Estimated_Cost_Exams.xlsx

XLSX spreadsheet 12 KB Posted

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Pre-placement exams
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W912SV19R0009
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Estimates Cost Exam

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Sheet1

UNIT COSTQuantityTOTAL COST
INDIVIDUAL TEST FEES
Physician Exam (Including Dermatological Exam and Physical Mobility Limitations)1$ - 0
Blood Chemistry (Include Any Or All - Total Bilirubin; BUN; Creatinine, Serum; Eosinophil Count; Hemogolobin and Hematocrit; Peripheral Smear Morphology; Red Blood Cell Indices; Reticulocyte Count; Triglycerides; Total Cholestrol To Include HDL and HDL; Alkaline Phosphatase [Alk PO4]; GGTP; SGOT; SGPT (Either Individually Or Part Of A Liver Profile).
Complete Blood Count (CBC Including Partial Differential And Blood Plate Counts, Actual) **List each test seperately if not all included in same unit cost*****$ - 01$ - 0
Urinalysis (UA), screening and microscopic$ - 01$ - 0
Blood Lead/ZPP$ - 01$ - 0
Blood and Urine Chromium$ - 01$ - 0
Blood and Urine Cadmium$ - 01$ - 0
Pulmonary Function Testing$ - 01$ - 0
Respirator Clearance$ - 01$ - 0
ECG$ - 01$ - 0
Vision Screening (Parameters Surveyed Will Include Retinal Examination, Far and Near Visual Acuity, Both Eyes, Left Eye, Right Eye, Stereo Depth, Vertical Phoria, Lateral Phoria, Color Vision and Peripheral Vision)$ - 01$ - 0
Audiometric Testing Including Electronic Download for DOEHRS HC$ - 01$ - 0
Vital Signs (Blood Pressure, Pulse, Height & Weight)$ - 01$ - 0

***List any other cost items seperately $ - 0 $ - 0

* Fees Will Be Based On Individual Test Fees.
** The Test Numbers In this Proposal are based on an individual test.

Actual Test Fees Will Be Billed For Only Those Tests Conducted.

&"-,Bold"&14&K008EC0Estimated Costa Sheet for:

Pre-Placement, Periodic, and Termination / Retirement Exams

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