Price List.xlsx
XLSX spreadsheet 16 KB Posted
- Attached to
- Laboratory Testing Services
- Solicitation number
- 285-25-RFQ-0028-2
About this file
The provided file is a Price List Excel spreadsheet for Laboratory Testing Services for the Mid-Atlantic Tribal Health Center and Monacan Health Center, associated with Solicitation #285-25-RGQ-0028 issued by the Department of Health and Human Services Indian Health Service. The comprehensive price list details 144 distinct laboratory tests with estimated annual quantities and unit prices, ranging from basic metabolic panels and blood tests to specialized screenings like hepatitis, HIV, and drug tests. The tests cover a wide spectrum of medical diagnostics, including hematology, endocrinology, infectious disease, toxicology, and therapeutic drug monitoring.
The price list provides a granular breakdown of each test's CPT code, test name, estimated annual quantity, unit price, and total price. Test quantities vary significantly, with some tests like the Complete Metabolic Panel (850 annual tests) and CBC with Differential (830 annual tests) having high volumes, while others like Thyroglobulin Antibodies and Cytology Problem Specimens have lower estimated annual quantities of 10 tests. The pricing structure suggests a comprehensive laboratory testing contract designed to support comprehensive healthcare services for tribal health centers, with a focus on providing a wide range of diagnostic capabilities to support patient care.
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Other files
| File | Type | Posted |
|---|---|---|
| Business Associate Agreement.pdf | ||
| 285-25-RFQ-0028-2.pdf | ||
| IHS IEE Form.pdf |
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Text version
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 Annual 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 .