Attachment C - Histology Pricing Worksheet 05-17-24.xlsx
XLSX spreadsheet 34 KB Posted
- Attached to
- Histology Lab Processing CPT
- Solicitation number
- W81K0024R0011
- Issued by
-
Department of the Army Medical Command
About this file
This document is an Attachment C - Histology Pricing Worksheet associated with Solicitation W81K0024R0011 for Histology Lab Processing CPT, issued by the Department of the Army Medical Command.
The pricing worksheet includes line items for various histology testing services, including IHC/ISH, H&E staining, special stains, and whole slide imaging, with detailed quantities and pricing for each test type. The worksheet also includes line items for Military Health System (MHS) Genesis integration and Risk Management Framework (RMF) compliance requirements. Offerors must complete the pricing sheet and submit it as part of their proposal response. The solicitation has a technical question due date of May 2, 2024 and amendments will be posted to SAM.gov. The contracting agency is the Department of the Army Medical Command.
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Pricing Sheet
| ATTACHMENT C - HISTOLOGY PRICING WORKSHEET |
| OFFEROR NAME: |
| Ordering Period | ||||
| CLIN | Description | Maximum Quantities | Unit Price | Total |
| 0001 | Histology Lab Processing Cost Per Test (CPT) | 1 | $0.00 | $0.00 |
| 0001AA | IHC/ISH CPT | 505,750 | $0.00 | $0.00 |
| 0001AB | H&E Stained CPT | 1,250,000 | $0.00 | $0.00 |
| 0001AC | Special Stains CPT | 27,500 | $0.00 | $0.00 |
| 0001AD | Whole Slide Imaging CPT | 1,783,250 | $0.00 | $0.00 |
| 0002 | Military Health System (MHS) Genesis | 1 | $0.00 | $0.00 |
| 0003 | Risk Management Framework (RMF) Compliance | 1 | $0.00 | $0.00 |
| TOTAL | $0.00 |
IHC_ISH
| Histology Lab Processing Cost Per Test | ||||
| Ordering Period | ||||
| Test | Maximum Quantities | U/I | Cost Per Test | Extended Price |
| Adenovirus | 250 | Each | $0.00 | |
| Cytokeratin Cocktail | 10000 | Each | $0.00 | |
| AFP | 500 | Each | $0.00 | |
| ALK-1 (D5F3) | 2000 | Each | $0.00 | |
| Amyloid P | 250 | Each | $0.00 | |
| Arginase-1 | 500 | Each | $0.00 | |
| ATRX | 500 | Each | $0.00 | |
| BCL-2 | 2500 | Each | $0.00 | |
| BCL-6 | 3500 | Each | $0.00 | |
| BerEP4 | 1000 | Each | $0.00 | |
| Beta Amyloid | 1750 | Each | $0.00 | |
| Beta Catenin | 1750 | Each | $0.00 | |
| c-MYC | 2500 | Each | $0.00 | |
| CAIX | 1500 | Each | $0.00 | |
| Calcitonin | 250 | Each | $0.00 | |
| Caldesmon | 1000 | Each | $0.00 | |
| Calponin | 10000 | Each | $0.00 | |
| Calretinin | 1500 | Each | $0.00 | |
| CAM 5.2 | 1000 | Each | $0.00 | |
| CD15 | 1000 | Each | $0.00 | |
| CD1a | 1000 | Each | $0.00 | |
| CD2 | 500 | Each | $0.00 | |
| CD20 | 10000 | Each | $0.00 | |
| CD21 | 5000 | Each | $0.00 | |
| CD23 | 500 | Each | $0.00 | |
| CD3 | 10000 | Each | $0.00 | |
| CD30 | 5000 | Each | $0.00 | |
| CD31 | 1500 | Each | $0.00 | |
| CD34 | 7500 | Each | $0.00 | |
| CD4 | 1000 | Each | $0.00 | |
| CD43 | 1000 | Each | $0.00 | |
| CD44 | 1000 | Each | $0.00 | |
| CD45 | 1500 | Each | $0.00 | |
| CD56 | 1000 | Each | $0.00 | |
| CD57 | 250 | Each | $0.00 | |
| CD68 | 2500 | Each | $0.00 | |
| CD7 | 500 | Each | $0.00 | |
| CD79a | 250 | Each | $0.00 | |
| CD8 | 1000 | Each | $0.00 | |
| CD99 | 500 | Each | $0.00 | |
| CD10 | 5000 | Each | $0.00 | |
| CD117a | 3000 | Each | $0.00 | |
| CD138 | 5000 | Each | $0.00 | |
| CD163 | 1500 | Each | $0.00 | |
| CD5 | 2500 | Each | $0.00 | |
| CDX2 | 2000 | Each | $0.00 | |
| CEA | 500 | Each | $0.00 | |
| Chromogranin | 3000 | Each | $0.00 | |
| CMV | 2500 | Each | $0.00 | |
| CyclinD1 | 2500 | Each | $0.00 | |
| Cytokeratin 20 | 5000 | Each | $0.00 | |
| Cytokeratin 5/6 | 10000 | Each | $0.00 | |
| Cytokeratin 7 | 10000 | Each | $0.00 | |
| Cytokeratin 8/18 | 250 | Each | $0.00 | |
| D2-40 | 2500 | Each | $0.00 | |
| Desmin | 3000 | Each | $0.00 | |
| DOG1 | 1500 | Each | $0.00 | |
| DS (CD30/PAX5) | 250 | Each | $0.00 | |
| DS (CK5-6/P63) | 1500 | Each | $0.00 | |
| DS (KI-67/Mart-1) | 2500 | Each | $0.00 | |
| DS (TTF-1/NAPSIN) | 2500 | Each | $0.00 | |
| E-Cadherin | 7000 | Each | $0.00 | |
| EMA | 1500 | Each | $0.00 | |
| ER | 10000 | Each | $0.00 | |
| ERG | 2000 | Each | $0.00 | |
| Factor VIII | 500 | Each | $0.00 | |
| Factor XIII | 1500 | Each | $0.00 | |
| FLI-1 | 250 | Each | $0.00 | |
| Gastrin | 1500 | Each | $0.00 | |
| GATA-3 | 4000 | Each | $0.00 | |
| GCDFP | 250 | Each | $0.00 | |
| GFAP | 500 | Each | $0.00 | |
| Glycophorin A | 250 | Each | $0.00 | |
| Glypican-3 | 1500 | Each | $0.00 | |
| H. Pylori | 27500 | Each | $0.00 | |
| HNF1 | 250 | Each | $0.00 | |
| Human Chorionic gonodotropin | 500 | Each | $0.00 | |
| HER 2 | 5000 | Each | $0.00 | |
| HHV-8 | 1000 | Each | $0.00 | |
| Melanosome | 12000 | Each | $0.00 | |
| Hepatocyte specific antigen | 1000 | Each | $0.00 | |
| HSVI/II | 2500 | Each | $0.00 | |
| IDH1 | 500 | Each | $0.00 | |
| Inhibin | 1000 | Each | $0.00 | |
| INSM1 | 5000 | Each | $0.00 | |
| ISH EBER | 2500 | Each | $0.00 | |
| ISH KAPPA | 2500 | Each | $0.00 | |
| ISH LAMBDA | 2500 | Each | $0.00 | |
| K903 | 500 | Each | $0.00 | |
| Kappa | 1500 | Each | $0.00 | |
| Ki-67 | 2500 | Each | $0.00 | |
| Lambda | 2500 | Each | $0.00 | |
| Pan Cytokeratin | 25000 | Each | $0.00 | |
| Mammaglobin | 500 | Each | $0.00 | |
| Mart-1 | 3500 | Each | $0.00 | |
| MDM2 | 500 | Each | $0.00 | |
| MOC31 | 1500 | Each | $0.00 | |
| MPO | 500 | Each | $0.00 | |
| MSA | 250 | Each | $0.00 | |
| MSI panel (MLH1, MSH2, MSH6,PMS2) | 5000 | Each | $0.00 | |
| MUC4 | 500 | Each | $0.00 | |
| MUM-1 | 1500 | Each | $0.00 | |
| MYO-D1 | 500 | Each | $0.00 | |
| Myogenin | 500 | Each | $0.00 | |
| Napsin A | 250 | Each | $0.00 | |
| Negative mouse | 25000 | Each | $0.00 | |
| Negative rabbit | 5000 | Each | $0.00 | |
| NFP | 250 | Each | $0.00 | |
| NKX3.1 | 1500 | Each | $0.00 | |
| NSE | 250 | Each | $0.00 | |
| OCT4 | 500 | Each | $0.00 | |
| P16 | 25000 | Each | $0.00 | |
| P40 | 5000 | Each | $0.00 | |
| P53 | 5000 | Each | $0.00 | |
| P57 | 1000 | Each | $0.00 | |
| P62 | 2500 | Each | $0.00 | |
| P63 | 10000 | Each | $0.00 | |
| P120 | 500 | Each | $0.00 | |
| Parathyroid | 250 | Each | $0.00 | |
| PAX-5 | 500 | Each | $0.00 | |
| PAX-8 | 2500 | Each | $0.00 | |
| PHF-TAU | 1000 | Each | $0.00 | |
| PHH3 | 250 | Each | $0.00 | |
| PLAP | 250 | Each | $0.00 | |
| PR | 10000 | Each | $0.00 | |
| Prame | 10000 | Each | $0.00 | |
| PIN4 | 250 | Each | $0.00 | |
| PSA | 250 | Each | $0.00 | |
| P504s | 250 | Each | $0.00 | |
| RCC | 250 | Each | $0.00 | |
| SALL4 | 1000 | Each | $0.00 | |
| SATB2 | 5000 | Each | $0.00 | |
| S100 | 10000 | Each | $0.00 | |
| SF-1 | 500 | Each | $0.00 | |
| SMA | 5000 | Each | $0.00 | |
| stat-6 | 1000 | Each | $0.00 | |
| SOX10 | 50000 | Each | $0.00 | |
| SOX11 | 250 | Each | $0.00 | |
| Spirochete | 5500 | Each | $0.00 | |
| Synaptophysin | 2500 | Each | $0.00 | |
| TDT | 500 | Each | $0.00 | |
| Thrombomodulin | 250 | Each | $0.00 | |
| Thyroglobulin | 250 | Each | $0.00 | |
| TIA-1 | 250 | Each | $0.00 | |
| TLE | 250 | Each | $0.00 | |
| Tryptase | 2500 | Each | $0.00 | |
| TS(K903,p63,p504s) | 7500 | Each | $0.00 | |
| TTF-1 | 1000 | Each | $0.00 | |
| Uroplakin II | 500 | Each | $0.00 | |
| Vimentin | 1000 | Each | $0.00 | |
| WT1 | 1000 | Each | $0.00 | |
| TOTAL | $0.00 |
H&E
| Histology Lab Processing Cost Per Test | ||||
| Ordering Period | ||||
| Test | Maximum Quantities | U/I | Cost Per Test | Extended Price |
| H&E | 1250000 | Each | $0.00 | $0.00 |
| TOTAL | $0.00 |
Special Stains
| Histology Lab Processing Cost Per Test | ||||
| Ordering Period | ||||
| Test | Maximum Quantities | U/I | Cost Per Test | Extended Price |
| AFB Kinyons | 250 | Each | $0.00 | |
| Alcian Blue pH 2.5 | 500 | Each | $0.00 | |
| Congo Red | 500 | Each | $0.00 | |
| Elastic | 1000 | Each | $0.00 | |
| Fite AFB | 1000 | Each | $0.00 | |
| Fontana Masson | 500 | Each | $0.00 | |
| GMS | 2500 | Each | $0.00 | |
| Gram Stain | 1000 | Each | $0.00 | |
| Iron | 1000 | Each | $0.00 | |
| Luxol Fast Blue | 250 | Each | $0.00 | |
| Trichrome | 2000 | Each | $0.00 | |
| Mucicarmine | 250 | Each | $0.00 | |
| Oil Red O | 250 | Each | $0.00 | |
| PAS | 3000 | Each | $0.00 | |
| PAS with Digestion | 2000 | Each | $0.00 | |
| PAS JONES | 250 | Each | $0.00 | |
| PAS for FUNGUS | 8000 | Each | $0.00 | |
| Retic | 1000 | Each | $0.00 | |
| Von Kossa | 500 | Each | $0.00 | |
| Colloidial Iron | 250 | Each | $0.00 | |
| Rapid PAS | 1500 | Each | $0.00 | |
| TOTAL | $0.00 |
Whole Slide Imaging
| Histology Lab Processing Cost Per Test | ||||
| Ordering Period | ||||
| Test | Maximum Quantities | U/I | Cost Per Test | Extended Price |
| Whole Slide Imaging | 1783250 | Each | $0.00 | $0.00 |
| TOTAL | $0.00 |
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