W81K00-18-R-0028_Attachment_1.xlsx

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W81K00-18-R-0028
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Base FY19 Attachment 1

BLOOD AND BLOOD COMPONENTS Unit Price (each) Estimated Usage Qty Extended Price

RED BLOOD CELLS
Red Blood Cells Leukocyte - Reduced876
Red Blood Cells Leukocyte - Reduced (3 Aliquots, pediatric) (No returns)12
Red Blood Cells Leukocyte - Reduced (Autologous only) (No returns)12
WHOLE BLOOD
Whole Blood Leukocyte - Reduced (No returns)12
Low Titer O Whole Blood (LTOWB)12
SINGLE DONOR PLASMA
Single Donor Plasma, Frozen12
Cryo Reduced Plasma12
CRYOPRECIPITATE
Anti-Hemophilic Factor (Cryoprecipitate Single)12
Anti-Hemophilic Factor (Cryoprecipitate 5 pack pool)756
PLATELET CONCENTRATE
Platelet Concentrate (Plateletapheresis Leukocyte – Reduced) with returns216
Acrodose Platelet (5 Pool Random Donor, Leukocyte – Reduced) with returns12
RELATED SERVICES (IN ADDITION TO COMPONENT FEE)
Autologous Service Charge (No returns)12
Deglycerolize Red Blood Cells (No returns)12
Freezing Red Blood Cells12
Irradiation Charge (Per component)12
SPECIAL HANDLING, PRODUCTS, SERVICES FEE (In addition to component fee)
Pediatric Satellite Bags12
Donor Recruitment Fee for HLA or Ag Negative RBC requests12
Special Order Service Fee per unit264
Matching Components (2 components)12
Matching Components (3 components)12
Wash Fee per Component12
Thawing Products (e.g., plasma)12
Autologous Redirect Fee12
STAT order168
Special Order Service Fee per Unit (e.g., special handling for units requested <3, 5, or 7 days old/donation, special RBC or HLA platelet order etc.)12
Transport Fee (For testing of blood/blood products from BAMC)12
Granulocytes12
IMMUNOHEMATOLOGY REFERENCE LAB TESTING (Performed on blood drawn by STBTC)
ABO & Rh(D) Type12
ABO Discrepancy Resolution12
AGT Phase of Crossmatch12
Antibody Elution12
Antibody ID (Each panel, each technique)12
Antibody ID (Enzyme or pre-treated cell, each panel)12
Antibody ID (Select cell panel, per cell)12
Antibody Screen (IRL)12
Antibody Titration Studies12
Antigen Screening From Stock (Per 10 units)12
Auto Adsorption of Serum12
Consultation Panel Review12
Crossmatch (Electronic)12
DAT (Direct)12
Differential Adsorption of Serum (Each adsorption, per cell)12
Genetic RBC Phenotypes12
C, E, C, Kell, A112
Fya, M, N, Cw, Dia, Kpa12
E, S, S, Jka, K, P1, Fyb, Lea, Leb12
Immediate Spin Phase of Crossmatch12
Isoagglutinin Titers12
Neutralization (Serum inhibition studies)12
Platelet HLA Match (Leukoreduced Apheresis)12
Pretreatment of RBCs12
Rare Frozen Handling Fee (Freight)12
Reticulocyte Separation12
Segment Finding Fee (Each)12
Sickle Cell Testing12
Unit Search Fee for Rare RBC Unit12
CMV Screening per component12
Stat Charge (IRL Lab)12
Therapeutic Blood (At STBTC)12
Chagas Testing12
Total Annual Amount:

FY20 Option 1 Attachment 1

BLOOD AND BLOOD COMPONENTS Unit Price (each) Estimated Usage Qty Extended Price

RED BLOOD CELLS
Red Blood Cells Leukocyte - Reduced876
Red Blood Cells Leukocyte - Reduced (3 Aliquots, pediatric) (No returns)12
Red Blood Cells Leukocyte - Reduced (Autologous only) (No returns)12
WHOLE BLOOD
Whole Blood Leukocyte - Reduced (No returns)12
Low Titer O Whole Blood (LTOWB)12
SINGLE DONOR PLASMA
Single Donor Plasma, Frozen12
Cryo Reduced Plasma12
CRYOPRECIPITATE
Anti-Hemophilic Factor (Cryoprecipitate Single)12
Anti-Hemophilic Factor (Cryoprecipitate 5 pack pool)756
PLATELET CONCENTRATE
Platelet Concentrate (Plateletapheresis Leukocyte – Reduced) with returns216
Acrodose Platelet (5 Pool Random Donor, Leukocyte – Reduced) with returns12
RELATED SERVICES (IN ADDITION TO COMPONENT FEE)
Autologous Service Charge (No returns)12
Deglycerolize Red Blood Cells (No returns)12
Freezing Red Blood Cells12
Irradiation Charge (Per component)12
SPECIAL HANDLING, PRODUCTS, SERVICES FEE (In addition to component fee)
Pediatric Satellite Bags12
Donor Recruitment Fee for HLA or Ag Negative RBC requests12
Special Order Service Fee per unit264
Matching Components (2 components)12
Matching Components (3 components)12
Wash Fee per Component12
Thawing Products (e.g., plasma)12
Autologous Redirect Fee12
STAT order168
Special Order Service Fee per Unit (e.g., special handling for units requested <3, 5, or 7 days old/donation, special RBC or HLA platelet order etc.)12
Transport Fee (For testing of blood/blood products from BAMC)12
Granulocytes12
IMMUNOHEMATOLOGY REFERENCE LAB TESTING (Performed on blood drawn by STBTC)
ABO & Rh(D) Type12
ABO Discrepancy Resolution12
AGT Phase of Crossmatch12
Antibody Elution12
Antibody ID (Each panel, each technique)12
Antibody ID (Enzyme or pre-treated cell, each panel)12
Antibody ID (Select cell panel, per cell)12
Antibody Screen (IRL)12
Antibody Titration Studies12
Antigen Screening From Stock (Per 10 units)12
Auto Adsorption of Serum12
Consultation Panel Review12
Crossmatch (Electronic)12
DAT (Direct)12
Differential Adsorption of Serum (Each adsorption, per cell)12
Genetic RBC Phenotypes12
C, E, C, Kell, A112
Fya, M, N, Cw, Dia, Kpa12
E, S, S, Jka, K, P1, Fyb, Lea, Leb12
Immediate Spin Phase of Crossmatch12
Isoagglutinin Titers12
Neutralization (Serum inhibition studies)12
Platelet HLA Match (Leukoreduced Apheresis)12
Pretreatment of RBCs12
Rare Frozen Handling Fee (Freight)12
Reticulocyte Separation12
Segment Finding Fee (Each)12
Sickle Cell Testing12
Unit Search Fee for Rare RBC Unit12
CMV Screening per component12
Stat Charge (IRL Lab)12
Therapeutic Blood (At STBTC)12
Chagas Testing12
Total Annual Amount:

FY21 Option 2 Attachment 1

BLOOD AND BLOOD COMPONENTS Unit Price (each) Estimated Usage Qty Extended Price

RED BLOOD CELLS
Red Blood Cells Leukocyte - Reduced876
Red Blood Cells Leukocyte - Reduced (3 Aliquots, pediatric) (No returns)12
Red Blood Cells Leukocyte - Reduced (Autologous only) (No returns)12
WHOLE BLOOD
Whole Blood Leukocyte - Reduced (No returns)12
Low Titer O Whole Blood (LTOWB)12
SINGLE DONOR PLASMA
Single Donor Plasma, Frozen12
Cryo Reduced Plasma12
CRYOPRECIPITATE
Anti-Hemophilic Factor (Cryoprecipitate Single)12
Anti-Hemophilic Factor (Cryoprecipitate 5 pack pool)756
PLATELET CONCENTRATE
Platelet Concentrate (Plateletapheresis Leukocyte – Reduced) with returns216
Acrodose Platelet (5 Pool Random Donor, Leukocyte – Reduced) with returns12
RELATED SERVICES (IN ADDITION TO COMPONENT FEE)
Autologous Service Charge (No returns)12
Deglycerolize Red Blood Cells (No returns)12
Freezing Red Blood Cells12
Irradiation Charge (Per component)12
SPECIAL HANDLING, PRODUCTS, SERVICES FEE (In addition to component fee)
Pediatric Satellite Bags12
Donor Recruitment Fee for HLA or Ag Negative RBC requests12
Special Order Service Fee per unit264
Matching Components (2 components)12
Matching Components (3 components)12
Wash Fee per Component12
Thawing Products (e.g., plasma)12
Autologous Redirect Fee12
STAT order168
Special Order Service Fee per Unit (e.g., special handling for units requested <3, 5, or 7 days old/donation, special RBC or HLA platelet order etc.)12
Transport Fee (For testing of blood/blood products from BAMC)12
Granulocytes12
IMMUNOHEMATOLOGY REFERENCE LAB TESTING (Performed on blood drawn by STBTC)
ABO & Rh(D) Type12
ABO Discrepancy Resolution12
AGT Phase of Crossmatch12
Antibody Elution12
Antibody ID (Each panel, each technique)12
Antibody ID (Enzyme or pre-treated cell, each panel)12
Antibody ID (Select cell panel, per cell)12
Antibody Screen (IRL)12
Antibody Titration Studies12
Antigen Screening From Stock (Per 10 units)12
Auto Adsorption of Serum12
Consultation Panel Review12
Crossmatch (Electronic)12
DAT (Direct)12
Differential Adsorption of Serum (Each adsorption, per cell)12
Genetic RBC Phenotypes12
C, E, C, Kell, A112
Fya, M, N, Cw, Dia, Kpa12
E, S, S, Jka, K, P1, Fyb, Lea, Leb12
Immediate Spin Phase of Crossmatch12
Isoagglutinin Titers12
Neutralization (Serum inhibition studies)12
Platelet HLA Match (Leukoreduced Apheresis)12
Pretreatment of RBCs12
Rare Frozen Handling Fee (Freight)12
Reticulocyte Separation12
Segment Finding Fee (Each)12
Sickle Cell Testing12
Unit Search Fee for Rare RBC Unit12
CMV Screening per component12
Stat Charge (IRL Lab)12
Therapeutic Blood (At STBTC)12
Chagas Testing12
Total Annual Amount:

FY21 Option 3 Attachment 1

BLOOD AND BLOOD COMPONENTS Unit Price (each) Estimated Usage Qty Extended Price

RED BLOOD CELLS
Red Blood Cells Leukocyte - Reduced876
Red Blood Cells Leukocyte - Reduced (3 Aliquots, pediatric) (No returns)12
Red Blood Cells Leukocyte - Reduced (Autologous only) (No returns)12
WHOLE BLOOD
Whole Blood Leukocyte - Reduced (No returns)12
Low Titer O Whole Blood (LTOWB)12
SINGLE DONOR PLASMA
Single Donor Plasma, Frozen12
Cryo Reduced Plasma12
CRYOPRECIPITATE
Anti-Hemophilic Factor (Cryoprecipitate Single)12
Anti-Hemophilic Factor (Cryoprecipitate 5 pack pool)756
PLATELET CONCENTRATE
Platelet Concentrate (Plateletapheresis Leukocyte – Reduced) with returns216
Acrodose Platelet (5 Pool Random Donor, Leukocyte – Reduced) with returns12
RELATED SERVICES (IN ADDITION TO COMPONENT FEE)
Autologous Service Charge (No returns)12
Deglycerolize Red Blood Cells (No returns)12
Freezing Red Blood Cells12
Irradiation Charge (Per component)12
SPECIAL HANDLING, PRODUCTS, SERVICES FEE (In addition to component fee)
Pediatric Satellite Bags12
Donor Recruitment Fee for HLA or Ag Negative RBC requests12
Special Order Service Fee per unit264
Matching Components (2 components)12
Matching Components (3 components)12
Wash Fee per Component12
Thawing Products (e.g., plasma)12
Autologous Redirect Fee12
STAT order168
Special Order Service Fee per Unit (e.g., special handling for units requested <3, 5, or 7 days old/donation, special RBC or HLA platelet order etc.)12
Transport Fee (For testing of blood/blood products from BAMC)12
Granulocytes12
IMMUNOHEMATOLOGY REFERENCE LAB TESTING (Performed on blood drawn by STBTC)
ABO & Rh(D) Type12
ABO Discrepancy Resolution12
AGT Phase of Crossmatch12
Antibody Elution12
Antibody ID (Each panel, each technique)12
Antibody ID (Enzyme or pre-treated cell, each panel)12
Antibody ID (Select cell panel, per cell)12
Antibody Screen (IRL)12
Antibody Titration Studies12
Antigen Screening From Stock (Per 10 units)12
Auto Adsorption of Serum12
Consultation Panel Review12
Crossmatch (Electronic)12
DAT (Direct)12
Differential Adsorption of Serum (Each adsorption, per cell)12
Genetic RBC Phenotypes12
C, E, C, Kell, A112
Fya, M, N, Cw, Dia, Kpa12
E, S, S, Jka, K, P1, Fyb, Lea, Leb12
Immediate Spin Phase of Crossmatch12
Isoagglutinin Titers12
Neutralization (Serum inhibition studies)12
Platelet HLA Match (Leukoreduced Apheresis)12
Pretreatment of RBCs12
Rare Frozen Handling Fee (Freight)12
Reticulocyte Separation12
Segment Finding Fee (Each)12
Sickle Cell Testing12
Unit Search Fee for Rare RBC Unit12
CMV Screening per component12
Stat Charge (IRL Lab)12
Therapeutic Blood (At STBTC)12
Chagas Testing12
Total Annual Amount:

FY22 Option 4 Attachment 1

BLOOD AND BLOOD COMPONENTS Unit Price (each) Estimated Usage Qty Extended Price

RED BLOOD CELLS
Red Blood Cells Leukocyte - Reduced876
Red Blood Cells Leukocyte - Reduced (3 Aliquots, pediatric) (No returns)12
Red Blood Cells Leukocyte - Reduced (Autologous only) (No returns)12
WHOLE BLOOD
Whole Blood Leukocyte - Reduced (No returns)12
Low Titer O Whole Blood (LTOWB)12
SINGLE DONOR PLASMA
Single Donor Plasma, Frozen12
Cryo Reduced Plasma12
CRYOPRECIPITATE
Anti-Hemophilic Factor (Cryoprecipitate Single)12
Anti-Hemophilic Factor (Cryoprecipitate 5 pack pool)756
PLATELET CONCENTRATE
Platelet Concentrate (Plateletapheresis Leukocyte – Reduced) with returns216
Acrodose Platelet (5 Pool Random Donor, Leukocyte – Reduced) with returns12
RELATED SERVICES (IN ADDITION TO COMPONENT FEE)
Autologous Service Charge (No returns)12
Deglycerolize Red Blood Cells (No returns)12
Freezing Red Blood Cells12
Irradiation Charge (Per component)12
SPECIAL HANDLING, PRODUCTS, SERVICES FEE (In addition to component fee)
Pediatric Satellite Bags12
Donor Recruitment Fee for HLA or Ag Negative RBC requests12
Special Order Service Fee per unit264
Matching Components (2 components)12
Matching Components (3 components)12
Wash Fee per Component12
Thawing Products (e.g., plasma)12
Autologous Redirect Fee12
STAT order168
Special Order Service Fee per Unit (e.g., special handling for units requested <3, 5, or 7 days old/donation, special RBC or HLA platelet order etc.)12
Transport Fee (For testing of blood/blood products from BAMC)12
Granulocytes12
IMMUNOHEMATOLOGY REFERENCE LAB TESTING (Performed on blood drawn by STBTC)
ABO & Rh(D) Type12
ABO Discrepancy Resolution12
AGT Phase of Crossmatch12
Antibody Elution12
Antibody ID (Each panel, each technique)12
Antibody ID (Enzyme or pre-treated cell, each panel)12
Antibody ID (Select cell panel, per cell)12
Antibody Screen (IRL)12
Antibody Titration Studies12
Antigen Screening From Stock (Per 10 units)12
Auto Adsorption of Serum12
Consultation Panel Review12
Crossmatch (Electronic)12
DAT (Direct)12
Differential Adsorption of Serum (Each adsorption, per cell)12
Genetic RBC Phenotypes12
C, E, C, Kell, A112
Fya, M, N, Cw, Dia, Kpa12
E, S, S, Jka, K, P1, Fyb, Lea, Leb12
Immediate Spin Phase of Crossmatch12
Isoagglutinin Titers12
Neutralization (Serum inhibition studies)12
Platelet HLA Match (Leukoreduced Apheresis)12
Pretreatment of RBCs12
Rare Frozen Handling Fee (Freight)12
Reticulocyte Separation12
Segment Finding Fee (Each)12
Sickle Cell Testing12
Unit Search Fee for Rare RBC Unit12
CMV Screening per component12
Stat Charge (IRL Lab)12
Therapeutic Blood (At STBTC)12
Chagas Testing12
Total Estimated Quantity2940
Total Annual Amount:

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