Attachment A 36C25221Q0585.xlsx

XLSX spreadsheet 27 KB Posted

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6505--Blood and Blood Products IL Group
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36C25221Q0585
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Sheet1

IL GROUP10/1/21 - 9/30/202210/1/22 - 9/30/202310/1/23 - 9/30/202410/1/24 - 9/30/202510/1/25 - 9/30/2026Estimated Annual Quantities
Blood Components and Product Modifications:QtyUnit PriceEstimated TotalQtyUnit PriceEstimated TotalQtyUnit PriceEstimated TotalQtyUnit PriceEstimated TotalQtyUnit PriceEstimated TotalJesse BrownFHCCHines
Leukoreduced Red Blood Cells3790$ - 03790$ - 03790$ - 03790$ - 03790$ - 017004501640
Fresh Frozen Plasma576$ - 0576$ - 0576$ - 0576$ - 0576$ - 023046300
Apheresis Platelets335$ - 0335$ - 0335$ - 0335$ - 0335$ - 010530200
Pathogen Reduced Platelet Apheresis168$ - 0168$ - 0168$ - 0168$ - 0168$ - 05315100
Large Volume Delayed Sampling Platelet Apheresis167$ - 0167$ - 0167$ - 0167$ - 0167$ - 05215100
Variable Content Platelet Apheresis0$ - 00$ - 00$ - 00$ - 00$ - 0000
HPA Matched Platelet Apheresis0$ - 00$ - 00$ - 00$ - 00$ - 0000
Cryopreciptate, Random0$ - 00$ - 00$ - 00$ - 00$ - 0000
Cryopreciptate, Pooled104$ - 0104$ - 0104$ - 0104$ - 0104$ - 050450
Whole Blood0$ - 00$ - 00$ - 00$ - 00$ - 0000
Leukoreduced Whole Blood0$ - 00$ - 00$ - 00$ - 00$ - 0000
Liquid Plasma0$ - 00$ - 00$ - 00$ - 00$ - 0000
Cryoprecipitate Reduced Plasma (Cryo-poor)0$ - 00$ - 00$ - 00$ - 00$ - 0000
Granulocytes0$ - 00$ - 00$ - 00$ - 00$ - 0000
LRBCD (Pediatric Red Cell Set): 3/set0$ - 00$ - 00$ - 00$ - 00$ - 0000
LRBCD (Pediatric Red Cell Set): 6/set0$ - 00$ - 00$ - 00$ - 00$ - 0000
LRBCD (Pediatric Red Cell Set): 9/set0$ - 00$ - 00$ - 00$ - 00$ - 0000
LSDPN (Neonate Platelet Aliquot): Single Unit0$ - 00$ - 00$ - 00$ - 00$ - 0000
FFPD (Pediatric Fresh Frozen Plasma Set): 6/set0$ - 00$ - 00$ - 00$ - 00$ - 0000
Attached Empty Pediatric Bag Set: 3/set0$ - 00$ - 00$ - 00$ - 00$ - 0000
Attached Empty Pediatric Bag Set: 6/set0$ - 00$ - 00$ - 00$ - 00$ - 0000
Attached Empty Pediatric Bag Set: 9/set0$ - 00$ - 00$ - 00$ - 00$ - 0000
Irradiation (per uit)740$ - 0740$ - 0740$ - 0740$ - 0740$ - 033010400
CMV Screening (per unit)25$ - 025$ - 025$ - 025$ - 025$ - 01123
HLA Matching (per unit)21$ - 021$ - 021$ - 021$ - 021$ - 02001
Volume reduction (per unit)0$ - 00$ - 00$ - 00$ - 00$ - 0000
Washing (per unit)0$ - 00$ - 00$ - 00$ - 00$ - 0000
Divided (per unit)0$ - 00$ - 00$ - 00$ - 00$ - 0000
Deglycerized (per unit)0$ - 00$ - 00$ - 00$ - 00$ - 0000
Restocking Fee100$ - 0100$ - 0100$ - 0100$ - 0100$ - 0302050
Autologous Donation Surcharge0$ - 00$ - 00$ - 00$ - 00$ - 0000
Directed Donation Surcharge0$ - 00$ - 00$ - 00$ - 00$ - 0000
Blood Import Fee0$ - 00$ - 00$ - 00$ - 00$ - 0000

Estimated Total $ - 0 $ - 0 $ - 0 $ - 0 $ - 0

Reference Laboratory Testing (IRL) and Miscellaneous VISN Total Unit Price Estimated Total VISN Total Unit Price Estimated Total VISN Total Unit Price Estimated Total VISN Total Unit Price Estimated Total VISN Total Unit Price Estimated Total

10/1/21 - 9/30/202210/1/22 - 9/30/202310/1/23 - 9/30/202410/1/24 - 9/30/202510/1/25 - 9/30/2026
ABO and Rh35$ - 035$ - 035$ - 035$ - 035$ - 0
ABO Antibody Titer0$ - 00$ - 00$ - 00$ - 00$ - 0
ADAMTS13 Activity0$ - 00$ - 00$ - 00$ - 00$ - 0
ADAMTS13 Antibody0$ - 00$ - 00$ - 00$ - 00$ - 0
ADAMTS13 Inhibitor0$ - 00$ - 00$ - 00$ - 00$ - 0
ADAMTS13 Sequence Analysis0$ - 00$ - 00$ - 00$ - 00$ - 0
Alloadsorption (per adsorption)15$ - 015$ - 015$ - 015$ - 015$ - 0
Antibody Adsorption RESt/WARM10$ - 010$ - 010$ - 010$ - 010$ - 0
Antibody Identification Panel - Saline IAT10$ - 010$ - 010$ - 010$ - 010$ - 0
Antibody Identification Panel - PEG IAT6$ - 06$ - 06$ - 06$ - 06$ - 0
Antibody Identification Panel - LISS IAT6$ - 06$ - 06$ - 06$ - 06$ - 0
Antibody Identification Panel - GEL IAT1$ - 01$ - 01$ - 01$ - 01$ - 0
Antibody Identification Panel - Prewarm IAT5$ - 05$ - 05$ - 05$ - 05$ - 0
Antibody Identification Panel - Ficin IAT5$ - 05$ - 05$ - 05$ - 05$ - 0
Antibody Identification Panel - DTT/AET IAT5$ - 05$ - 05$ - 05$ - 05$ - 0
Antibody Identification Panel - Chlorquine/EGA IAT5$ - 05$ - 05$ - 05$ - 05$ - 0
Antibody Screen - Saline IAT10$ - 010$ - 010$ - 010$ - 010$ - 0
Antibody Screen - PEG IAT8$ - 08$ - 08$ - 08$ - 08$ - 0
Antibody Screen - LISS IAT8$ - 08$ - 08$ - 08$ - 08$ - 0
Antibody Screen - GEL IAT1$ - 01$ - 01$ - 01$ - 01$ - 0
Antibody Screen -Prewarm IAT2$ - 02$ - 02$ - 02$ - 02$ - 0
Antibody Screen - Ficin IAT2$ - 02$ - 02$ - 02$ - 02$ - 0
Antibody Screen - DTT/AET IAT2$ - 02$ - 02$ - 02$ - 02$ - 0
Antibody Screen - Chlorquine/EGA IAT2$ - 02$ - 02$ - 02$ - 02$ - 0
Antibody Titration5$ - 05$ - 05$ - 05$ - 05$ - 0
Antigen Typing (other than Rh)45$ - 045$ - 045$ - 045$ - 045$ - 0
Antigen Typing (Rare)3$ - 03$ - 03$ - 03$ - 03$ - 0
Autoadsorption - ZZAP (per adsorption)30$ - 030$ - 030$ - 030$ - 030$ - 0
Chemical Treatment of Serum (2-Mercaptoethanol Treated Serum)1$ - 01$ - 01$ - 01$ - 01$ - 0
Cold Agglutinin Panel4$ - 04$ - 04$ - 04$ - 04$ - 0
Compatibility Screen (Crossmatch)5$ - 05$ - 05$ - 05$ - 05$ - 0
Compatiblity Screen with Alloadsorbed Serum5$ - 05$ - 05$ - 05$ - 05$ - 0
DAT Negative Hemolytic Anemia Evaluation10$ - 010$ - 010$ - 010$ - 010$ - 0
Direct Antiglobulin Test - Polyreactive AHG35$ - 035$ - 035$ - 035$ - 035$ - 0
Direct Antiglobulin Test - Monospecific Evaluation35$ - 035$ - 035$ - 035$ - 035$ - 0
Direct Antiglobulin Test IgA Detection35$ - 035$ - 035$ - 035$ - 035$ - 0
Donath Landsteiner0$ - 00$ - 00$ - 00$ - 00$ - 0
Drug Dependent RBC Antibody Study3$ - 03$ - 03$ - 03$ - 03$ - 0
Elution (per elution)25$ - 025$ - 025$ - 025$ - 025$ - 0
Heparin-Induced Thrombocytopenia Evaluation: PF45$ - 05$ - 05$ - 05$ - 05$ - 0
Heparin-Induced Thombocytopenia Evaluation: Serotonin Release Assay5$ - 05$ - 05$ - 05$ - 05$ - 0
HLA Antibody Identification Class I High Resolution5$ - 05$ - 05$ - 05$ - 05$ - 0
HLA Antibody Low Resolution5$ - 05$ - 05$ - 05$ - 05$ - 0
HLA Antibody Screen5$ - 05$ - 05$ - 05$ - 05$ - 0
Neutralization0$ - 00$ - 00$ - 00$ - 00$ - 0
Neutrophil Antibody0$ - 00$ - 00$ - 00$ - 00$ - 0
Partial RhD Anaylsis (molecular)1$ - 01$ - 01$ - 01$ - 01$ - 0
Partial RhD Screening (serology)1$ - 01$ - 01$ - 01$ - 01$ - 0
Platelet Crossmatch2$ - 02$ - 02$ - 02$ - 02$ - 0
Platelet Transfusion Refractory (PTR) Panel1$ - 01$ - 01$ - 01$ - 01$ - 0
Post Transfusion Purpura (PTP) Panel0$ - 00$ - 00$ - 00$ - 00$ - 0
Rare Cell Rule Out Panel1$ - 01$ - 01$ - 01$ - 01$ - 0
Red Cell Rule-Out Panel (any method)35$ - 035$ - 035$ - 035$ - 035$ - 0
Red Cell Genotyping Panel (44 antigens)1$ - 01$ - 01$ - 01$ - 01$ - 0
Red Cell Genotyping STAT Panel (24 antigens)1$ - 01$ - 01$ - 01$ - 01$ - 0
Rh Phenotype (D,C,E,c,e)5$ - 05$ - 05$ - 05$ - 05$ - 0
Screen Units: 1 Antigen Screened Unit5$ - 05$ - 05$ - 05$ - 05$ - 0
Screen Units: 2 Antigen Screened Unit5$ - 05$ - 05$ - 05$ - 05$ - 0
Screen Units: 3 Antigen Screened Unit5$ - 05$ - 05$ - 05$ - 05$ - 0
Screen Units: 4 Antigen Screened Unit3$ - 03$ - 03$ - 03$ - 03$ - 0
Screen Units: 5 Antigen Screened Unit1$ - 01$ - 01$ - 01$ - 01$ - 0
Screen Units: 6 Antigen Screened Unit0$ - 00$ - 00$ - 00$ - 00$ - 0
Screen Units: 7 Antigen Screened Unit0$ - 00$ - 00$ - 00$ - 00$ - 0
Screen Units: 8 Antigen Screened Unit0$ - 00$ - 00$ - 00$ - 00$ - 0
Screen Units: 9 Antigen Screened Unit0$ - 00$ - 00$ - 00$ - 00$ - 0
Screen Units: 10 or more Antigen Screened Unit0$ - 00$ - 00$ - 00$ - 00$ - 0
Screened Unit - Hemoglobin S5$ - 05$ - 05$ - 05$ - 05$ - 0
Screened Unit - Molecular0$ - 00$ - 00$ - 00$ - 00$ - 0
Screened Unit - Rare Antigen0$ - 00$ - 00$ - 00$ - 00$ - 0
Selected Cell Rule-Out Panel - Saline IAT21$ - 021$ - 021$ - 021$ - 021$ - 0
Selected Cell Rule-Out Panel - PEG IAT5$ - 05$ - 05$ - 05$ - 05$ - 0
Selected Cell Rule-Out Panel - LISS IAT5$ - 05$ - 05$ - 05$ - 05$ - 0
Selected Cell Rule-Out Panel - GEL IAT1$ - 01$ - 01$ - 01$ - 01$ - 0
Selected Cell Rule-Out Panel - Prewarm IAT5$ - 05$ - 05$ - 05$ - 05$ - 0
Selected Cell Rule-Out Panel - Ficin IAT4$ - 04$ - 04$ - 04$ - 04$ - 0
Selected Cell Rule-Out Panel - DTT/AET IAT4$ - 04$ - 04$ - 04$ - 04$ - 0
Selected Cell Rule-Out Panel - Chlorquie/EGA IAT4$ - 04$ - 04$ - 04$ - 04$ - 0
Selected Cell Screen - Saline IAT10$ - 010$ - 010$ - 010$ - 010$ - 0
Selected Cell Screen - PEG IAT8$ - 08$ - 08$ - 08$ - 08$ - 0
Selected Cell Screen - LISS IAT8$ - 08$ - 08$ - 08$ - 08$ - 0
Selected Cell Screen - GEL IAT1$ - 01$ - 01$ - 01$ - 01$ - 0
Selected Cell Screen - Prewarm IAT8$ - 08$ - 08$ - 08$ - 08$ - 0
Selected Cell Screen - Ficin IAT8$ - 08$ - 08$ - 08$ - 08$ - 0
Selected Cell Screen - DTT/AET IAT8$ - 08$ - 08$ - 08$ - 08$ - 0
Selected Cell Screen - Chlorquine/EGA IAT0$ - 00$ - 00$ - 00$ - 00$ - 0
Thermal Amplitude Study0$ - 00$ - 00$ - 00$ - 00$ - 0
Transfusion Related Acute Lung Injury (TRALI) Workup0$ - 00$ - 00$ - 00$ - 00$ - 0
Cell Separation: Reticulocyte Preparation/Microhematocrit0$ - 00$ - 00$ - 00$ - 00$ - 0
Platelet Antigen Genotyping0$ - 00$ - 00$ - 00$ - 00$ - 0
D Antigen Typing0$ - 00$ - 00$ - 00$ - 00$ - 0
Cell Separation: Hypotonic Wash0$ - 00$ - 00$ - 00$ - 00$ - 0
Weak RhD Analysis1$ - 01$ - 01$ - 01$ - 01$ - 0
COVID19 Convalescent Plasma (CCP) ****0$ - 00$ - 00$ - 00$ - 00$ - 0

IRL & MISC ESTIMATED TOTAL $ - 0 $ - 0 $ - 0 $ - 0 $ - 0

ESTIMATED ANNUAL TOTAL FOR HINES, JESSE BROWN, AND LOVEL $ - 0 $ - 0 $ - 0 $ - 0 $ - 0

$ - 0

File details come from the government source that posted it. Updated .