Packages × price before other costs.
Local purchasing workbench · use the case controls below
Compare the whole relationship without letting the tool choose the vendor.
Normalize one annual volume, keep promised rebates separate from money received, clear sourcing and governance checks individually, and preserve a record another reviewer can challenge.
Results use the entered assumptions. Evidence and safety checks still require review.
Current result: Coded offer A: documented annual landed cost $10,470; modeled annual cost $11,603.
No input edits yet. Unchanged example values remain fictional assumptions. No changes since the last download or opening state.
Assumptions, evidence still needed, and local saving
This case stays in this tab only. Reloading, navigating away, or closing the tab can erase it. Download the case file to keep or reopen it. DenQAI does not upload it, autosave it, or store it in your browser. Browser exit warnings are a backup and may not appear on every device.
Planning case — assumptions and evidence require review. Includes fictional example assumptions. Formula v2.0.0.
Blank means unknown. Enter 0 only for a known zero or an item that does not apply and has no cost or use. Example values and modeled estimates are assumptions until supported by your records.
Privacy and competition boundary
Use coded offers and aggregate assumptions only.
No patient data, credentials, identifiable competitor strategy, payer fees, confidential contracts, or unredacted quotes belong here. DenQAI does not receive or store this project.
This automated screen is limited. You remain responsible for the file.
1 · Scope and owner mandate
Define what is being compared before entering a price.
Patient-centered purchasing mandate
2 · Three comparable offers
Normalize package size, usable units, annual volume, service, labor, waste, rebates, and exit.
Select one coded offer to edit. The comparison below preserves every included offer without ranking or recommendation.
Annual volume and usable units
Documented invoice costs
Scenario assumptions—not invoice costs
Rebates and exit
Quote evidence
Invoice cost, freight, tax, documented fees, and received rebates only.
2,352 modeled usable units.
Labor, storage, waste, problem handling, downtime, and recurring assumptions.
Documented landed cost plus the separate scenario.
Shown as an evidence gap, not a discount.
3 · Plain-language decision summary
Read the whole comparison before opening advanced data.
These are calculated cost views, not vendor rankings. Quality, patient safety, clinical suitability, support, evidence, data, and exit remain separate.
Calculation rule: documented landed cost includes item spend, freight, tax, documented fees, rush cost, and rebates actually received. Labor, storage, waste, problem handling, downtime, recurring costs, installation, and exit remain separately labeled assumptions. Promised rebates are never deducted until received.
4 · Risk-tiered sourcing
A cheaper box does not clear identity, provenance, regulatory, traceability, storage, recall, warranty, substitution, acceptance, or data questions.
Exact identity and configurationOpen
Authorized source and product provenanceOpen
Regulatory status and labelingOpen
Lot, expiration, condition, and quantityOpen
Storage and handling requirementsOpen
Recall, correction, and complaint processOpen
Warranty, service, parts, and downtime supportOpen
Substitution and clinical-exception authorityOpen
Acceptance testing, training, data, and exitOpen
5 · GPO or buying-club review
Document the complete membership economics and purchasing freedom. If a row truly does not apply, record the reason and reviewer instead of leaving it blank.
Membership fee and complete funding modelOpen
Term, renewal, and notice datesOpen
Minimum spend, volume, or category commitmentOpen
Freedom to purchase elsewhereOpen
Item-level prices and comparable configurationsOpen
Rebates, credits, administrative fees, and recipientOpen
Vendor selection, paid placement, and sponsorshipOpen
Data collection, use, sharing, retention, and deletionOpen
Savings baseline, denominator, period, and exclusionsOpen
Termination, portability, open orders, and surviving dutiesOpen
6 · Shared-infrastructure readiness
This models what transparent, owner-controlled infrastructure should prove before launch. Actual structure remains fact-specific and requires current antitrust, privacy, contracting, security, tax, and professional review.
Member control and reserved powersOpen
Clinical autonomy and exception processOpen
Commercial transparency and conflictsOpen
No-pay-to-rank and vendor-selection independenceOpen
Data minimization, security, audit, and portabilityOpen
Competition boundary and independent practice decisionsOpen
Fact-specific legal and professional reviewOpen
Operating capacity, funding, complaints, and correctionOpen
Member exit, continuity, dissolution, and record returnOpen
- Coded offer A: 600.00 of promised annual rebate has not been entered as actually received and is not deducted.
- Coded offer A: the quote, configuration, period, and limitations have not been independently reviewed with a supporting record.
- Coded offer B: the quote, configuration, period, and limitations have not been independently reviewed with a supporting record.
- Coded offer C: the quote, configuration, period, and limitations have not been independently reviewed with a supporting record.
- 9 sourcing and patient-safety check(s) remain open. High-consequence sourcing requires the strongest identity, provenance, traceability, storage, recall, service, and clinical review.
- 10 GPO or buying-club term(s) remain unresolved or lack a documented not-applicable reason.
- 9 hypothetical shared-infrastructure launch gate(s) remain open. The educational ideal is not authorization to operate.
7 · Readable output first
Print the summary, use the guided Excel workbook, then save the project.
The project file reopens these inputs on your device. Raw CSV is preserved only for advanced analysis and is not the recommended reading format.
Separate sheets for instructions, quote inputs, calculations, sourcing, GPO terms, the hypothetical charter, questions, definitions, and sources.
Advanced data · not the recommended reading format
Formula-safe CSV files are for advisers or software. They do not include the readable page layout.
Before you enter numbers
Gather the records for your first result.
Decide whether the entered offers are truly comparable, which costs are documented, which are scenarios, whether the vendor or GPO relationship is supportable, and which records remain missing.
- Written quotes for the exact configuration and same annual volume
- Package size, unit of measure, expected usable units, freight, tax, fees, rebates, and recurring costs
- Source, regulatory, lot/expiration, storage, recall, warranty, service, substitution, and acceptance records
- GPO or buying-club membership, renewal, commitment, rebate, data-use, sponsorship, and exit terms
- First useful review
- 25–40 minutes for a first comparison
- What you receive
- A plain-language comparison of documented landed cost and separately labeled scenario cost, plus open records, safety checks, and launch-readiness questions
Guided steps, detailed review, outputs, and privacy
Guided review
Start here if you are learning the decision or do not have every record yet.
- Replace the three fictional offers with coded alternatives.
- Enter one annual volume and usable-unit definition.
- Read documented landed cost per usable unit, then inspect the separate scenario costs.
- Open only the sourcing checks that could reverse the purchase.
Detailed review
Use this after the first result, or with advisers and stronger records.
- Review every GPO, rebate, data, service, and exit term.
- Test the hypothetical member-control and governance ideal.
- Carry unresolved records and pause conditions to qualified reviewers.
- Use Excel or the advanced files only after the on-page summary is understood.
- Read and print the plain-language result on this page.
- Download the Excel decision workbook when one is available.
- Save a DenQAI project file if you want to reopen your inputs.
- Use raw CSV only for advanced data work.
Three terms that prevent false savings
Normalize the denominator before comparing the discount.
Documented landed cost includes invoice-supported price, freight, tax, fees, and rush cost, less only rebates actually received for the same period.
Purchasing scenario cost keeps estimated labor, storage, waste, returns, downtime, recurring dependencies, training, and optional exit assumptions visible without presenting them as paid invoice facts.
Unit normalization makes package sizes and usable quantities comparable. A cheaper box can still cost more per usable unit.
Rebate realization separates a promised rebate from money or credit actually received for the same period. The workbench deducts only the latter.
Current legal status
No historical formula is treated as permission.
- The 2000 competitor-collaboration guidelines were withdrawn in 2024.
- The older healthcare policy statements were withdrawn in 2023.
- FTC and DOJ opened a 2026 inquiry about possible updated collaboration guidance.
- That this hypothetical pilot is lawful for a particular market or membership.
- That purchasing cooperation permits payer-price coordination or competitive-strategy sharing.
- That a label such as cooperative, GPO, network, or shared services supplies a safe harbor.