SPB0005_Attachment_1_-_Rate_Card_Summit_Clinical_Labs.pdf
PDF 197 KB Posted
- Contract number
- 505505-W22-SPB0005-00
- Issued by
- Wisconsin
About this file
This document is a COVID-19 Testing Pricing Sheet dated November 4, 2021, from Summit Clinical Laboratories LLC. The pricing structure is organized by regions and covers various testing models including diagnostic testing, screening testing, and outbreak testing services. The document appears to be part of a state or local contract vehicle, as evidenced by the DocuSign envelope ID and structured pricing format typical of government contracting documents.
The contract covers three main service models with varying pricing structures across five regions. Regions 1 and 2 have simplified pricing with fees of $75 for most services and $40 for certain testing types, with an additional $5n charge for some services. Regions 3-5 implement a dual pricing structure of $60 per employee or $480 per day for most testing models, while maintaining the same $75/$40 fee structure for point-of-care testing. The services include telehealth and on-site diagnostic testing, routine and event-based screening, small and large-scale outbreak testing, and both lab-based and point-of-care options. Additional services include courier pickup and delivery to laboratories at $35, and site pickup services. The document also references pooled testing options and at-home testing capabilities, with a note that additional services within the scope of work may be detailed separately.
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Text version
SUMMIT CLINICAL LABORATORIES LLC
11/4/2021
Region Model A: Diagnostic Testing Model B: Screening Testing Model C: Outbreak Testing Laboratory Diagnostic Testing Services (See Region Map A1: Telehealth A2: On Site B1: Routine B2: Event/Activity Small scale Large scale Lab-based (24 hours, collect to result) Point of Care
Tab) Hourly Fee Site Fee Hourly Fee Site Fee Hourly Fee Site Fee Hourly Fee Site Fee Hourly fee Site fee Hourly fee Site fee Standard At Home Pooled Standard At Home Region 1 75 75 75+5n 40 40 Region 2 75 75 75+5n 40 40 Region 3 $60/employee $480/day $60/employee $480/day $60/employee $480/day $60/employee $480/day $60/employee $480/day 75 75 75+5n 40 40 Region 4 $60/employee $480/day $60/employee $480/day $60/employee $480/day $60/employee $480/day $60/employee $480/day 75 75 75+5n 40 40 Region 5 $60/employee $480/day $60/employee $480/day $60/employee $480/day $60/employee $480/day $60/employee $480/day 75 75 75+5n 40 40
> Service: Courier Pickup and Delivery to Lab > Service: Site pickup > Service:
Standard Fee > Service: $35
*Any services being offered not specifically mentioned on the pricing sheet but are within the scope of work may be detailed here. If using an attachment to detail additional services use "See Attachement X"
COVID-19 Testing Pricing Sheet
Additional Services
Company Name:
Date:
DocuSign Envelope ID: FE25205A-6BC8-448E-A82B-3D9DD3AF6EB0
Pricing Sheet
| 2021-11-22T07:53:07-0800 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .