Laboratory Services Capabilities
MOLECULAR LABORATORY
| Procedure | Rate |
| COVID-19 RT-PCR Testing (Inpatient and Healthcare Worker) | Charged to PhilHealth |
BLOOD BANK
| Procedure | Rate |
| Fresh Frozen Plasma | ₱ 1, 000.00 |
| Packed Red Cell | ₱ 1, 500.00 |
| Platelet Concentrate | ₱ 1, 000.00 |
| Whole Blood | ₱ 1, 800.00 |
| Cryoprecipitate | ₱ 700.00 |
| Cryosupernate | ₱ 700.00 |
| Wash Packed Cells | ₱ 600.00 |
| Other Procedures: | ₱ 1, 200.00 |
| Blood typing, Cross-matching with Antibody Screening | ₱ 550.00 |
| Cross-matching (no Antibody screening) | ₱ 80.00 |
| Blood Typing | ₱ 80.00 |
| Screening Test (For Donor) | ₱ 580.00 |
| Coomb's Test (Direct and Indirect) | ₱ 150.00 |
IMMUNOLOGY
| Procedure | Rates |
| Rheumatoid factor test (RF) Quantitative examination | ₱ 180.00 |
| Antistreptolysin O (ASO) test Quantitative examination | ₱ 180.00 |
| C-reactive Protein (CRP) test, Quantitative examination | ₱ 180.00 |
| Rapid Reagin Reagent (RPR) test, Quantitative examination | ₱ 210.00 |
TUMOR MARKER
| Procedure | Rates |
| Total PSA | ₱ 750.00 |
| Ca 125 | ₱ 750.00 |
| CEA | ₱ 750.00 |
| Alpha-Feto Protein (AFP) | ₱ 850.00 |
HEPATITIS PROFILE
| Procedure | Rates |
| HbSAg | ₱ 550.00 |
| Anti-HbS | ₱ 550.00 |
| HCV | ₱ 550.00 |
| HVC 1 | ₱ 550.00 |
| Anti HAV, IgG | ₱ 750.00 |
| Anti HAV, IgM | ₱ 750.00 |
| Anti HBc total (IgG) | ₱ 750.00 |
| Anti HBc IgM | ₱ 750.00 |
| HBeAg | ₱ 900.00 |
| Anti HBe | ₱ 550.00 |
| Anti HCV | ₱ 550.00 |
| HIV 11 | ₱ 550.00 |
THYROID MARKER
| Procedure | Rates |
| TSH, Thyroid Stimulating Hormones | ₱ 550.00 |
| T 3 | ₱ 550.00 |
| T 4 | ₱ 550.00 |
| FT 3 | ₱ 650.00 |
| FT 4 | ₱ 650.00 |
BACTERIOLOGY
| Procedure | Rates |
| Acid Fast Bacillus | ₱ 80.00 |
| Gram stain | ₱ 80.00 |
| KOH wet smear | ₱ 80.00 |
| India Ink smear | ₱ 80.00 |
|
Body Fluids examination:
Discharges (breast, vagina, eye, ear)
|
₱ 800.00 |
|
Fluid Examinations:
Ascitic, sputum, pericardial, peritonial, nasal, throat, bronchial, CSF
|
₱ 800.00 |
|
Culture Examination:
|
|
| Urine culture | ₱ 800.00 |
| Stool culture | ₱ 800.00 |
| Blood culture | ₱ 4, 500.00 |
| Culture bottle | ₱ 750.00 |
HEMATOLOGY
| Procedure | Rates |
| Complete blood count | ₱ 250.00 |
| Hemoglobin | ₱ 80.00 |
| Hematocrit | ₱ 80.00 |
| Platelet count | ₱ 80.00 |
| White blood cell count (WBC ct.) | ₱ 100.00 |
| Peripheral smear | ₱ 80.00 |
| Toxic granules | ₱ 80.00 |
| Reticulocyte count | ₱ 100.00 |
| Erythrocyte Sedimentation Rate (ESR) | ₱ 100.00 |
| Clot Retraction Time (CRT) | ₱ 170.00 |
| Bleeding time | ₱ 60.00 |
| Clotting time | ₱ 60.00 |
| Body Fluids: | |
| Total Cell count and Differential count pleural, peritoneal, thoracentesis, ascetic, CSF | ₱ 150.00 |
| Malarial smear, (manual count) | ₱ 100.00 |
| Activated Plasma Thromboplastin (APTT) | ₱ 250.00 |
| Prothrombin time (PT) | ₱ 250.00 |
MICROSCOPY
| Procedure | Rates |
| Routine Urinalysis (automated machine) | ₱ 120.00 |
| Routine fecalysis | ₱ 80.00 |
| Other test: | |
| Urine Ketone | ₱ 80.00 |
| Foam test | ₱ 80.00 |
| Pregnancy Test | ₱ 200.00 |
| Occult blood | ₱ 80.00 |
| Concentrated test for ova | ₱ 180.00 |
| Test for Amoeba (ELISA) | ₱ 650.00 |
| Test for Salmonela typhi | ₱ 500.00 |
| Test for Leptospirosis IgG, IgM (Lat) | ₱ 550.00 |
| Sperm analysis | ₱ 200.00 |
DRUG TEST
| Procedure | Rates |
| Metamphetamine Tetrahydocannabinol | ₱ 250.00 |
HISTOPATHOLOGY
| Procedure | Rates |
| Aspiration cytology (non-gynecologic cytology) | ₱ 550.00 |
| PAP' smear (cervicovaginal Smear) Gynecologic cytology) | ₱ 250.00 |
| Cytology with cell block (non-gynecologic cytology) | ₱ 150.00 |
| Fine Needle Aspiration | ₱ 90.00 |
| Special Procedures: |
|
| CT Scan Guided Biopsy | ₱ 550.00 |
| Frozen section | ₱ 1, 500.00 |
| Per additional slides | ₱ 500.00 |
| Autopsy (Pay) | ₱ 1, 000.00 |
| Autopsy (Charity) | none |
| ER | ₱ 1, 000.00 |
| PR | ₱ 1, 000.00 |
| HER 2 NEU | ₱ 1, 000.00 |
| Estrogen receptor A | ₱ 1, 000.00 |
| Progesteron receptor | ₱ 1, 000.00 |
| Special stains: | |
| AFB | ₱ 80.00 |
| Wright's Giemsa for H. Pylori | ₱ 80.00 |
CHEMISTRY
| Procedure | Rates |
| Fasting Blood Sugar (FBS) | ₱ 155.00 |
| Blood Urea Nitrogen (BUN) | ₱ 120.00 |
| Blood Uric Acid (BUA) | ₱ 120.00 |
| Creatinine | ₱ 140.00 |
| Cholosterol | ₱ 150.00 |
| Triglycerides | ₱ 190.00 |
| Total Prtein with A/G ratio | ₱ 180.00 |
| Total Protein | ₱ 100.00 |
| Albumin/Globulin | ₱ 80.00 |
| Bilirubin (Total Direct and Indirect) | ₱ 280.00 |
| SGOT | ₱ 280.00 |
| SGPT | ₱ 280.00 |
| HDL (High Density Lipoprotein) | ₱ 400.00 |
| LDL (Low Density Lipoprotein) | ₱ 400.00 |
| Enzymes: |
|
| Alkaline Phospatase | ₱ 120.00 |
| Lactic Dehydrogenase | ₱ 180.00 |
| Amylase | ₱ 180.00 |
| Lipase | ₱ 180.00 |
| Electrolytes: | |
| Sodium (Na +) | ₱ 200.00 |
| Potassium (K +) | ₱ 200.00 |
| Chloride (Cl -) | ₱ 200.00 |
| Calcium | ₱ 500.00 |
| Phosphorus | ₱ 500.00 |
| Magnesium | ₱ 500.00 |
| Cardiac Marker: |
|
| CKMB | ₱ 860.00 |
| Trophonin I | ₱ 800.00 |
| Special Tests: |
|
| OGCT (Oral Glucose Challenge Test) 1 Hour post prandial with Medic orange gestation | ₱ 400.00 |
| OGTT (Oral Glucose Tolerance Test) | ₱ 800.00 |
| 2 hour postprandial blood sugar | ₱ 180.00 |
| HBA 1 C | ₱ 650.00 |
| ECC (Endogenous creatinine clearance) | ₱ 250.00 |
| 24 hour urine protein (quantitative) | ₱ 550.00 |
| CSF, pleural, ascetic, etc Total Protein/ Sugar | ₱ 300.00 |
Heart Station
HEART STATION
| PROCEDURE | COST |
| ECG at Heart Station | ₱ 400.00 |
| ECG at Bedside | ₱ 500.00 |
| 2D Echo | ₱ 1, 900.00 |
| 2D Echo with Doppler | ₱ 3, 600.00 |
| Pediatric Echo Doppler | ₱ 4, 200.00 |
| Carotid Duplex Scan | ₱ 3, 700.00 |
| Venous Duplex Scan | ₱ 3, 850.00 |
| Arterial Duplex Scan | ₱ 3, 850.00 |
| DVT/AVF Scan | ₱ 1, 800.00 |
| Treadmill Stress Testing | ₱ 1, 800.00 |
| Treadmill Stress Echo | ₱ 4, 200.00 |
X-ray
Radiologic Studies
| PROCEDURE | HOSPITAL RATE (Ward/OPD/Private) | PROFESSIONAL FEE | TOTAL |
| SKULL | |||
| Skull AP/Lateral | ₱ 340.00 | ₱ 40.00 | ₱ 380.00 |
| Skull AP/Lateral/Lateral/Towne's view | ₱ 460.00 | ₱ 40.00 | ₱ 500.00 |
| Mastoid PA/both oblique | ₱ 525.00 | ₱ 70.00 | ₱ 595.00 |
| Mandible PA/both oblique | ₱ 515.00 | ₱ 70.00 | ₱ 585.00 |
| Temporomandibular Joints open/closed | ₱ 530.00 | ₱ 70.00 | ₱ 600.00 |
| Paranasal Sinuses, Caldwell, Water's Lateral | ₱ 530.00 | ₱ 70.00 | ₱ 600.00 |
| Nasal Bone Series Rt/Left | ₱ 335.00 | ₱ 50.00 | ₱ 385.00 |
| Optic Foramina RT/Left | ₱ 480.00 | ₱ 65.00 | ₱ 545.00 |
| Internal Auditory Meatus AP/lateral/Townes | ₱ 460.00 | ₱ 70.00 |
₱ 530.00 |
| Zygomatic Series | ₱ 265.00 | ₱ 50.00 | ₱ 315.00 |
| Orbit's Caldwell, waters, rhese view | ₱ 480.00 | ₱ 70.00 | ₱ 550.00 |
| Water's view /Lateral View / High Towne's | ₱ 135.00 | ₱ 30.00 | ₱ 165.00 |
| NECK AND CHEST | |||
| Soft tissue Neck AP/Lat | ₱ 460.00 | ₱ 60.00 | ₱ 520.00 |
| Foreign body, throat w/ contrast | ₱ 265.00 | ₱ 60.00 | ₱ 325.00 |
| Children's Chest PA/Lat | ₱ 350.00 | ₱ 30.00 | ₱ 380.00 |
| Adult Chest PA | ₱ 235.00 | ₱ 40.00 | ₱ 275.00 |
| Adult Chest PA/Lat | ₱ 305.00 | ₱ 60.00 | ₱ 365.00 |
| Adult Chest lateral decubitus | ₱ 280.00 | ₱ 30.00 | ₱ 310.00 |
| Chest cone down view | ₱ 250.00 | ₱ 40.00 | ₱ 290.00 |
| Chest Additional views lateral/oblique | ₱ 170.00 | ₱ 40.00 | ₱ 210.00 |
| Apico Lordotic view | ₱ 235.00 | ₱ 40.00 | ₱ 275.00 |
| Cervical Spine AP/Lat/Oblique views | ₱ 690.00 | ₱ 50.00 | ₱ 740.00 |
| Cervical AP/Lat | ₱ 255.00 | ₱ 50.00 | ₱ 305.00 |
| Cervico-Thoracic AP/Lat | ₱ 740.00 | ₱ 100.00 | ₱ 840.00 |
| Theoracic Spine | ₱ 560.00 | ₱ 50.00 | ₱ 610.00 |
| Thoraco-Lumbar Spine AP/Lateral | ₱ 910.00 | ₱ 130.00 | ₱ 1, 040.00 |
| Entire Vertebral Column | ₱ 745.00 | ₱ 100.00 | ₱ 845.00 |
| Scoliosis Study | ₱ 1, 205.00 | ₱ 130.00 | ₱ 1, 335.00 |
| Lumbosacral AP/lateral/Oblique | ₱ 670.00 | ₱ 100.00 | ₱ 770.00 |
| Lumbosacral AP/Lateral | ₱ 510.00 | ₱ 50.00 | ₱ 560.00 |
| Lumbosacral Spine & Pelvis AP/Lateral | ₱ 655.00 | ₱ 70.00 | ₱ 725.00 |
| Sacrum/Coccyx AP/lat | ₱ 340.00 | ₱ 40.00 | ₱ 380.00 |
| Sacroiliac joint AP/Oblique | ₱ 555.00 | ₱ 50.00 | ₱ 605.00 |
| Pelvis AP | ₱ 370.00 | ₱ 50.00 | ₱ 420.00 |
| Pelvis, Hip joint AP/Frog leg | ₱ 470.00 | ₱ 50.00 | ₱ 520.00 |
| Pelvis Intel/Outlet | ₱ 510.00 | ₱ 50.00 | ₱ 560.00 |
| EXTERMITIES | |||
| Clavicle AP | ₱ 280.00 | ₱ 55.00 | ₱ 335.00 |
| Clavicle AP, Superior and inferior | ₱ 450.00 | ₱ 50.00 | ₱ 500.00 |
| Shoulder Joint AP | ₱ 335.00 | ₱ 55.00 | ₱ 390.00 |
| Shoulder Joint Bilateral | ₱ 670.00 | ₱ 100.00 | ₱ 770.00 |
| Shoulder Joint AP/Neural, internal and external rotation (unilateral) | ₱ 390.00 | ₱ 40.00 | ₱ 430.00 |
| BIlateral | ₱ 625.00 | ₱ 50.00 | ₱ 675.00 |
| Scapula AP/lateral | ₱ 390.00 | ₱ 50.00 | ₱ 440.00 |
| Sternum AP/lat | ₱ 440.00 | ₱ 60.00 | ₱ 500.00 |
| Ribs/T-cage | ₱ 430.00 | ₱ 40.00 | ₱ 470.00 |
| Humerus Unilateral | ₱ 335.00 | ₱ 50.00 | ₱ 385.00 |
| Humerus Bilateral | ₱ 670.00 | ₱ 50.00 | ₱ 720.00 |
| Elbow Unilateral | ₱ 270.00 | ₱ 50.00 | ₱ 320.00 |
| Elbow Bilateral | ₱ 540.00 | ₱ 60.00 | ₱ 600.00 |
| Wrist Unilateral | ₱ 370.00 | ₱ 55.00 | ₱ 425.00 |
| Wrist Bilateral | ₱ 465.00 | ₱ 30.00 | ₱ 495.00 |
| Wrist Oblique/Tangential Unilateral | ₱ 270.00 | ₱ 50.00 | ₱ 320.00 |
| Wrist Oblique/Tangential Bilateral | ₱ 465.00 | ₱ 60.00 | ₱ 525.00 |
| Hand Unilateral | ₱ 370.00 | ₱ 50.00 | ₱ 420.00 |
| Hand BIlateral | ₱ 465.00 | ₱ 70.00 | ₱ 535.00 |
| Forearm Unilateral | ₱ 245.00 | ₱ 50.00 | ₱ 295.00 |
| Foream Bilateral | ₱ 420.00 | ₱ 70.00 | ₱ 490.00 |
| Femur Unilateral | ₱ 480.00 | ₱ 60.00 | ₱ 540.00 |
| Femur Bilateral | ₱ 670.00 | ₱ 60.00 | ₱ 730.00 |
| Knee joint Unilateral | ₱ 270.00 | ₱ 55.00 | ₱ 325.00 |
| Knee joint Bilateral | ₱ 540.00 | ₱ 55.00 | ₱ 595.00 |
| Knee joint Tangential proj. Unilateral (Skyline) | ₱ 270.00 | ₱ 55.00 | ₱ 325.00 |
| Knee joint Tangential proj. Bilateral (Skyline) | ₱ 540.00 | ₱ 55.00 | ₱ 595.00 |
| Leg Unilateral | ₱ 480.00 | ₱ 60.00 | ₱ 540.00 |
| Leg Bilateral | ₱ 670.00 | ₱ 70.00 | ₱ 740.00 |
| Foot Unilateral | ₱ 270.00 | ₱ 55.00 | ₱ 325.00 |
| Foot Bilateral | ₱ 540.00 | ₱ 70.00 | ₱ 610.00 |
| Ankle joint Unilateral | ₱ 270.00 | ₱ 55.00 | ₱ 325.00 |
| Ankle joint Bilateral | ₱ 540.00 | ₱ 70.00 | ₱ 610.00 |
| Ankle joint Oblique proj. Unilateral | ₱ 270.00 | ₱ 55.00 | ₱ 325.00 |
| Ankle joint Oblique Bilateral | ₱ 540.00 | ₱ 70.00 | ₱ 610.00 |
| Ankle joint Mortise View | ₱ 270.00 | ₱ 40.00 | ₱ 310.00 |
| AP Axial Projection Calcaneus Unilateral | ₱ 270.00 | ₱ 40.00 | ₱ 310.00 |
| AP Axial Projection Calcaneus Bilateral | ₱ 540.00 | ₱ 70.00 | ₱ 610.00 |
| Foot Plantar Study | ₱ 425.00 | ₱ 55.00 | ₱ 480.00 |
| Skeletal Survey for Trauma | ₱ 1, 850.00 | ₱ 230.00 | ₱ 2, 080.00 |
| Toes Unilateral | ₱ 340.00 | ₱ 30.00 | ₱ 370.00 |
| Toes Bilateral | ₱ 425.00 | ₱ 60.00 | ₱ 485.00 |
| Pain Abdomen or KUB | ₱ 370.00 | ₱ 60.00 | ₱ 430.00 |
| SFA upright/supine | ₱ 450.00 | ₱ 60.00 | ₱ 510.00 |
| Invertogram (Pedia) | ₱ 450.00 | ₱ 60.00 | ₱ 510.00 |
| SFA upright/Supine/Decubitus | ₱ 450.00 | ₱ 60.00 | ₱ 510.00 |
| C-Arm Fluoroscopy | ₱ 1, 765.00 | ₱ 200.00 | ₱ 1, 965.00 |
| Fluoroscopy Guided | ₱ 1, 595.00 | ₱ 200.00 | ₱ 1, 795.00 |
| Babygram (infant) | ₱ 450.00 | ₱ 60.00 | ₱ 510.00 |
| SPECIAL PROCEDURE | |||
| Barium Swallow (Esophagogram | ₱ 1, 345.00 | ₱ 100.00 | ₱ 1, 445.00 |
| Barium Emena Adult/Pedia | ₱ 1, 725.00 | ₱ 170.00 | ₱ 1, 895.00 |
| Chole-GI Series | ₱ 1, 830.00 | ₱ 200.00 | ₱ 2, 030.00 |
| T-tube Cholangiogram | ₱ 645.00 | ₱ 90.00 | ₱ 735.00 |
| Sinogram/Fistulogram | ₱ 1, 300.00 | ₱ 220.00 | ₱ 1,520.00 |
| Operative Cholangiogram | ₱ 1, 140.00 | ₱ 150.00 | ₱ 1, 290.00 |
| Hypo tonic Duodenography | ₱ 1, 469.00 | ₱ 140.00 | ₱ 1, 609.00 |
| UGIS | ₱ 1, 320.00 | ₱ 150.00 | ₱ 1, 470.00 |
| Small Intestinal Series | ₱ 1, 469.00 | ₱ 140.00 | ₱ 1, 609.00 |
| RGU (Exc. Dye) | ₱ 795.00 | ₱ 150.00 | ₱ 945.00 |
| KUB-IVP (Exc.dye) | ₱ 1, 215.00 | ₱ 150.00 | ₱ 1, 365.00 |
| Retrograde Pyelography | ₱ 2, 240.00 | ₱ 150.00 | ₱ 2, 390.00 |
| Antegrade Neprostogram | ₱ 875.00 | ₱ 150.00 | ₱ 1, 025.00 |
| Urethrogram | ₱ 795.00 | ₱ 150.00 | ₱ 945.00 |
| Cystogram | ₱ 1, 790.00 | ₱ 150.00 | ₱ 1, 940.00 |
| Hysterogram | ₱ 1, 933.00 | ₱ 150.00 | ₱ 2, 083.00 |
| VCUG | ₱ 875.00 | ₱ 150.00 | ₱ 1, 250,00 |
| Pelvimerty | ₱ 1, 000.00 | ₱ 80.00 | ₱ 1, 080.00 |
| Sialogram | ₱ 1, 399.00 | ₱ 150.00 | ₱ 1, 549.00 |
| Colongram | ₱ 1, 350.00 | ₱ 360.00 | ₱ 2, 210.00 |
CT Scan
CT Scan
Note: Sedation, contrast and other supplies are not included in the procedure.
| Procedures/Examinations | EAMC 64 Slice CT Scan | ||
| Hospital Rate | Professional Fee | Total | |
| Cranial: Plain/Contrast | ₱ 3, 750.00 | ₱ 637.50 | ₱ 4, 387.50 |
| Chest Plain/HR Chest | ₱ 3, 750.00 | ₱ 637.50 | ₱ 4, 387.50 |
| Chest with Contrast | ₱ 5, 625.00 | ₱ 956.25 | ₱ 6, 581.25 |
| Mandible/Neck | ₱ 5, 000.00 | ₱ 850.00 | ₱ 5, 850.00 |
| Orbits | ₱ 5, 000.00 | ₱ 850.00 | ₱ 5, 850.00 |
| PNS | ₱ 3, 570.00 | ₱ 630.00 | ₱ 4, 200.00 |
| Temporal Bone | ₱ 5, 000.00 | ₱ 850.00 | ₱ 5, 850.00 |
| Nasopharynx | ₱ 5, 000.00 | ₱ 850.00 | ₱ 5, 850.00 |
| Facial Bone | ₱ 5, 000.00 | ₱ 850.00 | ₱ 5, 850.00 |
| Thorasic Spine | ₱ 4, 375.00 | ₱ 743.75 | ₱ 5, 118.75 |
| Lumbosacral Spine | ₱ 4, 375.00 | ₱ 743.75 | ₱ 5, 118.75 |
| Whole Abdomen | ₱ 8, 750.00 | ₱ 1, 487.50 | ₱ 10, 237.50 |
| Upper Abdomen | ₱ 5, 625.00 | ₱ 956.25 | ₱ 6, 581.25 |
| Lower Abdomen | ₱ 5, 625.00 | ₱ 956.25 | ₱ 6, 581.25 |
| Extremities | ₱ 4, 375.00 | ₱ 743.75 | ₱ 5, 118.75 |
| Pelvis | ₱ 4, 375.00 | ₱ 743.75 | ₱ 5, 118.75 |
| CT Guided Biopsy | ₱ 12, 500.00 | ₱ 2, 125.00 | ₱ 14, 625.00 |
| Stonogram | ₱ 6, 250.00 | ₱ 812.50 | ₱ 7, 062.50 |
| CT Angiography (Brain) | ₱ 11, 000.00 | ₱ 1, 650.00 | ₱ 12, 650.00 |
| CT Angiography (Pulmonary) | ₱ 11, 000.00 | ₱ 1, 650.00 | ₱ 12, 650.00 |
| CT Angiography (Renal) | ₱ 11, 000.00 | ₱ 1, 650.00 | ₱ 12, 650.00 |
| CT Angiography (Thorasic Aorta) | ₱ 12, 500.00 | ₱ 1, 875.00 | ₱ 14, 375.00 |
| CT Angiography (Abdominal Aorta) | ₱ 12, 500.00 | ₱ 1, 875.00 | ₱ 14, 375.00 |
| Thorasic Spine (with contrast) | ₱ 4, 812.50 | ₱ 818.00 | ₱ 5, 630.00 |
| Lumbosacral Spine (with contrast) | ₱ 4, 812.50 | ₱ 818.00 | ₱ 5, 630.00 |
| PNS with contrast | ₱ 3, 927.00 | ₱ 693.00 | ₱ 4, 620.00 |
| Cervical with contrast | ₱ 5, 500.00 | ₱ 935.00 | ₱ 6, 435.00 |
| CT Urogram | ₱ 9, 000.00 | ₱ 1, 350.00 | ₱ 10, 350.00 |
| Orbits with Contrast | ₱ 5, 500.00 | ₱ 935.00 | ₱ 6, 435.00 |
| Bone Densitometry | ₱ 1, 900.00 | ₱ 285.00 | ₱ 2, 185.00 |
| Chest with contrast and high resolution | ₱ 5, 000.00 | ₱ 750.00 | ₱ 5, 750.00 |
| Extremities with contrast | ₱ 4, 812.50 | ₱ 818.00 | ₱ 5, 630.50 |
| Power Injector syringe (to all contrast procedures) | ₱ 550.00 | --- | ₱ 550.00 |
| With 3D Reconstruction (additional) | ₱ 500.00 | --- | ₱ 500.00 |
Ultrasound
ULTRASOUND
| PROCEDURE | HOSPITAL RATE | PROFESSIONAL FEE | TOTAL |
| 1 Organ | ₱ 840.00 | ₱ 168.00 | ₱ 1, 008.00 |
| HBT + Pancreas | ₱ 950.00 | ₱ 190.00 | ₱ 1, 140.00 |
| HBT + Pancreas + Spleen | ₱ 1, 150.00 | ₱ 230.00 | ₱ 1, 380.00 |
| HBT + Pancreas + Spleen + Aorta | ₱ 1, 250.00 | ₱ 250.00 | ₱ 1, 500.00 |
| Upper Abdomen | ₱ 1, 350.00 | ₱ 300.00 | ₱ 1, 650.00 |
| Whole Abdomen | ₱ 1, 750.00 | ₱ 350.00 |
₱ 2, 100.00 |
| UB + Prostate | ₱ 950.00 | ₱ 190.00 | ₱ 1, 140.00 |
| UB + Pelvis | ₱ 1, 050.00 | ₱ 210.00 | ₱ 1, 260.00 |
| TR Prostate | ₱ 1, 500.00 | ₱ 300.00 | ₱ 1, 800.00 |
| TV Pelvis | ₱ 1, 500.00 | ₱ 300.00 | ₱ 1, 800.00 |
| KUB | ₱ 950.00 | ₱ 190.00 | ₱ 1, 140.00 |
| BPS | ₱ 1, 250.00 | ₱ 250.00 | ₱ 1, 500.00 |
| Breast (1) | ₱ 950.00 | ₱ 500.00 | ₱ 1, 450.00 |
| Breast (2) | ₱ 950.00 | ₱ 1, 000.00 | ₱ 1, 950.00 |
| Thyroid | ₱ 950.00 | ₱ 300.00 | ₱ 1, 250.00 |
| Cranial | ₱ 950.00 | ₱ 500.00 | ₱ 1, 450.00 |
| Scrotal with Doppler | ₱ 950.00 | ₱ 500.00 | ₱ 1, 450.00 |
| Inguinal with Doppler (Unilateral) | ₱ 950.00 | ₱ 300.00 | ₱ 1, 250.00 |
| Inguinal with Doppler (Bilateral) | ₱ 950.00 | ₱ 400.00 | ₱ 1, 350.00 |
| Inguino-scrotal with Doppler (Unilateral) | ₱ 1, 200.00 | ₱ 500.00 |
₱ 1, 700.00 |
| Inguino-scrotal with Doppler (Bilateral) | ₱ 1, 200.00 | ₱ 600.00 | ₱ 1, 800.00 |
| Pelvis (Pregnancy/Biometry) | ₱ 1, 000.00 | ₱ 200.00 | ₱ 1, 200.00 |
| UTZ-Guided Paracentesis | ₱ 2, 240.00 | ₱ 1, 500.00 | ₱ 3, 740.00 |
| UTZ-Guided Thoracentesis (1) | ₱ 2, 240.00 | ₱ 1, 500.00 | ₱ 3, 740.00 |
| UTZ-Guided Thoracentesis (2) | ₱ 2, 240.00 | ₱ 2, 000.00 | ₱ 4, 240.00 |
| FAST | ₱ 1, 150.00 | ₱ 230.00 | ₱ 1, 380.00 |
Magnetic Resonance Imaging (Not Available)
MAGNETIC RESONANCE IMAGING
| EXAMINATION | PRICE | PROFESSIONAL FEE | TOTAL | CHARITY RATE | PROFESSIONAL FEE | TOTAL |
| Head | ₱ 4, 000.00 | ₱ 500.00 | ₱ 4, 500.00 | ₱ 3, 200.00 | ₱ 300.00 | ₱ 3, 500.00 |
| Lumbosacral | ₱ 4, 000.00 | ₱ 500.00 | ₱ 4, 500.00 | ₱ 3, 200.00 | ₱ 300.00 | ₱ 3, 500.00 |
| Sella | ₱ 4, 000.00 | ₱ 500.00 | ₱ 4, 500.00 | ₱ 3, 200.00 | ₱ 300.00 | ₱ 3, 500.00 |
| Extremities | ₱ 4, 000.00 | ₱ 500.00 | ₱ 4, 500.00 | ₱ 3, 200.00 | ₱ 300.00 | ₱ 3, 500.00 |
| Thorasic Spine | ₱ 4, 000.00 | ₱ 500.00 | ₱ 4, 500.00 | ₱ 3, 200.00 | ₱ 300.00 | ₱ 3, 500.00 |
| Cervical Spine | ₱ 4, 000.00 | ₱ 500.00 | ₱ 4, 500.00 | ₱ 3, 200.00 | ₱ 300.00 | ₱ 3, 500.00 |
| Chest | ₱ 4, 000.00 | ₱ 500.00 | ₱ 4, 500.00 | ₱ 3, 200.00 | ₱ 300.00 | ₱ 3, 500.00 |
| Upper Abdomen | ₱ 4, 000.00 | ₱ 500.00 | ₱ 4, 500.00 | ₱ 3, 200.00 | ₱ 300.00 | ₱ 3, 500.00 |
| Lower Abdomen | ₱ 4, 000.00 | ₱ 500.00 | ₱ 4, 500.00 | ₱ 3, 200.00 | ₱ 300.00 | ₱ 3, 500.00 |
| Whole Abdomen | ₱ 5, 000.00 | ₱ 500.00 | ₱ 5, 500.00 | ₱ 4, 000.00 | ₱ 300.00 | ₱ 4, 300.00 |
Magnetic Resonance Angiography
MAGNETIC RESONANCE ANGIOGRAPHY
| Examintation | Price | Professional Fee | Total | Charity Rate | Professional Fee | Total |
| Head | ₱ 5, 000.00 | ₱ 500.00 | ₱ 5, 500.00 | ₱ 4, 000.00 | ₱ 300.00 | ₱ 4, 300.00 |
| Thorasic | ₱ 5, 000.00 | ₱ 500.00 | ₱ 5, 500.00 | ₱ 4, 000.00 | ₱ 300.00 | ₱ 4, 300.00 |
| Pelvis | ₱ 5, 000.00 | ₱ 500.00 | ₱ 5, 500.00 | ₱ 4, 000.00 | ₱ 300.00 | ₱ 4, 300.00 |
| Aorta | ₱ 5, 000.00 | ₱ 500.00 | ₱ 5, 500.00 | ₱ 4, 000.00 | ₱ 300.00 | ₱ 4, 300.00 |
Physical Medicine and Rehabilitation
OUTPATIENT RATES
| Procedure | Rate |
| Consultation Fee (New) | ₱ 75.00 |
| Consultation Fee (Old) | ₱ 50.00 |
| Initial Evaluation | ₱ 15.00 |
| Basic Rate Physical Theraphy | ₱ 300.00 |
| Additional Area/Case | ₱ 100.00 |
| Occupational Therapy (ADL's) | ₱ 200.00 |
| Occupational Therapy (Dysphagia, Cognitive, Speech and Pediatric | ₱ 300.00 |
Outpatient Department
Outpatient Charges
| Procedure | Rates |
| OPD Chemotherapy Unit Fee | ₱ 1, 200.00 |
| Polypectomy | ₱ 1, 350.00 (inclusive of histopath ₱ 500.00) |
| Endometrial Biopsy | ₱ 750.00 (inclusive of histopath ₱ 500.00) |
| Arthrocentesis | ₱ 350.00 |
| Pregnancy Test | ₱ 170.00 |
| Application of cast | ₱ 150.00 (plaster of paris not included) |
| Removal of cast | ₱ 200.00 |
| Incision and Drainage (ORL-HNS) | ₱ 150.00 |
| Incision Biopsy (ORL-HNS) | ₱ 650.00 (inclusive of histopath ₱ 500.00) |
| Removal of Impacted Cerumen | ₱ 150.00 |
| Lost Card | ₱ 100.00 |
| Medical Certificate | ₱ 200.00 |
| Clinical Abstract | ₱ 100.00 |
