Home Oxygen Line Items.xlsx
XLSX spreadsheet 38 KB Posted
- Attached to
- Home Oxygen - VA Reno
- Solicitation number
- 36C26126Q0357
About this file
This is a pricing template for home oxygen supplies and services to be provided to Veterans Health Administration beneficiaries in the VA Sierra Nevada Health Care system service territory. The solicitation is being conducted as a sole-source procurement under FAR 12.102(b), with responses due to David Alvarez at david.alvarez4@va.gov by February 26, 2026, at 10:00 AM Pacific Time. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21 is the procuring agency.
The pricing template itemizes 26 line items across two base contract periods, organized into two sets of items (0001-0013 and 1001-1013) and six refill cylinder categories (00R1-00R6 and 10R1-10R6). Line items include rental of various oxygen equipment—portable concentrators (Freestyle, Oxlife, IGO models), low decibel and hi-flow concentrators, portable and stationary liquid oxygen systems, suction pumps, ventilators, and air compressors—with monthly rental quantities ranging from 12 to 24,000 units. Additional services include equipment maintenance visits at minimum 90-calendar-day intervals, delivery charges per shipment and per-mile, and fire-safe cannula valves. Refill items cover E, D, and C cylinder refills (measured in cycles), M-90 tank refills, and liquid oxygen refills (measured in pounds), with combined annual volumes exceeding 100,000 cycles and 90,000 pounds across both contract periods. All unit prices are currently listed as zero, indicating this is a blank pricing template awaiting contractor quotes. Responses must include authorized distributor letters from Original Equipment Manufacturers if the respondent is not the OEM, and small businesses must address compliance with subcontracting limitations and nonmanufacturer rules.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C26126Q0357 0002.pdf | ||
| 36C26126Q0357 0001.pdf | ||
| Quality Assurance Surveillance Plan.pdf | ||
| Sole Source Justification Reno Home Oxygen_Redacted.pdf | ||
| 36C26126Q0357 NOI RFQ.pdf |
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Items
| Item Number | Description | Quantity | Unit of Measure | Unit Price |
| 0001 | Rental of Contractor Owned Portable Concentrator System (Freestyle). HCPCS CODE E1392. Concentrator, Colored Tubing, Adapter Humidifier (when required), Cannulas or Masks and other required supplies and equipment, including back up systems. Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment complinace, change filters and provide disposable supplies. | 8400 | MO | 0 |
| 0002 | Rental of Contractor Owned Portable Concentrator System (Oxlife or IGO) Priced Per Month. HCPCS CODE E1392. Concentrator, Colored Tubing, Adapter Humidifier (when required), Cannulas or Masks and other required supplies and equipment, including back up systems. Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment complinace, change filters and provide disposable supplies. | 960 | MO | 0 |
| 0003 | Rental of Contractor Owned Low Decibel Concentrator System Priced Per Month. HCPCS CODE E1390. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1. | 19200 | MO | 0 |
| 0004 | Rental of Contractor Owned Hi Flow Concentrator System Priced Per Month. HCPCS CODE E1390. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1. | 1440 | MO | 0 |
| 0005 | Rental of Contractor Owned Portable O2 Gaseous System for use with or without Stationary System Priced Per Month. HCPCS CODE E0431. Portable System, Regulator, Flowmeter, Humidifier, Cannulas, or Masks, Tubing, Conserving Device and O2 Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C & M-6. | 11400 | MO | 0 |
| 0006 | Rental of Contractor Owned Stationary Liquid O2 System Priced Per Month. HCPCS CODE E0439. Reservoir, Regulator, Flowmeter, Humidifier, Cannulas or Masks, and Colored Tubing. | 420 | MO | 0 |
| 0007 | Rental of Contractor Owned Portable Liquid O2 System Priced Per Month. HCPCS CODE E0434. Portable Container, Refill Adapter Flowmeter, Cannulas or Masks, and Colored Tubing. Reservoir will be provided if another Stationary System (e.g. Concentrator) is rented. | 192 | MO | 0 |
| 0008 | Suction Pump Rental Priced Per Month. HCPCS CODE E0600. Delivery, Set-up, and Training of Contractor Owned Suction Pump to Include all supplies. | 288 | MO | 0 |
| 0009 | Rental of Contractor Owned Volume Ventilator Priced Per Month. HCPCS CODE E0465. Delivery, Set-up, Training, and Maintenance of Contractor Owned Stationary or Portable Ventilator, to include back up Ventilator and all supplies. | 24 | MO | 0 |
| 0010 | Air Compressor Priced Per Month. HCPCS CODE E0570. Rental of Contractor Owned and Maintained continuous or intermittent air compressor for use with equipment not self contained or cylinder driven, to include all associated supplies. | 108 | MO | 0 |
| 0011 | Delivery Charge Priced Per Each. HCPCS CODE A9901. Deliveries not made under all other line items. | 120 | EA | 0 |
| 0012 | Delivery Charge Priced Per Mile. HCPCS CODE A9901. Delivery out of catchment area, per mile. | 9600 | MI | 0 |
| 0013 | Fire Safe Cannula Valve Priced Per Each. HCPCS CODE VA186. Delivery, Set-up of FSCV. | 1800 | EA | 0 |
| 1001 | Rental of Contractor Owned Portable Concentrator System (Freestyle). HCPCS CODE E1392. Concentrator, Colored Tubing, Adapter Humidifier (when required), Cannulas or Masks and other required supplies and equipment, including back up systems. Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment complinace, change filters and provide disposable supplies. | 4260 | MO | 0 |
| 1002 | Rental of Contractor Owned Portable Concentrator System (Oxlife or IGO) Priced Per Month. HCPCS CODE E1392. Concentrator, Colored Tubing, Adapter Humidifier (when required), Cannulas or Masks and other required supplies and equipment, including back up systems. Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment complinace, change filters and provide disposable supplies. | 504 | MO | 0 |
| 1003 | Rental of Contractor Owned Low Decibel Concentrator System Priced Per Month. HCPCS CODE E1390. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1. | 9720 | MO | 0 |
| 1004 | Rental of Contractor Owned Hi Flow Concentrator System Priced Per Month. HCPCS CODE E1390. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1. | 744 | MO | 0 |
| 1005 | Rental of Contractor Owned Portable O2 Gaseous System for use with or without Stationary System Priced Per Month. HCPCS CODE E0431. Portable System, Regulator, Flowmeter, Humidifier, Cannulas, or Masks, Tubing, Conserving Device and O2 Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C & M-6. | 5730 | MO | 0 |
| 1006 | Rental of Contractor Owned Stationary Liquid O2 System Priced Per Month. HCPCS CODE E0439. Reservoir, Regulator, Flowmeter, Humidifier, Cannulas or Masks, and Colored Tubing. | 216 | MO | 0 |
| 1007 | Rental of Contractor Owned Portable Liquid O2 System Priced Per Month. HCPCS CODE E0434. Portable Container, Refill Adapter Flowmeter, Cannulas or Masks, and Colored Tubing. Reservoir will be provided if another Stationary System (e.g. Concentrator) is rented. | 96 | MO | 0 |
| 1008 | Suction Pump Rental Priced Per Month. HCPCS CODE E0600. Delivery, Set-up, and Training of Contractor Owned Suction Pump to Include all supplies. | 144 | MO | 0 |
| 1009 | Rental of Contractor Owned Volume Ventilator Priced Per Month. HCPCS CODE E0465. Delivery, Set-up, Training, and Maintenance of Contractor Owned Stationary or Portable Ventilator, to include back up Ventilator and all supplies. | 12 | MO | 0 |
| 1010 | Air Compressor Priced Per Month. HCPCS CODE E0570. Rental of Contractor Owned and Maintained continuous or intermittent air compressor for use with equipment not self contained or cylinder driven, to include all associated supplies. | 60 | MO | 0 |
| 1011 | Delivery Charge Priced Per Each. HCPCS CODE A9901. Deliveries not made under all other line items. | 60 | EA | 0 |
| 1012 | Delivery Charge Priced Per Mile. HCPCS CODE A9901. Delivery out of catchment area, per mile. | 4920 | MI | 0 |
| 1013 | Fire Safe Cannula Valve Priced Per Each. HCPCS CODE VA186. Delivery, Set-up of FSCV. | 1020 | EA | 0 |
| 00R1 | E Cylinder Refill. HCPCS CODE E0443 | 31800 | CY | 0 |
| 00R2 | D Cylinder Refill. HCPCS CODE E0443 | 8400 | CY | 0 |
| 00R3 | C Cylinder Refill. HCPCS CODE E0443 | 15000 | CY | 0 |
| 00R4 | M-6 Cylinder Refill. HCPCS CODE E0443 | 0 | CY | 0 |
| 00R5 | M-90 Tank Refill. HCPCS CODE E0443 | 300 | CY | 0 |
| 00R6 | Liquid Oxygen Refill. HCPCS CODE E0444 | 60000 | LB | 0 |
| 10R1 | E Cylinder Refill. HCPCS CODE E0443 | 16200 | CY | 0 |
| 10R2 | D Cylinder Refill. HCPCS CODE E0443 | 4350 | CY | 0 |
| 10R3 | C Cylinder Refill. HCPCS CODE E0443 | 7650 | CY | 0 |
| 10R4 | M-6 Cylinder Refill. HCPCS CODE E0443 | 0 | CY | 0 |
| 10R5 | M-90 Tank Refill. HCPCS CODE E0443 | 168 | CY | 0 |
| 10R6 | Liquid Oxygen Refill. HCPCS CODE E0444 | 30600 | LB | 0 |
RefData
| Discount Type | YN | Options | Receipt Type | Line Item is | FOB | State Code | State Description |
| Percent | Yes | Base | Quantity | Priced | (none) | AK | Alaska |
| Amount | No | Option 1 | Amount | NSP | Origin | AL | Alabama |
| Option 2 | N/C | Destination | AR | Arkansas | |||
| Option 3 | AS | American Samoa | |||||
| Option 4 | AZ | Arizona | |||||
| Option 5 | CA | California | |||||
| Option 6 | CO | Colorado | |||||
| Option 7 | CT | Connecticut | |||||
| Option 8 | DC | District of Columbia | |||||
| Option 9 | DE | Delaware | |||||
| Option 10 | FL | Florida | |||||
| FM | Federal States of Micronesia | ||||||
| GA | Georgia | ||||||
| GU | Guam | ||||||
| HI | Hawaii | ||||||
| IA | Iowa | ||||||
| ID | Idaho | ||||||
| IL | Illinois | ||||||
| IN | Indiana | ||||||
| KS | Kansas | ||||||
| KY | Kentucky | ||||||
| LA | Louisiana | ||||||
| MA | Massachusetts | ||||||
| MD | Maryland | ||||||
| ME | Maine | ||||||
| MH | Marshall Islands | ||||||
| MI | Michigan | ||||||
| MN | Minnesota | ||||||
| MO | Missouri | ||||||
| MP | Northern Mariana Islands | ||||||
| MS | Mississippi | ||||||
| MT | Montana | ||||||
| NC | North Carolina | ||||||
| ND | North Dakota | ||||||
| NE | Nebraska | ||||||
| NH | New Hampshire | ||||||
| NJ | New Jersy | ||||||
| NM | New Mexico | ||||||
| NV | Nevada | ||||||
| NY | New York | ||||||
| OH | Ohio | ||||||
| OK | Oklahoma | ||||||
| OR | Oregon | ||||||
| PA | Pennsylvania | ||||||
| PR | Puerto Rico | ||||||
| PW | Palau | ||||||
| RI | Rhode Island | ||||||
| SC | South Carolina | ||||||
| SD | South Dakota | ||||||
| TN | Tennessee | ||||||
| TX | Texas | ||||||
| UT | Utah | ||||||
| VA | Virginia | ||||||
| VI | Virgin Islands | ||||||
| VT | Vermont | ||||||
| WA | Washington | ||||||
| WI | Wisconsin | ||||||
| WV | West Virginia | ||||||
| WY | Wyoming |
File details come from the government source that posted it. Updated .