Attachment C - Price Sheet - Pages 1-7.xlsx

XLSX spreadsheet 36 KB Posted Jun 10, 2025

Attached to: Referral Lab Testing - ELMHS - Addendum NO. 01 - Vendors' Inquiries and the State's Responses Date Is State and local contract opportunity
Solicitation number: 3000024861
Issued by: East Baton Rouge Parish, Baton Rouge City, Louisiana

About this file

Written by GovTribe AI · Jun 11, 2025

This is a Price Sheet for Referral Laboratory Testing for ELMHS (East Los Angeles Mental Health Services), covering the period from 06/01/2022 to 05/31/2025, with the solicitation number 300024861. The document is a comprehensive spreadsheet listing 236 specific medical laboratory test items with estimated quantities, each associated with a unique test code. The tests range from basic metabolic panels and blood work to specialized tests like hepatitis panels, drug screenings, hormone tests, and various antibody and viral load assessments. The estimated quantities vary widely, with some tests like CBC with Differential/Platelet having 3,340 estimated tests, while others have as few as 1 estimated test.

The pricing structure allows bidders to enter unit prices for each test, with a final line item for a percentage discount from the price list for any testing not specifically itemized. The contract includes a stat testing option requiring vendors to contact the agency by telephone within 3 hours of test completion, and a draw fee for venipuncture. The contract term is three years, from June 2022 to May 2025, with a total estimated value dependent on the unit prices submitted by the winning bidder. The document appears to be part of a competitive bidding process for a comprehensive medical laboratory testing contract, likely for a county or regional healthcare system.

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Other files for this state and local contract opportunity

Other files attached to Referral Lab Testing - ELMHS - Addendum NO. 01 - Vendors' Inquiries and the State's Responses Date Is, newest first.
File	Type	Posted
3000024861-1.pdf	PDF	Jul 8, 2025
Addendum NO. 1 - Vendor Inquiries & State Response - Pages 1-2.docx	DOCX document	Jul 8, 2025
Attachment A - Special Terms & Conditions - Pages 1-10.docx	DOCX document	Jun 10, 2025
Attachment B - Specifications - Pages 1-4.docx	DOCX document	Jun 10, 2025
Attachment D - Online Bidding Instructions - Pages 1-10.pdf	PDF	Jun 10, 2025
3000024861.pdf	PDF	Jun 10, 2025

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Sheet1

Line Item #	Item/Product Description	Estimated Qty	UOM	Test Codes	Test Code Bidding	Unit Price	Extended Price	Turn Around Time
1	7 Drug-Bund	200	Each	794388 or Equal				______ hrs
2	ABO Grouping	1	Each	006056 or Equal				______ hrs
3	Acetylcholine Receptor Ab, All	1	Each	086007 or Equal				______ hrs
4	ACTH, Plasma	3	Each	004440 or Equal				______ hrs
5	Actin (Smooth Muscle) Antibody	2	Each	006643 or Equal				______ hrs
6	AFP, Serum, Tumor Marker	10	Each	002253 or Equal				______ hrs
7	Albumin	2	Each	001081 or Equal				______ hrs
8	Albumin, Random Urine	50	Each	149997 or Equal				______ hrs
9	Alkaline Phosphatase	1	Each	001107 or Equal				______ hrs
10	Alpha-Thalassemia	1	Each	511229 or Equal				______ hrs
11	ALT (SGPT)	1	Each	001545 or Equal				______ hrs
12	Ammonia, Plasma	25	Each	007045 or Equal				______ hrs
13	Amylase	940	Each	001396 or Equal				______ hrs
14	Amylase Urine , Amy URI, Amylase	1	Each	003897 or Equal				______ hrs
15	Amylase, Urine	5	Each	003293 or Equal				______ hrs
16	Anti-Centromere B Anti	1	Each	134814 or Equal				______ hrs
17	Antinuclear Antibodies	1	Each	164947 or Equal				______ hrs
18	Antinuclear Antibodies Direct	1	Each	164855 or Equal				______ hrs
19	Aripiprazole	3	Each	809671 or Equal				______ hrs
20	AST (SGOT)	1	Each	001123 or Equal				______ hrs
21	Basic Metabolic Panel (7)	80	Each	303758 or Equal				______ hrs
22	Basic Metabolic Panel (8)	515	Each	322758 or Equal				______ hrs
23	Bilirubin, Total/Direc	1	Each	001214 or Equal				______ hrs
24	B-Type Natriuretic Peptide	5	Each	140889 or Equal				______ hrs
25	BUN	5	Each	001040 or Equal				______ hrs
26	C difficile Toxins A+B, EIA	1	Each	086207 or Equal				______ hrs
27	Calcium, 24Hr Urine	1	Each	003269 or Equal				______ hrs
28	Carbamazepine(Tegretol),S	140	Each	007419 or Equal				______ hrs
29	CBC With Differential/Platelet	3340	Each	005009 or Equal				______ hrs
30	CCP Antibodies IgG/IgA	1	Each	164914 or Equal				______ hrs
31	CD4/CD8 Ratio Profile	1	Each	505271 or Equal				______ hrs
32	CEA	1	Each	002139 or Equal				______ hrs
33	Celiac Disease Panel	3	Each	165142 or Equal				______ hrs
34	Change IG Pap to LB Pap	8	Each	192555 or Equal				______ hrs
35	Chlamydia/GC Amplification, Orange Swab	1	Each	180098 or Equal				______ hrs
36	Chlamydia/GC Amplification, Blue swab	7	Each	183194 or Equal				______ hrs
37	Chlorpromazine, Serum	3	Each	072132 or Equal				______ hrs
38	Clozapine (Clozaril), Serum	66	Each	706440 or Equal				______ hrs
39	CMP12+LP+6AC	1	Each	027623 or Equal				______ hrs
40	Comp. Metabolic Panel (14)	2165	Each	322000 or Equal				______ hrs
41	Compliance Drug Analysis, Ur	1	Each	790600 or Equal				______ hrs
42	Cortisol	5	Each	004051 or Equal				______ hrs
43	Cortisol - AM	5	Each	104018 or Equal				______ hrs
44	Cortisol, ACTH Stimulation	1	Each	140761 or Equal				______ hrs
45	C-Peptide, Serum	1	Each	010108 or Equal				______ hrs
46	C-Reactive Protein, Cardiac	5	Each	120766 or Equal				______ hrs
47	C-Reactive Protein, Quant	5	Each	006627 or Equal				______ hrs
48	Creatine Kinase (CK), MB	5	Each	120816 or Equal				______ hrs
49	Creatine Kinase (CK), MB/Total	5	Each	002311 or Equal				______ hrs
50	Creatine Kinase,Total	15	Each	001362 or Equal				______ hrs
51	Creatinine	5	Each	001370 or Equal				______ hrs
52	Creatinine, Urine	1	Each	013672 or Equal				______ hrs
53	D-Dimer	5	Each	115188 or Equal				______ hrs
54	DHEA, Serum	1	Each	004100 or Equal				______ hrs
55	Digoxin, Serum	5	Each	007385 or Equal				______ hrs
56	Drug Screen 7 w/Conf, WB	5	Each	700894 or Equal				______ hrs
57	Drug Scrn, Treatment C	1	Each	770701 or Equal				______ hrs
58	ESR Wes+ANA+RA Qn	1	Each	022236 or Equal				______ hrs
59	Ferritin, Serum	10	Each	004598 or Equal				______ hrs
60	Fluoxetine (Prozac(R)), Serum	5	Each	706838 or Equal				______ hrs
61	Fluphenazine (Prolixin(R)), S	1	Each	706887 or Equal				______ hrs
62	Folate (Folic Acid), Serum	5	Each	002014 or Equal				______ hrs
63	FSH and LH	1	Each	028480 or Equal				______ hrs
64	FSH, Serum	1	Each	004309 or Equal				______ hrs
65	G-6-PD, Quant, Blood a	1	Each	121003 or Equal				______ hrs
66	G-6-PD, Quant, Blood and RBC	1	Each	001917 or Equal				______ hrs
67	GGT	1	Each	001958 or Equal				______ hrs
68	Glucose Fasting and 2hr	1	Each	001255 or Equal				______ hrs
69	Gram Stain w/Sputum Cult Rflx	1	Each	182352 or Equal				______ hrs
70	H pylori, IgM, IgG, IgA Ab	1	Each	163683 or Equal				______ hrs
71	H. pylori Stool Ag, EIA	1	Each	180764 or Equal				______ hrs
72	H. pylori, IgG Abs	1	Each	162289 or Equal				______ hrs
73	Haloperidol (Haldol(R)) Serum	1	Each	070482 or Equal				______ hrs
74	HBcAb+HBsAb+Ag+HCVAb	465	Each	269514 or Equal				______ hrs
75	HBcIgM	45	Each	126881 or Equal				______ hrs
76	HBsAg Screen	5	Each	006510 or Equal				______ hrs
77	HBV Core Ab, IgG/IgM D	1	Each	098418 or Equal				______ hrs
78	HBV Genotype	1	Each	551727 or Equal				______ hrs
79	HBV Quant PCR Rfx to Genotype	5	Each	551722 or Equal				______ hrs
80	HBV Real-Time PCR, Quant	1	Each	551610 or Equal				______ hrs
81	HBV RT PCR, Quant (Graph)	1	Each	551620 or Equal				______ hrs
82	hCG,Beta Subunit, Qnt, Serum	5	Each	004416 or Equal				______ hrs
83	hCG,Beta Subunit,Qual,Serum	5	Each	004556 or Equal				______ hrs
84	HCV Ab Verification	5	Each	144075 or Equal				______ hrs
85	HCV Antibody	5	Each	140659 or Equal				______ hrs
86	HCV FibroSure	5	Each	550123 or Equal				______ hrs
87	HCV Genotype Reflex NS5A	5	Each	550615 or Equal				______ hrs
88	HCV NS5A Drug Resistan	1	Each	550325 or Equal				______ hrs
89	HCV NS5A Drug Resistance Assay	1	Each	550326 or Equal				______ hrs
90	HCV RNA by PCR, Qn Rfx Geno	15	Each	550100 or Equal				______ hrs
91	HCV RT-PCR, Quant (Graph)	1	Each	550070 or Equal				______ hrs
92	HCV RT-PCR, Quant (Non-Graph)	35	Each	550080 or Equal				______ hrs
93	Helper T-Lymph-CD4	35	Each	505008 or Equal				______ hrs
94	Hematopath Consultation, Smear	1	Each	005300 or Equal				______ hrs
95	Hemoglobin A1c	350	Each	001453 or Equal				______ hrs
96	Hemoglobpathy+Fer w/A	1	Each	451363 or Equal				______ hrs
97	Hep A Ab, IgM	5	Each	006734 or Equal				______ hrs
98	Hep A Ab, Total	10	Each	006726 or Equal				______ hrs
99	Hep B Core Ab, IgM	1	Each	013881 or Equal				______ hrs
100	Hep B Surface Ab	5	Each	006395 or Equal				______ hrs
101	Hep Be Ab	10	Each	006635 or Equal				______ hrs
102	Hep Be Ag	5	Each	006619 or Equal				______ hrs
103	Hepatic Function Panel (7)	25	Each	322755 or Equal				______ hrs
104	Hepatitis B Surf Ab Quant	1	Each	006530 or Equal				______ hrs
105	Hepatitis B Virus (Profile VI)	1	Each	058545 or Equal				______ hrs
106	Hepatitis C Genotype	5	Each	550486 or Equal				______ hrs
107	Hepatitis Panel (4)	5	Each	322744 or Equal				______ hrs
108	Hgb A1c with eAG Estimation	5	Each	102525 or Equal				______ hrs
109	Hgb Frac. w/o Solubility	5	Each	122101 or Equal				______ hrs
110	Hgb Solubility	1	Each	005223 or Equal				______ hrs
111	HIV 1/2 Ab Differentiation	10	Each	083940 or Equal				______ hrs
112	HLA B5701 Test	1	Each	006926 or Equal				______ hrs
113	Homocyst(e)ine, Plasma	1	Each	706994 or Equal				______ hrs
114	HPV Genotypes 16/18,45	5	Each	507810 or Equal				______ hrs
115	HSV 1 and 2-Spec Ab, IgG w/Rfx	1	Each	164922 or Equal				______ hrs
116	HSV 1 and 2-Specific Ab, IgG	5	Each	164905 or Equal				______ hrs
117	Huntington Disease Mutation	1	Each	829044 or Equal				______ hrs
118	IGF-1	1	Each	010363 or Equal				______ hrs
119	IGP, Aptima HPV, rfx 16/18,45	20	Each	199305 or Equal				______ hrs
120	IGP, CtNg, rfx Aptima HPV ASCU	1	Each	199320 or Equal				______ hrs
121	Immune Deficiency Profile VIII	1	Each	150201 or Equal				______ hrs
122	Iron	5	Each	001339 or Equal				______ hrs
123	Iron and TIBC	25	Each	001321 or Equal				______ hrs
124	Lactic Acid, Plasma	1	Each	004770 or Equal				______ hrs
125	Lamotrigine (Lamictal)	1	Each	716944 or Equal				______ hrs
126	Levetiracetam (Keppra), S	10	Each	716936 or Equal				______ hrs
127	Lipase	10	Each	001404 or Equal				______ hrs
128	Lipid Panel	2435	Each	303756 or Equal				______ hrs
129	Lipid Panel With LDL/HDL Ratio	1	Each	235010 or Equal				______ hrs
130	Lithium (Eskalith(R)), Serum	345	Each	007708 or Equal				______ hrs
131	Luteinizing Hormone(LH)	1	Each	004283 or Equal				______ hrs
132	Magnesium	5	Each	001537 or Equal				______ hrs
133	Methylmalonic Acid, Se	1	Each	706961 or Equal				______ hrs
134	Mitochondrial (M2) Antibody	5	Each	006650 or Equal				______ hrs
135	Morphine, Urine Quant	1	Each	808024 or Equal				______ hrs
136	Myasthenia Gravis Panel W/Rflx	1	Each	086001 or Equal				______ hrs
137	Occult Blood, Fecal, IA	45	Each	182949 or Equal				______ hrs
138	Olanzapine (Zyprexa)	80	Each	811513 or Equal				______ hrs
139	Opiate Screen, Urine	1	Each	701864 or Equal				______ hrs
140	Osmolality	1	Each	002071 or Equal				______ hrs
141	Osmolality, Urine	1	Each	003443 or Equal				______ hrs
142	Ova + Parasite Exam	5	Each	008623 or Equal				______ hrs
143	Oxcarbazepine (Trileptal),S	5	Each	716928 or Equal				______ hrs
144	Paliperidone, Serum	1	Each	790856 or Equal				______ hrs
145	Pancreatic Amylase, S	5	Each	123111 or Equal				______ hrs
146	Panel 083935	465	Each	083935 or Equal				______ hrs
147	Panel 083955	1	Each	083955 or Equal				______ hrs
148	Pap IG (Image Guided)	1	Each	193000 or Equal				______ hrs
149	Pap IG, Ct-Ng	1	Each	196402 or Equal				______ hrs
150	Pap IG, HPV-hr	1	Each	199123 or Equal				______ hrs
151	Pap Lb (Liquid-based)	20	Each	192005 or Equal				______ hrs
152	PapIG, CtNgTvHSV,HPV,rfx16/18	1	Each	198305 or Equal				______ hrs
153	PapIG, HPV, rfx 16/18	1	Each	197146 or Equal				______ hrs
154	Phenobarbital, Serum	1	Each	007823 or Equal				______ hrs
155	Phenytoin (Dilantin), Serum	65	Each	007401 or Equal				______ hrs
156	Phosphorus	5	Each	001024 or Equal				______ hrs
157	Physician Read Pap	1	Each	881411 or Equal				______ hrs
158	Potassium	1	Each	001180 or Equal				______ hrs
159	Potassium, Urine	1	Each	013334 or Equal				______ hrs
160	Prealbumin	5	Each	016931 or Equal				______ hrs
161	Pregnancy Test, Urine	45	Each	004036 or Equal				______ hrs
162	Prolactin	30	Each	004465 or Equal				______ hrs
163	Prot+CreatU (Random)	5	Each	003129 or Equal				______ hrs
164	Protein Electro, Random Urine	1	Each	354928 or Equal				______ hrs
165	Protein Electro.,S	1	Each	001487 or Equal				______ hrs
166	Protein,Total,Urine	1	Each	013664 or Equal				______ hrs
167	Prothrombin Time (PT)	970	Each	005199 or Equal				______ hrs
168	PSA Total+% Free (Seri)	1	Each	480780 or Equal				______ hrs
169	PSA, Serum (Serial Monitor)	245	Each	480145 or Equal				______ hrs
170	PT and PTT	15	Each	020321 or Equal				______ hrs
171	PTH, Intact	5	Each	015610 or Equal				______ hrs
172	PTT, Activated	1	Each	005207 or Equal				______ hrs
173	QuantiFERON In Tube	35	Each	182877 or Equal				______ hrs
174	QuantiFERON-TB Gold Plus	5	Each	182879 or Equal				______ hrs
175	Quetiapine (Seroquel)	15	Each	808404 or Equal				______ hrs
176	Rapid Plasma Reagin, Quant	1	Each	006460 or Equal				______ hrs
177	Renal Panel (10)	1	Each	322777 or Equal				______ hrs
178	Renin Activity and Aldosterone	1	Each	000703 or Equal				______ hrs
179	Reticulocyte Count	5	Each	005280 or Equal				______ hrs
180	Rheumatoid Arthritis Factor	5	Each	006502 or Equal				______ hrs
181	Risperidone (Risperdal(R)), S	15	Each	716563 or Equal				______ hrs
182	RNA Qualitative, Aptima	5	Each	083950 or Equal				______ hrs
183	RNA Qualitative, TMA	1	Each	139350 or Equal				______ hrs
184	RNA, PCR (Graph) rfx/G	1	Each	550422 or Equal				______ hrs
185	RNA, Real Time PCR (Graph)	35	Each	550420 or Equal				______ hrs
186	RNA, Real Time PCR (Non-Graph)	1	Each	550430 or Equal				______ hrs
187	RPR	875	Each	006072 or Equal				______ hrs
188	Rubella Antibodies, IgG	1	Each	006197 or Equal				______ hrs
189	Rubella Antibodies, IgM	1	Each	096537 or Equal				______ hrs
190	Sedimentation Rate-Westergren	15	Each	005215 or Equal				______ hrs
191	Sensitivity Organism #1	10	Each	S00001 or Equal				______ hrs
192	Sertraline (Zoloft), S/P	5	Each	808494 or Equal				______ hrs
193	Sex Horm Binding Glob, Serum	1	Each	082016 or Equal				______ hrs
194	Sodium	1	Each	001198 or Equal				______ hrs
195	Sodium, 24 hr Urine	1	Each	003178 or Equal				______ hrs
196	Sodium, Urine	1	Each	013326 or Equal				______ hrs
197	Sputum Culture	1	Each	182354 or Equal				______ hrs
198	Stool Culture	5	Each	008144 or Equal				______ hrs
199	T pallidum Ab (FTA-Ab)	10	Each	006379 or Equal				______ hrs
200	T4 and TSH	1	Each	024026 or Equal				______ hrs
201	Testosterone, Free, Direct	1	Each	144980 or Equal				______ hrs
202	Testosterone, Serum	5	Each	004226 or Equal				______ hrs
203	Thyroid Panel	1	Each	000455 or Equal				______ hrs
204	Thyroid Panel With TSH	80	Each	000620 or Equal				______ hrs
205	Thyroid Peroxidase (TP)	1	Each	006676 or Equal				______ hrs
206	Thyroid Stim Immunoglobulin	1	Each	140749 or Equal				______ hrs
207	Thyroxine (T4)	1	Each	001149 or Equal				______ hrs
208	Thyroxine (T4) Free, Direct, S	910	Each	001974 or Equal				______ hrs
209	Toxoplasma gondii Ab, IgG, Qn	1	Each	006478 or Equal				______ hrs
210	Transferrin	5	Each	004937 or Equal				______ hrs
211	Trazodone, Serum	1	Each	071688 or Equal				______ hrs
212	Triiodothyronine (T3)	5	Each	002188 or Equal				______ hrs
213	Triiodothyronine (T3), Free	10	Each	010389 or Equal				______ hrs
214	Troponin I	15	Each	120832 or Equal				______ hrs
215	Troponin T	5	Each	140150 or Equal				______ hrs
216	TSH	1010	Each	004259 or Equal				______ hrs
217	TSH+Free T4	5	Each	224576 or Equal				______ hrs
218	t-Transglutaminase (tT), TTIGA	1	Each	164640 or Equal				______ hrs
219	t-Transglutaminase (tT) ,TTIGIGG	1	Each	164988 or Equal				______ hrs
220	Uric Acid	10	Each	00057 or Equal				______ hrs
221	Urinalysis, Routine	710	Each	003038 or Equal				______ hrs
222	Urine Culture, Routine	60	Each	008847 or Equal				______ hrs
223	Urine Culture,Comprehensive	1	Each	008086 or Equal				______ hrs
224	Valproic Acid (Depakote)(R),S	1180	Each	007260 or Equal				______ hrs
225	Venipuncture	40	Each	998085 or Equal				______ hrs
226	Vitamin B1 (Thiamine), Blood	5	Each	121186 or Equal				______ hrs
227	Vitamin B12	10	Each	001503 or Equal				______ hrs
228	Vitamin B12 and Folate	25	Each	000810 or Equal				______ hrs
229	Vitamin B6, Plasma	1	Each	004655 or Equal				______ hrs
230	Vitamin D, 25-Hydroxy	30	Each	081950 or Equal				______ hrs
231	WBC,Platelets and Differential	5	Each	005265 or Equal				______ hrs
232	White Blood Cells (WBC), Stool	5	Each	008656 or Equal				______ hrs
233	Ziprasidone	5	Each	790384 or Equal				______ hrs
234	Stat Testing - As needed/requested - Vendor must contact the Agency by telephone upon completion of request within 3 hours of receiving test		Each	998074 or Equal				______ hrs
235	Draw Fee (Venipuncture) - As needed/requested		Each	998085 or Equal				______ hrs
236	Percentage Discount From Price List For All Testing Not Itemized Above		Each
237	Line may be used if the Agency uses one line item to issue order for entire invoice amount. The Agency is responsible for assuring invoice is correct.		Lot

&"-,Bold"&10

Referral Lab Testing for ELMHS Period Covering: 06/01/2022 - 05/31/2023

&"-,Bold"&10Contract # 4400017120 Attachment C - Price Sheet Referral Lab Testing for ELMHS Period Covering: 06/01/2019 - 05/31/2020

&"-,Bold"&10Solicitation # 3000012408 Referral Lab Testing for ELMHS Bid Tabulation

&"-,Bold"&10Contract # 4400017120 Attachment C - Price Sheet Referral Lab Testing for ELMHS Period Covering: 06/01/2019 - 05/31/2020

&"-,Bold"&10

Referral Lab Testing for ELMHS Period Covering: 06/01/2022 - 05/31/2025

&"-,Bold"&12Referral Laboratory Testing - ELMHS Attachment C - Price List RFx No.: 300024861

Page &P of &N

File details come from the government source that posted it. Updated Jun 11, 2025.