EMP PHYS Price List.pdf
PDF 65 KB Posted
- Attached to
- Employment Physicals 2026-2031
- Solicitation number
- FA465426Q0001
About this file
This is a Pricing Template for Employment Physicals services valid from July 1, 2026 through June 30, 2027. The template establishes unit pricing for a comprehensive range of occupational health examination and screening services organized into five main service categories with 16 primary CLINs (Contract Line Item Numbers) and multiple subordinate line items.
The first category covers ten bundled examination packages priced per unit (each): Pre-Employment (0001), Periodic (0002), Fitness for Duty (0003), Annual Firefighter (0004), Annual Police Officer (0005), Annual Physical Agility Test (0006), Post-Exposure (0007), Overseas Deployment (0008), Termination (0009), and Courtesy (0010). The remaining categories itemize individual services within Examinations & Screenings (0011), Cardiopulmonary services including EKG and spirometry testing (0012), Vision services (0013), Hearing services (0014), Laboratory & Blood Work including CBC, metabolic panels, lipid panels, and immunizations (0015), and Immunizations (0016). The Laboratory & Blood Work section includes age-stratified pricing for employees age 40-100 versus under 40, as well as optional PFAS testing. The template requires contractors to provide all pricing for these line items and includes fields for company name, authorized signature, and title. Pricing must remain valid through the end of the fiscal year (June 30, 2027).
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Text version
CLIN/SLIN Service/Examination Unit of Measure Unit Price 0001 Pre-Employment Each $ 0002 Periodic Each $ 0003 Fitness for Duty Each $ 0004 Annual Firefighter (see attached AF-2766) Each $ 0005 Annual Police Officer (see attached AF-2766) Each $ 0006 Annual Physical Agility Test (PAT) Each $ 0007 Post-Exposure Each $ 0008 Overseas Deployment Each $ 0009 Termination Each $ 0010 Courtesy Each $
Single Item Pricing 0011 Examinations & Screenings 0011AA Physical Examination Each $ 0011AB Medical History Each $ 0011AC Interval History Each $ 0011AD Health Risk Appraisal Each $ 0011AE Workplace Exposure Summary Each $ 0011AF Vital Signs Each $
0012 Cardiopulmonary 0012AA ECG Each $ 0012AB ECG (Age 40-100) Each $ 0012AC Chest Radiograph Each $ 0012AD Spirometry Each $ 0012AE Respirator Questionnaire Each $ 0012AF Respirator Fit Test Each $
0013 Vision 0013AA Visual Acuity Each $ 0013AB Color Vision Exam Each $ 0013AC Ophthalmoscopic Exam Each $ 0013AD Confrontational Fields Each $
0014 Hearing 0014AA Audio History Each $ 0014AB Audiogram Each $ 0014AC Noise Hazard Questionnaire Each $
EMPLOYMENT PHYSICALS PRICE LIST
0015 Laboratory & Blood Work 0015AA CBC With DIFF (Age 40-100) Each $ 0015AB CBC With DIFF (Under 40) Each $ 0015AC Complete Metabolic Panel (Age 40-100) Each $ 0015AD Complete Metabolic Panel (Under 40) Each $ 0015AE Lipid Panel (Age 40-100) Each $ 0015AF Lipid Panel (Under 40) Each $ 0015AG Fasting Blood Sugar Each $ 0015AH HIV Each $ 0015AI Urinalysis Each $ 0015AJ Offer PFAS Testing Each $
0016 Immunizations 0016AA Hepatitis A Immunization Each $ 0016AB Hepatitis B Immunization Each $ 0016AC PPD (Tuberculin) Immunization/Test Each $ 0016AD Td Immunization Each $ 0016AE Tdap Immunization Each $
THE ABOVE PRICES ARE VALID FROM 07/01/2026 TO 06/30/2027.
(PROVIDE PRICING THROUGH THE END OF THE FISCAL YEAR)
NAME OF COMPANY:
SIGNATURE
TITLE
EMP PHYS Price List
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