SKULL – XSC
Test NameCostReporting
X-RAY SKULL – PA2,200.00800.00
X-RAY SKULL – RIGHT LAT2,200.00800.00
X-RAY SKULL – LEFT LAT2,200.00800.00
X-RAY SKULL – TOWNE2,400.00800.00
X-RAY SKULL – SMV2,200.00800.00
X-RAY SKULL – IAM2,200.00800.00
X-RAY SKULL – SINUS2,200.00800.00
X-RAY SKULL – PA & LAT  3,000.001,600.00

X-RAY Price List

SKULL - XSC

Test NameCostReporting
X-RAY SKULL – PA2,200.00800.00
X-RAY SKULL – RIGHT LAT2,200.00800.00
X-RAY SKULL – LEFT LAT2,200.00800.00
X-RAY SKULL – TOWNE2,400.00800.00
X-RAY SKULL – SMV2,200.00800.00
X-RAY SKULL – IAM2,200.00800.00
X-RAY SKULL – SINUS2,200.00800.00
X-RAY SKULL – PA & LAT 3,000.001,600.00

FACE & NECK - XFN

Test NameCostReporting
X-RAY NECK – AP2,000.00800.00
X-RAY NECK – LAT2,000.00800.00
X-RAY NECK – AP & LAT3,000.00800.00
X-RAY MANDIBLE – PA2,000.00800.00
X-RAY MANDIBLE – RIGHT LAT2,000.00800.00
X-RAY MANDIBLE – LEFT LAT2,000.00800.00
X-RAY MANDIBLE – RIGHT OBLIQUE2,000.00800.00
X-RAY MANDIBLE – LEFT OBLIQUE2,000.00800.00
X-RAY MASTOID – RIGHT LAT2,000.00800.00
X-RAY MASTOID – LEFT LAT2,000.00800.00
X-RAY MASTOID – RIGHT & LEFT LAT2,900.00800.00
X-RAY TM JOINT – RIGHT OPEN & CLOSE2,900.00800.00
X-RAY TM JOINT – LEFT OPEN & CLOSE2,900.00800.00
X-RAY NASAL BONE – LAT2,000.00800.00
X-RAY ORBIT – PA2,000.00800.00
X-RAY ORBIT – RIGHT LAT2,000.00800.00
X-RAY ORBIT – LEFT LAT2,000.00800.00
X-RAY PNS2,000.00800.00
X-RAY ORBIT – PA & LAT2,900.00800.00

STERNUM - XST

Test NameCostReporting
X-RAY STERNUM – AP2,400.00800.00
X-RAY STERNUM – RIGHT OBLIQUE2,400.00800.00
X-RAY STERNUM – LEFT OBLIQUE2,400.00800.00
X-RAY STERNUM – RIGHT LAT2,400.00800.00
X-RAY STERNUM – LEFT LAT2,400.00800.00
X-RAY STERNUM – AP & LAT 3,600.001600.00

CHEST - XCH

Test NameCostReporting
X-RAY CHEST – PA2,200.00800.00
X-RAY CHEST – AP2,200.00800.00
X-RAY CHEST – RIGHT LAT2,200.00800.00
X-RAY CHEST – LEFT LAT2,200.00800.00
X-RAY CHEST – RIGHT LAT DECUBITUS2,400.00800.00
X-RAY CHEST – LEFT LAT DECUBITUS2,400.00800.00
X-RAY CHEST – RIGHT OBLIQUE2,200.00800.00
X-RAY CHEST – LEFT OBLIQUE2,200.00800.00
X-RAY CHEST – APICAL2,000.00800.00
X-RAY CHEST – PA & LAT 3,600.001600.00

ABDOMEN - XAB

Test NameCostReporting
X-RAY ABDOMEN – KUB2,200.00800.00
X-RAY ABDOMEN – ERECT2,200.00800.00
X-RAY ABDOMEN – SUPINE2,200.00800.00
X-RAY ABDOMEN – RIGHT LAT2,200.00800.00
X-RAY ABDOMEN – LEFT LAT2,200.00800.00
X-RAY ABDOMEN – PA & LAT 3,600.001600.00

SHOULDER / HANDS - XUL

Test NameCostReporting
X-RAY RIGHT SHOULDER – AP2,000.00800.00
X-RAY RIGHT SHOULDER – LAT / Y View2,000.00800.00
X-RAY RIGHT SHOULDER – AXIAL2,000.00800.00
X-RAY RIGHT CLAVICLE – AP2,000.00800.00
X-RAY RIGHT ACROMIOCLAVICULAR (AC) JOINT – AP2,000.00800.00
X-RAY RIGHT HUMERUS – AP2,200.00800.00
X-RAY RIGHT HUMERUS – LAT2,200.00800.00
X-RAY RIGHT HUMERUS – AP & LAT3,000.00800.00
X-RAY RIGHT ELBOW JOINT – AP2,000.00800.00
X-RAY RIGHT ELBOW JOINT – LAT2,000.00800.00
X-RAY RIGHT ELBOW JOINT – AP & LAT3,000.00800.00
X-RAY RIGHT FOREARM – AP2,200.00800.00
X-RAY RIGHT FOREARM – LAT2,200.00800.00
X-RAY RIGHT FOREARM – AP & LAT3,000.00800.00
X-RAY RIGHT HAND – PA2,000.00800.00
X-RAY RIGHT HAND – LAT2,000.00800.00
X-RAY RIGHT HAND – PA & LAT3,000.00800.00
X-RAY RIGHT HAND – OBLIQUE2,000.00800.00
X-RAY RIGHT WRIST – AP2,000.00800.00
X-RAY RIGHT WRIST – LAT2,000.00800.00
X-RAY RIGHT WRIST – AP & LAT2,900.00800.00
X-RAY RIGHT WRIST – SCAPHOID3,000.00800.00
X-RAY LEFT SHOULDER – AP2,000.00800.00
X-RAY LEFT SHOULDER – LAT / Y View2,000.00800.00
X-RAY LEFT SHOULDER – AXIAL2,000.00800.00
X-RAY LEFT CLAVICLE – AP2,000.00800.00
X-RAY LEFT ACROMIOCLAVICULAR (AC) JOINT – AP2,000.00800.00
X-RAY LEFT HUMERUS – AP2,200.00800.00
X-RAY LEFT HUMERUS – LAT2,200.00800.00
X-RAY LEFT HUMERUS – AP & LAT3,000.00800.00
X-RAY LEFT ELBOW JOINT – AP2,000.00800.00
X-RAY LEFT ELBOW JOINT – LAT2,000.00800.00
X-RAY LEFT ELBOW JOINT – AP & LAT3,000.00800.00
X-RAY LEFT FOREARM – AP2,200.00800.00
X-RAY LEFT FOREARM – LAT2,200.00800.00
X-RAY LEFT FOREARM – AP & LAT3,000.00800.00
X-RAY LEFT HAND – PA2,000.00800.00
X-RAY LEFT HAND – LAT2,000.00800.00
X-RAY LEFT HAND – PA & LAT3,000.00800.00
X-RAY LEFT HAND – OBLIQUE2,000.00800.00
X-RAY LEFT WRIST – AP2,000.00800.00
X-RAY LEFT WRIST – LAT2,000.00800.00
X-RAY LEFT WRIST – AP & LAT2,900.00800.00
X-RAY LEFT WRIST – SCAPHOID3,000.00800.00
X-RAY BOTH WRISTS – AP2,000.00800.00
X-RAY BOTH HANDS – PA3,000.00800.00
X-RAY FINGER – AP & LAT2,200.00800.00
X-RAY FINGER – AP 2,000.00800.00
X-RAY FINGER – LAT2,000.00800.00

SPINE - XSP

Test NameCostReporting
X-RAY CERVICAL SPINE – AP2,000.00800.00
X-RAY CERVICAL SPINE – RIGHT LAT2,000.00800.00
X-RAY CERVICAL SPINE – LEFT LAT2,000.00800.00
X-RAY CERVICAL SPINE – RIGHT OBLIQUE2,000.00800.00
X-RAY CERVICAL SPINE – LEFT OBLIQUE2,000.00800.00
X-RAY CERVICAL SPINE – BOTH OBLIQUE3,000.00800.00
X-RAY CERVICAL SPINE – FLEXION / EXTENSION3,000.00800.00
X-RAY THORACIC SPINE – AP3,000.00800.00
X-RAY THORACIC SPINE – RIGHT LAT3,000.00800.00
X-RAY THORACIC SPINE – LEFT LAT3,000.00800.00
X-RAY THORACOLUMBAR – AP3,000.00800.00
X-RAY THORACOLUMBAR – RIGHT LAT3,000.00800.00
X-RAY THORACOLUMBAR – LEFT LAT3,000.00800.00
X-RAY LUMBOSACRAL – AP3,000.00800.00
X-RAY LUMBOSACRAL – RIGHT LAT3,000.00800.00
X-RAY LUMBOSACRAL – LEFT LAT3,000.00800.00
X-RAY LUMBOSACRAL – RIGHT OBLIQUE3,000.00800.00
X-RAY LUMBOSACRAL – LEFT OBLIQUE3,000.00800.00
X-RAY LUMBOSACRAL SPINE FLEXION / EXTENSION 3,600.001,600.00
X-RAY SACROCOCCYX – AP2,000.00800.00
X-RAY SACROCOCCYX – LAT2,000.00800.00
X-RAY CERVICAL SPINE – AP & LAT3,000.00800.00
X-RAY THORACIC SPINE – AP & LAT3,000.00800.00
X-RAY THORACOLUMBAR – AP & LAT [DORSO]3,000.00800.00
X-RAY LUMBOSACRAL – AP & LAT3,000.00800.00
X-RAY LUMBOSACRAL – AP with HIP & LAT3,600.001600.00

HIP / KNEE / ANKLE & FOOT - XLL

Test NameCostReporting
X-RAY PELVIS WITH HIP JOINT – AP2,400.00800.00
X-RAY PELVIS – LAT2,200.00800.00
X-RAY PELVIS – FROG VIEW2,200.00800.00
X-RAY BOTH SACROILIAC JOINTS2,000.00800.00
X-RAY RIGHT SACROILIAC JOINT – OBLIQUE2,000.00800.00
X-RAY LEFT SACROILIAC JOINT – OBLIQUE2,000.00800.00
X-RAY RIGHT HIP JOINT – AP2,000.00800.00
X-RAY RIGHT HIP JOINT – LAT2,000.00800.00
X-RAY LEFT HIP JOINT – AP2,000.00800.00
X-RAY LEFT HIP JOINT – LAT2,000.00800.00
X-RAY RIGHT THIGH – AP2,200.00800.00
X-RAY RIGHT THIGH – LAT2,200.00800.00
X-RAY RIGHT THIGH – AP & LAT3,000.00800.00
X-RAY LEFT THIGH – AP2,200.00800.00
X-RAY LEFT THIGH – LAT2,200.00800.00
X-RAY LEFT THIGH – AP & LAT3,000.00800.00
X-RAY RIGHT KNEE JOINT – AP2,000.00800.00
X-RAY RIGHT KNEE JOINT – LAT2,000.00800.00
X-RAY RIGHT KNEE – SKYLINE2,000.00800.00
X-RAY RIGHT KNEE JOINT – AP & LAT3,000.00800.00
X-RAY LEFT KNEE JOINT – AP2,000.00800.00
X-RAY LEFT KNEE JOINT – LAT2,000.00800.00
X-RAY LEFT KNEE – SKYLINE2,000.00800.00
X-RAY LEFT KNEE JOINT – AP & LAT3,000.00800.00
X-RAY BOTH KNEE STANDING – AP2,200.00800.00
X-RAY RIGHT LEG – AP2,200.00800.00
X-RAY RIGHT LEG – LAT2,200.00800.00
X-RAY RIGHT LEG – AP & LAT3,000.00800.00
X-RAY LEFT LEG – AP2,200.00800.00
X-RAY LEFT LEG – LAT2,200.00800.00
X-RAY LEFT LEG – AP & LAT3,000.00800.00
X-RAY RIGHT ANKLE – AP2,000.00800.00
X-RAY RIGHT ANKLE – LAT2,000.00800.00
X-RAY RIGHT ANKLE – AP & LAT3,000.00800.00
X-RAY RIGHT ANKLE – RIGHT OBLIQUE2,000.00800.00
X-RAY RIGHT ANKLE – LEFT OBLIQUE2,000.00800.00
X-RY LEFT ANKLE – AP2,000.00800.00
X-RAY LEFT ANKLE – LAT2,000.00800.00
X-RAY LEFT ANKLE – AP & LAT3,000.00800.00
X-RAY LEFT ANKLE – RIGHT OBLIQUE2,000.00800.00
X-RAY LEFT ANKLE – LEFT OBLIQUE2,000.00800.00
X-RAY RIGHT FOOT – AP2,000.00800.00
X-RAY RIGHT FOOT – LAT2,000.00800.00
X-RAY RIGHT FOOT – AP & LAT3,000.00800.00
X-RAY RIGHT FOOT – OBLIQUE2,000.00800.00
X-RAY LEFT FOOT – AP2,000.00800.00
X-RAY LEFT FOOT – LAT2,000.00800.00
X-RAY LEFT FOOT – AP & LAT3,000.00800.00
X-RAY LEFT FOOT – OBLIQUE2,000.00800.00
X-RAY BOTH HEELS – LAT2,200.00800.00
X-RAY BOTH HEELS – AXIAL2,200.00800.00
X-RAY INTERCONDYLAR NOTCH2,000.00800.00
X-RAY RIGHT BIG TOE – AP & LAT2,200.00800.00
X-RAY LEFT BIG TOE – AP & LAT2,200.00800.00
X-RAY RIGHT HIP JOINT – AP & LAT3,000.00800.00
X-RAY BOTH KNEE JOINT – AP & LAT 3,600.001,600.00
X-RAY LEFT HIP JOINT – AP & LAT3,000.00800.00
X-RAY RIGHT KNEE – TUNNEL VIEW2,000.00800.00
X-RAY LEFT KNEE – TUNNEL VIEW2,000.00800.00
X-RAY BOTH HIPS – AP2,400.00800.00
X-RAY RIGHT BIG TOE – AP2,000.00800.00
X-RAY RIGHT BIG TOE – LAT2,000.00800.00
X-RAY LEFT BIG TOE – AP2,000.00800.00
X-RAY LEFT BIG TOE – LAT2,000.00800.00

DENTAL - XDT

Test NameCost
X-RAY DENTAL CEPH – LAT3,450.00
X-RAY DENTAL CEPH – PA3,450.00
X-RAY DENTAL OPG3,450.00
X-RAY DENTAL OCCLUSAL2,000.00
X-RAY DENTAL IOPA – 1 VIEW2,000.00
X-RAY DENTAL IOPA – 2 VIEWS2,500.00
X-RAY DENTAL IOPA – 3 VIEWS3,000.00
X-RAY DENTAL IOPA – 4 VIEWS3,800.00
X-RAY DENTAL IOPA – 5 VIEWS4,500.00
X-RAY DENTAL IOPA – BITE WING 1 VIEW2,000.00
X-RAY DENTAL IOPA – BITE WING 2 VIEWS3,800.00

Lab Price List

 Hosp. Fee
Alanine Aminotransaminase (ALT) (GPT)960.00
Albumin, Random, Urine600.00
Albumin, S860.00
Alkaline Phosphatase, S960.00
Antibiotic Sensitivity Test (ABST)1,500.00
Antisterp – O Titer, S1,500.00
Aspartate Aminotransferase (AST) (GOT)960.00
Axillary Swab Culture1,500.00
Beta-HCG, Quantitative, S3,800.00
Bilirubin Total, S880.00
Bilirubin, S1,800.00
Bleeding and Clotting Time1,000.00
Blood Grouping & RH1,200.00
Blood Picture1,700.00
Blood Urea900.00
Blood Urea Nitrogen960.00
Body Fluid Culture1,500.00
C-Reactive Protein, S1,350.00
Calcium Total, S1,200.00
Cholesterol HDL, S1,200.00
Cholesterol Total, S700.00
Complete Blood Count 400.00
Creatinine with eGFR, S980.00
Creatinine, S980.00
Creatinine, U 1,000.00
Dengue NS1 Ag, S 1,200.00
Dengue Virus Ab IgG & IgM, S4,900.00
Drug Abuse Panel, U9,500.00
Ear Swab Culture1,500.00
Electrolyte Panel, S1,800.00
Erythrocyte Sedimentation Rate (ESR)600.00
Eye Swab Culture1,800.00
Fasting Blood Glucose – Glucometer700.00
Fasting Plasma Glucose600.00
Fecal Occult Blood1,600.00
Filarial Antibodies (FAT)1,300.00
Gamma Glutamyltranferase (GGT), S1,200.00
Glucose Challenge Test 75g820.00
Glycosylated Haemoglobin (HbA1c)2,400.00
Gram’ Stain1,800.00
Groin Swab Culture1,800.00
Haemoglobin800.00
Hepatitis A Ab IgG & IgM, S8,000.00
Hepatitis B Surface Antigen3,600.00
Hepatitis C Antibody5,700.00
High Vaginal Swab – Microscopy1,500.00
High Vaginal Swab Culture1,800.00
HIV 1 & 23,200.00
Influenza Virus A/B Ag 6,000.00
Ketones, Urine600.00
Lipid Profile2,300.00
Liver Profile4,300.00
Malaria Parasites1,000.00
Microalbumin, U2,300.00
Nasal Swab Culture1,500.00
OGTT 2 Points – 100g1,750.00
OGTT 2 Points – 75g1,750.00
OGTT 3 Points – 100g1,900.00
OGTT 3 Points – 75g1,900.00
OGTT 4 Points – 100g2,400.00
OGTT 4 Points – 75g2,400.00
OGTT 5 Points – 100g4,000.00
OGTT 5 Points – 75g4,000.00
Palm Swab Culture1,500.00
Phosphorus (Inorganic), S1,200.00
Plasma Glucose 1 1/2 hrs after Load 820.00
Plasma Glucose 1 hr after Load 820.00
Plasma Glucose 1/2 hrs after Load 820.00
Plasma Glucose 2 hrs after Load 820.00
Plasma Glucose 3 hrs after Load 820.00
Platelet Count800.00
Postprandial Plasma Glucose600.00
Postprandial Urine Glucose550.00
Prothrombin Time, P2,000.00
Pus Culture1,500.00
Random Blood Glucose – Glucometer700.00
Random Plasma Glucose600.00
Reducing Substance, Feces950.00
Renal Profile5,800.00
Reticulocyte Count1,600.00
Rheumatoid Factor, S1,200.00
Semen Analysis2,400.00
Seminal Fluid Culture1,500.00
Serum Proteins2,200.00
Sputum Culture1,500.00
Sputum for AFB [zeihl neelson stain]1,400.00
Sputum Full Report2,000.00
Standard Agglutination Test (SAT)1,100.00
Stool Culture1,800.00
Stool Full Report900.00
T3 (Triiodothyronine), Free, S
T4 (Thyroxine), Free, S
Throat Swab Culture1,500.00
Thyroid Profile
Thyroid Simulating Hormone (TSH)1,590.00
Total Protein, S1,400.00
Treponema Pallidum Hemagglutination (TPHA)2,800.00
Triglycerides, S1,100.00
Troponin – I Rapid4,800.00
Urethral Discharge Culture1,800.00
Uric Acid, S950.00
Urine Bile600.00
Urine Culture1,500.00
Urine Full Report [UFR]640.00
Urine Glucose 1 1/2 hrs after Load600.00
Urine Glucose 1 hr after Load600.00
Urine Glucose 1/2 hr after Load600.00
Urine Glucose 2 hrs after Load600.00
Urine Glucose 3 hrs after Load600.00
Urine Glucose Fasting550.00
Urine Glucose Random550.00
Urine hCG950.00
Vaginal Swab Culture1,800.00
Venereal Disease Research Laboratory (VDRL)1,000.00
WBC with Differential Count800.00
Wound Swab Culture1,500.00
Fine Needle Aspiration Cytology2,000.00