Price List.xlsx

XLSX spreadsheet 16 KB Posted Mar 21, 2025

Attached to: Medical Laboratory Testing Services for the Mid-Atlantic Tribal Health Center and Monacan Health Center
Solicitation number: 285-25-RFQ-0028
Issued by: Department of Health and Human Services Indian Health Service

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Written by GovTribe AI · Mar 21, 2025

The provided file is a price list for medical laboratory testing services for the Mid-Atlantic Tribal Health Center and Monacan Health Center under Solicitation #285-25-RGQ-0028. The comprehensive price list details 144 distinct laboratory tests with associated CPT codes, estimated quantities, and unit pricing. The tests cover a wide range of medical diagnostics including metabolic panels, blood tests, hormone screenings, infectious disease tests, drug screenings, and specialized diagnostic procedures.

The solicitation is issued by the Department of Health and Human Services Indian Health Center and represents a combined synopsis/solicitation for commercial products and services. The price list provides granular pricing for tests ranging from complete metabolic panels (850 estimated tests at unit price) to more specialized tests like Lupus Anticoagulant panels and QuantiFERON TB tests (10 estimated tests at unit price). The most frequent tests include Complete Metabolic Panel, CBC with Differential, and Thyroid Stimulating Hormone (TSH), suggesting a focus on routine and preventative health screenings for tribal health populations.

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Sheet2

Mid-Atlantic Tribal Health Center and Monacan Health Center Laboratory Testing
Solicitation # 285-25-RGQ-0028
Line Item	Test/CPT Code #	Test Name	Estimated Quantity	Unit Price	Total Price
1	80053	Complete Metabolic Panel	850
2	85025	CBC w/Differ	830
3	84443	TSH	516
4	87086	Urine Culture, Routine	250
5	84439	Thyroxine (t4) Free,D	250
6	82728	Ferritin, Serum	230
7	82043; 82570	Microalb/Creat Ratio	250
8	87389	Panel 083935	125
9	144065	HCV Ab w/Rflx to Verif	155
10	83721	LDL Cholesterol	249
11	82607; 82746	Vitamin B12 and Folate	141
12	82306	Vitamin D, 25-Hydroxy	140
13	737588	9+Oxycodone	133
14	83824	Panel 083824	113
15	84403	Testosterone, Serum	80
16	80048	BMP	104
17	196595	Pap IG, Ct-Ng TV	91
18	84153	Prostate-Specific ag	91
19	S00001	Sensitivity Organism	68
20	85610	Prothrombin, Time PMT	85
21	80061	Lipid Panel	81
22	83001	FSH, Serum	65
23	83735	Magnesium	63
24	82607	Vitamins B12	58
25	85652	Sedimentaition Rate-Wes	58
26	80349	Cannabinoid	57
27	87491; 87591	Chlamydia/GC Amplification	56
28	86592	RPR	51
29	86140	C-Reactive Protein, QU	50
30	80076	Hepatic Function Panel	45
31	83002	Luteinizing Hormone	34
32	80361	Opiates Confirmation	31
33	86431	Rheumatoid Arthirisits	30
34	80346	Benzodiazepines Confir	38
35	80069	Renal Panel (10)	38
36	86038	Antinuclear, Antibiodies	22
37	507301	HPV, High Risk	22
38	87070	Aerobic Bacterial Culture	21
39	82670	Estradiol	21
40	80365	Oxycodone/Oxymorphone	21
41	84146	Prolactin	21
42	84481	Triiodothyronine, Free	21
43	86200	CCP Antibiodies IgC/IgA	20
44	84550	Uric Acid, Serum	19
45	83540; 83550	Iron and TIBC	19
46	80324	Amphetamine	33
47	192555	Change IG Pap to LB Pa	13
48	322744	Hepatatis Panel (4)	13
49	82040	Albumin, Serum	13
50	883121	Spec-Stain, GRP I-Micro	11
51	83690	Lipase, Serum	11
52	81001	Urianlysis, Completed	11
53	87081	Beta Strep GP A Culture	11
54	86376	Thyroid Peroxidase (TP)	11
55	83880	B-Type Natriuretic Pep	10
56	80178	Lithium (Eskalith)	15
57	84436	Thyroxine (T4)	10
58	1396	Amylase, Serum	10
59	84681	C-Peptide, Serum	10
60	82977	GGT	10
61	84702	HCG, Beta Subunit	10
62	83525	Insulin	10
63	80358	Methadone, (GC/MS) Urine	10
64	82310	Calcium Serum	10
65	80164	Valproic Acid (Depakote)	10
66	85610; 85730	PT and PTT	10
67	84425	Vitamin B1 (thiamine)	10
68	80171	Gabapentin (neurotin)	15
69	80353	Cocaine (GC/MS) Urine	10
70	87522	HCV RT-PCR, Quant	10
71	798002	Tramadol	10
72	82310; 83970	Ca+PTH Intact	10
73	83940	HIV ½ Ab Differential	10
74	83036	Hemoglobin A1c	10
75	86762	Rubella Antibodies	10
76	86787	Varicella-Zoster V Ab,	10
77	84134	Prealbumin	10
78	84402; 84403	Testosterone, Free	10
79	84132	Potassium, Serum	10
80	192153	Pap IG, Ct-NG, HPV-hr	10
81	6031	Antistrepolysin, O ab	10
82	151223	APHL HIV Manifest	10
83	87177; 87209	Ova + parasite Exam	10
84	83970	PTH, Intact	10
85	84590	Vitamin A, Serum	10
86	500363	APITT 1:1 NP	10
87	84100	Phosphrous, Serum	10
88	80307	Tramadol Screen, Urine	10
89	199123	Pap IG, HPV-hr	10
90	216655	EBV Acute Infection AN	10
91	80177	Levetiracetram (Keppra)	10
92	149997	Microalbumin, Random	10
93	80185	Phenytoin, (Dilantin)	10
94	80197	Tacrolimus (FK506) BI	10
95	734365	Tramadol	10
96	85300	Antithrombin Activ	10
97	85220	Factor V Activity	10
98	258004	Lyme ab/western	10
99	85302; 85303	Protein C Difienciency	10
100	85305; 85306(x2)	Protein S Panel	10
101	86800	Thyroglobulin Anti	10
102	87324	C Difficile Toxins A+B	10
103	977197	Cytology Problem Spec	10
104	88142	Pap LB(liquid based)	10
105	82374	Carbon Dioxide, Test	10
106	82435	Chloride, Sereum	10
107	82565	Creatinine, Serum	10
108	1032	Glucose, Serum	10
109	82785	Immunoglobulin E, Total	10
110	83950	RNA Qualitative	10
111	84295	Sodium, Serum	10
112	82105	AFP, Serum, Tumor Mark	10
113	82540; 82570	Creatine+Creatine, 2	10
114	82746	Folate (folic Acid)	10
115	82175; 83655; 83825	Heavy Metals Profile	10
116	83921	Methylmalonic Acid	10
117	84120	Porphyrins, QN, Random	10
118	84155; 84165	Protein Electro	10
119	84156	Protein Total, Qn,24	10
120	80345	Barbiturate	10
121	165118	Celiac Disease Ab screen	10
122	87045; 87046; 87427	Stool Culture	10
123	87070	Upper Respiratory Culture	10
124	84075	Alkaline Phosphatas	10
125	84460	ALT (SGPT)	10
126	86225	Anti-dsDNA Antibod	10
127	84450	AST (SGOT)	10
128	82247	Bilirubin, Total	10
129	86160	Complement C3, Serum	10
130	86160	Complement C4, Serum	10
131	82595	Cryoglobulin, QI, Serum	10
132	87491; 87591; 87661	Ct, Ng, Trich vag by	10
133	87340	HBsAg Screen	10
134	85597; 85598; 85610; 85613(x2); 85670; 85730; 85732(x2); 86146(x3); 86147(x2)	Lupus, Anticoagulant	10
135	258004	Lyme Ab w/Western B	10
136	84155; 84165	Protein Elec + Interp	10
137	84155	Protein Total Serum	10
138	182877	QuantiFERON In Tub	10
139	182873	QuanitFERON TB Gol	10
140	883131	Spec-Stain, GRP II-All	10
141	84630	Zinc, Plasma or Serum	10
142	86037	Antineutrophil Cytopla	10
143	82550	Creatine Kinase, Total	10
144	86364	t-Transglutaminase	10

File details come from the government source that posted it. Updated Mar 21, 2025.