Price List

Diagnostic Services
as of July 4, 2022

 

Description Lowest Price Highest Price
Laboratory Dept
AFB Stain 269.60 421.25
BUA 168.00 210.00
BUN 168.00 210.00
CBC, Platelet 322.40 503.75
COVID ANTIGEN TEST 660.00 660.00
COVID PCR TEST 3,360.00 3,360.00
Creatinine 168.00 262.50
DRUG TEST 300.00 300.00
NEW BORN SCREENING 1800.00 1800.00
FBS/ RBS 187.20 285.00
HBA1c 768.00 1,200.00
Lipid Profile 768.00 960.00
Potassium 240.00 375.00
SGOT (AST) 268.80 420.00
SGPT (ALT) 268.80 420.00
Sodium 268.80 420.00
Urinalysis 93.60 131.00
Widal 268.80 420.00
X-ray Department
CERVICAL-SPINE 480.00 600.00
CHEST PA 320.00 450.00
CHEST PA / LAT 480.00 600.00
ESOPHAGOGRAPHY 1,340.00 1,875.00
IVP 1,680.00 2,625.00
KUB 280.00 437.50
L-FOOT 480.00 600.00
L-FOREARM 480.00 600.00
L-HAND 480.00 600.00
L-KNEE 480.00 600.00
L-LEG 480.00 600.00
L-SHOULDER 280.00 437.50
LSV 480.00 600.00
T-CAGE 380.00 539.78
TOWNES VIEW 392.00 556.81
WATERS VIEW 392.00 556.81
APICOLORDOTIC 360.00 539.78
PELVIS 280.00 437.50
R- SHOULDER 280.00 437.50
R-FOOT 480.00 600.00
R-FOREARM 480.00 600.00
R-HAND 480.00 600.00
R-KNEE 480.00 600.00
R-LEG 480.00 600.00
R-THUMB 480.00 600.00
SHOULDER BILATERAL 496.00 704.55
SKULL 480.00 600.00
SOFT TISSUE 480.00 600.00
Ultrasound Dept
HEPATOBILIARY TREE 768.00 960.00
LUNG OR CHEST ULTRASOUND 800.00 1,250.00
NECK 528.00 660.00
PELVIC 720.00 1,125.00
RENAL/ KUB 720.00 900.00
RENAL/ PROSTATE 880.00 1,100.00
INGUINO-SCROTAL WITH DOPPLER 2,500.00 3,125.00
THYROID 660.00 825.00
WHOLE ABDOMEN 1,620.00 2,025.00
TRANSVAGINAL 768.00 1,200.00
CT-SCAN Department
CT STONOGRAM 5,840.00 9,125.00
NECK WITH CONTRAST 5,200.00 8,125.00
CRANIAL CONTRAST 4,800.00 7,500.00
WHOLE ABDOMEN CONTRAST BI-PHASIC 8,160.00 12,750.00
CRANIAL PLAIN (TRAUMA) 3,440.00 5,375.00
PARANASAL SINUSES (PNS) PLAIN 3,760.00 5,875.00
CHEST CONTRAST 5,920.00 9,250.00
CHEST PLAIN 3,520.00 5,500.00
WHOLE ABDOMEN TRI-PHASIC 13,600.00 21,250.00
CEREBRAL ANGIOGRAM 11,840.00 18,500.00

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