Weber Attachment 1 - Rate Card.pdf
PDF 314 KB Posted
- Contract number
- 505505-W22-SPB0005-00
- Issued by
- Wisconsin
About this file
This is a COVID-19 Testing and Analysis Rate Card (505505-W22-SPB0005-00) that serves as a pricing template for state and local agencies in Wisconsin. The document is structured as a contractor submission form with spaces for company information and pricing across five geographic regions covering all Wisconsin counties, from Region 1 (including northern counties like Ashland, Barron, and Douglas) to Region 5 (covering southeastern counties including Kenosha, Milwaukee, Ozaukee, Racine, Sheboygan, Walworth, Washington, and Waukesha).
The contract covers comprehensive COVID-19 testing services organized into two primary models: Model A (Diagnostic Testing) with telehealth and on-site options, and Model B (Screening Testing) for routine and event/activity testing. Contractors must provide hourly staff rates and site fees for each service model across all regions. Additional services include comprehensive screening testing site operations at $4,250 per day (covering up to 250 tests daily with full administrative support, registration systems, results management, and reporting), plus $834 for each increment of 50 additional tests per day. Lab-based tests require a 24-hour turnaround time from collection to results, while point-of-care testing is performed at or near the patient location for immediate diagnostic purposes.
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Text version
COVID-19 Testing and Analysis Rate Card, 505505-W22-SPB0005-00
Defenitions Lab based - testing done at the lab Point of Care - bedside testing, any diagnostic test that isn't done in the lab. Testing performed as close as possible to the patient. Bed-side testing, near-patient testing, remote testing, mobile testing, rapid diagnostics Diagnostic testing - used to help diagnose a disease or condition.
Trip Fee - for each testing event and location that occurs at a school facility or event.
Community Testing -
Instructions For specimen collection, identify the hourly staff rate and site fees for each testing model in each geographic region where specimen collection and/or testing services are available for Agencies/Campuses. If services are not available for the model and/or region, leave that field blank.
Details and definitions of these testing models are available in Statement of work (SOW) SPB0005 / Addendums / Attachments. For Diagnostic Testing, identify the price per test by test type.
Turn Around Time - Lab-based tests should have a 24 hour turnaround time from collection to result, or or as agreed between Contractor and End User.
Additional Services - 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" Region Map Tab - This is to define the regions referenced on the Pricing Sheet
DocuSign Envelope ID: 7CF4DEF8-8BA5-430B-840B-8116C88BA106DocuSign Envelope ID: CDD683E9-CA3D-4C6D-BD5F-F9CEFB5A9049
Region Model A: Diagnostic Testing Model B: Screening Testing (See Region Map A1: Telehealth A2: On Site B1: Routine B2: Event/Activity
Tab) Hourly Fee Site Fee Hourly Fee Site Fee Hourly Fee Site Fee Hourly Fee Site Fee Region 1 Region 2 Region 3 Region 4 Region 5
> Service:
> Service:
*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
MODEL B Above: Screening Testing site operations for specimen collection and or processing up to 250 tests per day including: site staffing, operation of registration and scheduling website, integration with campus intranet, Single Sign-On and authenitication management, results portal operation, result push notifications, nurse call center support, administration, reporting services, and state mandated reporting.
$4250.00 per day, all regions.
Staffing, administrative, and logistical support for each increment of 50 additional tests per site operations day.
$834.00, all regions.
Company Name:
Date:
DocuSign Envelope ID: 7CF4DEF8-8BA5-430B-840B-8116C88BA106DocuSign Envelope ID: CDD683E9-CA3D-4C6D-BD5F-F9CEFB5A9049
Ashland Adams Brown Columbia Kenosha Barron Buffalo Calumet Dane Milwaukee Bayfield Chippewa Door Dodge Ozaukee Burnett Clark Fond du Lac Green Racine Douglas Crawford Green Lake Grant Sheboygan Iron Dunn Kewaunee Iowa Walworth Polk Eau Claire Manitowoc Jefferson Washington Price Jackson Marinette Lafayette Waukesha Rusk Juneau Marquette Richland Sawyer La Crosse Menominee Rock Taylor Marathon Oconto Sauk Washburn Monroe Outagamie Florence Pepin Shawano Forest Pierce Waupaca Langlade Portage Waushara Lincoln St. Croix Winnebago Oneida Trempealeau Vilas Vernon
Wood
Region 1 Region 2 Region 3 Region 4 Region 4
DocuSign Envelope ID: 7CF4DEF8-8BA5-430B-840B-8116C88BA106DocuSign Envelope ID: CDD683E9-CA3D-4C6D-BD5F-F9CEFB5A9049
| Instructions |
| Pricing Sheet |
| Region Map |
| 2021-09-14T10:57:53-0700 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .