Exhibit_L_-_Medical_Discount_Pricing_File_(3_TABS_TO_COMPLETE,_DO_NOT_SUBMIT)_FINAL.xlsx

This is a Medical Discount Pricing File (Exhibit L) supporting Volusia County, Florida's RFP 25-P-115TF for self-funded group health plan administrative services, effective January 1, 2027. The file contains historical medical claims data from the plan year incurred January 1, 2024 through December 31, 2024, with payments processed through February 28, 2025. The data is organized into three primary service categories: facility services (inpatient, emergency room, outpatient, and urgent care), ancillary services (radiology, laboratory, and durable medical equipment), and professional services (primary care, specialty care, anesthesiology, emergency medicine, and pathology). The file documents actual claims experience across multiple providers and service types to establish baseline pricing for competitive bidding purposes.

The total billed amount across all service categories reached $57.78 million for facility services, $6.78 million for ancillary services, and $14.55 million for professional services, with a combined total of approximately $79.11 million in medical claims. The file presents facility-specific data for major providers including AdventHealth locations, Orlando Health Inc., HCA Florida Lake Monroe Hospital, and Halifax Medical Center, reflecting the plan's approximately 3,047 total subscribers across four coverage tiers. All line items in the file display a 100% discount percentage with $0 allowed amounts, indicating this is a template document requiring the selected vendor to complete pricing by transferring aggregate allowed amounts and tabulated average discount percentages to Exhibit B, Section 8, Item 2. The data is marked confidential and explicitly states it should not be submitted with proposals, serving instead as reference information for respondents to develop their pricing proposals.