department of veterans affairs medical equipment division

DEPARTMENT OF VETERANS AFFAIRS 

MEDICAL EQUIPMENT DIVISION 

AUTHORIZED FEDERAL SUPPLY SCHEDULE PRICE LIST 

Federal Supply Schedule FSC Group 66, Part III “Cost Per Test” 

Clinical Laboratory Analyzers 

Contract Number: V797P-7037A 

Contractor: 

Contract Period: August 15, 2006 through August 

14, 2011 

Roche Diagnostics Corporation 

9115 Hague Rd, P.O. Box 50457 

Indianapolis, IN 46250-0457 

Size of Business: Large 

(317) 845-2000 

Fax: (800) 722-7222 (Customer Service) 

www.roche-diagnostics.us 

FSC Class: 6630 

INFORMATION FOR ORDERING ACTIVITIES Supplement #2 Effective: Nov 5, 2007 

1a. Special Item Numbers: 

605-1a Integra® 400 Plus, 800 

Cobas® 6000, Cobas® c501 

Hitachi Modular P, PP, PPP, PE, PPE, D, DP, DPP, DDP, 

DDPP 

605-4a URISYS® 2400 Automated Urine Analyzer 

605-4b CHEMSTRIP® Criterion II Urine Analyzer 

URISYS® 1800, 1100 

605-6a Elecsys® 2010, E, EE, EEE, Cobas® e601, Cobas® e411 

605-6b Cobas® TaqMan® 48, Amplicor 

1b. Lowest Priced Model: 

605-1a Integra® 400 Plus 

605-4a URISYS® 2400 Automated Urine Analyzer 

605-4b URISYS® 1100 Urine Analyzer 

605-6a Elecsys® 2010 

605-6b Cobas® Amplicor® 

2. Maximum Order Limitation: None 

3. Minimum Order: None 

4. Geographic Coverage (Delivery Area): 

48 Contiguous States, District of Columbia, Alaska, Hawaii, 

and Puerto Rico 

5. Points of Production: 

Indianapolis, IN 

Mannheim, Germany 

Branchburg, NJ 

Penzburg, Germany 

Rotkreuz, Switzerland Japan 

6. Discount from List Price: See enclosed pricing tables 

7. Quantity Discounts: None 

8. Prompt Payment Terms: Net 30 days 

9a. Government Credit Card Accepted up to Micro-purchase level: 

Yes 

9b. Government Credit Card Accepted above the Micro-purchase 

level: Yes 

10. Foreign Items: 

Hitachi Modular Analyzer & Reagents: US & Germany 

Integra Analyzer & Reagents Cobas® 6000: US & Germany 

Elecsys® Analyzer & Reagents: 

Germany 

URISYS® 2400, 1800, 1100: 

US & Germany 

CHEMSTRIP® Criterion® II Analyzer & Reagents: Germany 

Cobas® TaqMan® 48 Analyzer & Reagents: Germany 

Cobas® Amplicor® Analyzer & Reagents: Germany 

Cobas® e411 Rack and Disk 

11a. Time of Delivery: 

Analyzers: 

25-75 days ARO 

Reagents and Supplies: 10 days ARO 

11b. Expedited Delivery: 

48 - 72 hours ARO. All items, except analyzers, available for expedited 

delivery. Freight prepaid & added. 

11c. Overnight and Two-day Delivery: 

All items, except analyzers available for expedited delivery. Freight 

prepaid & added. 

12. F.O.B Points: 

Analyzers: FOB Destination (Within consignee’s premises) 

Reagents & Supplies: FOB Designation 

13. Ordering Address: 


9115 Hague Rd, P.O. Box 50457 

Indianapolis, IN 46250-0457 

14. Payment Addresses: 


P.O. Box 120243 Dept. 0243 

Dallas, TX 75312-0243 

15. Warranty Provisions: Appendix B 

17. Terms of Government commercial credit card acceptance: None 

19. Terms and conditions of installation: 

Within 2-40 days of instrument delivery. See page 6 

21. Service and distribution points: 

Contact Roche Diagnostics Corporation 

22. List of Participating Dealers: None 

23. Preventative Maintenance: 

Is the Contractor’s responsibility 

25. DUNS Number: 00-18-24663 

26. CCR Registration: Registered 

Supplement #2: Adds the COBAS e411 Rack and COBAS e411 Disk Instruments and Service Pricing 

This price list includes a 0.25% fee imbedded in the price of each item in accordance with the Industrial Funding Fee.

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Contract # V797-7037A 

January 1, 2007 

INDEX PAGE # 

PROGRAM DEFINITIONS 

Cost Per Test 1 

Cost Per Reportable Result 1 

PROGRAM OVERVIEW 

Clinical Laboratory Analyzers 2 

General Requirements (Applicable for all equipment) 2 

Site Preparation 3 

Delivery and Installation Schedule 3 

Delivery and Installation Procedures 4 

Ownership of the Equipment 5 

Removal of Equipment 5 

Maintenance 5 

Preventive Maintenance 5 

Daily Routine Maintenance and Cleaning 5 

Emergency Repair 5 

Maintenance Credit for Equipment Malfunction 6 

Replacement Laboratory Equipment 6 

Inventory Control Reagents, Supplies and Disposables 6 

Delivery of Supplies 6 

Special Handling for Emergency Orders of Supplies 7 

Returned Goods and Credits Policy 7 

Training 8 

Required Program Documentation 8 

CLINICAL CHEMISTRY/IMMUNOLOGY PRICING OVERVIEW 

Overview of Clinical Chemistry/Immunology Pricing 9 

Data Innovations Instrument (DI Box) 9 

Monthly Invoice 9 

Procedure for Estimating CPT/CPRR Test Prices 10 

Sample Worksheet for Calculating CPT or CPRR 11 

CLINICAL CHEMISTRY PRICING 

Hitachi Modular ANALYTICS 

Roche/Hitachi MODULAR® PRE-ANALYTICS 15 

Hitachi MODULAR® ANALYTICS Reagent Pricing Schedule (Cost per Test) 16 

Hitachi MODULAR® ANALYTICS Reagent Pricing Schedule 

(Cost per Reportable Result) 18 

Roche Diagnostics MODULAR® ANALYTICS Equipment Pricing Schedule 20 

Roche Diagnostics MODULAR® ANALYTICS Service Pricing Schedule 20 

Roche/Hitachi MODULAR® ANALYTICS Fixed Monthly Equipment and Service 

Charge 21

COBAS® Integra® 

COBAS® Integra® Reagent Pricing Schedule (Cost per Test) 22 

COBAS® Integra® Reagent Pricing Schedule (Cost per Reportable Result) 25 

COBAS® Integra® Equipment Pricing Schedule 28 

COBAS® Integra® Service Pricing Schedule 28 

COBAS® Integra® Fixed Monthly Equipment and Service Charge 29 

IMMUNOLOGY PRICING 

Elecsys® 

Elecsys® Reagent Pricing Schedule (Cost Per Test) 32 

Elecsys® Reagent Pricing Schedule (Cost Per Reportable Result) 33 

Elecsys® Equipment Pricing Schedule 34 

Elecsys® Service Pricing Schedule 34 

Elecsys® Fixed Monthly Equipment and Service Pricing Charge 35 

URINALYSIS® PRICING 

URISYS® 2400 Automated Urine Analyzer 

URISYS® 2400 System Prices 38 

URISYS® 2400 Cost per Kit Option 39 

URISYS® 2400 Cost per Kit Template 40 

CHEMSTRIP® Clinical Urine Analyzers 

CHEMSTRIP® System Prices (Criterion II, URISYS 1800 & 1100) 41 

CHEMSTRIP® Cost per Kit Option 42 

CHEMSTRIP® Cost per Kit Cost Template 43 

MOLECULAR® DIAGNOSTICS PRICING 

Molecular® Products and Platforms 46 

Molecular® Instrument Pricing Schedule 49 

Molecular® Service Pricing Schedule 49 

Optional Items - COBAS ® AMPLICOR ® Instrument Support Supplies and Accessories 50 

COBAS ® TaqMan ® 48 Test Pricing Schedule 

COBAS ® TaqMan ® HCV Monitor RUO 51 

COBAS ® TaqMan ® HBV Monitor RUO 51 

COBAS ® AMPLICOR ® Test Pricing Schedule 

COBAS ® AMPLICOR ® HCV Monitor, Version 2.0 52 

COBAS ® AMPLICOR ® HIV-1 Monitor, Version 1.5 52 

COBAS ® AMPLICOR ® HCV Qualitative 53 

COBAS ® AMPLICOR ® CT/NG 54

Molecular Diagnostics Cost per Kit Templates 

COBAS ® TaqMan ® 48 Cost per Kit Template 55 

COBAS ® AMPLICOR ® Cost per Kit Template 56 

TRAINING 

Training 58 

Supplemental Training 58

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PROGRAM DEFINITIONS 

Cost Per Test (CPT) 

Roche Diagnostics shall provide a price for each test that can be performed on its equipment. The per test price 

shall include costs covering (a) equipment use, (b) all reagents, standards, controls, supplies, 

consumable/disposable items, parts, accessories and any other item required for the proper operation of the 

contractor’s equipment and necessary for the generation and reporting of a test result, (c) all necessary 

maintenance to keep the equipment in good operating condition (This element includes both preventive 

maintenance and emergency repairs) and (d) training for Government personnel. Delivery, installation, and 

removal of equipment are provided at no additional charge. 

Cost Per Reportable Result (CPRR) 

Roche Diagnostics shall provide a price for a reportable patient result. The per reportable result price shall include 

costs covering (a) equipment use, (b) all reagents, standards, controls, supplies, consumable/disposable items, 

parts, accessories and any other item required for the proper operation of the contractor’s equipment and 

necessary for the generation of a patient reportable result. This does not include those items approved for 

exclusion by the government such as printer paper, labels etc. This per patient reportable result price will also 

encompass all costs associated with dilution, repeat and confirmatory testing required to produce a single patient 

reportable result. It will also include the material to perform as well as all other costs associated with quality control, 

calibration and correlation study testing that is prescribed by National Committee for Clinical Laboratory Standards 

(NCCLS). (c) All necessary maintenance to keep the equipment in good operating condition (This element includes 

both preventive maintenance and emergency repairs) and (d) training for Government personnel. Delivery, 

installation, and removal of equipment are provided at no additional charge. 

Contract # V797P-7037A 1 January 1, 2007

PROGRAM OVERVIEW 

CLINICAL LABORATORY ANALYZERS 

Roche Diagnostics shall furnish all clinical laboratory analyzer equipment including: a) consumable supplies, 

standards, controls, reagents and disposables; (b) installation; (c) emergency repair service and preventive 

maintenance; (d) computer interface; and (e) operator training for Government personnel. 

Each model of clinical laboratory analyzer offered shall comply with all general requirements of FSS V797P-7037A. 

The equipment will regularly function without excessive malfunctions, breakdowns, or service calls. 

GENERAL REQUIREMENTS (Applicable for all equipment) 

1. Roche Diagnostics shall provide new state-of-the-art equipment unless the ordering activity agrees to 

accept remanufactured state-of-the-art equipment at an agreed upon discount. Discontinued models are 

not acceptable 

2. Roche Diagnostics shall provide all upgrades to equipment hardware and operating system software, 

without additional charge to the Government. These enhancements to the contractor’s equipment shall be 

delivered to the Government site and installed within sixty (60) days of their issuance or date of first 

commercial availability. 

3. The models being offered are in current production. “Equipment placed at an ordering activity under 

previous FSS 66 III contract is acceptable.” For purposes of this FSS, “current production” shall mean that 

the clinical laboratory analyzer model is being manufactured as new equipment. Discontinued models that 

are only being made available as remanufactured equipment are not acceptable. 

4. Any models offered as remanufactured state-of-the-art equipment must have been inspected and tested to 

“new machine” standards. Roche Diagnostics shall furnish a certified copy of the inspection and test 

reports upon request. 

5. The offered model will be made available in the same condition of production (as newly manufactured and 

remanufactured state-of-the-art equipment) as offered for a period of at least one (1) year after the date of 

contract award. 

6. Offered models shall perform satisfactorily at any laboratory temperature between 50 and 90 degrees 

Fahrenheit, (10 and 32 Celsius). 

7. Offered models shall perform satisfactorily at any laboratory relative humidity between 14 and 85 percent 

8. An operator’s manual shall be furnished with each model supplied. 


SITE PREPARATION 

Site specifications will be ascertained through analysis of the published requirements in the manufacturer’s 

literature. 

The Government shall prepare the site at its own expense and in accordance with the specifications 

furnished by Roche Diagnostics. 

Roche Diagnostics shall inspect the site on the date and time acceptable to using activity. Roche 

Diagnostics shall report to the Government the inspection dates, any rejections, the reasons therefore and 

the final inspection and acceptance results. The results will be utilized to assure that the instrument would 

be in the appropriate environment for optimum use. 

DELIVERY AND INSTALLATION SCHEDULE 

SIN No. Analyzer Delivery - # Days after 

Receipt of Order 

TSR Installation - # Days after 

FSR Installation (see notes 

below) 

605-1 Integra 400 Plus 45 15 

Integra 800 45 20 

Modular P 45 15 

Modular PP 45 20-25 

Modular PPP 75 25-30 

Modular DP 45 15-20 

Modular DDP 75 15-20 

Modular DDPP 75 25-30 

Modular PE 45 25-30 

Modular PPE 75 35-40 

Modular DPE 75 35-40 

Additional P Module 45 10 

Additional D Module 45 5 

COBAS 6000 Analyzer 45 25-35 

COBAS c501 Analyzer 45 15-25 

605-4 Criterion II 25 Self installed 

URISYS 2400 45 2 

URISYS 1800 45 2 

URISYS 1100 25 Self installed 

605-6 Elecsys 2010 Disk 45 5-10 

Elecsys 2010 Rack 45 5-10 

Modular E 45 15 

Modular EE 45 20-25 

Additional E Module 45 15 

COBAS e601 Analyzer 45 15-20 

605-6 COBAS Amplicor 45 15 

COBAS TaqMan 48 45 30 

Notes for TSR Installation Timelines: 

1. Number of days stated is based on RDC Installation Guidelines as outlined in Implementation binder for each 

platform. 

2. Customer responsibilities include secondary operator training, secondary studies for validation, Procedure 

manual preparation, and Interface testing. 

3. TSR installations typically begin the Monday following the FSR install to allow for a full 5-day workweek on the 

analyzers including travel. 


4. The number of days indicated above is based on the average test menu on each platform; fully loaded 

analyzers may need additional days to install. Menu drives total TSR installation time. 

DELIVERY AND INSTALLATION PROCEDURES 

Installation by Roche Diagnostics shall be complete, and in accordance with the manufacturer’s installation and 

operation manuals/instructions, and shall include, as a minimum: 

(a) 

(b) 

(c) 

Unpacking the analyzer from the shipping crate; 

Taking system component (and accessories) inventory, and performing inspection to insure that all 

required analyzer components are present, in working order, and undamaged; 

Assembling the analyzer into its normal operational configuration; this includes making any 

required connections for electrical power, drain or vent lines, gas/compressed air, etc. and software 

installation (loading into computer based/controlled analyzers any operating/configuration 

software); 

(d) Performing a complete system operation check (including all system diagnostics, 

standardization/calibration of the analyzer, making any required electrical or mechanical 

adjustments, and performance of a trial sample run as required to verify quality control/system 

performance); and 

(e) 

Providing the operator training for two Government personnel at the time of installation (as 

specified in the Training and Technical Service section of this contract). 

Before leaving the installation site, the contractor’s representative shall provide the Government with: 

(a) 

(b) 

(c) 

A certified copy verifying the analyzer’s operation performance (the level of performance must be 

within the manufacturer’s specifications for a new analyzer); 

All required operating manuals, etc. (as specified in the General Requirements section of this 

contract); and 

A telephone number for the contractor’s technical support/assistance department for the supported 

analyzer. 

NOTE: The performance period of the contract shall commence on the date of the installation by the contractor’s 

representative. 


OWNERSHIP OF EQUIPMENT 

Title to equipment provided under this contract shall remain with Roche Diagnostics. All accessories (unused 

consumables, etc.) furnished by Roche Diagnostics shall accompany the equipment when returned to Roche 

Diagnostics. 

REMOVAL OF EQUIPMENT 

Roche Diagnostics, upon expiration of order(s), replacement of equipment, or termination will remove equipment. 

Roche Diagnostics will disconnect the analyzer (gas, water, air, etc.), and will be responsible for all packing and 

shipping required to remove the analyzer within seven (7) calendar days. 

MAINTENANCE 

Roche Diagnostics shall provide maintenance (labor and parts) to keep the equipment in good operating condition 

and subject to security regulations; the Government shall provide Roche Diagnostics access to the equipment. 

PREVENTIVE MAINTENANCE 

Roche Diagnostics will provide regular, scheduled maintenance to assure the continued reliable operation of the 

equipment. These preventive maintenance visits shall be of a frequency that conforms to the manufacturer’s 

operation and maintenance instructions for the supported equipment. However, if the scheduled maintenance 

services for commercial customers exceed the manufacturer’s operation and maintenance instructions, the same 

shall be provided to the Government for the same model of clinical laboratory equipment. 

DAILY ROUTINE MAINTENANCE AND CLEANING 

User will perform daily routine maintenance and cleaning as required in the manufacturer’s operation and 

maintenance instructions. 

EMERGENCY REPAIR 

Emergency repairs shall be performed after notification that the equipment is inoperative. Roche Diagnostics shall 

provide the Government with a designated point of contact and shall make arrangements to enable his 

maintenance representative to receive such notification. 

Roche Diagnostics will perform emergency repair service within twenty-four (24) hours of the time of notification of 

the malfunction. Roche Diagnostics will provide all parts and labor needed to repair the malfunction. Travel, per 

diem and other expenses associated with the repair will be borne by Roche Diagnostics. 

Roche Diagnostics shall furnish a malfunction incident report to the installation upon completion of each repair call. 

The report shall include, as a minimum, the following: (a) date and time notified; (b) date and time of arrival; (c) 

serial number, type and model number(s) of equipment; (d) time spent for repair; (e) description of malfunction and 

repair; and (f) proof of repair that includes documentation of a sample run of quality control verifying acceptable 

performance. 


MAINTENANCE CREDIT FOR EQUIPMENT MALFUNCTION 

If a machine remains inoperative due to a malfunction through no fault or negligence of the Government for a total 

of more than twenty-four hours, the contractor shall be assessed damages at the rate of 1/30 of the preceding 

average 3 month cost-per-test/reportable billings times the total number of days certified as downtime. Downtime 

for each incident shall start from the time the Government makes a bona fide attempt to contact the contractor’s 

designated representative at the prearranged contact point until the machine is returned in good operating order. 

However, if the delivery/task order provides for emergency repair during normal business hours in lieu of twentyfour 

hour service, the non contracted maintenance (Emergency Repairs) days will not be included in the downtime 

calculation. 

REPLACEMENT LABORATORY EQUIPMENT 

During the contract period, should the repair record of any laboratory equipment reflect a downtime of 10% or more 

of the normal working days in one calendar month, a determination will be made by the designated representative of 

the Government at the using facility to replace the initial laboratory equipment with new equipment. 

The responsibility for maintaining the equipment furnished in good condition shall be solely that of the contractor. 

The Government agrees to maintain the equipment according to manufacturer’s specifications. 

The contractor shall remove the equipment at the expiration of the term of the multi-year pricing arrangement (may 

encompass performance under previous or ensuing contracts) unless the Government opts to retain the equipment at the 

reduced contract price. 

INVENTORY CONTROL REAGENTS, SUPPLIES, AND DISPOSABLE 

All consumable supplies (reagents, standards, controls, disposables, etc.) required for the proper operation of the 

contractor’s equipment and necessary to perform tests on the equipment provided shall be included, and shall be 

furnished by the contractor for each clinical laboratory analyzer model. 

The contractor will maintain on Government provided space a continuously stocked inventory of reagents, 

standards, controls, supplies, disposables and any other material required to properly perform tests on the offered 

equipment. These items will be of the highest quality ensuring sensitivity, specificity and tested to assure precision 

and accuracy. The quality of the products must be high enough to satisfy proficiency testing standards of the 

College of American Pathologists (CAP) and the Joint Commission on Accreditation of Health Care Organizations 

(JCAHO). 

DELIVERY OF SUPPLIES 

On or about the first day of each month, the contractor will insure that each site is furnished with sufficient 

consumable supplies to produce a volume of tests equal to that stated in the Delivery Order. 


SPECIAL HANDLING FOR EMERGENCY ORDERS OF SUPPLIES 

In the event that the consumables are found to be defective and unsuitable for use with the contractor’s equipment, 

or the contractor has failed to comply with the requirements for routine supply delivery, the contractor shall deliver 

the consumable supplies within a period of twenty-four hours after receipt of the verbal order for priority delivery 

from the Government activity. If either circumstance has occurred, the contractor will deliver to the Government 

site, in the most expeditious manner possible, without additional cost to the Government, the necessary 

consumables in sufficient quantity as required to allow operation of the contractor’s equipment for one week (under 

normal Government test load volume). If additional requests for emergency supply delivery are required by the 

Government, they will be honored by the contractor until the arrival at the Government site of the monthly standing 

order/routine supplies delivery. Failure to reserve adequate inventory will result in default. 

RETURNED GOODS AND CREDITS POLICY 

1. If goods arrive damaged in transit, please note the damage when signing for the shipment. Contact Customer 

Service immediately to report the following: 

• Damaged shipments 

• Any shipping errors 

2. If any product appears to have a technical defect, please contact Customer Service. 

3. Do not return any products prior to receiving authorization from Customer Service. Returns will be authorized if we 

are notified within 14 calendar days of receipt. Unauthorized returns will not be accepted. 

4. Returns will be shipped prepaid to our address with the return authorization number clearly indicated. 

5. Any product received as a result of an error by Roche Diagnostics may be returned for credit or replacement. 

6. If you have overstocked or discontinued use of a product, Roche Diagnostics may authorize a return for credit, less 

a 20% restocking charge. 

7. Credit will be issued for authorized returned goods in the form of a credit to your account after goods have been 

received and inspected at Roche Diagnostics. 


TRAINING 

Roche Diagnostics shall provide training, at its facility, for two operating personnel at the time of installation of the 

contractor’s equipment, without additional charge to the Government. 

Annually, the Government may appoint a replacement person for one of the originally trained operators to receive contractor 

provided training, without additional charge to the Government. 

In addition, the contractor shall provide supplemental operating training to Government personnel, without additional charge 

to the Government, upon installation of any upgrade in equipment hardware or operating system software connected with 

the operation of an instrument already furnished under this solicitation. 

REQUIRED PROGRAM DOCUMENTATION 

Each facility participating in either the Clinical Chemistry or Immunology Cost-per-Test or Cost-per-Reportable Result 

Program shall, in coordination with their Roche sales representative, complete the “Roche Diagnostics – Cost Per Test or 

Cost Per Reportable Result” Form, appearing as APPENDIX A to this catalog. 


CLINICAL CHEMISTRY/IMMUNOLOGY PRICING OVERVIEW 

OVERVIEW OF CLINICAL CHEMISTRY/IMMUNOLOGY PRICING 

There are three components of the Clinical Chemistry/Immunology Cost Per Test and Cost Per Reportable Result Program: 

• Reagent prices fully burdened with cost of all reagents, controls, calibrators, consumables and all other products 

required to perform testing. 

• Equipment 

• Service 

After Roche Diagnostics receives the actual testing volume for each calendar month, customers will receive an invoice 

reflecting their specific reagent usage fully burdened, and the monthly charge for equipment and service. 

DATA INNOVATIONS INSTRUMENT (DI BOX) 

Each Roche Diagnostics’ instrument placement for a chemistry or immunochemistry CPT or CPRR will include a Data 

Innovations ® instrument. The CPT or CPRR program is then electronically administered through a secure web tunneling 

solution that uses 128-bit SSL encryption and communicates with a secure enterprise server located behind Roche’s 

firewall. Each government site contracting with Roche for a CPT or CPRR program must provide the following: 

User/site Requirements: 

1. Provide an active Network line 

2. Provide a dynamic or static IP address 

3. Provide the address of any proxy servers and information about any necessary credentials. 

MONTHLY INVOICE 

The monthly invoice to a Government facility will be billed based upon the actual test volume along with a separate charge 

for fixed equipment and service costs. Reconciliation of the test volumes will be done by the Contractor on a quarterly 

basis. 


PROCEDURE FOR ESTIMATING CPT/CPRR TEST PRICES 

This procedure shows how to use the three components for calculating a CPT or CPRR for Roche Diagnostic’s 

products on the Federal Supply Schedule: 

• Reagent Pricing Schedule fully burdened with cost of all reagents, controls, calibrators, consumables and all 

other products required to perform testing 

• Equipment Pricing Schedule 

• Service Pricing Schedule 

To estimate a CPT/CPRR price for each test, based on the customer’s annual testing workload and choice of 

equipment, utilize the following procedure using the worksheet provided: 

Step 

Action 

1 Enter the name of each test the laboratory will perform in Column A (Step 1a) and 

the annual testing volume in Column B (Step 1b). 

2 Sum the annual volume of all the tests to determine the total annual testing volume 

and enter this total as shown at the bottom of Column B . 

3 Based on the total annual testing volume and the needs of the laboratory, identify 

which analyzer(s) is most appropriate for the laboratory (Step 3a) and how many 

analyzers of each type are required (Step 3b). 

4 Based on the choice of equipment, go to the appropriate instrument specific reagent 

Pricing Schedule (i.e. CPT or CPRR). Based on the total annual testing volume 

determined above in Step 2, identify the appropriate pricing tier to obtain the desired 

price for each test. Enter the price opposite the test in Column C. 

5 Determine the total annual equipment costs by using the Equipment Pricing 

Schedule. 

6 Determine the length of contract. 

7 Determine the total annual equipment service cost by using the Service Pricing 

Schedule. 

8 Subtotal the annual equipment cost plus the annual service charge. 

9 Take the subtotal from Step 8 times the number of analyzers. 

10 Determine the equipment/service “surcharge” amount by dividing the total annual 

equipment/service cost (Step 9) by the total annual testing volume (Step 2) (Step 

10a). Insert that amount in Column D for each test (Step 10b). 

11 Add the cost in Column C and Column D for each test for a total CPT or CPRR in 

Column E. 

Column E now contains the final, fully burdened CPT or CPRR price. 


Sample Worksheet for Calculating CPT or CPRR 

Column A Column B Column C Column D Column E 

CPRR or CPT Reagent 

Price 

Lab’s Annual 

Instrument & 

(Step 4 – 

Patient Testing See appropriate pricing Service Surcharge 

Test Name 

Volume schedule – this is a CPT (Step 10b – 

(Step 1a) 

(Step 1b) 

example) 

Calculation below) 

CPRR or CPT Rate 

per Test 

(Step 11) 

Acetaminophen 30,000 $ 3.57 $ 0.40 $ 3.97 

Albumin 50,000 $ 0.15 $ 0.40 $ 0.55 

Total Annual 

Patient Tests 

(Step 2) 

80,000 

Step 3a – Analyzer Model Name 

Integra 400 

Step 3b – Number of Analyzers Required 

1 

Step 5 – Annual Equipment Cost per Unit (See Equipment Pricing Schedule) 

$ 18,231.72 

Step 6 – Length of Contract 

5 years 

Step 7 – Annual Service Price (See Service Pricing Schedule) 

$ 13,497.60 

Step 8 – Subtotal of Annual Equipment & Service Cost 

$ 31,729.32 

Step 9 – Total Annual Equipment & Service Cost x Number of Analyzers $ 31,729.32 

Step 10a - Equipment & Service Charge/Total Annual Patient Tests $ 0.40 

(Step 2) = Surcharge 


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CLINICAL CHEMISTRY 

Roche Diagnostics 

Contract # V797P-7037A 

January 1, 2007



Roche/ Hitachi MODULAR PRE-ANALYTICS 

Roche/ Hitachi MODULAR PRE-ANALYTICS is the extension of MODULAR ANALYTICS into the pre-analytical area of 

the laboratory. It provides full advanced automation to the costly and hazardous manual steps involved in preparing a 

sample for analysis. It also includes the automatic transfer of the samples to the analytical part of MODULAR avoiding any 

manual intervention of the operator. On minimal footprint MODULAR PRE-ANALYTICS provides enhanced efficiency and 

productivity to the laboratory combined with significantly increased quality of results and safety of operation. 

MODULAR PRE-ANALYTICS system is customized and configured according to the specific needs of the laboratory; this 

includes careful analysis of the processes and procedures in the laboratory before an automation solution is proposed. Due 

to multiple potential configurations and layouts of the system, specific pricing can not be quoted on the FSS, but should be 

negotiated at the VISN or facility level. Please contact your local Roche Diagnostics Account Manager for further details. 


Roche Diagnostics MODULAR ® ANALYTICS Reagent Pricing Schedule 


Prices quoted below are cost per 100 tests. 

Test Name 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

TIER 1 

TIER 2 

TIER 3 

TIER 4 

TIER 5 

TIER 6 

TIER 7 

TIER 8 

20,000- 

299,000 

tests/yr 

300,000- 

499,999 

tests/yr 

500,000- 

899,999 

tests/yr 

900,000- 

1,399,999 

tests/yr 

1,400,000- 

1,999,999 

tests/yr 

2,000,000- 

2,999,999 

tests/yr 

3,000,000- 

7,999,999 

tests/yr 

8,000,000+ 

tests/yr 

acetaminophen $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

albumin $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

alkaline 

$14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

phosphatase 

alpha -1-antitrypsin $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

ALT $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

ammonia $86.78 $65.83 $44.59 $40.90 $39.90 $37.90 $36.91 $36.91 

amphetamines $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 

amylase, pancreatic $86.78 $65.83 $44.59 $40.90 $39.90 $37.90 $36.91 $36.91 

amylase, total $86.78 $65.83 $44.59 $40.90 $39.90 $37.90 $36.91 $36.91 

anti-streptolysin O $614.46 $465.83 $322.19 $291.27 $281.29 $273.31 $263.34 $259.35 

AST $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

barbiturates $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 

benzodiazepines $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 

beta-2-microglobulin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

bicarbonate $10.97 $7.98 $5.98 $4.99 $4.99 $4.99 $4.99 $4.99 

Bilirubin, direct $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

Bilirubin, total $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

BUN $10.97 $7.98 $5.98 $4.99 $4.99 $4.99 $4.99 $4.99 

C reactive protein $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

C reactive protein, $799.04 $590.52 $408.97 $369.07 $356.11 $346.13 $334.16 $329.17 

high sensitive 

calcium $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

cannabinoids $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 

carbamazepine $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

ceruloplasmin $614.46 $465.83 $322.19 $291.27 $281.29 $273.31 $263.34 $259.35 

chloride $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

cholesterol $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

cholinesterase $86.78 $65.83 $44.59 $40.90 $39.90 $37.90 $36.91 $36.91 

CK NAC $86.78 $65.83 $44.59 $40.90 $39.90 $37.90 $36.91 $36.91 

cocaine metabolites $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 

complement C3 $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

complement C4 $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

Creatinine, Jaffe $10.97 $7.98 $5.98 $4.99 $4.99 $4.99 $4.99 $4.99 

D-dimer $2,243.3 $1,699.7 $1,177.0 $1,063.3 $1,026.4 $997.49 $961.58 $947.62 

6 3 4 3 2 

digoxin $354.11 $268.33 $185.53 $167.58 $161.59 $157.60 $151.62 $149.62 

ethyl alcohol $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 

ferritin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

fructosamine $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

gentamicin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

GGT $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

glucose $10.97 $7.98 $5.98 $4.99 $4.99 $4.99 $4.99 $4.99 

haptoglobin $614.46 $465.83 $322.19 $291.27 $281.29 $273.31 $263.34 $259.35 



Cost Per Test (CPT) - Continued 


Test Name 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

TIER 1 

TIER 2 

TIER 3 

TIER 4 

TIER 5 

TIER 6 

TIER 7 

TIER 8 

20,000- 

299,000 

tests/yr 

300,000- 

499,999 

tests/yr 

500,000- 

899,999 

tests/yr 

900,000- 

1,399,999 

tests/yr 

1,400,000- 

1,999,999 

tests/yr 

2,000,000- 

2,999,999 

tests/yr 

3,000,000- 

7,999,999 

tests/yr 

8,000,000+ 

tests/yr 

HbA1c $962.58 $729.17 $571.56 $540.64 $530.67 $522.69 $512.71 $508.72 

HDL $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

IgA $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

IgE $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

IgG $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

IgM $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

Iron $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

lactate $86.78 $65.83 $44.59 $40.90 $39.90 $37.90 $36.91 $36.91 

LDH $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

lipase $86.78 $65.83 $44.59 $40.90 $39.90 $37.90 $36.91 $36.91 

magnesium $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

methadone $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 

micro albumin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

Myoglobin $616.45 $466.83 $323.19 $292.27 $282.29 $274.31 $264.34 $260.35 

NAPA $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

opiates $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 

phencyclidine $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 

Phenobarbital $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

phenytoin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

phosphorus $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

potassium $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

prealbumin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

procainamide $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

propoxyphene $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 

rheumatoid factor $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

salicylate $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

sodium $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

soluble transferrin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

receptor 

theophylline $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

thyroxine $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

thyroxine uptake $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

tobramicin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

total protein $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

transferrin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

triglycerides, GB $86.78 $65.83 $44.59 $40.90 $39.90 $37.90 $36.91 $36.91 

triglycerides, GPO $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

UCSF protein $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

UIBC $86.78 $65.83 $44.59 $40.90 $39.90 $37.90 $36.91 $36.91 

uric acid $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

valproic acid $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 





Test Name 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

TIER 1 

TIER 2 

TIER 3 

TIER 4 

TIER 5 

TIER 6 

TIER 7 

TIER 8 

20,000- 

299,000 

tests/yr 

300,000- 

499,999 

tests/yr 

500,000- 

899,999 

tests/yr 

900,000- 

1,399,999 

tests/yr 

1,400,000- 

1,999,999 

tests/yr 

2,000,000- 

2,999,999 

tests/yr 

3,000,000- 

7,999,999 

tests/yr 

8,000,000+ 

tests/yr 


albumin $23.94 $16.96 $11.97 $9.97 $8.98 $8.98 $7.98 $7.98 

alkaline 

$23.94 $16.96 $11.97 $9.97 $8.98 $8.98 $7.98 $7.98 

phosphatase 

alpha -1-antitrypsin $452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $164.61 $145.63 

ALT $23.94 $16.96 $11.97 $9.97 $8.98 $8.98 $7.98 $7.98 

ammonia $134.66 $99.75 $66.83 $57.85 $53.86 $49.87 $45.88 $42.89 

amphetamines $174.56 $129.67 $86.78 $74.81 $69.82 $64.84 $59.85 $55.86 

amylase, pancreatic $134.66 $99.75 $66.83 $57.85 $53.86 $49.87 $45.88 $42.89 

amylase, total $134.66 $99.75 $66.83 $57.85 $53.86 $49.87 $45.88 $42.89 


AST $23.94 $16.96 $11.97 $9.97 $8.98 $8.98 $7.98 $7.98 

barbiturates $174.56 $129.67 $86.78 $74.81 $69.82 $64.84 $59.85 $55.86 


beta-2-microglobulin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

bicarbonate $16.96 $11.97 $7.98 $6.98 $6.98 $5.98 $5.98 $4.99 



BUN $16.96 $11.97 $7.98 $6.98 $6.98 $5.98 $5.98 $4.99 


C reactive protein, $1,211.9 $897.74 $600.49 $518.70 $486.78 $451.86 $412.96 $390.02 

high sensitive 

5 

calcium $23.94 $16.96 $11.97 $9.97 $8.98 $8.98 $7.98 $7.98 

cannabinoids $174.56 $129.67 $86.78 $74.81 $69.82 $64.84 $59.85 $55.86 



chloride $23.94 $16.96 $11.97 $9.97 $8.98 $8.98 $7.98 $7.98 

cholesterol $23.94 $16.96 $11.97 $9.97 $8.98 $8.98 $7.98 $7.98 


CK NAC $134.66 $99.75 $66.83 $57.85 $53.86 $49.87 $45.88 $42.89 

cocaine metabolites $174.56 $129.67 $86.78 $74.81 $69.82 $64.84 $59.85 $55.86 

complement C3 $452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $164.61 $145.63 

complement C4 $452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $164.61 $145.63 


D-dimer $3,490.2 $2,585.5 $1,727.6 $1,492.2 $1,402.4 $1,300.7 $1,190.0 $1,122.18 

3 0 6 5 8 3 1 

digoxin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

ethyl alcohol $174.56 $129.67 $86.78 $74.81 $69.82 $64.84 $59.85 $55.86 

ferritin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

fructosamine $452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $164.61 $145.63 

gentamicin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

GGT $23.94 $16.96 $11.97 $9.97 $8.98 $8.98 $7.98 $7.98 

glucose $16.96 $11.97 $7.98 $6.98 $6.98 $5.98 $5.98 $4.99 

haptoglobin $956.60 $708.22 $473.81 $408.97 $384.04 $356.11 $326.18 $307.23 



Cost Per Reportable Result (CPRR) - Continued 


Test Name 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

TIER 1 

TIER 2 

TIER 3 

TIER 4 

TIER 5 

TIER 6 

TIER 7 

TIER 8 

20,000- 

299,000 

tests/yr 

300,000- 

499,999 

tests/yr 

500,000- 

899,999 

tests/yr 

900,000- 

1,399,999 

tests/yr 

1,400,000- 

1,999,999 

tests/yr 

2,000,000- 

2,999,999 

tests/yr 

3,000,000- 

7,999,999 

tests/yr 

8,000,000+ 

tests/yr 

HbA1c $906.72 $671.31 $523.68 $485.78 $471.81 $455.85 $437.9 $426.93 

HDL $452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $164.61 $145.63 

IgA $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

IgE $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

IgG $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

IgM $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

Iron $23.94 $16.96 $11.97 $9.97 $8.98 $8.98 $7.98 $7.98 

lactate $134.66 $99.75 $66.83 $57.85 $53.86 $49.87 $45.88 $42.89 

lipase $134.66 $99.75 $66.83 $57.85 $53.86 $49.87 $45.88 $42.89 

magnesium $23.94 $16.96 $11.97 $9.97 $8.98 $8.98 $7.98 $7.98 

methadone $174.56 $129.67 $86.78 $74.81 $69.82 $64.84 $59.85 $55.86 

micro albumin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

Myoglobin $956.60 $708.22 $473.81 $408.97 $384.04 $356.11 $326.18 $307.23 

NAPA $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

opiates $174.56 $129.67 $86.78 $74.81 $69.82 $64.84 $59.85 $55.86 



phenytoin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

phosphorus $23.94 $16.96 $11.97 $9.97 $8.98 $8.98 $7.98 $7.98 

potassium $23.94 $16.96 $11.97 $9.97 $8.98 $8.98 $7.98 $7.98 

prealbumin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

procainamide $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

propoxyphene $174.56 $129.67 $86.78 $74.81 $69.82 $64.84 $59.85 $55.86 


salicylate $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

sodium $23.94 $16.96 $11.97 $9.97 $8.98 $8.98 $7.98 $7.98 


receptor 

theophylline $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

thyroxine $452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $164.61 $145.63 


tobramicin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

total protein $23.94 $16.96 $11.97 $9.97 $8.98 $8.98 $7.98 $7.98 

transferrin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

triglycerides, GB $134.66 $99.75 $66.83 $57.85 $53.86 $49.87 $45.88 $42.89 

triglycerides, GPO $23.94 $16.96 $11.97 $9.97 $8.98 $8.98 $7.98 $7.98 

UCSF protein $452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $164.61 $145.63 

UIBC $134.66 $99.75 $66.83 $57.85 $53.86 $49.87 $45.88 $42.89 

uric acid $23.94 $16.96 $11.97 $9.97 $8.98 $8.98 $7.98 $7.98 

valproic acid $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 


Roche Diagnostics Equipment Pricing Schedule 

MODULAR® ANALYTICS 

Part Number Description Price Monthly Charge Annual Charge 

766-4019 MOD P $174,561.40 $3,138.61 $37,663.32 

766-4069 MOD PP $324,185.46 $5,829.35 $69,952.20 

766-4119 MOD PPP $504,212.14 $9,065.73 $108,788.76 

766-4269 MOD DP $354,110.28 $6,367.00 $76,404.00 

766-4319 MOD DPP $553,937.20 $9,959.80 $119,517.60 

766-4469 MOD DDP $578,710.70 $10,407.01 $124,884.12 

766-4519 MOD DDPP $684,280.70 $12,303.37 $147,640.44 

Monthly charge for analyzers is based on an FMV of 5 years 

Roche Diagnostics Service Pricing Schedule 


Part Number Description Annual Service 

Price 

Monthly Service 

Charge 

766-4019 MOD P $10,949.49 $912.76 

766-4069 MOD PP $16,975.35 $1,414.61 

766-4119 MOD PPP $22,742.86 $1,895.24 

766-4269 MOD DP $20,109.47 $1,675.79 

766-4319 MOD DPP $27,371.23 $2,280.94 

766-4469 MOD DDP $31,002.11 $2,583.51 

766-4519 MOD DDPP $38,802.51 $3,233.54 

1. All new instruments are warranted for one year 

2. The above Monthly Service price includes a one year warranty 

3. Calculation for Monthly Service price that includes a warranty (new equipment placement): 

Number of total contract months minus 12 months or remaining warranty on existing equipment x monthly 

service price / total contract months 


Roche Diagnostics Fixed Monthly Equipment and Service Charge 


Part 

Number 

Description Analyzer 

Price 

Fixed Monthly 

Lease (1) 

Service 

Price (3) 

Monthly 

Service (3) 

Total Fixed 

Monthly Charge 

766-4019 Modular P $174,561.40 $3,138.61 $10,949.49 $912.76 $4,051.37 

766-4069 Modular PP $324,185.46 $5,829.35 $16,975.35 $1,414.61 $7,243.96 

766-4119 Modular PPP $504,212.14 $9,065.73 $22,742.86 $1,895.24 $10,960.97 

766-4269 Modular DP $354,110.28 $6,367.00 $20,109.47 $1,675.79 $8,042.79 

766-4319 Modular DPP $553,937.20 $9,959.80 $27,371.23 $2,280.94 $12,240.74 

766-4469 Modular DDP $578,710.70 $10,407.01 $31,002.11 $2,583.51 $12,990.52 

766-4519 Modular DDPP $684,280.70 $12,303.37 $38,802.51 $3,233.54 $15,536.91 

1. Monthly charge for analyzers is based upon 5-year FMV. 

2. All new instruments have 1-year warranty 

3. Service prices include 1-year warranty 

4. Calculation for Monthly Service price that includes a warranty period (new equipment placement): 

Number of total contract months minus 12 months or remaining warranty on existing equipment x monthly service price/ 

total contract months 

Roche Diagnostics Integra ® Reagent Pricing Schedule 



Test Name 

FSS Price 

FSS Price 


FSS Price FSS Price FSS Price FSS Price FSS Price 

FSS Price 

TIER 1 

TIER 2 

TIER 3 

TIER 4 

TIER 5 

TIER 6 

TIER 7 

TIER 8 

20,000- 

299,000 

tests/yr 

300,000- 

499,999 

tests/yr 

500,000- 

899,999 

tests/yr 

900,000- 

1,399,999 

tests/yr 

1,400,000- 

1,999,999 

tests/yr 

2,000,000- 

2,999,999 

tests/yr 

3,000,000- 

7,999,999 

tests/yr 

8,000,000+ 

tests/yr 


acid phosphatase $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

albumin $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

alkaline 

$14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

phosphatase 

alpha-1-acid $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

glycoprotein 

alpha-1-antitrypsin $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

ALT $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

amikacin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

ammonia $86.78 $65.83 $44.59 $40.90 $39.9 $37.9 $36.91 $36.91 

amphetamines $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 

amylase, 

$86.78 $65.83 $44.59 $40.90 $39.9 $37.9 $36.91 $36.91 

pancreatic 

amylase, total $86.78 $65.83 $44.59 $40.90 $39.9 $37.9 $36.91 $36.91 


apolipoprotein A-1 $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

apolipoprotein B $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

AST $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

barbiturates $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 

barbiturates - $139.65 $105.73 $73.81 $65.83 $63.84 $62.84 $59.85 $58.85 

serum 


benzodiazepines - $139.65 $105.73 $73.81 $65.83 $63.84 $62.84 $59.85 $58.85 

serum 

bicarbonate $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 



BUN $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 


calcium $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

cannabinoids $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 



chloride $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

cholesterol $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 


CK NAC $86.78 $65.83 $44.59 $40.90 $39.9 $37.9 $36.91 $36.91 

CKMB $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

cocaine 

$111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 

metabolites 

complement C3 $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

complement C4 $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 


cyclosporine $1,780.53 $1,348.61 $933.65 $843.88 $813.95 $791.01 $762.09 $751.11 

D-dimer $2,243.36 $1,699.73 $1,177.04 1063.33 $1,026.4 $997.49 $961.58 $947.62 

3 

digoxin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 





Test Name 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

TIER 1 

TIER 2 

TIER 3 

TIER 4 

TIER 5 

TIER 6 

TIER 7 

TIER 8 

20,000- 

299,000 

tests/yr 

300,000- 

499,999 

tests/yr 

500,000- 

899,999 

tests/yr 

900,000- 

1,399,999 

tests/yr 

1,400,000- 

1,999,999 

tests/yr 

2,000,000- 

2,999,999 

tests/yr 

3,000,000- 

7,999,999 

tests/yr 

8,000,000+ 

tests/yr 

ethanol $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 

ferritin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

fructosamine $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

gentamicin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

GGT $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

glucose $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 

haptoglobin $614.46 $465.83 $322.19 $291.27 $281.29 $273.31 $263.34 $259.35 

HbA1c, whole blood $1,012.4 $779.04 $621.44 $590.52 $580.54 $572.56 $562.59 $558.60 

6 

HDL $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

IgA $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

IgG $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

IgM $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

iron $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

lactate $86.78 $65.83 $44.59 $40.90 $39.9 $37.9 $36.91 $36.91 

LDH $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

LDL $614.46 $465.83 $322.19 $291.27 $281.29 $273.31 $263.34 $259.35 

lidocaine $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

lipase $86.78 $65.83 $44.59 $40.90 $39.9 $37.9 $36.91 $36.91 

lithium $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

LSD $139.65 $105.73 $73.81 $65.83 $63.84 $62.84 $59.85 $58.85 

magnesium $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

methadone $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 

methaqualone $139.65 $105.73 $73.81 $65.83 $63.84 $62.84 $59.85 $58.85 

micro albumin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

Myoglobin $614.46 $465.83 $322.19 $291.27 $281.29 $273.31 $263.34 $259.35 

NAPA $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

opiates $111.72 $84.79 $58.85 $52.87 $50.87 $49.87 $47.88 $46.88 



phenytoin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

phosphorus $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

potassium $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

prealbumin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

primidone $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

procainamide $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

propoxyphene $126.68 $95.76 $65.83 $59.85 $57.85 $55.86 $53.86 $52.87 

quinidine $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 


salicylate $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

sodium $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 


receptor 

theophylline $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

thyroxine $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 






Test Name 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

TIER 1 

TIER 2 

TIER 3 

TIER 4 

TIER 5 

TIER 6 

TIER 7 

TIER 8 

20,000- 

299,000 

tests/yr 

300,000- 

499,999 

tests/yr 

500,000- 

899,999 

tests/yr 

900,000- 

1,399,999 

tests/yr 

1,400,000- 

1,999,999 

tests/yr 

2,000,000- 

2,999,999 

tests/yr 

3,000,000- 

7,999,999 

tests/yr 

8,000,000+ 

tests/yr 

tobramycin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

total protein $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

transferrin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

transferrin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

triglycerides $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

UCSF protein $291.27 $220.45 $152.62 $137.65 $133.66 $129.67 $124.69 $122.69 

UIBC $86.78 $65.83 $44.59 $40.90 $39.9 $37.9 $36.91 $36.91 

uric acid $14.96 $10.97 $7.98 $6.98 $6.98 $6.98 $5.98 $5.98 

valproic acid $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 

vancomycin $356.11 $269.32 $186.53 $168.58 $162.59 $158.60 $152.62 $150.62 




Test Name 

FSS Price 

FSS Price 


FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

TIER 1 

TIER 2 

TIER 3 

TIER 4 

TIER 5 

TIER 6 

TIER 7 

TIER 8 

20,000- 

299,000 

tests/yr 

300,000- 

499,999 

tests/yr 

500,000- 

899,999 

tests/yr 

900,000- 

1,399,999 

tests/yr 

1,400,000- 

1,999,999 

tests/yr 

2,000,000- 

2,999,999 

tests/yr 

3,000,000- 

7,999,999 

tests/yr 

8,000,000+ 

tests/yr 


acid phosphatase $452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $154.61 $145.63 

albumin $23.94 $16.96 $11.96 $9.97 $8.98 $8.98 $7.98 $7.98 

alkaline 

$23.94 $16.96 $11.96 $9.97 $8.98 $8.98 $7.98 $7.98 

phosphatase 

alpha-1-acid $452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $154.61 $145.63 

glycoprotein 

alpha-1- 

$452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $154.61 $145.63 

antitrypsin 

ALT $23.94 $16.96 $11.96 $9.97 $8.98 $8.98 $7.98 $7.98 

amikacin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

ammonia $134.66 $99.75 $66.83 $57.85 $53.86 $49.87 $45.88 $42.89 

amphetamines $174.56 $129.67 $86.78 $74.81 $69.82 $64.84 $59.85 $55.86 

amylase, 

$134.66 $99.75 $66.83 $57.85 $53.86 $49.87 $45.88 $42.89 

pancreatic 

amylase, total $134.66 $99.75 $66.83 $57.85 $53.86 $49.87 $45.88 $42.89 

anti-streptolysin $956.60 $708.22 $473.81 $408.97 $384.04 $356.11 $326.18 $307.23 

O 

apolipoprotein A- $452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $154.61 $145.63 

1 

apolipoprotein B $452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $154.61 $145.63 

AST $23.94 $16.96 $11.96 $9.97 $8.98 $8.98 $7.98 $7.98 

barbiturates $174.56 $129.67 $86.78 $74.81 $69.82 $64.84 $59.85 $55.86 

barbiturates - $218.45 $162.59 $108.73 $93.76 $87.78 $80.80 $74.81 $69.82 

serum 



- serum 

bicarbonate $16.96 $11.97 $7.98 $6.98 $6.98 $5.99 $5.99 $4.99 



BUN $16.96 $11.97 $7.98 $6.98 $6.98 $5.99 $5.99 $4.99 


calcium $23.94 $16.96 $11.96 $9.97 $8.98 $8.98 $7.98 $7.98 

cannabinoids $174.56 $129.67 $86.78 $74.81 $69.82 $64.84 $59.85 $55.86 



chloride $23.94 $16.96 $11.96 $9.97 $8.98 $8.98 $7.98 $7.98 

cholesterol $23.94 $16.96 $11.96 $9.97 $8.98 $8.98 $7.98 $7.98 


CK NAC $134.66 $99.75 $66.83 $57.85 $53.86 $49.87 $45.88 $42.89 

cocaine 

$174.56 $129.67 $86.78 $74.81 $69.82 $64.84 $59.85 $55.86 

metabolites 

complement C3 $452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $154.61 $145.63 

complement C4 $452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $154.61 $145.63 





Test Name 

FSS Price 

FSS Price 


FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

TIER 1 

TIER 2 

TIER 3 

TIER 4 

TIER 5 

TIER 6 

TIER 7 

TIER 8 

20,000- 

299,000 

tests/yr 

cyclosporine $2,769.0 

4 

D-dimer $3,490.2 

300,000- 

499,999 

tests/yr 

$2,050.8 

5 

$2,585.5 

500,000- 

899,999 

tests/yr 

$1,370.5 

6 

$1,727.6 

900,000- 

1,399,999 

tests/yr 

$1,184.0 

3 

$1,492.4 

1,400,000- 

1,999,999 

tests/yr 

$1,112.2 

1 

$1,402.4 

2,000,000- 

2,999,999 

tests/yr 

$1,031.4 

1 

$1,300.7 

3,000,000- 

7,999,999 8,000,000+ 

tests/yr tests/yr 

$943.63 $890.76 

$1,190.0 $1,122.18 

3 0 6 8 8 3 1 

digoxin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

ethanol $174.56 $129.67 $86.78 $74.81 $69.82 $64.84 $59.85 $55.86 

ferritin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

fructosamine $452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $154.61 $145.63 

gentamicin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

GGT $23.94 $16.96 $11.96 $9.97 $8.98 $8.98 $7.98 $7.98 

glucose $16.96 $11.97 $7.98 $6.98 $6.98 $5.99 $5.99 $4.99 

haptoglobin $956.60 $708.22 $473.81 $408.97 $384.04 $356.11 $326.18 $307.23 

HbA1c $906.72 $671.31 $523.68 $485.78 $471.81 $455.85 $437.90 $426.23 

HDL $452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $154.61 $145.63 

IgA $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

IgG $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

IgM $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

iron $23.94 $16.96 $11.96 $9.97 $8.98 $8.98 $7.98 $7.98 

lactate $134.66 $99.75 $66.83 $57.85 $53.86 $49.87 $45.88 $42.89 

LDH $23.94 $16.96 $11.96 $9.97 $8.98 $8.98 $7.98 $7.98 

LDL $956.60 $708.22 $473.81 $408.97 $384.04 $356.11 $326.18 $307.23 

lidocaine $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

lipase $134.66 $99.75 $66.83 $57.85 $53.86 $49.87 $45.88 $42.89 

lithium $452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $154.61 $145.63 

LSD $218.45 $162.59 $108.73 $93.76 $87.78 $80.80 $74.81 $69.82 

magnesium $23.94 $16.96 $11.96 $9.97 $8.98 $8.98 $7.98 $7.98 

methadone $174.56 $129.67 $86.78 $74.81 $69.82 $64.84 $59.85 $55.86 

methaqualone $218.45 $162.59 $108.73 $93.76 $87.78 $80.80 $74.81 $69.82 

micro albumin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

Myoglobin $956.60 $708.22 $473.81 $408.97 $384.04 $356.11 $326.18 $307.23 

NAPA $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

opiates $174.56 $129.67 $86.78 $74.81 $69.82 $64.84 $59.85 $55.86 



phenytoin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

phosphorus $23.94 $16.96 $11.96 $9.97 $8.98 $8.98 $7.98 $7.98 

potassium $23.94 $16.96 $11.96 $9.97 $8.98 $8.98 $7.98 $7.98 

prealbumin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

primidone $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

procainamide $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

propoxyphene $174.56 $129.67 $86.78 $74.81 $69.82 $64.84 $59.85 $55.86 

quinidine $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 


salicylate $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

sodium $23.94 $16.96 $11.96 $9.97 $8.98 $8.98 $7.98 $7.98 

soluble transferrin 

receptor 

$553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 





Test Name 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

TIER 1 

TIER 2 

TIER 3 

TIER 4 

TIER 5 

TIER 6 

TIER 7 

TIER 8 

20,000- 

299,000 

tests/yr 

300,000- 

499,999 

tests/yr 

500,000- 

899,999 

tests/yr 

900,000- 

1,399,999 

tests/yr 

1,400,000- 

1,999,999 

tests/yr 

2,000,000- 

2,999,999 

tests/yr 

3,000,000- 

7,999,999 

tests/yr 

8,000,000+ 

tests/yr 

theophylline $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

thyroxine $452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $154.61 $145.63 


tobramycin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

total protein $23.94 $16.96 $11.96 $9.97 $8.98 $8.98 $7.98 $7.98 

transferrin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

triglycerides $23.94 $16.96 $11.96 $9.97 $8.98 $8.98 $7.98 $7.98 

UCSF protein $452.86 $335.16 $224.44 $193.51 $181.54 $168.58 $154.61 $145.63 

UIBC $134.66 $99.75 $66.83 $57.85 $53.86 $49.87 $45.88 $42.89 

uric acid $23.94 $16.96 $11.96 $9.97 $8.98 $8.98 $7.98 $7.98 

valproic acid $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 

vancomycin $553.61 $409.97 $274.31 $236.41 $222.44 $206.48 $188.53 $178.55 




Part Number Description Price Monthly Charge Annual Charge 

03245233001 Integra 400 Plus $84,288.22 $1,515.50 $18,186.00 

2195011 Integra 800 $174,561.40 $3,138.61 $37,663.32 

04818962001 cobas 6000 $314,210.53 $5,932.29 $71,187.48 

(c501/e601) Analyzer 

04818989001 cobas c501 Analyzer $169,573.93 $3,201.56 $38,418.72 




Part Number Description Annual 

Service Price 

Monthly Service 

Charge 

3245233001 Integra 400 Plus $8,777.94 $731.50 

2195011 Integra 800 $12,688.12 $1,057.34 

04818962001 cobas 6000 $29,762.22 $2,480.19 

(c501/e601) Analyzer 

04818989001 cobas c501 Analyzer $15,082.11 $1,256.84 




Number of total contract months minus 12 months or remaining warranty on existing equipment x monthly service 

price / total contract months 




Part Number Description Analyzer 

Price 

Fixed Monthly 

Lease (1) 

Service 

Price (3) 

Monthly 

Service (3) 

Total Fixed 

Monthly 

Charge 

03245233001 Integra 400 $84,288.22 $1,515.50 $8,777.94 $731.50 $2,247.00 

Plus 

2195011 Integra 800 $174,561.40 $3,138.61 $12,688.12 $1,057.34 $4,195.95 

04818962001 cobas 6000 

(c501/e601) 

Analyzer 

$314,210.53 $5,932.29 $29,762.22 $2,480.19 $8,412.48 

04848989001 cobas c501 

Analyzer 




$169,573.93 $3,201.56 $15,082.11 $1,256.84 $4,458.40 



total contract month 




IMMUNOLOGY 



January 1, 2007

Roche Diagnostics Elecsys ® Reagent Pricing Schedule 



Test Name 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

TIER 1 

TIER 2 

TIER 3 

TIER 4 

TIER 5 

TIER 6 

TIER 7 

0-39,999 

tests/yr 

40,000- 

99,999 

tests/yr 

100,000- 

124,999 

tests/yr 

125,000- 

249,999 

tests/yr 

250,000- 

279,999 

tests/yr 

280,000- 

399,999 

tests/yr 

400,000+ 

tests/yr 

AFP $307.23 $259.35 $234.41 $218.45 $209.47 $194.51 $179.55 

Anti-HBS $502.74 $423.93 $384.04 $357.10 $342.14 $317.20 $293.26 

Anti-TPO $271.32 $228.43 $207.48 $192.52 $184.54 $171.57 $157.60 

B12 $167.58 $141.64 $127.68 $118.70 $113.71 $105.73 $97.75 

beta crosslaps $652.36 $550.62 $498.75 $462.84 $443.88 $412.96 $381.04 

CA 125 $484.78 $408.97 $371.07 $344.14 $330.17 $306.23 $283.29 

CA 15-3 $484.78 $408.97 $371.07 $344.14 $330.17 $306.23 $283.29 

CEA $382.04 $322.19 $291.27 $271.32 $259.35 $241.39 $222.44 

CKMB $218.45 $184.54 $166.58 $155.61 $148.63 $137.65 $127.68 

cortisol $111.72 $94.76 $85.78 $79.80 $76.81 $70.82 $65.83 

DHEA-S $288.28 $243.39 $220.45 $204.49 $196.51 $182.54 $168.58 

digoxin $101.74 $85.78 $77.80 $72.82 $69.82 $64.84 $59.85 

estradiol $279.30 $236.41 $213.46 $198.50 $190.52 $176.56 $163.59 

ferritin $158.60 $133.66 $121.69 $112.72 $107.73 $100.75 $92.77 

folate $174.56 $147.63 $133.66 $123.69 $118.70 $110.72 $101.74 

folate, RBC $245.38 $218.45 $203.49 $193.51 $187.53 $179.55 $170.57 

FSH $111.72 $94.76 $85.78 $79.80 $76.81 $70.82 $65.83 

HBsAg $400.99 $338.15 $306.23 $284.29 $272.32 $253.36 $233.41 

HBsAg, confirmatory $873.80 $867.82 $861.83 $855.85 $849.86 $849.86 $849.86 

HCG $130.67 $110.72 $99.75 $92.77 $88.78 $82.79 $76.81 

HCG, beta $130.67 $110.72 $99.75 $92.77 $88.78 $82.79 $76.81 

IgE $271.32 $228.43 $207.48 $192.52 $184.54 $171.57 $157.60 

insulin $373.06 $315.21 $285.28 $264.34 $253.36 $235.41 $217.45 

LH $111.72 $94.76 $85.78 $79.80 $76.81 $70.82 $65.83 

Myoglobin $214.46 $180.55 $163.59 $151.62 $145.63 $135.66 $124.69 

proBNP $2,475.78 $2,475.78 $2,432.89 $2,255.33 $2,166.56 $2,080.77 $1,945.11 

progesterone $195.51 $164.59 $149.62 $138.65 $132.67 $123.69 $113.71 

prolactin $111.72 $94.76 $85.78 $79.80 $76.81 $70.82 $65.83 

PSA $418.95 $354.11 $320.20 $298.25 $285.28 $265.33 $244.39 

PSA, free $604.48 $509.72 $461.84 $428.92 $411.96 $382.04 $353.11 

PTH $737.15 $622.44 $563.58 $523.68 $501.74 $465.83 $429.92 

SHBG $241.39 $204.49 $190.52 $178.55 $164.59 $152.62 $140.65 

T3 $87.78 $74.81 $67.83 $62.84 $59.85 $55.86 $51.87 

T3, free $111.72 $94.76 $85.78 $79.80 $76.81 $70.82 $65.83 

T4 $87.78 $74.81 $67.83 $62.84 $59.85 $55.86 $51.87 

T4, free $116.71 $98.75 $88.78 $82.79 $79.80 $73.81 $67.83 

testosterone $241.39 $204.49 $190.52 $178.55 $164.59 $152.62 $140.65 

Troponin T $462.84 $391.02 $354.11 $329.17 $315.21 $293.26 $270.32 

TSH $102.74 $86.78 $78.80 $72.82 $69.82 $64.84 $59.85 

T-uptake $84.79 $70.82 $64.84 $59.85 $57.85 $53.86 $48.88 


Roche Diagnostics Elecsys ® Reagent Pricing Schedule 



Test Name 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

FSS Price 

TIER 1 

TIER 2 

TIER 3 

TIER 4 

TIER 5 

TIER 6 

TIER 7 

0-39,999 

tests/yr 

40,000- 

99,999 

tests/yr 

100,000- 

124,999 

tests/yr 

125,000- 

249,999 

tests/yr 

250,000- 

279,999 

tests/yr 

280,000- 

399,999 

tests/yr 

400,000+ 

tests/yr 

AFP $517.70 $397.60 $336.16 $291.27 $263.34 $231.42 $200.50 

Anti-HBS $846.87 $649.37 $549.62 $476.80 $430.92 $378.05 $328.18 

Anti-TPO $456.85 $350.12 $296.26 $257.35 $232.542 $203.49 $176.56 

B12 $282.29 $216.46 $183.54 $158.60 $143.64 $125.68 $109.72 

beta crosslaps $1,099.24 $842.88 $713.21 $618.45 $559.59 $490.77 $425.93 

CA 125 $816.65 $626.43 $530.67 $459.84 $415.95 $365.08 $317.20 

CA 15-3 $816.65 $626.43 $530.67 $459.84 $415.95 $365.08 $317.20 

CEA $643.38 $492.76 $416.95 $362.09 $327.18 $287.28 $249.37 

CKMB $368.08 $282.29 $238.40 $207.48 $187.53 $164.59 $142.64 

cortisol $188.53 $144.64 $122.69 $106.73 $95.76 $84.79 $72.82 

DHEA-S $485.78 $373.06 $315.21 $273.31 $247.38 $217.45 $188.53 

digoxin $171.57 $131.67 $111.72 $96.76 $87.78 $76.81 $66.83 

estradiol $470.82 $361.09 $306.23 $265.33 $240.40 $210.47 $182.54 

ferritin $267.33 $205.48 $173.56 $150.62 $136.66 $119.70 $103.74 

folate $294.26 $225.43 $191.52 $165.58 $149.62 $131.67 $113.71 

folate, RBC $413.96 $333.16 $292.27 $258.35 $236.41 $214.46 $191.52 

FSH $188.53 $144.64 $122.69 $106.73 $95.76 $84.79 $72.82 

HBsAg $675.30 $517.70 $437.90 $380.05 $344.14 $301.24 $261.34 

HBsAg, confirmatory $1,472.30 $1,328.66 $1,232.90 $1,143.13 $1,071.31 $1,011.46 $951.61 

HCG $220.45 $169.57 $143.64 $124.69 $112.72 $98.75 $85.78 

HCG, beta $220.45 $169.57 $143.64 $124.69 $112.72 $98.75 $85.78 

IgE $456.85 $350.12 $296.26 $257.35 $232.542 $203.49 $176.56 

insulin $628.42 $481.79 $407.97 $353.11 $320.20 $280.30 $243.39 

LH $188.53 $144.64 $122.69 $106.73 $95.76 $84.79 $72.82 

Myoglobin $361.09 $276.31 $234.41 $203.49 $183.54 $160.60 $139.95 

proBNP $4,171.52 $4,171.52 $4,064.79 $3,522.15 $2,189.98 $2,797.97 $2,475.78 

progesterone $329.17 $252.37 $213.46 $185.53 $167.58 $146.63 $127.68 

prolactin $188.53 $144.64 $122.69 $106.73 $95.76 $84.79 $72.82 

PSA $706.23 $541.64 $458.85 $398.00 $360.10 $315.21 $274.31 

PSA, free $1,018.44 $781.04 $661.34 $573.56 $518.70 $454.86 $395.01 

PTH $1,241.88 $952.61 $805.97 $699.24 $632.41 $554.61 $481.79 

SHBG $406.98 $312.22 $273.31 $237.40 $207.48 $181.54 $151.62 

T3 $148.63 $113.71 $96.76 $83.79 $75.81 $66.83 $57.85 

T3, free $188.53 $144.64 $122.69 $106.73 $95.76 $84.79 $72.82 

T4 $148.63 $113.71 $96.76 $83.79 $75.81 $66.83 $57.85 

T4, free $196.51 $150.62 $127.68 $110.72 $99.75 $87.78 $75.81 

testosterone $406.98 $312.22 $273.31 $237.40 $207.48 $181.54 $151.62 

Troponin T $780.04 $598.50 $506.73 $438.90 $397.00 $348.13 $302.24 

TSH $172.57 $132.67 $112.73 $97.75 $87.78 $76.81 $66.83 

T-uptake $142.64 $108.73 $92.77 $79.80 $72.82 $63.84 $54.86 



ELECSYS 

Part Number Description Price Monthly 

Charge 

Annual 

Charge 

1568248 Elecsys 2010 Disk $67,829.57 $1,358.63 $16,303.56 

1804014 Elecsys 2010 Rack $74,812.03 $1,498.48 $17,981.76 

04775279001 Cobas e411 Disk $73,683.75 $1,391.15 $16,693.80 

04775201001 Cobas e411 Rack $81,202.50 $1,533.10 $18,397.20 

765-6961 MOD E $189,523.81 $3,407.64 $40,891.68 

765-7009 MOD EE $364,085.21 $6,546.25 $78,555.00 

765-7021 MOD EEE $553,609.02 $9,953.89 $119,446.68 

765-7457 MOD PE $329,172.93 $5,918.53 $71,022.36 

765-7453 MOD PPE $498,746.87 $8,967.47 $107,609.64 

04818962001 cobas 6000 (c501/e601) $314,210.53 $5,932.29 $71,187.48 

Analyzer 

04818946001 cobas e601 Analyzer $149,624.06 $3,029.89 $36,358.68 



ELECSYS 

Part Number Description Annual Service 

Price 

Monthly 

Service 

Charge 

1568248 Elecsys 2010 Disk $6,782.96 $565.25 

1804014 Elecsys 2010 Rack $7,461.25 $621.77 

04775279001 Cobas e411 Disk $7,724.80 $643.73 

04775201001 Cobas e411 Rack $8,492.80 $707.73 

765-6961 MOD E $18,832.68 $1,569.39 

765-7009 MOD EE $32,015.56 $2,667.96 

765-7021 MOD EEE $45,198.44 $3,766.54 

765-7457 MOD PE $30,981.16 $2,581.76 

765-7453 MOD PPE $45,881.72 $3,823.48 

04818962001 cobas 6000 

(c501/e601) 

Analyzer 

04818946001 cobas e601 

Analyzer 



$29,762.22 $2,480.19 

$14,680.12 $1,223.34 


Number of total contract months minus 12 months or remaining warranty on existing equipment x monthly 

service price / total contract months 



ELECSYS 

Part Number Description Analyzer 

Price 

Fixed 

Monthly 

Lease (1) 

Service 

Price (3) 

Monthly 

Service 

(3) 

Total Fixed 

Monthly 

Charge 

1568248 Elecsys 2010 Disk $67,829.57 $1,358.63 $6,782.96 $565.25 $1,923.88 

1804014 Elecsys 2010 Rack $74,812.03 $1,498.48 $7,461.25 $621.77 $2,120.25 

04775279001 Cobas e411 Disk $73,683.75 $1,391.15 $7,724.80 $643.73 $2,034.88 

04775201001 Cobas e411 Rack $81,202.50 $1,533.10 $8,492.80 $707.73 $2,240.83 

765-6961 Modular E $189,523.81 $3,407.64 $18,832.68 $1,569.39 $4,977.03 

765-7009 Modular EE $364,085.21 $6,546.25 $32,015.56 $2,667.96 $9,214.21 

765-7021 Modular EEE $553,609.02 $9,953.89 $45,198.44 $3,766.54 $13,720.43 

765-7453 Modular PPE $329,172.93 $5,918.53 $30,981.16 $2,581.76 $8,500.29 

765-7457 Modular PE $498,746.87 $8,967.47 $45,881.72 $3,823.48 $12,790.95 

04818962001 cobas 6000 

(c501/e601) 

Analyzer 

04818946001 cobas e601 

Analyzer 




$314,210.53 $5,932.29 $29,762.22 $2,480.19 $8,412.48 

$149,624.06 $3,029.89 $14,680.12 $1,223.34 $4,253.23 



total contract months 


This page is intentionally left blank. 


URINALISYS 



January 1, 2007

SIN 605-4 

CLINICAL URINALYSIS ANALYZERS 

URISYS® 2400 Automated Urinalysis System 

Item 

New Catalog Old Catalog Quantity FSS Price 

Number Number 

URISYS® 2400 Automated 03051323001 3051323001 1 EA $ 39,650.38 

Urinalysis System 

Service – Gold $ 5,745.56 

Service - Silver $ 4,875.75 

URISYS® 2400 Strip Cassette 03012557061 3012557 400 strips per $ 159.60 

cassette 

URISYS® 2400 Calibrator Strips 03012590061 3012590 25 strips per $ 42.69 

cassette 

Cell Wash 11551540316 1551540 1800 mL $ 157.70 

Waste Cartons 03161161001 3161161 30 EA $ 43.74 

Printer Paper, URISYS® 2400 10825506001 37104400 1 EA $ 92.42 

Water Filter, URISYS® 2400 11566261001 714-1516 1 EA $ 65.58 

Seal Spacer, URISYS® 2400 11226436001 725-1860 1 EA $ 9.76 

Press Spacer, URISYS® 2400 11227122001 725-1861 1 EA $ 17.27 

Seal Piece, URISYS® 2400 11708724001 741-1303 1 EA $ 22.64 

Press Piece, URISYS® 2400 11907808001 741-0305 1 EA $ 25.81 

A Cost per Kit program which combines the instrument and service cost with the URISYS® 2400 Strip Cassettes is 

available. All other items are purchased separately. 


COST PER KIT OPTION – URISYS® 2400 

Customers purchasing URISYS® 2400 Analyzer(s) and reagent cartridges shall have the option for Cost per Kit 

Agreement, in lieu of direct purchase of the analyzer and service contracts. 

1. The cost of the equipment shall be apportioned, in the form of an increased charge to the FSS price of the URISYS® 

2400 Strip Cassette, also known as a “surcharge”, to be computed for each customer, utilizing the following template. 

2. A five-year term is preferred, as it is more cost effective. 

3. The FSS price of other FSS products shall remain unchanged. 

4. All products will be billed when shipped. 

5. Cost per Kit options will be available only for direct purchases from Roche Diagnostics Corporation, not through the VA 

Prime Vendor Program. 

6. Service for the URISYS® 2400 Analyzer(s) shall be included in the surcharge to the customer, for the duration of the 

rental period. Customers may select either Gold or Silver level service. 

7. Title of the URISYS 2400® Analyzer(s) shall remain with Roche Diagnostics Corporation. 

8. Roche Diagnostics Corporation agrees to provide annual reports to each customer which provide: 

‣ the instruments under the rental option, 

‣ the total number of cassettes purchased, for the reporting period and contract period to date, and 

‣ the amount of surcharge paid by the customer, for the reporting period and contract period to date. 

9. Roche Diagnostics Corporation will meet with the customer, annually to review the Cost per Kit option program. 

Changes to the program, including revising the surcharge, may be made by mutual agreement. 


Cost per Kit - URISYS® 2400 System 

Sample Only 

Equipment Cost 

Item Quantity FSS Price Total 

URISYS® 2400 Analyzer 1 $ 39,650.38 $ 39,650.38 

Service - Gold $ 5,745.56 $ - 

Service - Silver 5 $ 4,875.75 $ 24,378.75 

Finance charge @ 0.02003/month 

(Analyzer only) 

60 $ 8,001.45 

Equipment Total (A) $ 72,030.58 

Reagent Cartridges Cost 

Item # Years Quantity Per FSS Price Total 

Year 

URISYS® 2400 Strip Cassette (400) 5 150 $ 159.60 $ 119,700.00 

Annual Reagent Total 150 $ 

119,700.00 

Total Number of Cartridges (B) 750 

Surcharge (per Cartridge) 

Equipment Total (A)/ Total Number of Cartridges (B) $ 96.04 

Cost per Kit (cartridge) with Surcharge 

Item FSS Price Surcharge New Price 

URISYS® 2400 Strip Cassette (400) $ 159.60 $ 

96.04 

$ 255.64 

Customer agrees to purchase 750 URISYS® 2400 Strip Cassettes 

URISYS® 2400 cost per test strip is: $0.639 


SIN 605-4 CLINICAL URINALYSIS ANALYZERS CHEMSTRIP® 

Criterion® II Urine Analyzer 

Item New Catalog Number Old Catalog Number Quantity New Price 


11937596160 

1937596 

1 EA $ 2,892.73 

(Includes Bar Code Reader 

without Trigger and 

Bar Code Reader Cable) 

12031108001 

03960447001 

2031108 

CAB-G-276 

Depot Level Service $ 518.70 

CHEMSTRIP® 10 UA Urine Test 11895354160 418003 100/vial $ 25.44 

Strips (100) 

CHEMSTRIP® Calibration Strips 11379194160 418007 50/vial $ 23.94 

(50) 

Transport Arm 11702637001 1702637 1 EA $ 10.30 

Waste Tray 11702629001 1702629 1 EA $ 16.14 

Printer Paper (Criterion®) 11268457001 109129 5 rolls $ 1.60 


Item New Catalog Number Old Catalog Number Quantity FSS Price 

URISYS® 1800 Automated Urine 03285049001 1 EA $ 8,039.80 

Analyzer 

Depot Level Service $ 758.10 


Strips (100) 

CHEMSTRIP® Calibration Strips 

(50) 

11379194160 418007 50/vial $ 23.94 


Item New Catalog Number Old Catalog Number Quantity FSS Price 

URISYS® 1100 Automated Urine 03617556001 1 EA $ 683.38 

Analyzer 

Keyboard 11248693001 1 EA $ 145.72 

Barcode Reader Cable 12031094001 1 EA $ 46.23 

Barcode Reader 12031094001 1 EA $ 231.44 

Service Replacement 

N/C 


Strips (100) 

CHEMSTRIP® Calibration Strips 

(50) 

11379194160 418007 50/vial $ 23.94 

A Cost per Kit program which combines the instrument and service cost with the CHEMSTRIP® 10 UA Urine Test Strips is 

available. All other items are purchased separately. 


COST PER KIT OPTION - CHEMSTRIP® 

Customers purchasing Criterion® II Analyzer and/ or URISYS® 1800 and URISYS®1100 Urine Analyzer(s) 

utilizing the CHEMSTRIP® 10 UA Urine Test Strips shall have the option for Cost per Kit Agreement, in lieu of 

direct purchase of the analyzer and service contracts. 

1. The cost of the equipment shall be apportioned, in the form of an increased charge to the FSS price of the 

CHEMSTRIP® 10 UA Urine Test Strips, also known as a “surcharge”, to be computed for each customer, utilizing 

the following template. 

2. A five-year term is preferred, as it is more cost effective. 

3. The FSS price of other FSS products shall remain unchanged. 

4. All products will be billed when shipped. 

5. Cost per kit options will be available only for direct purchases from Roche Diagnostics Corporation, not through the 

VA Prime Vendor Program. 

6. Service for the Criterion® II Analyzers and/ or URISYS® 1800 and URISYS® 1100 Urine Analyzer(s) shall be 

included in the surcharge to the customer, for the duration of the rental period. 

7. Title of the Criterion® II Analyzers and/ or URISYS® 1800 and URISYS® 1100 Urine Analyzer(s) shall remain with 

Roche Diagnostics Corporation. 

8. Roche Diagnostics Corporation agrees to provide annual reports to each customer which provide: 

‣ the instruments under the rental option, 

‣ the total number of vials purchased, for the reporting period and contract period to date, and 

‣ the amount of surcharge paid by the customer, for the reporting period and contract period to date. 

9. Roche Diagnostics Corporation will meet with the customer, annually to review the Cost per Kit option program. 

Changes to the program, including revising the surcharge, may be made by mutual agreement. 


Cost per Kit - CHEMSTRIP® 10 UA Systems 

Used with Criterion® II, URISYS® 1800 and URISYS® 1100 Analyzers 

Sample Only 

Equipment Cost 



Includes Bar Code Reader without Trigger and Bar 

Code Reader Cable 

1 $ 2,892.73 $ 

2,892.73 

URISYS® 1800 Automated Urine Analyzer $ 8,039.80 $ 

0 

URISYS® 1100 Automated Urine Analyzer 2 $ 683.38 $ 

1,366.76 

Keyboard $ 145.72 $ 

0 

Barcode Reader Cable $ 46.23 $ 

0 

Barcode Reader $ 231.44 $ 

0 

Equipment Subtotal $ 

4,259.49 

Depot Level Service - Criterion® II 5 $ 518.70 $ 

2,593.50 

Depot Level Service - URISYS® 1800 $ 758.10 $ 

0 

Depot Level Service - URISYS® 1100 10 N/C 

Service Subtotal $ 

2,593.50 

Finance charge @ 0.02003/month (Analyzer only) 60 $ 

859.57 

Equipment & Service Total (A) $ 7,712.56 

Reagent Vial Cost 

Item # Years Quantity 

Per Year 

CHEMSTRIP® 10 UA Urine Test 

Strips (100) 

FSS Price 

Total 

5 48 $ 25.44 $ 

6,105.60 

Annual Reagent Total 48 $ 

6,105.60 

Total Number of Vials (B) 240 

Surcharge (per Kit) 

Equipment Total (A)/ Total Number of Vials (B) $ 

32.14 

Cost per Kit (vial) with Surcharge 

Item FSS Price Surcharge New Price 

CHEMSTRIP® 10 UA Urine Test Strips (100) $ 25.44 $ 32.14 $ 

57.58 

Customer agrees to purchase 240 CHEMSTRIP® 10 UA Urine Test Strips (vials) 


URISYS® 2400 cost per test strip is: 

$ 0.576 


This page is intentionally left blank. 


MOLECULAR DIAGNOSTICS 



January 1, 2007

Roche Diagnostics provides a Cost per Kit program for the following molecular diagnostics tests: 

• HCV Qualitative PCR 

• HCV Quantitative PCR 

• HBV Quantitative PCR 

• HIV Quantitative PCR 

• CT/NG Qualitative PCR 

A brief description of reagents required to perform each test follows: 

HCV Qualitative PCR 

Instrument Platform Options 

COBAS® AMPLICOR® Analyzer 

HCV Qualitative Reagents - COBAS® AMPLICOR® 

Test Specific Reagents 

21111086123 AMPLICOR ® HCV Specimen Preparation Kit v 2.0 

21111094123 AMPLICOR ® HCV Amplification Kit v 2.0 

21111175123 AMPLICOR ® HCV Controls Kit v 2.0 

21111132123 COBAS ® AMPLICOR ® HCV Detection Kit v 2.0 

Generic Reagents 

20757470122 COBAS ® AMPLICOR ® Generic Detection Kit 

20757608122 COBAS ® AMPLICOR ® Internal Control Detection Kit 

20764213123 COBAS ® AMPLICOR ® Conjugate Detection Kit 

20759899123 COBAS ® AMPLICOR ® Wash Buffer 

Consumables 

21045636001 A-Ring 

21045644001 Detection Cups (rack of 70) 


HCV Quantitative PCR 



HCV Quantitative Reagents - COBAS® AMPLICOR® 


21118633018 COBAS® AMPLICOR® HCV Monitor Ver 2.0 


20759899123 COBAS® AMPLICOR® Wash Buffer 

Consumables 

21045636001 A-Ring 


HCV MONITOR Reagents- COBAS® TaqMan® 


3350959190 COBAS® TaqMan® HCV RUO (for use with High Pure System) 


Consumables 

3137082001 COBAS® TaqMan® K-tubes (rack of 96) 

Sample Prep Reagents 

3702995001 High Pure System Viral Nucleic Acid Kit 

HBV Quantitative PCR 


COBAS® TaqMan® 48 Analyzer 

HBV MONITOR Reagents- COBAS® TaqMan® 


3500748190 COBAS® TaqMan® HBV RUO (for use with High Pure System) 

Consumables 

3137082001 COBAS® TaqMan® K-tubes (rack of 96) 

Sample Prep Reagents 

3702995001 High Pure System Viral Nucleic Acid Kit 


HIV Quantitative PCR 



HIV-1 MONITOR Reagents- COBAS® AMPLICOR® 


03155935018 COBAS® AMPLICOR® HIV-1 Monitor Test, Ver 1.5 

Generic Regents 


Consumables 

21045636001 A-Ring 


CT/NG Qualitative PCR 



CT/NG Reagents- COBAS® AMPLICOR® 


03377431001 M4RT Media Collection Kit (Female) 

03377440001 M4RT Media Collection Kit (Male) 

20759414122 AMPLICOR® CT/NG Specimen Preparation Kit 

20759902122 AMPLICOR® CT/NG Amplification Kit 

20757497122 COBAS® AMPLICOR® CT Detection Kit 

20757535122 COBAS® AMPLICOR® NG Detection Kit 


20757470122 COBAS® AMPLICOR® Generic Detection Kit 

20757608122 COBAS® AMPLICOR® Internal Control Detection Kit 

20764213123 COBAS® AMPLICOR® Conjugate Detection Kit 


Consumables 

21045636001 A-Ring 



Molecular Instrument Pricing Schedule 

Part Number Description Price Annual 

Charge 

Monthly 

Charge 

21045156001 COBAS ® AMPLICOR ® $ 44,330.00 $ 6,472.80 $ 539.40 

Analyzer 

03279332001 COBAS ® TaqMan ® 48 

Analyzer 

$ 55,412.50 $ 10,788.00 $ 899.00 

Monthly charge for analyzers is based upon 5-year FMV. All new instruments have 1-year warranty. 

Molecular Service Pricing Schedule 

Part Number Description Service 

Level 

Annual 

Charge 

Monthly 

Charge 

04442326001 COBAS ® AMPLICOR ® Gold $ 4,288.00 $ 357.33 

04442334001 COBAS ® AMPLICOR ® Silver $ 3,644.80 $ 303.73 

04442377001 COBAS ® TaqMan 48 Gold $ 6,256.00 $ 521.33 

04442385001 COBAS ® TaqMan 48 Silver $ 5,280.00 $ 440.00 

Service prices include 1-year warranty. 

Calculation for Monthly Service price includes a warranty period (new equipment placement): Number of total contract months 

minus 12 months or remaining warranty on existing equipment x monthly service price/ total contract months. 


Optional Items 

Cobas® Amplicor® Instrument Support Supplies and Accessories 

These supplies and accessories may require periodic replacement. 

Roche 

Material 

Number 

Description 

FSS 

Price 

28046921001 Transfer Tip and Tubing $ 124.69 

28008531001 Resuspension Tip and Tubing $ 155.86 

28008558001 Aspiration Tip and Tubing $ 155.86 

28010447001 A-Ring Holder $ 22.44 

28010110001 Reagent Rack $ 149.62 

28010455001 Reagent Rack Label $ 111.47 

28088128001 Syringe, 500 µL $ 606.48 

28013632001 Syringe, 1000 µL $ 370.07 

28086621001 Teflon Seal, 500 µL $ 17.95 

28086605001 Teflon Seal, 1000 µL $ 16.96 

28086583001 Syringe O rings $ 16.96 

28018731001 Wash Buffer Filter $ 53.86 


COBAS® TaqMan® 48 System Test Pricing Schedule 

Cobas® TaqMan® HCV 

Component 

Category 

Roche Material 

Number 

Description FSS Price Units Per 

Kit 

Units required 

per batch of 

24 tests 

Cost per 

batch of 24 

tests 

Estimated 

Cost per 

Test (a) 

HCV MONITOR 03350959190 TaqMan® HCV RUO $ 2,525.65 48 24 $ 1,262.83 $ 52.62 

Reagents 

Sample Prep 03702995001 High_Pure Sys Viral $ 143.64 48 24 $ 71.82 $ 2.99 

Reagents 

Nucleic Acid Kit_48 

Consumables 03137082001 TaqMan® K tubes $ 861.83 1152 24 $ 17.95 $ 0.75 

Effective Cost per Test $ 56.36 

COBAS® TaqMan® HBV 

Component 

Category 

Roche 

Material 

Number 


Kit 



24 tests 

Cost per 


tests 

Estimated 

Cost per 

Test (a) 

HBV MONITOR 03500748190 TaqMan® HBV RUO $ 2,525.65 48 24 $ 1,262.83 $ 52.62 

Reagents 

Sample Prep 03702995001 High_Pure Sys Viral $ 143.64 48 24 $ 71.82 $ 2.99 

Reagents 

Nucleic Acid Kit_48 

Consumables 03137082001 TaqMan® K tubes $ 861.83 1152 24 $ 17.95 $ 0.75 


(a) – These are “Basic CPT” amounts (Reagents Only) and do not include instrument, accessories and/or service. 


COBAS® AMPLICOR® System Test Pricing Schedule 

COBAS® AMPLICOR® HCV Monitor 

Component 

Category 

Roche 

Material 

Number 

HCV MONITOR 

Reagents 

Sample Prep 

Reagents 

Consumables 21045636001 

21045644001 

21118633018 Cobas® Amplicor® HCV-M 

Ver 2.0 

20759899123 Cobas® Amplicor® 

Wash Buffer 

A-Ring 

Detection Cups 

(rack of 70) 


Kit 



24 tests 

Cost per 


tests 

Estimated 

Cost per 

Test (a) 

$ 2,585.50 48 24 $ 1,292.75 $ 53.86 

$ 90.52 375 144 $ 34.76 $ 1.45 

$ 31.17 

$ 31.17 

24 

840 

2 

146 

$ 2.60 

$ 5.42 

$ 0.11 

$ 0.23 


COBAS® AMPLICOR® HIV Monitor 

Component 

Category 

Roche 

Material 

Number 

HCV MONITOR 

Reagents 

Sample Prep 

Reagents 


21045644001 

03155935018 Cobas® Amplicor® HIV-M 

Ver 2.0 

20759899123 Cobas® Amplicor® 

Wash Buffer 

A-Ring 

Detection Cups 

(rack of 70) 


Kit 



24 tests 

Cost per 


tests 

Estimated 

Cost per 

Test (a) 

$ 2,154.59 48 24 $ 1,077.30 $ 44.89 

$ 90.52 375 144 $ 34.76 $ 1.45 

$ 31.17 

$ 31.17 

24 

840 

2 

146 

$ 2.60 

$ 5.42 

$ 0.11 

$ 0.23 


(a) – These are “Basic CPT” amounts (Reagents Only) and do not include instrument, accessories and/or service. 


COBAS® AMPLICOR® Qualitative 

Component 

Category 

Roche 

Material 

Number 

HCV Qual Reagents 21111086123 

21111094123 

21111175123 

21111132123 

Generic Reagents 20757470122 

20757608122 

20764213123 

20759899123 


21045644001 

Description FSS Price Units 

Per Kit 

Cobas® Specimen Prep 

HCV Amplification 

HCV Controls 

Cobas® Amplicor® HCV 

Detection 

Cobas® Amplicor® Generic 

Detection 

Cobas® Amplicor® Internal 

Control Detection 

Cobas® Amplicor® Conjugate 

Detection 

Cobas® Amplicor® Wash 

Buffer 

A-Ring 

Detection Cups (rack of 70) 

$ 526.68 

$ 1,723.67 

$ 95.76 

$ 797.99 

$ 27.43 

$ 27.43 

$ 46.63 

$ 90.52 

$ 31.17 

$ 31.17 

96 

96 

8 

100 

100 

100 

200 

375 

24 

840 

Units 

required 

per batch 

of 24 tests 

24 

24 

1 

24 

24 

24 

24 

48 

2 

50 

Cost per 


tests 

$ 131.67 

$ 430.92 

$ 11.97 

$ 191.52 

$ 6.58 

$ 6.58 

$ 5.60 

$ 11.59 

$ 2.60 

$ 1.86 

Cost per 

Test (a) 

$ 5.49 

$ 17.95 

$ .50 

$ 7.98 

$ 0.27 

$ 0.27 

$ 0.23 

$ 0.48 

$ 0.11 

$ 0.08 



COBAS® AMPLICOR® CT/NG 

Component 

Category 

CT/NG 

Reagents 

Sample 

Transport 

Media 

Roche 

Material 

Number 

20759414122 

20759902122 

20757497122 

20757535122 

03377431001 

03377440001 

Description 

CT/NG Specimen Prep 

CT/NG Amplification 

Cobas® Amplicor® CT 

Detection 

Cobas® Amplicor® 

NG Detection 

M4 Media – Room Temp 

Female OR 

M4 Media – Room Temp Male 

FSS 

Price (a) 

$ 27.50 

$ 55.00 

$ 291.50 

$ 264.00 

$ 86.00 

$ 86.00 

Units 

Per 

Kit 

100 

96 

100 

100 

100 

100 

Units 

required 

per batch 

of 24 tests 

24 

24 

24 

24 

Cost per 

batch of 

24 tests 

$ 6.58 

$ 13.71 

$ 69.78 

$ 15.32 

22 $ 18.87 

Cost per 

Test (a) 

$ .27 

$ .57 

$ 2.91 

$ 2.64 

$ .86 

Generic 

Reagents 

20757470122 

20757608122 

20764213123 

20759899123 


21045644001 

Cobas® Amplicor® Generic 

Detection 

Cobas® Amplicor® 

Internal Control Detection 

Cobas® Amplicor® Conjugate 

Detection 

Cobas® Amplicor® Wash 

Buffer 

A-Ring Box of 24 

Detection Rack Box of 12 

$ 27.43 

$ 27.43 

$ 46.63 

$ 90.52 

$ 31.17 

$ 31.17 

100 

100 

200 

375 

24 

840 

24 

24 

24 

48 

2 

50 

$ 6.58 

$ 6.58 

$ 5.60 

$ 11.59 

$ 2.60 

$ 1.86 

$ 0.27 

$ 0.27 

$ 0.23 

$ 0.48 

$ 0.11 

$ 0.08 

Total Cost per Test $ 8.69 

(a) – These are “Basic CPT” amounts (Reagent Only) 


Cost per Kit – Cobas® TaqMan® 48 Analyzer 

Sample Only 

Instrument & Service Cost 


Cobas® TaqMan® 48 Analyzer (Annual Charge) 1 $ 10,788.00 $ 10,788.00 

Service – Gold $ 6,256.00 $ .00 

Service – Silver 1 $ 5,280.00 $ 5,280.00 

Finance charge (Analyzer only) 

Included 


Reagent Kit Cost 

Item 

Quantity FSS Price Total 

Per Year 

Cobas® TaqMan® 48 Analyzer HCV RUO 12 $ 2,525.65 $ 

30,307.80 

Cobas® TaqMan® 48 Analyzer HBV RUO 24 $ 2,525.65 $ 

60,615.60 

Annual Reagent Total 

Total Number of Kits (B) 

$ 

90,923.40 

36 0 


Equipment Total (A)/ Total Number of Kits (B) $ 446.33 

Cost per Kit with Surcharge 

Item FSS Price Surcharge New Price/Kit 

Cobas® TaqMan® 48 HCV RUO $ 2,525.65 $ 446.33 $ 2,971.98 

Cobas® TaqMan® 48 HBV RUO $ 2,525.65 $ 446.33 $ 2,971.98 

Customer agrees to purchase 36 Reagent Kits per Year 


Cost per Kit – Cobas® Amplicor® Analyzer 

Sample Only 

Instrument & Service Cost 


Cobas® Amplicor® Analyzer (Annual Charge) 1 $ 6,472.80 $ 6,472.80 

Service – Gold $ 4,288.00 $ .00 

Service – Silver 1 $ 3,644.80 $ 3,644.00 

Finance charge (Analyzer only) 

Included 


Reagent Kit Cost 

Item 

Quantity FSS Price 

Total 

Per Year 

Cobas® Amplicor® Analyzer HCV M V 2.0 12 $ 2,585.50 $ 31,026.00 

Cobas® Amplicor® Analyzer HIV-1 Monitor v 1.5 36 $ 2,154.59 $ 77,565.24 

Cobas® Amplicor® Analyzer HCV Qualitative Amplification Kit 10 $ 1,723.67 $ 17,236.70 

Cobas® Amplicor® Analyzer CT/NG Amplification Kit 30 $ 54.86 $ 1,645.80 

Annual Reagent Total 

Total Number of Kits (B) 

$ 

127,473.71 

88 0 


Equipment Total (A)/ Total Number of Kits (B) $ 114.97 

Cost per Kit with Surcharge 

Item FSS Price Surcharge New Price/Kit 

Cobas® Amplicor® Analyzer HCV M V 2.0 $ 2,585.50 $ 114.97 $ 2,700.47 

Cobas® Amplicor® Analyzer HIV-1 Monitor v 1.5 $ 2,154.59 $ 114.97 $ 2,269.56 

Cobas® Amplicor® Analyzer HCV Qualitative Amplification Kit $ 1,723.67 $ 114.97 $ 1,838.64 

Cobas® Amplicor® Analyzer CT/NG Amplification Kit $ 54.86 $ 114.97 $ 169.83 

Customer agrees to purchase 88 Reagent Kits per Year 


TRAINING 



January 1, 2007

TRAINING 

The contractor, without additional charge to the Government, shall provide training, at a Government location, for two 

operating personnel at the time of installation of the contractor’s equipment. Annually, the Government may appoint a 

replacement person to receive contractor provided training, without additional charge to the Government. In addition, the 

contractor shall provide supplemental operating training to the Government personnel, without additional charge to the 

Government, upon installation of any upgrade in equipment hardware or operating system software connected with the 

operation of an instrument already furnished under this solicitation. 

Additionally, the contractor, at its discretion may make training available at its facility on terms and conditions mutually 

agreed upon by the agency and the contractor. 

SUPPLEMENTAL TRAINING 

At the Government’s request, the contractor shall furnish training for additional personnel. The expenses associated with 

the training of additional personnel shall be borne by the Government as set forth below: 

INSTRUMENT 

CLASS PRICE 

Elecsys 1010 $ 1,737.63 

Elecsys 2010 $ 1,737.63 

Elecsys E-170 (Modular E) $ 2,751.09 

Integra 400 Plus $ 1,994.99 

Integra 800 $ 2,219.42 

Hitachi Modular D, P, or E $ 2,751.09 

COBAS Amplicor $ 4,987.47 

COBAS Amplicor HIV $ 3,324.65 

COBAS TaqMan 48 $ 2,493.73 

Tuition includes: Room & board (meals), books, lab supplies, and miscellaneous training materials. Transportation to and 

from the Contractor’s training facility (Indianapolis, IN) is not included.

department of veterans affairs medical equipment division

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