ATTACHMENT D.6 - TEST MENU PRICING SCHEDULE.xlsx

This is a Test Menu Pricing Schedule for histocompatibility and HLA transplant testing services spanning a five-year period from October 1, 2026, through September 30, 2031. The schedule establishes estimated annual pricing for the Tennessee Valley Healthcare System under a Department of Veterans Affairs contract (36C24926R0076) issued by Network Contracting Office 9.

The pricing schedule encompasses four main service categories: HLA typing tests, HLA antibody testing, crossmatching procedures, and miscellaneous services. The HLA typing section includes 23 distinct test types ranging from high-resolution complete typing to single-locus, low-resolution assessments. HLA antibody testing comprises 19 different tests utilizing flow cytometry and Luminex methodologies for both Class I and Class II antibody screening and identification. The crossmatching section details 16 test variations including T-cell and B-cell cytotoxic crossmatches and flow cytometry crossmatches with various charging configurations. Miscellaneous services include serum archiving, DNA extraction, sendout kits, and STAT charges. All test prices are listed as $0.00 across the Base Year (October 1, 2026–September 30, 2027) and four option years (October 1, 2027–September 30, 2031), with estimated annual volumes provided for high-volume tests such as HLA Complete Typing (300 tests), ABO typing (192 tests), and select antibody identification tests (750–850 tests annually). The total annual cost for each contract period is listed as $0.00, indicating this is a template or pricing structure awaiting contractor cost input.