Attachment A Reference Lab Roseburg VAMC.xlsx

This is a pricing schedule attachment for reference laboratory services at Roseburg VA Medical Care System (VAMC). The document provides comprehensive CPT code-based pricing for clinical laboratory tests across two fiscal year periods (FY2024-2026), with pricing escalations and anticipated test volumes for five ordering periods. The clinical laboratory tests include routine chemistry panels (basic metabolic panel, comprehensive metabolic panel, electrolytes), hematology tests (CBC with differential, platelet counts, coagulation studies), microbiology services (blood cultures, sputum cultures, culture identification), immunohematology services (type and cross, antibody screening, crossmatching), and specialized testing (procalcitonin, troponin, TSH, vitamin D, SARS-CoV-2, respiratory panel PCR). Test pricing ranges from $6.72 for urinalysis without microscopy to $943.02 for the gastrointestinal pathology panel, with annual test volumes varying from 2 to 1,500 tests depending on the procedure. The schedule also includes anatomic pathology services with separate technical and professional fee components, such as surgical pathology, immunohistochemistry, and cytology services.

The pricing structure includes FY2024 and FY2025 costs with five distinct ordering periods, each maintaining consistent test volumes across the contract period. High-volume tests include blood cultures (100 annually), gross and micro level IV pathology (1,500 annually), and immunohistochemistry (150 annually). The contractor is responsible for providing all labor, equipment, and materials to perform requested tests seven days a week for urgent and emergent laboratory testing services. Tests must be performed to the satisfaction of the Roseburg VAHCS Chief of Service (P&LMS) and point of contact, with contractors required to provide methodology and result ranges for requested tests and maintain privacy compliance with VA information security guidelines.