Attachment A - Price Schedule.xlsx

XLSX spreadsheet 76 KB Posted

Attached to
6550--HbA1c CPT IDIQ VISN 22
Solicitation number
36C26226Q0069
Issued by

About this file

This is an Excel-based Price Schedule attachment for a VA VISN 22 HbA1c (Hemoglobin A1c) testing Cost Per Test (CPT) contract opportunity. The document details estimated annual test volumes across eight medical facilities including Loma Linda, Long Beach, Phoenix, Prescott, San Diego, Tucson, West Los Angeles, and New Mexico, with a total estimated annual volume of 443,021 tests. The pricing schedule covers a 5-year period with base year and four option years, incorporating an estimated 3% annual increase, though specific per-test pricing is not populated in the current document.

The pricing schedule includes comprehensive sections for test volumes, reagent costs, proposed instruments, and additional pricing considerations such as site move costs. The opportunity is a pre-solicitation sources sought/Request for Information (RFI) issued by the Department of Veterans Affairs Veterans Health Administration VISN 22 Network Contracting Office, targeting NAICS code 325413 with a size standard of 1,250 employees. The document is designed to gather market intelligence about potential vendors capable of providing a VISN-wide HbA1c testing solution with detailed requirements for volume, testing, and potential instrument deployment across multiple VA medical facilities.

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Attachment B - SOW.docx DOCX document

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Text version

1. VISN CPT

Test DescriptionTOTAL CPT (Years 1 -5, All INCLUSIVE)VISN 22 ESTIMATED ANNUAL TEST VOLUMEVISN 22 ESTIMATED ANNUAL EXTENDED COST
BASE YEAROption Year 1Option Year 2Option Year 3Option Year 4VISN 22 Estimated 5-Year Test Total
(SUM of Column D-H)Base Year 1Option Year 2Option Year 3Option Year 4Option Year 5Estimated Total 5-Year Base Test Cost

(SUM of Column J-N)

estimated 3% increaseestimated 3% increaseestimated 3% increaseestimated 3% increase
Hemoglobin A1c$0.00000443,021.00456,312.00470,001.00484,101.00498,624.002,352,059.00$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0

&"-,Bold"ATTACHMENT C

2. EST ANNUAL SITE VOL

Loma LindaLong BeachPhoenixPrescottSan DiegoTucsonWest Los AngelesNew MexicoVISN 22 TOTAL ANNAUL VOLUME
Est. Test Volume# of ControlsEst. 5% Repeat Rate (B+C)*.05Est. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat Rate
Hemoglobin A1c54,648.003,000.002,882.0060,530.0046,945.003,000.002,497.0052,442.0073,661.003,000.003,833.0080,494.0020,732.003,000.001,187.0024,919.0050,303.003,000.002,665.0055,968.0028,701.003,000.001,585.0033,286.0071,279.003,000.003,714.0077,993.0051,656.003,000.002,733.0057,389.00443,021.00
54,648.003,000.002,882.0060,530.0046,945.003,000.002,497.0052,442.0073,661.003,000.003,833.0080,494.0020,732.003,000.001,187.0024,919.0050,303.003,000.002,665.0055,968.0028,701.003,000.001,585.0033,286.0071,279.003,000.003,714.0077,993.0051,656.003,000.002,733.0057,389.00443,021.00

3. REAGENT CPT

MANUFACTURER PART NUMBERCOST 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
Hemoglobin A1c443,021(Example)
Buffer500(Example)
Cleaning Solution600(Example)

Reagent Total CPT $ - 0

4. PROPOSED INSTRUMENTS

InstrumentsPart/Product #Loma LindaLong BeachSan DiegoLos Angeles
ACCSepulvedaWest
Los AngelesTucsonPhoenixPrescottNew MexicoVISN 22

TOTAL QTY

DescriptionIndicate quantity per site
Hemoglobin A1c Instruments- 0
Instrument A1000 (example)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Instrument B2000 (example)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

5. PROPOSED TOTAL

TermsAnnual Cost
Base Year$ - 0
Option Year 1$ - 0
Option Year 2$ - 0
Option Year 3$ - 0
Option Year 4$ - 0

Total Amount $ - 0

6. ADDTIONAL PRICING SHEET

Item / ReagentItem number
OEMUnit of MeasureQuantity Per UnitCOSTComments
Individual site move for LLLL1JB$15,000.0000(Example)
Individual site move for LBLB2JB$23,000.0000(Example)
Reagent Xx59604BX$300.0000(Example)

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