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

Exhibit L is a medical discount pricing file prepared for Volusia County, Florida's self-funded group health plan administrative services contract (RFP 25-P-115TF). The document presents claims re-pricing data across facility, ancillary, and professional service categories for the period January 1, 2024 through December 31, 2024 (incurred) and January 1, 2024 through February 28, 2025 (paid). The file is structured in three separate tabs detailing pricing for inpatient, emergency room, outpatient, and urgent care facilities; ancillary services including radiology, laboratory, and durable medical equipment; and professional services encompassing primary care, specialty care, and ancillary professional services. Total billed amounts across all categories reach $57,780,293 for facility services, $6,782,836 for ancillary services, and $14,548,822 for professional services, collectively totaling approximately $79.1 million in claims experience.

The pricing file is explicitly marked as confidential and should not be submitted with proposals. The document indicates that all service categories currently show 100% discount percentages with $0 allowed amounts, suggesting this is a template requiring vendors to complete the three tabs with their proposed discount rates and allowed amounts. Respondents are instructed to transfer their company's aggregate allowed amount and tabulated average discount percentage to Exhibit B, Section 8, Item 2 of their proposals. The detailed claims data encompasses major facility providers including AdventHealth Daytona Beach, AdventHealth Orlando, Orlando Health Inc., and HCA Florida Lake Monroe Hospital, along with numerous emergency care, outpatient, and specialist providers, providing bidders with specific historical utilization and cost information necessary to develop competitive pricing proposals for the January 1, 2027 contract effective date.