Atch A - Rate Schedule.xlsx

XLSX spreadsheet 51 KB Posted Aug 13, 2025

Attached to: Radiology Services
Solicitation number: RFP-25-PHX-18
Issued by: Department of Health and Human Services Indian Health Service

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Written by GovTribe AI · Aug 13, 2025

The document is an Independent Government Cost Estimate (IGCE) Rate Schedule for a Teleradiology Services contract. The spreadsheet is a detailed pricing template for the Fort Duchesne Health Center located in Utah, covering a base period and four option years. The rate schedule includes line items for Standard X-ray Readings (450 in the base period, increasing to 900 in subsequent years) and an HL7 Interface, with placeholders for various cost components such as fringe benefits, overhead, ODCs, and G&A.

The associated federal contract opportunity (RFP-25-PHX-18) is a set-aside solicitation specifically for Native American firms under the Buy Indian Act of 1910, issued by the Department of Health and Human Services Indian Health Service. The procurement is classified under NAICS code 621512 for Diagnostic Imaging Centers, seeking non-personal professional teleradiology services. The solicitation is a combined synopsis/solicitation for commercial items, using a request for quote (RFQ) format, with an emphasis on providing teleradiology services for the Fort Duchesne Health Center in Utah.

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Other files

File	Type	Posted
Atch B - Business Associate Agreement.pdf	PDF	Aug 13, 2025
Atch C - 2025 Tax Exemption.pdf	PDF	Aug 13, 2025
Atch D - Statement of Work (SOW).pdf	PDF	Aug 13, 2025
Atch E -IEE Representation Form.pdf	PDF	Aug 13, 2025
Atch F - Provisions- Clauses-Terms - Instructions.pdf	PDF	Aug 13, 2025

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IGCE

HHS IGCE TEMPLATE
PROJECT TITLE:			TELERADIOLOGY
Detailed Price Summary
Note: This template can be modified based on the contract type (i.e. Firm Fixed Price, Time and Materials, and Cost Reimburesment)
Contract Line Item Description	Base Period				Option Year One				Option Year Two				Option Year Three				Option Year Four
	Quantity	Unit	Unit Price	Total Price	Quantity	Unit	Unit Price	Total Price	Quantity	Unit	Unit Price	Total Price	Quantity	Unit	Unit Price	Total Price	Quantity	Unit	Unit Price	Total Price
Standard X-ray Readings	450.00	EA	$ - 0	$ - 0	900.00	EA	$ - 0	$ - 0	900.00	EA	$ - 0	$ - 0	0.00	EA	$ - 0	$ - 0	900.00	EA	$ - 0	$ - 0
HL7 Interface	1.00			$ - 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			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0
				$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0
Line Item Subtotal				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Fringe Benefits				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Subtotal Line Item & Fringe				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Overhead				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Subtotal Line Items, Fringe and Overhead				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
ODC's
Travel				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Subcontracts				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Consultants				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Materials				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
CDs				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Subtotal ODCs				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Subtotal - All Costs				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
G&A				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Total Cost				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Fee/Profit				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Total Estimated Yearly Values				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
TOTAL ESTIMATED VALUE OF CONTRACT	$ - 0

Assumptions:	Percent
Inflation Rate Per Year	2.25%
Fringe Benefits Rate	0.00%
Overhead Rate	0.00%
G&A Rate	0.00%
Fee/Profit Percentage	0.00%

&F&D&T

File details come from the government source that posted it. Updated Aug 13, 2025.