OPD Rates
SERVICES
OPD Rates
| Item ID | Item Description | Outpatient | Range in ₱ | |
|---|---|---|---|---|
| Laboratory | LAB00002 | ACID FAST STAIN | 300 – 400 | |
| Laboratory | LAB00388 | AFP | 2,000 – 3000 | |
| Laboratory | LAB00005 | ALBUMIN | 300 – 400 | |
| Laboratory | LAB00119 | ALDOSTERONE | 2,000 – 3,000 | |
| Laboratory | LAB00006 | ALKALINE PHOSPHATASE | 300 – 400 | |
| Laboratory | LAB00007 | AMMONIA | 700 – 800 | |
| Laboratory | LAB00008 | AMYLASE | 300 – 400 | |
| Laboratory | LAB00317 | ANTI HAV IGM, QUALITATIVE | 300 – 400 | |
| Laboratory | LAB00393 | ANTI HBeAg, VIDAS | 1,000 – 2,000 | |
| Laboratory | LAB00010 | ANTI HBS | 800 – 1,000 | |
| Laboratory | LAB00011 | ANTI HCV | 1,000 – 2,000 | |
| Laboratory | LAB00361 | ANTIBODY SCREENING | 1,500 – 2,000 | |
| Laboratory | LAB00013 | APTT | 600 – 1,000 | |
| Laboratory | LAB00014 | ASO, QUALITATIVE | 500 – 1,000 | |
| Laboratory | LAB00015 | ASO, QUANTITATIVE | 1,700 – 2,000 | |
| Laboratory | LAB00034 | BILIRUBIN, DBIB / IBIB | 500 – 600 | |
| Laboratory | LAB00230 | BILIRUBIN, TOTAL | 500 – 600 | |
| Laboratory | LAB00016 | BLEEDING TIME | 150 – 200 | |
| Laboratory | LAB00265 | BLOOD BANK, FFP | 1,000 – 1,500 | |
| Laboratory | LAB00038 | BLOOD BANK, FWB | 1,800 – 2,000 | |
| Laboratory | LAB00094 | BLOOD BANK, PLATELET CONCENTRATE | 1,000 – 1,500 | |
| Laboratory | LAB00264 | BLOOD BANK, PRBC | 1,500 – 2,000 | |
| Laboratory | LAB00360 | BLOOD BANK, PROCESSING FEE | 1,800 – 2,200 | |
| Laboratory | LAB00018 | BLOOD TYPING: ABO AND RH | 500 – 600 | |
| Laboratory | LAB00019 | BUN | 300 – 500 | |
| Laboratory | LAB00389 | CA 125 | 2,000 – 2,500 | |
| Laboratory | LAB00075 | CALCIUM, IONIZED | 1,000 – 1,500 | |
| Laboratory | LAB00020 | CALCIUM, TOTAL | 500 – 600 | |
| Laboratory | LAB00021 | CBC | 500 – 600 | |
| Laboratory | LAB00477 | CD68, NKTI | 4,500 – 5,000 | |
| Laboratory | LAB00023 | CHLORIDE | 500 – 600 | |
| Laboratory | LAB00024 | CHOLESTEROL, TOTAL | 300 – 500 | |
| Laboratory | LAB00025 | CK-MB | 1,500 – 2,000 | |
| Laboratory | LAB00026 | CLOTTING AND BLEEDING TIME | 250 – 500 | |
| Laboratory | LAB00027 | CLOTTING TIME | 200 – 500 | |
| Laboratory | LAB00513 | COMPREHENSIVE LEUKEMIA PANEL | 42,500 – 43,000 | |
| Laboratory | LAB00350 | CONFIRMATORY, DRUGTEST | 1,300 – 1,500 | |
| Laboratory | LAB00275 | COOMBS TEST | 1,600 – 2,000 | |
| Laboratory | LAB00479 | COVID 19 RAPID AB TEST | 8,600 – 9,000 | |
| Laboratory | LAB00486 | COVID 19 RAPID ANTIGEN TEST | 600 – 800 | |
| Laboratory | LAB00465 | COVID 19 RT-PCR, STAT FEE | 600 – 800 | |
| Laboratory | LAB00484 | COVID 19 RT-PCR, SUPER STAT FEE | 1,200 – 1,500 | |
| Laboratory | LAB00467 | COVID-19, IgG AB | 2,600 – 3,000 | |
| Laboratory | LAB00466 | COVID-19, TOTAL AB | 2,600 – 3,000 | |
| Laboratory | LAB00029 | CREATININE | 500 – 700 | |
| Laboratory | LAB00527 | CREATININE ANALYSIS, PERITONEAL FLUID (MMC) (S/O) | 1,100 – 1,500 | |
| Laboratory | LAB00031 | CROSS MATCHING | 1,100 – 1,500 | |
| Laboratory | LAB00032 | CRP, QUALITATIVE | 400 – 500 | |
| Laboratory | LAB00033 | CRP, QUANTITATIVE | 1,900 – 2,000 | |
| Laboratory | LAB00262 | CULTURE AND SENSITIVITY, BLOOD, ADULT | 4,700 – 5,000 | |
| Laboratory | LAB00017 | CULTURE AND SENSITIVITY, BLOOD, PEDIA | 4,500 – 5,000 | |
| Laboratory | LAB00091 | CULTURE AND SENSITIVITY, EXUDATES | 3,700 – 4,000 | |
| Laboratory | LAB00037 | CULTURE AND SENSITIVITY, RESPIRATORY | 3,700 – 4,000 | |
| Laboratory | LAB00225 | CULTURE AND SENSITIVITY, STOOL | 3,400 – 4,000 | |
| Laboratory | LAB00250 | CULTURE AND SENSITIVITY, URINE | 3,600 – 4,000 | |
| Laboratory | LAB00489 | CYSTATIN C (W/ EGFR) | 3,300 – 4,000 | |
| Laboratory | LAB00476 | CYTOKERATIN, NKTI | 4,200 – 4,500 | |
| Laboratory | LAB00420 | CYTOLOGY, CELLBLOCK | 2,500 – 3,000 | |
| Laboratory | LAB00060 | CYTOLOGY, PROCESSING FEE | 700 – 1,000 | |
| Laboratory | LAB00061 | CYTOLOGY, SMEAR & CELLBLOCK | 2,500 – 3,000 | |
| Laboratory | LAB00056 | CYTOLOGY, SMEAR, 1-4 SLIDES | 1,300 – 1,500 | |
| Laboratory | LAB00449 | D-DIMER, POCT | 2,000 – 2,500 | |
| Laboratory | LAB00035 | DENGUE BLOT | 2,000 – 2,500 | |
| Laboratory | LAB00322 | DRUGTEST | 300- 500 | |
| Laboratory | LAB00410 | ENVIRONMENTAL SWABBING | 600 – 800 | |
| Laboratory | LAB00036 | ESR | 200 – 500 | |
| Laboratory | LAB00039 | FBS | 300 – 500 | |
| Laboratory | LAB00040 | FECALYSIS | 200 – 300 | |
| Laboratory | LAB00468 | FERRITIN, ECI | 1,200 – 1,500 | |
| Laboratory | LAB00167 | FNAB PROCESSING FEE | 500 – 700 | |
| Laboratory | LAB00168 | FNAB PROFESSIONAL FEE | 2,000 – 2,500 | |
| Laboratory | LAB00041 | FT3 | 1,300 – 1,500 | |
| Laboratory | LAB00042 | FT4 | 1,300 – 1,500 | |
| Laboratory | LAB00334 | FWB, RH NEGATIVE | 6,000 – 6,500 | |
| Laboratory | LAB00044 | GLUCOSE JUICE ONLY | 300 – 500 | |
| Laboratory | LAB00047 | GRAM STAIN | 300 – 500 | |
| Laboratory | LAB00261 | H.PYLORI TEST, OR | 400 – 600 | |
| Laboratory | LAB00048 | H.PYLORI, QUALITATIVE | 600 – 800 | |
| Laboratory | LAB00049 | HBA1C | 1,500 – 2,000 | |
| Laboratory | LAB00390 | HBeAg | 1,200 – 1,500 | |
| Laboratory | LAB00051 | HBSAG, QUALITATIVE | 400 – 600 | |
| Laboratory | LAB00052 | HBSAG, QUANTITATIVE | 800 – 1,000 | |
| Laboratory | LAB00391 | HCG | 1,300 – 1,500 | |
| Laboratory | LAB00196 | HCV | 1,000- 1,500 | |
| Laboratory | LAB00055 | HISTOPATH A. CONFIRMATORY BIOPSIES, AND OTHER SINGLE, SMALL AND MEDIUM-SIZED SPECIMENS | 1,000- 1,500 | |
| Laboratory | LAB00057 | HISTOPATH B. SMALL AND MED-SIZED DIAG. BIOPSIES(INSICION,EXCISION,PUNCH,CORE NEEDLE,CURETTI) | 1,000- 1,500 | |
| Laboratory | LAB00058 | HISTOPATH C.MEDIUM-SIZED RESECTION SPECIMENS/LARGE SPECIMENS/2-3 SMALL SPECIMENS | 2,000 – 2,500 | |
| Laboratory | LAB00059 | HISTOPATH D.LARGE(RADICAL RESECTION SPECIMENS/2 LARGE SPECIMENS/4 OR MORE SMALL SPECIMES) | 2,000 – 2,500 | |
| Laboratory | LAB00062 | HISTOPATH ER PR | 2,000 – 2,500 | |
| Laboratory | LAB00063 | HISTOPATH ER PR PROCESSING FEE | 8,900 – 9,900 | |
| Laboratory | LAB00064 | HISTOPATH ERPR HER2 PACKAGE | 13,000 – 14,000 | |
| Laboratory | LAB00065 | HISTOPATH F SPECIAL STAINS/ SLIDE REVIEW | 900 – 1,200 | |
| Laboratory | LAB00066 | HISTOPATH G. SLIDE REVIEW | 900 – 1,200 | |
| Laboratory | LAB00067 | HISTOPATH H FROZEN SECTION | 4,900 – 5,000 | |
| Laboratory | LAB00068 | HISTOPATH HER 2 | 11,000 – 12,00 | |
| Laboratory | LAB00069 | HISTOPATH I CT/UTZ GUIDED ASPIRATION BIOPSY | 3,500 – 4,000 | |
| Laboratory | LAB00070 | HISTOPATH J. EXTRA LARGE RESECTION | 4,000 – 4,500 | |
| Laboratory | LAB00071 | HISTOPATH PROCESSING FEE, EXTRA LARGE | 1,300 – 1,500 | |
| Laboratory | LAB00072 | HISTOPATH PROCESSING FEE, LARGE | 700 – 800 | |
| Laboratory | LAB00073 | HISTOPATH PROCESSING FEE, MEDIUM | 400 – 600 | |
| Laboratory | LAB00074 | HISTOPATH PROCESSING FEE, SMALL | 300 – 500 | |
| Laboratory | LAB00538 | HIV 1 VIRAL LOAD, HP | 10,500 – 11,000 | |
| Laboratory | LAB00185 | HUMAN FERRITIN | 2,000 – 2,500 | |
| Laboratory | LAB00539 | IMMUNOGLOBULIN A/IgA | 3,400 – 4,000 | |
| Laboratory | LAB00540 | IMMUNOGLOBULIN G/IgG | 3,400 – 4,000 | |
| Laboratory | LAB00541 | IMMUNOGLOBULIN M/IgM | 3,400 – 4,000 | |
| Laboratory | LAB00474 | IMMUNOHISTOCHEMICAL STAIN, S100, NKTI | 4,000 – 4,500 | |
| Laboratory | LAB00295 | INDIA INK | 300 – 500 | |
| Laboratory | LAB00172 | KATO KATZ | 400 – 600 | |
| Laboratory | LAB00076 | KOH MOUNT | 200 – 500 | |
| Laboratory | LAB00478 | LAT (MAT), HP | 1,500 – 2,000 | |
| Laboratory | LAB00077 | LDH | 500 – 700 | |
| Laboratory | LAB00504 | L-FABP | 2,500 – 3,000 | |
| Laboratory | LAB00078 | LIPASE | 800 – 1,000 | |
| Laboratory | LAB00079 | LIPID PROFILE | 1,700 – 2,000 | |
| Laboratory | LAB00080 | LIVER PROFILE | 2,700 – 3,000 | |
| Laboratory | LAB00190 | LUTEINIZING HORMONE | 1,300 – 1,500 | |
| Laboratory | LAB00542 | LYMPHOCYTE SUBSET ENUMERATION | 10,500 – 11,000 | |
| Laboratory | LAB00081 | MAGNESIUM | 500 – 700 | |
| Laboratory | LAB00082 | MALARIAL SMEAR | 300 – 500 | |
| Laboratory | LAB00083 | MICRAL TEST | 600 – 800 | |
| Laboratory | LAB00377 | MMC | 9,000 – 9,300 | |
| Laboratory | LAB00314 | MODIFIED AFB, STOOL | 200 – 400 | |
| Laboratory | LAB00084 | OCCULT BLOOD | 200 – 400 | |
| Laboratory | LAB00043 | OGCT, 50 GRAMS | 600 – 800 | |
| Laboratory | LAB00045 | OGTT, 100 GRAMS | 1,300 – 1,500 | |
| Laboratory | LAB00046 | OGTT, 75 GRAMS | 1,000 – 1,200 | |
| Laboratory | LAB00088 | PACKAGE, LIVER PROFILE | 1,300 – 1,500 | |
| Laboratory | LAB00269 | PAPSMEAR | 400 – 600 | |
| Laboratory | LAB00090 | PAPSMEAR PROCESSING FEE (APE) | 300 – 500 | |
| Laboratory | LAB00092 | PBS | 400 – 600 | |
| Laboratory | LAB00093 | PHOSPHORUS | 400 – 600 | |
| Laboratory | LAB00302 | PLATELET APHERESIS | 22,500 – 22,800 | |
| Laboratory | LAB00522 | PNEUMONIA PANEL, DETOXICARE | 20,600 – 20,800 | |
| Laboratory | LAB00096 | POTASSIUM | 400 – 600 | |
| Laboratory | LAB00263 | PPBS, 1HR | 300 -600 | |
| Laboratory | LAB00001 | PPBS, 2HR | 300 – 500 | |
| Laboratory | LAB00097 | PREGNANCY TEST | 500- 700 | |
| Laboratory | LAB0475 | PRIMARY IMMUNODEF. PANEL 3, HP | 15,800 – 16,000 | |
| Laboratory | LAB00126 | PROCALCITONIN, POCT | 2,700 – 3,000 | |
| Laboratory | LAB00509 | PROMO – BUN | 300 -500 | |
| Laboratory | LAB00505 | PROMO – CBC | 300 – 500 | |
| Laboratory | LAB00510 | PROMO – CREATININE | 300 -500 | |
| Laboratory | LAB00506 | PROMO – FBS | 300 – 500 | |
| Laboratory | LAB00508 | PROMO – HBA1C | 1,300 – 1,500 | |
| Laboratory | LAB00507 | PROMO – LIPID PROFILE DEACTIVATED | 1,500 – 2,000 | |
| Laboratory | LAB00512 | PROMO – SGOT/AST | 300 – 500 | |
| Laboratory | LAB00511 | PROMO – SGPT/ALT | 300 -500 | |
| Laboratory | LAB00227 | PROTEIN, TOTAL | 500 – 700 | |
| Laboratory | LAB00254 | PROTEIN, URINE, 24 HRS. | 500 – 700 | |
| Laboratory | LAB00098 | PROTIME | 500 – 700 | |
| Laboratory | LAB00099 | PSA | 2,100 -2,300 | |
| Laboratory | LAB00537 | RAPID ANTIGEN TEST (FREE) | ||
| Laboratory | LAB00100 | RBS | 300 – 500 | |
| Laboratory | LAB00521 | RESPIRATORY PANEL, DETOXICARE | 13,300 – 13,500 | |
| Laboratory | LAB00101 | RETIC COUNT | 300 – 500 | |
| Laboratory | LAB0474 | RETICULIN STAINING, ST. LUKES | 10,000 – 10,500 | |
| Laboratory | LAB00475 | RETICULIN, NKTI | 2,500 – 2,700 | |
| Laboratory | LAB00102 | RHEMATOID FACTOR, QUANTITATIVE | 1,000 – 1,500 | |
| Laboratory | LAB00103 | RHEUMATOID FACTOR, QUALITATIVE | 300 – 500 | |
| Laboratory | LAB00299 | RPR, QUANTITATIVE | 800 – 1,000 | |
| Laboratory | LAB00104 | RPR/VDRL, QUALITATIVE | 300 – 500 | |
| Laboratory | LAB00267 | SALMONELLA TEST, QUALITATIVE | 1,100 – 1,500 | |
| Laboratory | LAB00316 | SCOTCH TAPE METHOD | 300- 500 | |
| Laboratory | LAB00105 | SEMENALYSIS | 500 – 600 | |
| Laboratory | LAB00303 | SERUM TRANFERRIN | 7,500 – 7,700 | |
| Laboratory | LAB00220 | SGOT/AST | 500 – 700 | |
| Laboratory | LAB00221 | SGPT/ALT | 500 – 700 | |
| Laboratory | LAB00222 | SODIUM | 500 – 700 | |
| Laboratory | LAB00223 | SODIUM (BLOOD CHEMISTRY) | 500 – 700 | |
| Laboratory | LAB00363 | T3 | 1,000 – 1,200 | |
| Laboratory | LAB00364 | T4 | 1,000 – 1,200 | |
| Laboratory | LAB00452 | TB LAMP | 3,600 – 3,800 | |
| Laboratory | LAB00392 | TESTOSTERONE | 2,600 – 3,000 | |
| Laboratory | LAB00231 | THERAPEUTIC PHLEBOTOMY FEE | 600 – 800 | |
| Laboratory | LAB00195 | THROMBOPLASTIN | 300 – 500 | |
| Laboratory | LAB00206 | THYROGLOBULIN | 2,100 – 2,300 | |
| Laboratory | LAB00233 | TMG SMEAR | 500 – 600 | |
| Laboratory | LAB00234 | TOURNIQUET TEST | 200 – 300 | |
| Laboratory | LAB00235 | TOXIC GRANULATION | 300 – 500 | |
| Laboratory | LAB00236 | TPAG | 500 – 700 | |
| Laboratory | LAB00237 | TPSA | 1,700 – 2,000 | |
| Laboratory | LAB00238 | TRIGLYCERIDE | 500 – 700 | |
| Laboratory | LAB00239 | TROPONIN I, QUALITATIVE | 900 – 1,000 | |
| Laboratory | LAB00240 | TROPONIN I, QUANTITATIVE | 2,200 – 2,500 | |
| Laboratory | LAB00268 | TSH | 1,200 – 1,500 | |
| Laboratory | LAB00244 | TZANCK SMEAR | 500 – 700 | |
| Laboratory | LAB00245 | URIC ACID | 300 – 500 | |
| Laboratory | LAB00259 | URINALYSIS | 150 – 300 | |
| Laboratory | LAB00216 | VARICELLA IGG | 7,200 – 8,000 | |
| Laboratory | LAB00183 | VCT | 800 – 1,000 | |
| Laboratory | LAB00482 | VTM | 500 – 700 | |
| Rehab Rates | REH00011 | OT TREATMENT | 1,000 – 1,200 | |
| Rehab Rates | REH00012 | OT, EATING AND SWALLOWING MANAGEMENT/PRE SPEECH TRAINING/ | 1,000 – 1,200 | |
| Rehab Rates | REH00001 | PT TREATMENT | 800 – 1,000 | |
| Rehab Rates | REH00002 | PT, COLD PACKS | 50 – 150 | |
| Rehab Rates | REH00059 | PT, DRY NEEDLING | 600 – 800 | |
| Rehab Rates | REH00003 | PT, ES/TENS | 50 – 150 | |
| Rehab Rates | REH00066 | PT, HI-LASER | 500 – 700 | |
| Rehab Rates | REH00050 | PT, HMO | 1,100 – 1,200 | |
| Rehab Rates | REH00004 | PT, HOTPACK | 70 – 150 | |
| Rehab Rates | REH00005 | PT, INFRARED RAY | 70 – 150 | |
| Rehab Rates | REH00061 | PT, INPATIENT WELLNESS | 300 – 500 | |
| Rehab Rates | REH00051 | PT, LASER | 200 – 500 | |
| Rehab Rates | REH00006 | PT, PARAFFIN WAX BATH | 70 – 150 | |
| Rehab Rates | REH00052 | PT, PROPRIOCEPTIVE NEURO REHAB | 1,400 – 1,500 | |
| Rehab Rates | REH00053 | PT, RENAL | 200 – 500 | |
| Rehab Rates | REH00007 | PT, STATIONARY BIKE | 70 – 150 | |
| Rehab Rates | REH00010 | PT, ULTRASOUND | 70 – 150 | |
| Rehab Rates | REH00055 | PT, VTE | 300 – 500 | |
| Ultrasound | UTZ00007 | ABDOMINAL AORTA | 1,200 – 1,500 | |
| Ultrasound | UTZ00008 | ABDOMINAL WALL | 1,300 – 1,500 | |
| Ultrasound | UTZ00052 | BIOPSY | 15,100 – 15,500 | |
| Ultrasound | UTZ00013 | BREAST ULTRASOUND | 1,700 – 1,900 | |
| Ultrasound | UTZ00015 | CHEST | 1,400 – 1,600 | |
| Ultrasound | UTZ00016 | CHEST MAPPING (BILATERAL) | 2,400 – 2,600 | |
| Ultrasound | UTZ00017 | CHEST MAPPING (UNILATERAL) | 1,600 – 1,800 | |
| Ultrasound | UTZ00020 | CRANIAL | 2,200 – 2,500 | |
| Ultrasound | UTZ00021 | FIVE ORGANS | 2,200 – 2,500 | |
| Ultrasound | UTZ00022 | FLANK MASS | 1,400 – 1,800 | |
| Ultrasound | UTZ00023 | FOUR ORGANS | 2,100 – 2,500 | |
| Ultrasound | UTZ00024 | FREE FLUID | 3,300 – 4,000 | |
| Ultrasound | UTZ00025 | GALLBLADDER | 1,300 – 1,500 | |
| Ultrasound | UTZ00028 | HBT (LIVER AND GALLBLADDER) | 1,900 – 2,200 | |
| Ultrasound | UTZ00033 | HBT PANCREAS, KUB | 2,200 – 2,500 | |
| Ultrasound | UTZ00029 | HBT, KIDNEYS | 1,800 – 2,000 | |
| Ultrasound | UTZ00030 | HBT, PANCREAS | 2,200 – 2,500 | |
| Ultrasound | UTZ00031 | HBT, PANCREAS, KIDNEYS | 2,300 – 2,500 | |
| Ultrasound | UTZ00034 | HBT, PANCREAS, KUB, PELVIC | 2,700 – 3,000 | |
| Ultrasound | UTZ00035 | HBT, PANCREAS, KUB, PROSTATE GLAND | 2,700 – 3,000 | |
| Ultrasound | UTZ00032 | HBT, PANCREAS, SPLEEN | 2,300 – 2,500 | |
| Ultrasound | UTZ00036 | HBT, PANCREAS, SPLEEN, KIDNEYS | 2,300 – 2,500 | |
| Ultrasound | UTZ00037 | HBT, SPLEEN | 1,900 – 2,200 | |
| Ultrasound | UTZ00038 | INGUINAL | 1,600 – 1,800 | |
| Ultrasound | UTZ00039 | INGUINO SCROTAL | 2,100 – 2,500 | |
| Ultrasound | UTZ00040 | INGUINO SCROTAL WITH DOPPLER | 2,700 – 3,000 | |
| Ultrasound | UTZ00041 | KIDNEYS | 1,400 – 1,800 | |
| Ultrasound | UTZ00042 | KUB | 2,100 – 2,500 | |
| Ultrasound | UTZ00043 | KUB, PELVIC | 3,000 – 3,200 | |
| Ultrasound | UTZ00044 | KUB, PROSTATE | 2,200 – 2,500 | |
| Ultrasound | UTZ00045 | LIVER | 1,300 – 1,500 | |
| Ultrasound | UTZ00046 | LIVER, KIDNEYS | 1,700 – 2,200 | |
| Ultrasound | UTZ00047 | LOWER ABDOMEN (W/ KIDNEYS) | 2,000 – 2,200 | |
| Ultrasound | UTZ00048 | MUSCULOSKELETAL | 3,500 – 3,700 | |
| Ultrasound | UTZ00049 | NECK (ANTERIOR) | 2,200 – 2,500 | |
| Ultrasound | UTZ00081 | NECK WITH DOPPLER | 2,700 – 3,000 | |
| Ultrasound | UTZ00050 | ONE ORGAN | 1,400 – 1,800 | |
| Ultrasound | UTZ00051 | PANCREAS | 1,200 – 1,500 | |
| Ultrasound | UTZ00053 | PARACENTESIS | 15,000 – 15,400 | |
| Ultrasound | UTZ00083 | PROMO – KUB | 1,700 – 2,000 | |
| Ultrasound | UTZ00059 | PROSTATE | 1,400 – 1,700 | |
| Ultrasound | UTZ00060 | SCROTAL | 1,400 – 1,700 | |
| Ultrasound | UTZ00061 | SCROTAL WITH DOPPLER | 2,100 – 2,300 | |
| Ultrasound | UTZ00062 | SIX ORGANS | 2,700 – 3,000 | |
| Ultrasound | UTZ00082 | SMALL PARTS | 1,500 – 1,700 | |
| Ultrasound | UTZ00063 | THORACENTESIS | 16,000 – 16,300 | |
| Ultrasound | UTZ00064 | THREE ORGANS | 1,800 – 2,000 | |
| Ultrasound | UTZ00065 | THYROID GLAND | 1,500 – 1,800 | |
| Ultrasound | UTZ00066 | THYROID WITH DOPPLER | 2,100 – 2,500 | |
| Ultrasound | UTZ00068 | TRANSRECTAL PROSTATE | 1,800 – 2,000 | |
| Ultrasound | UTZ00073 | TWO ORGANS | 1,600 – 1,800 | |
| Ultrasound | UTZ00080 | ULTRASOUND-GUIDED BIOPSY | 6,200 – 6,500 | |
| Ultrasound | UTZ00026 | ULTRASOUND-GUIDED PARACENTESIS | 6,100 – 6,500 | |
| Ultrasound | UTZ00027 | ULTRASOUND-GUIDED THORACENTESIS | 6,200 – 6,500 | |
| Ultrasound | UTZ00074 | UMBILICAL | 1,500 – 2,000 | |
| Ultrasound | UTZ00075 | UPPER ABDOMEN | 2,800 – 3,000 | |
| Ultrasound | UTZ00076 | URINARY BLADDER | 1,300 – 1,500 | |
| Ultrasound | UTZ00077 | URINARY BLADDER, PELVIC | 1,800 – 2,000 | |
| Ultrasound | UTZ00078 | URINARY BLADDER, PROSTATE | 1,700 – 2,000 | |
| Ultrasound | UTZ00079 | WHOLE ABDOMEN | 3,300 – 3,500 | |
| Mammogram | MAM00001 | DIGITAL MAMMOGRAM | 3625 | 3,700 – 4,000 |
| Mammogram | MAM00002 | MAMMO CONE DOWN VIEW (SINGLE BREAST) | 1370 | 1,300 – 1,500 |
| CT-Scan | CTS00075 | 3D RECONSTRUCTION | 420 | 400 – 500 |
| CT-Scan | CTS00001 | ABCESS DRAINAGE | 18230 | 18,200 – 18,500 |
| CT-Scan | CTS00002 | ADRENALS PLAIN | 8360 | 8,300 – 9,000 |
| CT-Scan | CTS00003 | ADRENALS WITH CONTRAST | 10270 | 10,270 – 10,500 |
| CT-Scan | CTS00004 | ANKLE PLAIN | 6980 | 6,900 – 7,200 |
| CT-Scan | CTS00005 | ANKLE WITH CONTRAST | 9840 | 9,800 – 10,000 |
| CT-Scan | CTS00006 | ARM PLAIN | 7720 | 7,700 – 8,000 |
| CT-Scan | CTS00007 | ARM WITH CONTRAST | 8960 | 9,000 -9,300 |
| CT-Scan | CTS00009 | CERVICAL SPINE PLAIN | 7500 | 7,500 – 7,800 |
| CT-Scan | CTS00010 | CERVICAL SPINE WITH CONTRAST | 10090 | 10,100 – 10,500 |
| CT-Scan | CTS00011 | CHEST PLAIN | 7833 | 7,800 – 8,000 |
| CT-Scan | CTS00012 | CHEST WITH CONTRAST | 8575 | 8,500 – 8,800 |
| CT-Scan | CTS00074 | CT-ANGIO HEAD | 3630 | 3,600 – 3800 |
| CT-Scan | CTS00008 | CT-GUIDED BIOPSY | 17070 | 17,100 – 17,500 |
| CT-Scan | CTS00013 | FACIAL BONE PLAIN | 12031 | 12,100 – 12,500 |
| CT-Scan | CTS00014 | FACIAL BONE WITH CONTRAST | 12750 | 12,700 – 12,800 |
| CT-Scan | CTS00015 | FOOT PLAIN | 7720 | 7,700 – 7,800 |
| CT-Scan | CTS00016 | FOOT WITH CONTRAST | 8830 | 8,800 – 9,000 |
| CT-Scan | CTS00017 | FOREARM PLAIN | 7720 | 7,700 – 8,000 |
| CT-Scan | CTS00018 | FOREARM WITH CONTRAST | 8830 | 8,800 – 9,200 |
| CT-Scan | CTS00019 | HAND PLAIN | 7270 | 7,300 – 8,000 |
| CT-Scan | CTS00020 | HAND WITH CONTRAST | 8370 | 8,300 – 9,000 |
| CT-Scan | CTS00023 | HEAD (W/ BONE WINDOW) PLAIN | 7250 | 7,200 – 7,500 |
| CT-Scan | CTS00022 | HEAD (W/ BONE WINDOW) WITH CONTRAST | 6850 | 6,800 – 7,000 |
| CT-Scan | CTS00021 | HEAD PLAIN | 6975 | 6,800 – 7,000 |
| CT-Scan | CTS00024 | HEAD WITH CONTRAST | 7110 | 7,200 – 7,500 |
| CT-Scan | CTS00071 | HIGH RESOLUTION CT (HRCT) | 11760 | 11,700 – 12,000 |
| CT-Scan | CTS00025 | HIP JOINT PLAIN | 7270 | 7,300 – 8,000 |
| CT-Scan | CTS00026 | HIP JOINT WITH CONTRAST | 8510 | 8,500 – 9,000 |
| CT-Scan | CTS00027 | KNEE PLAIN | 8250 | 8,300 – 8,500 |
| CT-Scan | CTS00028 | KNEE WITH CONTRAST | 9840 | 9,800 – 10,000 |
| CT-Scan | CTS00029 | LEG PLAIN | 8900 | 8,900 – 9,100 |
| CT-Scan | CTS00030 | LEG WITH CONTRAST | 9580 | 9,500 – 9,800 |
| CT-Scan | CTS00033 | LOWER ABDOMEN (W/ KIDNEYS) PLAIN | 8470 | 8,400 – 8,700 |
| CT-Scan | CTS00031 | LOWER ABDOMEN (W/ KIDNEYS) WITH CONTRAST | 9420 | 9,400 – 10,000 |
| CT-Scan | CTS00032 | LOWER ABDOMEN PLAIN | 7650 | 7,600 – 7,800 |
| CT-Scan | CTS00034 | LOWER ABDOMEN WITH CONTRAST | 10270 | 10,300 – 10,500 |
| CT-Scan | CTS00070 | LOWER EXTREMITIES | 7740 | 7,700 – 8,000 |
| CT-Scan | CTS00035 | LUMBAR SPINE PLAIN | 7470 | 7,700 – 8,000 |
| CT-Scan | CTS00036 | LUMBAR SPINE WITH CONTRAST | 10830 | 10,800 – 11,000 |
| CT-Scan | CTS00037 | MANDIBLE PLAIN | 11350 | 11,300 – 11,500 |
| CT-Scan | CTS00038 | MANDIBLE WITH CONTRAST | 12670 | 12,600 – 12,800 |
| CT-Scan | CTS00039 | MASTOIDS PLAIN | 11490 | 11,500 – 11,800 |
| CT-Scan | CTS00040 | MASTOIDS WITH CONTRAST | 12150 | 12,100 – 12,800 |
| CT-Scan | CTS00041 | NASOPHARYNX PLAIN | 11100 | 11,200 – 11,500 |
| CT-Scan | CTS00042 | NASOPHARYNX WITH CONTRAST | 11710 | 11,700 – 12,000 |
| CT-Scan | CTS00043 | NECK PLAIN | 11350 | 11,300 – 11,500 |
| CT-Scan | CTS00044 | NECK WITH CONTRAST | 12330 | 12,300 – 12,500 |
| CT-Scan | CTS00045 | ORBITAL PLAIN | 11100 | 11,100 – 11,500 |
| CT-Scan | CTS00046 | ORBITAL WITH CONTRAST | 12320 | 12,300 – 12,500 |
| CT-Scan | CTS00047 | OROPHARYNX PLAIN | 10940 | 10,900 – 11,100 |
| CT-Scan | CTS00048 | OROPHARYNX WITH CONTRAST | 11680 | 11,600 – 11,800 |
| CT-Scan | CTS00049 | PARANASAL SINUSES PLAIN | 11883 | 11,800 – 12,000 |
| CT-Scan | CTS00050 | PARANASAL SINUSES WITH CONTRAST | 11710 | 11,700 – 12,000 |
| CT-Scan | CTS00051 | PITUITARY PLAIN | 10090 | 10,100 – 10,500 |
| CT-Scan | CTS00052 | PITUITARY WITH CONTRAST | 11710 | 11,700 – 12,000 |
| CT-Scan | CTS00053 | SCREENING SINUS (CANAL) | 11210 | 11,200 – 11,500 |
| CT-Scan | CTS00054 | SHOULDER PLAIN | 8700 | 8,700 – 9,000 |
| CT-Scan | CTS00055 | SHOULDER WITH CONTRAST | 11800 | 11,800 – 12,000 |
| CT-Scan | CTS00056 | STONOGRAM PLAIN | 10452 | 10,500 – 10,700 |
| CT-Scan | CTS00057 | STONOGRAM WITH CONTRAST | 11110 | 11,100 – 11,500 |
| CT-Scan | CTS00058 | TEMPORAL BONE / (INTERNAL AUDITORY CANAL) | 11620 | 11,600 – 12,000 |
| CT-Scan | CTS00059 | TEMPORAL BONE / IAC WITH CONTRAST | 12670 | 12,700 – 13,000 |
| CT-Scan | CTS00060 | THIGH PLAIN | 10400 | 10,400 – 10,700 |
| CT-Scan | CTS00061 | THIGH WITH CONTRAST | 9980 | 9,900 – 10,000 |
| CT-Scan | CTS00062 | THORACIC SPINE PLAIN | 8490 | 8,500 – 9,000 |
| CT-Scan | CTS00063 | THORACIC SPINE WITH CONTRAST | 11620 | 11,700 – 12,000 |
| CT-Scan | CTS00064 | UPPER ABDOMEN PLAIN | 9360 | 9,300 – 9,500 |
| CT-Scan | CTS00065 | UPPER ABDOMEN WITH CONTRAST | 10540 | 10,500 – 10,700 |
| CT-Scan | CTS00072 | UPPER EXTREMITIES | 5930 | 5,900 – 6,100 |
| CT-Scan | CTS00066 | WHOLE ABDOMEN PLAIN | 15211 | 15,300 – 15,800 |
| CT-Scan | CTS00067 | WHOLE ABDOMEN WITH CONTRAST | 15953 | 15,900 – 16,100 |
| CT-Scan | CTS00068 | WRIST PLAIN | 7270 | 7,300 – 8,000 |
| CT-Scan | CTS00069 | WRIST WITH CONTRAST | 8370 | 8,300 – 8,500 |
| Cardio | CVU00028 | 24 HOUR AMBULATORY BP MONITORING | 5236 | 5,200 – 5,500 |
| Cardio | CVU00001 | 2D ECHO | 3870 | 3,800 – 4,000 |
| Cardio | CVU00003 | 2D ECHO WITH DOPPLER STUDY | 4810 | 4,800 – 5,000 |
| Cardio | CVU00004 | 2D ECHO WITH DOPPLER STUDY, PEDIA | 4810 | 4,800 – 5,000 |
| Cardio | CVU00002 | 2D ECHO, PEDIA | 3870 | 3,800 – 5,000 |
| Cardio | CVU00032 | 2D ECHOCARDIOGRAM PLAIN WITH GLS | 4210 | 4,200 – 5,000 |
| Cardio | CVU00033 | 2D ECHOCARDIOGRAM WITH DOPPLER STUDY WITH GLS | 5150 | 5,100 – 5,300 |
| Cardio | CVU00020 | ANKLE-BRACHIAL INDEX | 1120 | 1,120 – 1,500 |
| Cardio | CVU00005 | ARTERIAL AND VENOUS DUPLEX SCAN-LOWER EXTREMITIES | 17830 | 17,800 – 18,000 |
| Cardio | CVU00021 | ARTERIAL AND VENOUS DUPLEX SCAN-UPPER EXTREMITIES | 16140 | 16,000 – 16,300 |
| Cardio | CVU00006 | ARTERIAL DUPLEX SCAN-LOWER EXTREMITIES | 10208 | 10,200 – 10,500 |
| Cardio | CVU00022 | ARTERIAL DUPLEX SCAN-UPPER EXTREMITIES | 8220 | 8,200 – 8,500 |
| Cardio | CVU00007 | BUBBLE CONTRAST | 2320 | 2,300 – 2,500 |
| Cardio | CVU00008 | CAROTID DUPLEX SCAN | 7908 | 7,900 – 8,000 |
| Cardio | CVU00009 | DUPLEX SCAN OF ABDOMINAL AORTA | 9160 | 9,100 – 9,500 |
| Cardio | CVU00010 | DUPLEX SCAN OF AV FISTULA/GRAFT | 5640 | 5,600 – 5,800 |
| Cardio | CVU00011 | ELECTROCARDIOGRAM | 500 | 500 – 700 |
| Cardio | CVU00013 | HOLTER MONITORING 24 HOURS | 5925 | 5,900 – 6,100 |
| Cardio | CVU00014 | HOLTER MONITORING 48 HOURS | 8220 | 8,200 – 8,500 |
| Cardio | CVU00015 | RENAL DUPLEX SCAN | 9160 | 9,100 – 9,300 |
| Cardio | CVU00016 | TRANSCRANIAL DUPLEX SCAN | 9310 | 9,300 – 9,500 |
| Cardio | CVU00017 | TREADMILL STRESS TEST | 3138 | 3,100 – 3,300 |
| Cardio | CVU00018 | VENOUS COMPRESSION-LOWER EXTREMITIES | 4190 | 4,100 – 4,300 |
| Cardio | CVU00023 | VENOUS COMPRESSION-UPPER EXTREMITIES | 4190 | 4,100 – 4,300 |
| Cardio | CVU00019 | VENOUS DUPLEX SCAN-LOWER EXTREMITIES | 10208 | 10,300 – 10,500 |
| Cardio | CVU00024 | VENOUS DUPLEX SCAN-UPPER EXTREMITIES | 8220 | 8,200 – 8,500 |
