EVT0010937_-_Cost_Sheet.xlsx
XLSX spreadsheet 30 KB Posted
- Attached to
- SCRMH - Lab Services
- Solicitation number
- EVT0010937
- Issued by
- Kansas
About this file
This is a cost sheet template for laboratory services procurement by the South Central Regional Mental Health Hospital (Agency), identified as Event EVT0010937, with procurement officer Lee Askew overseeing the bidding process. The solicitation requests catalog pricing for 145 laboratory test line items spanning multiple clinical disciplines including cytopathology, infectious disease serology, therapeutic drug monitoring, immunology, chemistry, hematology, and specialized assays. The bid closing date is October 13, 2026, and vendors are required to complete the template by providing test codes, test names, methodologies, turnaround times, CPT codes, vendor test descriptions, list prices, discount percentages, and extended prices for each line item. The cost sheet serves as the pricing mechanism for evaluating vendor proposals and determining contract awards for laboratory services.
The template requires vendors to submit detailed pricing information including list prices, applicable discounts, and extended pricing calculations across the comprehensive test menu. Notably, several line items are designated as non-orderable custom panels or reflex tests that may be performed at additional charges, requiring vendors to clearly delineate pricing structures for base tests and reflexive testing scenarios. The solicitation does not specify contract term details, renewal options, funding amounts, or set-aside requirements within this cost sheet document alone, as these elements would typically be detailed in the formal solicitation documents and contract terms accompanying this pricing template.
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Other files
| File | Type | Posted |
|---|---|---|
| SCRMH_-_Lab_Services.pdf | ||
| EVT0010937_-_Bid_Documents.pdf | ||
| EVT0010937_-_Vendor_Questions_Template.xlsx | XLSX spreadsheet |
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Text version
Sheet1
| Event Number: | EVT0010937 | |
| Event Name: | SCRMH - Lab Services | |
| Agency: | South Central Regional Mental Health Hospital | Vendor Name: ____________________________________ |
| Procurement Officer: | Lee Askew | |
| Bid Closing Date: | October 13th, 2026 |
Please use this template to list catalog pricing
| Seq | Test Code | NTCx | Test Name | Methodology | Turnaround Time | CPT Code | Vendor Test Description | List Price | Discount % | Extended Price |
| 1 | CYTOPATHOLOGY, THINPREP PAP | |||||||||
| 2 | HIV-1/2 ANTIBODIES SCREEN, EIA W/REFLEXES | |||||||||
| 3 | PROLACTIN | |||||||||
| 4 | AMMONIA, PLASMA | |||||||||
| 5 | HEPATITIS B SURFACE ANTIGEN W/REFLEX TO FONFORMATION | |||||||||
| 6 | HEPATITIS C ANTIBODY | |||||||||
| 7 | HEPATITIS A ANTIBODY IGM | |||||||||
| 8 | HEPATITIS B SURFACE ANTIBODY, QUALITATIVE | |||||||||
| 9 | CULTURE, URINE ROUTINE | |||||||||
| 10 | Custom Panel Acute Hepatitis Panel | |||||||||
| 11 | SURESWAB, CHLAMYDIA/N. GONORRHOEAE RNA, TMA | |||||||||
| 12 | CYTOPATHOLOGY, THINPREP PAP | |||||||||
| 13 | CULTURE, AEROBIC BACTERIUM (REFLEX PERFORMED AT ADDITIONAL CHARGE) | |||||||||
| 14 | ORANISM ID 1 (NON-ORDERABLE) | |||||||||
| 15 | CULTURE, STOOL (CAMPYLOBACTER, SALMONELLA/SHIGELLA (REFLEX PERFORMED AT ADDITIONAL CHARGE) | |||||||||
| 16 | FECAL LEUKOCYTE STAIN | |||||||||
| 17 | CARDIO CRP | |||||||||
| 18 | PTH, INTACT (ICMA) WITH CALCIUM AND IONIZED CALCIUM | |||||||||
| 19 | VITAMIN D, 1,25-DIHYDROXY LC/MS/MS | |||||||||
| 20 | CALCIUM, IONIZED | |||||||||
| 21 | CALCIUM WITHOUT CREATININE, 24 HOUR URINE | |||||||||
| 22 | CLOZAPINE (CLOZARIL), PLASMA | |||||||||
| 23 | CREATININE, 24 HOUR URINE | |||||||||
| 24 | DHEA-SULFATE | |||||||||
| 25 | DOXEPIN | |||||||||
| 26 | FSH | |||||||||
| 27 | GABAPENTIN, PLASMA | |||||||||
| 28 | HERPES SIMPLEX VIRUS 1/2 IGG, HERPESELECT TYPE SPECIFIC ANTIBODIES W/REFLEX | |||||||||
| 29 | HERPES SIMPLEX VIRUS 1/2 IGG, HERPESELECT TYPE SPECIFIC ANTIBODIES | |||||||||
| 30 | HERPES SIMPLEX VIRUS 1/2, PCR | |||||||||
| 31 | IRON AND TOTAL IRON BINDING CAPACITY | |||||||||
| 32 | LUTEINIZING HORMONE | |||||||||
| 33 | HIV-1 ANTIBODY CONFIRMATION, WB | |||||||||
| 34 | PREALBUMIN | |||||||||
| 35 | PRIMIDONE | |||||||||
| 36 | TESTOSTERONE, TOTAL, MALES | |||||||||
| 37 | THYROID PANEL (FREE THYROXINE INDEX) | |||||||||
| 38 | VITAMIN B1, PLASMA | |||||||||
| 39 | Custom Panel | |||||||||
| 40 | IMCAP, CODFISH (F3) | |||||||||
| 41 | IMCAP, HALIBUT (F303) | |||||||||
| 42 | IMCAP, MACKEREL (F206) | |||||||||
| 43 | ALLERGEN SPECIFIC IGE PERCH OCEAN | |||||||||
| 44 | IMCAP, SALMON (F41) | |||||||||
| 45 | IMCAP, TROUT (F204) | |||||||||
| 46 | IMCAP, TUNA (F40) | |||||||||
| 47 | ALLERGY PANEL 19, SEAFOOD GROUP | |||||||||
| 48 | AMYLASE, SERUM | |||||||||
| 49 | ANA SCREEN IFA WITH REFLEX TO TITER AND PATTERN, IFA (REFLEX PERFORMED AT ADDITIONAL CHARGE) | |||||||||
| 50 | BRAIN NATRIURETIC PEPTIDE (BNP) | |||||||||
| 51 | BETA 2 MICREGLOBULIN, SERUM | |||||||||
| 52 | CULTURE, BLOOD (REFLEX PERFORMED AT ADDITIONAL CHARGE) | |||||||||
| 53 | CLOSTRIDIUM DIFFICILE TOXIN A AND B, EIA | |||||||||
| 54 | C-REACTIVE PROTEIN (CRP) | |||||||||
| 55 | STONE ANALYSIS, KIDNEY WITH STONE IMAGE | |||||||||
| 56 | CA 125 | |||||||||
| 57 | CATECHOLAMINES WITHOUT CREATININE, FRACTIONATED, 24 HOUR URINE | |||||||||
| 58 | LYMPHOCYTE SUBSET 4 PANEL | |||||||||
| 59 | CEA, SERUM | |||||||||
| 60 | CHLORIDE WITHOUT CREATININE, 24 HOUR URINE | |||||||||
| 61 | CITRIC ACID WITHOUT CREATININE, 24 HOUR URINE | |||||||||
| 62 | COMPREHENSIVE METABOLIC PANEL | |||||||||
| 63 | Custom Panel | |||||||||
| 64 | CORTISOL, P.M. | |||||||||
| 65 | CORTISOL, A.M. | |||||||||
| 66 | CREATININE CLEARANCE | |||||||||
| 67 | D-DIMER QUANTITATIVE | |||||||||
| 68 | DIGOXIN | |||||||||
| 69 | ESTRADIOL, SERUM | |||||||||
| 70 | FACTOR V (LEIDEN) MUTATION ANALYSIS | |||||||||
| 71 | FERRITIN | |||||||||
| 72 | LEUKEMIA & LYMPHOMA EVALUATION (22 MARKERS) (REFLEX PERFORMED AT ADDITIONAL CHARGE) | |||||||||
| 73 | LEUKEMIA & LYMPHOMA EVALUATION, 1 MARKER (NON-ORDERABLE) | |||||||||
| 74 | LEUKEMIA & LYMPHOMA EVALUATION, 15 MARKERS (NON-ORDERABLE) | |||||||||
| 75 | IMCAP, ORANGE (F33) | |||||||||
| 76 | IMCAP, ONION (F48) | |||||||||
| 77 | IMCAP, BLUEBERRY (F288) | |||||||||
| 78 | GAMMA GLUTAMYL TRANSFERASE (GGT) | |||||||||
| 79 | HELICOBACTER PYLORI ANTIBODY QUANTITATIVE, IGG | |||||||||
| 80 | HALOPERIDOL (HALDOL) | |||||||||
| 81 | Custom Panel | |||||||||
| 82 | HEPATITIS B CORE ANTIBODY, TOTAL | |||||||||
| 83 | HEPATITIS B CORE ANTIBODY GM | |||||||||
| 84 | CHORIONIC GONADOTROPIN, HUMAN, QUANTITATIVE (HCG), SERUM | |||||||||
| 85 | HEPATITIS C ANTIBODY (EIZ) (REFLEX) (CLIENT SPECIFIC REFLEX PERFORMED AT ADDITIONAL CHARGE) | |||||||||
| 86 | HEPATITIS C VIRAL RNA, QUALITATIVE, PCR | |||||||||
| 87 | HEPATITIS C VIRAL RNA, QUALITATIVE, PCR | |||||||||
| 88 | LYMPHOCYTE SUBSET 5 PANEL | |||||||||
| 89 | HEPATITIS BE ANTIGEN | |||||||||
| 90 | HEMOGLOBINAPATHY EVALUATION (REFLEX PERFORMED AT ADDITIONAL CHARGE) | |||||||||
| 91 | SICKLE CELL SCREEN | |||||||||
| 92 | HOMOCYSTEINE (CARDIOVASCULAR) | |||||||||
| 93 | HPV HYBRID CAPTURE II | |||||||||
| 94 | HPV HIGH REISH DNA HYBRID CAPTURE II | |||||||||
| 95 | HERPES SIMPLEX VIRUS ANTIBODY IGM W/REFLEX TO TITER (RELEX PERFORMED AT ADDITIONAL CHARGE) | |||||||||
| 96 | PROTEIN, TOTAL AND PROTEIN ELECTROPHORESIS WITH IMMUNOFIXATION, SERUM | |||||||||
| 97 | IMMUNOGLOBULINS IGA/IGG/IGM | |||||||||
| 98 | LAMOTRIGINE, SERUM | |||||||||
| 99 | LEVETIRACETAM | |||||||||
| 100 | LIPASE, SERUM | |||||||||
| 101 | LIPD PANEL | |||||||||
| 102 | CULTURE, SPUTUM/LOWER RESPIRATORY (REFLEX PERFORMED AT ADDITIONAL CHARGE) | |||||||||
| 103 | MAGNESIUM, SERUM | |||||||||
| 104 | MAGNESIUM, 24 HOUR URINE (CREATININE PERFORMED AT ADDITIONAL CHARGE) | |||||||||
| 105 | METANEPHRINES, FRACTIONATED, FREE, LC/MS/MS, PLASMA | |||||||||
| 106 | METANEPHRINES, FRACTIONATED, HPLC, 24 HR URINE (NO CREATININE) | |||||||||
| 107 | HETEROPHILE, MONO SCREEN | |||||||||
| 108 | HEPATITIS B VIRUS DNA, QUANTITATIVE, REAL TIME PCR | |||||||||
| 109 | YEAST IDENTIFICATION | |||||||||
| 110 | OSMOLALITY, SERUM | |||||||||
| 111 | OSMOLALITY WITHOUT CREATININE, URINE | |||||||||
| 112 | OSALIC ACID WITHOUT CREATININE, 24 HOUR URINE | |||||||||
| 113 | PHENOBARBITAL | |||||||||
| 114 | PHOSPHATE WITHOUT CREATININE, 24 HOUR URINE | |||||||||
| 115 | PATH REVIEW | |||||||||
| 116 | POTASSIUM WITHOUT CREATININE, 24 HOUR URINE | |||||||||
| 117 | PROTEIN, TOTAL AND PROTEIN ELECTROPHORESIS, 24 HOUR URINE | |||||||||
| 118 | PTH, INTACT WITHOUT CALCIUM | |||||||||
| 119 | RETICULOCYTE COUNT | |||||||||
| 120 | RHEUMATOID FACTOR | |||||||||
| 121 | HIV-1 RNA, QUANTITATIVE, REAL TIME PCR | |||||||||
| 122 | SJOGREN'S SYNDROME ANTIBODIES (SS-A, SS-B) | |||||||||
| 123 | SODIUM, 24 HR URINE WITH CREATININE | |||||||||
| 124 | SODIUM, 24 HR URINE WITH CREATININE | |||||||||
| 125 | THEOPHYLLINE | |||||||||
| 126 | THYROID PEROXIDSE ANTIBODY (MICROSOMAL) | |||||||||
| 127 | T4, FREE | |||||||||
| 128 | TOPIRAMATE | |||||||||
| 129 | T3, TOTAL | |||||||||
| 130 | T3, FREE | |||||||||
| 131 | CULTURE, THROAT (REFLEX PERFORMED AT ADDITIONAL CHARGE) | |||||||||
| 132 | URIC ACID | |||||||||
| 133 | URIC ACID, 24 HOUR URINE (WITHOUT CREATININE) | |||||||||
| 134 | CYTOPATH, NON-GYN FLUID, 1 SPECIMEN | |||||||||
| 135 | VANCOMYCIN, TROUGH | |||||||||
| 136 | VITAMIN B12 | |||||||||
| 137 | VITAMIN B12 AND FOLATE | |||||||||
| 138 | VITAMIN D, 25-HYDROXY, LC/MS/MS | |||||||||
| 139 | CT/GC, DNA, SDA | |||||||||
| 140 | HEPATITIS C ANTIBODY | |||||||||
| 141 | ORGANISH ID 1 (NON-ORDERABLE) | |||||||||
| 142 | ORGANISM ID 1 (NON-ORDERABLE) | |||||||||
| 143 | HEPATITIS C VIRAL-RNA, QUANTITATIVE, REAL-TIME PCR | |||||||||
| 144 | HEPATITIS C VIRAL-RNA, QUANTITATIVE, REAL-TIME PCR | |||||||||
| 145 | CT/GC, DNA, SDA |
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