Price List.xlsx

XLSX spreadsheet 16 KB Posted

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Laboratory Testing Services
Solicitation number
285-25-RFQ-0028-2
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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 PDF
285-25-RFQ-0028-2.pdf PDF
IHS IEE Form.pdf PDF

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Sheet2

Mid-Atlantic Tribal Health Center and Monacan Health Center Laboratory Testing
Solicitation # 285-25-RGQ-0028
Line ItemTest/CPT Code #Test NameEstimated Annual QuantityUnit PriceTotal Price
180053Complete Metabolic Panel850
285025CBC w/Differ830
384443TSH516
487086Urine Culture, Routine250
584439Thyroxine (t4) Free,D250
682728Ferritin, Serum230
782043; 82570Microalb/Creat Ratio250
887389Panel 083935125
9144065HCV Ab w/Rflx to Verif155
1083721LDL Cholesterol249
1182607; 82746Vitamin B12 and Folate141
1282306Vitamin D, 25-Hydroxy140
137375889+Oxycodone133
1483824Panel 083824113
1584403Testosterone, Serum80
1680048BMP104
17196595Pap IG, Ct-Ng TV91
1884153Prostate-Specific ag91
19S00001Sensitivity Organism68
2085610Prothrombin, Time PMT85
2180061Lipid Panel81
2283001FSH, Serum65
2383735Magnesium63
2482607Vitamins B1258
2585652Sedimentaition Rate-Wes58
2680349Cannabinoid57
2787491; 87591Chlamydia/GC Amplification56
2886592RPR51
2986140C-Reactive Protein, QU50
3080076Hepatic Function Panel45
3183002Luteinizing Hormone34
3280361Opiates Confirmation31
3386431Rheumatoid Arthirisits30
3480346Benzodiazepines Confir38
3580069Renal Panel (10)38
3686038Antinuclear, Antibiodies22
37507301HPV, High Risk22
3887070Aerobic Bacterial Culture21
3982670Estradiol21
4080365Oxycodone/Oxymorphone21
4184146Prolactin21
4284481Triiodothyronine, Free21
4386200CCP Antibiodies IgC/IgA20
4484550Uric Acid, Serum19
4583540; 83550Iron and TIBC19
4680324Amphetamine33
47192555Change IG Pap to LB Pa13
48322744Hepatatis Panel (4)13
4982040Albumin, Serum13
50883121Spec-Stain, GRP I-Micro11
5183690Lipase, Serum11
5281001Urianlysis, Completed11
5387081Beta Strep GP A Culture11
5486376Thyroid Peroxidase (TP)11
5583880B-Type Natriuretic Pep10
5680178Lithium (Eskalith)15
5784436Thyroxine (T4)10
581396Amylase, Serum10
5984681C-Peptide, Serum10
6082977GGT10
6184702HCG, Beta Subunit10
6283525Insulin10
6380358Methadone, (GC/MS) Urine10
6482310Calcium Serum10
6580164Valproic Acid (Depakote)10
6685610; 85730PT and PTT10
6784425Vitamin B1 (thiamine)10
6880171Gabapentin (neurotin)15
6980353Cocaine (GC/MS) Urine10
7087522HCV RT-PCR, Quant10
71798002Tramadol10
7282310; 83970Ca+PTH Intact10
7383940HIV ½ Ab Differential10
7483036Hemoglobin A1c10
7586762Rubella Antibodies10
7686787Varicella-Zoster V Ab,10
7784134Prealbumin10
7884402; 84403Testosterone, Free10
7984132Potassium, Serum10
80192153Pap IG, Ct-NG, HPV-hr10
816031Antistrepolysin, O ab10
82151223APHL HIV Manifest10
8387177; 87209Ova + parasite Exam10
8483970PTH, Intact10
8584590Vitamin A, Serum10
86500363APITT 1:1 NP10
8784100Phosphrous, Serum10
8880307Tramadol Screen, Urine10
89199123Pap IG, HPV-hr10
90216655EBV Acute Infection AN10
9180177Levetiracetram (Keppra)10
92149997Microalbumin, Random10
9380185Phenytoin, (Dilantin)10
9480197Tacrolimus (FK506) BI10
95734365Tramadol10
9685300Antithrombin Activ10
9785220Factor V Activity10
98258004Lyme ab/western10
9985302; 85303Protein C Difienciency10
10085305; 85306(x2)Protein S Panel10
10186800Thyroglobulin Anti10
10287324C Difficile Toxins A+B10
103977197Cytology Problem Spec10
10488142Pap LB(liquid based)10
10582374Carbon Dioxide, Test10
10682435Chloride, Sereum10
10782565Creatinine, Serum10
1081032Glucose, Serum10
10982785Immunoglobulin E, Total10
11083950RNA Qualitative10
11184295Sodium, Serum10
11282105AFP, Serum, Tumor Mark10
11382540; 82570Creatine+Creatine, 210
11482746Folate (folic Acid)10
11582175; 83655; 83825Heavy Metals Profile10
11683921Methylmalonic Acid10
11784120Porphyrins, QN, Random10
11884155; 84165Protein Electro10
11984156Protein Total, Qn,2410
12080345Barbiturate10
121165118Celiac Disease Ab screen10
12287045; 87046; 87427Stool Culture10
12387070Upper Respiratory Culture10
12484075Alkaline Phosphatas10
12584460ALT (SGPT)10
12686225Anti-dsDNA Antibod10
12784450AST (SGOT)10
12882247Bilirubin, Total10
12986160Complement C3, Serum10
13086160Complement C4, Serum10
13182595Cryoglobulin, QI, Serum10
13287491; 87591; 87661Ct, Ng, Trich vag by10
13387340HBsAg Screen10
13485597; 85598; 85610; 85613(x2); 85670; 85730; 85732(x2); 86146(x3); 86147(x2)Lupus, Anticoagulant10
135258004Lyme Ab w/Western B10
13684155; 84165Protein Elec + Interp10
13784155Protein Total Serum10
138182877QuantiFERON In Tub10
139182873QuanitFERON TB Gol10
140883131Spec-Stain, GRP II-All10
14184630Zinc, Plasma or Serum10
14286037Antineutrophil Cytopla10
14382550Creatine Kinase, Total10
14486364t-Transglutaminase10

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