The file's text, extracted by GovTribe without its formatting.
CLIN TOTAL
| W81K0024Q0001 |
| ATTACHMENT D - PRICING WORKSHEET |
| OFFEROR NAME: |
| BASE | | | | |
| CLIN | Description | Quantity (Job) | Unit Price | Total |
| 0001 | Chemistry Reagents | 1 | $129,143.00 | $129,143.00 |
| 0002 | Immunoassay Reagents | 1 | $7,409.00 | $7,409.00 |
| | | TOTAL | $136,552.00 |
| Option Period 1 | | | | | |
| CLIN | Description | Quantity (Month) | Unit Price | Total | |
| 1001 | Chemistry Reagents | 1 | $129,287.00 | $129,287.00 | |
| 1002 | Immunoassay Reagents | 1 | $7,409.00 | $7,409.00 | ` |
| | | TOTAL | $136,696.00 | |
| Option Period 2 | | | | |
| CLIN | Description | Quantity (Month) | Unit Price | Total |
| 2001 | Chemistry Reagents | 1 | $129,287.00 | $129,287.00 |
| 2002 | Immunoassay Reagents | 1 | $7,409.00 | $7,409.00 |
| | | TOTAL | $136,696.00 |
| Option Period 3 | | | | |
| CLIN | Description | Quantity (Month) | Unit Price | Total |
| 3001 | Chemistry Reagents | 1 | $129,287.00 | $129,287.00 |
| 3002 | Immunoassay Reagents | 1 | $7,409.00 | $7,409.00 |
| | | TOTAL | $136,696.00 |
| Option Period 4 | | | | |
| CLIN | Description | Quantity (Month) | Unit Price | Total |
| 4001 | Chemistry Reagents | 1 | $129,287.00 | $129,287.00 |
| 4002 | Immunoassay Reagents | 1 | $7,409.00 | $7,409.00 |
| | | TOTAL | $136,696.00 |
| BASE | $136,552.00 |
| Ordering Option Period 1 | $136,696.00 |
| Ordering Option Period 2 | $136,696.00 |
| Ordering Option Period 3 | $136,696.00 |
| Ordering Option Period 4 | $136,696.00 |
| Grand Total | $546,640.00 |
Chem Core
Clinical Chemistry Volumes - Laboratories - Core Clinical Chemistry Volumes - Laboratories - Core Clinical Chemistry Volumes - Laboratories - Core Clinical Chemistry Volumes - Laboratories - Core Clinical Chemistry Volumes - Laboratories - Core
| BASE | | | | | Option Period 1 | | | | | Option Period 2 | | | | | Option Period 3 | | | | | Option Period 4 | | | | |
| Test | Quantity | U/I | Base Cost Per Reportable | Extended Price | Test | Quantity | U/I | Base Cost Per Reportable | Extended Price | Test | Quantity | U/I | Base Cost Per Reportable | Extended Price | Test | Quantity | U/I | Base Cost Per Reportable | Extended Price | Test | Quantity | U/I | Base Cost Per Reportable | Extended Price |
| Acetaminophen | 89 | EACH | $1.00 | $89.00 | Acetaminophen | 89 | EACH | $1.00 | $89.00 | Acetaminophen | 89 | EACH | $1.00 | $89.00 | Acetaminophen | 89 | EACH | $1.00 | $89.00 | Acetaminophen | 89 | EACH | $1.00 | $89.00 |
| Albumin BCG | 7,743 | EACH | $1.00 | $7,743.00 | Albumin BCG | 7,743 | EACH | $1.00 | $7,743.00 | Albumin BCG | 7,743 | EACH | $1.00 | $7,743.00 | Albumin BCG | 7,743 | EACH | $1.00 | $7,743.00 | Albumin BCG | 7,743 | EACH | $1.00 | $7,743.00 |
| alkaline phosphatase | 7,070 | EACH | $1.00 | $7,070.00 | alkaline phosphatase | 7,070 | EACH | $1.00 | $7,070.00 | alkaline phosphatase | 7,070 | EACH | $1.00 | $7,070.00 | alkaline phosphatase | 7,070 | EACH | $1.00 | $7,070.00 | alkaline phosphatase | 7,070 | EACH | $1.00 | $7,070.00 |
| alanine transaminase | 7,128 | EACH | $1.00 | $7,128.00 | alanine transaminase | 7,128 | EACH | $1.00 | $7,128.00 | alanine transaminase | 7,128 | EACH | $1.00 | $7,128.00 | alanine transaminase | 7,128 | EACH | $1.00 | $7,128.00 | alanine transaminase | 7,128 | EACH | $1.00 | $7,128.00 |
| Ammonia | 11 | EACH | $1.00 | $11.00 | Ammonia | 11 | EACH | $1.00 | $11.00 | Ammonia | 11 | EACH | $1.00 | $11.00 | Ammonia | 11 | EACH | $1.00 | $11.00 | Ammonia | 11 | EACH | $1.00 | $11.00 |
| Amylase | 112 | EACH | $1.00 | $112.00 | Amylase | 112 | EACH | $1.00 | $112.00 | Amylase | 112 | EACH | $1.00 | $112.00 | Amylase | 112 | EACH | $1.00 | $112.00 | Amylase | 112 | EACH | $1.00 | $112.00 |
| Aspartate Transferase | 7,128 | EACH | $1.00 | $7,128.00 | Aspartate Transferase | 7,128 | EACH | $1.00 | $7,128.00 | Aspartate Transferase | 7,128 | EACH | $1.00 | $7,128.00 | Aspartate Transferase | 7,128 | EACH | $1.00 | $7,128.00 | Aspartate Transferase | 7,128 | EACH | $1.00 | $7,128.00 |
| B12 | 1,011 | EACH | $1.00 | $1,011.00 | B12 | 1,011 | EACH | $1.00 | $1,011.00 | B12 | 1,011 | EACH | $1.00 | $1,011.00 | B12 | 1,011 | EACH | $1.00 | $1,011.00 | B12 | 1,011 | EACH | $1.00 | $1,011.00 |
| Beta HCG | 776 | EACH | $1.00 | $776.00 | Beta HCG | 776 | EACH | $1.00 | $776.00 | Beta HCG | 776 | EACH | $1.00 | $776.00 | Beta HCG | 776 | EACH | $1.00 | $776.00 | Beta HCG | 776 | EACH | $1.00 | $776.00 |
| Calcium | 9,973 | EACH | $1.00 | $9,973.00 | Calcium | 9,973 | EACH | $1.00 | $9,973.00 | Calcium | 9,973 | EACH | $1.00 | $9,973.00 | Calcium | 9,973 | EACH | $1.00 | $9,973.00 | Calcium | 9,973 | EACH | $1.00 | $9,973.00 |
| Cholesterol | 4,243 | EACH | $1.00 | $4,243.00 | Cholesterol | 4,243 | EACH | $1.00 | $4,243.00 | Cholesterol | 4,243 | EACH | $1.00 | $4,243.00 | Cholesterol | 4,243 | EACH | $1.00 | $4,243.00 | Cholesterol | 4,243 | EACH | $1.00 | $4,243.00 |
| CK | 471 | EACH | $1.00 | $471.00 | CK | 471 | EACH | $1.00 | $471.00 | CK | 471 | EACH | $1.00 | $471.00 | CK | 471 | EACH | $1.00 | $471.00 | CK | 471 | EACH | $1.00 | $471.00 |
| CO2 | 7,026 | EACH | $1.00 | $7,026.00 | CO2 | 7,026 | EACH | $1.00 | $7,026.00 | CO2 | 7,026 | EACH | $1.00 | $7,026.00 | CO2 | 7,026 | EACH | $1.00 | $7,026.00 | CO2 | 7,026 | EACH | $1.00 | $7,026.00 |
| Creatinine | 7,411 | EACH | $1.00 | $7,411.00 | Creatinine | 7,411 | EACH | $1.00 | $7,411.00 | Creatinine | 7,411 | EACH | $1.00 | $7,411.00 | Creatinine | 7,411 | EACH | $1.00 | $7,411.00 | Creatinine | 7,411 | EACH | $1.00 | $7,411.00 |
| CRP Vario | 822 | EACH | $1.00 | $822.00 | CRP | 822 | EACH | $1.00 | $822.00 | CRP | 822 | EACH | $1.00 | $822.00 | CRP | 822 | EACH | $1.00 | $822.00 | CRP | 822 | EACH | $1.00 | $822.00 |
| Bilirubin Direct | 371 | EACH | $1.00 | $371.00 | Bilirubin Direct | 371 | EACH | $1.00 | $371.00 | Bilirubin Direct | 371 | EACH | $1.00 | $371.00 | Bilirubin Direct | 371 | EACH | $1.00 | $371.00 | Bilirubin Direct | 371 | EACH | $1.00 | $371.00 |
| Direct LDL | 4,156 | EACH | $1.00 | $4,156.00 | Direct LDL | 4,156 | EACH | $1.00 | $4,156.00 | Direct LDL | 4,156 | EACH | $1.00 | $4,156.00 | Direct LDL | 4,156 | EACH | $1.00 | $4,156.00 | Direct LDL | 4,156 | EACH | $1.00 | $4,156.00 |
| Ethanol | 256 | EACH | $1.00 | $256.00 | Ethanol | 256 | EACH | $1.00 | $256.00 | Ethanol | 256 | EACH | $1.00 | $256.00 | Ethanol | 256 | EACH | $1.00 | $256.00 | Ethanol | 256 | EACH | $1.00 | $256.00 |
| Ferritin | 477 | EACH | $1.00 | $477.00 | | 477 | EACH | $1.00 | $477.00 | | 477 | EACH | $1.00 | $477.00 | | 477 | EACH | $1.00 | $477.00 | | 477 | EACH | $1.00 | $477.00 |
| Folic Acid | 569 | EACH | $1.00 | $569.00 | Folic Acid | 569 | EACH | $1.00 | $569.00 | Folic Acid | 569 | EACH | $1.00 | $569.00 | Folic Acid | 569 | EACH | $1.00 | $569.00 | Folic Acid | 569 | EACH | $1.00 | $569.00 |
| GGT | 258 | EACH | $1.00 | $258.00 | GGT | 258 | EACH | $1.00 | $258.00 | GGT | 258 | EACH | $1.00 | $258.00 | GGT | 258 | EACH | $1.00 | $258.00 | GGT | 258 | EACH | $1.00 | $258.00 |
| Glucose | 10,536 | EACH | $1.00 | $10,536.00 | Glucose | 10,536 | EACH | $1.00 | $10,536.00 | Glucose | 10,536 | EACH | $1.00 | $10,536.00 | Glucose | 10,536 | EACH | $1.00 | $10,536.00 | Glucose | 10,536 | EACH | $1.00 | $10,536.00 |
| HbA1C | 2,316 | EACH | $1.00 | $2,316.00 | HbA1C | 2,316 | EACH | $1.00 | $2,316.00 | HbA1C | 2,316 | EACH | $1.00 | $2,316.00 | HbA1C | 2,316 | EACH | $1.00 | $2,316.00 | HbA1C | 2,316 | EACH | $1.00 | $2,316.00 |
| HCV Antibody | 1,278 | EACH | $1.00 | $1,278.00 | HCV Antibody | 1,278 | EACH | $1.00 | $1,278.00 | HCV Antibody | 1,278 | EACH | $1.00 | $1,278.00 | HCV Antibody | 1,278 | EACH | $1.00 | $1,278.00 | HCV Antibody | 1,278 | EACH | $1.00 | $1,278.00 |
| Hep A antibody IGM | 181 | EACH | $1.00 | $181.00 | Hep A antibody IGM | 181 | EACH | $1.00 | $181.00 | Hep A antibody IGM | 181 | EACH | $1.00 | $181.00 | Hep A antibody IGM | 181 | EACH | $1.00 | $181.00 | Hep A antibody IGM | 181 | EACH | $1.00 | $181.00 |
| Hep B core IGM | 168 | EACH | $1.00 | $168.00 | Hep B core IGM | 168 | EACH | $1.00 | $168.00 | Hep B core IGM | 168 | EACH | $1.00 | $168.00 | Hep B core IGM | 168 | EACH | $1.00 | $168.00 | Hep B core IGM | 168 | EACH | $1.00 | $168.00 |
| Hep B surface antigen | 507 | EACH | $1.00 | $507.00 | Hep B surface antigen | 507 | EACH | $1.00 | $507.00 | Hep B surface antigen | 507 | EACH | $1.00 | $507.00 | Hep B surface antigen | 507 | EACH | $1.00 | $507.00 | Hep B surface antigen | 507 | EACH | $1.00 | $507.00 |
| ICT module Cl / NA / K | 9,839 | EACH | $1.00 | $9,839.00 | ICT module Cl / NA / K | 9,839 | EACH | $1.00 | $9,839.00 | ICT module Cl / NA / K | 9,839 | EACH | $1.00 | $9,839.00 | ICT module Cl / NA / K | 9,839 | EACH | $1.00 | $9,839.00 | ICT module Cl / NA / K | 9,839 | EACH | $1.00 | $9,839.00 |
| Iron | 379 | EACH | $1.00 | $379.00 | Iron | 379 | EACH | $1.00 | $379.00 | Iron | 379 | EACH | $1.00 | $379.00 | Iron | 379 | EACH | $1.00 | $379.00 | Iron | 379 | EACH | $1.00 | $379.00 |
| Lactic Acid | 279 | EACH | $1.00 | $279.00 | Lactic Acid | 279 | EACH | $1.00 | $279.00 | Lactic Acid | 279 | EACH | $1.00 | $279.00 | Lactic Acid | 279 | EACH | $1.00 | $279.00 | Lactic Acid | 279 | EACH | $1.00 | $279.00 |
| LDH | 70 | EACH | $1.00 | $70.00 | LDH | 70 | EACH | $1.00 | $70.00 | LDH | 70 | EACH | $1.00 | $70.00 | LDH | 70 | EACH | $1.00 | $70.00 | LDH | 70 | EACH | $1.00 | $70.00 |
| LH | 172 | EACH | $1.00 | $172.00 | LH | 172 | EACH | $1.00 | $172.00 | LH | 172 | EACH | $1.00 | $172.00 | LH | 172 | EACH | $1.00 | $172.00 | LH | 172 | EACH | $1.00 | $172.00 |
| Lithium | 5 | EACH | $1.00 | $5.00 | Lithium | 5 | EACH | $1.00 | $5.00 | Lithium | 5 | EACH | $1.00 | $5.00 | Lithium | 5 | EACH | $1.00 | $5.00 | Lithium | 5 | EACH | $1.00 | $5.00 |
| Lipase | 1,135 | EACH | $1.00 | $1,135.00 | Lipase | 1,135 | EACH | $1.00 | $1,135.00 | Lipase | 1,135 | EACH | $1.00 | $1,135.00 | Lipase | 1,135 | EACH | $1.00 | $1,135.00 | Lipase | 1,135 | EACH | $1.00 | $1,135.00 |
| Magnesium | 736 | EACH | $1.00 | $736.00 | Magnesium | 736 | EACH | $1.00 | $736.00 | Magnesium | 736 | EACH | $1.00 | $736.00 | Magnesium | 736 | EACH | $1.00 | $736.00 | Magnesium | 736 | EACH | $1.00 | $736.00 |
| Microalbumin | 66 | EACH | $1.00 | $66.00 | Microalbumin | 66 | EACH | $1.00 | $66.00 | Microalbumin | 66 | EACH | $1.00 | $66.00 | Microalbumin | 66 | EACH | $1.00 | $66.00 | Microalbumin | 66 | EACH | $1.00 | $66.00 |
| Phosphorus | 748 | EACH | $1.00 | $748.00 | Phosphorus | 748 | EACH | $1.00 | $748.00 | Phosphorus | 748 | EACH | $1.00 | $748.00 | Phosphorus | 748 | EACH | $1.00 | $748.00 | Phosphorus | 748 | EACH | $1.00 | $748.00 |
| PSA | 507 | EACH | $1.00 | $507.00 | PSA | 507 | EACH | $1.00 | $507.00 | PSA | 507 | EACH | $1.00 | $507.00 | PSA | 507 | EACH | $1.00 | $507.00 | PSA | 507 | EACH | $1.00 | $507.00 |
| Salicylate | 53 | EACH | $1.00 | $53.00 | Salicylate | 53 | EACH | $1.00 | $53.00 | Salicylate | 53 | EACH | $1.00 | $53.00 | Salicylate | 53 | EACH | $1.00 | $53.00 | Salicylate | 53 | EACH | $1.00 | $53.00 |
| Total Bilirubin | 7,367 | EACH | $1.00 | $7,367.00 | Total Bilirubin | 7,367 | EACH | $1.00 | $7,367.00 | Total Bilirubin | 7,367 | EACH | $1.00 | $7,367.00 | Total Bilirubin | 7,367 | EACH | $1.00 | $7,367.00 | Total Bilirubin | 7,367 | EACH | $1.00 | $7,367.00 |
| Total Protein | 7,085 | EACH | $1.00 | $7,085.00 | Total Protein | 7,085 | EACH | $1.00 | $7,085.00 | Total Protein | 7,085 | EACH | $1.00 | $7,085.00 | Total Protein | 7,085 | EACH | $1.00 | $7,085.00 | Total Protein | 7,085 | EACH | $1.00 | $7,085.00 |
| Transferrin | 35 | EACH | $1.00 | $35.00 | Transferrin | 35 | EACH | $1.00 | $35.00 | Transferrin | 35 | EACH | $1.00 | $35.00 | Transferrin | 35 | EACH | $1.00 | $35.00 | Transferrin | 35 | EACH | $1.00 | $35.00 |
| Triglycerides | 4,199 | EACH | $1.00 | $4,199.00 | Triglycerides | 4,199 | EACH | $1.00 | $4,199.00 | Triglycerides | 4,199 | EACH | $1.00 | $4,199.00 | Triglycerides | 4,199 | EACH | $1.00 | $4,199.00 | Triglycerides | 4,199 | EACH | $1.00 | $4,199.00 |
| Ultra HDL | 4,155 | EACH | $1.00 | $4,155.00 | Ultra HDL | 4,155 | EACH | $1.00 | $4,155.00 | Ultra HDL | 4,155 | EACH | $1.00 | $4,155.00 | Ultra HDL | 4,155 | EACH | $1.00 | $4,155.00 | Ultra HDL | 4,155 | EACH | $1.00 | $4,155.00 |
| Urea Nitrogen | 9,940 | EACH | $1.00 | $9,940.00 | Urea Nitrogen | 9,940 | EACH | $1.00 | $9,940.00 | Urea Nitrogen | 9,940 | EACH | $1.00 | $9,940.00 | Urea Nitrogen | 9,940 | EACH | $1.00 | $9,940.00 | Urea Nitrogen | 9,940 | EACH | $1.00 | $9,940.00 |
| Uric Acid | 144 | EACH | $1.00 | $0.00 | Uric Acid | 144 | EACH | $1.00 | $144.00 | Uric Acid | 144 | EACH | $1.00 | $144.00 | Uric Acid | 144 | EACH | $1.00 | $144.00 | Uric Acid | 144 | EACH | $1.00 | $144.00 |
| Urine/CSF Protein | 286 | EACH | $1.00 | $286.00 | Urine/CSF Protein | 286 | EACH | $1.00 | $286.00 | Urine/CSF Protein | 286 | EACH | $1.00 | $286.00 | Urine/CSF Protein | 286 | EACH | $1.00 | $286.00 | Urine/CSF Protein | 286 | EACH | $1.00 | $286.00 |
| Total Base Period 1 | 129,287 | | | $129,143.00 | Total Option Period 1 | 129,287 | | | $129,287.00 | Total Option Period 2 | 129,287 | | | $129,287.00 | Total Option Period 3 | 129,287 | | | $129,287.00 | Total Option Period 4 | 129,287 | | | $129,287.00 |
Chemistry Core Total $646,291.00
IA Core
| Immunoassay Volumes - Laboratories - Core | Immunoassay Volumes - Laboratories - Core | Immunoassay Volumes - Laboratories - Core | Immunoassay Volumes - Laboratories - Core | Immunoassay Volumes - Laboratories - Core |
| BASE | Option Period 1 | Option Period 2 | Option Period 3 | Option Period 4 |
| Test | Base | U/I | Base Cost Per Reportable | Extended Price | Test | Base | U/I | Base Cost Per Reportable | Extended Price | Test | Base | U/I | Base Cost Per Reportable | Extended Price | Test | Base | U/I | Base Cost Per Reportable | Extended Price | Test | Base | U/I | Base Cost Per Reportable | Extended Price |
| CK-MB | 14 | EACH | $1.00 | $14.00 | CK-MB | 14 | EACH | $1.00 | $14.00 | CK-MB | 14 | EACH | $1.00 | $14.00 | CK-MB | 14 | EACH | $1.00 | $14.00 | CK-MB | 14 | EACH | $1.00 | $14.00 |
| Estradiol | 181 | EACH | $1.00 | $181.00 | Estradiol | 181 | EACH | $1.00 | $181.00 | Estradiol | 181 | EACH | $1.00 | $181.00 | Estradiol | 181 | EACH | $1.00 | $181.00 | Estradiol | 181 | EACH | $1.00 | $181.00 |
| FSH | 131 | EACH | $1.00 | $131.00 | FSH | 131 | EACH | $1.00 | $131.00 | FSH | 131 | EACH | $1.00 | $131.00 | FSH | 131 | EACH | $1.00 | $131.00 | FSH | 131 | EACH | $1.00 | $131.00 |
| Free T4 | 1,164 | EACH | $1.00 | $1,164.00 | Free T4 | 1,164 | EACH | $1.00 | $1,164.00 | Free T4 | 1,164 | EACH | $1.00 | $1,164.00 | Free T4 | 1,164 | EACH | $1.00 | $1,164.00 | Free T4 | 1164 | EACH | $1.00 | $1,164.00 |
| Procalcitonin | 162 | EACH | $1.00 | $162.00 | Procalcitonin | 162 | EACH | $1.00 | $162.00 | Procalcitonin | 162 | EACH | $1.00 | $162.00 | Procalcitonin | 162 | EACH | $1.00 | $162.00 | Procalcitonin | 162 | EACH | $1.00 | $162.00 |
| Progesterone | 116 | EACH | $1.00 | $116.00 | Progesterone | 116 | EACH | $1.00 | $116.00 | Progesterone | 116 | EACH | $1.00 | $116.00 | Progesterone | 116 | EACH | $1.00 | $116.00 | Progesterone | 116 | EACH | $1.00 | $116.00 |
| Prolactin | 162 | EACH | $1.00 | $162.00 | Prolactin | 162 | EACH | $1.00 | $162.00 | Prolactin | 162 | EACH | $1.00 | $162.00 | Prolactin | 162 | EACH | $1.00 | $162.00 | Prolactin | 162 | EACH | $1.00 | $162.00 |
| TSH | 3,013 | EACH | $1.00 | $3,013.00 | T4 | 3,013 | EACH | $1.00 | $3,013.00 | T4 | 3,013 | EACH | $1.00 | $3,013.00 | T4 | 3,013 | EACH | $1.00 | $3,013.00 | T4 | 3013 | EACH | $1.00 | $3,013.00 |
| Troponin-I/T High Sensitive | 1,145 | EACH | $1.00 | $1,145.00 | Troponin-I/T High Sensitive | 1,145 | EACH | $1.00 | $1,145.00 | Troponin-I/T High Sensitive | 1,145 | EACH | $1.00 | $1,145.00 | Troponin-I/T High Sensitive | 1,145 | EACH | $1.00 | $1,145.00 | Troponin-I/T High Sensitive | 1145 | EACH | $1.00 | $1,145.00 |
| Vitamin D | 1,321 | EACH | $1.00 | $1,321.00 | Vitamin D | 1,321 | EACH | $1.00 | $1,321.00 | Vitamin D | 1,321 | EACH | $1.00 | $1,321.00 | Vitamin D | 1,321 | EACH | $1.00 | $1,321.00 | Vitamin D | 1321 | EACH | $1.00 | $1,321.00 |
| Total Base Period 1 | 7,409 | | | $7,409.00 | Total Option Period 1 | 7,409 | | | $7,409.00 | Total Option Period 2 | 7,409 | | | $7,409.00 | Total Option Period 3 | 7,409 | | | $7,409.00 | Total Option Period 4 | 7409 | | | $7,409.00 |
| Immunoassay Core Total | $37,045.00 | | | | | | | | | | | | | | | | | | | | | | | |
Chem Refe
IA Refe
Chem Moreno
IA Ref
| Immunoassay Volumes - Laboratories - Reference | Immunoassay Volumes - Laboratories - Reference | Immunoassay Volumes - Laboratories - Reference | Immunoassay Volumes - Laboratories - Reference | Immunoassay Volumes - Laboratories - Reference |
| Ordering Period 1 | Ordering Period 2 | Ordering Period 3 | Ordering Period 4 | Ordering Period 5 |
| Test | Base | U/I | Base Cost Per Reportable | Extended Price | Test | Base | U/I | Base Cost Per Reportable | Extended Price | Test | Base | U/I | Base Cost Per Reportable | Extended Price | Test | Base | U/I | Base Cost Per Reportable | Extended Price | Test | Base | U/I | Base Cost Per Reportable | Extended Price |
| ACTH | 1,568 | EACH | | | ACTH | 1,725 | EACH | | | ACTH | 1,897 | EACH | | | ACTH | 2,087 | EACH | | | ACTH | 2,296 | EACH | | |
| Alphafetoprotein | 1,317 | EACH | | | Alphafetoprotein | 1,449 | EACH | | | Alphafetoprotein | 1,594 | EACH | | | Alphafetoprotein | 1,753 | EACH | | | Alphafetoprotein | 1,928 | EACH | | |
| Anti-Mullerian Hormone | 8,000 | EACH | | | Anti-Mullerian Hormone | 8,800 | EACH | | | Anti-Mullerian Hormone | 9,680 | EACH | | | Anti-Mullerian Hormone | 10,648 | EACH | | | Anti-Mullerian Hormone | 11,713 | EACH | | |
| Anti-Thyroglobulin | 154 | EACH | | | Anti-Thyroglobulin | 169 | EACH | | | Anti-Thyroglobulin | 186 | EACH | | | Anti-Thyroglobulin | 205 | EACH | | | Anti-Thyroglobulin | 225 | EACH | | |
| Anti-Thyroid Stimulating Hormone Receptor | 566 | EACH | | | Anti-Thyroid Stimulating Hormone Receptor | 623 | EACH | | | Anti-Thyroid Stimulating Hormone Receptor | 685 | EACH | | | Anti-Thyroid Stimulating Hormone Receptor | 753 | EACH | | | Anti-Thyroid Stimulating Hormone Receptor | 829 | EACH | | |
| Anti-TPO | 1,336 | EACH | | | Anti-TPO | 1,470 | EACH | | | Anti-TPO | 1,617 | EACH | | | Anti-TPO | 1,778 | EACH | | | Anti-TPO | 1,956 | EACH | | |
| Apolipoprotein A I | 123 | EACH | | | Apolipoprotein A I | 135 | EACH | | | Apolipoprotein A I | 149 | EACH | | | Apolipoprotein A I | 164 | EACH | | | Apolipoprotein A I | 180 | EACH | | |
| Beta-2 Microglobulin | 2,114 | EACH | | | Beta-2 Microglobulin | 2,325 | EACH | | | Beta-2 Microglobulin | 2,558 | EACH | | | Beta-2 Microglobulin | 2,814 | EACH | | | Beta-2 Microglobulin | 3,095 | EACH | | |
| Beta-CrossLaps | 609 | EACH | | | Beta-CrossLaps | 670 | EACH | | | Beta-CrossLaps | 737 | EACH | | | Beta-CrossLaps | 811 | EACH | | | Beta-CrossLaps | 892 | EACH | | |
| CA 125 | 7,408 | EACH | | | CA 125 | 8,149 | EACH | | | CA 125 | 8,964 | EACH | | | CA 125 | 9,860 | EACH | | | CA 125 | 10,846 | EACH | | |
| CA 15-3 | 598 | EACH | | | CA 15-3 | 658 | EACH | | | CA 15-3 | 724 | EACH | | | CA 15-3 | 796 | EACH | | | CA 15-3 | 876 | EACH | | |
| CA 19-9 | 841 | EACH | | | CA 19-9 | 925 | EACH | | | CA 19-9 | 1,018 | EACH | | | CA 19-9 | 1,119 | EACH | | | CA 19-9 | 1,231 | EACH | | |
| CEA | 1,367 | EACH | | | CEA | 1,504 | EACH | | | CEA | 1,654 | EACH | | | CEA | 1,819 | EACH | | | CEA | 2,001 | EACH | | |
| Cortisol | 6,302 | EACH | | | Cortisol | 6,932 | EACH | | | Cortisol | 7,625 | EACH | | | Cortisol | 8,388 | EACH | | | Cortisol | 9,227 | EACH | | |
| C-Peptide | 2,684 | EACH | | | C-Peptide | 2,952 | EACH | | | C-Peptide | 3,248 | EACH | | | C-Peptide | 3,572 | EACH | | | C-Peptide | 3,930 | EACH | | |
| Creatine Kinase - MB | 27,678 | EACH | | | Creatine Kinase - MB | 30,446 | EACH | | | Creatine Kinase - MB | 33,490 | EACH | | | Creatine Kinase - MB | 36,839 | EACH | | | Creatine Kinase - MB | 40,523 | EACH | | |
| DHEAS | 7,233 | EACH | | | DHEAS | 7,956 | EACH | | | DHEAS | 8,752 | EACH | | | DHEAS | 9,627 | EACH | | | DHEAS | 10,590 | EACH | | |
| Estradiol | 5,000 | EACH | | | Estradiol | 5,500 | EACH | | | Estradiol | 6,050 | EACH | | | Estradiol | 6,655 | EACH | | | Estradiol | 7,321 | EACH | | |
| Ferritin | 25,728 | EACH | | | Ferritin | 28,301 | EACH | | | Ferritin | 31,131 | EACH | | | Ferritin | 34,244 | EACH | | | Ferritin | 37,668 | EACH | | |
| Free Prostatic Specific Ag | 11,000 | EACH | | | Free Prostatic Specific Ag | 12,100 | EACH | | | Free Prostatic Specific Ag | 13,310 | EACH | | | Free Prostatic Specific Ag | 14,641 | EACH | | | Free Prostatic Specific Ag | 16,105 | EACH | | |
| Free Thyroxine | 25,846 | EACH | | | Free Thyroxine | 28,431 | EACH | | | Free Thyroxine | 31,274 | EACH | | | Free Thyroxine | 34,401 | EACH | | | Free Thyroxine | 37,841 | EACH | | |
| Free Triiodothyronine | 4,745 | EACH | | | Free Triiodothyronine | 5,220 | EACH | | | Free Triiodothyronine | 5,741 | EACH | | | Free Triiodothyronine | 6,316 | EACH | | | Free Triiodothyronine | 6,947 | EACH | | |
| Folate | 15,000 | EACH | | | Folate | 16,500 | EACH | | | Folate | 18,150 | EACH | | | Folate | 19,965 | EACH | | | Folate | 21,962 | EACH | | |
| Fructosamine | 166 | EACH | | | Fructosamine | 183 | EACH | | | Fructosamine | 201 | EACH | | | Fructosamine | 221 | EACH | | | Fructosamine | 243 | EACH | | |
| FSH | 5,907 | EACH | | | FSH | 6,498 | EACH | | | FSH | 7,147 | EACH | | | FSH | 7,862 | EACH | | | FSH | 8,648 | EACH | | |
| HCG + beta | 6,490 | EACH | | | HCG + beta | 7,139 | EACH | | | HCG + beta | 7,853 | EACH | | | HCG + beta | 8,638 | EACH | | | HCG + beta | 9,502 | EACH | | |
| HCG Tumor Marker | 462 | EACH | | | HCG Tumor Marker | 508 | EACH | | | HCG Tumor Marker | 559 | EACH | | | HCG Tumor Marker | 615 | EACH | | | HCG Tumor Marker | 676 | EACH | | |
| Immunoglobulin E | 6,002 | EACH | | | Immunoglobulin E | 6,602 | EACH | | | Immunoglobulin E | 7,262 | EACH | | | Immunoglobulin E | 7,989 | EACH | | | Immunoglobulin E | 8,788 | EACH | | |
| Insulin | 12,518 | EACH | | | Insulin | 13,770 | EACH | | | Insulin | 15,147 | EACH | | | Insulin | 16,661 | EACH | | | Insulin | 18,328 | EACH | | |
| LH | 5,921 | EACH | | | LH | 6,513 | EACH | | | LH | 7,164 | EACH | | | LH | 7,881 | EACH | | | LH | 8,669 | EACH | | |
| Myogloblin | 12,931 | EACH | | | Myogloblin | 14,224 | EACH | | | Myogloblin | 15,647 | EACH | | | Myogloblin | 17,211 | EACH | | | Myogloblin | 18,932 | EACH | | |
| N-MID Osteocalcin | 609 | EACH | | | N-MID Osteocalcin | 670 | EACH | | | N-MID Osteocalcin | 737 | EACH | | | N-MID Osteocalcin | 811 | EACH | | | N-MID Osteocalcin | 892 | EACH | | |
| Parathyroid Hormone | 10,705 | EACH | | | Parathyroid Hormone | 11,776 | EACH | | | Parathyroid Hormone | 12,953 | EACH | | | Parathyroid Hormone | 14,248 | EACH | | | Parathyroid Hormone | 15,673 | EACH | | |
| NT-ProBNP or BNP | 17,267 | EACH | | | NT-ProBNP or BNP | 18,994 | EACH | | | NT-ProBNP or BNP | 20,893 | EACH | | | NT-ProBNP or BNP | 22,982 | EACH | | | NT-ProBNP or BNP | 25,281 | EACH | | |
| Procalcitonin | 1,000 | EACH | | | Procalcitonin | 1,100 | EACH | | | Procalcitonin | 1,210 | EACH | | | Procalcitonin | 1,331 | EACH | | | Procalcitonin | 1,464 | EACH | | |
| Progesterone | 2,098 | EACH | | | Progesterone | 2,308 | EACH | | | Progesterone | 2,539 | EACH | | | Progesterone | 2,792 | EACH | | | Progesterone | 3,072 | EACH | | |
| Prolactin | 3,610 | EACH | | | Prolactin | 3,971 | EACH | | | Prolactin | 4,368 | EACH | | | Prolactin | 4,805 | EACH | | | Prolactin | 5,285 | EACH | | |
| Prostatic Specific Antigen | 15,713 | EACH | | | Prostatic Specific Antigen | 17,284 | EACH | | | Prostatic Specific Antigen | 19,013 | EACH | | | Prostatic Specific Antigen | 20,914 | EACH | | | Prostatic Specific Antigen | 23,005 | EACH | | |
| SHBG | 28,000 | EACH | | | SHBG | 30,800 | EACH | | | SHBG | 33,880 | EACH | | | SHBG | 37,268 | EACH | | | SHBG | 40,995 | EACH | | |
| Testosterone | 34,072 | EACH | | | Testosterone | 37,479 | EACH | | | Testosterone | 41,227 | EACH | | | Testosterone | 45,350 | EACH | | | Testosterone | 49,885 | EACH | | |
| Thyroid Stimulating Hormone, 3rd Gen | 60,885 | EACH | | | Thyroid Stimulating Hormone, 3rd Gen | 66,974 | EACH | | | Thyroid Stimulating Hormone, 3rd Gen | 73,671 | EACH | | | Thyroid Stimulating Hormone, 3rd Gen | 81,038 | EACH | | | Thyroid Stimulating Hormone, 3rd Gen | 89,142 | EACH | | |
| Thyroxine | 8,000 | EACH | | | Thyroxine | 8,800 | EACH | | | Thyroxine | 9,680 | EACH | | | Thyroxine | 10,648 | EACH | | | Thyroxine | 11,713 | EACH | | |
| Troponin I/T; or High Sensitive | 35,678 | EACH | | | Troponin I/T; or High Sensitive | 39,246 | EACH | | | Troponin I/T; or High Sensitive | 43,170 | EACH | | | Troponin I/T; or High Sensitive | 47,487 | EACH | | | Troponin I/T; or High Sensitive | 52,236 | EACH | | |
| Vitamin B12 | 15,000 | EACH | | | Vitamin B12 | 16,500 | EACH | | | Vitamin B12 | 18,150 | EACH | | | Vitamin B12 | 19,965 | EACH | | | Vitamin B12 | 21,962 | EACH | | |
| Vitamin D | 71,601 | EACH | | | Vitamin D | 78,761 | EACH | | | Vitamin D | 86,637 | EACH | | | Vitamin D | 95,301 | EACH | | | Vitamin D | 104,831 | EACH | | |
| Totals: | | 511,852 | | | | | 563,037 | | | | | 619,341 | | | | | 681,275 | | | | | 749,403 | | | |
IA Moreno
| Immunoassay Volumes - Laboratories - Moreno | Immunoassay Volumes - Laboratories - Moreno | Immunoassay Volumes - Laboratories - Moreno | Immunoassay Volumes - Laboratories - Moreno | Immunoassay Volumes - Laboratories - Moreno |
| Ordering Period 1 | Ordering Period 2 | Ordering Period 3 | Ordering Period 4 | Ordering Period 5 |
| Test | Base | U/I | Base Cost Per Reportable | Extended Price | Test | Base | U/I | Base Cost Per Reportable | Extended Price | Test | Base | U/I | Base Cost Per Reportable | Extended Price | Test | Base | U/I | Base Cost Per Reportable | Extended Price | Test | Base | U/I | Base Cost Per Reportable | Extended Price |
| ACTH | 1,568 | EACH | | | ACTH | 1,725 | EACH | | | ACTH | 1,897 | EACH | | | ACTH | 2,087 | EACH | | | ACTH | 2,296 | EACH | | |
| Alphafetoprotein | 1,317 | EACH | | | Alphafetoprotein | 1,449 | EACH | | | Alphafetoprotein | 1,594 | EACH | | | Alphafetoprotein | 1,753 | EACH | | | Alphafetoprotein | 1,928 | EACH | | |
| Anti-Mullerian Hormone | 8,000 | EACH | | | Anti-Mullerian Hormone | 8,800 | EACH | | | Anti-Mullerian Hormone | 9,680 | EACH | | | Anti-Mullerian Hormone | 10,648 | EACH | | | Anti-Mullerian Hormone | 11,713 | EACH | | |
| Anti-Thyroglobulin | 154 | EACH | | | Anti-Thyroglobulin | 169 | EACH | | | Anti-Thyroglobulin | 186 | EACH | | | Anti-Thyroglobulin | 205 | EACH | | | Anti-Thyroglobulin | 225 | EACH | | |
| Anti-Thyroid Stimulating Hormone Receptor | 566 | EACH | | | Anti-Thyroid Stimulating Hormone Receptor | 623 | EACH | | | Anti-Thyroid Stimulating Hormone Receptor | 685 | EACH | | | Anti-Thyroid Stimulating Hormone Receptor | 753 | EACH | | | Anti-Thyroid Stimulating Hormone Receptor | 829 | EACH | | |
| Anti-TPO | 1,336 | EACH | | | Anti-TPO | 1,470 | EACH | | | Anti-TPO | 1,617 | EACH | | | Anti-TPO | 1,778 | EACH | | | Anti-TPO | 1,956 | EACH | | |
| Apolipoprotein A I | 123 | EACH | | | Apolipoprotein A I | 135 | EACH | | | Apolipoprotein A I | 149 | EACH | | | Apolipoprotein A I | 164 | EACH | | | Apolipoprotein A I | 180 | EACH | | |
| Beta-2 Microglobulin | 2,114 | EACH | | | Beta-2 Microglobulin | 2,325 | EACH | | | Beta-2 Microglobulin | 2,558 | EACH | | | Beta-2 Microglobulin | 2,814 | EACH | | | Beta-2 Microglobulin | 3,095 | EACH | | |
| Beta-CrossLaps | 609 | EACH | | | Beta-CrossLaps | 670 | EACH | | | Beta-CrossLaps | 737 | EACH | | | Beta-CrossLaps | 811 | EACH | | | Beta-CrossLaps | 892 | EACH | | |
| CA 125 | 7,408 | EACH | | | CA 125 | 8,149 | EACH | | | CA 125 | 8,964 | EACH | | | CA 125 | 9,860 | EACH | | | CA 125 | 10,846 | EACH | | |
| CA 15-3 | 598 | EACH | | | CA 15-3 | 658 | EACH | | | CA 15-3 | 724 | EACH | | | CA 15-3 | 796 | EACH | | | CA 15-3 | 876 | EACH | | |
| CA 19-9 | 841 | EACH | | | CA 19-9 | 925 | EACH | | | CA 19-9 | 1,018 | EACH | | | CA 19-9 | 1,119 | EACH | | | CA 19-9 | 1,231 | EACH | | |
| CEA | 1,367 | EACH | | | CEA | 1,504 | EACH | | | CEA | 1,654 | EACH | | | CEA | 1,819 | EACH | | | CEA | 2,001 | EACH | | |
| Cortisol | 6,302 | EACH | | | Cortisol | 6,932 | EACH | | | Cortisol | 7,625 | EACH | | | Cortisol | 8,388 | EACH | | | Cortisol | 9,227 | EACH | | |
| C-Peptide | 2,684 | EACH | | | C-Peptide | 2,952 | EACH | | | C-Peptide | 3,248 | EACH | | | C-Peptide | 3,572 | EACH | | | C-Peptide | 3,930 | EACH | | |
| Creatine Kinase - MB | 27,678 | EACH | | | Creatine Kinase - MB | 30,446 | EACH | | | Creatine Kinase - MB | 33,490 | EACH | | | Creatine Kinase - MB | 36,839 | EACH | | | Creatine Kinase - MB | 40,523 | EACH | | |
| DHEAS | 7,233 | EACH | | | DHEAS | 7,956 | EACH | | | DHEAS | 8,752 | EACH | | | DHEAS | 9,627 | EACH | | | DHEAS | 10,590 | EACH | | |
| Estradiol | 5,000 | EACH | | | Estradiol | 5,500 | EACH | | | Estradiol | 6,050 | EACH | | | Estradiol | 6,655 | EACH | | | Estradiol | 7,321 | EACH | | |
| Ferritin | 25,728 | EACH | | | Ferritin | 28,301 | EACH | | | Ferritin | 31,131 | EACH | | | Ferritin | 34,244 | EACH | | | Ferritin | 37,668 | EACH | | |
| Free Prostatic Specific Ag | 11,000 | EACH | | | Free Prostatic Specific Ag | 12,100 | EACH | | | Free Prostatic Specific Ag | 13,310 | EACH | | | Free Prostatic Specific Ag | 14,641 | EACH | | | Free Prostatic Specific Ag | 16,105 | EACH | | |
| Free Thyroxine | 25,846 | EACH | | | Free Thyroxine | 28,431 | EACH | | | Free Thyroxine | 31,274 | EACH | | | Free Thyroxine | 34,401 | EACH | | | Free Thyroxine | 37,841 | EACH | | |
| Free Triiodothyronine | 4,745 | EACH | | | Free Triiodothyronine | 5,220 | EACH | | | Free Triiodothyronine | 5,741 | EACH | | | Free Triiodothyronine | 6,316 | EACH | | | Free Triiodothyronine | 6,947 | EACH | | |
| Folate | 15,000 | EACH | | | Folate | 16,500 | EACH | | | Folate | 18,150 | EACH | | | Folate | 19,965 | EACH | | | Folate | 21,962 | EACH | | |
| Fructosamine | 166 | EACH | | | Fructosamine | 183 | EACH | | | Fructosamine | 201 | EACH | | | Fructosamine | 221 | EACH | | | Fructosamine | 243 | EACH | | |
| FSH | 5,907 | EACH | | | FSH | 6,498 | EACH | | | FSH | 7,147 | EACH | | | FSH | 7,862 | EACH | | | FSH | 8,648 | EACH | | |
| HCG + beta | 6,490 | EACH | | | HCG + beta | 7,139 | EACH | | | HCG + beta | 7,853 | EACH | | | HCG + beta | 8,638 | EACH | | | HCG + beta | 9,502 | EACH | | |
| HCG Tumor Marker | 462 | EACH | | | HCG Tumor Marker | 508 | EACH | | | HCG Tumor Marker | 559 | EACH | | | HCG Tumor Marker | 615 | EACH | | | HCG Tumor Marker | 676 | EACH | | |
| Immunoglobulin E | 6,002 | EACH | | | Immunoglobulin E | 6,602 | EACH | | | Immunoglobulin E | 7,262 | EACH | | | Immunoglobulin E | 7,989 | EACH | | | Immunoglobulin E | 8,788 | EACH | | |
| Insulin | 12,518 | EACH | | | Insulin | 13,770 | EACH | | | Insulin | 15,147 | EACH | | | Insulin | 16,661 | EACH | | | Insulin | 18,328 | EACH | | |
| LH | 5,921 | EACH | | | LH | 6,513 | EACH | | | LH | 7,164 | EACH | | | LH | 7,881 | EACH | | | LH | 8,669 | EACH | | |
| Myogloblin | 12,931 | EACH | | | Myogloblin | 14,224 | EACH | | | Myogloblin | 15,647 | EACH | | | Myogloblin | 17,211 | EACH | | | Myogloblin | 18,932 | EACH | | |
| N-MID Osteocalcin | 609 | EACH | | | N-MID Osteocalcin | 670 | EACH | | | N-MID Osteocalcin | 737 | EACH | | | N-MID Osteocalcin | 811 | EACH | | | N-MID Osteocalcin | 892 | EACH | | |
| Parathyroid Hormone | 10,705 | EACH | | | Parathyroid Hormone | 11,776 | EACH | | | Parathyroid Hormone | 12,953 | EACH | | | Parathyroid Hormone | 14,248 | EACH | | | Parathyroid Hormone | 15,673 | EACH | | |
| NT-ProBNP or BNP | 17,267 | EACH | | | NT-ProBNP or BNP | 18,994 | EACH | | | NT-ProBNP or BNP | 20,893 | EACH | | | NT-ProBNP or BNP | 22,982 | EACH | | | NT-ProBNP or BNP | 25,281 | EACH | | |
| Procalcitonin | 1,000 | EACH | | | Procalcitonin | 1,100 | EACH | | | Procalcitonin | 1,210 | EACH | | | Procalcitonin | 1,331 | EACH | | | Procalcitonin | 1,464 | EACH | | |
| Progesterone | 2,098 | EACH | | | Progesterone | 2,308 | EACH | | | Progesterone | 2,539 | EACH | | | Progesterone | 2,792 | EACH | | | Progesterone | 3,072 | EACH | | |
| Prolactin | 3,610 | EACH | | | Prolactin | 3,971 | EACH | | | Prolactin | 4,368 | EACH | | | Prolactin | 4,805 | EACH | | | Prolactin | 5,285 | EACH | | |
| Prostatic Specific Antigen | 15,713 | EACH | | | Prostatic Specific Antigen | 17,284 | EACH | | | Prostatic Specific Antigen | 19,013 | EACH | | | Prostatic Specific Antigen | 20,914 | EACH | | | Prostatic Specific Antigen | 23,005 | EACH | | |
| SHBG | 28,000 | EACH | | | SHBG | 30,800 | EACH | | | SHBG | 33,880 | EACH | | | SHBG | 37,268 | EACH | | | SHBG | 40,995 | EACH | | |
| Testosterone | 34,072 | EACH | | | Testosterone | 37,479 | EACH | | | Testosterone | 41,227 | EACH | | | Testosterone | 45,350 | EACH | | | Testosterone | 49,885 | EACH | | |
| Thyroid Stimulating Hormone, 3rd Gen | 60,885 | EACH | | | Thyroid Stimulating Hormone, 3rd Gen | 66,974 | EACH | | | Thyroid Stimulating Hormone, 3rd Gen | 73,671 | EACH | | | Thyroid Stimulating Hormone, 3rd Gen | 81,038 | EACH | | | Thyroid Stimulating Hormone, 3rd Gen | 89,142 | EACH | | |
| Thyroxine | 8,000 | EACH | | | Thyroxine | 8,800 | EACH | | | Thyroxine | 9,680 | EACH | | | Thyroxine | 10,648 | EACH | | | Thyroxine | 11,713 | EACH | | |
| Troponin I/T; or High Sensitive | 35,678 | EACH | | | Troponin I/T; or High Sensitive | 39,246 | EACH | | | Troponin I/T; or High Sensitive | 43,170 | EACH | | | Troponin I/T; or High Sensitive | 47,487 | EACH | | | Troponin I/T; or High Sensitive | 52,236 | EACH | | |
| Vitamin B12 | 15,000 | EACH | | | Vitamin B12 | 16,500 | EACH | | | Vitamin B12 | 18,150 | EACH | | | Vitamin B12 | 19,965 | EACH | | | Vitamin B12 | 21,962 | EACH | | |
| Vitamin D | 71,601 | EACH | | | Vitamin D | 78,761 | EACH | | | Vitamin D | 86,637 | EACH | | | Vitamin D | 95,301 | EACH | | | Vitamin D | 104,831 | EACH | | |
| Totals: | | 511,852 | | | | | 563,037 | | | | | 619,341 | | | | | 681,275 | | | | | 749,403 | | | |