Attachment D Contractor Price Sheet.xlsx

XLSX spreadsheet 20 KB Posted Jun 4, 2018

Attached to: Request for Response For Master Agreement For General Reference Laboratory Service Providers
Solicitation number: BD-18-1022-DMH08-8210C-28120
Issued by: Suffolk County, Massachusetts

About this file

Written by GovTribe AI · Aug 1, 2024

This document is a Request for Response (RFR) for a Master Agreement for General Reference Laboratory Service Providers issued by the Massachusetts Department of Mental Health (DMH). DMH is seeking to establish a pool of general reference laboratory service providers from which the five Areas of the Department can purchase clinical referenced laboratory testing services on an as-needed basis. The RFR includes a pricing sheet, Attachment D, for bidders to complete with their order codes, test names, CPT codes, and net test prices. The RFR does not specify a quantity, response due date, award date, or contract term.

The pricing terms and other salient details are not explicitly stated in the provided information. However, the RFR indicates that DMH is looking to establish a pool of approved laboratory service providers for the five Areas of the Department to access clinical testing services as needed. No additional information is provided regarding funding sources, set-asides, incumbents, or the current service environment.

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Other files

File	Type	Posted
Commonwealth of Massachusetts Standard Contract Form~16.docx	DOCX document	Jun 4, 2018
OSD Required Specifications for Commodities and Services~4.docx	DOCX document	Jun 4, 2018
RFR Cover Sheet~1.doc	DOC document	Jun 4, 2018
Attacment A lab RFR _DMH Areas_Sites.docx	DOCX document	Jun 4, 2018
Question 1 Attachment Copy of September 2017 TAT Report.xls	XLS spreadsheet	Jun 4, 2018
Attachment C DMH Facilities that Require Phlebotomy Service.xlsx	XLSX spreadsheet	Jun 4, 2018
Lab Services RFR Final.docx	DOCX document	Jun 4, 2018
Authorized Signatory Listing-form.docx	DOCX document	Jun 4, 2018
Attachment E. Response Requirments.docx	DOCX document	Jun 4, 2018
FalseClaims Memo.doc	DOC document	Jun 4, 2018
Attachment B DMH Facilities Routine Pick Up Schedule.docx	DOCX document	Jun 4, 2018
Business Reference Form~6.docx	DOCX document	Jun 4, 2018
DMH MA FOR GENERAL REFERENCE LABORATORY SERVICE APPROVED VENDORS 2023.docx	DOCX document	Jun 4, 2018
MMHC Lab tests results last 12 months.docx	DOCX document	Jun 4, 2018
Electronic Funds Transfer Sign Up Form~20.pdf	PDF	Jun 4, 2018
MA Form_W-9~21.pdf	PDF	Jun 4, 2018
SDP_Plan_Form~11.xlsx	XLSX spreadsheet	Jun 4, 2018
Commonwealth Standard Contract Instruction_Contractor Certifications_Terms~3.pdf	PDF	Jun 4, 2018
Instructions_for_ submitting a bid on Commbuys.docx	DOCX document	Jun 4, 2018

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Attach-D Name of Company Submiting Bid is:_______________________________________

RFR Line Item #	Test Name	CPT Code	Bidder's Order Code	Net Test Price
1	17-hydrox
2	24 hr tp
3	5’nuc
4	5-hiaa urine
5	17-ketosteroids
6	Aca
7	Ace
8	Acetaminophen
9	Acetone
10	Acetone,urine
11	Acetylcho block
12	Acid phos
13	Acth 30 min
14	Acth 60 min
15	Acth baseline
16	Acth random
17	Ada,rbc
18	A1a, qualitative
19	Adenosine deami
20	Alcohol profile
21	Aldolase
22	Aldos
23	Aldosterone,ur
24	Alk phos heat
25	Alk phos isoenz
26	Alpha 1 antitry
27	Aluminum
28	Amino acid quan
29	Amph ur confi
30	Amikacin trough
31	Amikacin random
32	Amitriptyline+n
33	Androslenedione
34	Ana
35	Anti mito ab
36	Anti ssa ssb ab
37	Anti-dna dbl
38	Arg vas
39	Ascorbic
40	Aso screen
41	Asp ab
42	Asper gal AG
43	AT3
44	AT3A
45	Bartonell hens
46	B2-micro
47	Bence jones pro
48	Benzodiazepines
49	Benz ur
50	Beta D glucan
51	Bordetella pert
52	Brain natriuret
53	Borrelie burgdo
54	Buprenorphine (qual)
55	Buprenorphine (confirmation)
56	C1 est
57	C3
58	C4
59	C6
60	C2
61	Ch50
62	Calcitonin
63	Ca,ion
64	Caro
65	C1q binding
66	Cea
67	Cea,fluid
68	Ca 15-3
69	Ca19-9
70	Ca125
71	Cd/cd8 panel
72	Cerulo
73	Chlor urine
74	Chlam&gc cervic
75	Chlam ab igg
76	Chlam ab panel
77	Chlam & g cur
78	Urine Chlamydia
79	Ck isoenzymes
80	Catecholamines
81	CRBM free
82	Chromos analysis (bone marrow)
83	Clona
84	Clozapine
85	Chorm urine
86	Citrate,ur,24
87	Cop,serum
88	Cmv dna quant
89	Cmv igm
90	Cmv,csf
91	c-pep
92	Coccidioides ab
93	Cocaine metab s
94	Cold agglutinin
95	Copper urine 24
96	Cortam
97	Cort pm
98	60 min cortisol
99	30 min cortisol
100	Cortisol base
101	Cortisol 24 hr
102	Comp blood tox
103	Cmv igg
104	Crystals,fluid
105	Cmv screen qual
106	Cryoglobulin
107	Crypto,ag,csf
108	Crypto,ab,serum
109	Csf,htlv 1&2
110	Cyclosporine,bl
111	Cyclic,citrulli
112	Cysticerocsis
113	DDIMER DVT
114	DDIMER DIC
115	Dau
116	Desi
117	DIGOXIN
118	Dhea
119	Digitox
120	Dna single
121	Ebv dna pcr
122	Ebv dna pcr csf
123	EBV,CSF
124	Eb ab
125	Ebv early a gab
126	Ery
127	Estrone
128	Estrogens,tot
129	Estradiol,serum
130	Ethanol,urine
131	FECAL FAT QUAL
132	Fac 2
133	Fac 7
134	Fac 9
135	Fac 11
136	Fac 10
137	Factor 5 leiden
138	Factor 8 inhib
139	Fecal fat quant
140	Fetal hgb
141	Fluoxetine
142	Fluorescent tre
143	Fluphen
144	Fact 8 risto
145	Folate, rbc
146	Frt3
147	Fructo
148	Fsh
149	FENTANYL URINE
150	FACTOR 8 AG
151	Gab
152	Gastroccult
153	Gas
154	G6pd
155	GGT
156	Glom bas am
157	GLIADIN ABS
158	Halo
159	Hap
160	Hbsag confirm
161	Hcv rna (pcr)
162	Hcg quant
163	Hcg,se
164	Heavy metal pan
165	Heavy metals ur
166	Hemochromatosis
167	Heparin induced
168	Hep ind pl tab
169	Herpes simplex,m
170	Hepbeab
171	Hepbeag
172	Hep c geno
173	Hep delta ab
174	Hav igm
175	Hep b dna (pcr)
176	Hbc
177	Hep b core igm
178	HCV FIBROSURE
179	Hgb ep
180	Hgh
181	Histone ab
182	Histoplasma ag
183	Hiv – 1 pheno
184	Hiv rna (dna)
185	Hiv 1 susceptib
186	Hiv 1 ab
187	Homocystine
188	Homocyst cardi
189	Homocyst nutria
190	House dust
191	h.pylori ab
192	Hsv,antibodies
193	Hsv1,2,dna,pcr
194	HIT elisa
195	HLAB 27
196	HLAB5701
197	Iga
198	Ige
199	Immuno,serum
200	Ins
201	Ins ab
202	Insulin 6f1
203	Intact pth
204	Islet ab
205	Int factor ab
206	Jo-1 ab
207	Ldh iso
208	KETONES
209	Lact
210	Lamot
211	Latexige
212	Leukocyte alk p
213	Leukemic blood
214	Leg ab
215	Levetriacetam
216	Lh
217	Librium
218	Lipoprotein ele
219	Liver kidney ab
220	Lupus anticoagu
221	Lyme csf
222	Lyme screen
223	Lysozyme
224	Legionella urine
225	Manganese
226	Mag ur
227	Mbp
228	Methadone serum
229	Methgb
230	Methyl mal ser
231	Metanephrines u
232	METHOTREXATE
233	Microalbumin
234	Morphine
235	Mma ur quant
236	Mono
237	M pneumo abs
238	Mumps ab
239	Myoglobin ur
240	MIXING STUDIES
241	mumps igm
242	Neutrophile cyt
243	Nmp urine
244	Nortrip
245	NGON PROBE
246	Olanzapine
247	Oligoclonal imm
248	Opiate ur conf
249	Osmo
250	Osmo,ur
251	Ova & parasite
252	Oxalate urine
253	Oxcarbazepine
254	Oxycodone
255	Osmo,stool
256	Perphendazine
257	Parvovirus,b19
258	Pcp quant ur
259	Ph fld
260	Phoslip panel
261	Phos,24 hr
262	Phos urine
263	Plt ab indirect
264	Plt ab dir
265	Porphobilinogen
266	Pre alb
267	Prolac
268	Progesterone
269	Prot c, activity
270	Prot c
271	Pro s, ag
272	Prot s total
273	Primidone
274	Pro insulin
275	Prothrombin mut
276	Prot elec
277	Prot elec urine
278	Protein,ru
279	Psa T&f
280	Pth-peptide
281	Ptn t&fr
282	Ptn free
283	Pep 24 hr
284	Quetiaprine
285	QFLU
286	Quantgold
287	Ra factor
288	Rabies ab
289	RVP
290	Renin activity
291	Renin
292	Risperidone
293	Rnp ab
294	Rubella
295	Rubella igm
296	Rubeola ab
297	Schistosaomaisis
298	Stool lytes
299	Salic
300	Scl-70
301	Serotonin
302	Sickle cell scr
303	Smear for eos
304	Smooth muscle a
305	Soma-c
306	Striated mus ab
307	Strongyloides a
308	Smith AB
309	Selenium
310	Tbg
311	Tacro
312	T3 REVERSE
313	Testo fr
314	Testos
315	Thc ur quant
316	Thrombin clotting
317	Thyrog ab
318	Tissue transglu
319	Tp,ur
320	Thyroglobulin
321	Tpo ab/thyroglo
322	Tobr
323	Tobt
324	Topir
325	Tot t3
326	Toxo,csf
327	Toxoplasma,igg
328	Toxo igm
329	Transglut iga
330	Tsig
331	TPMT mutation
332	TRANS
333	Uric acid,24 ho
334	Uric,ur
335	Ur ca
336	Ur barb confirm
337	VZVPCRCSF
338	Valproic acid free
339	Var-zos,ab,igm
340	Var-zos,ab,igg
341	Venous lead
342	Vdrl csf
343	Viscosity
344	Vit b1
345	Vit b2
346	Vit b12 ubc
347	Vit d
348	Vit d 1-25 hydr
349	Vma
350	Von will
351	Vit A
352	Zinc
353	Vit k
354	VIT E
355	amy perit
356	amy urine
357	alb perit
358	aluminum wb
359	aripirazole
360	ca/crea 24 hr ur
361	ca urine
362	chromagranin A
363	celiac disease
364	chlamydia probe
365	chol pleur
366	f2vl
367	factor 5
368	FDP
369	glutamic acid
370	hiv 1,2 ab
371	hiv 2 dna
372	hpylori stool
373	kappa/lambda
374	imunofix
375	jak 2 dna
376	lytes, stool
377	osmo stool
378	phenobarb
379	propoxyphene urine
380	rast panel
381	sodium 24 hrurine
382	sjogren's ana
383	saccharomyes
384	streptozyme scr
385	theo
386	testo pedi
387	tricyclic scn
388	vit b6
389	trig pleur
390	ur pro/crea ratio
391	vzvpcrcsf
392	wnv/eee csf
393	warfarin

RFR MED44 (Attachment C) Page &P of &N

Reference Laboratory Services Instructions: do not change the RFR Line Item #, complete as many Line items as possible with CPT Code, your order nunber, and the Net Test Price. Do Not Delete anything or change the cell formatting, you may make the columns wider if needed. Please add addtional tests to the sheet using the same format to the bottom of the Sheet by adding rows. The list should not excede 2000 line items.

File details come from the government source that posted it. Updated Aug 1, 2024.