ATTCH 2 - Cost Per Reportable Pricing Worksheet (Chemistry System).xlsx
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- Solicitation number
- FA442724Q0058
About this file
This document is a combined synopsis/solicitation for a commercial items contract for a Cost Per Reportable (CPR) Automated Chemistry and Immunoassay system for the Medical Treatment Facility at the David Grant Medical Center at Travis Air Force Base, California. The contract will include a base year from September 1, 2024 to August 31, 2025 and four 12-month options, with a possible 6-month extension. The contractor will be responsible for providing the equipment, which will remain the property of the contractor. Offerors must provide quotes by July 12, 2024 and are required to have the authority to operate or be willing to obtain it at no cost to the government. The North American Industry Classification System (NAICS) code is 334516 - Analytical Laboratory Instrument Manufacturing, with a small business size standard of 1,000 employees. A site visit for potential vendors will be held on June 18, 2024.
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BASE YR.
AUTOMATED CHEMISTRY AND IMMUNOSSAY SYSTEM
Cost Per Reportable Pricing Worksheet Base Year 01 SEP 2024 - 31 Aug 2025
| Test Description | Estimated Annual Quantity | Cost Per Reportable Rate | Total Estimated Annual Cost Per Reportable Rate |
| Acetaminophen | 373 | $0.00 | $0.00 |
| Albumin | 23320 | $0.00 | $0.00 |
| Alkaline Phosphatase (ALP) | 17762 | $0.00 | $0.00 |
| Alpha Fetoprotein | 276 | $0.00 | $0.00 |
| Alanine Aminotransferase (ALT) | 17940 | $0.00 | $0.00 |
| Ammonia | 152 | $0.00 | $0.00 |
| Amphetamines | 1297 | $0.00 | $0.00 |
| Amylase | 97 | $0.00 | $0.00 |
| Anti-HAV IgM | 1891 | $0.00 | $0.00 |
| Anti-HBc | 1973 | $0.00 | $0.00 |
| Anti-HCV | 2594 | $0.00 | $0.00 |
| Anti-HBs | 1145 | $0.00 | $0.00 |
| Aspartate Aminotransferase (AST) | 17871 | $0.00 | $0.00 |
| Barbiturates | 1297 | $0.00 | $0.00 |
| Benzodiazepines | 1297 | $0.00 | $0.00 |
| Bilirubin (Direct) | 3312 | $0.00 | $0.00 |
| Bilirubin (Total) | 17747 | $0.00 | $0.00 |
| BUN | 38461 | $0.00 | $0.00 |
| Calcium | 37867 | $0.00 | $0.00 |
| Carbamazepine | 83 | $0.00 | $0.00 |
| Carbon Dioxide | 37522 | $0.00 | $0.00 |
| CEA | 138 | $0.00 | $0.00 |
| Chloride | 37743 | $0.00 | $0.00 |
| Cholesterol | 8998 | $0.00 | $0.00 |
| CK | 718 | $0.00 | $0.00 |
| CK-MB | 30 | $0.00 | $0.00 |
| Cocaine Metabolites | 1297 | $0.00 | $0.00 |
| Cortisol | 317 | $0.00 | $0.00 |
| Creatinine | 39716 | $0.00 | $0.00 |
| High Sensitivity CRP | 1904 | $0.00 | $0.00 |
| Digoxin | 124 | $0.00 | $0.00 |
| Estradiol | 235 | $0.00 | $0.00 |
| Ethanol | 856 | $0.00 | $0.00 |
| Ferritin | 5327 | $0.00 | $0.00 |
| Folate | 1946 | $0.00 | $0.00 |
| Follicle Stimulating Hormone | 193 | $0.00 | $0.00 |
| Gentamicin | 28 | $0.00 | $0.00 |
| Gamma Glutamyl Transferase | 497 | $0.00 | $0.00 |
| Glucose | 38819 | $0.00 | $0.00 |
| Hgb A1C | 9494 | $0.00 | $0.00 |
| HBsAg | 2387 | $0.00 | $0.00 |
| Human Chorionic Gonadotropin (hCG), Quantitative | 911 | $0.00 | $0.00 |
| High-Density Lipoprotein (HDL) | 8984 | $0.00 | $0.00 |
| Iron | 4940 | $0.00 | $0.00 |
| Lactate (Lactic Acid) | 2732 | $0.00 | $0.00 |
| Lactate Dehydrogenase (LDH) | 814 | $0.00 | $0.00 |
| Low-Density Lipoprotein (LDL) | 8984 | $0.00 | $0.00 |
| Luteinizing Hormone (LH) | 193 | $0.00 | $0.00 |
| Lipase | 1794 | $0.00 | $0.00 |
| Lithium | 83 | $0.00 | $0.00 |
| Magnesium | 10309 | $0.00 | $0.00 |
| Methadone | 1297 | $0.00 | $0.00 |
| Microalbumin | 1224 | $0.00 | $0.00 |
| NT-proBNP | 2125 | $0.00 | $0.00 |
| Opiates | 1297 | $0.00 | $0.00 |
| Phencyclidine (PCP) | 1297 | $0.00 | $0.00 |
| Phenytoin | 69 | $0.00 | $0.00 |
| Phosphorous | 10723 | $0.00 | $0.00 |
| Potassium | 37985 | $0.00 | $0.00 |
| Prealbumin | 166 | $0.00 | $0.00 |
| Procalcitonin | 300 | $0.00 | $0.00 |
| Prolactin | 455 | $0.00 | $0.00 |
| Prostate Specific Antigen (PSA) | 1104 | $0.00 | $0.00 |
| Intact Para Thyroid Hormone (iPTH) | 3118 | $0.00 | $0.00 |
| Rheumatoid Factor (RF) | 221 | $0.00 | $0.00 |
| Salicylate | 345 | $0.00 | $0.00 |
| Sodium | 37922 | $0.00 | $0.00 |
| Total T3 | 262 | $0.00 | $0.00 |
| Free T4 | 1863 | $0.00 | $0.00 |
| Cannabinoids (THC) | 1297 | $0.00 | $0.00 |
| Total Protein | 17774 | $0.00 | $0.00 |
| Total Protein (CSF/Urine) | 1877 | $0.00 | $0.00 |
| Transferrin | 4900 | $0.00 | $0.00 |
| Triglycerides | 9053 | $0.00 | $0.00 |
| High Sensitivity Troponin | 4858 | $0.00 | $0.00 |
| Thyroid Stimulating Hormone (TSH) | 9053 | $0.00 | $0.00 |
| Uric Acid | 1366 | $0.00 | $0.00 |
| Valproic Acid | 124 | $0.00 | $0.00 |
| Vancomycin | 262 | $0.00 | $0.00 |
| Vitamin B12 | 662 | $0.00 | $0.00 |
| Vitamin D | 3795 | $0.00 | $0.00 |
| Total Annual Test | 571582 | ||
| Total Annaul COST | $0.00 |
Print Name/Tile Signature:
Total Overall Proposed Price Including Base & All Option Yrs:
OPTION YR. 1
AUTOMATED CHEMISTRY AND IMMUNOSSAY SYSTEM Costt Per Reportable Pricing Worksheet Option Yr. One (1) 01 SEP 2025 - 31 Aug 2026
| Test Description | Estimated Annual Quantity | Cost Per Reportable Rate | Total Estimated Annual Cost Per Reportable Rate |
| Acetaminophen | 373 | $0.00 | $0.00 |
| Albumin | 23320 | $0.00 | $0.00 |
| Alkaline Phosphatase (ALP) | 17762 | $0.00 | $0.00 |
| Alpha Fetoprotein | 276 | $0.00 | $0.00 |
| Alanine Aminotransferase (ALT) | 17940 | $0.00 | $0.00 |
| Ammonia | 152 | $0.00 | $0.00 |
| Amphetamines | 1297 | $0.00 | $0.00 |
| Amylase | 97 | $0.00 | $0.00 |
| Anti-HAV IgM | 1891 | $0.00 | $0.00 |
| Anti-HBc | 1973 | $0.00 | $0.00 |
| Anti-HCV | 2594 | $0.00 | $0.00 |
| Anti-HBs | 1145 | $0.00 | $0.00 |
| Aspartate Aminotransferase (AST) | 17871 | $0.00 | $0.00 |
| Barbiturates | 1297 | $0.00 | $0.00 |
| Benzodiazepines | 1297 | $0.00 | $0.00 |
| Bilirubin (Direct) | 3312 | $0.00 | $0.00 |
| Bilirubin (Total) | 17747 | $0.00 | $0.00 |
| BUN | 38461 | $0.00 | $0.00 |
| Calcium | 37867 | $0.00 | $0.00 |
| Carbamazepine | 83 | $0.00 | $0.00 |
| Carbon Dioxide | 37522 | $0.00 | $0.00 |
| CEA | 138 | $0.00 | $0.00 |
| Chloride | 37743 | $0.00 | $0.00 |
| Cholesterol | 8998 | $0.00 | $0.00 |
| CK | 718 | $0.00 | $0.00 |
| CK-MB | 30 | $0.00 | $0.00 |
| Cocaine Metabolites | 1297 | $0.00 | $0.00 |
| Cortisol | 317 | $0.00 | $0.00 |
| Creatinine | 39716 | $0.00 | $0.00 |
| High Sensitivity CRP | 1904 | $0.00 | $0.00 |
| Digoxin | 124 | $0.00 | $0.00 |
| Estradiol | 235 | $0.00 | $0.00 |
| Ethanol | 856 | $0.00 | $0.00 |
| Ferritin | 5327 | $0.00 | $0.00 |
| Folate | 1946 | $0.00 | $0.00 |
| Follicle Stimulating Hormone | 193 | $0.00 | $0.00 |
| Gentamicin | 28 | $0.00 | $0.00 |
| Gamma Glutamyl Transferase | 497 | $0.00 | $0.00 |
| Glucose | 38819 | $0.00 | $0.00 |
| Hgb A1C | 9494 | $0.00 | $0.00 |
| HBsAg | 2387 | $0.00 | $0.00 |
| Human Chorionic Gonadotropin (hCG), Quantitative | 911 | $0.00 | $0.00 |
| High-Density Lipoprotein (HDL) | 8984 | $0.00 | $0.00 |
| Iron | 4940 | $0.00 | $0.00 |
| Lactate (Lactic Acid) | 2732 | $0.00 | $0.00 |
| Lactate Dehydrogenase (LDH) | 814 | $0.00 | $0.00 |
| Low-Density Lipoprotein (LDL) | 8984 | $0.00 | $0.00 |
| Luteinizing Hormone (LH) | 193 | $0.00 | $0.00 |
| Lipase | 1794 | $0.00 | $0.00 |
| Lithium | 83 | $0.00 | $0.00 |
| Magnesium | 10309 | $0.00 | $0.00 |
| Methadone | 1297 | $0.00 | $0.00 |
| Microalbumin | 1224 | $0.00 | $0.00 |
| NT-proBNP | 2125 | $0.00 | $0.00 |
| Opiates | 1297 | $0.00 | $0.00 |
| Phencyclidine (PCP) | 1297 | $0.00 | $0.00 |
| Phenytoin | 69 | $0.00 | $0.00 |
| Phosphorous | 10723 | $0.00 | $0.00 |
| Potassium | 37985 | $0.00 | $0.00 |
| Prealbumin | 166 | $0.00 | $0.00 |
| Procalcitonin | 300 | $0.00 | $0.00 |
| Prolactin | 455 | $0.00 | $0.00 |
| Prostate Specific Antigen (PSA) | 1104 | $0.00 | $0.00 |
| Intact Para Thyroid Hormone (iPTH) | 3118 | $0.00 | $0.00 |
| Rheumatoid Factor (RF) | 221 | $0.00 | $0.00 |
| Salicylate | 345 | $0.00 | $0.00 |
| Sodium | 37922 | $0.00 | $0.00 |
| Total T3 | 262 | $0.00 | $0.00 |
| Free T4 | 1863 | $0.00 | $0.00 |
| Cannabinoids (THC) | 1297 | $0.00 | $0.00 |
| Total Protein | 17774 | $0.00 | $0.00 |
| Total Protein (CSF/Urine) | 1877 | $0.00 | $0.00 |
| Transferrin | 4900 | $0.00 | $0.00 |
| Triglycerides | 9053 | $0.00 | $0.00 |
| High Sensitivity Troponin | 4858 | $0.00 | $0.00 |
| Thyroid Stimulating Hormone (TSH) | 9053 | $0.00 | $0.00 |
| Uric Acid | 1366 | $0.00 | $0.00 |
| Valproic Acid | 124 | $0.00 | $0.00 |
| Vancomycin | 262 | $0.00 | $0.00 |
| Vitamin B12 | 662 | $0.00 | $0.00 |
| Vitamin D | 3795 | $0.00 | $0.00 |
| Total Annual Test | 571582 | ||
| Total Annual COST | $0.00 |
OPTION YR. 2
AUTOMATED CHEMISTRY AND IMMUNOSSAY SYSTEM Cost Per Reportable Pricing Worksheet Option Yr. Two (2) 01 SEP 2026 - 31 Aug 2027
| Test Description | Estimated Annual Quantity | Cost Per Reportable Rate | Total Estimated Annual Cost Per Reportable Rate |
| Acetaminophen | 373 | $0.00 | $0.00 |
| Albumin | 23320 | $0.00 | $0.00 |
| Alkaline Phosphatase (ALP) | 17762 | $0.00 | $0.00 |
| Alpha Fetoprotein | 276 | $0.00 | $0.00 |
| Alanine Aminotransferase (ALT) | 17940 | $0.00 | $0.00 |
| Ammonia | 152 | $0.00 | $0.00 |
| Amphetamines | 1297 | $0.00 | $0.00 |
| Amylase | 97 | $0.00 | $0.00 |
| Anti-HAV IgM | 1891 | $0.00 | $0.00 |
| Anti-HBc | 1973 | $0.00 | $0.00 |
| Anti-HCV | 2594 | $0.00 | $0.00 |
| Anti-HBs | 1145 | $0.00 | $0.00 |
| Aspartate Aminotransferase (AST) | 17871 | $0.00 | $0.00 |
| Barbiturates | 1297 | $0.00 | $0.00 |
| Benzodiazepines | 1297 | $0.00 | $0.00 |
| Bilirubin (Direct) | 3312 | $0.00 | $0.00 |
| Bilirubin (Total) | 17747 | $0.00 | $0.00 |
| BUN | 38461 | $0.00 | $0.00 |
| Calcium | 37867 | $0.00 | $0.00 |
| Carbamazepine | 83 | $0.00 | $0.00 |
| Carbon Dioxide | 37522 | $0.00 | $0.00 |
| CEA | 138 | $0.00 | $0.00 |
| Chloride | 37743 | $0.00 | $0.00 |
| Cholesterol | 8998 | $0.00 | $0.00 |
| CK | 718 | $0.00 | $0.00 |
| CK-MB | 30 | $0.00 | $0.00 |
| Cocaine Metabolites | 1297 | $0.00 | $0.00 |
| Cortisol | 317 | $0.00 | $0.00 |
| Creatinine | 39716 | $0.00 | $0.00 |
| High Sensitivity CRP | 1904 | $0.00 | $0.00 |
| Digoxin | 124 | $0.00 | $0.00 |
| Estradiol | 235 | $0.00 | $0.00 |
| Ethanol | 856 | $0.00 | $0.00 |
| Ferritin | 5327 | $0.00 | $0.00 |
| Folate | 1946 | $0.00 | $0.00 |
| Follicle Stimulating Hormone | 193 | $0.00 | $0.00 |
| Gentamicin | 28 | $0.00 | $0.00 |
| Gamma Glutamyl Transferase | 497 | $0.00 | $0.00 |
| Glucose | 38819 | $0.00 | $0.00 |
| Hgb A1C | 9494 | $0.00 | $0.00 |
| HBsAg | 2387 | $0.00 | $0.00 |
| Human Chorionic Gonadotropin (hCG), Quantitative | 911 | $0.00 | $0.00 |
| High-Density Lipoprotein (HDL) | 8984 | $0.00 | $0.00 |
| Iron | 4940 | $0.00 | $0.00 |
| Lactate (Lactic Acid) | 2732 | $0.00 | $0.00 |
| Lactate Dehydrogenase (LDH) | 814 | $0.00 | $0.00 |
| Low-Density Lipoprotein (LDL) | 8984 | $0.00 | $0.00 |
| Luteinizing Hormone (LH) | 193 | $0.00 | $0.00 |
| Lipase | 1794 | $0.00 | $0.00 |
| Lithium | 83 | $0.00 | $0.00 |
| Magnesium | 10309 | $0.00 | $0.00 |
| Methadone | 1297 | $0.00 | $0.00 |
| Microalbumin | 1224 | $0.00 | $0.00 |
| NT-proBNP | 2125 | $0.00 | $0.00 |
| Opiates | 1297 | $0.00 | $0.00 |
| Phencyclidine (PCP) | 1297 | $0.00 | $0.00 |
| Phenytoin | 69 | $0.00 | $0.00 |
| Phosphorous | 10723 | $0.00 | $0.00 |
| Potassium | 37985 | $0.00 | $0.00 |
| Prealbumin | 166 | $0.00 | $0.00 |
| Procalcitonin | 300 | $0.00 | $0.00 |
| Prolactin | 455 | $0.00 | $0.00 |
| Prostate Specific Antigen (PSA) | 1104 | $0.00 | $0.00 |
| Intact Para Thyroid Hormone (iPTH) | 3118 | $0.00 | $0.00 |
| Rheumatoid Factor (RF) | 221 | $0.00 | $0.00 |
| Salicylate | 345 | $0.00 | $0.00 |
| Sodium | 37922 | $0.00 | $0.00 |
| Total T3 | 262 | $0.00 | $0.00 |
| Free T4 | 1863 | $0.00 | $0.00 |
| Cannabinoids (THC) | 1297 | $0.00 | $0.00 |
| Total Protein | 17774 | $0.00 | $0.00 |
| Total Protein (CSF/Urine) | 1877 | $0.00 | $0.00 |
| Transferrin | 4900 | $0.00 | $0.00 |
| Triglycerides | 9053 | $0.00 | $0.00 |
| High Sensitivity Troponin | 4858 | $0.00 | $0.00 |
| Thyroid Stimulating Hormone (TSH) | 9053 | $0.00 | $0.00 |
| Uric Acid | 1366 | $0.00 | $0.00 |
| Valproic Acid | 124 | $0.00 | $0.00 |
| Vancomycin | 262 | $0.00 | $0.00 |
| Vitamin B12 | 662 | $0.00 | $0.00 |
| Vitamin D | 3795 | $0.00 | $0.00 |
| Total Annual Test | 571582 | ||
| Total Annual COST | $0.00 |
OPTION YR. 3
AUTOMATED CHEMISTRY AND IMMUNOSSAY SYSTEM Cost Per Reportable Pricing Worksheet Option Yr. Three (3) 01 SEP 2027 - 31 Aug 2028
| Test Description | Estimated Annual Quantity | Cost Per Reportable Rate | Total Estimated Annual Cost Per Reportable Rate |
| Acetaminophen | 373 | $0.00 | $0.00 |
| Albumin | 23320 | $0.00 | $0.00 |
| Alkaline Phosphatase (ALP) | 17762 | $0.00 | $0.00 |
| Alpha Fetoprotein | 276 | $0.00 | $0.00 |
| Alanine Aminotransferase (ALT) | 17940 | $0.00 | $0.00 |
| Ammonia | 152 | $0.00 | $0.00 |
| Amphetamines | 1297 | $0.00 | $0.00 |
| Amylase | 97 | $0.00 | $0.00 |
| Anti-HAV IgM | 1891 | $0.00 | $0.00 |
| Anti-HBc | 1973 | $0.00 | $0.00 |
| Anti-HCV | 2594 | $0.00 | $0.00 |
| Anti-HBs | 1145 | $0.00 | $0.00 |
| Aspartate Aminotransferase (AST) | 17871 | $0.00 | $0.00 |
| Barbiturates | 1297 | $0.00 | $0.00 |
| Benzodiazepines | 1297 | $0.00 | $0.00 |
| Bilirubin (Direct) | 3312 | $0.00 | $0.00 |
| Bilirubin (Total) | 17747 | $0.00 | $0.00 |
| BUN | 38461 | $0.00 | $0.00 |
| Calcium | 37867 | $0.00 | $0.00 |
| Carbamazepine | 83 | $0.00 | $0.00 |
| Carbon Dioxide | 37522 | $0.00 | $0.00 |
| CEA | 138 | $0.00 | $0.00 |
| Chloride | 37743 | $0.00 | $0.00 |
| Cholesterol | 8998 | $0.00 | $0.00 |
| CK | 718 | $0.00 | $0.00 |
| CK-MB | 30 | $0.00 | $0.00 |
| Cocaine Metabolites | 1297 | $0.00 | $0.00 |
| Cortisol | 317 | $0.00 | $0.00 |
| Creatinine | 39716 | $0.00 | $0.00 |
| High Sensitivity CRP | 1904 | $0.00 | $0.00 |
| Digoxin | 124 | $0.00 | $0.00 |
| Estradiol | 235 | $0.00 | $0.00 |
| Ethanol | 856 | $0.00 | $0.00 |
| Ferritin | 5327 | $0.00 | $0.00 |
| Folate | 1946 | $0.00 | $0.00 |
| Follicle Stimulating Hormone | 193 | $0.00 | $0.00 |
| Gentamicin | 28 | $0.00 | $0.00 |
| Gamma Glutamyl Transferase | 497 | $0.00 | $0.00 |
| Glucose | 38819 | $0.00 | $0.00 |
| Hgb A1C | 9494 | $0.00 | $0.00 |
| HBsAg | 2387 | $0.00 | $0.00 |
| Human Chorionic Gonadotropin (hCG), Quantitative | 911 | $0.00 | $0.00 |
| High-Density Lipoprotein (HDL) | 8984 | $0.00 | $0.00 |
| Iron | 4940 | $0.00 | $0.00 |
| Lactate (Lactic Acid) | 2732 | $0.00 | $0.00 |
| Lactate Dehydrogenase (LDH) | 814 | $0.00 | $0.00 |
| Low-Density Lipoprotein (LDL) | 8984 | $0.00 | $0.00 |
| Luteinizing Hormone (LH) | 193 | $0.00 | $0.00 |
| Lipase | 1794 | $0.00 | $0.00 |
| Lithium | 83 | $0.00 | $0.00 |
| Magnesium | 10309 | $0.00 | $0.00 |
| Methadone | 1297 | $0.00 | $0.00 |
| Microalbumin | 1224 | $0.00 | $0.00 |
| NT-proBNP | 2125 | $0.00 | $0.00 |
| Opiates | 1297 | $0.00 | $0.00 |
| Phencyclidine (PCP) | 1297 | $0.00 | $0.00 |
| Phenytoin | 69 | $0.00 | $0.00 |
| Phosphorous | 10723 | $0.00 | $0.00 |
| Potassium | 37985 | $0.00 | $0.00 |
| Prealbumin | 166 | $0.00 | $0.00 |
| Procalcitonin | 300 | $0.00 | $0.00 |
| Prolactin | 455 | $0.00 | $0.00 |
| Prostate Specific Antigen (PSA) | 1104 | $0.00 | $0.00 |
| Intact Para Thyroid Hormone (iPTH) | 3118 | $0.00 | $0.00 |
| Rheumatoid Factor (RF) | 221 | $0.00 | $0.00 |
| Salicylate | 345 | $0.00 | $0.00 |
| Sodium | 37922 | $0.00 | $0.00 |
| Total T3 | 262 | $0.00 | $0.00 |
| Free T4 | 1863 | $0.00 | $0.00 |
| Cannabinoids (THC) | 1297 | $0.00 | $0.00 |
| Total Protein | 17774 | $0.00 | $0.00 |
| Total Protein (CSF/Urine) | 1877 | $0.00 | $0.00 |
| Transferrin | 4900 | $0.00 | $0.00 |
| Triglycerides | 9053 | $0.00 | $0.00 |
| High Sensitivity Troponin | 4858 | $0.00 | $0.00 |
| Thyroid Stimulating Hormone (TSH) | 9053 | $0.00 | $0.00 |
| Uric Acid | 1366 | $0.00 | $0.00 |
| Valproic Acid | 124 | $0.00 | $0.00 |
| Vancomycin | 262 | $0.00 | $0.00 |
| Vitamin B12 | 662 | $0.00 | $0.00 |
| Vitamin D | 3795 | $0.00 | $0.00 |
| Total Annual Test | 571582 | ||
| Total Annual COST | $0.00 |
OPTION YR. 4
AUTOMATED CHEMISTRY AND IMMUNOSSAY SYSTEM Cost Per Reportable Pricing Worksheet Option Yr. Four (4) 01 SEP 2028 - 31 Aug 2029
| Test Description | Estimated Annual Quantity | Cost Per Reportable Rate | Total Estimated Annual Cost Per Reportable Rate |
| Acetaminophen | 373 | $0.00 | $0.00 |
| Albumin | 23320 | $0.00 | $0.00 |
| Alkaline Phosphatase (ALP) | 17762 | $0.00 | $0.00 |
| Alpha Fetoprotein | 276 | $0.00 | $0.00 |
| Alanine Aminotransferase (ALT) | 17940 | $0.00 | $0.00 |
| Ammonia | 152 | $0.00 | $0.00 |
| Amphetamines | 1297 | $0.00 | $0.00 |
| Amylase | 97 | $0.00 | $0.00 |
| Anti-HAV IgM | 1891 | $0.00 | $0.00 |
| Anti-HBc | 1973 | $0.00 | $0.00 |
| Anti-HCV | 2594 | $0.00 | $0.00 |
| Anti-HBs | 1145 | $0.00 | $0.00 |
| Aspartate Aminotransferase (AST) | 17871 | $0.00 | $0.00 |
| Barbiturates | 1297 | $0.00 | $0.00 |
| Benzodiazepines | 1297 | $0.00 | $0.00 |
| Bilirubin (Direct) | 3312 | $0.00 | $0.00 |
| Bilirubin (Total) | 17747 | $0.00 | $0.00 |
| BUN | 38461 | $0.00 | $0.00 |
| Calcium | 37867 | $0.00 | $0.00 |
| Carbamazepine | 83 | $0.00 | $0.00 |
| Carbon Dioxide | 37522 | $0.00 | $0.00 |
| CEA | 138 | $0.00 | $0.00 |
| Chloride | 37743 | $0.00 | $0.00 |
| Cholesterol | 8998 | $0.00 | $0.00 |
| CK | 718 | $0.00 | $0.00 |
| CK-MB | 30 | $0.00 | $0.00 |
| Cocaine Metabolites | 1297 | $0.00 | $0.00 |
| Cortisol | 317 | $0.00 | $0.00 |
| Creatinine | 39716 | $0.00 | $0.00 |
| High Sensitivity CRP | 1904 | $0.00 | $0.00 |
| Digoxin | 124 | $0.00 | $0.00 |
| Estradiol | 235 | $0.00 | $0.00 |
| Ethanol | 856 | $0.00 | $0.00 |
| Ferritin | 5327 | $0.00 | $0.00 |
| Folate | 1946 | $0.00 | $0.00 |
| Follicle Stimulating Hormone | 193 | $0.00 | $0.00 |
| Gentamicin | 28 | $0.00 | $0.00 |
| Gamma Glutamyl Transferase | 497 | $0.00 | $0.00 |
| Glucose | 38819 | $0.00 | $0.00 |
| Hgb A1C | 9494 | $0.00 | $0.00 |
| HBsAg | 2387 | $0.00 | $0.00 |
| Human Chorionic Gonadotropin (hCG), Quantitative | 911 | $0.00 | $0.00 |
| High-Density Lipoprotein (HDL) | 8984 | $0.00 | $0.00 |
| Iron | 4940 | $0.00 | $0.00 |
| Lactate (Lactic Acid) | 2732 | $0.00 | $0.00 |
| Lactate Dehydrogenase (LDH) | 814 | $0.00 | $0.00 |
| Low-Density Lipoprotein (LDL) | 8984 | $0.00 | $0.00 |
| Luteinizing Hormone (LH) | 193 | $0.00 | $0.00 |
| Lipase | 1794 | $0.00 | $0.00 |
| Lithium | 83 | $0.00 | $0.00 |
| Magnesium | 10309 | $0.00 | $0.00 |
| Methadone | 1297 | $0.00 | $0.00 |
| Microalbumin | 1224 | $0.00 | $0.00 |
| NT-proBNP | 2125 | $0.00 | $0.00 |
| Opiates | 1297 | $0.00 | $0.00 |
| Phencyclidine (PCP) | 1297 | $0.00 | $0.00 |
| Phenytoin | 69 | $0.00 | $0.00 |
| Phosphorous | 10723 | $0.00 | $0.00 |
| Potassium | 37985 | $0.00 | $0.00 |
| Prealbumin | 166 | $0.00 | $0.00 |
| Procalcitonin | 300 | $0.00 | $0.00 |
| Prolactin | 455 | $0.00 | $0.00 |
| Prostate Specific Antigen (PSA) | 1104 | $0.00 | $0.00 |
| Intact Para Thyroid Hormone (iPTH) | 3118 | $0.00 | $0.00 |
| Rheumatoid Factor (RF) | 221 | $0.00 | $0.00 |
| Salicylate | 345 | $0.00 | $0.00 |
| Sodium | 37922 | $0.00 | $0.00 |
| Total T3 | 262 | $0.00 | $0.00 |
| Free T4 | 1863 | $0.00 | $0.00 |
| Cannabinoids (THC) | 1297 | $0.00 | $0.00 |
| Total Protein | 17774 | $0.00 | $0.00 |
| Total Protein (CSF/Urine) | 1877 | $0.00 | $0.00 |
| Transferrin | 4900 | $0.00 | $0.00 |
| Triglycerides | 9053 | $0.00 | $0.00 |
| High Sensitivity Troponin | 4858 | $0.00 | $0.00 |
| Thyroid Stimulating Hormone (TSH) | 9053 | $0.00 | $0.00 |
| Uric Acid | 1366 | $0.00 | $0.00 |
| Valproic Acid | 124 | $0.00 | $0.00 |
| Vancomycin | 262 | $0.00 | $0.00 |
| Vitamin B12 | 662 | $0.00 | $0.00 |
| Vitamin D | 3795 | $0.00 | $0.00 |
| Total Annual Test | 571582 | ||
| Total Annual COST | $0.00 |
6 mos Extension AUTOMATED CHEMISTRY AND IMMUNOSSAY SYSTEM Cost Per Reportable Pricing Worksheet 1 Sep 2029 - 31 Mar 2030 (6 mos Extension)
| Test Description | Estimated Annual Quantity | Cost Per Reportable Rate | Total Estimated Annual Cost Per Reportable Rate |
| Acetaminophen | 186.5 | $0.00 | $0.00 |
| Albumin | 11660 | $0.00 | $0.00 |
| Alkaline Phosphatase (ALP) | 8881 | $0.00 | $0.00 |
| Alpha Fetoprotein | 138 | $0.00 | $0.00 |
| Alanine Aminotransferase (ALT) | 8970 | $0.00 | $0.00 |
| Ammonia | 76 | $0.00 | $0.00 |
| Amphetamines | 648.5 | $0.00 | $0.00 |
| Amylase | 48.5 | $0.00 | $0.00 |
| Anti-HAV IgM | 945.5 | $0.00 | $0.00 |
| Anti-HBc | 986.5 | $0.00 | $0.00 |
| Anti-HCV | 1297 | $0.00 | $0.00 |
| Anti-HBs | 572.5 | $0.00 | $0.00 |
| Aspartate Aminotransferase (AST) | 8935.5 | $0.00 | $0.00 |
| Barbiturates | 648.5 | $0.00 | $0.00 |
| Benzodiazepines | 648.5 | $0.00 | $0.00 |
| Bilirubin (Direct) | 1656 | $0.00 | $0.00 |
| Bilirubin (Total) | 8873.5 | $0.00 | $0.00 |
| BUN | 19230.5 | $0.00 | $0.00 |
| Calcium | 18933.5 | $0.00 | $0.00 |
| Carbamazepine | 41.5 | $0.00 | $0.00 |
| Carbon Dioxide | 18761 | $0.00 | $0.00 |
| CEA | 69 | $0.00 | $0.00 |
| Chloride | 18871.5 | $0.00 | $0.00 |
| Cholesterol | 4499 | $0.00 | $0.00 |
| CK | 359 | $0.00 | $0.00 |
| CK-MB | 15 | $0.00 | $0.00 |
| Cocaine Metabolites | 648.5 | $0.00 | $0.00 |
| Cortisol | 158.5 | $0.00 | $0.00 |
| Creatinine | 19858 | $0.00 | $0.00 |
| High Sensitivity CRP | 952 | $0.00 | $0.00 |
| Digoxin | 62 | $0.00 | $0.00 |
| Estradiol | 117.5 | $0.00 | $0.00 |
| Ethanol | 428 | $0.00 | $0.00 |
| Ferritin | 2663.5 | $0.00 | $0.00 |
| Folate | 973 | $0.00 | $0.00 |
| Follicle Stimulating Hormone | 96.5 | $0.00 | $0.00 |
| Gentamicin | 14 | $0.00 | $0.00 |
| Gamma Glutamyl Transferase | 248.5 | $0.00 | $0.00 |
| Glucose | 19409.5 | $0.00 | $0.00 |
| Hgb A1C | 4747 | $0.00 | $0.00 |
| HBsAg | 1193.5 | $0.00 | $0.00 |
| Human Chorionic Gonadotropin (hCG), Quantitative | 455.5 | $0.00 | $0.00 |
| High-Density Lipoprotein (HDL) | 4492 | $0.00 | $0.00 |
| Iron | 2470 | $0.00 | $0.00 |
| Lactate (Lactic Acid) | 1366 | $0.00 | $0.00 |
| Lactate Dehydrogenase (LDH) | 407 | $0.00 | $0.00 |
| Low-Density Lipoprotein (LDL) | 4492 | $0.00 | $0.00 |
| Luteinizing Hormone (LH) | 96.5 | $0.00 | $0.00 |
| Lipase | 897 | $0.00 | $0.00 |
| Lithium | 41.5 | $0.00 | $0.00 |
| Magnesium | 5154.5 | $0.00 | $0.00 |
| Methadone | 648.5 | $0.00 | $0.00 |
| Microalbumin | 612 | $0.00 | $0.00 |
| NT-proBNP | 1062.5 | $0.00 | $0.00 |
| Opiates | 648.5 | $0.00 | $0.00 |
| Phencyclidine (PCP) | 648.5 | $0.00 | $0.00 |
| Phenytoin | 34.5 | $0.00 | $0.00 |
| Phosphorous | 5361.5 | $0.00 | $0.00 |
| Potassium | 18992.5 | $0.00 | $0.00 |
| Prealbumin | 83 | $0.00 | $0.00 |
| Procalcitonin | 150 | $0.00 | $0.00 |
| Prolactin | 227.5 | $0.00 | $0.00 |
| Prostate Specific Antigen (PSA) | 552 | $0.00 | $0.00 |
| Intact Para Thyroid Hormone (iPTH) | 1559 | $0.00 | $0.00 |
| Rheumatoid Factor (RF) | 110.5 | $0.00 | $0.00 |
| Salicylate | 172.5 | $0.00 | $0.00 |
| Sodium | 18961 | $0.00 | $0.00 |
| Total T3 | 131 | $0.00 | $0.00 |
| Free T4 | 931.5 | $0.00 | $0.00 |
| Cannabinoids (THC) | 648.5 | $0.00 | $0.00 |
| Total Protein | 8887 | $0.00 | $0.00 |
| Total Protein (CSF/Urine) | 938.5 | $0.00 | $0.00 |
| Transferrin | 2450 | $0.00 | $0.00 |
| Triglycerides | 4526.5 | $0.00 | $0.00 |
| High Sensitivity Troponin | 2429 | $0.00 | $0.00 |
| Thyroid Stimulating Hormone (TSH) | 4526.5 | $0.00 | $0.00 |
| Uric Acid | 683 | $0.00 | $0.00 |
| Valproic Acid | 62 | $0.00 | $0.00 |
| Vancomycin | 131 | $0.00 | $0.00 |
| Vitamin B12 | 331 | $0.00 | $0.00 |
| Vitamin D | 1897.5 | $0.00 | $0.00 |
| Total Annual Test | 285791 | ||
| Total Annual COST | $0.00 |
File details come from the government source that posted it. Updated .