Re: [Histonet] Price for preparing IHC slides
A lab I used in Southern California charged $35 per stain for most antibodies. Sent from my iPhone On Feb 3, 2014, at 1:03 PM, Ann Specian thisis...@aol.com wrote: Can anyone tell me the average cost for preparing an IHC slide? thanks, Ann ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Price for preparing IHC slides
I believe that this would be highly dependent on the antibodies used, how often the antibodies are used, slide costs, tech costs, overhead, etc. What would be average for 1 institution might be above or below average for another. What are you trying to determine, Ann? Joe W. Walker, Jr. MS, SCT(ASCP)CM Manager of Anatomical Pathology, Microbiology and Reference Rutland Regional Medical Center 160 Allen Street, Rutland, VT 05701 P: 802.747.1790 F: 802.747.6525 Email joewal...@rrmc.orgwww.rrmc.org Our Vision: To be the Best Community Healthcare System in New England Rutland Regional...Vermont's 1st Hospital to Achieve Both ANCC Magnet Recognition® and the Governor's Award for Performance Excellence -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Ann Specian Sent: Monday, February 03, 2014 1:03 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Price for preparing IHC slides Can anyone tell me the average cost for preparing an IHC slide? thanks, Ann ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This message (and any included attachments) is from Rutland Regional Health Services and is intended only for the addressee(s). The information contained herein may include privileged or otherwise confidential information. Unauthorized review, forwarding, printing, copying, distributing, or using such information is strictly prohibited and may be unlawful. If you received this message in error, or have reason to believe you are not authorized to receive it, please promptly delete this message and notify the sender by e-mail. Thank You ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Price for preparing IHC slides
This is a fascinating question, Ann - I've been studying this topic for the last couple of years in five countries. While I do not yet understand this complex phenomenon as well as I would wish to, these are my impressions about life here in the US. It is a ridiculous tale, but I will tell it to you... The smartest shoppers who have the biggest contracts (you can guess who those might be) are paying $5-10 for their highest-volume slides - ER, PR, HER-2 and a few others - but more like $10-15 for most of their menus. The smallest IHC customers think they are paying 20-something per slide, but they are actually paying $30-$40 per slide - and more in many cases. How this discrepancy? Two reasons: first, because the suppliers (I can't quite remember their names right now, please pardon my senior moment) are highly-skilled at making their price lists and service contracts as eye-glazingly complicated as possible. And second, because immutable human nature compels many mere mortals to underestimate their costs, particularly while they are still trying to rationalize a bad investment they made some time ago I'm pretty sure that American labs (excluding Canada, mind you) spent $700-750m with the IHC companies in 2013. I think that between 28m and 32 million IHC slides were run last year in the US. If you want to slice those estimates down the middle you'll come up with maybe $24/slide, once every penny of waste, service, and sub-optimal operating procedures are truly accounted for. There you have one of the most useless averages you'll ever hear. There are plenty of contracts out there in vast middle America at every price point between $7 and $30 per slide. You pay what your volume earns you, unless of course you happen to be in the market for a tissue processor or primary stainer at the time you're haggling with the IHC companies. I'll remember their names if you give me another a minute. That's the way it was last year. WIth these new codes, lots of small labs will be priced out of the IHC business by summertime, and the big labs that remain will have negotiated prices within a narrower range. That'll be a fast-moving target. Since I didn't see you in the crowd at the funeral of 88342 last month, I am attaching below our chronicle of the event. I'm always happy to banter about this with anyone who thinks the topic is interesting. Sincerely, Michael Farmer McEvoy Farmer Pathology www.mcevoyandfarmer-pathology.com 415-994-8852 Those who seek the truth doubt those who find it - André Gide On Feb 3, 2014, at 1:03 PM, Ann Specian wrote: Can anyone tell me the average cost for preparing an IHC slide? thanks, Ann ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Price for preparing IHC slides
Read our motto below. I've worked for the big IHC companies. Now we will place everything at $10/slide w antibody. Instrument included. Michael O. Thompson Director of Sales Diagnostic BioSystems Phone: 1-888-896-3350 Mobile: 412-860-1288 Office Fax: 412-727-6080 IHC Made Affordable www.dbiosys.com Michael Farmer mich...@mcevoyandfarmer.com wrote: This is a fascinating question, Ann - I've been studying this topic for the last couple of years in five countries. While I do not yet understand this complex phenomenon as well as I would wish to, these are my impressions about life here in the US. It is a ridiculous tale, but I will tell it to you... The smartest shoppers who have the biggest contracts (you can guess who those might be) are paying $5-10 for their highest-volume slides - ER, PR, HER-2 and a few others - but more like $10-15 for most of their menus. The smallest IHC customers think they are paying 20-something per slide, but they are actually paying $30-$40 per slide - and more in many cases. How this discrepancy? Two reasons: first, because the suppliers (I can't quite remember their names right now, please pardon my senior moment) are highly-skilled at making their price lists and service contracts as eye-glazingly complicated as possible. And second, because immutable human nature compels many mere mortals to underestimate their costs, particularly while they are still trying to rationalize a bad investment they made some time ago I'm pretty sure that American labs (excluding Canada, mind you) spent $700-750m with the IHC companies in 2013. I think that between 28m and 32 million IHC slides were run last year in the US. If you want to slice those estimates down the middle you'll come up with maybe $24/slide, once every penny of waste, service, and sub-optimal operating procedures are truly accounted for. There you have one of the most useless averages you'll ever hear. There are plenty of contracts out there in vast middle America at every price point between $7 and $30 per slide. You pay what your volume earns you, unless of course you happen to be in the market for a tissue processor or primary stainer at the time you're haggling with the IHC companies. I'll remember their names if you give me another a minute. That's the way it was last year. WIth these new codes, lots of small labs will be priced out of the IHC business by summertime, and the big labs that remain will have negotiated prices within a narrower range. That'll be a fast-moving target. Since I didn't see you in the crowd at the funeral of 88342 last month, I am attaching below our chronicle of the event. I'm always happy to banter about this with anyone who thinks the topic is interesting. Sincerely, Michael Farmer McEvoy Farmer Pathology www.mcevoyandfarmer-pathology.com 415-994-8852 Those who seek the truth doubt those who find it - André Gide On Feb 3, 2014, at 1:03 PM, Ann Specian wrote: Can anyone tell me the average cost for preparing an IHC slide? thanks, Ann ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Price for preparing IHC slides
Along the same times - anyone having success with getting discounts from IHC vendors? Dako was kind enough to offer us a 2% decrease on the 5% increase they gave us on Jan 1st. Creative accounting. Lisa Braggs, MBA, FACMPE Chief Executive Officer P. (575) 622-5600 C. (575) 626-6957 F. (575) 622-3720 TF. (800) 753-7284 pcnm.com -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mike Thompson Sent: Monday, February 03, 2014 3:28 PM To: Michael Farmer Cc: histonet@lists.utsouthwestern.edu; Ann Specian Subject: Re: [Histonet] Price for preparing IHC slides Read our motto below. I've worked for the big IHC companies. Now we will place everything at $10/slide w antibody. Instrument included. Michael O. Thompson Director of Sales Diagnostic BioSystems Phone: 1-888-896-3350 Mobile: 412-860-1288 Office Fax: 412-727-6080 IHC Made Affordable www.dbiosys.com Michael Farmer mich...@mcevoyandfarmer.com wrote: This is a fascinating question, Ann - I've been studying this topic for the last couple of years in five countries. While I do not yet understand this complex phenomenon as well as I would wish to, these are my impressions about life here in the US. It is a ridiculous tale, but I will tell it to you... The smartest shoppers who have the biggest contracts (you can guess who those might be) are paying $5-10 for their highest-volume slides - ER, PR, HER-2 and a few others - but more like $10-15 for most of their menus. The smallest IHC customers think they are paying 20-something per slide, but they are actually paying $30-$40 per slide - and more in many cases. How this discrepancy? Two reasons: first, because the suppliers (I can't quite remember their names right now, please pardon my senior moment) are highly-skilled at making their price lists and service contracts as eye-glazingly complicated as possible. And second, because immutable human nature compels many mere mortals to underestimate their costs, particularly while they are still trying to rationalize a bad investment they made some time ago I'm pretty sure that American labs (excluding Canada, mind you) spent $700-750m with the IHC companies in 2013. I think that between 28m and 32 million IHC slides were run last year in the US. If you want to slice those estimates down the middle you'll come up with maybe $24/slide, once every penny of waste, service, and sub-optimal operating procedures are truly accounted for. There you have one of the most useless averages you'll ever hear. There are plenty of contracts out there in vast middle America at every price point between $7 and $30 per slide. You pay what your volume earns you, unless of course you happen to be in the market for a tissue processor or primary stainer at the time you're haggling with the IHC companies. I'll remember their names if you give me another a minute. That's the way it was last year. WIth these new codes, lots of small labs will be priced out of the IHC business by summertime, and the big labs that remain will have negotiated prices within a narrower range. That'll be a fast-moving target. Since I didn't see you in the crowd at the funeral of 88342 last month, I am attaching below our chronicle of the event. I'm always happy to banter about this with anyone who thinks the topic is interesting. Sincerely, Michael Farmer McEvoy Farmer Pathology www.mcevoyandfarmer-pathology.com 415-994-8852 Those who seek the truth doubt those who find it - André Gide On Feb 3, 2014, at 1:03 PM, Ann Specian wrote: Can anyone tell me the average cost for preparing an IHC slide? thanks, Ann ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet Disclaimer: This electronic message may contain information that is proprietary, confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains.___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
