Policy No: HAZ 4032244581-6
Endorsement No:
Effective Date: 1/1/2022
Insured Name: Concentra Group Holdings Parent, LLC
© CNA All Rights Reserved.
14 EXHIBIT C
Cost Proposal
Concentra Pricing Proposal
Concentra has included pricing for all components requested in the RFP below. We have also included additional items that may or may not be needed to present the City with the most complete proposal possible.
The City of Anaheim can determine which components are necessary before final execution of any award.
Concentra Component Proposed Price
Vision Acuity Jaeger Near $ 21.00
Audiogram $ 35.00
Breath Alcohol Test Random $ 31.00
Hepatitis B Surface Antigen 4985B $ 51.00
HIV ½ Ag/Ab Fourth gen w/Reflexes 91431 $ 70.00
OSHA Respirator Questionnaire $ 31.00
Varicella Vaccine $ 182.00
EKG resting $ 41.00
Fitness for Duty Physical-Level 2 $ 59.00
Hep B Surface Antibody Quant 8475 $ 55.00
Hep B Recombivax (3 shots) #1 $ 68.00
Hep B Recombivax (3 shots) #2 $ 68.00
Hep B Recombivax (3 shots) #3 $ 68.00
Hepatitis A Antibody IgG 508SB $ 56.00
Hepatitis A Vaccine-1st Injection $ 93.00
Hepatitis A Vaccine-2nd Injection $ 93.00
Influenza (Flu Shot) $ 44.00
Lead & Zpp-Whole Blood 22996 $ 63.00
MMR Titer 5259 $ 65.00
Physical PrePlacement $ 59.00
MMR Vaccine $ 114.00
Vision Titmus/Color Perception $ 32.00
Blood Drug Screen 5 Panel 1861B $ 185.00
Rapid mCup/10 Panel UDS $ 34.00
Pulmonary Function Test $ 49.00
TB Skin Test $ 34.00
X-Ray Chest-2 View $ 51.00
TB Quantiferon Blood 36970 $ 101.00
Hair sample 5 panel w/ext Opiates 501 Psychemedics $ 73.00 Rapid HIV TEst $ 51.00
U/A manual Microscopic 8563 $ 24.00
Varicella-Zoster IgG Antibody 4439SB $ 55.00
Return to Work Physical $ 84.00
Respirator Physical $ 59.00
Respirator Fit Test Qualitative $ 33.00
U/A Dipstick $ 24.00
Saliva Non Reg 5 apnel 25912 $ 45.00
Stress Test Treadmill $ 118.00
Cardiovascular Stress Test $ 122.00
Source Patient Evaluation $ 30.00
Regulated UDS Collect $ 34.00
Rapid eCup 5 panel $ 34.00
Hazardous Material Physical (HazMat) $ 84.00
Medical Surveillance Physical Baseline $ 112.00
Whisper Test $ 19.00
Vision Ishihara/Color $ 30.00
Non Regulated UDS 5 Panel $ 34.00
Non Reg 10 Panel $ 34.00
Vision Snellen Chart $ 20.00
Vision Peripheral Only -Titmus $ 22.00
TDaP Vaccine $ 62.00
Vision Acuity Complete-Titmus $ 32.00
Concentra Pricing Proposal
Concentra has included pricing for all components requested in the RFP below. We have also included additional items that may or may not be needed to present the City with the most complete proposal possible.
The City of Anaheim can determine which components are necessary before final execution of any award.
**Pricing is fixed for the three-year term outlined in the RFP. Any additional years may be subject to a cost of doing business increase of 3-5% which will be negotiated with the City of Anaheim prior to implementation.
Rubeola Titer IgG (Measles) 964SB $ 51.00
T Spot TB Test 37737 $ 130.00
Varicella-Zoster Virus IgM Antibody 8683 $ 78.00
Rubeola IgM Antibody 34256SBX $ 113.00
Complete Blood Count (CBC) w/Diff 6399 $ 48.00
Chemistry 23 Screen 307818 $ 67.00
Fitness for Duty Physical Level 3 $ 84.00
Fitness for Duty Physical Level 4 $ 110.00
Fitness for Duty Physical Level 5 $ 187.00
Fitness for Duty Physical Level 6 $ 257.00