Attachment A Schedule IHC_ISH .xlsx
XLSX spreadsheet 126 KB Posted
- Attached to
- 6550-- IHC-ISH Staining and Analyzers (CPT)
- Solicitation number
- 36C26225Q1369
About this file
This Excel file is an attachment for a Department of Veterans Affairs (VA) solicitation for Immunohistochemistry (IHC) and In Situ Hybridization (ISH) staining and analyzers for Veterans Integrated Service Network 22 (VISN 22), covering medical facilities in New Mexico, Loma Linda, and Phoenix. The document provides detailed pricing and volume estimates for 135+ diagnostic test types, including breakdown by test volume (base year and four option years), with projected annual test volumes ranging from 5 to 2,115 tests per test type. The comprehensive spreadsheet includes estimated annual site volumes, reagent partial costs per test, instrument requirements, and additional hardware/software/service costs, with a total 5-year contract cost structure that breaks down expenses for equipment, installation, services, and per-test pricing across three medical sites.
The solicitation (Solicitation Number: 36C26225Q1369) covers a complex laboratory diagnostic testing solution, with the VA seeking a comprehensive provider for IHC-ISH staining and analyzer systems. The document meticulously details test volumes with a 3% annual increase projection, covering a wide range of diagnostic markers including CD markers, cancer markers, viral indicators, and pathology-specific tests. The pricing model includes reagent costs, instrument deployment (with placeholder costs), middleware and training expenses, and annual service costs, suggesting a complex, multi-year procurement strategy for advanced medical diagnostic capabilities across VISN 22 medical facilities.
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| File | Type | Posted |
|---|---|---|
| 36C26225Q1369.docx | DOCX document | |
| RFQ doc.pdf | ||
| SOW.pdf |
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1. VISN CPT
| Test Description | VISN 22 ESTIMATED ANNUAL TEST VOLUME | VISN 22 Estimated 5-Year Test Total | ||
| (SUM of Column K-O) | VISN 22 Estimated 5-Year Test Extended Price |
(Column J x Column U)
| Reagent CPT | INSTRUMENTS / 5 year volume only | TOTAL CPT (Years 1 -5) | BASE YEAR | Option Year 1 | Option Year 2 | Option Year 3 | Option Year 4 | |||
| estimated 3% increase | estimated 3% increase | estimated 3% increase | estimated 3% increase | |||||||
| ALK-1 | $0.0000 | 15 | $0.0000 | 15 | 15 | 16 | 16 | 17 | 80 | $ - 0 |
| BCL-2 | $0.0000 | 652 | $0.0000 | 652 | 672 | 692 | 712 | 734 | 3,462 | $ - 0 |
| BOB-1 | $0.0000 | 50 | $0.0000 | 50 | 52 | 53 | 55 | 56 | 265 | $ - 0 |
| BETA-CATININ | $0.0000 | 201 | $0.0000 | 201 | 207 | 213 | 220 | 226 | 1,067 | $ - 0 |
| CA 19-9 | $0.0000 | - 0 | $0.0000 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | $ - 0 |
| Calicitonin | $0.0000 | 6 | $0.0000 | 6 | 6 | 6 | 7 | 7 | 32 | $ - 0 |
| Calretinin | $0.0000 | 124 | $0.0000 | 124 | 128 | 132 | 135 | 140 | 658 | $ - 0 |
| CD1A | $0.0000 | 43 | $0.0000 | 43 | 44 | 46 | 47 | 48 | 228 | $ - 0 |
| CD2 | $0.0000 | 221 | $0.0000 | 221 | 228 | 234 | 241 | 249 | 1,173 | $ - 0 |
| CD3 | $0.0000 | 20 | $0.0000 | 20 | 21 | 21 | 22 | 23 | 106 | $ - 0 |
| CD4 | $0.0000 | 21 | $0.0000 | 21 | 22 | 22 | 23 | 24 | 111 | $ - 0 |
| CD5 | $0.0000 | 1,141 | $0.0000 | 1,141 | 1,175 | 1,210 | 1,247 | 1,284 | 6,058 | $ - 0 |
| CD7 | $0.0000 | 68 | $0.0000 | 68 | 70 | 72 | 74 | 77 | 361 | $ - 0 |
| CD8 | $0.0000 | 594 | $0.0000 | 594 | 612 | 630 | 649 | 669 | 3,154 | $ - 0 |
| CD10 | $0.0000 | 33 | $0.0000 | 33 | 34 | 35 | 36 | 37 | 175 | $ - 0 |
| CD15 | $0.0000 | 54 | $0.0000 | 54 | 56 | 57 | 59 | 61 | 287 | $ - 0 |
| CD16 | $0.0000 | 495 | $0.0000 | 495 | 510 | 525 | 541 | 557 | 2,628 | $ - 0 |
| CD19 | $0.0000 | 34 | $0.0000 | 34 | 35 | 36 | 37 | 38 | 181 | $ - 0 |
| CD20 | $0.0000 | 4 | $0.0000 | 4 | 4 | 4 | 4 | 5 | 21 | $ - 0 |
| CD21 | $0.0000 | 40 | $0.0000 | 40 | 41 | 42 | 44 | 45 | 212 | $ - 0 |
| CD23 | $0.0000 | 1,071 | $0.0000 | 1,071 | 1,103 | 1,136 | 1,170 | 1,205 | 5,686 | $ - 0 |
| CD30 | $0.0000 | 209 | $0.0000 | 209 | 215 | 222 | 228 | 235 | 1,110 | $ - 0 |
| CD31 | $0.0000 | 151 | $0.0000 | 151 | 156 | 160 | 165 | 170 | 802 | $ - 0 |
| CD34 | $0.0000 | 173 | $0.0000 | 173 | 178 | 184 | 189 | 195 | 918 | $ - 0 |
| CD43 | $0.0000 | 61 | $0.0000 | 61 | 63 | 65 | 67 | 69 | 324 | $ - 0 |
| CD44 | $0.0000 | 700 | $0.0000 | 700 | 721 | 743 | 765 | 788 | 3,716 | $ - 0 |
| CD45 | $0.0000 | 5 | $0.0000 | 5 | 5 | 5 | 5 | 6 | 27 | $ - 0 |
| CD56 | $0.0000 | 11 | $0.0000 | 11 | 11 | 12 | 12 | 12 | 58 | $ - 0 |
| CD57 | $0.0000 | 103 | $0.0000 | 103 | 106 | 109 | 113 | 116 | 547 | $ - 0 |
| CD61 | $0.0000 | 90 | $0.0000 | 90 | 93 | 95 | 98 | 101 | 478 | $ - 0 |
| CD68 | $0.0000 | 140 | $0.0000 | 140 | 144 | 149 | 153 | 158 | 743 | $ - 0 |
| CD79a | $0.0000 | 224 | $0.0000 | 224 | 231 | 238 | 245 | 252 | 1,189 | $ - 0 |
| CD99 | $0.0000 | 9 | $0.0000 | 9 | 9 | 10 | 10 | 10 | 48 | $ - 0 |
| CD117 | $0.0000 | 235 | $0.0000 | 235 | 242 | 249 | 257 | 264 | 1,248 | $ - 0 |
| CD138 | $0.0000 | 249 | $0.0000 | 249 | 256 | 264 | 272 | 280 | 1,322 | $ - 0 |
| CDX2 | $0.0000 | 12 | $0.0000 | 12 | 12 | 13 | 13 | 14 | 64 | $ - 0 |
| CEA | $0.0000 | 70 | $0.0000 | 70 | 72 | 74 | 76 | 79 | 372 | $ - 0 |
| Chromogranin | $0.0000 | 11 | $0.0000 | 11 | 11 | 12 | 12 | 12 | 58 | $ - 0 |
| CK 5/6 | $0.0000 | 312 | $0.0000 | 312 | 321 | 331 | 341 | 351 | 1,656 | $ - 0 |
| CK7 | $0.0000 | 418 | $0.0000 | 418 | 431 | 443 | 457 | 470 | 2,219 | $ - 0 |
| CK 8/18 | $0.0000 | 239 | $0.0000 | 239 | 246 | 254 | 261 | 269 | 1,269 | $ - 0 |
| CK20 | $0.0000 | 21 | $0.0000 | 21 | 22 | 22 | 23 | 24 | 111 | $ - 0 |
| Cyclin-d (BCL1) | $0.0000 | 384 | $0.0000 | 384 | 396 | 407 | 420 | 432 | 2,039 | $ - 0 |
| CK34 | $0.0000 | 771 | $0.0000 | 771 | 794 | 818 | 842 | 868 | 4,093 | $ - 0 |
| CMV | $0.0000 | 744 | $0.0000 | 744 | 766 | 789 | 813 | 837 | 3,950 | $ - 0 |
| Desmin | $0.0000 | 406 | $0.0000 | 406 | 418 | 431 | 444 | 457 | 2,156 | $ - 0 |
| DOG-1 | $0.0000 | 601 | $0.0000 | 601 | 619 | 638 | 657 | 676 | 3,191 | $ - 0 |
| E-Cad | $0.0000 | 606 | $0.0000 | 606 | 624 | 643 | 662 | 682 | 3,217 | $ - 0 |
| EMA | $0.0000 | 258 | $0.0000 | 258 | 266 | 274 | 282 | 290 | 1,370 | $ - 0 |
| EPCAM | $0.0000 | 294 | $0.0000 | 294 | 303 | 312 | 321 | 331 | 1,561 | $ - 0 |
| ER | $0.0000 | 222 | $0.0000 | 222 | 229 | 236 | 243 | 250 | 1,179 | $ - 0 |
| FACTOR VIII | $0.0000 | 3 | $0.0000 | 3 | 3 | 3 | 3 | 3 | 16 | $ - 0 |
| FACTOR VIIIa | $0.0000 | 273 | $0.0000 | 273 | 281 | 290 | 298 | 307 | 1,449 | $ - 0 |
| Gata3 | $0.0000 | 116 | $0.0000 | 116 | 119 | 123 | 127 | 131 | 616 | $ - 0 |
| GCDFP | $0.0000 | 356 | $0.0000 | 356 | 367 | 378 | 389 | 401 | 1,890 | $ - 0 |
| Glycophorin A | $0.0000 | 64 | $0.0000 | 64 | 66 | 68 | 70 | 72 | 340 | $ - 0 |
| HAS (HepPar1) | $0.0000 | 102 | $0.0000 | 102 | 105 | 108 | 111 | 115 | 542 | $ - 0 |
| HBME-1 | $0.0000 | 86 | $0.0000 | 86 | 89 | 91 | 94 | 97 | 457 | $ - 0 |
| HcG | $0.0000 | 9 | $0.0000 | 9 | 9 | 10 | 10 | 10 | 48 | $ - 0 |
| HMB45 | $0.0000 | 7 | $0.0000 | 7 | 7 | 7 | 8 | 8 | 37 | $ - 0 |
| HSV1 | $0.0000 | 16 | $0.0000 | 16 | 16 | 17 | 17 | 18 | 85 | $ - 0 |
| HSV2 | $0.0000 | 22 | $0.0000 | 22 | 23 | 23 | 24 | 25 | 117 | $ - 0 |
| Inhibin | $0.0000 | 263 | $0.0000 | 263 | 271 | 279 | 287 | 296 | 1,396 | $ - 0 |
| Kappa | $0.0000 | 25 | $0.0000 | 25 | 26 | 27 | 27 | 28 | 133 | $ - 0 |
| Ki67 | $0.0000 | 63 | $0.0000 | 63 | 65 | 67 | 69 | 71 | 334 | $ - 0 |
| Lambda | $0.0000 | 3 | $0.0000 | 3 | 3 | 3 | 3 | 3 | 16 | $ - 0 |
| Lysozyme | $0.0000 | 112 | $0.0000 | 112 | 115 | 119 | 122 | 126 | 595 | $ - 0 |
| MAA | $0.0000 | 100 | $0.0000 | 100 | 103 | 106 | 109 | 113 | 531 | $ - 0 |
| Mart-1/Melan A | $0.0000 | 9 | $0.0000 | 9 | 9 | 10 | 10 | 10 | 48 | $ - 0 |
| MOC31 | $0.0000 | 423 | $0.0000 | 423 | 436 | 449 | 462 | 476 | 2,246 | $ - 0 |
| Mum-1 | $0.0000 | 144 | $0.0000 | 144 | 148 | 153 | 157 | 162 | 765 | $ - 0 |
| Myeloperoxidase | $0.0000 | 148 | $0.0000 | 148 | 152 | 157 | 162 | 167 | 786 | $ - 0 |
| Napsin A | $0.0000 | 17 | $0.0000 | 17 | 18 | 18 | 19 | 19 | 90 | $ - 0 |
| Nkx 3.1 | $0.0000 | 270 | $0.0000 | 270 | 278 | 286 | 295 | 304 | 1,433 | $ - 0 |
| NSE | $0.0000 | 1,042 | $0.0000 | 1,042 | 1,073 | 1,105 | 1,139 | 1,173 | 5,532 | $ - 0 |
| P16 | $0.0000 | 271 | $0.0000 | 271 | 279 | 288 | 296 | 305 | 1,439 | $ - 0 |
| P40 | $0.0000 | 7 | $0.0000 | 7 | 7 | 7 | 8 | 8 | 37 | $ - 0 |
| P504s | $0.0000 | 1 | $0.0000 | 1 | 1 | 1 | 1 | 1 | 5 | $ - 0 |
| P53 | $0.0000 | 1,432 | $0.0000 | 1,432 | 1,475 | 1,519 | 1,565 | 1,612 | 7,603 | $ - 0 |
| P63 | $0.0000 | 271 | $0.0000 | 271 | 279 | 288 | 296 | 305 | 1,439 | $ - 0 |
| Pankeratin | $0.0000 | 8 | $0.0000 | 8 | 8 | 8 | 9 | 9 | 42 | $ - 0 |
| PAX5 | $0.0000 | 65 | $0.0000 | 65 | 67 | 69 | 71 | 73 | 345 | $ - 0 |
| PAX8 | $0.0000 | 52 | $0.0000 | 52 | 54 | 55 | 57 | 59 | 276 | $ - 0 |
| PLAP | $0.0000 | 232 | $0.0000 | 232 | 239 | 246 | 254 | 261 | 1,232 | $ - 0 |
| PR | $0.0000 | - 0 | $0.0000 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | $ - 0 |
| PSA | $0.0000 | 272 | $0.0000 | 272 | 280 | 289 | 297 | 306 | 1,444 | $ - 0 |
| PSAP | $0.0000 | 1 | $0.0000 | 1 | 1 | 1 | 1 | 1 | 5 | $ - 0 |
| PTH | $0.0000 | 577 | $0.0000 | 577 | 594 | 612 | 631 | 649 | 3,063 | $ - 0 |
| S100 | $0.0000 | 670 | $0.0000 | 670 | 690 | 711 | 732 | 754 | 3,557 | $ - 0 |
| SM ACTIN | $0.0000 | 2,115 | $0.0000 | 2,115 | 2,178 | 2,244 | 2,311 | 2,380 | 11,229 | $ - 0 |
| SM MYOSIN | $0.0000 | 43 | $0.0000 | 43 | 44 | 46 | 47 | 48 | 228 | $ - 0 |
| SOX10 | $0.0000 | 1,044 | $0.0000 | 1,044 | 1,075 | 1,108 | 1,141 | 1,175 | 5,543 | $ - 0 |
| Synaptophysin | $0.0000 | 1,169 | $0.0000 | 1,169 | 1,204 | 1,240 | 1,277 | 1,316 | 6,206 | $ - 0 |
| TAG-72 | $0.0000 | 227 | $0.0000 | 227 | 234 | 241 | 248 | 255 | 1,205 | $ - 0 |
| TdT | $0.0000 | 245 | $0.0000 | 245 | 252 | 260 | 268 | 276 | 1,301 | $ - 0 |
| Thyroglobulin | $0.0000 | 13 | $0.0000 | 13 | 13 | 14 | 14 | 15 | 69 | $ - 0 |
| Trypsin | $0.0000 | 58 | $0.0000 | 58 | 60 | 62 | 63 | 65 | 308 | $ - 0 |
| TTF-1 | $0.0000 | 71 | $0.0000 | 71 | 73 | 75 | 78 | 80 | 377 | $ - 0 |
| Vimentin | $0.0000 | 78 | $0.0000 | 78 | 80 | 83 | 85 | 88 | 414 | $ - 0 |
| WT-1 | $0.0000 | 73 | $0.0000 | 73 | 75 | 77 | 80 | 82 | 388 | $ - 0 |
| ZAP70 | $0.0000 | 2 | $0.0000 | 2 | 2 | 2 | 2 | 2 | 11 | $ - 0 |
| BCL-6 | $0.0000 | 5 | $0.0000 | 5 | 5 | 5 | 5 | 6 | 27 | $ - 0 |
| CAM 5.2 | $0.0000 | 428 | $0.0000 | 428 | 441 | 454 | 468 | 482 | 2,272 | $ - 0 |
| Glypician-3 | $0.0000 | 253 | $0.0000 | 253 | 261 | 268 | 276 | 285 | 1,343 | $ - 0 |
| sox11 | $0.0000 | 37 | $0.0000 | 37 | 38 | 39 | 40 | 42 | 196 | $ - 0 |
| Basal Cell Cocktail | $0.0000 | 1,663 | $0.0000 | 1,663 | 1,713 | 1,764 | 1,817 | 1,872 | 8,829 | $ - 0 |
| H.pylori | $0.0000 | 483 | $0.0000 | 483 | 497 | 512 | 528 | 544 | 2,564 | $ - 0 |
| Calponin | $0.0000 | 142 | $0.0000 | 142 | 146 | 151 | 155 | 160 | 754 | $ - 0 |
| CK19 | $0.0000 | 22 | $0.0000 | 22 | 23 | 23 | 24 | 25 | 117 | $ - 0 |
| CK903 | $0.0000 | 26 | $0.0000 | 26 | 27 | 28 | 28 | 29 | 138 | $ - 0 |
| HAS | $0.0000 | - 0 | $0.0000 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | $ - 0 |
| HHV-8 | $0.0000 | 645 | $0.0000 | 645 | 664 | 684 | 705 | 726 | 3,424 | $ - 0 |
| MLH1 | $0.0000 | 109 | $0.0000 | 109 | 112 | 116 | 119 | 123 | 579 | $ - 0 |
| MSH2 | $0.0000 | 68 | $0.0000 | 68 | 70 | 72 | 74 | 77 | 361 | $ - 0 |
| MSH6 | $0.0000 | 15 | $0.0000 | 15 | 15 | 16 | 16 | 17 | 80 | $ - 0 |
| PMS2 | $0.0000 | 274 | $0.0000 | 274 | 282 | 291 | 299 | 308 | 1,455 | $ - 0 |
| ERROR:#REF! | $0.0000 | 58 | $0.0000 | 58 | 60 | 62 | 63 | 65 | 308 | $ - 0 |
| 29,514 | 30,399 | 31,311 | 32,251 | 33,218 | 156,694 | $ - 0 |
&"-,Bold"ATTACHMENT C
2. EST ANNUAL SITE VOL
| New Mexico | Loma Linda | Phoenix | VISN 22 TOTAL ANNAUL VOLUME | |
| Est. Test Volume | Est. Test Volume | Est. Test Volume | ||
| ALK-1 | - 0 | 15 | 15 | |
| AMACR | 66 | 586 | 652 | |
| Arginase-1 | 6 | 44 | 50 | |
| BCL-2 | 22 | 134 | 45 | 201 |
| BOB-1 | - 0 | 0 | - 0 | |
| BETA-CATININ | - 0 | 6 | 6 | |
| CA 19-9 | - 0 | 26 | 98 | 124 |
| Calicitonin | - 0 | 43 | 43 | |
| Calretinin | 22 | 156 | 43 | 221 |
| CD1A | - 0 | 20 | 20 | |
| CD2 | - 0 | 21 | 21 | |
| CD3 | 58 | 639 | 444 | 1,141 |
| CD4 | 1 | 30 | 37 | 68 |
| CD5 | 27 | 337 | 230 | 594 |
| CD7 | - 0 | 18 | 15 | 33 |
| CD8 | 1 | 26 | 27 | 54 |
| CD10 | 36 | 232 | 227 | 495 |
| CD15 | 4 | 30 | 34 | |
| CD16 | - 0 | 4 | 4 | |
| CD19 | 5 | 35 | 40 | |
| CD20 | 65 | 645 | 361 | 1,071 |
| CD21 | 9 | 94 | 106 | 209 |
| CD23 | 6 | 145 | 151 | |
| CD30 | 12 | 63 | 98 | 173 |
| CD31 | 12 | 49 | 61 | |
| CD34 | 45 | 276 | 379 | 700 |
| CD35 | 5 | 5 | ||
| CD42b | 11 | 11 | ||
| CD43 | 9 | 61 | 33 | 103 |
| CD44 | - 0 | 90 | 90 | |
| CD45 | 21 | 66 | 53 | 140 |
| CD56 | 6 | 126 | 92 | 224 |
| CD57 | - 0 | 9 | 9 | |
| CD61 | - 0 | 235 | 235 | |
| CD68 | 43 | 206 | 249 | |
| CD71 | 12 | 12 | ||
| CD79a | 7 | 63 | 70 | |
| CD99 | - 0 | 11 | 11 | |
| CD117 | 18 | 251 | 43 | 312 |
| CD138 | 25 | 230 | 163 | 418 |
| CDX2 | 29 | 111 | 99 | 239 |
| CEA | 8 | 13 | 21 | |
| Chromogranin | 31 | 175 | 178 | 384 |
| CK 5/6 | 74 | 283 | 414 | 771 |
| CK7 | 60 | 217 | 467 | 744 |
| CK 8/18 | - 0 | 406 | 406 | |
| CK20 | 63 | 281 | 257 | 601 |
| CKHMW(34BE12) | 18 | 588 | 606 | |
| Cyclin-d (BCL1) | 26 | 180 | 52 | 258 |
| CK34 | - 0 | 294 | 294 | |
| CMV | - 0 | 222 | 222 | |
| c-Myc | 3 | 3 | ||
| Desmin | 17 | 139 | 117 | 273 |
| DOG-1 | - 0 | 60 | 56 | 116 |
| E-Cad | 19 | 182 | 155 | 356 |
| EMA | 9 | 55 | 64 | |
| EPCAM | 18 | 84 | 102 | |
| ER | 18 | 68 | 86 | |
| ERG | 9 | 9 | ||
| FACTOR VIII | - 0 | 7 | 7 | |
| FACTOR VIIIa | 16 | 16 | ||
| Factor 13a | 6 | 16 | 22 | |
| Gata3 | 22 | 110 | 131 | 263 |
| Gastrin | 4 | 21 | 25 | |
| GCDFP | - 0 | 21 | 42 | 63 |
| Glycophorin A | - 0 | 3 | 3 | |
| HSA (HepPar1) | 25 | 44 | 43 | 112 |
| HBME-1 | - 0 | 100 | 100 | |
| HcG | - 0 | 9 | 9 | |
| HMB45 | 20 | 67 | 336 | 423 |
| HSV1 | - 0 | 144 | 144 | |
| HSV2 | - 0 | 148 | 148 | |
| Inhibin | - 0 | 17 | 17 | |
| Kappa | 16 | 179 | 75 | 270 |
| Ki67 | 63 | 560 | 419 | 1,042 |
| Lambda | 16 | 180 | 75 | 271 |
| Lysozyme | - 0 | 7 | 7 | |
| MAA | - 0 | 1 | 1 | |
| Mart-1/Melan A | 167 | 114 | 1,151 | 1,432 |
| MOC31 | - 0 | 154 | 117 | 271 |
| MS Actin | 8 | 8 | ||
| Mum-1 | 9 | 45 | 11 | 65 |
| Myeloperoxidase | 12 | 40 | 52 | |
| Napsin A | 27 | 74 | 131 | 232 |
| Neurofilament | - 0 | |||
| Nkx 3.1 | 18 | 143 | 111 | 272 |
| NSE | - 0 | 1 | 1 | |
| P16 | 68 | 429 | 80 | 577 |
| P40 | 52 | 156 | 462 | 670 |
| P504s | 109 | 468 | 1,538 | 2,115 |
| P53 | 12 | 31 | 43 | |
| P63 | 115 | 542 | 387 | 1,044 |
| Pankeratin | 184 | 416 | 569 | 1,169 |
| PAX5 | 13 | 163 | 51 | 227 |
| PAX8 | 14 | 67 | 164 | 245 |
| PLAP | - 0 | 13 | 13 | |
| Podoplanin/D2-40 | 13 | 45 | 58 | |
| PR | 5 | 66 | 71 | |
| PSA | 2 | 72 | 4 | 78 |
| PSAP | 1 | 72 | 73 | |
| PTH | - 0 | 2 | 2 | |
| RCC | 5 | 5 | ||
| S100 | 20 | 178 | 230 | 428 |
| SM ACTIN | 8 | 63 | 182 | 253 |
| SM MYOSIN | - 0 | 37 | 37 | |
| SOX10 | 192 | 427 | 1,044 | 1,663 |
| Synaptophysin | 38 | 220 | 225 | 483 |
| TAG-72 | - 0 | 142 | 142 | |
| TdT | - 0 | 22 | 22 | |
| Thyroglobulin | 2 | 24 | 26 | |
| Trypsin | - 0 | 0 | - 0 | |
| TTF-1 | 57 | 257 | 331 | 645 |
| Vimentin | 8 | 36 | 65 | 109 |
| WT-1 | 32 | 36 | 68 | |
| ZAP70 | - 0 | 15 | 15 | |
| BCL-6 | 114 | 114 | 46 | 274 |
| CAM 5.2 | 58 | 0 | 58 | |
| Glypician-3 | 6 | 10 | 16 | |
| sox11 | - 0 | 0 | 40 | 40 |
| Basal Cell Cocktail | - 0 | 533 | 1538 | 2,071 |
| H.pylori | 29 | 0 | 760 | 789 |
| Calponin | 3 | 0 | 3 | |
| CK19 | - 0 | 0 | - 0 | |
| CD38 | 25 | 25 | ||
| CK7 | 60 | 60 | ||
| CD163 | - 0 | |||
| GFAP | - 0 | |||
| IgM | - 0 | |||
| MITF | - 0 | |||
| SALL4 | - 0 | |||
| Tyrosinase | - 0 | |||
| Villin | - 0 | |||
| Kappa ISH | - 0 | |||
| Lambda ISH | - 0 | |||
| TRAcP | - 0 | |||
| CD63 | - 0 | |||
| HemoglobA | - 0 | |||
| HER2 | - 0 | |||
| Cadherin17 | - 0 | |||
| Caldesmon | - 0 | |||
| CK903 | - 0 | 0 | - 0 | |
| C-Kit | - 0 | |||
| PHH3 | - 0 | |||
| HAS | - 0 | 0 | - 0 | |
| Prame | 118 | 538 | ||
| HHV-8 | - 0 | 0 | - 0 | |
| MLH1 | 13 | 0 | 13 | |
| MSH2 | 13 | 0 | 13 | |
| MSH6 | 13 | 0 | 13 | |
| PMS2 | 13 | 0 | 13 | |
| Total | 2,784 | 15,147 | 15,295 | 33,226 |
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 | $1.5000 | 15 | (Example) | |
| BCL-2 | $2.0000 | 201 | (Example) | |
| BOB-1 | $5.0000 | - 0 | (Example) | |
| BETA-CATININ | 6 | |||
| CA 19-9 | 124 | |||
| Calicitonin | 43 | |||
| Calretinin | 221 | |||
| CD1A | 20 | |||
| CD2 | 21 | |||
| CD3 | 1,141 | |||
| CD4 | 68 | |||
| CD5 | 594 | |||
| CD7 | 33 | |||
| CD8 | 54 | |||
| CD10 | 495 | |||
| CD15 | 34 | |||
| CD16 | 4 | |||
| CD19 | 40 | |||
| CD20 | 1,071 | |||
| CD21 | 209 | |||
| CD23 | 151 | |||
| CD30 | 173 | |||
| CD31 | 61 | |||
| CD34 | 700 | |||
| CD43 | 103 | |||
| CD44 | 90 | |||
| CD45 | 140 | |||
| CD56 | 224 | |||
| CD57 | 9 | |||
| CD61 | 235 | |||
| CD68 | 249 | |||
| CD79a | 70 | |||
| CD99 | 11 | |||
| CD117 | 312 | |||
| CD138 | 418 | |||
| CDX2 | 239 | |||
| CEA | 21 | |||
| Chromogranin | 384 | |||
| CK 5/6 | 771 | |||
| CK7 | 744 | |||
| CK 8/18 | 406 | |||
| CK20 | 601 | |||
| Cyclin-d (BCL1) | 258 | |||
| CK34 | 294 | |||
| CMV | 222 | |||
| Desmin | 273 | |||
| DOG-1 | 116 | |||
| E-Cad | 356 | |||
| EMA | 64 | |||
| EPCAM | 102 | |||
| ER | 86 | |||
| FACTOR VIII | 7 | |||
| FACTOR VIIIa | 16 | |||
| Gata3 | 263 | |||
| GCDFP | 63 | |||
| Glycophorin A | 3 | |||
| HSA (HepPar1) | 112 | |||
| HBME-1 | 100 | |||
| HcG | 9 | |||
| HMB45 | 423 | |||
| HSV1 | 144 | |||
| HSV2 | 148 | |||
| Inhibin | 17 | |||
| Kappa | 270 | |||
| Ki67 | 1,042 | |||
| Lambda | 271 | |||
| Lysozyme | 7 | |||
| MAA | 1 | |||
| Mart-1/Melan A | 1,432 | |||
| MOC31 | 271 | |||
| Mum-1 | 65 | |||
| Myeloperoxidase | 52 | |||
| Napsin A | 232 | |||
| Nkx 3.1 | 272 | |||
| NSE | 1 | |||
| P16 | 577 | |||
| P40 | 670 | |||
| P504s | 2,115 | |||
| P53 | 43 | |||
| P63 | 1,044 | |||
| Pankeratin | 1,169 | |||
| PAX5 | 227 | |||
| PAX8 | 245 | |||
| PLAP | 13 | |||
| PR | 71 | |||
| PSA | 78 | |||
| PSAP | 73 | |||
| PTH | 2 | |||
| S100 | 428 | |||
| SM ACTIN | 253 | |||
| SM MYOSIN | 37 | |||
| SOX10 | 1,663 | |||
| Synaptophysin | 483 | |||
| TAG-72 | 142 | |||
| TdT | 22 | |||
| Thyroglobulin | 26 | |||
| Trypsin | - 0 | |||
| TTF-1 | 645 | |||
| Vimentin | 109 | |||
| WT-1 | 68 | |||
| ZAP70 | 15 | |||
| 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! | |||
| MSH6 | 13 | |||
| PMS2 | 13 | |||
| ERROR:#REF! | ERROR:#REF! | |||
| ERROR:#REF! | ERROR:#REF! | |||
| ERROR:#REF! | ERROR:#REF! | |||
| ERROR:#REF! |
4. INSTRUMENTS
| Instruments | Part/Product # | Cost | Loma Linda | Phoenix | New Mexico | VISN 22 | |
| TOTAL QTY | VISN 22 |
EXTENDED
COSTS
| Description | Indicate quantity per site | |||||
| IHC/ISH Stainer (example) | 2 | 2 | 2 | 6 | $0.0000 | |
| Instrument A1000 (example) | $100,000.0000 | 1 | 1 | $100,000.0000 | ||
| Instrument B2000 (example) | $150,000.0000 | 1 | 1 | $150,000.0000 | ||
| - 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 | $250,000.0000 | |||||
| 5 Year CPT Cost | $1.5955 |
5. OTHER
| OTHER HARDWARE / SOFTWARE / SERVICES | ||||||
| (Do not include software licenses, include licenses in Service) | Part/Product # | Cost | Loma Linda | Phoenix | New Mexico | VISN 22 |
| TOTAL QTY | VISN 22 |
EXTENDED
COSTS
| DESCRIPTION | Indicate quantity per site | ||||||
| middleware initial cost (Example) | $ 20,000.00 | 1 | 1 | 1 | 3 | $60,000.0000 | |
| Training Slot (Example) | TR1 | $ 3,000.00 | 1 | 1 | 1 | 3 | $9,000.0000 |
| 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 | $69,000.0000 | ||||||
| 5 Year CPT Cost | $0.4403 |
6. SERVICE
| Annual Service Cost (as outlined in SOW) | Loma Linda | Phoenix | New Mexico | TOTAL COST per TEST |
| Total Number of years = | ||||
| 5 | ||||
| Annual Service Cost (Example) | $ 20,000.00 | $ 20,000.00 | $ 1,000.00 | $41,000.0000 |
| Software License A (example) | $ 10,000.00 | $ 10,000.00 | $ 10,000.00 | $30,000.0000 |
| $0.0000 | ||||
| $0.0000 | ||||
| $0.0000 | ||||
| $0.0000 | ||||
| $0.0000 | ||||
| $0.0000 | ||||
| $0.0000 | ||||
| Total Service Cost | $355,000.0000 | |||
| CPT Addition to Service | $ 2.265565 |
7. INSTALL
| Base Equipment Installation Requirements | Description | Cost |
| Loma Linda | (Example) | $100,000.00 |
| Phoenix | ||
| New Mexico | ||
| Total | $100,000.00 | |
| 5 Year CPT Cost | $0.6382 |
8. IND ITEM COST
| Item / Reagent | Item number | ||||
| OEM | Unit of Measure | COST | Comments | ||
| Individual site move for LL | LL1 | JB | $15,000.0000 | (Example) | |
| Individual site move for LB | LB2 | JB | $23,000.0000 | (Example) | |
| Reagent X | x59604 | BX | $300.0000 | (Example) |
File details come from the government source that posted it. Updated .