ST.

LUKE’S MEDICAL CENTER

PACKAGES
EXECUTIVE CHECK-UP/WELLNESS PROGRAM

Taking Charge of One’s Health

To live a productive and rewarding life, you need to be in good health.

Statistics show that the leading causes of death worldwide are heart
disease, stroke, and cancer, to name just a few. About half of all deaths
from heart disease and stroke are sudden and unexpected, with little
chance for treatment.

The good news is that these diseases are preventable and highly
treatable when detected early through a comprehensive health or
executive check-up.

Prevention is the key. Our goal is to maintain your health and well-being
for as long as possible. Where necessary we provide individual
treatment to restore lasting health. The sooner a disorder is spotted and
treated, the better the chances of successfully treating it.

At St. Luke’s, our wellness programs are designed to provide maximum

patient convenience. You may choose a program that establishes a
baseline measure of your overall health or pick one that will focus only
on a particular health issue(s) you are most concerned about. We offer
various wellness packages designed to meet your personal
requirements. If necessary, these can be backed up by supplementary
investigations.

The best time to get a comprehensive health check-up is when you feel
completely healthy. A medical check-up is a wise and valuable
investment in your health.

2
 PACKAGES

Annual Physical Check-Up In-patient Out-patient

Package A Overnight
Package A1 Overnight
Package B Overnight
Package B1
Executive Check-Up
Comprehensive 2 Nights, 3 Days
Cardiac Check-Up
Package C 2 Nights, 3 Days
Package C1 2 Nights, 3 Days
Package C2 Overnight
Package C3
Package C4
Diabetic Check-Up
Package D 2 Nights/3 Days
Package D1
Routine Outpatient Check-Up
Package E1
Package E2
Package E3
Total Woman Care
Package F Overnight
Package F1
Package F2
Comprehensive Geriatric Assessment
Package G Overnight
Cancer Screening
Basic
Advance A
Advance B

3
 ANNUAL PHYSICAL CHECK-UP

PACKAGE A (IN-PATIENT) • Pancreas

• Kidney
FEATURES • Prostate (for Male)
• Room and Board (Overnight) • Transrectal (for single women) OR
• Admission Kit Transvaginal (for married women)
• Complete Physical Examination
BREAST EXAMINATION
LABORATORY STUDIES • Mammography (for Female 40
HEMATOLOGY years old & above only) OR
• Complete Blood Count • Breast Ultrasound
- Hemoglobin
- Hematocrit CARDIAC EXAMINATIONS
- Red Blood Cells • Resting Electrocardiogram
- White Blood Cells • Treadmill Exercise Test
- Platelet Count
CHEMISTRY ENDOSCOPY
• Blood Chemistry (CHEM 12) • Fibersigmoidoscopy
- Glucose
- Creatinine PULMONARY
- Uric Acid • Spirometry
- Cholesterol
- Blood Urea Nitrogen OPTIONAL/ADDITIONAL
- Triglycerides EXAMINATION
- HDL • Whole Body PET Scan
- LDL/VLDL
- SGPT/ALT
- Total Bilirubin
- Alkaline Phosphatase
- Total Protein R A T E S
SEROLOGY
• Anti-HCV Inclusive of Professional Fees
• Hepatitis B Screening
- HBsAg Male
- Anti HBc (Total) Private 34,230
MICROSCOPY Suite 39,585
• Urinalysis Presidential Suite 44,835
• Routine Stool Female
- Ova & Parasites Private 39,795
- Amoeba Suite 45,465
Presidential Suite 50,610
X-RAY STUDIES Husband & Wife (per person)
• Chest X-Ray (PA & Lateral)
Private 35,385
• Upper Gastro Intestinal Series
Suite 38,535
ULTRASONIC EXAMINATIONS Presidential Suite 39,690
• Liver
• Gall Bladder Program rates/prices are subject to
• Spleen change without prior notice.
4
 ANNUAL PHYSICAL CHECK-UP

PACKAGE A1 (IN-PATIENT) • Spleen

FEATURES
• Room and Board (Overnight)
• Admission Kit
• Complete Physical Examination
• Pancreas
• Kidney
• Prostate (for Male)
• Transrectal (for single women) OR
Transvaginal (for married women)

LABORATORY STUDIES BREAST EXAMINATION

HEMATOLOGY • Mammography (Female 40 years
• Complete Blood Count old & above only) OR
- Hemoglobin • Breast Ultrasound
- Hematocrit
- Red Blood Cells CARDIAC EXAMINATIONS
- White Blood Cells • Resting Electrocardiogram
- Platelet Count • Treadmill Exercise Test
CHEMISTRY
• Blood Chemistry (CHEM 12) ENDOSCOPY
- Glucose • Gastroscopy
- Creatinine • Colonoscopy
- Uric Acid
- Cholesterol PULMONARY
- Blood Urea Nitrogen • Spirometry
- Triglycerides
- HDL OPTIONAL/ADDITIONAL
- LDL/VLDL EXAMINATION
- SGPT/ALT • Whole Body PET Scan
- Total Bilirubin
- Alkaline Phosphatase R A T E S
- Total Protein
Inclusive of Professional Fees
SEROLOGY
• Hepatitis B Screening
Male
- HBsAg
Private 57,330
- Anti HBc (Total)
Suite 66,150
MICROSCOPY
Presidential Suite 74,760
• Urinalysis
Female
• Routine Stool
Private 62,895
- Ova & Parasites
Suite 72,135
- Amoeba
Presidential Suite 80,325
Husband & Wife (per person)
X-RAY STUDIES
Private 59,115
• Chest X-Ray (PA & Lateral)
Suite 66,780
Presidential Suite 72,870
ULTRASONIC EXAMINATIONS
• Liver Program rates/prices are subject to
• Gall Bladder change without prior notice.
5
 ANNUAL PHYSICAL CHECK-UP

PACKAGE B (IN-PATIENT) ULTRASONIC EXAMINATIONS

• Gall Bladder
FEATURES • Liver
• Room and Board (Overnight) • Kidney
• Admission Kit • Prostate (for Male)
• Complete Physical Examination • Transrectal (for single women) OR
Transvaginal (for married women)
LABORATORY STUDIES
HEMATOLOGY BREAST EXAMINATION
• Complete Blood Count • Mammography (for Female 40
- Hemoglobin years old & above only) OR
- Hematocrit • Breast Ultrasound
- Red Blood Cells
- White Blood Cells CARDIAC EXAMINATIONS
- Platelet Count • Resting Electrocardiogram
CHEMISTRY • Treadmill Exercise Test
• Blood Chemistry
- Glucose ENDOSCOPY
- Creatinine • Fibersigmoidoscopy
- Uric Acid
- Cholesterol OPTIONAL/ADDITIONAL
- Blood Urea Nitrogen EXAMINATION
- Triglycerides • Whole Body PET Scan
- HDL
- LDL/VLDL
- SGPT
SEROLOGY R A T E S
• Anti-HCV Inclusive of Professional Fees
• Hepatitis B Screening
- HBsAg Male
- Anti HBc (Total) Private 33,285
MICROSCOPY Suite 41,475
• Urinalysis Presidential Suite 49,875
• Routine Stool Female
- Ova & Parasites Private 37,485
- Amoeba Suite 45,885
Presidential Suite 54,180
X-RAY STUDIES Husband & Wife (per person)
• Chest X-Ray (PA & Lateral) Private 34,755
• Upper Gastro Intestinal Series Suite 41,895
Presidential Suite 47,985

Program rates/prices are subject to

change without prior notice.
6
 ANNUAL PHYSICAL CHECK-UP

PACKAGE B1 (OUT-PATIENT) X-RAY STUDIES

• Chest X-Ray (PA & Lateral)
FEATURES • Upper Gastro Intestinal Series
• Out-patient
• Complete Physical Examination ULTRASONIC EXAMINATIONS
• Gall Bladder
LABORATORY STUDIES • Liver
HEMATOLOGY • Kidney
• Complete Blood Count • Prostate (for Male)
- Hemoglobin • Transrectal (for single women) OR
- Hematocrit Transvaginal (for married women)
- Red Blood Cells
- White Blood Cells BREAST EXAMINATION
- Platelet Count • Mammography (Female 35 years
CHEMISTRY old & above only) OR
• Blood Chemistry (CHEM 8) • Breast Ultrasound
- Glucose
- Creatinine CARDIAC EXAMINATIONS
- Uric Acid • Resting Electrocardiogram
- Cholesterol • Treadmill Exercise Test
- Blood Urea Nitrogen
- Triglycerides ENDOSCOPY
- HDL • Fibersigmoidoscopy
- LDL/VLDL
• Liver Profile OPTIONAL/ADDITIONAL
- SGOT EXAMINATION
- SGPT • Whole Body PET Scan
- Total Bilirubin
- Total Protein (A/G Ratio)
- Alkaline Phosphatase
SEROLOGY
• Hepatitis B Screening
- HBsAg
- Anti HBc (Total) R A T E S
(Above tests do not screen for
Inclusive of Professional Fees
Hepatitis C and Hepatitis D)
MICROSCOPY
Male 21,840
• Urinalysis
Female 25,620
• Routine Stool
- Ova & Parasites
Program rates/prices are subject to
- Amoeba change without prior notice.

7
 ANNUAL PHYSICAL CHECK-UP
COMPREHENSIVE EXECUTIVE • Transrectal (for single women) OR
CHECK-UP (IN-PATIENT) Transvaginal (for married women)

FEATURES SPECIAL EXAMINATIONS

• Room and Board (2 nights) • PET Scan Whole Body
• Admission Kit • Gastroscopy
• Complete Physical Examination • Colonoscopy
• High Resolution Chest CT Scan
LABORATORY STUDIES • Calcium Scoring
HEMATOLOGY • CT Coronary Angiogram
• Complete Blood Count • MRI of Whole Spine
• Blood Typing • Bone Densitometry (Whole Body)
• Fibrinogen Level • CT Scan of Whole Abdomen
CHEMISTRY (IV Contrast)
• Blood Chemistry (CHEM 15) • 3 Phased – Dynamic CT of Liver
• Random Cortisone Level • Endothelial Function Test
• Glycohemoglobin (HBA1C) • Carotid Doppler Scan with
SEROLOGY Transcranial Doppler
• Alpha Fetoprotein • Resting Electrocardiogram
• Thyroid Function Test • Treadmill Exercise Test
(Nuclear Medicine) • 2D Echocardiogram + 3D Echo
• Hepatitis Profile • Heart Rate Variability
- HBeAg • 24 Hour Holter Monitoring
- HBsAg • Signal Averaged ECG
- IgM Anti HBc • VectorCardiography
- Total Anti HBc • PFT/ Spirometry
- Anti HBe • Eye Check-up with Fundoscopy
- Anti HBs • Pap Smear with OB Gyne Consult
- HAVIgM (For Female)
- HAVIgG • Body Mass Index/Nutritional Consult
- Anti HCV
- Anti-DELTA BREAST EXAMINATION
• PSA (for Male) • Mammography (Female 35 years
• CEA old & above only) OR
• CA 72-4 • Breast Ultrasound
• CA 125 (for Female)
• CA 19-9 OPTIONAL EXAMINATION
• CA 15-3 (for Female) • Sleep Study
MICROSCOPY
• Urinalysis R A T E S
• Routine Stool
• 24H Urine for Protein Exclusive of Professional Fees

X-RAY STUDIES Male

• Chest X-Ray (PA) Private 278,040
• Spine Xray (AP Lateral/Oblique) Suite 305,340
Presidential Suite 329,595
ULTRASONIC EXAMINATIONS
WHOLE ABDOMEN Female
• Liver Private 284,970
• Gall Bladder Suite 311,430
• Spleen Presidential Suite 336,735
• Pancreas
• Kidney Program rates/prices are subject to
• Prostate (for Male) change without prior notice. 8
 CARDIAC CHECK-UP

PACKAGE C (IN-PATIENT) • Transrectal (for single women) OR

Transvaginal (for married women)
FEATURES
• Room and Board (2 nights) BREAST EXAMINATION
• Admission Kit • Mammography (for Female 40
• Complete Physical Examination years old & above only) OR
• Breast Ultrasound
LABORATORY STUDIES
HEMATOLOGY CARDIAC EXAMINATIONS
• Complete Blood Count • Endothelial Function Test
- Hemoglobin • Carotid Doppler Scan
- Hematocrit • Resting Electrocardiogram (ECG)
- Red Blood Cells • Treadmill Exercise Test (TET)
- White Blood Cells • 2-D Echocardiogram w/ Doppler
- Platelet Count Study
CHEMISTRY • 24-Hour Holter Monitoring
• Blood Chemistry (CHEM 12) • Signal Averaged ECG (SA/ECG)
- Glucose • Heart Rate Variability (HRV)
- LDL/VLDL • Vectorcardiography (VCG)
- Creatinine
- Cholesterol ENDOSCOPY
- Uric Acid • Fibersigmoidoscopy
- HDL
- Blood Urea Nitrogen (BUN) PULMONARY
- Triglycerides • Spirometry
- SGPT/ALT
- Total Bilirubin OPTIONAL/ADDITIONAL
- Alkaline Phosphatase EXAMINATION
- Total Protein • Whole Body PET Scan
• Oral Glucose Tolerance Test
(2 Hours)
SEROLOGY R A T E S
• Hepatitis B Screening
- HBsAg Inclusive of Professional Fees
- Anti HBc (Total)
MICROSCOPY Male
• Urinalysis Private 65,100
• Routine Stool Suite 79,800
- Ova & Parasites Presidential Suite 98,385
- Amoeba Female
X-RAY STUDIES Private 71,085
• Chest X-Ray (PA & Lateral) Suite 86,100
• Upper Gastro Intestinal Series Presidential Suite 104,685
Husband & Wife (per person)
ULTRASONIC EXAMINATIONS Private 64,470
• Gall Bladder Suite 76,860
• Liver
Presidential Suite 90,405
• Kidney
• Pancreas Program rates/prices are subject to
• Prostate (for Male) change without prior notice.
9
 CARDIAC CHECK-UP

PACKAGE C1 (IN-PATIENT) • Transrectal (for single women) OR

Transvaginal (for married women)
FEATURES
• Room and Board (2 Nights) BREAST EXAMINATION
• Admission Kit • Mammography (Female 35 years
• Complete Physical Examination old & above only) OR
• Breast Ultrasound
LABORATORY STUDIES
HEMATOLOGY CARDIAC EXAMINATIONS
• Complete Blood Count • Endothelial Function Test
- Red Blood Cells • Carotid Doppler Scan
- White Blood Cells • Resting Electrocardiogram (ECG)
- Differential Count • Treadmill Exercise Test (TET)
- Platelet Count • 2-D Echocardiogram w/ Doppler
- Hemoglobin Study
- Hematocrit • 24-Hour Holter Monitoring
CHEMISTRY • Signal Averaged ECG (SA/ECG)
• Blood Chemistry (CHEM 12) • Heart Rate Variability (HRV)
- Glucose • Vectorcardiography (VCG)
- Uric Acid
- Blood Urea Nitrogen ENDOSCOPY
- Cholesterol • Gastroscopy
- HDL • Colonoscopy
- LDL/VLDL
- Triglycerides PULMONARY
- Creatinine • Spirometry
- SGPT
- Alkaline Phosphatase OPTIONAL/ADDITIONAL
- Total Protein EXAMINATION
- TotalBilirubin • Whole Body PET Scan
• Oral Glucose Tolerance Test
(2 Hours)
SEROLOGY R A T E S
• Hepatitis B Screening Inclusive of Professional Fees
- HBsAg
- Anti HBc (Total) Male
MICROSCOPY Private 86,940
• Urinalysis Suite 101,115
• Routine Stool
- Ova & Parasites Presidential Suite 119,595
- Amoeba Female
Private 92,085
X-RAY STUDIES Suite 107,940
• Chest X-Ray (PA & Lateral) Presidential Suite 125,895
Husband & Wife (per person)
ULTRASONIC EXAMINATIONS
• Gall Bladder Private 87,360
• Liver Suite 100,170
• Kidney Presidential Suite 113,610
• Pancreas
• Prostate (For Male) Program rates/prices are subject to
change without prior notice.
10
 CARDIAC CHECK-UP

PACKAGE C2 (IN-PATIENT) CARDIAC EXAMINATIONS

• Endothelial Function Test
FEATURES • Carotid Doppler Scan
• Room and Board (Overnight) • Resting Electrocardiogram
• Admission Kit • Treadmill Exercise Test
• Complete Physical Examination • 2-D Echocardiogram with Doppler
Study
LABORATORY STUDIES • 24-Hour Holter Monitoring
HEMATOLOGY • Vectorcardiography (VCG)
• Complete Blood Count • Heart Rate Variability (HRV)
- Red Blood Cells • Signal Averaged ECG (SA/ECG)
- White Blood Cells
- Platelet Count PULMONARY
- Hemoglobin • Spirometry
- Hematocrit
CHEMISTRY OPTIONAL/ADDITIONAL
• Blood Chemistry (CHEM 8) EXAMINATION
- Glucose • Whole Body PET Scan
- Creatinine
- Uric Acid
- Cholesterol
- Blood Urea Nitrogen
- Triglycerides
- HDL
- LDL/VLDL
• Oral Glucose Tolerance Test R A T E S
(2 Hours) Inclusive of Professional Fees
MICROSCOPY
• Urinalysis Male
• Routine Stool Private 42,945
- Ova & Parasites Suite 51,450
- Amoeba Presidential Suite 60,795
Female
X-RAY STUDIES Private 48,195
• Chest X-Ray (PA & Lateral) Suite 55,860
Presidential Suite 65,100
BREAST EXAMINATION Husband & Wife (per person)
• Mammography (Female 35 years Private 44,625
old & above only) OR Suite 51,450
• Breast Ultrasound Presidential Suite 58,380

Program rates/prices are subject to

change without prior notice.

11
 CARDIAC CHECK-UP

PACKAGE C3 (OUT-PATIENT) CARDIAC EXAMINATIONS

• Carotid Doppler Scan
FEATURES • Resting Electrocardiogram
• Out-patient • Treadmill Exercise Test
• Complete Physical Examination • 2-D Echocardiogram with Doppler
Study
LABORATORY STUDIES • 24-Hour Holter Monitoring
HEMATOLOGY
• Complete Blood Count PULMONARY
- Red Blood Cells • Spirometry
- White Blood Cells
- Differential Count OPTIONAL/ADDITIONAL
- Platelet Count EXAMINATION
- Hemoglobin • Whole Body PET Scan
- Hematocrit
CHEMISTRY
• Blood Chemistry (CHEM 8)
- Glucose
- Uric Acid
- Blood Urea Nitrogen
- Cholesterol
- HDL
- LDL/VLDL
- Triglycerides
- Creatinine
• Oral Glucose Tolerance Test
(2 Hours)
MICROSCOPY
• Urinalysis
• Routine Stool
- Ova & Parasites
- Amoeba

X-RAY STUDIES
• Chest X-Ray (PA & Lateral) R A T E S
Inclusive of Professional Fees

Male/Female 23,730

Program rates/prices are subject to

change without prior notice.

12
 CARDIAC CHECK-UP

PACKAGE C4 (OUT-PATIENT)

FEATURES
• Out-patient
• Complete Physical Examination

LABORATORY STUDIES
HEMATOLOGY
• Complete Blood Count
- Red Blood Cells
- White Blood Cells
- Platelet Count
- Hemoglobin
- Hematocrit
CHEMISTRY
• Blood Chemistry (CHEM 8)
- Glucose
- Creatinine
- Uric Acid
- Cholesterol
- Blood Urea Nitrogen
- Triglycerides
- HDL
- LDL/VLDL
• Oral Glucose Tolerance Test
(2 Hours)
MICROSCOPY
• Urinalysis
• Routine Stool
- Ova & Parasites
- Amoeba

X-RAY STUDIES
• Chest X-Ray (PA & Lateral)

CARDIAC EXAMINATIONS R A T E S
• Resting Electrocardiogram Inclusive of Professional Fees
• Treadmill Exercise Test
• 2-D Echocardiogram with Doppler Male/Female 14,595
Study
Program rates/prices are subject to
OPTIONAL/ADDITIONAL change without prior notice.
EXAMINATION
• Whole Body PET Scan
13
 DIABETES CHECK-UP

PACKAGE D (IN-PATIENT) ULTRASONIC EXAMINATIONS

• Whole Abdomen + Prostate/Pelvic
FEATURES
• Room and Board (2 nights) CARDIAC EXAMINATIONS
• Admission Kit • Resting Electrocardiogram
• Comprehensive History • Treadmill Exercise Test
• Complete Physical Examination • 2-D Echocardiogram w/ Doppler
• Diabetic Diet Study
• Glucostix Monitoring before meals • Carotid and Peripheral Arterial
and at midnight Studies
• Nerve Conduction Velocity -
LABORATORY STUDIES Electromyography (NCV-EMG)
HEMATOLOGY
• Complete Blood Count NUCLEAR MEDICINE
- Hemoglobin • Glomerular Filtration Rate (GFR)
- Hematocrit
- Red Blood Cells OPTIONAL/ADDITIONAL
- White Blood Cells EXAMINATION
- Platelet Count • Whole Body PET Scan
CHEMISTRY
• Blood Chemistry (CHEM 12)
- Glucose
- LDL/VLDL
- Creatinine
- Cholesterol
- Uric Acid R A T E S
- HDL
- Blood Urea Nitrogen (BUN) Inclusive of Professional Fees
- Triglycerides
- SGPT/ALT Male
- Total Bilirubin Private 49,455
- Alkaline Phosphatase Suite 62,370
- Total Protein Presidential Suite 79,275
• Hb-A-1-C (Glycohemoglobin) Female
• 24-Hour Urine for Protein Private 51,450
SEROLOGY Suite 64,575
• Hepatitis B Screening Presidential Suite 81,480
- HBsAg Husband & Wife (per person)
- Anti HBc (Total) Private 48,300
MICROSCOPY Suite 58,905
• Urinalysis Presidential Suite 70,560
• Pap’s Smear (Female Only)
Program rates/prices are subject to
X-RAY STUDY change without prior notice.
• Chest X-Ray (PA & Lateral)
14
 DIABETES CHECK-UP

PACKAGE D1 (OUT-PATIENT) CARDIAC EXAMINATION

• Resting Electrocardiogram
FEATURES
• Out-patient NUCLEAR MEDICINE
• Complete Physical Examination • Glomerular Filtration Rate (GFR)

LABORATORY STUDIES OPTIONAL/ADDITIONAL

HEMATOLOGY EXAMINATION
• Complete Blood Count • Whole Body PET Scan
- Hemoglobin
- Hematocrit
- Red Blood Cells
- White Blood Cells
- Platelet Count
CHEMISTRY
• Blood Chemistry (CHEM 12)
- Glucose
- LDL/VLDL
- Creatinine
- Cholesterol
- Uric Acid
- HDL
- Blood Urea Nitrogen (BUN)
- Triglycerides
- SGPT/ALT
- Total Bilirubin
- Alkaline Phosphatase
- Total Protein
• Hb-A-1-C (Glycohemoglobin)
• 24-Hour Urine for Protein
SEROLOGY
• Hepatitis B Screening
- HBsAg
- Anti HBc (Total)
MICROSCOPY
• Urinalysis

X-RAY STUDY R A T E S
• Chest X-Ray (PA & Lateral) Inclusive of Professional Fees

ULTRASONIC EXAMINATIONS Male/Female 16,485

• Whole Abdomen + Prostate/Pelvic
Program rates/prices are subject to
change without prior notice.

15
 ROUTINE OUT-PATIENT CHECK-UP

PACKAGE E1 (OUT-PATIENT) ULTRASONIC EXAMINATIONS

• Gall Bladder
FEATURES • Liver
• Out-Patient Basis • Pancreas (for Female)
• Complete Physical Examination • Kidney
• Prostate (for Male)
LABORATORY STUDIES • Transrectal (for single women) OR
HEMATOLOGY Transvaginal (for married woman)
• Complete Blood Count
Hemoglobin CARDIAC EXAMINATIONS
- Hematocrit • Resting Electrocardiogram
- Red Blood Cells • Treadmill Exercise Test
- White Blood Cells
- Platelet Count PULMONARY
CHEMISTRY • Spirometry
• Blood Chemistry (CHEM 8)
- Glucose
- Creatinine PACKAGE E2 (OUT-PATIENT)
- Uric Acid • Urinalysis
- Cholesterol • Routine Stool
- Blood Urea Nitrogen • Complete Blood Count
- Triglycerides • Hepatitis B Screening (HBSAg)
- HDL • Hepatitis B Screening
- LDL/VLDL - HBsAg
• Liver Profile - Anti HBc (Total)
- SGOT • Chest X-Ray (PAL)
- SGPT • Resting Electrocardiogram (ECG)
- Total Bilirubin
- Total Protein (A/G Ratio) OPTIONAL/ADDITIONAL
- Alkaline Phosphatase EXAMINATION
SEROLOGY • Whole Body PET Scan
• Hepatitis B Screening
- HBsAg
R A T E S
- Anti HBc (Total) Inclusive of Professional Fees
MICROSCOPY
• Urinalysis PACKAGE E1
• Routine Stool Male 16,170
- Ova & Parasites Female 16,485
- Amoeba
PACKAGE E2
X-RAY STUDY Male/Female 4,830
• Chest X-Ray (PA & Lateral)
Program rates/prices are subject to
change without prior notice.
16
 ROUTINE OUT-PATIENT CHECK-UP

PACKAGE E3 (OUT-PATIENT) CARDIAC EXAMINATIONS

• Resting Electrocardiogram
FEATURES • Treadmill Exercise Test
• Out-Patient Basis
OPTIONAL/ADDITIONAL
LABORATORY STUDIES EXAMINATION
HEMATOLOGY • Whole Body PET Scan
• Complete Blood Count
- Hemoglobin
- Hematocrit
- Red Blood Cells
- White Blood Cells
- Platelet Count
CHEMISTRY
• Blood Chemistry (CHEM 8)
- Glucose
- Creatinine
- Uric Acid
- Cholesterol
- Blood Urea Nitrogen
- Triglycerides
- HDL
- LDL/VLDL
SEROLOGY
• Hepatitis B Screening
- HBsAg
- Anti HBc (Total)
MICROSCOPY
• Urinalysis
• Routine Stool
- Ova & Parasites
- Amoeba
• Pap Smear (for female)

X-RAY STUDY
• Chest X-Ray (PA & Lateral) R A T E S
Inclusive of Professional Fees
ULTRASONIC EXAMINATIONS
• Gall Bladder Male 11,760
• Liver Female 12,285
• Kidney
Program rates/prices are subject to
change without prior notice.

17
 TOTAL FEMALE CARE EXECUTIVE CHECK-UP

PACKAGE F (IN-PATIENT) X-RAY STUDIES

FEATURES
• Room and Board (Overnight)
• Admission Kit
• Complete Physical Examination
• Chest X-Ray (PA & Lateral)
ULTRASONIC EXAMINATIONS
• Transrectal (for single women) OR
Transvaginal (for married women)

LABORATORY STUDIES BREAST EXAMINATION

HEMATOLOGY • Mammography (Female 35 years
• Complete Blood Count old & above only) OR
- Hemoglobin • Breast Ultrasound
- Hematocrit
- Red Blood Cells CARDIAC EXAMINATION
- White Blood Cells • Resting Electrocardiogram
- Platelet Count
CHEMISTRY OPTIONAL/ADDITIONAL
• Blood Chemistry (CHEM 8) EXAMINATION
- Glucose • Whole Body PET Scan
- Creatinine
- Uric Acid
- Cholesterol
- Blood Urea Nitrogen
- Triglycerides
- HDL
- LDL/VLDL
• Liver Profile
- SGOT
- SGPT
- Total Bilirubin
- Total Protein (A/G Ratio)
- Alkaline Phosphatase
SEROLOGY
• T3T4
• Hepatitis B Screening
- HBsAg R A T E S
- Anti HBc (Total)
Inclusive of Professional Fees
MICROSCOPY
• Urinalysis
Private 26,250
• Routine Stool
Suite 33,600
- Ova & Parasites
Presidential Suite 42,420
- Amoeba
• Pap Smear
Program rates/prices are subject to
change without prior notice.

18
 TOTAL FEMALE CARE EXECUTIVE CHECK-UP

PACKAGE F1 (OUT-PATIENT) X-RAY STUDIES

• Chest X-Ray (PA & Lateral)
FEATURES
• Out-patient Basis ULTRASONIC EXAMINATIONS
• Complete Physical Examination • Transrectal (for single women) OR
Transvaginal (for married women)
LABORATORY STUDIES
HEMATOLOGY BREAST EXAMINATION
• Complete Blood Count • Mammography (Female 35 years
- Hemoglobin old & above only) OR
- Hematocrit • Breast Ultrasound
- Red Blood Cells
- White Blood Cells CARDIAC EXAMINATION
- Platelet Count • Resting Electrocardiogram
CHEMISTRY
• Blood Chemistry (CHEM 8) OPTIONAL/ADDITIONAL
- Glucose EXAMINATION
- Creatinine • Whole Body PET Scan
- Uric Acid
- Cholesterol
- Blood Urea Nitrogen
- Triglycerides
- HDL
- LDL/VLDL
• Liver Profile
- SGOT
- SGPT
- Total Bilirubin
- Total Protein (A/G Ratio)
- Alkaline Phosphatase
SEROLOGY
• T3T4
• Hepatitis B Screening
- HBsAg
- Anti HBc (Total)
MICROSCOPY R A T E S
• Urinalysis
• Routine Stool Inclusive of Professional Fees
- Ova & Parasites
- Amoeba Out-Patient Basis 17,745
• Pap Smear
Program rates/prices are subject to
change without prior notice.

19
 TOTAL WOMAN CARE EXECUTIVE CHECK-UP

PACKAGE F2 (OUT-PATIENT)

FEATURES
• Out-Patient Basis
• Complete Physical Examination

LABORATORY STUDIES
HEMATOLOGY
• Complete Blood Count
- Hemoglobin
- Hematocrit
- Red Blood Cells
- White Blood Cells
- Platelet Count
CHEMISTTRY
• Lipid Profile
• Alkaline Phosphatase
• SGPT
• Calcium
SEROLOGY
• Hepatitis B Screening
- HBsAg
- Anti HBc (Total)

ULTRASONIC EXAMINATION
• Transrectal (for single women) OR
Transvaginal (for married women)
• Breast Ultrasound

X-RAY EXAMINATION
• Mammography

NUCLEAR MEDICINE
• DEXA Bone Densitometry -
Whole Body

OPTIONAL/ADDITIONAL
EXAMINATION R A T E S
• Whole Body PET Scan Inclusive of Professional Fees

Out-Patient Basis 15,645

Program rates/prices are subject to

change without prior notice.
20
 COMPREHENSIVE GERIATRIC ASSESSMENT

PACKAGE G (IN-PATIENT) • Phosphorous

• Sodium and Potassium
FEATURES • Chloride
• Room & Board (Overnight) SEROLOGY
• Admission Kit • Thyroid Stimulating Hormone
• Augmented History including (TSH-Chemilumine)
Geriatric Syndromes • Vitamin B12
• Medication History (Polypharmacy) • Folic Acid
• Augmented Physical Examination • Hepatitis B Screening
• Functional Assessment Screening - HBsAg
on: - Anti HBc (Total)
- Vision MICROSCOPY
- Hearing • Urinalysis
- Physical Function Tests • Routine Stool
(ADL and IADL) - Ova & Parasites
- Mini-Mental Status Exam (MMSE) - Amoeba
- Mini-Nutritional Assessment • Stool Exam (with Occult Blood)
- Social Support
- Home Environment X-RAY STUDY
- Geriatric Depression Scale • Chest X-ray (PA & Lateral)

LABORATORY TESTS CARDIAC STUDY

HEMATOLOGY • Resting Electrocardiography (ECG)
• Complete Blood Count
- Hemoglobin EVALUATION/
- Hematocrit RECOMMENDATIONS
- Red Blood Cells • Short Term Plan of Treatment
- White Blood Cells • Long Term Plan of Treatment
- Platelet Count • Provision for Continuity of Care
CHEMISTRY
• Blood Chemistry (CHEM 6)
- Fasting Blood Sugar (FBS)
- Blood Urea Nitrogen
- Creatinine
- Triglycerides R A T E S
- Uric Acid Inclusive of Professional Fees
- Cholesterol
• SGOT Male/Female
• SGPT Private 26,251
• Alkaline Phosphatase Suite 34,021
• Total Protein Presidential Suite 42,421
- Albumin
- Globulin Program rates/prices are subject to
• Calcium change without prior notice.
21
 CANCER SCREENING PACKAGE

BASIC (OUT-PATIENT)
39 Y/O & BELOW X-RAY STUDY
• Chest X-ray (PA)
FEATURES
• Out-patient basis BREAST EXAMINATIONS
• Complete Physical History (FEMALE ONLY)
• Mammography
LABORATORY STUDIES • Breast Ultrasound
CHEMISTRY
• Blood Chemistry (CHEM 15) ULTRASONIC EXAMINATIONS
- Glucose (FBS) • Gall Bladder
- Creatinine • Liver
- Uric Acid • Kidney
- Cholesterol • Pancreas
- Urea Nitrogen (BUN) • Spleen
- Triglycerides • Prostate (Male Only)
- HDL
- LDL/VLDL ENDOSCOPY
- SGPT/ALT • Fibersigmoidoscopy
- Alkaline Phosphatase
- Total Bilirubin
- Total Protein (A/G Ratio)
- Creatinine Phosphokinase
- SGOT/AST
- LDH

SEROLOGY
• Alpha Fetoprotein
• Cancer Antigen 125 (Female Only)
• Carcino Embryonic Antigen
• Carbohydrate Antigen 19-9

CELLULAR IMMUNOLOGY
• HPV-DNA Test (Female Only)
R A T E S
HISTOPATH Inclusive of Professional Fees
• Pap Smear (Female Only)
Male 26,250
MICROSCOPY Female 36,645
• Fecal Occult Blood Qualitative
Program rates/prices are subject to
change without prior notice.

22
 CANCER SCREENING PACKAGE

ADVANCED A (OUT-PATIENT)
40-59 Y/O X-RAY STUDY
• Chest X-ray (PA)
FEATURES
• Out-patient basis BREAST EXAMINATIONS
• Complete Physical History (FEMALE ONLY)
• Mammography
LABORATORY STUDIES • Breast Ultrasound
CHEMISTRY
• Blood Chemistry (CHEM 15) ULTRASONIC EXAMINATIONS
- Glucose (FBS) • Gall Bladder
- Creatinine • Liver
- Uric Acid • Kidney
- Cholesterol • Pancreas
- Urea Nitrogen (BUN) • Spleen
- Triglycerides • Prostate (Male Only)
- HDL
- LDL/VLDL ENDOSCOPY
- SGPT/ALT • Colonoscopy
- Alkaline Phosphatase
- Total Bilirubin
- Total Protein (A/G Ratio)
- Creatinine Phosphokinase
- SGOT/AST
- LDH

SEROLOGY
• Alpha Fetoprotein
• Cancer Antigen 125 (Female Only)
• Carcino Embryonic Antigen
• Carbohydrate Antigen 19-9
• PSA (Male Only)

CELLULAR IMMUNOLOGY
• HPV-DNA Test (Female Only)
R A T E S
Inclusive of Professional Fees
HISTOPATH
• Pap Smear (Female Only) Male 47,565
Female 52,710
MICROSCOPY
• Fecal Occult Blood Qualitative Program rates/prices are subject to
change without prior notice.

23
 CANCER SCREENING PACKAGE

ADVANCED B (OUT-PATIENT)
60 Y/O & ABOVE X-RAY STUDY
• Chest X-ray (PA)
FEATURES
• Out-patient basis BREAST EXAMINATIONS
• Complete Physical History (FEMALE ONLY)
• Mammography
LABORATORY STUDIES • Breast Ultrasound
CHEMISTRY
• Blood Chemistry (CHEM 15) ULTRASONIC EXAMINATIONS
- Glucose (FBS) • Gall Bladder
- Creatinine • Liver
- Uric Acid • Kidney
- Cholesterol • Pancreas
- Urea Nitrogen (BUN) • Spleen
- Triglycerides • Prostate (Male Only)
- HDL
- LDL/VLDL ENDOSCOPY
- SGPT/ALT • Colonoscopy
- Alkaline Phosphatase
- Total Bilirubin
- Total Protein (A/G Ratio)
- Creatinine Phosphokinase
- SGOT/AST
- LDH

SEROLOGY
• Alpha Fetoprotein
• Cancer Antigen 125 (Female Only)
• Carcino Embryonic Antigen
• Carbohydrate Antigen 19-9
• PSA (Male Only)

CELLULAR IMMUNOLOGY
• HPV-DNA Test (Female Only) R A T E S
Inclusive of Professional Fees
HISTOPATH
• Pap Smear (Female Only) (Net of Senior Citizen’s Discount)
Male 46,935
MICROSCOPY Female 51,870
• Fecal Occult Blood Qualitative

Program rates/prices are subject to

change without prior notice.
24
 For inquiries or appointments, please call:
Wellness Program Office
Trunk Line : 723-0101/723-0301 ext. 5527/5528
E-mail : wellnessprogram@stluke.com.ph
http//www.stluke.com.ph