N62645-16-R-0014_AttachmentVI_CombinedSynopsisSolicitation_Final_Attachment1_PreliminaryProposalforReportableTests.xls
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- N62645-16-R-0014
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Preliminary Proposal for Reportable Tests
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Sheet1
| Preliminary Proposal for Reportable Tests (Per year) | ||||||||||||
| Facility: Naval Medical Center San Diego | Price Per Test Per Year | Total Annual Year Pricing | ||||||||||
| ANA Screen with MDSS Panel, #665-1150 | Product Number | Estimated Billable Tests | Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | Year 1 | Year 2 | Year 3 | Year 4 | Year 5 |
| ANA Screen | 665-1150C1 | 2,800 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| dsDNA | 665-1150C2 | 1000 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Chromatin DNP | 665-1150C3 | 600 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ribosomal P | 665-1150C4 | 600 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| SS-A | 665-1150C5 | 600 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| SS-B | 665-1150C6 | 600 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Sm | 665-1150C7 | 600 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Sm/RNP | 665-1150C8 | 600 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| RNP | 665-1150C9 | 600 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Scl-70 | 665-1150C10 | 600 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Jo-1 | 665-1150C11 | 600 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Centromere-B | 665-1150C12 | 600 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| EBV IgG Panel, #665-1250 | Product Number | Estimated Billable Tests | ||||||||||
| EBV VCA IgG | 665-1250C1 | 400 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| EBV VCA IgG | 665-1250C2 | 400 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| EBV VCA IgG | 665-1250C3 | 400 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| EBV IgM Panel, #665-1350 | Product Number | Estimated Billable Tests | ||||||||||
| EBV VCA IgM | 665-1350C1 | 400 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| EBV Heterophile IgM | 665-1350C2 | 400 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Syphilis IgG Panel, #665-1450 | Product Number | Estimated Billable Tests | ||||||||||
| Syphilis IgG | 665-1450C | 30,000 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Vasculitis IgG Panel, # 665-1850 | Product Number | Estimated Billable Tests | ||||||||||
| Myeloperoxidase (MPO) | 665-1850C1 | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Proteinase 3 (PR3) | 665-1850C2 | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Glomerular Basement Membrane (GBM) | 665-1850C3 | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| ToRC IgG Panel, #665-1650 | Product Number | Estimated Billable Tests | ||||||||||
| Toxoplasma gondii IgG | 665-1650C1 | 350 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Rubella (Quantitative) IgG | 665-1650C2 | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| CMV IgG | 665-1650C3 | 600 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Rubella & CMV IgM Panel, #665-3850 | Product Number | Estimated Billable Tests | ||||||||||
| Toxoplasma IgM | n/a | 350 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Rubella (Qualitative) IgM | 665-3850C1 | 150 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| CMV IgM | 665-3850C2 | 600 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| HSV-1 & HSV-2 IgG Panel, #665-3350 | Product Number | Estimated Billable Tests | ||||||||||
| HSV-1 IgG | 665-3350C1 | 4,000 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| HSV-2 IgG | 665-3350C2 | 4,000 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| MMRV IgG Panel, #665-2450 | Product Number | Estimated Billable Tests | ||||||||||
| Measles IgG | 665-2450C1 | 25,000 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Mumps IgG | 665-2450C2 | 25,000 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Rubella (Qualitative) IgG | 665-2450C3 | 30,000 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| VZV IgG | 665-2450C4 | 28,000 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Anti-CCP Panel, #665-3250 | Product Number | Estimated Billable Tests | ||||||||||
| Anti-CCP Panel | 665-3250C1 | 600 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Celiac IgA Panel, #665-2350 | Product Number | Estimated Billable Tests | ||||||||||
| Anti-Tissue Transglutaminase (tTG) IgA | 665-2350C1 | 800 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Anti-Deamidated Gliadin Peptide (DGP) IgA | 665-2350C2 | 800 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Celiac IgG Panel, #665-2250 | Product Number | Estimated Billable Tests | ||||||||||
| Anti-Tissue Transglutaminase (tTG) IgG | 665-2250C1 | 800 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Anti-Deamidated Gliadin Peptide (DGP) IgG | 665-2250C2 | 800 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| APLS IgA Panel, #665-2150 | Product Number | Estimated Billable Tests | ||||||||||
| Anti-Cardiolipin IgA | 665-2150C1 | 600 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Anti-Beta 2-GPI IgA | 665-2150C2 | 600 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| APLS IgG Panel, #665-2050 | Product Number | Estimated Billable Tests | ||||||||||
| Anti-Cardiolipin IgM | 665-2050C1 | 600 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Anti-Beta 2-GPI IgM | 665-2050C2 | 600 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 25-OH Vitamin D Panel, #665-3750 | Product Number | Estimated Billable Tests | ||||||||||
| 25-OH Vitamin D | 665-3750C1 | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Future Retrovirus Panel, #665-3455 | Product Number | Estimated Billable Tests | ||||||||||
| Future Retrovirus Panel Screen | 665-3455 | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Future Retrovirus-1 Ab | 665- | 0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Future Retrovirus-2 Ab | 665- | 0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Future Retrovirus p24 Ag | 665- | 0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL ANNUAL AMOUNT | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Sheet2
Sheet3
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