Attachment A - ChemistryImmunoassay Schedule - 0004.xlsx
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- 6640--VA Phoenix Chemistry/IA CPT IDIQ
- Solicitation number
- 36C26223R0185
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This document appears to be an attachment to a federal contract solicitation related to a Chemistry Immunoassay Comprehensive Performance Test (IA CPT) for the Veterans Integrated Service Network 22 (VISN 22). The attachment provides a detailed schedule of over 200 chemistry and immunoassay tests, including estimated annual test volumes and estimated total 5-year base test costs for VISN 22. It also includes sections listing the proposed instruments, reagents, and total proposed pricing for the 5-year base period. The related federal contract opportunity is a solicitation (Solicitation Number: 36C26223R0185) issued by the Department of Veterans Affairs Veterans Health Administration for a Chemistry/IA CPT IDIQ contract, with an estimated total 5-year base period cost.
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1. CHEMISTRY IA CPT OVERVIEW
| Test Description | CPT (Years 1 - 5, All Inclusive) | VISN 22 ESTIMATED ANNUAL TEST VOLUME | VISN 22 ESTIMATED ANNUAL EXTENDED COST | |||||||
| Base Year 1 | Base Year 2 | Base Year 3 | Base Year 4 | Base Year 5 | Estimated Total 5-Year Base Test Volume | |||||
| (SUM of Column D-H) | Base Year 1 | Base Year 2 | Base Year 3 | Base Year 4 | Base Year 5 | Estimated Total 5-Year Base Test Cost |
(SUM of Column J-N)
| Est. 3% increase | Est. 3% increase | Est. 3% increase | Est. 3% increase | ||||||||||
| Acetaminophen | $0.00 | 3,321 | 3,421 | 3,524 | 3,630 | 3,739 | 17,635 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Alanine Aminotransferase (ALT) (SGPT | $0.00 | 128,369 | 132,221 | 136,188 | 140,274 | 144,483 | 681,535 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| ALBUMIN, Blood | $0.00 | 130,662 | 134,582 | 138,620 | 142,779 | 147,063 | 693,706 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| ALBUMIN, Urine (Microalbumin) | $0.00 | 21,746 | 22,399 | 23,071 | 23,764 | 24,477 | 115,457 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Alkaline Phosphatase | $0.00 | 128,369 | 132,221 | 136,188 | 140,274 | 144,483 | 681,535 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| ALPHA-FETO PROTEIN (AFP) | $0.00 | 3,501 | 3,607 | 3,716 | 3,828 | 3,943 | 18,595 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Ammonia | $0.00 | 1,298 | 1,337 | 1,378 | 1,420 | 1,463 | 6,896 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Amphetamines | $0.00 | 26,935 | 27,744 | 28,577 | 29,435 | 30,319 | 143,010 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Amylase, Blood and Urine | $0.00 | 10,832 | 11,157 | 11,492 | 11,837 | 12,193 | 57,511 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Anti-cyclic citrullinated peptide antibody (Anti-CCP) | $0.00 | 2,405 | 2,478 | 2,553 | 2,630 | 2,709 | 12,775 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Anti-Thyroid Peroxidase antibody (Anti-TPO) | $0.00 | 1,586 | 1,634 | 1,684 | 1,735 | 1,788 | 8,427 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Aspartate Aminotransferase (AST) (SGOT) | $0.00 | 128,369 | 132,221 | 136,188 | 140,274 | 144,483 | 681,535 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Barbiturates | $0.00 | 27,691 | 28,522 | 29,378 | 30,260 | 31,168 | 147,019 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Benzodiazepines | $0.00 | 27,691 | 28,522 | 29,378 | 30,260 | 31,168 | 147,019 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Benzoylecgonine (Cocaine) | $0.00 | 27,691 | 28,522 | 29,378 | 30,260 | 31,168 | 147,019 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Beta 2 Microglobulin | $0.00 | 1,174 | 1,210 | 1,247 | 1,285 | 1,324 | 6,240 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Beta-Hydroxybutyrate | $0.00 | 1,311 | 1,351 | 1,392 | 1,434 | 1,478 | 6,966 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Bicarbonate (CO2) | $0.00 | 166,940 | 171,949 | 177,108 | 182,422 | 187,895 | 886,314 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Bilirubin, Direct | $0.00 | 16,273 | 16,762 | 17,265 | 17,783 | 18,317 | 86,400 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Bilirubin, Total | $0.00 | 128,747 | 132,610 | 136,589 | 140,687 | 144,908 | 683,541 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| **B-type Natriuretic Peptide (BNP) Test (BNP or NT-proBNP) | $0.00 | 12,063 | 12,425 | 12,798 | 13,182 | 13,578 | 64,046 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Buprenorphone | $0.00 | 26,935 | 27,744 | 28,577 | 29,435 | 30,319 | 143,010 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| CALCIUM, Urine and Blood | $0.00 | 167,637 | 172,667 | 177,848 | 183,184 | 188,680 | 890,016 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Cannabinoids | $0.00 | 26,935 | 27,744 | 28,577 | 29,435 | 30,319 | 143,010 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| CARBAMEZAPINE | $0.00 | 935 | 964 | 993 | 1,023 | 1,054 | 4,969 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Carcinoembryonic Antigen (CEA) | $0.00 | 1,244 | 1,282 | 1,321 | 1,361 | 1,402 | 6,610 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| CHLORIDE, URINE, BLOOD and, CSF | $0.00 | 167,891 | 172,928 | 178,116 | 183,460 | 188,964 | 891,359 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Cholesterol, Total, Blood and Fluid | $0.00 | 74,550 | 76,787 | 79,091 | 81,464 | 83,908 | 395,800 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Complement Component 3 (C3) | $0.00 | 1,714 | 1,766 | 1,819 | 1,874 | 1,931 | 9,104 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Complement Component 4(C4) | $0.00 | 1,752 | 1,805 | 1,860 | 1,916 | 1,974 | 9,307 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Cortisol | $0.00 | 3,201 | 3,298 | 3,397 | 3,499 | 3,604 | 16,999 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| C-REACTIVE PROTEIN, High Sensitive | $0.00 | 11,529 | 11,875 | 12,232 | 12,599 | 12,977 | 61,212 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Creatine Kinase (CK) | $0.00 | 13,951 | 14,370 | 14,802 | 15,247 | 15,705 | 74,075 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| CREATININE, Urine and Blood | $0.00 | 224,524 | 231,260 | 238,198 | 245,344 | 252,705 | 1,192,031 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| DIGOXIN | $0.00 | 1,298 | 1,337 | 1,378 | 1,420 | 1,463 | 6,896 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Estradiol | $0.00 | 2,470 | 2,545 | 2,622 | 2,701 | 2,783 | 13,121 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Ethanol, Urine and Blood | $0.00 | 33,069 | 34,062 | 35,084 | 36,137 | 37,222 | 175,574 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Fentanyl | $0.00 | 26,190 | 26,976 | 27,786 | 28,620 | 29,479 | 139,051 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Ferritin | $0.00 | 8,342 | 8,593 | 8,851 | 9,117 | 9,391 | 44,294 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| FOLIC ACID (Folate) | $0.00 | 5,733 | 5,905 | 6,083 | 6,266 | 6,454 | 30,441 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Follicle-Stimulating Hormone (FSH) | $0.00 | 1,966 | 2,025 | 2,086 | 2,149 | 2,214 | 10,440 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Free T3 | $0.00 | 2,205 | 2,272 | 2,341 | 2,412 | 2,485 | 11,715 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Free T4 | $0.00 | 7,800 | 8,034 | 8,276 | 8,525 | 8,781 | 41,416 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Gamma-Glutamyl Transferase (GGT) | $0.00 | 4,226 | 4,353 | 4,484 | 4,619 | 4,758 | 22,440 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| GLUCOSE, Urine, Blood, Fluid, CSF | $0.00 | 168,341 | 173,392 | 178,594 | 183,952 | 189,471 | 893,750 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Haptoglobin | $0.00 | 1,767 | 1,821 | 1,876 | 1,933 | 1,991 | 9,388 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| HDL Cholesterol | $0.00 | 74,387 | 76,619 | 78,918 | 81,286 | 83,725 | 394,935 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Hemoglobin A1c | $0.00 | 83,160 | 85,655 | 88,225 | 90,872 | 93,599 | 441,511 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| **Hepatitis A Test (Hepatitis A IgG or Hepatitis A Total) | $0.00 | 11,114 | 11,448 | 11,792 | 12,146 | 12,511 | 59,011 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Hepatitis A IgM | $0.00 | 2,716 | 2,798 | 2,882 | 2,969 | 3,059 | 14,424 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Hepatitis B Core AB Total | $0.00 | 2,420 | 2,493 | 2,568 | 2,646 | 2,726 | 12,853 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Hepatitis B Core IgM | $0.00 | 3,793 | 3,907 | 4,025 | 4,146 | 4,271 | 20,142 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Hepatitis B Surface Ab | $0.00 | 20,979 | 21,609 | 22,258 | 22,926 | 23,614 | 111,386 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Hepatitis B Surface Ag | $0.00 | 5,229 | 5,386 | 5,548 | 5,715 | 5,887 | 27,765 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Hepatitis C Ab | $0.00 | 11,370 | 11,712 | 12,064 | 12,426 | 12,799 | 60,371 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Hiv- 1/2 Antibody with antigen ("4th generation" HIV testing) | $0.00 | 10,107 | 10,411 | 10,724 | 11,046 | 11,378 | 53,666 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Homocysteine | $0.00 | 2,095 | 2,158 | 2,223 | 2,290 | 2,359 | 11,125 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Human Chorionic Gonadotropin, Beta, Quant (HCG. Beta) | $0.00 | 858 | 884 | 911 | 939 | 968 | 4,560 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Hydrocodone | $0.00 | 2,301 | 2,371 | 2,443 | 2,517 | 2,593 | 12,225 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| IgA | $0.00 | 3,242 | 3,340 | 3,441 | 3,545 | 3,652 | 17,220 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| IgG | $0.00 | 2,750 | 2,833 | 2,918 | 3,006 | 3,097 | 14,604 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| IgM | $0.00 | 2,687 | 2,768 | 2,852 | 2,938 | 3,027 | 14,272 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Insulin | $0.00 | 2,132 | 2,196 | 2,262 | 2,330 | 2,400 | 11,320 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| IRON | $0.00 | 10,786 | 11,110 | 11,444 | 11,788 | 12,142 | 57,270 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Lactate Dehydrogenase, Blood, Fluid, CSF (LDH) | $0.00 | 2,073 | 2,136 | 2,201 | 2,268 | 2,337 | 11,015 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| LACTIC ACID, BLOOD and CSF | $0.00 | 13,659 | 14,069 | 14,492 | 14,927 | 15,375 | 72,522 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| LDL Cholesterol, Direct | $0.00 | 4,921 | 5,069 | 5,222 | 5,379 | 5,541 | 26,132 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Lipase | $0.00 | 11,918 | 12,276 | 12,645 | 13,025 | 13,416 | 63,280 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Lithium | $0.00 | 1,334 | 1,375 | 1,417 | 1,460 | 1,504 | 7,090 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Lutenizing Hormone (LH) | $0.00 | 1,840 | 1,896 | 1,953 | 2,012 | 2,073 | 9,774 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Magnesium, Blood and Urine | $0.00 | 43,168 | 44,464 | 45,798 | 47,172 | 48,588 | 229,190 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Methadone | $0.00 | 26,179 | 26,965 | 27,774 | 28,608 | 29,467 | 138,993 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Microalbumin | $0.00 | 21,668 | 22,319 | 22,989 | 23,679 | 24,390 | 115,045 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Opiates | $0.00 | 26,935 | 27,744 | 28,577 | 29,435 | 30,319 | 143,010 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Oxycodone | $0.00 | 26,935 | 27,744 | 28,577 | 29,435 | 30,319 | 143,010 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| PARATHYROID HORMONE (Intact) | $0.00 | 3,812 | 3,927 | 4,045 | 4,167 | 4,293 | 20,244 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| PARATHYROID HORMONE (Intra) | $0.00 | 578 | 596 | 614 | 633 | 652 | 3,073 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| PHENYTOIN, (Dilantin) | $0.00 | 994 | 1,024 | 1,055 | 1,087 | 1,120 | 5,280 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| PHOSPHORUS, Urine, Blood | $0.00 | 36,301 | 37,391 | 38,513 | 39,669 | 40,860 | 192,734 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| POTASSIUM, Urine, Blood | $0.00 | 169,832 | 174,927 | 180,175 | 185,581 | 191,149 | 901,664 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Prealbumin | $0.00 | 1,448 | 1,492 | 1,537 | 1,584 | 1,632 | 7,693 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Procalcitonin | $0.00 | 2,760 | 2,843 | 2,929 | 3,017 | 3,108 | 14,657 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Prolactin | $0.00 | 1,827 | 1,882 | 1,939 | 1,998 | 2,058 | 9,704 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Prostate Specific Antigen (PSA) | $0.00 | 29,138 | 30,013 | 30,914 | 31,842 | 32,798 | 154,705 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Protein, TOTAL Blood, Urine, Fluid, CSF | $0.00 | 171,549 | 176,696 | 181,997 | 187,457 | 193,081 | 910,780 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| PSA, Free | $0.00 | 4,158 | 4,283 | 4,412 | 4,545 | 4,682 | 22,080 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Rheumatoid Factor | $0.00 | 2,473 | 2,548 | 2,625 | 2,704 | 2,786 | 13,136 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Salicylate | $0.00 | 2,558 | 2,635 | 2,715 | 2,797 | 2,881 | 13,586 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| SODIUM, Urine and Blood | $0.00 | 169,827 | 174,922 | 180,170 | 185,576 | 191,144 | 901,639 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Syphilis | $0.00 | 7,319 | 7,539 | 7,766 | 7,999 | 8,239 | 38,862 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Tacrolimus (EK506) | $0.00 | 2,999 | 3,089 | 3,182 | 3,278 | 3,377 | 15,925 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| TESTOSTERONE, Total | $0.00 | 5,137 | 5,292 | 5,451 | 5,615 | 5,784 | 27,279 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Theophylline | $0.00 | 920 | 948 | 977 | 1,007 | 1,038 | 4,890 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Thyroid-Stimulating Hormone (TSH) | $0.00 | 65,010 | 66,961 | 68,970 | 71,040 | 73,172 | 345,153 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| TRANSFERRIN | $0.00 | 11,649 | 11,999 | 12,359 | 12,730 | 13,112 | 61,849 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Triglycerides | $0.00 | 74,746 | 76,989 | 79,299 | 81,678 | 84,129 | 396,841 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Troponin I | $0.00 | 17,691 | 18,222 | 18,769 | 19,333 | 19,913 | 93,928 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| UREA NITROGEN, Urine and Blood | $0.00 | 168,378 | 173,430 | 178,633 | 183,992 | 189,512 | 893,945 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| URIC ACID, Urine and Blood | $0.00 | 5,973 | 6,153 | 6,338 | 6,529 | 6,725 | 31,718 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Valproic Acid | $0.00 | 1,880 | 1,937 | 1,996 | 2,056 | 2,118 | 9,987 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Vancomycin | $0.00 | 1,853 | 1,909 | 1,967 | 2,027 | 2,088 | 9,844 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Vitamin B-12 | $0.00 | 2,373 | 2,445 | 2,519 | 2,595 | 2,673 | 12,605 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Vit-D-25 Hydroxy Total | $0.00 | 46,956 | 48,365 | 49,816 | 51,311 | 52,851 | 249,299 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
TOTALS $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
&"-,Bold"ATTACHMENT C
2. EST ANNUAL SITE VOL
| EST. ANNUAL SITE VOL | Phoenix | |||
| TEST DESCRIPTION | Est. Test Volume | # of Controls | Est. 5% Repeat Rate | Est. Total Annual Volume |
| Acetaminophen | 1,722 | 1,440 | 159 | 3,321 |
| Alanine Aminotransferase (ALT) (SGPT | 120,096 | 2,160 | 6,113 | 128,369 |
| ALBUMIN, Blood | 122,280 | 2,160 | 6,222 | 130,662 |
| ALBUMIN, Urine (Microalbumin) | 19,990 | 720 | 1,036 | 21,746 |
| Alkaline Phosphatase | 120,096 | 2,160 | 6,113 | 128,369 |
| ALPHA-FETO PROTEIN (AFP) | 2,614 | 720 | 167 | 3,501 |
| Ammonia | 506 | 730 | 62 | 1,298 |
| Amphetamines | 24,212 | 1,440 | 1,283 | 26,935 |
| Amylase, Blood and Urine | 8,876 | 1,440 | 516 | 10,832 |
| Anti-cyclic citrullinated peptide antibody (Anti-CCP) | 1,560 | 730 | 115 | 2,405 |
| Anti-Thyroid Peroxidase antibody (Anti-TPO) | 780 | 730 | 76 | 1,586 |
| Aspartate Aminotransferase (AST) (SGOT) | 120,096 | 2,160 | 6,113 | 128,369 |
| Barbiturates | 24,212 | 2,160 | 1,319 | 27,691 |
| Benzodiazepines | 24,212 | 2,160 | 1,319 | 27,691 |
| Benzoylecgonine (Cocaine) | 24,212 | 2,160 | 1,319 | 27,691 |
| Beta 2 Microglobulin | 398 | 720 | 56 | 1,174 |
| Beta-Hydroxybutyrate | 528 | 720 | 63 | 1,311 |
| Bicarbonate (CO2) | 156,830 | 2,160 | 7,950 | 166,940 |
| Bilirubin, Direct | 13,338 | 2,160 | 775 | 16,273 |
| Bilirubin, Total | 120,456 | 2,160 | 6,131 | 128,747 |
| **B-type Natriuretic Peptide (BNP) Test (BNP or NT-proBNP) | 10,048 | 1,440 | 575 | 12,063 |
| Buprenorphone | 24,212 | 1,440 | 1,283 | 26,935 |
| CALCIUM, Urine and Blood | 157,494 | 2,160 | 7,983 | 167,637 |
| Cannabinoids | 24,212 | 1,440 | 1,283 | 26,935 |
| CARBAMEZAPINE | 170 | 720 | 45 | 935 |
| Carcinoembryonic Antigen (CEA) | 464 | 720 | 60 | 1,244 |
| CHLORIDE, URINE, BLOOD and, CSF | 156,296 | 3,600 | 7,995 | 167,891 |
| Cholesterol, Total, Blood and Fluid | 69,560 | 1,440 | 3,550 | 74,550 |
| Complement Component 3 (C3) | 552 | 1,080 | 82 | 1,714 |
| Complement Component 4(C4) | 588 | 1,080 | 84 | 1,752 |
| Cortisol | 2,328 | 720 | 153 | 3,201 |
| C-REACTIVE PROTEIN, High Sensitive | 9,540 | 1,440 | 549 | 11,529 |
| Creatine Kinase (CK) | 11,846 | 1,440 | 665 | 13,951 |
| CREATININE, Urine and Blood | 209,512 | 4,320 | 10,692 | 224,524 |
| DIGOXIN | 516 | 720 | 62 | 1,298 |
| Estradiol | 1,632 | 720 | 118 | 2,470 |
| Ethanol, Urine and Blood | 27,174 | 4,320 | 1,575 | 33,069 |
| Fentanyl | 24,212 | 730 | 1,248 | 26,190 |
| Ferritin | 7,224 | 720 | 398 | 8,342 |
| FOLIC ACID (Folate) | 4,740 | 720 | 273 | 5,733 |
| Follicle-Stimulating Hormone (FSH) | 1,152 | 720 | 94 | 1,966 |
| Free T3 | 1,380 | 720 | 105 | 2,205 |
| Free T4 | 6,708 | 720 | 372 | 7,800 |
| Gamma-Glutamyl Transferase (GGT) | 3,294 | 730 | 202 | 4,226 |
| GLUCOSE, Urine, Blood, Fluid, CSF | 157,444 | 2,880 | 8,017 | 168,341 |
| Haptoglobin | 602 | 1,080 | 85 | 1,767 |
| HDL Cholesterol | 69,404 | 1,440 | 3,543 | 74,387 |
| Hemoglobin A1c | 76,200 | 3,000 | 3,960 | 83,160 |
| **Hepatitis A Test (Hepatitis A IgG or Hepatitis A Total) | 9,864 | 720 | 530 | 11,114 |
| Hepatitis A IgM | 1,866 | 720 | 130 | 2,716 |
| Hepatitis B Core AB Total | 1,584 | 720 | 116 | 2,420 |
| Hepatitis B Core IgM | 2,892 | 720 | 181 | 3,793 |
| Hepatitis B Surface Ab | 19,260 | 720 | 999 | 20,979 |
| Hepatitis B Surface Ag | 4,260 | 720 | 249 | 5,229 |
| Hepatitis C Ab | 10,108 | 720 | 542 | 11,370 |
| Hiv- 1/2 Antibody with antigen ("4th generation" HIV testing) | 7,800 | 1,825 | 482 | 10,107 |
| Homocysteine | 900 | 1,095 | 100 | 2,095 |
| Human Chorionic Gonadotropin, Beta, Quant (HCG. Beta) | 97 | 720 | 41 | 858 |
| Hydrocodone | 1,461 | 730 | 110 | 2,301 |
| IgA | 1,992 | 1,095 | 155 | 3,242 |
| IgG | 1,524 | 1,095 | 131 | 2,750 |
| IgM | 1,464 | 1,095 | 128 | 2,687 |
| Insulin | 1,300 | 730 | 102 | 2,132 |
| IRON | 8,832 | 1,440 | 514 | 10,786 |
| Lactate Dehydrogenase, Blood, Fluid, CSF (LDH) | 1,254 | 720 | 99 | 2,073 |
| LACTIC ACID, BLOOD and CSF | 11,568 | 1,440 | 651 | 13,659 |
| LDL Cholesterol, Direct | 3,246 | 1,440 | 235 | 4,921 |
| Lipase | 9,910 | 1,440 | 568 | 11,918 |
| Lithium | 550 | 720 | 64 | 1,334 |
| Lutenizing Hormone (LH) | 1,032 | 720 | 88 | 1,840 |
| Magnesium, Blood and Urine | 39,672 | 1,440 | 2,056 | 43,168 |
| Methadone | 24,212 | 720 | 1,247 | 26,179 |
| Microalbumin | 19,916 | 720 | 1,032 | 21,668 |
| Opiates | 24,212 | 1,440 | 1,283 | 26,935 |
| Oxycodone | 24,212 | 1,440 | 1,283 | 26,935 |
| PARATHYROID HORMONE (Intact) | 2,900 | 730 | 182 | 3,812 |
| PARATHYROID HORMONE (Intra) | 250 | 300 | 28 | 578 |
| PHENYTOIN, (Dilantin) | 226 | 720 | 48 | 994 |
| PHOSPHORUS, Urine, Blood | 33,132 | 1,440 | 1,729 | 36,301 |
| POTASSIUM, Urine, Blood | 158,144 | 3,600 | 8,088 | 169,832 |
| Prealbumin | 284 | 1,095 | 69 | 1,448 |
| Procalcitonin | 1,548 | 1,080 | 132 | 2,760 |
| Prolactin | 1,020 | 720 | 87 | 1,827 |
| Prostate Specific Antigen (PSA) | 26,310 | 1,440 | 1,388 | 29,138 |
| Protein, TOTAL Blood, Urine, Fluid, CSF | 161,220 | 2,160 | 8,169 | 171,549 |
| PSA, Free | 3,240 | 720 | 198 | 4,158 |
| Rheumatoid Factor | 1,260 | 1,095 | 118 | 2,473 |
| Salicylate | 1,716 | 720 | 122 | 2,558 |
| SODIUM, Urine and Blood | 158,140 | 3,600 | 8,087 | 169,827 |
| Syphilis | 6,240 | 730 | 349 | 7,319 |
| Tacrolimus (EK506) | 2,136 | 720 | 143 | 2,999 |
| TESTOSTERONE, Total | 4,172 | 720 | 245 | 5,137 |
| Theophylline | 156 | 720 | 44 | 920 |
| Thyroid-Stimulating Hormone (TSH) | 60,474 | 1,440 | 3,096 | 65,010 |
| TRANSFERRIN | 8,904 | 2,190 | 555 | 11,649 |
| Triglycerides | 69,746 | 1,440 | 3,560 | 74,746 |
| Troponin I | 15,408 | 1,440 | 843 | 17,691 |
| UREA NITROGEN, Urine and Blood | 157,480 | 2,880 | 8,018 | 168,378 |
| URIC ACID, Urine and Blood | 4,968 | 720 | 285 | 5,973 |
| Valproic Acid | 1,070 | 720 | 90 | 1,880 |
| Vancomycin | 1,044 | 720 | 89 | 1,853 |
| Vitamin B-12 | 1,540 | 720 | 113 | 2,373 |
| Vit-D-25 Hydroxy Total | 44,000 | 720 | 2,236 | 46,956 |
3. REAGENT CPT
| TEST DESCRIPTION | Manufacturer Part Number | COST PER TEST | |
| (Cost of single test ALL INCLUSIVE: instrumentation, reagents, supplies, consumables, service/maintenance, installation, training, delivery, software licenses, etc.) | VISN22 |
ANNUAL VOLUME PER TEST
| (VOLUME PROVIDED FOR INFORMATIONAL PURPOSES ONLY ---DO NOT PROVIDE AN EXTENDED OR PACKAGE COST) | Please identify what Reagents and Consumables are required to run a single test | |
| Acetaminophen | 3,321 | |
| Alanine Aminotransferase (ALT) (SGPT | 128,369 | |
| ALBUMIN, Blood | 130,662 | |
| ALBUMIN, Urine (Microalbumin) | 21,746 | |
| Alkaline Phosphatase | 128,369 | |
| ALPHA-FETO PROTEIN (AFP) | 3,501 | |
| Ammonia | 1,298 | |
| Amphetamines | 26,935 | |
| Amylase, Blood and Urine | 10,832 | |
| Anti-cyclic citrullinated peptide antibody (Anti-CCP) | 2,405 | |
| Anti-Thyroid Peroxidase antibody (Anti-TPO) | 1,586 | |
| Aspartate Aminotransferase (AST) (SGOT) | 128,369 | |
| Barbiturates | 27,691 | |
| Benzodiazepines | 27,691 | |
| Benzoylecgonine (Cocaine) | 27,691 | |
| Beta 2 Microglobulin | 1,174 | |
| Beta-Hydroxybutyrate | 1,311 | |
| Bicarbonate (CO2) | 166,940 | |
| Bilirubin, Direct | 16,273 | |
| Bilirubin, Total | 128,747 | |
| **B-type Natriuretic Peptide (BNP) Test (BNP or NT-proBNP) | 12,063 | |
| Buprenorphone | 26,935 | |
| CALCIUM, Urine and Blood | 167,637 | |
| Cannabinoids | 26,935 | |
| CARBAMEZAPINE | 935 | |
| Carcinoembryonic Antigen (CEA) | 1,244 | |
| CHLORIDE, URINE, BLOOD and, CSF | 167,891 | |
| Cholesterol, Total, Blood and Fluid | 74,550 | |
| Complement Component 3 (C3) | 1,714 | |
| Complement Component 4(C4) | 1,752 | |
| Cortisol | 3,201 | |
| C-REACTIVE PROTEIN, High Sensitive | 11,529 | |
| Creatine Kinase (CK) | 13,951 | |
| CREATININE, Urine and Blood | 224,524 | |
| DIGOXIN | 1,298 | |
| Estradiol | 2,470 | |
| Ethanol, Urine and Blood | 33,069 | |
| Fentanyl | 26,190 | |
| Ferritin | 8,342 | |
| FOLIC ACID (Folate) | 5,733 | |
| Follicle-Stimulating Hormone (FSH) | 1,966 | |
| Free T3 | 2,205 | |
| Free T4 | 7,800 | |
| Gamma-Glutamyl Transferase (GGT) | 4,226 | |
| GLUCOSE, Urine, Blood, Fluid, CSF | 168,341 | |
| Haptoglobin | 1,767 | |
| HDL Cholesterol | 74,387 | |
| Hemoglobin A1c | 83,160 | |
| **Hepatitis A Test (Hepatitis A IgG or Hepatitis A Total) | 11,114 | |
| Hepatitis A IgM | 2,716 | |
| Hepatitis B Core AB Total | 2,420 | |
| Hepatitis B Core IgM | 3,793 | |
| Hepatitis B Surface Ab | 20,979 | |
| Hepatitis B Surface Ag | 5,229 | |
| Hepatitis C Ab | 11,370 | |
| Hiv- 1/2 Antibody with antigen ("4th generation" HIV testing) | 10,107 | |
| Homocysteine | 2,095 | |
| Human Chorionic Gonadotropin, Beta, Quant (HCG. Beta) | 858 | |
| Hydrocodone | 2,301 | |
| IgA | 3,242 | |
| IgG | 2,750 | |
| IgM | 2,687 | |
| Insulin | 2,132 | |
| IRON | 10,786 | |
| Lactate Dehydrogenase, Blood, Fluid, CSF (LDH) | 2,073 | |
| LACTIC ACID, BLOOD and CSF | 13,659 | |
| LDL Cholesterol, Direct | 4,921 | |
| Lipase | 11,918 | |
| Lithium | 1,334 | |
| Lutenizing Hormone (LH) | 1,840 | |
| Magnesium, Blood and Urine | 43,168 | |
| Methadone | 26,179 | |
| Microalbumin | 21,668 | |
| Opiates | 26,935 | |
| Oxycodone | 26,935 | |
| PARATHYROID HORMONE (Intact) | 3,812 | |
| PARATHYROID HORMONE (Intra) | 578 | |
| PHENYTOIN, (Dilantin) | 994 | |
| PHOSPHORUS, Urine, Blood | 36,301 | |
| POTASSIUM, Urine, Blood | 169,832 | |
| Prealbumin | 1,448 | |
| Procalcitonin | 2,760 | |
| Prolactin | 1,827 | |
| Prostate Specific Antigen (PSA) | 29,138 | |
| Protein, TOTAL Blood, Urine, Fluid, CSF | 171,549 | |
| PSA, Free | 4,158 | |
| Rheumatoid Factor | 2,473 | |
| Salicylate | 2,558 | |
| SODIUM, Urine and Blood | 169,827 | |
| Syphilis | 7,319 | |
| Tacrolimus (EK506) | 2,999 | |
| TESTOSTERONE, Total | 5,137 | |
| Theophylline | 920 | |
| Thyroid-Stimulating Hormone (TSH) | 65,010 | |
| TRANSFERRIN | 11,649 | |
| Triglycerides | 74,746 | |
| Troponin I | 17,691 | |
| UREA NITROGEN, Urine and Blood | 168,378 | |
| URIC ACID, Urine and Blood | 5,973 | |
| Valproic Acid | 1,880 | |
| Vancomycin | 1,853 | |
| Vitamin B-12 | 2,373 | |
| Vit-D-25 Hydroxy Total | 46,956 |
4. PROPOSED INSTRUMENTS
| Instruments | Part/Product # | Quantity |
| Description | ||
| CHEMISTRY | ||
| Instrument A1000 (example) | (Example, please replace with actual item) | |
| Instrument B2000 (example) | (Example, please replace with actual item) |
IMMUNOCHEMISTRY
CENTRIFUGES
REFRIGERATED STORAGE
ALIQUOTTER
BULK INPUT
Contractor Misc
Track - Automation Line
Water System
Inventory Management System (Standalone)
5. PROPOSED TOTAL
| Terms | Annual Cost |
| Base Year 1 | $ - 0 |
| Base Year 2 | $ - 0 |
| Base Year 3 | $ - 0 |
| Base Year 4 | $ - 0 |
| Base Year 5 | $ - 0 |
Total Amount $ - 0
File details come from the government source that posted it. Updated .