Attachment_A_-_Bid_Schedule.pdf

Bid Schedule

Please complete the bid schedule with your unit pricing.

Bid Schedule

Unit of Measure: Each

Base Year

Unit Price

Option

Year 1

Unit

Price

Option

Year 2

Unit

Price

Option

Year 3

Unit

Price

Option

Year 4

Unit

Price

6 Month

Option

Unit Price

Complete blood count with diff (24 hours):

white blood cell count, red blood cell count, hemoglobin, hematocrit, Platelets, MCV, MCH, MCHC, RBC distribution, segs, lymphocytes, monocytes, eosinophils, basophils (24 hours)

Complete Metabolic Panel (CMP):

albumin, total bilirubin, calcium, carbon dioxide, chloride, creatinine, glucose, glomerular filtration rate (GFR) alkaline phosphatase, potassium, total protein, sodium, alanine transferase (ALT,SGPT), aspartate transferase (AST,SGOT), urea nitrogen (24 hours)

Basic metabolic panel which includes calcium, carbon dioxide, chloride, creatinine, glomerular filtration rate (GFR) glucose, potassium, sodium, urea nitrogen

(BUN) (24 hours) Lipid panel which includes triglycerides, total cholesterol, HDL, LDL, non-HDL, coronary risk ratio

(24 hours)

Hepatic function panel includes albumin, total bilirubin, direct bilirubin, alkaline phosphatase, total protein, alanine transferase (ALT,GLPT), aspartate transferase (AST,SGOT) (24 hours)

Custom Panel A complete blood count consisting of: white blood cell count, red blood cell count, hemoglobin, hematocrit, Platelet count, MCV, MCH, MCHC, RBC distribution, segs, lymphocytes, monocytes, eosinophils, basophils . The chemistry portion of the panel includes the following: sodium, potassium, chloride, carbon dioxide, urea nitrogen, creatinine, bun/creat ratio, glucose, uric acid, calcium

Lead, blood (24 hours)

Hemoglobin A1C (24 hours)

G6PD (3 days)

Prostate specific antigen (24 hours)

Rabies antibody titer (1 month)

Pesticide screen (includes….DDE (DDT metabolite), Lindane, Alpha-Chlordane, Gamma-Chloradane, Oxychlordane, Transnonachlor, Heptachlor, Heptachlorepoxide, DDT, Hexachlorobenzene, Dieldrin, Methoxychlor, DDD (CCT metabolite)

(1 month)

Polychlorinated biphenyls (PCB) (2 weeks)

Heavy metals urine (includes lead, mercury, arsenic) (2 weeks)

Cadmium urine (2 weeks)

Chromium urine (2 weeks)

Arsenic fractionated (urine) (2 weeks)

Antimony (blood) (1 month)

Selenium (blood) (1 month)

Tungsten (blood) (1 month)

ABO, RH factor (24 hours)

Sickledex screen (2 days)

Hepatitis B surface antigen (2 days)

HIV antibody screen (2 days)

Rubeola IgG (1 week)

Rubella IgG (2 days)

Mumps EIA/IgG (2 weeks)

HbsAb titer (2 days)

Varicella zoster IgM (1 week)

Hepatitis C virus antibody (2 days)

Lipid panel

Total phosphorus, total protein, albumin, globulin, alb/glob ratio, lactate dehydrogenase, SGOT, SGPT, GGT, alkaline phosphatase, total Bili, Triglycerides, Cholesterol, Iron, TSH (24 hours)

Custom Panel B Custom panel which includes a complete blood count consisting of: white blood cell count, red blood cell count, hemoglobin, hematocrit, Platelet count, MCV, MCH, MCHC, RBC distribution, segs, lymphocytes, monocytes, eosinophils, basophils. The chemistry portion of the panel includes the following: sodium, potassium, chloride, carbon dioxide, urea nitrogen, creatinine, bun/creat ratio, glucose, uric acid, calcium total, phosphorus, total protein, albumin, globulin, alb/glob ratio, lactate dehydrogenase, SGOT, SGPT, GGT, alkaline phosphatase, total Bili, Cal osmolality, triglycerides, cholesterol, HDL, LDL, Non-HDL, Coronary Risk, Iron, TSH, T4, T3 uptake. Free Thyroxine index

(24 hours)

Custom Panel C Custom panel which includes a complete blood count consisting of: white blood cell count, red blood cell count, hemoglobin, hematocrit, Platelet count, MCV, MCH, MCHC, RBC distribution, segs, lymphocytes, monocytes, eosinophils, basophils The chemistry portion of the panel includes the follo albumin, total bilirubin, calcium, carbon dioxide, chloride, creatinine, glucose, glomerular filtration rate (GFR) alkaline phosphatase, potassium, total protein, sodium, alanine transferase

(ALT,SGPT), aspartate transferase

(AST,SGOT), urea nitrogen. Lipid panel

Cholesterol, HDL, LDL, Non-HDL, Coronary Risk. GGT, Iron, phosphorus, uric acid, TSH. (24 hours)

UA with micro (24 hours)

Beta-hcg, quant., serum (24 hours)