Rates & Fees

Hospital Fees

Items / Documents					Amount (PHP)
HEALTH INFORMATION MANAGEMENT DEPARTMENT (HIMD)
Animal Bite / Medical Registration / Consultation (New Patient)					PHP 50
In case of Loss:
Patient's Hospital ID					50
Rabies Post Exposure Prophylaxis Card					50
Medical Consultation (Follow-up Patient)					20
Watcher's ID					20
In case of Loss					20
Medical Certificate / Confinement with Documentary Stamp					150
Medical Certificate / Confinement without Documentary Stamp					130
Certified True Copy fo the following documents:
Clinical Abstract / Discharged Summary					150
Results of Laboratory / Radiologic Examination/s					100
Clinical Abstract (Ward / OPD Special Concern)					150
Birth Certificate					150
Birth Certificate (Late Registration)					150
Documentary Stamp					20
Death Certificate					Free of Charge
Room Type					Room Rate
BILLING DEPARTMENT
Philhealth Ward					PHP 500
Semi- Private					550
Private Room					1,000

Radiology

Procedures		Amount (PHP)
X-RAY PROCEDURES
THORAIC CONTENT
Chest (Adult)		PHP 520
Chest AP/L (Adult)		670
Chest (Child)		550
Babygram		670
Apico Lordotic View		270
Thoracic Cage/ Rib Cage (AP)		520
SKELETAL SYSTEM
Shoulder	500
Sternum	500
Scapula	500
Clavicle	500
Neck	550
Elbow	375
Wrist (AP/L)	375
Wrist (AP/L/O)	375
Hand (AP/L)	375
Hand (AP/L/O)	375
Arm/ Forearm	375
Femur/ Leg	500
Knee	375
Ankle Joint	375
Foot (AP/L)	375
Hip/ Pelvis	500
VERTEBRAL COLUMN
Cervical Spine (AP/L)	500
Cervical Spine Series	670
Thoraic Spine (AP/L)	670
Thoraic Spine Series	1,000
Thoraic-Lumbar (AP/L)	670
Thoraic-Lumber Series	1,000
Lumbo-Sacral (AP/L)	670
Lumbo-Sacral Series	1,000
Sacro-Coccygeal	500
Scoliosis Series (AP/L, L&R Bending)	1,000
HEAD
Skull (AP/L)	500
PNS	500
Mastoid	500
Nose/ STL	550
Orbit	550
ABDOMEN
KUB	500
Plain Abdomen (Adult, Supine & Upright)	670
Plain Abdomen (Adult, Translateral & Upright)	670
Plain Abdomen (Pedia)	500
ULTRASOUND PROCEDURES
Scrotal (PEDIA)	720
Scrotal (ADULT)	720
Thyroid/ Neck	720
Breast	720
KUB	720
Soft Tissue	720
Upper Abdomen	850
Lower Abdomen/ KUB with Prostate	850
Biophysical Scanning	850
Pelvic	850
Cranial	850
Liver	850
HBT	850
TVS/ Transrectal	1,030
Chest with Mapping	1,030
Whole Abdomen	1,320
MISCELLANEOUS
Use of Fluoroscopy	PHP 550 / 30 Minutes

Examinations	Without Contrast (PHP)	With Contrast (PHP)
CT-SCAN PROCEDURES
Head/ Cranial	2,700	PHP 5,100
PNS	2,700	5,100
Oropharynx	2,700	5,100
Nasopharynx	2,700	5,100
Orbital	2,700	5,100
Cervical/ Neck	3,100	5,500
Chest/ Thoracic	3,100	5,500
Whole Abdomen	6,200	11,100
Whole Abdomen with IV and Oral Contrast	-	11,100
Whole Abdomen with Triple Contrast (IV, Oral, Rectal)	-	11,100
Whole Abdomen with Biphasic (Aorta and Porto- Venous)	-	12,500
Whole Abdomen Triphasic (Aorta, Porto-Venous, Delayed)	-	12,500
Upper Abdomen	3,100	5,500
Lower Abdomen	3,100	5,500
Humerus	3,100	5,500
Forearm	2,700	5,100
Hand/ Wrist	2,700	5,100
Leg	3,100	5,500
Foot/ Ankle	2,700	5,100
Lumbar Spine	3,100	5,500
Temporal Bone	3,900	6,300
Facial Bone	3,900	6,300
Pelvis	3,900	6,300
Stonogram	3,900	6,300
IVP/ Urogram	-	6,300
CTA Pulmonary	6,000	12,100
CTA Thoraic Aorta	6,000	12,100
CTA Abdominal Aorta	6,000	12,100
Additional Cuts (PHP 800)		..........................................

Medical Department

Procedures		Amount (PHP)
MEDICAL PROCEDURES
CARDIAC DIAGNOSTIC UNIT
12-L ECG		PHP 400
2D Echocardiogram		3,000
PERITONEAL DIALYSIS UNIT
Peritoneal Dialysis / Cycle	1,050
Peritoneal Dialysis Tube Insertion	10,600
NEUROPHYSIOLOGY UNIT
Electroencephalogram	3,250
PEDIATRIC INFECTIOUS DISEASE AND TROPICAL MEDICINE
Newborn Hearing Screening Test	380

NRL-SLH/SACCL Laboratory Examinations

Laboratory Test	Type of Specimen	Receiving Cut-Off Time	Running Day	Schedule of Release	Amount (PHP)
SEROLOGY
HIV TEST
Confirmatory Test/rapid HIV diagnostic algorithm(rHIVda)	Serum/Plasma	3:00 PM Monday - Friday	Monday - Friday	After 10 working days	Free of Charge
CD4 Absolute/Percent	Whole Blood (EDTA)	11:00 AM Tuesday, Wednesday and Thursday	Tuesday, Wednesday and Thursday	2-3 PM	PHP 2,000
CD4 Absolute/Percent	Whole Blood (EDTA)	11:00 AM Tuesday, Wednesday and Thursday	Tuesday, Wednesday and Thursday	Next Day	PHP 2,000
HEPATITIS B TEST
HBsAg SCREENING TEST
Enzyme Immunoassay (EIA) / Chemiluminiscent Immunoassay (CIA)	Serum/Plasma	3:00 PM Monday - Friday	Monday, Wednesday, Friday	2-3 PM After 3 Working Days	300
HBsAg CONFIRMATORY TEST
HBsAg Neutralization Assay	Serum/Plasma	3:00 PM Monday - Friday	Monday, Wednesday, Friday	2-3 PM After 10 working days	1,500
HEPATITIS B MARKERS
Anti-HBs Immunoassay	Serum/Plasma	3:00 PM Monday - Friday	Monday, Wednesday, Friday	2-3 PM After 10 working days	350
Hbe Ag/Ab Immunoassay					850
Anti-HBc (IgM) Immunoassay					400
Anti-HBc (Total) Immunoassay					400
HEPATITIS C TEST
SCREENING TEST
Enzyme Immunoassay (EIA) / Chemiluminiscent Immunoassay (CIA)	Serum/Plasma	3:00 PM Monday - Friday	Thursday	2-3 PM After 7 working days	650
CONFIRMATORY TEST
Strip Immunoblot Assay (SIA)	Serum/Plasma	3:00 PM Monday - Friday	Every 10 working days	2-3 PM After 10 working days	6,000
SYPHILIS TEST
SCREENING TEST (NON-TREPONEMAL)
Rapid Plasma Reagin (RPR)	Serum/Plasma	3:00 PM Monday - Friday	Monday, Wednesday and Friday	2-3 PM After 3 working days	250
CONFIRMATORY TEST (TREPONEMAL)
Treponema pallidum Particle Agglutination (TPPA)	Serum/Plasma	3:00 PM Monday - Friday	Monday, Wednesday and Friday	2-3 PM After 3 working days	270
MOLECULAR DIAGNOSTICS
NUCLEIC ACID TEST (NAT) / POLYMERASE CHAIN REACTION (PCR)
HBV Viral Load	Serum/Plasma (EDTA)	3:00 PM Monday - Friday	Accrued 12 samples	2-3 PM After 15 working days	3,800
HCV Viral Load	Serum/Plasma (EDTA)				7,000
HIV Viral Load	Plasma (EDTA)				5,000
MICROBIOLOGY
Gram's Stain	Vaginal / Urethral / Throat / Anal Swab	3:00 PM Monday - Friday	Monday - Friday	2-3 PM Next Day	120
Wet Mount	Vaginal / Urethral Swab				120
KOH Mount	Vaginal / Urethral Swab				120
Neiserria Gonorrhea Culture & Sensitivity	Vaginal / Urethral / Throat / Anal Swab			After 3 - 5 days	1,000

Laboratory

Procedures	OPD (PHP)	IN-PATIENT (PHP)
HEMATOLOGY
CBC (Complete Blood Count)	PHP 200	PHP 300
Malarial Smear	300	300
Filarial Smear	150	250
Clotting Time	150	250
Bleeding Time	150	250
Prothrombin Time	375	375
Activated Partial Thromboplastin Time (APTT)	375	375
Peripheral Blood Smear (PBS)	190	300
PBS Readers Fee	200	200
Erythrocyte Sedimentation Rate (ESR)	200	200
Reticulocyte Count	300	300
D-Dimer	1,700	1,700
BLOOD CHEMISTRY
Alkaline Phosphatase	150	150
Albumin	140	140
Arterial Blood Gas	600	600
Bilirubin (Direct/Indirect/Total)	350	350
BUA (Blood Uric Acid)	160	160
BUN (Blood Urea Nitrogen)	140	140
CKMB	480	480
Creatinine	170	170
FBS / RBS (Random Blood Sugar / Fasting Blood Sugar)	250	300
HBA1c (Hemoglobin A1c)	800	800
Lipase	385	385
Total Protein Package (Albumin, Globulin, A/G Ratio)	150	150
Lipid Profile (Triglycerides, Total Cholesterol, HDL, LDL)	500	500
Triglycerides	170	170
Total Cholesterol	150	150
HDL (High Density Lipoprotein)	230	230
LDL (Low Density Lipoprotein)	260	260
SGOT / AST	200	200
SGPT / ALT	200	200
Electrolytes (Na, K, Cl, Ca, Ica) package	470	470
Sodium	230	230
Potassium	230	230
Chloride	230	230
Total Calcium	230	230
Magnesium	385	385
CSF and other Body Fluids Package (quantitative sugar and protein and differential count)	380	270
CSF and other Body Fluids - Sugar (quantitative)	130	130
CSF and other Body Fluids - Protein (quantitative)	140	140
CLINICAL MICROSCOPY
Urinalysis (Automated with 11 parameters)	200	300
Fecalysis	110	200
Fecal Concentration Test	200	200
Fecal Occult Blood Test (FOBT)	260	260
CSF and other Body Fluids - cell count and diff. count	180	180
BLOOD BANK
Blood Typing	170	250
Cross Matching	510	630
Coomb's Test (Indirect /Direct)	250	250
Antibody Screening	300	300
MICROBIOLOGY
Troponin I	950	950
Salmonella IgM Rapid Test	450	450
Leptospirosis IgM Rapid Test	500	500
Chikungunya Rapid Test	600	600
Malarial Rapid Test	300	300
Hepatitis A	450	450
Dengue NS1, IgG, IgM	950	950
Procalcitonin	1,400	1,400
CRP	650	650
Ferritin	1,400	1,400
Expanded New Born Screening	1,800	1,800
SARSCoV-2-Ag Rapid Test	800	800
Influenza Ag Rapid Test	700	700
Combo Antigen Rapid Test ( SARSCoV-2 plus Influenza )	1,300	1,300
Cryptococal Antigen Latex Agglutination System (CALAS)	900	900

Procedures	OPD (PHP)	IN-PATIENT (PHP)
HISTOPATH
PAP SMEAR	PHP 200	PHP 200
FNAB, Cytology	350	350
FNAB, Cell Block and Cytology	600	600
Small Biopsy	600	600
Medium Biopsy	700	700
Large Biopsy	900	900
Radical Biopsy	1,200	1,200
Review of Slides	-	-

Dental

Procedures		Amount (PHP)
DENTAL DEPARTMENT
Oral Prophylaxis	PHP 250
Tooth Extraction	100
Permanent Filling (Ligth Cure) - 1 Surface	325
Permanent Filling (Glass Ionomer) - 1 Surface	200
Per additional Surface	50
Temporary Filling	150
Pits & Fissure Sealant	300
Flouride Varnish	300
Suture	150