearly Quantity Minimum Maximum 180-215).
| 480.00 |
| EA |
| __________________ |
| __________________ |
Monthly refills for "E" tank, est. 2 per patient, Est. Monthly qty: 8 cycl, (Estimated Yearly Quantity Minimum Maximum 360-480).
| 28.00 |
| EA |
| __________________ |
| __________________ |
"H" Regulator Est. Monthly qty: 3, (Estimated Yearly Quantity Minimum Maximum 18-28).
| 140.00 |
| EA |
| __________________ |
| __________________ |
"E" Regulator Est. Monthly qty: 18, (Estimated Yearly Quantity Minimum Maximum 108-140).
POP End: 09-20-2020
| 110.00 |
| EA |
| __________________ |
| __________________ |
Monthly rental of Oxylite type portable oxygen system (M-6 or M-9 Tanks), (Estimated Yearly Quantity Minimum-Maximum. 50-110).
| 200.00 |
| EA |
| __________________ |
| __________________ |
Liquid oxygen Portable system low loss unit, (Estimated Yearly Quantity Minimum-Maximum 125-200).
| 200.00 |
| EA |
| __________________ |
| __________________ |
Liquid Oxygen Reservoir low loss for refilling, Estimated Yearly Quantity Minimum Maximum 125-200).
| 72,000.00 |
| EA |
| __________________ |
| __________________ |
Liquid Oxygen Monthly Refills for Reservoirs Average monthly usage per patient, Est Monthly qty: 12000 lbs. per Monthly, (Estimated Yearly Quantity Minimum Maximum 72000).
| 50.00 |
| EA |
| __________________ |
| __________________ |
Monthly rental Oxygen Cylinder Tank Storage Carts, Estimated Yearly Quantity Minimum-Maximum 37-50).
| 300.00 |
| EA |
| __________________ |
| __________________ |
Concentrator Maintenance Required Monthly, Estimated Yearly Quantity Minimum-Maximum 250-300).
| 110.00 |
| EA |
| __________________ |
| __________________ |
Refills for Oxylite type Portable Oxygen System (M-6 or M-9 Tanks), (Estimated Yearly Quantity Minimum Maximum 50-110).
| 175.00 |
| EA |
| __________________ |
| __________________ |
Monthly Rental of Liquids Helios Reservoirs, (Estimated Yearly Quantity Minimum-Maximum 100-175.
| 175.00 |
| EA |
| __________________ |
| __________________ |
Monthly Rental of Liquids Helios Reservoirs', (Estimated Yearly Quantity Minimum-Maximum 100-175).
| 20,000.00 |
| EA |
| __________________ |
| __________________ |
7 Ft. Cannulas w/oxygen tubing changed weekly (4) per patient monthly, (Estimated Yearly Quantity Minimum-Maximum 15,000-20,000).
| 15,000.00 |
| EA |
| __________________ |
| __________________ |
25Ft. Cannulas w/oxygen tubing, (Estimated Yearly Quantity Minimum Maximum 12,500-15,000).
| 15,000.00 |
| EA |
| __________________ |
| __________________ |
50ft. Cannulas w/oxygen tubing changed weekly (4) per patient, (Estimated Yearly Quantity Minimum-Maximum 12,000-15,000).
| 5.00 |
| EA |
| __________________ |
| __________________ |
Monthly Rental of Ventilator Upon Request of Prescription,
| 8.00 |
| EA |
| __________________ |
| __________________ |
Ventilator Maintenance, (Estimated Yearly Quantity Minimum-Maximum 4-8).
| 96.00 |
| EA |
| __________________ |
| __________________ |
Ventilator Tubing, (Estimated Yearly Quantity Minimum-Maximum 72-96).
| 96.00 |
| EA |
| __________________ |
| __________________ |
Bacterial/Humidifiers Filters, (Estimated Yearly Quantity Minimum Maximum 72-96).
| 540.00 |
| EA |
| __________________ |
| __________________ |
Closed System Suction Catheter w/Swivel Adapter with a Meter Dose inhaler (MDI) port, (Estimated Yearly Quantity Minimum Maximum 360-540).
| 36.00 |
| EA |
| __________________ |
| __________________ |
Yankeur Tip Suction, (Estimate Yearly Quantity Minimum-Maximum 24-36).
| 36.00 |
| EA |
| __________________ |
| __________________ |
Resuscitation Bag w/Mask and Oxygen Tubing (Estimated Yearly Quantity Minimum-Maximum 24-36).
| 8.00 |
| EA |
| __________________ |
| __________________ |
One Suction Pump w/Suction Collection Jar, Non Sterile Gloves, Basin, Normal Saline Solution, (Estimated Yearly Quantity Minimum-Maximum 4-8).
| 540.00 |
| EA |
| __________________ |
| __________________ |
Trach Care Kit w/Gauze, (Estimated Yearly Quantity Minimum-Maximum 360-540).
| 48.00 |
| EA |
| __________________ |
| __________________ |
Velcro Tracheotomy Tube Holder, (Estimated Yearly Quantity Minimum-Maximum 36-48).
| 110.00 |
| EA |
| __________________ |
| __________________ |
Contractor Owned Concentrator, (Estimated Yearly Quantity Minimum-Maximum 50-110).
| 50.00 |
| EA |
| __________________ |
| __________________ |
Respiratory Therapist Visit, (Estimated Yearly Quantity Minimum-Maximum 13-50).
| 500.00 |
| EA |
| __________________ |
| __________________ |
Oxymizer Nasal Cannula, (Estimated Yearly Quantity Minimum-Maximum 250-500).
| 540.00 |
| EA |
| __________________ |
| __________________ |
Trach Care Kit w/Gauze, (Estimated Yearly Quantity Minimum-Maximum 360-540).
Contract Period: Option 4 POP Begin: 10-01-2023 POP End: 09-30-2024
| 10.00 |
| EA |
| __________________ |
| __________________ |
Cylinders-Monthly rental of "H" Style tank (244cu. FT) Includes Maintenance Est. Monthly qty: 2,(Estimated Yearly Quantity Minimum Maximum 5-10).
Contract Period: Option 1 POP Begin: 10-01-2020 POP End: 09-30-2021
| 175.00 |
| EA |
| __________________ |
| __________________ |
Cylinders-Monthly rental of "E" style tank (22 cu. Ft Includes initial maintenance. Est Monthly qty: 8, (Estimated Yearly Quantity Minimum Maximum 100-175).
| 215.00 |
| EA |
| __________________ |
| __________________ |
Monthly refills for "H" tank, est. 3 per patient, Estimated Monthly qty: 5 cycl, (Estimated Yearly Quantity Minimum Maximum 180-215).
| 480.00 |
| EA |
| __________________ |
| __________________ |
Monthly refills for "E" tank, est. 2 per patient, Est. Monthly qty: 8 cycl, (Estimated Yearly Quantity Minimum Maximum 360-480).
| 28.00 |
| EA |
| __________________ |
| __________________ |
"H" Regulator Est. Monthly qty: 3, (Estimated Yearly Quantity Minimum Maximum 18-28).
| 140.00 |
| EA |
| __________________ |
| __________________ |
"E" Regulator Est. Monthly qty: 18, (Estimated Yearly Quantity Minimum Maximum 108-140).
| 110.00 |
| EA |
| __________________ |
| __________________ |
Monthly rental of Oxylite type portable oxygen system (M-6 or M-9 Tanks), (Estimated Yearly Quantity Minimum-Maximum. 50-110).
| 200.00 |
| EA |
| __________________ |
| __________________ |
Liquid oxygen Portable system low loss unit, (Estimated Yearly Quantity Minimum-Maximum 125-200).
| 200.00 |
| EA |
| __________________ |
| __________________ |
Liquid Oxygen Reservoir low loss for refilling, Estimated Yearly Quantity Minimum Maximum 125-200).
| 72,000.00 |
| EA |
| __________________ |
| __________________ |
Liquid Oxygen Monthly Refills for Reservoirs Average monthly usage per patient, Est Monthly qty: 12000 lbs. per Monthly, (Estimated Yearly Quantity Minimum Maximum 72000).
| 50.00 |
| EA |
| __________________ |
| __________________ |
Monthly rental Oxygen Cylinder Tank Storage Carts, Estimated Yearly Quantity Minimum-Maximum 37-50).
| 300.00 |
| EA |
| __________________ |
| __________________ |
Concentrator Maintenance Required Monthly, Estimated Yearly Quantity Minimum-Maximum 250-300).
| 110.00 |
| EA |
| __________________ |
| __________________ |
Refills for Oxylite type Portable Oxygen System (M-6 or M-9 Tanks), (Estimated Yearly Quantity Minimum Maximum 50-110).
| 175.00 |
| EA |
| __________________ |
| __________________ |
Monthly Rental of Liquids Helios Reservoirs, (Estimated Yearly Quantity Minimum-Maximum 100-175.
| 175.00 |
| EA |
| __________________ |
| __________________ |
Monthly Rental of Liquids Helios Reservoirs', (Estimated Yearly Quantity Minimum-Maximum 100-175).
| 20,000.00 |
| EA |
| __________________ |
| __________________ |
7 Ft. Cannulas w/oxygen tubing changed weekly (4) per patient monthly, (Estimated Yearly Quantity Minimum-Maximum 15,000-20,000).
| 15,000.00 |
| EA |
| __________________ |
| __________________ |
25Ft. Cannulas w/oxygen tubing, (Estimated Yearly Quantity Minimum Maximum 12,500-15,000).
| 15,000.00 |
| EA |
| __________________ |
| __________________ |
50ft. Cannulas w/oxygen tubing changed weekly (4) per patient, (Estimated Yearly Quantity Minimum-Maximum 12,000-15,000).
| 5.00 |
| EA |
| __________________ |
| __________________ |
Monthly Rental of Ventilator Upon Request of Prescription,
| 8.00 |
| EA |
| __________________ |
| __________________ |
Ventilator Maintenance, (Estimated Yearly Quantity Minimum-Maximum 4-8).
| 96.00 |
| EA |
| __________________ |
| __________________ |
Ventilator Tubing, (Estimated Yearly Quantity Minimum-Maximum 72-96).
| 96.00 |
| EA |
| __________________ |
| __________________ |
Bacterial/Humidifiers Filters, (Estimated Yearly Quantity Minimum Maximum 72-96).
| 540.00 |
| EA |
| __________________ |
| __________________ |
Closed System Suction Catheter w/Swivel Adapter with a Meter Dose inhaler (MDI) port, (Estimated Yearly Quantity Minimum Maximum 360-540).
| 36.00 |
| EA |
| __________________ |
| __________________ |
Yankeur Tip Suction, (Estimate Yearly Quantity Minimum-Maximum 24-36).
| 36.00 |
| EA |
| __________________ |
| __________________ |
Resuscitation Bag w/Mask and Oxygen Tubing (Estimated Yearly Quantity Minimum-Maximum 24-36).
| 8.00 |
| EA |
| __________________ |
| __________________ |
One Suction Pump w/Suction Collection Jar, Non Sterile Gloves, Basin, Normal Saline Solution, (Estimated Yearly Quantity Minimum-Maximum 4-8).
| 540.00 |
| EA |
| __________________ |
| __________________ |
Trach Care Kit w/Gauze, (Estimated Yearly Quantity Minimum-Maximum 360-540).
| 48.00 |
| EA |
| __________________ |
| __________________ |
Velcro Tracheotomy Tube Holder, (Estimated Yearly Quantity Minimum-Maximum 36-48).
| 110.00 |
| EA |
| __________________ |
| __________________ |
Contractor Owned Concentrator, (Estimated Yearly Quantity Minimum-Maximum 50-110).
| 50.00 |
| EA |
| __________________ |
| __________________ |
Respiratory Therapist Visit, (Estimated Yearly Quantity Minimum-Maximum 13-50).
| 500.00 |
| EA |
| __________________ |
| __________________ |
Oxymizer Nasal Cannula, (Estimated Yearly Quantity Minimum-Maximum 250-500).
| 10.00 |
| EA |
| __________________ |
| __________________ |
Cylinders-Monthly rental of "H" Style tank (244cu. FT) Includes Maintenance Est. Monthly qty: 2,(Estimated Yearly Quantity Minimum Maximum 5-10).
Contract Period: Option 2 POP Begin: 10-01-2021 POP End: 09-30-2022
| 175.00 |
| EA |
| __________________ |
| __________________ |
Cylinders-Monthly rental of "E" style tank (22 cu. Ft Includes initial maintenance. Est Monthly qty: 8, (Estimated Yearly Quantity Minimum Maximum 100-175).
| 215.00 |
| EA |
| __________________ |
| __________________ |
Monthly refills for "H" tank, est. 3 per patient, Estimated Monthly qty: 5 cycl, (Estimated Yearly Quantity Minimum Maximum 180-215).
| 480.00 |
| EA |
| __________________ |
| __________________ |
Monthly refills for "E" tank, est. 2 per patient, Est. Monthly qty: 8 cycl, (Estimated Yearly Quantity Minimum Maximum 360-480).
| 28.00 |
| EA |
| __________________ |
| __________________ |
"H" Regulator Est. Monthly qty: 3, (Estimated Yearly Quantity Minimum Maximum 18-28).
| 140.00 |
| EA |
| __________________ |
| __________________ |
"E" Regulator Est. Monthly qty: 18, (Estimated Yearly Quantity Minimum Maximum 108-140).
| 110.00 |
| EA |
| __________________ |
| __________________ |
Monthly rental of Oxylite type portable oxygen system (M-6 or M-9 Tanks), (Estimated Yearly Quantity Minimum-Maximum. 50-110).
| 200.00 |
| EA |
| __________________ |
| __________________ |
Liquid oxygen Portable system low loss unit, (Estimated Yearly Quantity Minimum-Maximum 125-200).
| 200.00 |
| EA |
| __________________ |
| __________________ |
Liquid Oxygen Reservoir low loss for refilling, Estimated Yearly Quantity Minimum Maximum 125-200).
| 72,000.00 |
| EA |
| __________________ |
| __________________ |
Liquid Oxygen Monthly Refills for Reservoirs Average monthly usage per patient, Est Monthly qty: 12000 lbs. per Monthly, (Estimated Yearly Quantity Minimum Maximum 72000).
| 50.00 |
| EA |
| __________________ |
| __________________ |
Monthly rental Oxygen Cylinder Tank Storage Carts, Estimated Yearly Quantity Minimum-Maximum 37-50).
| 300.00 |
| EA |
| __________________ |
| __________________ |
Concentrator Maintenance Required Monthly, Estimated Yearly Quantity Minimum-Maximum 250-300).
| 110.00 |
| EA |
| __________________ |
| __________________ |
Refills for Oxylite type Portable Oxygen System (M-6 or M-9 Tanks), (Estimated Yearly Quantity Minimum Maximum 50-110).
| 175.00 |
| EA |
| __________________ |
| __________________ |
Monthly Rental of Liquids Helios Reservoirs, (Estimated Yearly Quantity Minimum-Maximum 100-175.
| 175.00 |
| EA |
| __________________ |
| __________________ |
Monthly Rental of Liquids Helios Reservoirs', (Estimated Yearly Quantity Minimum-Maximum 100-175).
| 20,000.00 |
| EA |
| __________________ |
| __________________ |
7 Ft. Cannulas w/oxygen tubing changed weekly (4) per patient monthly, (Estimated Yearly Quantity Minimum-Maximum 15,000-20,000).
| 15,000.00 |
| EA |
| __________________ |
| __________________ |
25Ft. Cannulas w/oxygen tubing, (Estimated Yearly Quantity Minimum Maximum 12,500-15,000).
| 15,000.00 |
| EA |
| __________________ |
| __________________ |
50ft. Cannulas w/oxygen tubing changed weekly (4) per patient, (Estimated Yearly Quantity Minimum-Maximum 12,000-15,000).
| 5.00 |
| EA |
| __________________ |
| __________________ |
Monthly Rental of Ventilator Upon Request of Prescription,
| 8.00 |
| EA |
| __________________ |
| __________________ |
Ventilator Maintenance, (Estimated Yearly Quantity Minimum-Maximum 4-8).
| 96.00 |
| EA |
| __________________ |
| __________________ |
Ventilator Tubing, (Estimated Yearly Quantity Minimum-Maximum 72-96).
| 96.00 |
| EA |
| __________________ |
| __________________ |
Bacterial/Humidifiers Filters, (Estimated Yearly Quantity Minimum Maximum 72-96).
| 540.00 |
| EA |
| __________________ |
| __________________ |
Closed System Suction Catheter w/Swivel Adapter with a Meter Dose inhaler (MDI) port, (Estimated Yearly Quantity Minimum Maximum 360-540).
| 36.00 |
| EA |
| __________________ |
| __________________ |
Yankeur Tip Suction, (Estimate Yearly Quantity Minimum-Maximum 24-36).
| 36.00 |
| EA |
| __________________ |
| __________________ |
Resuscitation Bag w/Mask and Oxygen Tubing (Estimated Yearly Quantity Minimum-Maximum 24-36).
| 8.00 |
| EA |
| __________________ |
| __________________ |
One Suction Pump w/Suction Collection Jar, Non Sterile Gloves, Basin, Normal Saline Solution, (Estimated Yearly Quantity Minimum-Maximum 4-8).
| 540.00 |
| EA |
| __________________ |
| __________________ |
Trach Care Kit w/Gauze, (Estimated Yearly Quantity Minimum-Maximum 360-540).
| 48.00 |
| EA |
| __________________ |
| __________________ |
Velcro Tracheotomy Tube Holder, (Estimated Yearly Quantity Minimum-Maximum 36-48).
| 110.00 |
| EA |
| __________________ |
| __________________ |
Contractor Owned Concentrator, (Estimated Yearly Quantity Minimum-Maximum 50-110).
| 50.00 |
| EA |
| __________________ |
| __________________ |
Respiratory Therapist Visit, (Estimated Yearly Quantity Minimum-Maximum 13-50).
| 500.00 |
| EA |
| __________________ |
| __________________ |
Oxymizer Nasal Cannula, (Estimated Yearly Quantity Minimum-Maximum 250-500).
| 10.00 |
| EA |
| __________________ |
| __________________ |
Cylinders-Monthly rental of "H" Style tank (244cu. FT) Includes Maintenance Est. Monthly qty: 2,(Estimated Yearly Quantity Minimum Maximum 5-10).
Contract Period: Option 3 POP Begin: 10-01-2022 POP End: 09-30-2023
| 175.00 |
| EA |
| __________________ |
| __________________ |
Cylinders-Monthly rental of "E" style tank (22 cu. Ft Includes initial maintenance. Est Monthly qty: 8, (Estimated Yearly Quantity Minimum Maximum 100-175).
| 215.00 |
| EA |
| __________________ |
| __________________ |
Monthly refills for "H" tank, est. 3 per patient, Estimated Monthly qty: 5 cycl, (Estimated Yearly Quantity Minimum Maximum 180-215).
| 480.00 |
| EA |
| __________________ |
| __________________ |
Monthly refills for "E" tank, est. 2 per patient, Est. Monthly qty: 8 cycl, (Estimated Yearly Quantity Minimum Maximum 360-480).
| 28.00 |
| EA |
| __________________ |
| __________________ |
"H" Regulator Est. Monthly qty: 3, (Estimated Yearly Quantity Minimum Maximum 18-28).
| 140.00 |
| EA |
| __________________ |
| __________________ |
"E" Regulator Est. Monthly qty: 18, (Estimated Yearly Quantity Minimum Maximum 108-140).
| 110.00 |
| EA |
| __________________ |
| __________________ |
Monthly rental of Oxylite type portable oxygen system (M-6 or M-9 Tanks), (Estimated Yearly Quantity Minimum-Maximum. 50-110).
| 200.00 |
| EA |
| __________________ |
| __________________ |
Liquid oxygen Portable system low loss unit, (Estimated Yearly Quantity Minimum-Maximum 125-200).
| 200.00 |
| EA |
| __________________ |
| __________________ |
Liquid Oxygen Reservoir low loss for refilling, Estimated Yearly Quantity Minimum Maximum 125-200).
| 72,000.00 |
| EA |
| __________________ |
| __________________ |
Liquid Oxygen Monthly Refills for Reservoirs Average monthly usage per patient, Est Monthly qty: 12000 lbs. per Monthly, (Estimated Yearly Quantity Minimum Maximum 72000).
| 50.00 |
| EA |
| __________________ |
| __________________ |
Monthly rental Oxygen Cylinder Tank Storage Carts, Estimated Yearly Quantity Minimum-Maximum 37-50).
| 300.00 |
| EA |
| __________________ |
| __________________ |
Concentrator Maintenance Required Monthly, Estimated Yearly Quantity Minimum-Maximum 250-300).
| 110.00 |
| EA |
| __________________ |
| __________________ |
Refills for Oxylite type Portable Oxygen System (M-6 or M-9 Tanks), (Estimated Yearly Quantity Minimum Maximum 50-110).
| 175.00 |
| EA |
| __________________ |
| __________________ |
Monthly Rental of Liquids Helios Reservoirs, (Estimated Yearly Quantity Minimum-Maximum 100-175.
| 175.00 |
| EA |
| __________________ |
| __________________ |
Monthly Rental of Liquids Helios Reservoirs', (Estimated Yearly Quantity Minimum-Maximum 100-175).
| 20,000.00 |
| EA |
| __________________ |
| __________________ |
7 Ft. Cannulas w/oxygen tubing changed weekly (4) per patient monthly, (Estimated Yearly Quantity Minimum-Maximum 15,000-20,000).
| 15,000.00 |
| EA |
| __________________ |
| __________________ |
25Ft. Cannulas w/oxygen tubing, (Estimated Yearly Quantity Minimum Maximum 12,500-15,000).
| 15,000.00 |
| EA |
| __________________ |
| __________________ |
50ft. Cannulas w/oxygen tubing changed weekly (4) per patient, (Estimated Yearly Quantity Minimum-Maximum 12,000-15,000).
| 5.00 |
| EA |
| __________________ |
| __________________ |
Monthly Rental of Ventilator Upon Request of Prescription,
| 8.00 |
| EA |
| __________________ |
| __________________ |
Ventilator Maintenance, (Estimated Yearly Quantity Minimum-Maximum 4-8).
| 96.00 |
| EA |
| __________________ |
| __________________ |
Ventilator Tubing, (Estimated Yearly Quantity Minimum-Maximum 72-96).
| 96.00 |
| EA |
| __________________ |
| __________________ |
Bacterial/Humidifiers Filters, (Estimated Yearly Quantity Minimum Maximum 72-96).
| 540.00 |
| EA |
| __________________ |
| __________________ |
Closed System Suction Catheter w/Swivel Adapter with a Meter Dose inhaler (MDI) port, (Estimated Yearly Quantity Minimum Maximum 360-540).
| 36.00 |
| EA |
| __________________ |
| __________________ |
Yankeur Tip Suction, (Estimate Yearly Quantity Minimum-Maximum 24-36).
| 36.00 |
| EA |
| __________________ |
| __________________ |
Resuscitation Bag w/Mask and Oxygen Tubing (Estimated Yearly Quantity Minimum-Maximum 24-36).
| 8.00 |
| EA |
| __________________ |
| __________________ |
One Suction Pump w/Suction Collection Jar, Non Sterile Gloves, Basin, Normal Saline Solution, (Estimated Yearly Quantity Minimum-Maximum 4-8).
| 540.00 |
| EA |
| __________________ |
| __________________ |
Trach Care Kit w/Gauze, (Estimated Yearly Quantity Minimum-Maximum 360-540).
| 48.00 |
| EA |
| __________________ |
| __________________ |
Velcro Tracheotomy Tube Holder, (Estimated Yearly Quantity Minimum-Maximum 36-48).
| 110.00 |
| EA |
| __________________ |
| __________________ |
Contractor Owned Concentrator, (Estimated Yearly Quantity Minimum-Maximum 50-110).
| 50.00 |
| EA |
| __________________ |
| __________________ |
Respiratory Therapist Visit, (Estimated Yearly Quantity Minimum-Maximum 13-50).
| 500.00 |
| EA |
| __________________ |
| __________________ |
Oxymizer Nasal Cannula, (Estimated Yearly Quantity Minimum-Maximum 250-500).
| 10.00 |
| EA |
| __________________ |
| __________________ |
Cylinders-Monthly rental of "H" Style tank (244cu. FT) Includes Maintenance Est. Monthly qty: 2,(Estimated Yearly Quantity Minimum Maximum 5-10).
| 175.00 |
| EA |
| __________________ |
| __________________ |
Cylinders-Monthly rental of "E" style tank (22 cu. Ft Includes initial maintenance. Est Monthly qty: 8, (Estimated Yearly Quantity Minimum Maximum 100-175).
| 215.00 |
| EA |
| __________________ |
| __________________ |
Monthly refills for "H" tank, est. 3 per patient, Estimated Monthly qty: 5 cycl, (Estimated Yearly Quantity Minimum Maximum 180-215).
| 480.00 |
| EA |
| __________________ |
| __________________ |
Monthly refills for "E" tank, est. 2 per patient, Est. Monthly qty: 8 cycl, (Estimated Yearly Quantity Minimum Maximum 360-480).
| 28.00 |
| EA |
| __________________ |
| __________________ |
"H" Regulator Est. Monthly qty: 3, (Estimated Yearly Quantity Minimum Maximum 18-28).
| 140.00 |
| EA |
| __________________ |
| __________________ |
"E" Regulator Est. Monthly qty: 18, (Estimated Yearly Quantity Minimum Maximum 108-140).
| 110.00 |
| EA |
| __________________ |
| __________________ |
Monthly rental of Oxylite type portable oxygen system (M-6 or M-9 Tanks), (Estimated Yearly Quantity Minimum-Maximum. 50-110).
| 200.00 |
| EA |
| __________________ |
| __________________ |
Liquid oxygen Portable system low loss unit, (Estimated Yearly Quantity Minimum-Maximum 125-200).
| 200.00 |
| EA |
| __________________ |
| __________________ |
Liquid Oxygen Reservoir low loss for refilling, Estimated Yearly Quantity Minimum Maximum 125-200).
| 72,000.00 |
| EA |
| __________________ |
| __________________ |
Liquid Oxygen Monthly Refills for Reservoirs Average monthly usage per patient, Est Monthly qty: 12000 lbs. per Monthly, (Estimated Yearly Quantity Minimum Maximum 72000).
| 50.00 |
| EA |
| __________________ |
| __________________ |
Monthly rental Oxygen Cylinder Tank Storage Carts, Estimated Yearly Quantity Minimum-Maximum 37-50).
| 300.00 |
| EA |
| __________________ |
| __________________ |
Concentrator Maintenance Required Monthly, Estimated Yearly Quantity Minimum-Maximum 250-300).
| 110.00 |
| EA |
| __________________ |
| __________________ |
Refills for Oxylite type Portable Oxygen System (M-6 or M-9 Tanks), (Estimated Yearly Quantity Minimum Maximum 50-110).
| 175.00 |
| EA |
| __________________ |
| __________________ |
Monthly Rental of Liquids Helios Reservoirs, (Estimated Yearly Quantity Minimum-Maximum 100-175.
| 175.00 |
| EA |
| __________________ |
| __________________ |
Monthly Rental of Liquids Helios Reservoirs', (Estimated Yearly Quantity Minimum-Maximum 100-175).
| 20,000.00 |
| EA |
| __________________ |
| __________________ |
7 Ft. Cannulas w/oxygen tubing changed weekly (4) per patient monthly, (Estimated Yearly Quantity Minimum-Maximum 15,000-20,000).
| 15,000.00 |
| EA |
| __________________ |
| __________________ |
25Ft. Cannulas w/oxygen tubing, (Estimated Yearly Quantity Minimum Maximum 12,500-15,000).
| 15,000.00 |
| EA |
| __________________ |
| __________________ |
50ft. Cannulas w/oxygen tubing changed weekly (4) per patient, (Estimated Yearly Quantity Minimum-Maximum 12,000-15,000).
| 5.00 |
| EA |
| __________________ |
| __________________ |
Monthly Rental of Ventilator Upon Request of Prescription,
| 8.00 |
| EA |
| __________________ |
| __________________ |
Ventilator Maintenance, (Estimated Yearly Quantity Minimum-Maximum 4-8).
| 96.00 |
| EA |
| __________________ |
| __________________ |
Ventilator Tubing, (Estimated Yearly Quantity Minimum-Maximum 72-96).
| 540.00 |
| EA |
| __________________ |
| __________________ |
Closed System Suction Catheter w/Swivel Adapter with a Meter Dose inhaler (MDI) port, (Estimated Yearly Quantity Minimum Maximum 360-540).
| 36.00 |
| EA |
| __________________ |
| __________________ |
Yankeur Tip Suction, (Estimate Yearly Quantity Minimum-Maximum 24-36).
| 36.00 |
| EA |
| __________________ |
| __________________ |
Resuscitation Bag w/Mask and Oxygen Tubing (Estimated Yearly Quantity Minimum-Maximum 24-36).
| 8.00 |
| EA |
| __________________ |
| __________________ |
One Suction Pump w/Suction Collection Jar, Non Sterile Gloves, Basin, Normal Saline Solution, (Estimated Yearly Quantity Minimum-Maximum 4-8).
| 540.00 |
| EA |
| __________________ |
| __________________ |
Trach Care Kit w/Gauze, (Estimated Yearly Quantity Minimum-Maximum 360-540).
| 48.00 |
| EA |
| __________________ |
| __________________ |
Velcro Tracheotomy Tube Holder, (Estimated Yearly Quantity Minimum-Maximum 36-48).
| 110.00 |
| EA |
| __________________ |
| __________________ |
Contractor Owned Concentrator, (Estimated Yearly Quantity Minimum-Maximum 50-110).
| 50.00 |
| EA |
| __________________ |
| __________________ |
Respiratory Therapist Visit, (Estimated Yearly Quantity Minimum-Maximum 13-50).
| 500.00 |
| EA |
| __________________ |
| __________________ |
Oxymizer Nasal Cannula, (Estimated Yearly Quantity Minimum-Maximum 250-500).
| GRAND TOTAL |
| __________________ |
File details come from the government source that posted it. Updated .