RADIOLOGY
X-RAY
| Services/Procedures |
Service Fee |
Services/Procedures |
Service Fee |
| Apicolordotic View |
115.00 |
Loopogram |
300.00 |
| Spot view |
115.00 |
Voiding Cystogram |
300.00 |
| Hand AP/O |
140.00 |
Optic Foramen |
300.00 |
| Wrist Joint |
140.00 |
Paranasal Sinuses |
320.00 |
| Chest(New Born) |
160.00 |
Chest PA/Lateral(Adult) |
340.00 |
| Chest Lateral Decubitus |
170.00 |
Mandible |
345.00 |
| Chest PA(Adult) |
170.00 |
Skull/Mandible |
345.00 |
| Ankle Joint AP/Lateral |
180.00 |
T-Tube Cholangiogram |
360.00 |
| Clavicle |
180.00 |
Abdomen(Infant) |
360.00 |
| Elbow AP/Lateral |
180.00 |
Invertogram |
360.00 |
| Foot APL |
180.00 |
Fistulogram/Cystogram |
420.00 |
| Hip joint |
180.00 |
Abdomen(adult) |
480.00 |
| Knee APL |
180.00 |
Lumbosacral spine |
480.00 |
| Pelvic AP/Hip joint |
180.00 |
Scoliotic Series |
480.00 |
| Scapula |
180.00 |
Barium Swallow |
500.00 |
| Shoulder joint |
180.00 |
C-Arm Procedure add 30 mins |
500.00 |
| Sternum |
180.00 |
Distal Colonogram |
500.00 |
| Thoracic Cage |
180.00 |
Urethrogram |
500.00 |
| Thoracolumbar |
180.00 |
Babygram |
500.00 |
| Chest(1-3 years old) |
200.00 |
Pelvimetry |
500.00 |
| Arm(Humerus) AP/Lateral |
210.00 |
Retrograde Pyelogram |
600.00 |
| Femur APL |
210.00 |
Intraoperative Cholangiogram |
600.00 |
| Forearm APL |
210.00 |
Mastoid |
600.00 |
| Leg APL |
210.00 |
Temporo-Mandibular Joint |
600.00 |
| Cervical |
240.00 |
Upper Gastrointestinal Series |
840.00 |
| Facial Bone |
240.00 |
Barium Enema |
960.00 |
| KUB |
240.00 |
Intravenous Pyelogram |
1,200.00 |
| Nasal Bone/Waters |
240.00 |
C-Arm Procedure for 1st hour |
1,500.00 |
| Neck soft tissue Lateral |
240.00 |
Mammogram |
1,800.00 |
| Orbit |
240.00 |
Skeletal Survey |
2,400.00 |
| Sacrum/Coccyx |
240.00 |
|
|
| Thoracic Spine |
240.00 |
|
|
ULTRASOUND
| Services/Procedures |
Service Fee |
Services/Procedures |
Service Fee |
| Anterior Neck |
300.00 |
KUB and Prostate |
1,100.00 |
| Biophysical Score |
600.00 |
Liver |
300.00 |
| Breast |
500.00 |
Lower/Upper Quadrant |
500.00 |
| Chest |
300.00 |
Mass |
300.00 |
| Fast |
300.00 |
Non-Biometric Parameter |
600.00 |
| Guided Paracenthesis |
300.00 |
Pelvic |
300.00 |
| Guided Thoracenthesis |
300.00 |
Pelvic with BPS |
600.00 |
| HBT |
600.00 |
Pericardium |
300.00 |
| HBT and Pancreas |
960.00 |
Prostate |
300.00 |
| Hemithorax |
300.00 |
Scan |
100.00 |
| Hemithorax with mapping |
350.00 |
Scrotal |
300.00 |
| Inguinal |
300.00 |
Spleen |
300.00 |
| Inguino-scrotal |
300.00 |
Thyroid |
300.00 |
| Kidneys |
600.00 |
Transrectal/Transvaginal |
600.00 |
| KUB |
600.00 |
Whole Abdomen |
1,450.00 |
CT SCAN
| Services/Procedures |
Service Fee |
|
Plain/Ordinary |
With Contrast |
| Biopsy |
6,360.00 |
|
| Cervical Spine |
3,360.00 |
4,560.00 |
| Cervicothoracic Spine |
5,760.00 |
|
| Chest |
3,600.00 |
4,200.00 |
| Cranial |
2,700.00 |
3,000.00 |
| Facial Bones |
4,450.00 |
|
| Facial Bones with 3D Reconstruction |
5,050.00 |
|
| Lower Abdomen |
3,600.00 |
3,900.00 |
| Lower Extremities |
3,000.00 |
4,560.00 |
| Lumbar Spine |
3,360.00 |
4,700.00 |
| Maxillary/Mandible |
4,450.00 |
|
| Neck/Oropharynx/Nasopharynx |
3,000.00 |
3,960.00 |
| Orbits |
2,700.00 |
4,100.00 |
| PNS(Axial/Coronal) |
3,750.00 |
4,560.00 |
| PNS sinusitis screening |
3,000.00 |
|
| Temporal Bone(Axial/Coronal) |
3,750.00 |
4,700.00 |
| Stonogram |
4,500.00 |
|
| Thoracic Spine |
3,850.00 |
4,560.00 |
| Thoraco-Lumbo Sacral Spine |
4,700.00 |
6,720.00 |
| Thoracolumbar Spine |
4,450.00 |
5,300.00 |
| Upper Abdomen |
3,600.00 |
3,900.00 |
| Upper Abdomen Triphacic |
9,800.00 |
|
| Upper Extremities |
3,000.00 |
3,960.00 |
| Whole Abdomen |
4,500.00 |
5,100.00 |
MRI
| MRI PROCEDURES |
PLAIN |
WITH CONTRAST |
| Brain |
7,800.00 |
8,000.00 |
| Brain with MRA |
10,050.00 |
12,500.00 |
| Neck |
7,800.00 |
10,800.00 |
| Upper Abdomen |
9,300.00 |
12,300.00 |
| Lower Abdomen |
9,300.00 |
12,300.00 |
| Whole Abdomen |
15,600.00 |
18,600.00 |
| Shoulder |
7,800.00 |
10,800.00 |
| Arm |
7,800.00 |
10,800.00 |
| Forearm |
7,800.00 |
10,800.00 |
| Elbow |
7,800.00 |
10,800.00 |
| Wrist |
7,800.00 |
10,800.00 |
| Hand |
7,800.00 |
10,800.00 |
| Pelvis |
7,800.00 |
10,800.00 |
| Hip |
7,800.00 |
10,800.00 |
| Femur |
7,800.00 |
10,800.00 |
| Knee |
7,800.00 |
10,800.00 |
| Ankle |
7,800.00 |
10,800.00 |
| Foot |
7,800.00 |
10,800.00 |
| Lumbar |
7,800.00 |
10,800.00 |
| Cervical |
7,800.00 |
10,800.00 |
LABORATORY
Hematology
| Active Partial Thromboplastin Time (APTT) |
330.00 |
| Bone Marrow Aspirate |
200.00 |
| Clotting Time/Bleeding Time |
100.00 |
| Complete Blood Count |
200.00 |
| Erthrocyte Sedimentation Rate (ESR) |
150.00 |
| Hematocrit |
75.00 |
| Hemoglobin |
75.00 |
| Malarial Smear |
150.00 |
| Peripheral Blood Smear |
150.00 |
| Platelet Count |
120.00 |
| Prothrombin Time |
150.00 |
| Reticulocyte Count |
150.00 |
| WBC Count |
200.00 |
| WBC Differential Count |
100.00 |
Clinical Chemistry
| 100 Grams OGTT |
540.00 |
Lactate |
|
| 2 Hours Postprandial Blood Sugar |
120.00 |
Lactate Dehydrogenase |
300.00 |
| 24 Hours Urine Creatinine |
|
LDL |
200.00 |
| 24 Hours Urine Protein |
|
Lipase |
200.00 |
| 50 Grams OGCT |
540.00 |
Magnesium (Mg) |
200.00 |
| 75 Grams OGTT |
540.00 |
Phosphorus (P) |
200.00 |
| Alkaline Phosphatase (ALP) |
200.00 |
Plasma Ammonia |
|
| Amylase |
200.00 |
Potassium (K) |
150.00 |
| Bilirubin Total/Direct |
250.00 |
RBS |
120.00 |
| Blood Urea Nitrogen |
120.00 |
Serum Albumin |
120.00 |
| Blood Uric Acid |
120.00 |
Serum Alcohol |
|
| Chloride (Cl) |
150.00 |
SGOT/AST |
200.00 |
| Cholesterol |
120.00 |
SGPT(ALT) |
200.00 |
| Creatine Kinase MB (CK-MB) |
|
Sodium (Na) |
150.00 |
| Creatinine |
120.00 |
Spot Urine Sodium |
|
| FBS |
120.00 |
Spoturine Potassium |
|
| Gamma-Glutamyl Transferase (GGT) |
|
Total Creatine Kinase |
|
| Glycosilated Hemoglobin A1c (HBa1c |
600.00 |
Total Iron Binding Capacity (TIBC) |
|
| HDL |
200.00 |
Total Protein |
150.00 |
| Iron |
|
Triglycerides |
200.00 |
Clinical Microscopy
| Fecalysis |
50.00 |
| Pregnancy Test |
100.00 |
| Semenalysis |
175.00 |
| Stool Occult Blood |
75.00 |
| Urinalysis |
50.00 |
| Urine Albumin |
50.00 |
| Urine Ketones |
70.00 |
Histopathology
| Cytopathology |
700.00 |
7 working days |
| Frozen Section |
3,000.00 |
within the day |
| Histophatology Large |
1,500.00 |
|
| Histophatology Medium |
1,000.00 |
|
| Histopathology Small |
700.00 |
10 working days |
| Pap'S Smear |
120.00 |
5 working days |
| Sperm Determination |
120.00 |
1 day |
Serology
| HEPA B Profile |
3,420.00 |
FT3 |
400.00 |
| Anti - HBs |
540.00 |
FT4 |
400.00 |
| HBeAg |
580.00 |
TSH |
400.00 |
| Anti- Hbe |
610.00 |
LH |
700.00 |
| Anti- Hbc IgM |
670.00 |
FSH |
700.00 |
| Anti- HbcII |
620.00 |
AFP |
700.00 |
| Anti- HcV |
700.00 |
CA 15-3 |
700.00 |
| Anti- HaV |
700.00 |
CA 19-9 |
700.00 |
| Syphilis/VDRL |
200.00 |
CA 125 |
700.00 |
| HIV 1/2 |
700.00 |
CEA |
700.00 |
| CD4 |
|
Total PSA |
700.00 |
| T3 |
700.00 |
Total Beta HCG |
700.00 |
| T4 |
700.00 |
CRP |
400.00 |
| C3 |
540.00 |
Dengue NSI /IgM/IgG |
900.00 |
| Salmonella TYPHI IgM/ IgG |
400.00 |
Helicobacter Pylori |
750.00 |
Immunohistochemistry
| CD10 |
2,977.00 |
| CD117 (C-KIT) |
2,977.00 |
| CD20 |
2,977.00 |
| CD3 |
2,977.00 |
| CD30 |
2,977.00 |
| CD45 |
2,977.00 |
| Chromogranin |
2,977.00 |
| CK20 |
2,977.00 |
| CK7 |
2,977.00 |
| Clarentinin |
2,977.00 |
| Estrogen Receptor(ER) |
7,800.00 |
| Her2/Neu |
|
| KI-67 |
2,977.00 |
| P53 |
2,977.00 |
| P63 |
2,977.00 |
| Pancytokeratin |
2,977.00 |
| Progesterone Receptor(PR) |
|
| S100 |
2,977.00 |
| Vimentin |
2,977.00 |
Bacteriology
| CULTURE AND SENSITIVITY |
600.00 |
Everyday |
3-5 working days |
| Abscess |
| Blood |
| Csf |
| Eta |
| Fluid |
| Sputum |
| Stool |
| Throat Swab |
| Urine |
| Wound |
| GRAM STAIN |
|
|
|
| Abscess |
120.00 |
Everyday |
24 Hrs |
| CSF |
| ETA |
| Fluid |
| Penile Discharge |
| Sputum |
| Throat Swab |
| Vaginal Discharge |
| Wound |
| AFB |
|
|
|
| 10% Koh |
|
Everyday |
2 hours |
| Abscess |
120.00 |
24 hours |
| Csf |
| Fluid |
| India Ink |
|
2 hours |
| Penile Discharge |
120.00 |
24 hours |
| Throat Swab |
| Vaginal Discharge |
| Wound |
Serology
|
|
RUNNING DAY |
RESULT ROUTINE |
| AFP |
700.00 |
MONDAY/THURSDAY |
TUESDAY/FRIDAY |
| ANTI-HaV |
700.00 |
EVERYDAY |
2 Hours |
| ANTI-HBc IgM |
670.00 |
MONDAY/THURSDAY |
TUESDAY/FRIDAY |
| ANTI-HBcII |
620.00 |
| ANTI-HBe |
610.00 |
| ANTI-HBs |
540.00 |
EVERYDAY |
2 Hours |
| ANTI-HcV |
700.00 |
| C3 |
540.00 |
MONDAY/THURSDAY |
TUESDAY/FRIDAY |
| CA125 |
700.00 |
| CA 15-3 |
700.00 |
| CA 19-9 |
700.00 |
| CD4 |
|
EVERYDAY |
2 Hours |
| CEA |
700.00 |
MONDAY/THURSDAY |
TUESDAY/FRIDAY |
| CRP |
400.00 |
EVERYDAY |
2 Hours |
| Dengue NSI/IgM/IgG |
900.00 |
| FSH |
700.00 |
MONDAY/THURSDAY |
TUESDAY/FRIDAY |
| FT3 |
400.00 |
| FT4 |
400.00 |
| HBeAg |
580.00 |
| HBsAg QUALITATIVE |
200.00 |
EVERYDAY |
2 hours |
| HBsAg QUANTITATIVE |
400.00 |
| Helibacter Pylori |
750.00 |
| HEPA B PROFILE |
3,420.00 |
MONDAY/THURSDAY |
TUESDAY/FRIDAY |
| HIV 1/2 |
700.00 |
EVERYDAY |
2 hours |
| LH |
700.00 |
MONDAY/THURSDAY |
TUESDAY/FRIDAY |
| Salmonella Typhi IgM/IgG |
400.00 |
EVERYDAY |
2 hours |
| Syphilis/VDRL |
200.00 |
| T3 |
700.00 |
MONDAY/THURSDAY |
TUESDAY/FRIDAY |
| T4 |
700.00 |
| TOTAL BETA HCG |
700.00 |
| TOTAL PSA |
700.00 |
| TSH |
400.00 |
Immunology
|
|
RUNNING DAY |
RESULT ROUTINE |
| Aliquot Bag |
700.00 |
|
|
| Blood Typing |
120.00 |
Everyday |
2 hours |
| Crossmatching |
550.00 |
| Direct and Indirect Coomb's |
550.00 |
| Double Blood Bag |
300.00 |
|
|
| Fresh Frozen Plasma |
1,000.00 |
|
|
| Packed RBC |
1,500.00 |
|
|
| Platelet Concentrate |
1,000.00 |
|
|
| Processing Fee |
400.00 |
Everyday |
8 hours |
| Single Blood Bag |
175.00 |
|
|
| Triple Blood Bag |
500.00 |
|
|
| Whole Blood |
1,800.00 |
|
|
Drug Testing
| Drug Test |
180.00 |
Weekdays |
If Negative 24 Hours |
| If Positive 10 Days |
Newborn Screening
| Newborn Screening |
600.00 |
Everyday |
1 Month |
| Newborn Screening Expanded |
900.00 |
|
| G6pd Confirmatory Test |
600.00 |
1 Week |
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