Attachment A - ChemistryImmunoassay Schedule - 0007.xlsx
XLSX spreadsheet 104 KB Posted
- Attached to
- 6640--VA Phoenix Chemistry/IA CPT IDIQ
- Solicitation number
- 36C26223R0185
About this file
This file is an Excel attachment (Attachment A) for a VA Phoenix Chemistry/Immunoassay Contract Pricing Template (CPT) detailing estimated annual test volumes and potential contract specifications for the Department of Veterans Affairs, Veterans Health Administration. The document comprehensively lists 84 different medical tests with estimated annual volumes ranging from 858 to 224,524 tests per year, covering a wide array of clinical chemistry and immunoassay tests including hepatitis screenings, drug tests, hormone panels, cholesterol measurements, and various blood chemistry analyses.
The contract opportunity (Solicitation Number 36C26223R0185) is for a five-year Indefinite Delivery/Indefinite Quantity (IDIQ) contract with the VA Phoenix medical facility, with each contract year showing a projected 3% volume increase. The attachment provides detailed breakdowns including estimated test volumes (primary tests, controls, and repeat rates), and sections for proposed instruments, reagents, and consumables. While the pricing columns are currently blank ($0.00), the document serves as a comprehensive template for potential vendors to complete with their specific pricing, instrument, and test methodology details for this medical testing contract.
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1. CHEMISTRY IA CPT OVERVIEW
| Test Description | |||||||||
| (All proposed assays must be stand-alone assays except for Potassium (K+), Chloride (Cl-) and Sodium (Na+)) | CPT (Years 1 - 5, All Inclusive) | VA PHOENIX ESTIMATED ANNUAL TEST VOLUME | VA PHOENIX 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 |
| 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) Routine & STAT Protocol | $0.00 | 4,389 | 4,521 | 4,657 | 4,797 | 4,941 | 23,305 | $ - 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 |
| Opiates | 24,212 | 1,440 | 1,283 | 26,935 |
| Oxycodone | 24,212 | 1,440 | 1,283 | 26,935 |
| PARATHYROID HORMONE (Intact) Routine & STAT Protocol | 3,150 | 1,030 | 209 | 4,389 |
| 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.) | VA PHOENIX |
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 | |
| Opiates | 26,935 | |
| Oxycodone | 26,935 | |
| PARATHYROID HORMONE (Intact) Routine & STAT Protocol | 4,389 | |
| 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 .