ATTACHMENT A - updated 2.18.26.xlsx

This is a pricing attachment (Attachment A) for reference laboratory services required by the VA Portland Health Care System. The document contains three tabs of detailed test pricing requirements: Tab 1 lists approximately 400+ clinical laboratory tests with estimated annual utilization volumes, required turnaround times (TAT), specimen types, and pricing columns for a base year plus four ordering periods; Tab 2 specifies fluorescence in situ hybridization (FISH) tests with CPT codes 88271, 88275, 88368, and 88369, with estimated utilization ranging from 45 to 500 tests annually; and Tab 3 details professional fee components associated with the testing, including pathology interpretation, cytopathology, flow cytometry analysis, surgical pathology, immunohistochemistry, in situ hybridization, and molecular testing with utilization estimates and pricing columns for multiple contract periods.

The test menu encompasses comprehensive laboratory services across multiple specialties: clinical chemistry, hematology, coagulation studies, immunology, molecular testing, cytogenetics, tissue-based testing, and specialized panels for malignancies, transplant monitoring, and inherited disorders. Tests are identified by CPT codes and include reflex testing options where applicable. The vendor must provide cost-per-test pricing for the base year and ordering periods 2-4, with some tests showing zero utilization but requiring pricing regardless. Special requirements include STAT processing within one hour for critical tests, stat TAT of one hour with routine TAT of eight hours for most tests, and specific specimen handling requirements (e.g., CD138 plasma cell extraction for myeloma FISH, processing within four hours for platelet function analysis). The pricing structure allows the government to evaluate cost across the full spectrum of reference laboratory services needed to support a VHA Level 1A facility with active transplant programs.