B08 Audiology Price Sheet.xlsx

This is a pricing sheet template for audiology screening services associated with a Blanket Purchase Agreement (BPA) solicitation with the Defense Health Agency. The sheet lists eight audiology service line items for which contractors must provide unit pricing: Basic Comprehensive Audiometry, Tympanometry (Impedance Testing), Acoustic Reflex Decay Test, Acoustic Reflex Testing, Pure Tone Audiometry Air and Bone, Pure Tone Audiometry Threshold Air Only, Speech Audiometry Threshold Only, and Speech Audiometry Threshold/Discrimination. Each line item includes a designated code number (0001–0008) and requires the contractor to enter a unit price in the corresponding field.

The underlying solicitation (HT001426QE022) is for Audio Hazard Screening Services to support Blanchfield Army Community Hospital, with a five-year ordering period. The contractor must provide audiology evaluations for Department of the Army civilian employees referred from Rock Island Arsenal, Illinois, and must maintain a licensed audiologist on staff. Services must be delivered at a contractor facility located within a 60-mile radius of RIA and must meet or exceed national standards established by the Joint Commission and the American Medical Association. Pricing for each audiology service line item must be completed on this sheet as part of the proposal response.