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2D Echo

  IN PATIENT   OUT PATIENT  
   Pay  Service Pay Service
 2D ECHO W/ CFDS        
- PROCEDURE 1,400.00 1,400.00
(charge to PhilHealth)
1,400.00 1,400.00**
(Pending SS Classification)
- PF 1,000.00 NONE 1,100.00* NONE
 TOTAL 2,500.00 1,400.00  2,500.00 1,400.00
 2D ECHO SCAN        
PROCEDURE 500.00 500.00
(charge to PhilHealth)
500.00 500.00**
(Pending SS Classification)
- PF 300.00 NONE 300.00 NONE
TOTAL 800.00 500.00 800.00 500.00
 PERICARDIOCENTESIS        
- PROCEDURE 800.00 800.00
(charge to PhilHealth)
800.00 800.00**
(Pending SS Classification)

**Pending Social Service Classification

Certifications

 CERTIFICATIONS NEW RATE
 Birth Certificate 50.00
 Death Certificate  50.00
 Certificate of Confinement  50.00
 Medical Certificate 50.00
 Medico-Legal Certificate 50.00
 Medical Abstract 50.00
 Certified True Copy 5.00/page

Combined Endoscopy

Accessories for Endoscopic Procedures
Items Cost
 ERCP Cannula Fr. 5.5 670.00/use
 Guide Wire 705.00/use
 Biliary Stent, Plastic Fr. 10; Length: 7cm 1,936.00
 Biliary Stent, Plastic Fr. 10; Length: 10cm 1,936.00
 Biliary Stent, Plastic Fr. 10; Length: 12cm 1,936.00
 Stent Introducer Set Fr. 10 650.00/use
 Gastrocope Biopsy Forceps, Jumbo 300.00/use
 Colonoscope Biopsy Forceps, Jumbo 300.00/use
 Injector, Clear 530.00/use
 BOSTON* Esophageal Variceal Ligator Set: 7 Ligator Bands 13,200.00/set
 Helicobacter Pylori Strip 400.00
 COOK* Medical Multi Band Ligator 6-shooter set 15,143.00
 COOK* Medical Percutaneous Endoscopic Gastrostomy Fr. 24 set 12,815.00
Endoscopic Procedures  
Procedures Cost
 Use of Cautery Machine 2,000.00 
 Use of Argon Plasma Coagulation (APC) 3,000.00

 

Dental

 Services Cost
 Tooth Restoration 300.00
 Simple Tooth Extraction 150.00
 Posterior Tooth Extraction 200.00
 Odontectomy/ for impacted tooth removal (price may vary) (minimum) 2,000.00

Emergency Room

   Price   Price
 AP PREP 90.00  Long Arm Posterior Mold 810.00
 Blood Transfusion 200.00  Long Leg Posterior Mold  1,110.00
 Blood Extraction 65.00  Nebulization #Times 35 85.00
 Cardiac Monitor use 1,500.00/day  NGT Insertion 165.00
 Cardioversion 835.00  Overhead Traction 255.00
 Circumcision 410.00  O2 Therapy #hrs. 50.00
 Change of Tracheostomy Tube 180.00  010LPM35.5/hr06LMP30/hr04LPM 25.00
 Close Tube Thoracotomy 1,340.00  Partial Ungiectomy 410.00
 Closure of Pierced Earlobe 570.00  Percutaneous Release Trigger Finger 400.00
 CVP Insertion 1,165.00  Postmortem 500.00
 Cystoclysis 170.00  Proximal Tibia Skeletal Traction 385.00
 Decontamination 450.00  Pterygiectomy 560.00
 Dressing/Removal of Sutures 175.00  Re-anchoring of J Tube 1,050.00
 ECG Fee 200.00  Removal of Foreign Body (ENT) 295.00
 Excision 550.00  Removal of Foreign BOdy (Surgery Ortho) 555.00
 Excision/Biopsy 650.00  Removal of Plantar Warts 550.00
 Excision of Facial Moles 600.00  Short Arm Posterior Mold 723.00
 Fine Needle Aspitation Biopsy 390.00  Suprapubic Catheter Insertion 555.00
 Flushing if Impacted Cerumen 260.00  Suctioning 30.00
 FNAB 380.00  Suturing (Optha) (Eyebrow, Eyelid non-margin) 715.00
 Foley Catheter Insertion 165.00 (Eyelid margin) 542.00
 I&C Chalagion/Internal Hurdeulum 390.00  Sugar Tong Mold 495.00
 IJ Catheter Insertion 570.00  Tracheostomy 1,120.00
 Incision and Drainage 555.00    
 Injection Fee  35.00    
 Injection (IVTT) 75.00    
 Insertion of AV Shunt 1,065.00    
 Intubation 325.00    
 Internal Examination 85.00    
 IV Insertion 205.00    

ENT-HNS

   With PHIC Without PHIC
 Out-patients  no cash out 2,000.00
 In-patients  no cash out 2,000.00

Heart Institute

  Service Pay
 Intra-Op Transesophageal Echocardiography    
Procedure  4,100.00 4,100.00
Professional Fee 0 8,000.00
Total 4,100.00 12,100.00
 Stress Echocardiogram    
Procedure 4,500.00 4,500.00
Professional Fee 0 3,000.00
Total 4,500.00 7,500.00

 

 Procedures Amount
 Carotid Duplex Study 4,200.00
 Both Lower/Upper Extremities 4,700.00
 One Lower/Upper Extremities 2,200.00

 

 Cardiovascular Supplies 
 Item Description Cost/Price Item Description Cost/Price
 6F Judkins Left 5 (Bbraun) 1,886.00  Transradial Catheter - Size: 5F JL4 (Merit) 2,143.00
 6F Judkins Left 6 (Bbraun) 1,886.00  Transradial Catheter - Size: 5F JR4 (Merit) 2,143.00
 6F Nulti Purpose 2 (Bbraun) 1,886.00  Femoral Introducer Kit 4F (Merit) 2,571.00
 Pressure Transducer Set (Medex) 2,586.00  Femoral Introducer Kit 7F: Adult (Merit) 1,857.00
 0.025, 150cm Angled, Hydrophilic Coating wires (Terumo) 4,2286.00  3-Port Manifold (Merit) 857.00
 0.018, 150cm Angled, Hydrophilic Coating wires (Terumo) 4,286.00  Inflation Device 20ml inflation capability, comlete with pressure gauge range 0-30 atmospheres (Merit) 4,286.00
 0.025, 260cm Angled, Hydrophilic Coating wires (Terumo) 4,286.00
 Tiger - Size: 6F (Terumo) 2,686.00  Bleedback Control Valve (Merit)  3,929.00
 Femoral Introducer Kit 6F: Adult (Terumo) 2,357.00  Puncture Needle 618 Adult (Merit) 643.00
 Femoral Introducer Kit 8F: Adult (Terumo) 2,357.00  Angiography Control Syringe (Merit) 700.00
 Transradial Introducer Kit 5F (Terumo) 2,686.00  Bag Valve Mask (Adult) 1.5L Bag 1,602.00
 Transradial Introducer Kit 6F (Terumo) 2,686.00  Bag Valve Mask (Pedia) 550mL Bag 1,602.00
 Radial Artery Hemostasis Device TR Band (Terumo) 1,200.00  Bag VAlve Mask (Infant) 280mL Bag 1,602.00
 Guidewire: 0.035, 150cm, Straight Tip (Merit) 2,143.00  Blood Transfusion Set (Terumo) 107.00
 0.035, 150cm Angled, Hydrophilic Coating wires (Merit) 2,857.00    
 0.035, 260cm Angled, Hydrophilic Coating wires (Merit) 2,857.00    
 Pigtail 4F (Merit) 2,857.00    

Newborn Screening and Hearing

 OAE Newborn Hearing Screening - Pay Patients 
 OPD 325.00
 In-Patient  315.00
 with PHIC 150.00
OAE Newborn Hearing Screening - Service Patients 
 In-Patient 100.00
 with PHIC 50.00
Hearing Test for Adults - OPD 300.00
Auditory Nerve Test
Pay Patients - OPD
Brainstem 1,500.00
Auditory 1,500.00
In-Patients 1,300.00
with PHIC 700.00
Reader's Fee 300.00

Ophthalmology

 Services Rate/Cost
 Fluorescein Angiography 3,500.00 (c/o PHIC)
 Fundus photo with printed picture 800.00 (regular)
  640.00 (senior citizen)
Slitlamp (photo, TBUT, etc) 200.00 (regular)
  160.00 (senior)
Visual Field Analyzer 1,700.00 (regular)
  1,260.00 (senior)

Department of Pathology/Laboratory

  Price
 SARS-COV-2 Antigen Test  900.00 
 Rapid Antibody-Based Test 1,200.00

 

Clinical Microscopy and Parasitology  Price
 Urine Microalbumin Test 250.00 
 Acetone 60.00
 Bence Jones Protein 30.00
 Bile 60.00
 Myoglobin 60.00
 Nitrite 60.00
 pH 60.00
 Routine Fecalysis 60.00
 Routine Urinalysis 100.00
 Urine Albumin 30.00
 Urine Sugar 75.00
 Urobilinogen 60.00

 

Histopathology
Immunohistochemical Stains  Cost (Service) Cost (Pay)
 Estrogen Receptor (ER) 1,500.00 3,000.00
 Progesterone Receptor (PR) 1,500.00 3,000.00
 HER-2 NEU 2,500.00 4,000.00
 CK 1,500.00 3,000.00
 CK 7 1,500.00 3,000.00
 CK 20 1,500.00 3,000.00
 CD 45 1,500.00 3,000.00
 CD 3 1,500.00 3,000.00
 CD 56 (MRQ 2/18) 1,500.00 3,000.00
 CD 30 Confirm 1,500.00 3,000.00
 Chromogranin A 1,500.00 3,000.00
 Synaptophysin 1,500.00 3,000.00
 S 100 (polyclonal) 1,500.00 3,000.00
 CD 99 1,500.00 3,000.00
 Vimentin 1,500.00 3,000.00
 SMA 1,500.00 3,000.00
 MSA 1,500.00 3,000.00
 KI-67 1,500.00 3,000.00
 GCDFP15 1,500.00 3,000.00
 Mammaglobin 2,500.00 4,000.00
 TTF-1 1,500.00 3,000.00
  Price   Price
I. Autopsy IV. Cell Block  
Professional Fee   (Fluid w/ smear)  
Full 3,450.00 1-3 slides 345.00
Partial 2,300.00 (Fluids "Pleural, Ascetic, Peritoneal") 
II. Routine Histopathologic Processing Fee  4-6 slides 460.00
Small (1cm or less) 520.00 V. Frozen Section  
Medium (1.1 - 3cm) 575.00 Single Specimen  
Large (3.1 - 8cm) 700.00 1-2 slides 690.00
Extra Large (Uterus) 865.00 3-5 slides 920.00
XX (colon, breast) 1,035.00 VI. Crushed Biopsy  
III. Cytology Touched Imprint  
(Fluids/Brushing UTZ/CT guided biopsy FNAB (ex. Thyroid/Neck, mass, Pulmonary mass, Breast mass)) (Crushed Biopsy)  
1-3 slides 345.00
1-3 smears 345.00 4-6 slides 460.00
4-6 smears 460.00 <7 slides 575.00
< 7 smears 575.00    
Pap smears (1-2 slides) 115.00    

 

Serology Tests Price
 CA 125 1,100.00
 CA 19-9 1,750.00
 Anti-HAV IgM 1,000.00

 

 

Bacteriology   Price
 Culture and Sensitivity of miscellaneous specimens  2,000.00  
 AFB 100.00
 Blood culture & Sensitivity (Bottle and Processing Fee) 2,000.00
 Stool Culture and Sensitivity 2,000.00
 Gram's Stain 100.00
 India Ink 100.00
 KOH 100.00
 Physical & Chemical Water 1,900.00
 Stoll Culture Only 1,000.00
 Welding 320.00
 Water Microbiological Analysis (Private) 500.00
 Water Microbiological Analysis (Government) 450.00
 Water Microbiological Analysis (Specimen Bottle) 20.00
 Food Analysis (Salt, Noodles, Borax) 200.00

 

Immunosero  Price
 AFP (Quanti) 950.00
 Anti-HBs (Qualitative) 400.00
 Anti-TP (Qualitative) 300.00
 Anti-HAV (Qualitative) 500.00
 Anti-HCV (Qualitative) 500.00
 ASO-Titer (Semi-Quantitative) 150.00
 B-HCG (Quantitative) 900.00
 CA-125 (Quantitative) 1,000.00
 CEA (Quantitative) 950.00
 Chikunggunya IgM (Qualitative) 900.00
 CRP (Quantitative) 950.00
 CRP (Qualitative) 200.00
 FT3 (Quantitative) 600.00
 Dengue Duo NS1 (Qualitative) 1,350.00
 Dengue IgG/IgM (Qualitative) 700.00
 Dengue NS1 (Qualitative) 900.00
 Drug Testing (Regular) 250.00
 Drug Testing (Student) 225.00
 Drug Testing (with Gov't. Company ID) 200.00
 FT4 (Quantitative) 600.00
 H, Pylori (Qualitative) 800.00
 HBsAg (ELISA) (Quantitative) 800.00
 HsCRP (Quantitative) 950.00
 Leptospira IgG/IgM (Qualitative) 900.00
 Occult Blodd (Rapid) 300.00
 Pregnancy test (Serum/Urine) Qualitative 150.00
 Salmonella typhi IgG/IgM 700.00
 Seminal Fluid 150.00
 T3 (Quantitative) 525.00
 T4 (Quantitative) 520.00
 T3T4 (Quantitative) 950.00
 TPSA (Quantitative) 1,000.00
 Trop I (Quantitative) 1,000.00
 TSH 850.00
 Anti-HBs (Quantitative) 950.00
 Trop I (Qualitative) 900.00
 HBeAg 700.00
 Rheumatoid Factor 250.00
 Anti Hbc 750.00
 Anti Hbe 750.00
 Ant HBs 950.00

 

Bloodbank Price
 Ab Screening 650.00
 Blood Typing 150.00
 CD4 2,000.00
 Crossmatching Conventional 200.00
 Malaria (ELISA) 600.00
 Syphilis (ELISA) Quantitative 600.00
 Crossmatching LISS 250.00
 RH Typing 100.00
 Du Testing 200.00
 HCV (ELISA) 700.00
 HIV 1/2 (ELISA) 600.00
 HIV Ab (Qualitative) 1/2 (ICT) 450.00
 HBsAg (Qualitative) 250.00

 

Peripheral Blood Smears  Price
   Readers Fee 200.00
   Processing Fee 250.00
     Total 450.00

 

Autopsy (For Service Patients: No PROC. and PROF. Fee)    
   Processing Fee Prof. Fee Total
Full 3,000.00 6,000.00 9,000.00
Partial 2,000.00 4,000.00 6,000.00

 

Hematology Price
 CBC 250.00
 Protime 280.00
 APTT 400.00
 CTBT 100.00
 Platelet Count 100.00
 Malaria (Thick and Thin Smears) 200.00
 Filaria Smear 200.00
 LWCT 100.00
 L.E. Preparation 200.00
 Hemoglobin 100.00
 Hematocrit 100.00
 Reticulocyte Count 150.00
 ESR 100.00
 Factor VIII Assay 1,000.00
 Factor IX Assay 1,000.00
 LA 1 Testing (Screening) 1,000.00
 LA 2 Testing (Confirmatory) 1,000.00

 

Clinical Chemistry Price
 24H Creatinine Clearance 550.00
 Acid Phosphatase 300.00
 Albumin 130.00
 Alkaline Phosphate 170.00
 Amylase 250.00
 Bilirubin 185.00
 BUN 90.00
 Calcium 190.00
 Chloride 190.00
 Cholesterol 150.00
 CK-MB 1,200.00
 Creatinine 110.00
 CSF Protein 500.00
 D-Dimer 1,200.00
 FBS/RBS/2-HPP 85.00
 Gamma-Glutamyl Transerase 500.00
 HBA1c 850.00
 HDL-Chlesterol 150.00
 LDH 250.00
 Lipid Profile 400.00
 Lithium 300.00
 Magnesium 350.00
 OGTT 340.00
 Phosphorus 275.00
 Potassium 190.00
 SGOT/AST 160.00
 SGPT/ALT 160.00
 Sodium 190.00
 TPAG 250.00
 Triglyceride 150.00
 Uric Acid 120.00
 Urine Protein 500.00

 

 

Psychological Assessment Services

 Services Rates
 Neuropsychiatric Evaluation 350.00
 Psychological Test 700.00
 IQ Test 300.00

Pulmonary Care

 Item Description Price 
 Air Filter (Airvo) 2pcs/pack 2,995.00
 Cleaning Sponges Stick 270.00
 HFNC - Adult size: Small (Lifemed) 2,200.00
 HFNC - Adult size: Medium (Lifemed) 2,200.00
 HFNC - Intermediate Infant Maximum Flow Rate 8LMP (Lifemed) 2,200.00
 Adult Tube and Chamber Kit (includes: humidifier with water chamber, connector 7,000.00/set
 Pediatric Tube and Chmaber Kit (includes: humidifier with water chamber) 7,140.00/set
 Air Filter (Lifemed) 214.00
 Bacterial Filter (Hudson) 625.00
 Heat and Moisture Exchanger (Covidien) 625.00
 Non Rebreathing Mask (NRBM) 298.00
 Closed Suction Catheter size: French #6 with tubing 2,000.00
 Closed Suction Catheter size: French #8 with tubing 2,000.00
 Closed Suction Catheter size: French #10 with tubing 2,000.00
 Closed Suction Cathter size: French #12 (MedCaptain) 1,715.00
 Aerosol tee connector 79.21/each
 Cont. 100ft. roll corrugated tubing (100ft/4ft=25 sets) 78.21/each
 Flow-oriented incentive spirometer 621.42/each
 Volumetric incentive spirometer 642.85/each
 Large Volume Nebulizer 708.32/each
 Non-vented full face mask (small & medium) 6,000.00/each
 High Flow Nasal Cannula (small, medium & large) 2,200.00/each
 Tube and Chamber Kit 7,200.00/each
 One (1) piece 6" cuttable corrugated tubing 19.55/each
 One (1) T-piece Set-up 865.75/set
 Adult/Pediatric Ventilator 1,300.00/day
 Neonatal Ventilator 1,300.00/day

Radiology

 Mammogram Procedures Rates Professional Fee (Pay Clients)
 Plain Mammography 1,200.00 +500.00 of service rate
 Post Mastectomy Mammography 1,250.00 +500.00 of service rate
 Mammo Guide Needle Biopsy 1,250.00 +500.00 of service rate
 Mammogram with Sillicon 1,800.00 +500.00 of service rate
 Mammogram with Ultrasound 2,200.00 +500.00 of service rate
 Post Mastectomy Mammo with UTZ 1,800.00 +500.00 of service rate
 Mammo comp. Mag./Film 300.00 +300.00 of service rate
 CT-SCAN Procedures Rates
 Brain 2,500.00
 Orbits 2,500.00
 Mandible 2,500.00
 PNS/ Facial 3,000.00
 PNS Screening 1,000.00
 Temporal / Mastoid / Pituitary 2,500.00
 Nasopharynx / Oropharynx / Oral Cavity 2,500.00
 Neck / Thyroid 2,800.00
 Chest 2,800.00
 Extremities (Upper/Lower) 2,800.00
 Whole Abdomen / KUB 4,000.00
 Upper / Lower Abdomen 2,700.00
 Kidneys / Adrenal / Liver / Pancreas 2,700.00
 Hip / Pelvis 2,800.00
 Cervical 2,700.00
 Thoraic 2,800.00
 Cervico-Thoraic 4,500.00
 Lumbar 2,800.00
 Thoraco-Lumbar 4,500.00
 Lumbo-Sacral 2,800.00
 Whole Spine 7,000.00
 Stonogram 4,000.00
 Urogram 4,500.00
 CT Angiogram 5,200.00
 HRCT (High Resolution) 3,000.00
 Biopsy 1,000.00
Note: Contrast Materials are NOT included. For with contrast procedure, the patient should buy the prescribed materials and Contrast Medium.
Ultrasound Rates
 Aspiration Biopsy 700.00
 Biometry (pelvic-fetal aging-evaluation) 750.00
 Biometry with biophysical profile 800.00
 Breasts 1,000.00
 Cranial 750.00
 Cardiac 800.00
 Cardio-thoracic 850.00
 Chest with marker 800.00
 F.A.S.T. 700.00
 Guided FNAB 700.00
 Guided para/thoracentesis 700.00
 Guided prostate biopsy 700.00
 Guided IJ catheter insertion 700.00
 Guided femoral catheter insertion 700.00
 Hepatobiliary 750.00
 Hepatopancreas 800.00
 Inguinoscrotal 850.00
 Kidney (renal) 700.00
 KUB (Kidney and Urinary Bladder) 750.00
 KUBP (Kidney, Urinary Bladder and Prostate 800.00
 Liver/ Hepatic 700.00
 Liver Biopsy 1,800.00
 Lung Biopsy 1,800.00
 Lower Abdomen (female) 1,000.00
 Lower Abdomen (male) 800.00
 Mass (soft tissue) 850.00
 Neck 850.00
 Pelvic (tans-vaginal and abdominal) 850.00
 Parotid 800.00
 Prostate 700.00
 Ocular (picture) 800.00
 Scrotal (testicles) 800.00
 Thoracic (lung) 700.00
 Thyroid 800.00
 Upper Abdomen 1,100.00
 Upper Abdomen and Kidneys 1,300.00
 Upper Abdomen and Pelvis 1,300.00
 Whole Abdomen (male and pedis) 1,500.00
 Whole Abdomen (female) 1,800.00

Physical Medicine and Rehabilitation

Rhabilitation Treatment Rates
 Basic Rate
 (Inclusive of Hot Moist Pack (HMP) or Infrared Radiation (IRR), Transcutaneous Electrical Nerve Stimulator (TENS), Electrical Stimulator (ES) (1-2 sites), and Exercises)
200.00
Add on:  
Therapeutic Ultrasound (per area) 20.00
Paraffin Wax 20.00
Additional ES/TENS (per site) 20.00
Treadmill 20.00
Tilt Table 30.00
Cervical Traction Lumbar Traction 30.00
 Low Level Laser Therapy (per area) 150.00
(additional per area) 50.00
 Occupational Therapy Treatment  
Adult/Pediatric 350.00
Upper Extremity only 250.00