Attachment A Schedule IHC_ISH doc.xlsx

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6550-- VISN IHC
Solicitation number
36C26223Q1359
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This document contains an attachment to a solicitation for immunohistochemistry (IHC) and in situ hybridization (ISH) testing services for Veterans Integrated Service Network (VISN) 22.

The attachment includes estimated annual test volumes and pricing for over 200 IHC and ISH tests across six VA medical centers in VISN 22. It provides the estimated annual volume of each test for the base year and four option years at each site, along with the estimated total 5-year volume and extended price for reagents. Instrumentation, software, training, installation and other hardware requirements are outlined. Pricing and service costs including software licenses are specified. The solicitation number is listed as 36C26223Q1359 and is issued by the Department of Veterans Affairs Veterans Health Administration VISN 22 for IHC testing services.

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1. VISN CPT

Test DescriptionVISN 22 ESTIMATED ANNUAL TEST VOLUMEVISN 22 Estimated 5-Year Test Total
VISN 22 Estimated 5-Year Test Extended Price
Reagent CPTStain / 5 year volume onlyTOTAL CPT (Years 1 -5)BASE YEAROption Year 1Option Year 2Option Year 3Option Year 4
estimated 3% increaseestimated 3% increaseestimated 3% increaseestimated 3% increase
ALK-1$1.5000323232333435167$ - 0
BCL-2$2.00001,1191,1191,1531,1871,2231,2605,943$ - 0
BOB-1$5.0000676769717376357$ - 0
BETA-CATININ$0.00007877878118358618864,181$ - 0
CA 19-9$0.0000- 0- 0- 0- 0- 0- 0- 0$ - 0
Calicitonin$0.0000686870727577362$ - 0
Calretinin$0.00002272272342412482551,204$ - 0
CD1A$0.0000616163656769323$ - 0
CD2$0.00006016016196376566763,189$ - 0
CD3$0.0000545455575960284$ - 0
CD4$0.0000109109112116119123580$ - 0
CD5$0.00002,4232,4232,4962,5712,6482,72812,866$ - 0
CD7$0.00002652652732812892981,405$ - 0
CD8$0.00001,2951,2951,3331,3731,4151,4576,873$ - 0
CD10$0.0000170170175180186191903$ - 0
CD15$0.00002292292362432502581,215$ - 0
CD16$0.00001,3191,3191,3581,3991,4411,4847,002$ - 0
CD19$0.00002212212272342412481,171$ - 0
CD20$0.00003503503603713823941,856$ - 0
CD21$0.0000878790929598463$ - 0
CD23$0.00002,4812,4812,5562,6322,7112,79313,173$ - 0
CD30$0.00003833833954074194312,035$ - 0
CD31$0.00006046046226416606803,205$ - 0
CD34$0.00004734734875015165322,509$ - 0
CD43$0.00002572572652732812901,366$ - 0
CD44$0.00001,4021,4021,4441,4871,5321,5787,442$ - 0
CD45$0.000014141414151572$ - 0
CD56$0.0000343435363738178$ - 0
CD57$0.00002742742822912993081,455$ - 0
CD61$0.00003593593703813924041,907$ - 0
CD68$0.00005595595755936106292,966$ - 0
CD79a$0.00007937938178418668924,209$ - 0
CD99$0.0000565657596163295$ - 0
CD117$0.00005815815986166346543,083$ - 0
CD138$0.00008998999269549821,0124,772$ - 0
CDX2$0.0000353536373839184$ - 0
CEA$0.0000153153158163168173814$ - 0
Chromogranin$0.0000110110114117120124585$ - 0
CK 5/6$0.00001,0091,0091,0391,0711,1031,1365,357$ - 0
CK7$0.00001,2471,2471,2851,3231,3631,4046,623$ - 0
CK 8/18$0.00009239239519791,0091,0394,900$ - 0
CK20$0.0000166166171176181187881$ - 0
Cyclin-d (BCL1)$0.00001,0251,0251,0561,0871,1201,1535,441$ - 0
CK34$0.00001,3281,3281,3681,4091,4511,4957,052$ - 0
CMV$0.00002,0032,0032,0642,1252,1892,25510,636$ - 0
Desmin$0.00004774774915065215372,531$ - 0
DOG-1$0.00001,8211,8211,8751,9321,9902,0499,666$ - 0
E-Cad$0.00001,3681,3681,4091,4511,4951,5407,264$ - 0
EMA$0.00007557557788018258504,008$ - 0
EPCAM$0.00006176176366556756953,278$ - 0
ER$0.00004664664804955095252,475$ - 0
FACTOR VIII$0.0000169169174179185190898$ - 0
FACTOR VIIIa$0.00004744744885025175332,514$ - 0
Gata3$0.00002272272342412482551,204$ - 0
GCDFP$0.00003853853974094214342,046$ - 0
Glycophorin A$0.00003053053143233333431,617$ - 0
HAS (HepPar1)$0.00002312312382452522601,226$ - 0
HBME-1$0.0000165165170175180186875$ - 0
HcG$0.000016161617171884$ - 0
HMB45$0.0000363637383940190$ - 0
HSV1$0.0000343435363738178$ - 0
HSV2$0.0000134134138143147151714$ - 0
Inhibin$0.00004334334464594734872,297$ - 0
Kappa$0.0000108108111115118122574$ - 0
Ki67$0.0000474749505253251$ - 0
Lambda$0.0000363637383940190$ - 0
Lysozyme$0.00002342342412482562641,243$ - 0
MAA$0.00002102102162232292361,115$ - 0
Mart-1/Melan A$0.0000767678808385401$ - 0
MOC31$0.00001,2451,2451,2831,3211,3611,4026,611$ - 0
Mum-1$0.00003023023113213303401,605$ - 0
Myeloperoxidase$0.00003113113203303403501,650$ - 0
Napsin A$0.0000363637383940190$ - 0
Nkx 3.1$0.00006666666867067277493,534$ - 0
NSE$0.00002,8352,8352,9203,0083,0983,19115,051$ - 0
P16$0.00006336336526726927133,361$ - 0
P40$0.0000515153555658273$ - 0
P504s$0.000022222211$ - 0
P53$0.00002,3632,3632,4332,5062,5822,65912,543$ - 0
P63$0.00004264264394524664802,263$ - 0
Pankeratin$0.0000353536373839184$ - 0
PAX5$0.00003023023113213303401,605$ - 0
PAX8$0.0000102102105108111115541$ - 0
PLAP$0.00007017017227447667893,724$ - 0
PR$0.000055566628$ - 0
PSA$0.00004024024144274394532,135$ - 0
PSAP$0.0000545455575960284$ - 0
PTH$0.00001,5821,5821,6301,6791,7291,7818,401$ - 0
S100$0.00009249249529801,0101,0404,906$ - 0
SM ACTIN$0.00003,4873,4873,5923,6993,8103,92518,513$ - 0
SM MYOSIN$0.00001911911972032092151,015$ - 0
SOX10$0.00002,2682,2682,3362,4062,4782,55312,041$ - 0
Synaptophysin$0.00003,2163,2163,3133,4123,5143,62017,075$ - 0
TAG-72$0.00004394394524664804942,330$ - 0
TdT$0.00005935936116296486683,150$ - 0
Thyroglobulin$0.0000393940414244206$ - 0
Trypsin$0.00001921921982042102161,020$ - 0
TTF-1$0.0000175175181186192197931$ - 0
Vimentin$0.00004694694834985135282,492$ - 0
WT-1$0.00003473473573683793901,840$ - 0
ZAP70$0.000044445522$ - 0
BCL-6$0.0000131131135139143148697$ - 0
CAM 5.2$0.00001,4981,4981,5431,5901,6371,6867,955$ - 0
Glypician-3$0.00004624624764905055202,453$ - 0
sox11$0.00002142142212272342411,137$ - 0
Basal Cell Cocktail$0.00002,8042,8042,8882,9743,0633,15514,884$ - 0
H.pylori$0.00001,3571,3571,3971,4391,4821,5277,202$ - 0
Calponin$0.00003993994114234364492,118$ - 0
CK19$0.0000464648495052245$ - 0
CK903$0.0000959597100103106502$ - 0
HAS$0.0000- 0- 0- 0- 0- 0- 0- 0$ - 0
HHV-8$0.00001,9301,9301,9882,0472,1092,17210,246$ - 0
MLH1$0.00003993994114234364492,118$ - 0
MSH2$0.0000177177183188194200942$ - 0
MSH6$0.0000323232333435167$ - 0
PMS2$0.00007067067277497717943,746$ - 0
ERROR:#REF!$0.0000129129133137141145686$ - 0
70,24872,35674,52676,76279,065372,957$ - 0

&"-,Bold"ATTACHMENT C

2. EST ANNUAL SITE VOL

Loma LindaLong BeachPhoenixSan DiegoTucsonWest Los AngelesNew MexicoVISN 22 TOTAL ANNAUL VOLUME
Est. Test Volume5% Repeat RateTotalEst. Test Volume5% Repeat RateTotalEst. Test Volume5% Repeat RateTotalEst. Test Volume5% Repeat RateTotalEst. Test Volume5% Repeat RateTotalEst. Test Volume5% Repeat RateTotalEst. Test Volume5% Repeat RateTotal
ALK-1150.7515.75- 00000150.7515.7500- 000- 00032
AMACR0092746.35973.3500001396.95145.95- 000001,119
Arginase-10000502.552.50000- 000140.714.767
BCL-21346.7140.71597.95166.95241.225.21346.7140.7713.5574.551939.65202.65351.7536.75787
BOB-1000- 0000000000- 000- 000- 0
BETA-CATININ60.36.3- 0000060.36.300532.6555.65- 00068
CA 19-9261.327.3783.981.9613.0564.05261.327.300251.2526.25- 000227
Calicitonin190.9519.95- 00000190.9519.950020121- 00061
Calretinin1567.8163.81055.25110.25001567.8163.8502.552.5884.492.4170.8517.85601
CD1A50.255.25- 0000050.255.2570.357.35341.735.7- 00054
CD2211.0522.05- 000251.2526.25211.0522.05180.918.9190.9519.95- 000109
CD363931.95670.9528914.45303.4526313.15276.1563931.95670.95994.95103.9528314.15297.15964.8100.82,423
CD4301.531.5472.3549.35241.225.2301.531.5160.816.8974.85101.8580.48.4265
CD533716.85353.851336.65139.651165.8121.833716.85353.85693.4572.451869.3195.3552.7557.751,295
CD7180.918.9- 000381.939.9180.918.9150.7515.75733.6576.65- 000170
CD8261.327.3351.7536.75361.837.8261.327.3190.9519.95693.4572.4570.357.35229
CD1023211.6243.620610.3216.31095.45114.4523211.6243.61015.05106.0532016336562.858.81,319
CD15301.531.5512.5553.55251.2526.25301.531.5180.918.9472.3549.3590.459.45221
CD1640.24.2- 0000040.24.20032516.25341.25- 000350
CD19351.7536.75- 00000351.7536.7500- 000130.6513.6587
CD2064532.25677.252801429427613.8289.864532.25677.25944.798.732516.25341.25984.9102.92,481
CD21944.798.7- 000391.9540.95944.798.7160.816.81035.15108.15190.9519.95383
CD231457.25152.251266.3132.3462.348.31457.25152.25502.552.5532.6555.65100.510.5604
CD30633.1566.15381.939.9723.675.6633.1566.15472.3549.351407147271.3528.35473
CD31100.510.5522.654.600100.510.520121874.3591.35663.369.3257
CD3427613.8289.81668.3174.330615.3321.327613.8289.8502.552.51879.35196.35743.777.71,402
CD350000000000- 000130.6513.6514
CD42b0000000000- 000321.633.634
CD43472.3549.35623.165.100472.3549.3520121743.777.7110.5511.55274
CD44904.594.51236.15129.1500904.594.500391.9540.95- 000359
CD451005105834.1587.15572.8559.851005105452.2547.251175.85122.85301.531.5559
CD561266.3132.31537.65160.651055.25110.251266.3132.3753.7578.751246.2130.2462.348.3793
CD5790.459.45- 0000090.459.4500351.7536.75- 00056
CD6123511.75246.75723.675.60023511.75246.75110.5511.55- 000- 000581
CD6820610.3216.322211.1233.10020610.3216.3643.267.21185.9123.940242899
CD71000000000000331.6534.6535
CD79a633.1566.15- 00000633.1566.15000020121153
CD99110.5511.55- 00000110.5511.5500834.1587.15- 000110
CD11725112.55263.551537.65160.65100510525112.55263.55412.0543.051105.5115.5552.7557.751,009
CD13833016.5346.51839.15192.151376.85143.8533016.5346.5351.7536.751306.5136.5432.1545.151,247
CDX21115.55116.551829.1191.11487.4155.41115.55116.5512061261849.2193.2231.1524.15923
CEA130.6513.65100510500130.6513.65271.3528.350050.255.25166
Chromogranin1758.75183.7520510.25215.251236.15129.151758.75183.75633.1566.151477.35154.35884.492.41,025
CK 5/61507.5157.528914.45303.4538419.2403.21507.5157.5502.552.51869.3195.3562.858.81,328
CK721710.85227.8538819.4407.433916.95355.9521710.85227.8522511.25236.2544822.4470.4743.777.72,003
CK 8/1822711.35238.35- 0000022711.35238.3500- 000- 000477
CK2028114.05295.0531215.6327.629714.85311.8528114.05295.051899.45198.4530615.3321.3683.471.41,821
CKHMW(34BE12)58829.4617.4000058829.4617.400- 0001276.35133.351,368
Cyclin-d (BCL1)18091891085.4113.4462.348.31809189482.450.41185.9123.9391.9540.95755
CK3429414.7308.7- 0000029414.7308.700- 000- 000617
CMV22211.1233.1- 0000022211.1233.100- 000- 000466
c-Myc00824.186.10000241.225.2432.1545.15120.612.6169
Desmin783.981.9703.573.5693.4572.45783.981.9291.4530.45944.798.7331.6534.65474
DOG-1291.4530.45391.9540.95502.552.5291.4530.4500693.4572.45- 000227
E-Cad613.0564.05251.2526.25824.186.1613.0564.05190.9519.95824.186.1371.8538.85385
EMA20121422.144.10020121783.981.91005105301.531.5305
EPCAM582.960.9- 00000582.960.9743.777.7301.531.5- 000231
ER482.450.4- 00000482.450.4422.144.1- 000190.9519.95165
ERG0000000000- 000150.7515.7516
FACTOR VIII70.357.35- 0000070.357.350020121- 00036
FACTOR VIIIa160.816.8- 00000160.816.800- 0000034
Factor 13a160.816.8643.267.200160.816.8140.714.7- 000180.918.9134
Gata3412.0543.05854.2589.25844.288.2412.0543.05753.7578.75713.5574.55150.7515.75433
Gastrin0000733.6576.6500140.714.7- 000160.816.8108
GCDFP60.36.3- 0000060.36.300331.6534.65- 00047
Glycophorin A30.153.15- 0000030.153.1500281.429.4- 00036
HSA (HepPar1)321.633.6472.3549.35482.450.4321.633.6391.9540.95- 000251.2526.25234
HBME-11005105- 00000100510500- 000- 000210
HcG90.459.45281.429.40090.459.4500261.327.3- 00076
HMB45623.165.151925.95544.9528314.15297.15623.165.1291.4530.451889.4197.4432.1545.151,245
HSV11447.2151.2- 000001447.2151.200- 000- 000302
HSV21487.4155.4- 000001487.4155.400- 000- 000311
Inhibin170.8517.85- 00000170.8517.850000- 00036
Kappa1798.95187.951376.85143.85683.471.41798.95187.9500331.6534.65381.939.9666
Ki675602858843221.6453.653226.6558.656028588914.5595.5543621.8457.8894.4593.452,835
Lambda18091891376.85143.85683.471.4180918900- 000381.939.9633
Lysozyme70.357.35- 0000070.357.3500351.7536.75- 00051
MAA10.051.05- 0000010.051.050000- 0002
Mart-1/Melan A1145.7119.733116.55347.551,26663.31329.31145.7119.71507.5157.51125.6117.61638.15171.152,363
MOC311417.05148.05- 000552.7557.751417.05148.05351.7536.75341.735.7- 000426
MS Actin00120.612.600000000211.0522.0535
Mum-1452.2547.25572.8559.85572.8559.85452.2547.25190.9519.95472.3549.35180.918.9302
Myeloperoxidase190.9519.95- 00000190.9519.9500251.2526.25341.735.7102
Napsin A572.8559.85884.492.41195.95124.95572.8559.85914.5595.551979.85206.85592.9561.95701
Neurofilament0000000000- 00050.255.255
Nkx 3.1723.675.61085.4113.41035.15108.15723.675.600- 000281.429.4402
NSE10.051.05492.4551.450010.051.050000- 00054
P1635617.8373.8240122520035617.8373.81457.25152.2538119.05400.05291.4530.451,582
P401567.8163.8251.2526.25001567.8163.822511.25236.2525712.85269.85613.0564.05924
P504s46823.4491.4- 00069034.5724.546823.4491.41396.95145.951,44772.351519.351095.45114.453,487
P5390.459.45502.552.50090.459.4500854.2589.25291.4530.45191
P6354227.1569.125112.55263.5540120.05421.0554227.1569.10029014.5304.51346.7140.72,268
Pankeratin41620.8436.831215.6327.649424.7518.741620.8436.81708.5178.51,07153.551124.551849.2193.23,216
PAX5733.6576.65532.6555.6500733.6576.65482.450.41437.15150.15281.429.4439
PAX8442.246.2824.186.1884.492.4442.246.2763.879.81487.4155.4834.1587.15593
PLAP130.6513.6570.357.3500130.6513.650040.24.2- 00039
Podoplanin/D2-4000241.225.20000412.0543.05844.288.2341.735.7192
PR432.1545.15- 00000432.1545.15442.246.2231.1524.15140.714.7175
PSA723.675.6723.675.6924.696.6723.675.6562.858.8643.267.2190.9519.95469
PSAP723.675.6542.756.700723.675.6613.0564.05562.858.8150.7515.75347
PTH20.12.1- 0000020.12.100- 000- 0004
RCC00412.0543.05000000663.369.3180.918.9131
S1001216.05127.053801939929514.75309.751216.05127.051145.7119.732216.1338.1743.777.71,498
SM ACTIN633.1566.15844.288.2864.390.3633.1566.15351.7536.75894.4593.4520121462
SM MYOSIN371.8538.85- 00000371.8538.85001306.5136.5- 000214
SOX1042721.35448.3552126.05547.051,05452.71106.742721.35448.350010051051417.05148.052,804
Synaptophysin2201123120310.15213.1522711.35238.35220112311296.45135.4522311.15234.15703.573.51,357
TAG-721427.1149.1964.8100.8001427.1149.100- 000- 000399
TdT221.123.1- 00000221.123.100- 000- 00046
Thyroglobulin150.7515.75170.8517.8500150.7515.7500261.327.3170.8517.8595
Trypsin0000000000000- 000- 000- 0
TTF-125712.85269.8534217.1359.124812.4260.425712.85269.8522611.3237.342921.45450.45793.9582.951,930
Vimentin20121854.2589.25653.2568.2520121492.4551.451135.65118.65281.429.4399
WT-1361.837.8140.714.700361.837.800834.1587.15- 000177
ZAP70150.7515.75- 00000150.7515.7500- 000- 00032
BCL-61145.7119.71628.1170.1281.429.41145.7119.7422.144.11798.95187.95331.6534.65706
CAM 5.2000170.8517.850000000552.7557.75512.5553.55129
Glypician-3100.510.5281.429.4492.4551.45100.510.500- 000130.6513.65116
sox110000000000000- 000- 000- 0
Basal Cell Cocktail00090845.4953.469034.5724.50001175.85122.851,44772.351519.35- 0003,320
H.pylori00099549.751044.75133366.651399.65000693.4572.4537318.65391.65793.9582.952,991
Calponin000110.5511.550000000301.531.5211.0522.0565
CK19000703.573.500000663.369.3251.2526.25- 000169
CD380000000000391.9540.950041
CK7000000000044822.4470.400470
CD1630000000000432.1545.150045
GFAP0000000000371.8538.850039
IgM0000000000261.327.30027
MITF000000001969.8205.8964.8100.800307
SALL40000000000522.654.60055
Tyrosinase0000000000100510500105
Villin0000000000331.6534.650035
Kappa ISH00000000311.5532.551366.8142.800175
Lambda ISH00000000311.5532.551366.8142.800175
TRAcP0000000000211.0522.050022
CD630000000000251.2526.250026
HemoglobA0000000000281.429.40029
HER200000000482.450.41075.35112.3500163
Cadherin170000000000271.3528.350028
Caldesmon0000000000482.450.40050
CK903000944.798.70000000- 000- 00099
C-Kit00000000442.246.21105.5115.500162
PHH3000000000020.12.1002
HAS0000000000000- 000- 000- 0
HHV-8000472.3549.350000000- 000- 00049
MLH1000763.879.800000683.471.41015.05106.0540242299
MSH2000663.369.300000683.471.4713.5574.5540242257
MSH6000673.3570.3500000683.471.4482.450.440242234
PMS2000763.879.800000683.471.4944.798.740242292
Total12,92864613,57413,24966213,91112,04360212,64512,92864613,5745,2092605,46916,22081117,0313,7061853,89176,283

3. REAGENT CPT

PARTIAL COST PER TEST
(Cost of single test including all Reagents and Consumables Only)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
ALK-1$1.500032(Example)
BCL-2$2.0000787(Example)
BOB-1$5.0000- 0(Example)
BETA-CATININ68
CA 19-9227
Calicitonin61
Calretinin601
CD1A54
CD2109
CD32,423
CD4265
CD51,295
CD7170
CD8229
CD101,319
CD15221
CD16350
CD1987
CD202,481
CD21383
CD23604
CD30473
CD31257
CD341,402
CD43274
CD44359
CD45559
CD56793
CD5756
CD61581
CD68899
CD79a153
CD99110
CD1171,009
CD1381,247
CDX2923
CEA166
Chromogranin1,025
CK 5/61,328
CK72,003
CK 8/18477
CK201,821
Cyclin-d (BCL1)755
CK34617
CMV466
Desmin474
DOG-1227
E-Cad385
EMA305
EPCAM231
ER165
FACTOR VIII36
FACTOR VIIIa34
Gata3433
GCDFP47
Glycophorin A36
HSA (HepPar1)234
HBME-1210
HcG76
HMB451,245
HSV1302
HSV2311
Inhibin36
Kappa666
Ki672,835
Lambda633
Lysozyme51
MAA2
Mart-1/Melan A2,363
MOC31426
Mum-1302
Myeloperoxidase102
Napsin A701
Nkx 3.1402
NSE54
P161,582
P40924
P504s3,487
P53191
P632,268
Pankeratin3,216
PAX5439
PAX8593
PLAP39
PR175
PSA469
PSAP347
PTH4
S1001,498
SM ACTIN462
SM MYOSIN214
SOX102,804
Synaptophysin1,357
TAG-72399
TdT46
Thyroglobulin95
Trypsin- 0
TTF-11,930
Vimentin399
WT-1177
ZAP7032
ERROR:#REF!ERROR:#REF!
ERROR:#REF!ERROR:#REF!
ERROR:#REF!ERROR:#REF!
ERROR:#REF!ERROR:#REF!
ERROR:#REF!ERROR:#REF!
ERROR:#REF!ERROR:#REF!
ERROR:#REF!ERROR:#REF!
ERROR:#REF!ERROR:#REF!
ERROR:#REF!ERROR:#REF!
ERROR:#REF!ERROR:#REF!
ERROR:#REF!ERROR:#REF!
MSH6234
PMS2292
ERROR:#REF!ERROR:#REF!
ERROR:#REF!ERROR:#REF!
ERROR:#REF!ERROR:#REF!
ERROR:#REF!

4. INSTRUMENTS

InstrumentsPart/Product #CostLoma LindaLong BeachPhoenixSan DiegoTucsonWest
Los AngelesNew MexicoVISN 22
TOTAL QTYVISN 22

EXTENDED

COSTS

DescriptionIndicate quantity per site
IHC/ISH Stainer- 0$0.0000
Instrument A1000 (example)$100,000.0000112$200,000.0000
Instrument B2000 (example)$150,000.0000112$300,000.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
Contractor Misc- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
Total Cost$500,000.0000
5 Year CPT Cost$1.3406

5. OTHER

OTHER HARDWARE / SOFTWARE / SERVICES
(Do not include software licenses, include licenses in Service)Part/Product #CostLoma LindaLong BeachPhoenixSan DiegoTucsonWest
Los AngelesNew MexicoVISN 22
TOTAL QTYVISN 22

EXTENDED

COSTS

DESCRIPTIONIndicate quantity per site
middleware initial cost (Example)$ 20,000.0011111117$140,000.0000
Training Slot (Example)TR1$ 3,000.0011111117$21,000.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
Total Cost$161,000.0000
5 Year CPT Cost$0.4317

6. SERVICE

Annual Service Cost (as outlined in SOW)Loma LindaLong BeachPhoenixSan DiegoTucsonWest Los AngelesNew MexicoTOTAL COST per TEST
Total Number of years =
5
Annual Service Cost (Example)$ 20,000.00$ 20,000.00$ 20,000.00$ 20,000.00$ 20,000.00$ 20,000.00$ 1,000.00$121,000.0000
Software License A (example)$ 10,000.00$ 10,000.00$ 10,000.00$ 10,000.00$ 10,000.00$ 10,000.00$ 10,000.00$70,000.0000
$0.0000
$0.0000
$0.0000
$0.0000
$0.0000
$0.0000
$0.0000
Total Service Cost$955,000.0000
CPT Addition to Service$ 2.560617

7. INSTALL

Base Equipment Installation RequirementsDescriptionCost
Los Angeles(Example)$100,000.00
Loma Linda(Example)$50,000.00
San Diego
Long Beach
Phoenix
Tucson
Alberquerque
Total$150,000.00
5 Year CPT Cost$0.4022

8. IND ITEM COST

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

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