Room Rates —
| Room | lowest price | Highest Price |
|---|---|---|
| ICU | 3,520.00 | 4,450.00 |
| NICU | 1,100.00 | 1,500.00 |
| NICU – INCUBATOR | 1,320.00 | 1,700.00 |
| Female Surgical Ward | 1,650.00 | 1,960.00 |
| Female Ward | 1,650.00 | 1,960.00 |
| Male Surgical Ward | 1,650.00 | 1,960.00 |
| Male Ward | 1,650.00 | 1,960.00 |
| Pedia Ward | 1,650.00 | 1,960.00 |
| Medium Private Room | 2,300.00 | 2,450.00 |
| Large Private Room | 2,650.00 | 2,800.00 |
| Suite Room | 3,850.00 | 4,000.00 |
Diagnostic Services
as of February 17, 2025
| Procedure | Lowest Price | Highest Price |
|---|---|---|
| OPD Professional Fee | 500.00 | 5,000.00 |
| Laboratory Department | ||
| (ACTH) – Hi-pre | 4948.45 | 6597.94 |
| 24 Hour Urine Protein | 718.75 | 898.44 |
| ABG | 2319.59 | 3092.78 |
| ADRENOCORTICOTROPHIN (ACTH) | 6360.00 | 7950.00 |
| AFB Stain | 347.42 | 463.23 |
| Albumin | 415.98 | 554.64 |
| ALP | 484.54 | 646.05 |
| Alpha Feto Proten (AFP) | 3876.00 | 4845.00 |
| AMMONIA | 1314.43 | 1752.58 |
| Amylase | 648.45 | 864.6 |
| ANA Test (quali) | 2255.67 | 3007.56 |
| ANA Test (quantie) | 3592.27 | 4789.69 |
| ANTI – CARDIOLIPIN IgM | 10,050.00 | 12,562.50 |
| ANTI- HAV ( IgG/ IgM ) | 697.42 | 929.9 |
| ANTI- HBC ( IGG ) | 1,265.00 | 1,581.25 |
| ANTI- HBC ( IGM ) | 1,299.50 | 1,624.37 |
| ANTI- HBE | 2264.43 | 3019.24 |
| ANTI- HCV (QUANTI) | 1,426.60 | 1,782.50 |
| ANTI-dsDNA | 3,191.75 | 4,255.67 |
| ANTI-HAV (IgG/IgM) | 697.42 | 929.9 |
| Anti-HAV IgG | 1470.1 | 1960.14 |
| Anti-HAV IgM | 1470.1 | 1960.14 |
| Anti-HBc (IGG) | 1304.12 | 1738.83 |
| Anti-HBc (IGM) | 1339.69 | 1786.25 |
| Anti-HBc Total | 1304.12 | 1786.25 |
| Anti-HBE | 2264.43 | 3019.24 |
| Anti-HBs | 1,090.00 | 1,308.00 |
| Anti-HCV (quali) | 736.49 | 981.99 |
| Anti-HCV (quanti) | 2359.42 | 3145.9 |
| AFB Stain | 269.60 | 421.25 |
| ASO (Quantitative) | 955.67 | 1274.23 |
| ASO (Qualitative) | 465.15 | 620.21 |
| B1B2TB | 720.49 | 960.66 |
| BETA-HCG | 1380.15 | 1840.21 |
| Blood C/S | 3221.65 | 4295.53 |
| Blood Screening Fee | 1800.00 | 1800.00 |
| Blood Typing | 463.92 | 618.56 |
| BUA | 216.49 | 288.66 |
| BUN | 259.79 | 346.39 |
| C3 | 1247.42 | 1663.23 |
| CA125 | 4824.74 | 6432.99 |
| CALAS | 3094.33 | 4125.77 |
| Calcium | 398.35 | 531.13 |
| Cardiac Panel | 1615.98 | 2154.64 |
| CBC, Platelet | 353.14 | 470.86 |
| CEA | 2268.04 | 3024.05 |
| Cell Block | 2608.25 | 3477.66 |
| Cell Count/ Diff. Count | 277.32 | 369.76 |
| Chloride | 398.35 | 531.13 |
| Cholesterol | 305.15 | 406.87 |
| COMPLETE HEPATITIS PROFILE | 10762.89 | 14350.52 |
| COVID ANTIGEN TEST | 660.00 | 660.00 |
| COVID PCR TEST | 3,360.00 | 3,360.00 |
| C-PEPTIDE | 4082.47 | 5443.3 |
| Creatinine | 216.49 | 288.66 |
| Creatinine Clearance | 1123.71 | 1250.86 |
| Creatinine Kinase (CK-MB) | 938.14 | 1498.28 |
| Crossmatching | 1138.14 | 1517.53 |
| CRP (quali) | 449.48 | 599.31 |
| CRP (quanti) | 1058.76 | 1411.68 |
| CSF Protein | 614.43 | 819.24 |
| CSF Sugar | 371.13 | 494.85 |
| CTBT | 262.47 | 349.97 |
| Cytology | 3395.88 | 4527.84 |
| DAT | 1051.55 | 1402.06 |
| Dengue DOU | 1385.57 | 1847.42 |
| Donor Screening | 1806.19 | 2408.25 |
| DRUG TEST | 300.00 | 300.00 |
| ESR | 431.75 | 575.67 |
| FBS/RBS | 241.24 | 321.65 |
| Fecalysis | 138.56 | 184.74 |
| FNAB | 1940.21 | 2586.94 |
| FNAB (Rush) | 1994.85 | 2659.79 |
| FT3 | 1051.55 | 1402.06 |
| FT4 | 1051.55 | 1402.06 |
| GGTP | 727.42 | 969.9 |
| HBA1c | 876.29 | 1168.38 |
| HBEAG | 2758.3 | 3677.73 |
| HbsAg (QUALITATIVE) | 449.07 | 598.76 |
| HbsAg (QUANTITATIVE) | 1221.13 | 1628.18 |
| HDL/LDL | 332.99 | 443.99 |
| HEPATITIS B PROFILE | 7546.39 | 10061.86 |
| Histopath (Large) | 3969.07 | 5292.1 |
| Histopath (Medium) | 2886.6 | 3848.8 |
| Histopath (Small) | 2255.15 | 3006.87 |
| Histopath (XL) | 6494.85 | 8659.79 |
| HISTOPATH- FRACTIONAL CURETTAGE | 2493.81 | 3325.09 |
| HISTOPATH- TAHBSO | 4156.7 | 5542.27 |
| HISTOPATH- TAHBSO | 4156.7 | 5542.27 |
| HIV (AIDS) I & II | 974.23 | 1298.97 |
| H-pylori | 1268.56 | 1691.41 |
| INDIA INK | 373.45 | 497.94 |
| Ketones – Non Diabetic | 311.34 | 415.12 |
| KOH | 494.85 | 659.79 |
| LDH | 627.84 | 837.11 |
| Lipase | 781.86 | 1042.47 |
| Lipid Profile | 989.69 | 1319.59 |
| Liver Profile | 2113.4 | 2817.87 |
| MAGNESSIUM | 581.44 | 775.26 |
| Malarial Smear | 422.68 | 563.57 |
| Micral Test – Non Diabetic | 311.34 | 415.12 |
| Micro Albumin/UACR | 804.12 | 1072.16 |
| Misc C/S | 2618.56 | 3491.41 |
| MISCELLANEOUS | 103.09 | 137.46 |
| NEW BORN SCREENING | 1,800.00 | 1,800.00 |
| Occult Blood | 250.52 | 334.02 |
| OGCT (50g) | 249.48 | 332.65 |
| OGTT ( 75G ) ( NON- PREGNANT ) | 247.42 | 329.9 |
| OGTT (100g) | 1039.18 | 1385.57 |
| OGTT (75g) ( PREGNANT ) | 873.2 | 1164.26 |
| PAP’S SMEAR | 371.13 | 494.85 |
| PBS | 818.04 | 1090.72 |
| PHOSPHOROUS | 639.74 | 852.99 |
| PLATELET | 185.57 | 247.42 |
| Potassium | 309.28 | 412.37 |
| Pregnancy Test | 268.04 | 357.39 |
| Protime | 1133.4 | 1511.2 |
| PSA | 1701.99 | 2269.32 |
| PSA (STAT) | 2304.74 | 3072.99 |
| PTT | 1286.6 | 1715.46 |
| RA Test (quali) | 507.71 | 676.95 |
| RA Test (quanti) | 752.58 | 1003.44 |
| RED BLOOD INDICES | 277.32 | 369.76 |
| Retic CT | 415.46 | 553.95 |
| Reverse Typing | 326.8 | 435.74 |
| RF (quali) | 432.99 | 577.32 |
| RF (quanti) | 801.65 | 1068.87 |
| Semen Analysis | 426.8 | 569.07 |
| SERUM FERRITIN | 2646.81 | 3529.09 |
| SGOT (AST) | 346.39 | 461.86 |
| SGPT (ALT) | 346.39 | 461.86 |
| Sodium | 346.39 | 461.86 |
| Stool C/S | 1662.89 | 2217.18 |
| MISCELLANEOUS FEE | 300 | 300 |
| SYPHILIS | 407.01 | 542.68 |
| T3 | 1125 | 1500 |
| T4 | 1125 | 1500 |
| Total CPK | 1128.87 | 1505.15 |
| Total Protein | 416.08 | 554.78 |
| TPAG | 789.28 | 1052.37 |
| Triglyceride | 363.4 | 484.54 |
| TROP I (QUALI) | 927.84 | 1237.11 |
| TROP I (QUANTI) | 2030.93 | 2707.9 |
| TSH | 1470.1 | 1960.14 |
| Typhidot | 1139.85 | 1519.79 |
| Urinalysis | 132.68 | 176.91 |
| Urine C/S | 2268.04 | 3024.05 |
| VLDL | 165.98 | 221.31 |
| WEIL FELIX TEST | 652.06 | 869.42 |
| Widal | 346.39 | 461.86 |
| Gram Stain | 294.59 | 392.78 |
| CA19-9 | 5696.91 | 7595.88 |
| Hgb ELECTROPHORESIS | 6185.57 | 8247.42 |
| PB THERAPY | 6185.57 | 8247.42 |
| PTH | 4824.74 | 6432.99 |
| CA15-3 | 3760.82 | 5014.43 |
| PROCALCITONIN | 1974.69 | 2632.92 |
| Toxoplasma IgG | 4997.94 | 6663.92 |
| VDRL (QUANTITATIVE) | 773.2 | 1030.93 |
| PROLACTIN | 2208.25 | 2944.33 |
| LEPTOSPIROSIS (IgG/IgM) | 1311.34 | 1748.45 |
| CSF TB PCR/ GENE EXPERT | 10230.93 | 13641.24 |
| BACTIGEN/PHADEBACT | 6123.71 | 8164.95 |
| HSV I & II | 16404.12 | 21872.16 |
| BLOOD SCREENING FEE (FFP) | 1000 | 1000 |
| HEP4 | 4243.3 | 5657.73 |
| ANTI-CCP | 5418.56 | 7224.74 |
| ANTI-SMITH | 4230.93 | 5657.73 |
| CALCIUM PACKAGE | 2606.96 | 3475.95 |
| D-DIMER | 2711.34 | 3615.12 |
| Ferritin | 2081.44 | 2775.26 |
| 24 Hour Urine Protein | 740.98 | 987.97 |
| HEPATITIS C PROFILE | 7546.39 | 10061.86 |
| COOMB’S TEST (Direct) | 1138.14 | 10061.86 |
| COOMB’S TEST (INDIRECT) | 1138.14 | 10061.86 |
| ER PR / HER 2 NEU | 14712.89 | 19617.18 |
| ANTI-CARDIOLIPIN IgM | 10360.82 | 13814.43 |
| TIBC (TOTAL IRON BINDING CAPACITY) | 3426.8 | 4569.07 |
| COVID ANTIGEN TEST | 660.00 | 660.00 |
| COVID PCR TEST | 3360.00 | 3360.00 |
| ADRENOCORTICOTROPHIN (ACTH) | 6556.7 | 8742.27 |
| GROWTH HORMONE (GH) | 6037.11 | 8049.48 |
| LUTEINIZING HORMONE (LH) | 10107.22 | 13476.29 |
| BENCE JONES PROTEIN TEST | 773.2 | 1030.93 |
| Alpha Feto Proten (AFP) | 3995.88 | 5327.84 |
| HCV RNA | 16626.8 | 22169.07 |
| Covid Saliva PCR | 2200 | 2200 |
| HBV-DNA | 6804.12 | 9072.16 |
| HSV I (IgM) | 3971.13 | 5294.85 |
| HSV I (IgG) | 4230.93 | 5641.24 |
| HSV II (IgM) | 3971.13 | 5294.85 |
| HSV II (IgG) | 4230.93 | 5641.24 |
| Anti-thyroglobulin Test | 4453.61 | 5938.14 |
| P-ANCA | 6890.72 | 9187.63 |
| C-ANCA | 6890.72 | 9187.63 |
| CMV-IgG | 4765.98 | 6354.64 |
| CMV-IgM | 5319.59 | 7092.78 |
| CORTISOL | 2208.25 | 2944.33 |
| Anti-NMDA Receptor (CSF) | 2208.25 | 2944.33 |
| N-TERMINAL-PRO-BNP | 5443.3 | 7257.73 |
| VITAMIN D | 2597.94 | 3463.92 |
| Anti-Toxoplasma IgG | 5319.59 | 7092.78 |
| PROGESTERONE | 1731.96 | 2309.28 |
| HISTO – ABORTION (large volume) | 6030.93 | 8041.24 |
| HISTO – ABORTION (small volume) | 2393.81 | 3191.75 |
| HISTO – ABSCESS | 2393.81 | 3191.75 |
| HISTO – ADENOIDS | 2393.81 | 3191.75 |
| HISTO – ADRENAL, resection | 7422.68 | 9896.91 |
| HISTO – ANEURYSM – arterial/ventricular | 3340.21 | 4453.61 |
| HISTO – ANUS, TAG | 2393.81 | 3191.75 |
| HISTO – APENDIX | 2393.81 | 3191.75 |
| HISTO – ARTERY, atheromatous plaque | 3989.69 | 5319.59 |
| HISTO – ARTERY, biopsy | 4342.27 | 5789.69 |
| HISTO – BARTHOLIN’S GLAND CYST | 3989.69 | 5319.59 |
| HISTO – BONE FRAGMENTS, pathologic fracture | 7979.38 | 10639.18 |
| HISTO – BONE MARROW BIOPSY | 4843.3 | 6457.73 |
| HISTO – BONE BIOPSY/CURETTING | 7237.11 | 9649.48 |
| HISTO – BONE, exostosis | 5734.02 | 7645.36 |
| HISTO – BONE, resection | 12061.86 | 16082.47 |
| HISTO – BRAIN BIOPSY | 7237.11 | 9649.48 |
| HISTO – BRAIN, meninges tumor resection | 7237.11 | 9649.48 |
| HISTO – BRAIN, other than tumor | 5288.66 | 7051.55 |
| HISTO – BRAIN, cleft cyst | 5288.66 | 7051.55 |
| HISTO – BREAST BIOPSY, BIG(>5CM OR MULTIPLE) | 6030.93 | 6030.93 |
| HISTO – BREAST BIOPSY, SMALL/MEDIUM | 3692.78 | 4923.71 |
| HISTO – BREAST CORE NEEDLE BIOPSY | 4843.3 | 6457.73 |
| HISTO – BREAST, MASTECTOMY WITH REGIONAL LYMPH NODES (MRM) | 12061.86 | 16082.47 |
| HISTO – BREAST, MASTECTOMY, PARTIAL/SIMPLE | 8721.65 | 11628.87 |
| HISTO – BREAST, REDUCTION MAMMOPLASTY | 6030.93 | 8041.24 |
| HISTO – BRONCHUS, BIOPSY | 4843.3 | 6457.73 |
| HISTO – BURSA/SYNOVIAL CYST | 3989.69 | 5319.59 |
| HISTO – CACULI | 927.84 | 1237.11 |
| HISTO – CARPAL | 3544.33 | 4725.77 |
| HISTO – CARTILLAGE | 3989.69 | 5319.59 |
| HISTO – CERVIX | 8276.29 | 11035.05 |
| HISTO – CERVIX, PUNCH BIOPSY | 3544.33 | 4725.77 |
| HISTO – CHOLESTEATOMA | 3544.33 | 4725.77 |
| HISTO – COLON, BIOPSY | 4843.3 | 6457.73 |
| HISTO – COLON, COLOSTOMY STOMA | 2690.72 | 3587.63 |
| HISTO – COLON, RESECTION FOR TUMOR WITH LYMPH NODES | 12061.86 | 16082.47 |
| HISTO – COLON, SEGMENTAL RESECTION (other tumor) | 8721.65 | 11628.87 |
| HISTO – CONJUCTIVA, BIOPSY | 4843.3 | 6457.73 |
| HISTO – CONJUNCTIVA, PTERYGIUM | 3544.33 | 4725.77 |
| HISTO – DENTAL CYST | 7237.11 | 9649.48 |
| HISTO – DUODENUM, BIOPSY | 4843.3 | 6457.73 |
| HISTO – EMBOLUS | 2245.36 | 2993.81 |
| HISTO – ENDOCERVICAL/ENDOMETRIAL CURETTINGS(2 BOTTLES) | 5288.66 | 7051.55 |
| HISTO – ESOPHAGUS, BIOPSY | 4843.3 | 6457.73 |
| HISTO – ESOPHAGUS, PARTIAL/TOTAL RESECTION | 11319.59 | 15092.78 |
| HISTO – EXTREMITY, AMPUTATION, NON TRAUMATIC | 11319.59 | 15092.78 |
| HISTO – EXTREMITY, AMPUTATION, TRAUMATIC | 6030.93 | 8041.24 |
| HISTO – EXTREMITY, DISARTICULATION FOR TUMOR | 12061.86 | 16082.47 |
| HISTO – EYE, ENUCEATION | 7979.38 | 10639.18 |
| HISTO – FALLOPIAN TUBES (BTL) | 2690.72 | 3587.63 |
| HISTO – FALLOPIAN TUBES, ECTOPIC PREGNANCY | 5288.66 | 7051.55 |
| HISTO – FEMORAL HEAD, FRACTURE | 6030.93 | 8041.24 |
| HISTO – FEMORAL HEAD, OTHER THAN FRACTURE | 8721.65 | 11628.87 |
| HISTO – FETUS, WITH DISSECTION | 10577.32 | 14103.09 |
| HISTO – FINGERS/TOES, AMPUTATION, TRAUMATIC | 2690.72 | 3587.63 |
| HISTO – FINGERS/TOES, AMPUTATION, NON TRAUMATIC | 6030.93 | 8041.24 |
| HISTO – FISSURE/FISTULA | 2245.36 | 2993.81 |
| HISTO – FLUID(FLEURAL, PERITONEAL, PERICARDIAL/CSF, WITH CELL BLOCK | 3395.88 | 4527.84 |
| HISTO – FNAB (SLIDES ONLY) | 1948.45 | 2597.94 |
| HISTO – FNAB (UTZ/CT-Guided) ADEQUACY WITH RAPID ON SITE EVALUATION | 6494.85 | 8659.79 |
| HISTO – FNAB (UTZ/CT-Guided) ADEQUACY WITHOUT RAPID ON SITE EVALUATION | 4546.39 | 6061.86 |
| HISTO – FNAB (UTZ/CT-Guided) ASSESSMENT FOR ADEQUACY | 1948.45 | 2597.94 |
| HISTO – FNAB WITH CELL BLOCK | 2096.91 | 2795.88 |
| HISTO – FOREIGN BODY | 927.84 | 1237.11 |
| HISTO – FORESKIN, NEWBORN | 927.84 | 1237.11 |
| HISTO – FORESKIN, OTHER THAN NEWBORN | 2245.36 | 2993.81 |
| HISTO – FRAGMENTS OF BONE | 927.84 | 1237.11 |
| HISTO – GALLBLADDER | 2393.81 | 3191.75 |
| HISTO – GANGLION CYST | 2245.36 | 2993.81 |
| HISTO – GINGIVA/ORAL MUCOSA, BIOPSY | 4843.3 | 6457.73 |
| HISTO – GUIDED BIOPSY (ULTRASOUND OR CT SCAN) | 4546.39 | 6061.86 |
| HISTO – HEART VALVE | 4843.3 | 6457.73 |
| HISTO – HEMATOMA | 2690.72 | 3587.63 |
| HISTO – HEMORRHOIDS | 2690.72 | 3587.63 |
| HISTO – HERNIAL SAC, ANY LOCATION | 2690.72 | 3587.63 |
| HISTO – HYDATID OF MORGANI | 2245.36 | 2993.81 |
| HISTO – HYDROCELE SAC | 2690.72 | 3587.63 |
| HISTO – INTERVERTEBRAL DISC | 2245.36 | 2993.81 |
| HISTO – JOINT, loose body | 2690.72 | 3587.63 |
| HISTO – JOINT, resection | 6773.2 | 9030.93 |
| HISTO – KIDNEY, partial/total nephrectomy | 9463.92 | 12618.56 |
| HISTO – LABIA, BIOPSY | 4843.3 | 6457.73 |
| HISTO – LARYNX, BIOPSY | 4843.3 | 6457.73 |
| HISTO – LARYNX, PARTIAL/TOTAL RESECTION | 8721.65 | 11628.87 |
| HISTO – LARYNX, PARTIAL/TOTAL RESECTION, WITH LYMPH NODES | 12061.86 | 16082.47 |
| HISTO – LEIOMYOMA (S) – MOYOMECTOMY ONY | 3989.69 | 5319.59 |
| HISTO – LENS | 927.84 | 1237.11 |
| HISTO – LIP BIOPSY/WEDGE RESECTION | 5288.66 | 7051.55 |
| HISTO – LIVER, BIOPSY(needle or wedge) | 6791.75 | 9055.67 |
| HISTO – LIVER, PARTIAL RESECTION | 7979.38 | 10639.18 |
| HISTO – LUNG, TOTAL/LOBE/SEGMENT RESECTION | 10577.32 | 14103.09 |
| HISTO – LUNG, TRANSBRONCHIAL BIOPSY | 4843.3 | 6457.73 |
| HISTO – LUNG, WEDGE BIOPSY | 7979.38 | 10639.18 |
| HISTO – LYMPH NODE, BIOPSY | 5288.66 | 7051.55 |
| HISTO – LYMPH NODES, REGIONAL RESECTION | 8721.65 | 11628.87 |
| HISTO – MEDISTINUM, MASS | 8721.65 | 11628.87 |
| HISTO – MENINGES, OTHER THAN TUMOR | 6030.93 | 8041.24 |
| HISTO – MENISCUS | 2690.72 | 3587.63 |
| HISTO – MUCOCELE, TONGUE/ORAL CAVITY/SALIVARY | 2690.72 | 3587.63 |
| HISTO – MUSCLE BIOPSY | 5288.66 | 7051.55 |
| HISTO – MYOCARDIUM, BIOPSY | 6791.75 | 9055.67 |
| HISTO – NAIL | 927.84 | 1237.11 |
| HISTO – NASAL MUCOSA, BIOPSY | 4843.3 | 6457.73 |
| HISTO – NASAL POLYPS | 3989.69 | 5319.59 |
| HISTO – NASOPHARYNX, BIOPSY | 4843.3 | 6457.73 |
| HISTO – NERVE | 2245.36 | 2993.81 |
| HISTO – NERVE, BIOPSY | 4843.3 | 6457.73 |
| HISTO – NEUROMA, MORTONS/TRAUMATIC | 2690.72 | 3587.63 |
| HISTO – ODONTOGENIC CYST | 6030.93 | 8041.24 |
| HISTO – ODONTOGENIC TUMOR | 8721.65 | 11628.87 |
| HISTO – OMENTUM, BIOPSY | 5288.66 | 7051.55 |
| HISTO – ORCHIECTOMY, NON TUMOR | 3432.99 | 4577.32 |
| HISTO – OROPHARYNX, BIOPSY | 4843.3 | 6457.73 |
| HISTO – OVARY, BIOPSY/WEDGE RESECTION | 4843.3 | 6457.73 |
| HISTO – OVARY, WITH OR WITHOUT TUBE, NEOPLASTIC | 7979.38 | 10639.18 |
| HISTO – OVARY, WITH OR WITHOUT TUBE, NON – NEOPLASTIC | 5288.66 | 7051.55 |
| HISTO – PANCREAS, BIOPSY | 6791.75 | 9055.67 |
| HISTO – PANCREAS, TOTAL/SUBTOTAL RESECTION | 11319.59 | 15092.78 |
| HISTO – PAP’S SMEAR | 556.7 | 742.27 |
| HISTO – PARANASAL, BIOPSY | 4843.3 | 6457.73 |
| HISTO – PARATHYROID, GLAND BIOPSY | 5288.66 | 7051.55 |
| HISTO – PERICARDIUM, BIOPSY | 4843.3 | 6457.73 |
| HISTO – PERITONEUM, BIOPSY | 4843.3 | 6457.73 |
| HISTO – PILONIDAL CYST/SINUS | 2690.72 | 3587.63 |
| HISTO – PITUITARY TUMOR | 5288.66 | 7051.55 |
| HISTO – PLACENTA, OTHER THAN THIRD TRIMESTER | 4731.96 | 6309.28 |
| HISTO – PLACENTA, THIRD TRIMESTER | 7237.11 | 9649.48 |
| HISTO – PLEURAL, BIOPSY | 4843.3 | 6457.73 |
| HISTO – POLYP, ENDOCERVICAL/ENDOMETRIAL | 5288.66 | 7051.55 |
| HISTO – PROSTATE, NEEDLE BIOPSY | 4843.3 | 6457.73 |
| HISTO – PROSTATE, RADICAL RESECTION | 12061.86 | 16082.47 |
| HISTO – PROSTATE, TUR-P OR BIOPSY | 8721.65 | 11628.87 |
| HISTO – RADICAL NECK DISSECTION | 12061.86 | 16082.47 |
| HISTO – SALIVARY GLAND | 7979.38 | 10639.18 |
| HISTO – SALIVARY GLAND, BIOPSY | 4843.3 | 6457.73 |
| HISTO – SINUS, BIOPSY | 4843.3 | 6457.73 |
| HISTO – SKIN – cyst/tag/debridement | 6030.93 | 8041.24 |
| HISTO – SKIN – plastic repair | 2690.72 | 3587.63 |
| HISTO – SMALL INTESTINE, BIOPSY | 4843.3 | 6457.73 |
| HISTO – SMALL INTESTINES, RESECTION FOR TUMOR | 12061.86 | 16082.47 |
| HISTO – SMALL INTESTINES, RESECTION OTHER THAN TUMOR | 8721.65 | 11628.87 |
| HISTO – SOFT TISSUE MASS, EXCEPT LIPOMA, BIOPSY/SIMPLE EXCISION | 7237.11 | 9649.48 |
| HISTO – SOFT TISSUE TUMOR, EXCESSIVE RESECTION | 12061.86 | 16082.47 |
| HISTO – SOFT TISSUE, DEBRIDEMENT | 2690.72 | 3587.63 |
| HISTO – SOFT TISSUE, LIPOMA | 2690.72 | 3587.63 |
| HISTO – SOFT TISSUE, OTHER THAN TUMOR/MASS/LIPOMA/DEBRIDEMENT | 6030.93 | 8041.24 |
| HISTO – SPERMATOCELE | 3432.99 | 4577.32 |
| HISTO – SPLEEN | 6030.93 | 8041.24 |
| HISTO – STOMACH BIOPSY | 4843.3 | 6457.73 |
| HISTO – STOMACH, SUBTOTAL/TOTAL RESECTION FOR TUMOR | 11319.59 | 15092.78 |
| HISTO – STOMACH, SUBTOTAL/TOTAL RESECTION OTHER THAN FOR TUMOR | 9463.92 | 12618.56 |
| HISTO – SYMPATHETIC GANGLION | 2245.36 | 2993.81 |
| HISTO – SYNOVIUM | 5288.66 | 7051.55 |
| HISTO – TEETH | 927.84 | 1237.11 |
| HISTO – TENDON/TENDON SHEATH | 2245.36 | 2993.81 |
| HISTO – TESTICULAR APPENDAGE | 4731.96 | 6309.28 |
| HISTO – TESTIS, BIOPSY | 6791.75 | 9055.67 |
| HISTO – TESTIS, OTHER THAN TUMOR/BIOPSY/CASTRATION | 5288.66 | 7051.55 |
| HISTO – TESTIS, TUMOR | 12061.86 | 16082.47 |
| HISTO – THROMBUS | 2690.72 | 3587.63 |
| HISTO – THYROGLOSSAL DUCT | 5288.66 | 7051.55 |
| HISTO – THYROID, TOTAL OR LOBECTOMY | 8721.65 | 11628.87 |
| HISTO – TONGUE, BIOPSY | 4843.3 | 6457.73 |
| HISTO – TONGUE, RESECTION FOR TUMOR | 12061.86 | 16082.47 |
| HISTO – TONSIL, BIOPSY | 4843.3 | 6457.73 |
| HISTO – TONSIL, RESECTION FOR TUMOR | 12061.86 | 16082.47 |
| HISTO – TONSILS, TONSILLECTOMY | 3989.69 | 5319.59 |
| HISTO – TRACHEA, BIOPSY | 4843.3 | 6457.73 |
| HISTO – URETERS, RESECTION | 7979.38 | 10639.18 |
| HISTO – URINARY BLADDER, BIOPSY | 5288.66 | 7051.55 |
| HISTO – URINARY BLADDER, PARTIAL/TOTAL RESECTION | 12061.86 | 16082.47 |
| HISTO – URINARY BLADDER, TUR | 7979.38 | 10639.18 |
| HISTO – URINARY BLADDER, TUR | 7979.38 | 10639.18 |
| HISTO – UTERUS(with or without tubes) FOR PROLAPSE | 6030.93 | 8041.24 |
| HISTO – UTERUS, NEOPLASTIC WITH LYMPH NODES AND OMENTUM | 12804.12 | 17072.16 |
| HISTO – UTERUS, with or without tubes and ovaries – other than | 6773.2 | 9030.93 |
| HISTO – VAGINA, BIOPSY | 4843.3 | 6457.73 |
| HISTO – VAGINA MUCOSA, INCIDENTAL | 2245.36 | 2993.81 |
| HISTO – VARICOCELE | 2690.72 | 3587.63 |
| HISTO – VAS DEFERENS, OTHER THAN STERILIZATION | 3989.69 | 5319.59 |
| HISTO – VAS DEFERENS, STERILIZATION | 2245.36 | 2993.81 |
| HISTO – VEIN, VARICOSITY | 2690.72 | 3587.63 |
| HISTO – VULVA, BIOPSY | 4843.3 | 6457.73 |
| HISTO – VULVA, SUBTOTAL/TOTAL RESECTION | 11319.59 | 15092.78 |
| PARACETAMOL ASSAY | 6086.6 | 8115.46 |
| USE OF LABORATORY SUPPLIES | 412.37 | 549.83 |
| PHLEBOTOMY FEE | 200 | 200 |
| TB Quantiferon/ Igra Test | 7175.26 | 9567.01 |
| LACTIC ACID | 876.29 | 1168.38 |
| TIBC w/ IRON | 1030.93 | 1374.57 |
| VITAMIN D2, D3 | 7216.49 | 9621.99 |
| X-ray Department | ||
| ABDOMEN UPRIGHT SUPINE | 651.00 | 868.00 |
| ANKLE MORTISE (L) | 546.00 | 728.00 |
| ANKLE MORTISE (R) | 546.00 | 728.00 |
| APICOLORDOTIC | 472.50 | 630.00 |
| BARIUM ENEMA | 3,000.00 | 4,000.00 |
| BOTH LEG AP\L | 1,330.56 | 1,774.08 |
| BOTH FEET | 1,260.00 | 1,680.00 |
| BOTH HIP JOINT | 651.00 | 868.00 |
| BOTH KNEE JOINT | 1,260.00 | 1,680.00 |
| CALDWELLS | 900.00 | 1,200.00 |
| CERVICAL | 630.00 | 840.00 |
| CHEST AP-L | 630.00 | 840.00 |
| CHEST PA | 420.00 | 560.00 |
| CHEST PA / LAT | 682.50 | 910.00 |
| CHEST PA,(L) LAT. DECUBITUS | 705.60 | 940.80 |
| CHEST PA,(R) LAT. DECUBITUS | 705.60 | 940.80 |
| CHEST PA/L | 650.00 | 866.67 |
| CHEST PA;APICOLORDOTIC VIEW | 600.00 | 800.00 |
| CHEST PA-TB | 475.00 | 633.33 |
| ESOPHAGOGRAPHY | 1,675.00 | 2,233.33 |
| FETOGRAM | 815.00 | 1,086.67 |
| INTRAOPERATIVE CHOLANGIORAM | 2,395.47 | 3,193.96 |
| IVP | 3,150.00 | 4,200.00 |
| KUB | 367.50 | 490.00 |
| L-FEMUR | 693.00 | 924.00 |
| L-ANKLE | 630.00 | 840.00 |
| L-CLAVICLE | 367.50 | 490.00 |
| LEFT CALCANEUS | 600.00 | 800.00 |
| L-ELBOW | 630.00 | 840.00 |
| L-FOOT | 630.00 | 840.00 |
| L-FOREARM | 630.00 | 840.00 |
| L-HAND | 630.00 | 840.00 |
| L-HUMERUS | 630.00 | 840.00 |
| L-KNEE | 630.00 | 840.00 |
| L-LEG | 630.00 | 840.00 |
| L-SHOULDER | 367.50 | 490.00 |
| LSV | 630.00 | 840.00 |
| L-WRIST | 630.00 | 840.00 |
| MANDIBLE | 630.00 | 840.00 |
| MASTOID SERIES | 800.00 | 1,066.67 |
| NASAL BONE | 1,134.00 | 1,512.00 |
| ORBITS | 630.00 | 840.00 |
| PARANASAL SINUSES SERIES | 966.00 | 1,288.00 |
| PELVIMETRY | 855.75 | 1,141.00 |
| PELVIS | 367.50 | 490.00 |
| R-ELBOW | 630.00 | 840.00 |
| R-SHOULDER | 367.50 | 490.00 |
| R-WRIST | 630.00 | 787.50 |
| R-ANKLE | 630.00 | 840.00 |
| R-CLAVICLE | 367.50 | 490.00 |
| RETROGRADE PYELOGRAPHY | 2,100.00 | 2,800.00 |
| R-FEMUR | 693.00 | 924.00 |
| R-FOOT | 630.00 | 840.00 |
| R-FOREARM | 630.00 | 840.00 |
| R-HAND | 630.00 | 840.00 |
| R-HUMERUS | 630.00 | 840.00 |
| R-KNEE | 630.00 | 840.00 |
| R-LEG | 630.00 | 840.00 |
| SCOUT FILM | 367.50 | 490.00 |
| SHOULDER BILATERAL | 651.00 | 868.00 |
| SKULL | 630.00 | 840.00 |
| SOFT TISSUE | 630.00 | 840.00 |
| T-TUBE CHOLANGIOGRAM | 2,772.00 | 3,696.00 |
| T-CAGE | 498.75 | 665.00 |
| THORACO-LUMBAR SPINE | 630.00 | 840.00 |
| TMJ (OPEN & CLOSED) | 1,260.00 | 1,680.00 |
| TOWNES VIEW | 514.50 | 686.00 |
| UGIS | 3,000.00 | 4,000.00 |
| VOIDING CYSTOURETROGRAM | 3,000.00 | 4,000.00 |
| WATERS VIEW | 514.50 | 686.00 |
| WRIST BILATERAL | 1,209.60 | 1,612.80 |
| SMALL INTESTINAL SERIES (SIS) | 2,300.00 | 3,066.67 |
| THORACIC SPINE APL | 693.00 | 924.00 |
| PORTABLE FEE | 95.00 | 126.67 |
| ABDOMEN LATERAL | 367.50 | 490.00 |
| SINGLE (1) VIEW | 350.00 | 466.67 |
| X-RAY DIGITAL PAPER | 50.00 | 66.67 |
| X-RAY DIGITAL FILM | 250.00 | 333.33 |
| RIGHT CALCANEUS | 600.00 | 800.00 |
| USE OF PPE GOWN | 650.00 | 866.67 |
| SCAPULAR Y VIEW | 367.50 | 490.00 |
| PELVIS FROG-LEG | 420.00 | 560.00 |
| R-HIP AXIOLATERAL PROJECTION (cross table lateral hip) | 420.00 | 560.00 |
| L-HIP AXIOLATERAL PROJECTION (cross table lateral hip) | 420.00 | 560.00 |
| SERENDIPITY METHOD CLAVICLE | 400.00 | 533.33 |
| JUDET METHOD PELVIS | 400.00 | 533.33 |
| TEUFEL METHOD PELVIS | 400.00 | 533.33 |
| GREENSPAN VIEW ELBOW | 400.00 | 533.33 |
| MANDIBLE SERIES | 1,200.00 | 1,600.00 |
| Ultrasound Department | ||
| ABDOMINAL | 988.80 | 1,318.40 |
| ABDOMINAL AORTA | 900.00 | 1,200.00 |
| ABDOMINAL PELVIC | 1,620.00 | 2,160.00 |
| ARTERIAL | 3,360.00 | 4,480.00 |
| ARTERIAL & VENOUS | 6,720.00 | 8,960.00 |
| ARTERIAL DOPPLER (LOWER) – BOTH SIDES | 7,350.00 | 9,800.00 |
| ARTERIAL DOPPLER (LOWER) – ONE SIDE | 3,675.00 | 4,900.00 |
| ARTERIAL DOPPLER (UPPER) – BOTH SIDES | 7,350.00 | 9,800.00 |
| ARTERIAL DOPPLER (UPPER)- ONE SIDE | 3,675.00 | 4,900.00 |
| AXILLA, BILATERAL | 927.00 | 1,236.00 |
| BIOPHYSICAL SCORING (BPS) | 5,000.00 | 6,666.67 |
| BIOPSY (UTZ GUIDED) | 3,090.00 | 4,120.00 |
| BREAST | 1,854.00 | 2,472.00 |
| CAROTID | 5,040.00 | 6,720.00 |
| CAROTID DOPPLER | 5,500.00 | 7,333.33 |
| CHEST | 927.00 | 1,236.00 |
| COLOR DOPPLER W/ PULSE WAVE DOPPLER | 1,400.00 | 1,866.67 |
| CRANIAL ULTRASOUND | 2,500.00 | 3,333.33 |
| HEPATOBILIARY TREE | 988.80 | 1,318.40 |
| INGUINO-SCROTAL WITH DOPPLER | 2,575.00 | 3,433.33 |
| LIVER DOPPLER | 3,500.00 | 4,666.67 |
| LUNG OR CHEST ULTRASOUND | 1,030.00 | 1,373.33 |
| NECK | 751.90 | 1,002.53 |
| NEEDLE LOCALIZATION MAMMOGRAPHY | 1,500.00 | 2,000.00 |
| NEPHROSTOSTOMY ULTRASOUND GUIDED | 3,000.00 | 4,000.00 |
| ONE ORGAN | 618.00 | 824.00 |
| PELVIC | 927.00 | 1,236.00 |
| PELVIC + BPS | 988.80 | 1,318.40 |
| PELVIC + CORD LOOP | 1,020.00 | 1,360.00 |
| PELVIC BPS WITH DOPPLER | 1,080.00 | 1,440.00 |
| PELVIC W/ COLOR DOPPLER | 960.00 | 1,280.00 |
| RADTECH FEE UTZ(REG) | 200.00 | 200.00 |
| RADTECH FEE UTZ(COVID) | 300.00 | 300.00 |
| RENAL DOPPLER | 8,500.00 | 11,333.33 |
| RENAL/KUB | 927.00 | 1,236.00 |
| RENAL/ PROSTATE | 1,133.00 | 1,510.67 |
| SCROTAL | 1,112.40 | 1,483.20 |
| SCROTAL WITH DOOPLER | 2,575.00 | 3,433.33 |
| SOFT TISSUE | 720.00 | 960.00 |
| THYROID | 679.80 | 906.40 |
| TRANSRECTAL | 988.80 | 1,318.40 |
| TRANSVAGINAL | 988.80 | 1,318.40 |
| UTZ LEFT INGUINAL | 927.00 | 1,236.00 |
| UTZ RIGHT INGUINAL | 927.00 | 1,236.00 |
| USE OF ULTRASOUND MACHINE | 1,000.00 | 1,333.33 |
| USE OF PORTABLE XRAY (MANUAL XRAY) | 550.00 | 733.33 |
| VENOUS | 3,360.00 | 4,480.00 |
| VENOUS DOPPLER – BOTH SIDES | 8,500.00 | 11,333.33 |
| VENOUS DOPPLER – ONE SIDES | 4,250.00 | 5,666.67 |
| WHOLE ABDOMEN | 1,668.60 | 2,224.80 |
| CT-SCAN Department | ||
| ABDOMINAL AORTA ANGIOGRAM | 25,000.00 | 33,333.33 |
| ADDITIONAL CD | 250.00 | 250.00 |
| ADDITIONAL FILM | 250.00 | 250.00 |
| BIOPSY GUIDED | 5,200.00 | 6,933.33 |
| CEREBRAL ANGIOGRAM | 15,170.00 | 20,226.67 |
| CERVICAL SPINE | 5,289.00 | 7,052.00 |
| CHEST WITH CONTRAST TRI-PHASIC | 12,200.00 | 16,266.67 |
| CONTRAST MEDIA (50cc) | 3,000.00 | 4,000.00 |
| CRANIAL (PLAIN) | 4,429.00 | 5905.33 |
| CRANIAL PLAIN (TRAUMA) | 4,663.75 | 6,218.33 |
| CRANIAL WITH NON-IONIC CONTRAST | 6,150 | 8,200.00 |
| CRANIOFACIAL (TRAUMA) | 5,637.50 | 7,516.67 |
| CT GUIDED FNAB | 5,400.00 | 7,200.00 |
| CT SCAN PLATE | 250.00 | 250.00 |
| CT STONOGRAM | 7,732.50 | 10,310.00 |
| DOCTOR’S STAT FEE | 2,000.00 | 2,000.00 |
| ELBOW | 5,125.00 | 6,833.33 |
| HAND | 5,125.00 | 6,833.33 |
| KNEE | 5,535.00 | 7,380.00 |
| LOWER ABDOMEN PLAIN | 5,945.00 | 7,926.67 |
| LOWER ABDOMEN WITH NON- IONIC CONTRAST | 8,712.50 | 11,616.67 |
| LUMBAR SPINE | 5,658.00 | 7,544.00 |
| LUNG ( CHEST ) | 4,510.00 | 6,013.33 |
| LUNG ( CHEST ) WITH NON- IONIC CONTRAST | 7,585.00 | 10,113.33 |
| MANDIBLE (PLAIN) | 5,781.00 | 7,708.00 |
| MANDIBLE WITH CONTRAST | 8,093.40 | 10,791.20 |
| MASTOIDS ( TEMPORAL ) | 5,535.00 | 7,380.00 |
| MASTOIDS ( TEMPORAL ) w/ contrast | 7,277.50 | 9,703.33 |
| MAXILLA | 5,535.00 | 7,380.00 |
| MAXILLO- FACIAL CONTRAST W/ 3D RECONSTRUCTION | 7,322.50 | 9,763.33 |
| MAXILLO- FACIAL PLAIN W/ 3D RECONSTRUCTION | 5,908.00 | 7,877.33 |
| NASOPHARYNX CONTRAST | 6,662.50 | 8,883.33 |
| NASOPHARYNX PLAIN | 4,920.00 | 6,560.00 |
| NECK PLAIN | 5,539.00 | 7,385.33 |
| NECK WITH CONTRAST | 6,912.50 | 9,216.67 |
| ON CALL FEE | 300.00 | 300.00 |
| ORBIT CONTRAST | 6,560.00 | 8,746.67 |
| ORBITS | 5,535.00 | 6,918.75 |
| PALATE/ ORAL CAVITY | 5,535.00 | 7,380.00 |
| PARANASAL SINUSES (PNS) CONTRAST | 7,687.00 | 9,609.40 |
| PARANASAL SINUSES (PNS) PLAIN | 5,580.00 | 7,440.00 |
| PAROTID GLANDS | 4,920.00 | 6,560.00 |
| PELVIS ( TRAUMA ) | 5,658.00 | 7,544.00 |
| PELVIS CONTRAST | 7,995.00 | 10,660.00 |
| PELVIS PLAIN | 5,125.00 | 6,833.33 |
| PERIPHERAL ARTERY ANGIOGRAM | 25,000.00 | 33,333.33 |
| PULMONARY EMBOLISM | 19,800.00 | 26,400.00 |
| RADTECH FEE XRAY(REG) | 100.00 | 100.00 |
| RADTECH FEE XRAY(COVID) | 100.00 | 150.00 |
| RENAL ANDIOGRAM | 19,800.00 | 26,400.00 |
| SHOULDER | 5,125.00 | 6,833.33 |
| SHOULDER WITH NON-IONIC CONTRAST | 6,150.00 | 8,200.00 |
| THORACIC AORTA ANGIOGRAM | 19,800.00 | 26,400.00 |
| THORACIC SPINE | 5,658.00 | 7,544.00 |
| THORACIC SPINE WITH CONTRAST | 7,685.50 | 10,247.33 |
| THORACO ABDOMINAL AORTA ANGIOGRAM | 30,000.00 | 40,000.00 |
| UPPER ABDOMEN PLAIN | 5,740.00 | 7,653.33 |
| UPPER ABDOMEN TRI-PHASIC | 12,505.00 | 16,673.33 |
| UPPER ABDOMEN WITH NON- IONIC CONTRAST | 8,712.00 | 11,616.67 |
| WHOLE ABDOMEN PLAIN | 8,712.50 | 11,616.67 |
| WHOLE ABDOMEN TRI-PHASIC | 17,425.00 | 23,233.33 |
| WHOLE ABDOMEN TRIPLE CONTRAST | 10,967.50 | 14,623.33 |
| WHOLE ABDOMEN WITH NON- IONIC CONTRAST | 10,455.00 | 13,940.00 |
For other information, contact us.
*Note: Prices may change subject to note prior.
