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Sheet1

NKTI rates SLMC - Global City SLMC - Quezon City


BLOOD BANK SECTION GC Code GC 16% net % Diff 16% Net % Diff
Section Exam PARTICULARS OPD
OLD NEW
BBK 1405 NSS PHP 18.00 PHP 25.00
BBK 1751 Chest, Ice PHP 114.50 PHP 145.00
BBK 224 500 ML SINGLE PHP 200.00 PHP 250.00
BBK 226 TRANSFER BAG PHP 200.00 PHP 250.00 2582 PHP 302.40 17.33% PHP 302.00 17.22%
BBK 950 HANDLING FEE PHP 300.00 PHP 375.00
BBK 212 PROC. FEE-PLATELET CONC. PHP 300.00 PHP 376.00 0180 PHP 2,184.00 82.78% PHP 2,184.00 82.78%
BBK 213 PROC. FEE-PLATELET RICH PLASMA PHP 300.00 PHP 377.00 PHP 2,100.00 82.05%
BBK 211 PROC. FEE-PRBC PHP 300.00 PHP 378.00 0175 PHP 2,100.00 82.00% PHP 2,100.00 82.00%
BBK 210 PROC. FEE-RESH FROZEN PLASMA PHP 300.00 PHP 379.00 0178 PHP 2,100.00 81.95% PHP 2,100.00 81.95%
BBK 222 500 ML DOUBLE BAG PHP 330.00 PHP 415.00
BBK 209 PROC. FEE- CRYOPRECIPITATE PHP 350.00 PHP 440.00 PHP 2,268.00 80.60%
BBK 215 RH TYPING PHP 200.00 PHP 200.00
BBK 1592 REVERSE TYPING PHP 250.00 PHP 250.00
BBK 1609 IMMEDIATE SPIN PHP 300.00 PHP 300.00
BBK 2151 COOMBS TEST (DIRECT) TUBE METHOD PHP 370.00 PHP 370.00 0171 PHP 336.00 -10.12% PHP 336.00 -10.12%
BBK 2218 ABO/Rh TYPING – TEST TUBE METHOD PHP 400.00 PHP 400.00 0168 PHP 588.00 31.97%
BBK 1232 ANTIBODY SCREENING OF DONOR UNIT PHP 420.00 PHP 420.00
BBK 1233 ANTIBODY SCREENING OF PATIENT – GEL TECH. PHP 450.00 PHP 450.00 PHP 2,772.00 83.77%
BBK 1722 COOMBS TEST (DIRECT), GEL TECHNOLOGY PHP 470.00 PHP 470.00
BBK 1156 STORAGE FEE-PLATELET CONCENTRATE PHP 100.00 PHP 100.00
BBK 1160 STORAGE FEE-PLATELET RICH PLASMA PHP 100.00 PHP 100.00
BBK 1154 STORAGE FEE-FRESH WHOLE BLOOD PHP 200.00 PHP 200.00
BBK 1155 STORAGE FEE-PACKED RED CELLS PHP 200.00 PHP 200.00
BBK 1158 STORAGE FEE-CRYOPRECIPITATE PHP 300.00 PHP 300.00
BBK 1159 STORAGE FEE-CRYOSUPERNATE PHP 300.00 PHP 300.00
BBK 1157 STORAGE FEE-FRESH FROZEN PLASMA PHP 300.00 PHP 300.00
BBK 214 PROC. FEE-WASHED PRBC PHP 500.00 PHP 625.00 0186 PHP 2,184.00 71.38% PHP 2,184.00 71.38%
BBK 225 500 ML TRIPLE PHP 590.00 PHP 740.00
BBK 223 500 ML QUADRUPLE BAG PHP 790.00 PHP 990.00 2585 PHP 382.20 -159.03%
BBK 1829 DAT PANEL PHP 850.00 PHP 1,065.00
BBK 1388 DISP./GADGET-SINGLE NEEDLE SET FOR PLASMAPHER PHP 1,365.00 PHP 1,640.00
BBK 195 ABO/Rh TYPING – EM TECHNOLOGY PHP 510.00 PHP 510.00
BBK 2150 COOMBS TEST (INDIRECT), TUBE METHOD PHP 530.00 PHP 530.00 0172 PHP 336.00 -57.74% PHP 336.00 -57.74%
BBK 1803 PATIENT PHENOTYPING (BATCH RUNNING) PHP 550.00 PHP 550.00 PHP 1,680.00 67.26%
BBK 2215 CROSS MATCHING – TUBE METHOD PHP 580.00 PHP 580.00
BBK 1713 CROSS MATCHING GEL TECHNOLOGY PHP 595.00 PHP 595.00 0166 PHP 672.00 11.46% PHP 672.00 11.46%
BBK 1721 COOMBS TEST (INDIRECT), GEL TECHNOLOGY PHP 620.00 PHP 620.00
BBK 2149 COOMBS TEST (DIRECT/INDIRECT), TUBE METHOD PHP 650.00 PHP 650.00 0170 PHP 504.00 -28.97% PHP 504.00 -28.97%
BBK 1056 IRRADIATION, GAMMA CELL PHP 730.00 PHP 730.00 0184 PHP 504.00 -44.84% PHP 504.00 -44.84%
BBK 1723 COOMBS TEST (DIRECT/INDIRECT), GEL TECHNOLOGY PHP 820.00 PHP 820.00
BBK 2217 ANTI – B TITRATION PHP 930.00 PHP 930.00
BBK 2216 ANTI – A TITRATION PHP 930.00 PHP 930.00
BBK 197 ELUTION TECHNIQUE PHP 1,000.00 PHP 1,000.00 3511 PHP 5,500.00 81.82% PHP 5,500.00 81.82%
BBK 1755 TSS (TYPE , SCREEN, SAVE – 2) PHP 1,100.00 PHP 1,100.00 0185 PHP 2,772.00 60.32% PHP 2,772.00 60.32%
BBK 2045 DU TYPING PHP 1,280.00 PHP 1,280.00
BBK 196 ADSORPTION TECHNIQUE PHP 1,500.00 PHP 1,500.00 0163 PHP 8,316.00 81.96% PHP 8,316.00 81.96%
BBK 2288 PREWARMING TECHNIQUE PHP 1,650.00 PHP 1,650.00
BBK 228 TESTING FOR CRYOSUPERNATE PHP 1,400.00 PHP 1,400.00 0174 PHP 2,268.00 38.27%
BBK 233 PLATELET – RICH PLASMA PHP 1,450.00 PHP 1,450.00
BBK 232 PLATELET CONCENTRATE PHP 1,450.00 PHP 1,450.00 2933 PHP 3,683.40 60.63% PHP 3,683.00 60.63%
BBK 229 TESTING FOR FRESH FROZEN PLASMA PHP 1,450.00 PHP 1,450.00 2435 PHP 1,092.00 -32.78%
BBK 227 CRYOPRECIPITATE PHP 1,600.00 PHP 1,600.00 2938 PHP 2,730.84 41.41% PHP 2,730.00 41.39%
BBK 1938 LEUKOREDUCED CRYOPRECIPITATE PHP 1,700.00 PHP 1,700.00
BBK 1939 LEUKOREDUCED CRYOSUPERNATE PHP 1,700.00 PHP 1,700.00
BBK 1937 LEUKOREDUCED FRESH FROZEN PLASMA PHP 1,700.00 PHP 1,700.00
BBK 1936 LEUKOREDUCED PLATELET CONCENTRATE PHP 1,700.00 PHP 1,700.00
BBK 1491 ANTIBODY TITRATION PHP 2,200.00 PHP 2,200.00 0165 PHP 2,184.00 -0.73% PHP 2,184.00 -0.73%
BBK 216 SCREEN OF BLD. BROUGHT IN-ROUTINE PHP 2,450.00 PHP 2,450.00 2435 PHP 1,092.00 -124.36%
BBK 1802 PHENOTYPING (TUBE METHOD) PHP 3,000.00 PHP 3,000.00 0177 PHP 1,680.00 -78.57% PHP 1,680.00 -78.57%
BBK 217 SCREEN OF BLD. BROUGHT IN-STAT-SCREENING PHP 3,400.00 PHP 3,400.00 2435 PHP 1,092.00 -211.36%
BBK 1822 COMBINED/MULTIPLE ANTIBODY SCREENING PHP 4,900.00 PHP 4,900.00
BBK 1821 ANTIBODY IDENTIFICATION – GEL TECHNOLOGY PHP 8,100.00 PHP 8,100.00 0164 PHP 8,736.00 7.28% 8736 (1200)
BBK 1404 SNLRS PLATELETPHERESIS SET PHP 8,800.00 PHP 8,800.00
BBK 2289 BLD. GRP. ANTIBODY ID & RED CELL PHENOTYPING PHP 14,000.00 PHP 14,000.00
BBK 1745 PHENOTYPING/SCREENING OF REAGENTS PHP 15,000.00 PHP 15,000.00
BBK 234 TESTING FOR PRBC PHP 1,700.00 PHP 1,700.00 2435 PHP 1,092.00 -55.68%
BBK 235 TESTING FOR WASHED PRBC PHP 2,020.00 PHP 2,020.00 2435 PHP 1,092.00 -84.98%
BBK 1057 LEUKODEPLETED PRBC (PURCHASED OUTSIDE) PHP 2,200.00 PHP 2,200.00
BBK 230 TESTING FOR WHOLE BLOOD PHP 2,250.00 PHP 2,250.00 0167 PHP 2,520.00 10.71%
BBK 1935 LEUKOREDUCED PACKED RED BLOOD CELLS PHP 2,400.00 PHP 2,400.00
BBK 1466 ALBUMIN – NATIONAL REF. LAB PHP 9,000.00 PHP 9,000.00
BBK 2154 BBK-EVALUATION OF ANTI-A TYPING SERA (For N) PHP 13,000.00 PHP 13,000.00
BBK 1224 EVALUATION OF Rh TYPING SERA (For Nat. Ref. Lab PHP 16,000.00 PHP 16,000.00
BBK 1467 AHG – NATIONAL REF. LAB PHP 17,000.00 PHP 17,000.00
BBK 1468 CROSSMATCHING – NATIONAL REF. LAB. PHP 17,500.00 PHP 17,500.00

Blood Donor's Room


BDR 1198 ACD 500 ML. (Additional) PHP 825.00 PHP 1,035.00
BDR 219 THERAP. BLEEDING SINGLE BAG (500 ML) PHP 950.00 PHP 1,190.00 2585 PHP 382.20 -211.36%
BDR 960 GRANULOCYTE/PSBC HARVEST/PERIPHERAL BLOOD ST PHP 41,000.00 PHP 41,000.00 0179 PHP 34,020.00 -20.52%
BDR 208 PLATELETPHERESIS PHP 19,500.00 PHP 19,500.00 0181 PHP 25,000.00 22.00% PHP 25,000.00 22.00%
BDR 207 PLASMAPHERESIS PHP 23,000.00 PHP 23,000.00 0179 PHP 34,020.00 32.39% PHP 34,020.00 32.39%
BDR 1795 GRANULOCYTE/PSBC HARVEST FOR DENDRITIC CELL T PHP 26,500.00 PHP 39,750.00

Page 1
Sheet1
CLINICAL CHEMISTRY
Section Code PARTICULARS OPD GC Code GC 16% net
OLD NEW

CCH 9 BLOOD UREA NITROGEN PHP 260.00 PHP 260.00 367 PHP 504.00 48.41% PHP 504.00 48.41%
CCH 16 CREATININE PHP 260.00 PHP 260.00 2939 PHP 504.00 48.41% PHP 504.00 48.41%
CCH 991 GLUCOSE (1HR PPBS) PHP 260.00 PHP 260.00 188 PHP 420.00 38.10% PHP 420.00 38.10%
CCH 996 GLUCOSE (2HR OGTT) PHP 260.00 PHP 260.00 210 PHP 1,344.00 80.65% PHP 1,344.00 80.65%
CCH 993 GLUCOSE (2 HR PPBS) PHP 260.00 PHP 260.00 190 PHP 420.00 38.10% PHP 924.00 71.86%
CCH 1195 GLUCOSE (3HR OGTT) PHP 260.00 PHP 260.00 PHP 1,680.00 84.52%
CCH 1196 GLUCOSE (3 HR PGBS) PHP 260.00 PHP 260.00
CCH 1197 GLUCOSE (3 HR PPBS) PHP 260.00 PHP 260.00
CCH 990 GLUCOSE (FBS) PHP 260.00 PHP 260.00 256 PHP 420.00 38.10% PHP 420.00 38.10%
CCH 18 GLUCOSE (RBS) PHP 260.00 PHP 260.00 328 PHP 420.00 38.10% PHP 420.00 38.10%
CCH 1002 GLUCOSE, OTHER BODY FLUIDS PHP 260.00 PHP 260.00 267 PHP 420.00 38.10% PHP 420.00 38.10%
CCH 2 ALBUMIN PHP 270.00 PHP 270.00 213 PHP 420.00 35.71% PHP 420.00 35.71%
CCH 8 BILIRUBIN, TOTAL (Tbil) PHP 270.00 PHP 270.00 359 PHP 588.00 54.08% PHP 588.00 54.08%
CCH 12 CHOLESTEROL PHP 270.00 PHP 270.00 231 PHP 468.00 42.31% PHP 588.00 54.08%
CCH 32 PHOSPHORUS PHP 270.00 PHP 270.00 299 PHP 672.00 59.82% PHP 672.00 59.82%
CCH 6 BILIRUBIN, DIRECT (Dbil) PHP 275.00 PHP 275.00 359 PHP 588.00 53.23%
CCH 10 CALCIUM PHP 275.00 PHP 275.00 223 PHP 672.00 59.08% PHP 672.00 59.08%
CCH 34 SGOT (AST) PHP 280.00 PHP 280.00 350 PHP 756.00 62.96% PHP 756.00 62.96%
CCH 35 SGPT (ALT) PHP 280.00 PHP 280.00 3511 PHP 756.00 62.96% PHP 756.00 62.96%
CCH 3 ALK. PHOSPHATASE PHP 285.00 PHP 285.00 215 PHP 420.00 32.14% PHP 420.00 32.14%
CCH 49 CREATININE, URINE PHP 285.00 PHP 285.00 335 PHP 504.00 43.45% PHP 504.00 43.45%
CCH 45 URIC ACID PHP 285.00 PHP 285.00 368 PHP 504.00 43.45% PHP 504.00 43.45%
CCH 1416 GLUCOSE, URINE PHP 290.00 PHP 290.00 336 PHP 420.00 30.95% PHP 420.00 30.95%
CCH 1033 UREA NITROGEN PHP 290.00 PHP 290.00 367 PHP 504.00 42.46% PHP 504.00 42.46%
CCH 995 GLUCOSE (1 HR OGTT) PHP 295.00 PHP 295.00
CCH 994 GLUCOSE (2 HR PGBS) PHP 295.00 PHP 295.00 PHP 924.00 68.07%
CCH 1605 GLUCOSE (1 HR PGBS) PHP 300.00 PHP 300.00 PHP 924.00 67.53%
CCH 1873 GLUCOSE 1HR CHALLENGE TEST PHP 300.00 PHP 300.00 295 PHP 924.00 67.53% PHP 924.00 67.53%
CCH 52 PHOSPHORUS, URINE PHP 300.00 PHP 300.00 339 PHP 672.00 55.36% PHP 672.00 55.36%
CCH 40 TOTAL PROTEIN PHP 300.00 PHP 300.00 361 PHP 588.00 48.98% PHP 588.00 48.98%
CCH 47 CALCIUM, URINE PHP 330.00 PHP 330.00 332 PHP 672.00 50.89% PHP 672.00 50.89%
CCH 48 CHLORIDE, URINE PHP 330.00 PHP 330.00 333 PHP 546.00 39.56% PHP 546.00 39.56%
CCH 57 URIC ACID, URINE PHP 330.00 PHP 330.00 344 PHP 504.00 34.52% PHP 504.00 34.52%
CCH 11 CHLORIDE PHP 335.00 PHP 335.00 230 PHP 546.00 38.64% PHP 546.00 38.64%
CCH 33 POTASSIUM PHP 335.00 PHP 335.00 305 PHP 672.00 50.15% PHP 672.00 50.15%
CCH 53 POTASSIUM, URINE PHP 335.00 PHP 335.00 340 PHP 672.00 50.15% PHP 672.00 50.15%
CCH 36 SODIUM (Na) PHP 335.00 PHP 335.00 353 PHP 672.00 50.15% PHP 672.00 50.15%
CCH 54 SODIUM, URINE PHP 335.00 PHP 335.00 342 PHP 672.00 50.15% PHP 672.00 50.15%
CCH 51 MAGNESIUM, URINE PHP 345.00 PHP 345.00 337 PHP 756.00 54.37% PHP 756.00 54.37%
CCH 25 LDH PHP 350.00 PHP 350.00 281 PHP 672.00 47.92% PHP 672.00 47.92%
CCH 29 MAGNESIUM PHP 350.00 PHP 350.00 288 PHP 756.00 53.70% PHP 756.00 53.70%
CCH 41 TRIGLYCERIDES PHP 350.00 PHP 350.00 363 PHP 840.00 58.33% PHP 840.00 58.33%
CCH 17 CREATININE CLEARANCE (URINE) PHP 360.00 PHP 360.00 251 PHP 672.00 46.43% PHP 672.00 46.43%
CCH 5 AMYLASE PHP 390.00 PHP 390.00 218 PHP 588.00 33.67% PHP 588.00 33.67%
CCH 46 AMYLASE, URINE PHP 390.00 PHP 390.00 331 PHP 504.00 22.62% PHP 504.00 22.62%
CCH 998 GLUCOSE, CSF PHP 390.00 PHP 390.00 244 PHP 462.00 15.58% PHP 462.00 15.58%
CCH 1000 TOTAL PROTEIN, CSF PHP 395.00 PHP 395.00 2435 PHP 462.00 14.50% PHP 462.00 14.50%
CCH 7 BILIRUBIN, B1B2 (Tbil, Dbil, Ibil) PHP 400.00 PHP 400.00 359 PHP 588.00 31.97%
CCH 1599 IN-VITRO GFR, CALCULATED (BUN,Creatininr, Albumin) PHP 400.00 PHP 400.00
CCH 26 LIPASE PHP 400.00 PHP 400.00 283 PHP 504.00 20.63% PHP 504.00 20.63%
CCH 1984 OSMOLALITY PROFILE PHP 400.00 PHP 400.00
CCH 55 TOTAL PROTEIN, URINE PHP 400.00 PHP 400.00
CCH 39 TP A/G RATIO PHP 400.00 PHP 400.00 361 PHP 588.00 31.97% PHP 588.00 31.97%
CCH 20 AHDL PHP 430.00 PHP 430.00 PHP 672.00 36.01%
CCH 23 IRON PHP 485.00 PHP 485.00 277 PHP 588.00 17.52% PHP 588.00 17.52%
CCH 56 TOTAL PROTEIN: CREATININE RATIO, URINE PHP 490.00 PHP 490.00 341 PHP 924.00 46.97% PHP 924.00 46.97%
CCH 13 CPK PHP 500.00 PHP 500.00 360 PHP 924.00 45.89% PHP 924.00 45.89%
CCH 19 GAMMA GLUTAMYL TRANSFERASE PHP 500.00 PHP 500.00 259 PHP 1,008.00 50.40% PHP 1,008.00 50.40%
CCH 1717 SERUM BICARBONATE (HCO3) PHP 550.00 PHP 550.00 220 PHP 630.00 12.70% PHP 630.00 12.70%
CCH 37 ELECTROLYTES (Na, K, Cl) PHP 690.00 PHP 690.00 250 PHP 1,848.00 62.66% PHP 1,848.00 62.66%
CCH 1 ACID PHOSPHATASE PHP 700.00 PHP 700.00 212 PHP 924.00 24.24% PHP 924.00 24.24%
CCH 14 CPK-MB PHP 750.00 PHP 750.00 238 PHP 2,184.00 65.66% PHP 2,184.00 65.66%
CCH 22 Hgb A1C PHP 880.00 PHP 880.00 269 PHP 1,596.00 44.86% PHP 1,596.00 44.86%
CCH 27 LIPID PROFILE (CHOLSETEROL, TRIGLYCERIDES, AHDL, LDL, VLDL) PHP 890.00 PHP 890.00 285 PHP 2,189.00 59.34% PHP 1,932.00 53.93%
CCH 1718 IRON/TIBC PACKAGE PHP 990.00 PHP 990.00 PHP 296.00 -234.46%
CCH 4 AMMONIA PHP 1,100.00 PHP 1,100.00 217 PHP 1,932.00 43.06% PHP 1,932.00 43.06%
CCH 15 CK IZOEZYMES (CPK, CPK-MB,CKMM) PHP 1,200.00 PHP 1,200.00
CCH 28 LIVER FUNCTION TEST (AST, ALT, ALP, TPA/G, Tbil, Dbil, Ibil, GGTP) PHP 1,500.00 PHP 1,500.00 287 PHP 1,932.00 22.36% PHP 1,932.00 22.36%
CCH 951 MICROALBUMIN: CREATININE RATIO PHP 1,600.00 PHP 1,600.00 1048 PHP 2,268.00 29.45%
CCH 58 VMA, URINE PHP 2,300.00 PHP 2,300.00 PHP 4,452.00 48.34%
CCH 44 TROPONIN I (QUANTITATIVE) PHP 2,600.00 PHP 2,600.00 365 PHP 2,604.00 0.15% PHP 2,604.00 0.15%
CCH 2157 TROPONIN T-HS (QUANTITATIVE) PHP 2,600.00 PHP 2,600.00 327 PHP 3,696.00 29.65% PHP 3,696.00 29.65%
CCH 2158 proBNP PHP 2,900.00 PHP 2,900.00 294 PHP 4,032.00 28.08% PHP 4,032.00 28.08%
CCH 2089 VANCOMYCIN Peal/Through PHP 2,900.00 PHP 2,900.00 370/371 PHP 2,772.00 -4.62% PHP 2,772.00 -4.62%
CCH 2156 AMIKACIN PHP 4,100.00 PHP 4,100.00 216 PHP 2,940.00 -39.46% PHP 2,940.00 -39.46%
CCH 1893 MYCOPHENOLIC ACID (MPA)/CELLCEPT PHP 8,500.00 PHP 8,500.00
CCH 1255 STORAGE OF SERUM/ URINE SAMPLE PHP 100.00 PHP 120.00
CCH 24 KETONE PHP 265.00 PHP 320.00
CCH 38 SPECIFIC GRAVITY PHP 265.00 PHP 320.00 1035 PHP 126.00 -153.97%
CCH 31 pH PHP 270.00 PHP 325.00
CCH 1525 SPECIMEN COLLECTION AND PACKING PHP 325.00 PHP 390.00
CCH 1892 SPECIMEN COLLECTION AND PROCESSING PHP 350.00 PHP 420.00
CCH 1032 TOTAL PROTEIN, DIALYSATE PHP 350.00 PHP 420.00

Page 2
Sheet1
CELLULAR SECTION
Section Code PARTICULARS OPD GCCode GC 16% net
OLD NEW

CEL 1608 URINE PROTEIN ELECTROPHORESIS (UPE) PHP 4,000.00 PHP 4,000.00 944 PHP 4,620.00 13.42% PHP 4,620.00 13.42%
CEL 1770 SERUM PROTEIN ELECTROPHORESIS (SPE) PHP 2,390.00 PHP 2,510.00 922 PHP 4,704.00 46.64% PHP 4,704.00 46.64%
CEL 251 HEMOGLOBIN ELECTROPHORESIS (HBE) PHP 2,450.00 PHP 2,575.00 816 PHP 8,484.00 69.65% PHP 8,484.00 69.65%
CEL 2171 SERUM IMMUNOTYPING ELECTROPHORESIS ( w/ Total Protein) PHP 7,590.00 PHP 7,970.00
CEL 2208 SERUM IMMUNOTYPING ELECTROPHORESIS ( w/o Total Protein) PHP 7,590.00 PHP 7,970.00
CEL 1478 URINE IMMUNOTYPING ELECTROPHORESIS (UITE) PHP 7,800.00 PHP 8,190.00 PHP 10,584.00 22.62%
CEL 1868 FETAL HEMOGLOBIN PHP 1,100.00 PHP 1,320.00 #DIV/0!
CEL 249 NBT (NITROBLUE TETRAZOLIUM TEST) PHP 3,600.00 PHP 4,320.00

CLINICAL MICROSCOPY
Section Code PARTICULARS OPD GCCode GC 16% net
OLD NEW

CMI 97 BILE TEST (URINE BILIRUBIN QUALITATIVE) PHP 100.00 PHP 120.00 1043 PHP 294.00 59.18%
CMI 112 URINE PROCESSING FOR URINALYSIS (SPINNING) PHP 115.00 PHP 140.00
CMI 1460 BILIRUBIN, URINE (QUALITATIVE) PHP 130.00 PHP 160.00 1043 PHP 294.00 45.58% PHP 294.00 45.58%
CMI 110 GLUCOSE, URINE (RANDOM) PHP 130.00 PHP 160.00 336 PHP 420.00 61.90% PHP 168.00 4.76%
CMI 1830 HEMOGLOBIN (STRIP TEST), URINE (FREE HEMOGLOBIN QUALITATIVE) PHP 130.00 PHP 160.00 1045 PHP 294.00 45.58%
CMI 1048 KETONE, URINE PHP 130.00 PHP 160.00 PHP 252.00 36.51%
CMI 1832 LEUKOCYTES (STRIP TEST), URINE (URINALYSIS) PHP 130.00 PHP 160.00
CMI 1831 NITRITE, URINE (URINALYSIS) PHP 130.00 PHP 160.00
CMI 108 pH, URINE PHP 130.00 PHP 160.00 1057 PHP 294.00 45.58% PHP 294.00 45.58%
CMI 109 PROTEIN, URINE (URINALYSIS) PHP 130.00 PHP 160.00 PHP 294.00 45.58%
CMI 104 SPECIFIC GRAVITY, URINE PHP 130.00 PHP 160.00 1035 PHP 26.00 98.00% PHP 126.00 -26.98%
CMI 111 UROBILINOGEN, URINE (QUALITATIVE/SEMI-QUANTI) PHP 130.00 PHP 160.00 1055 PHP 294.00 45.58% PHP 294.00 45.58%
CMI 1996 URINE DIPSTICK TEST (10 PARAMETERS) (URINALYSIS) PHP 150.00 PHP 180.00
CMI 1997 PREGNANCY TEST (LABOR ONLY) PHP 180.00 PHP 180.00
CMI 105 EXAMINATION FOR FATS, STOOL (FECAL FAT QUALITATIVE) PHP 200.00 PHP 240.00 1017 PHP 252.00 4.76% PHP 252.00 4.76%
CMI 100 FECALYSIS W/O OCCULT BLOOD PHP 200.00 PHP 200.00 1021 PHP 197.00 -1.52% PHP 294.00 31.97%
CMI 107 MYOGLOBIN DETERMINATION, URINE PHP 200.00 PHP 240.00 PHP 336.00 28.57%
CMI 106 URINALYSIS PHP 200.00 PHP 200.00 1039 PHP 260.00 23.08% PHP 336.00 40.48%
CMI 2108 URINALYSIS – TRW PHP 200.00 PHP 240.00
CMI 1459 WET MOUNT (for amoeba, schistoma, trichomonas) PHP 200.00 PHP 240.00 PHP 294.00 18.37%
CMI 101 FECAL OCCULT BLOOD PHP 210.00 PHP 255.00 1019 PHP 336.00 24.11% PHP 336.00 24.11%
CMI 113 WRIGHT STAIN, URINE (URINE EOSINOPHIL) PHP 260.00 PHP 315.00 1044 PHP 336.00 6.25%
CMI 102 PREGNANCY TEST (HCG) PHP 270.00 PHP 270.00 1046 PHP 672.00 59.82% PHP 672.00 59.82%
CMI 96 BENCE JONES PROTEIN DETERMINATION (QUALI) PHP 350.00 PHP 420.00 1042 PHP 420.00 0.00% PHP 420.00 0.00%
CMI 99 FECALYSIS W/ OCCULT BLOOD PHP 390.00 PHP 390.00 PHP 630.00 38.10%
CMI 1871 RBC MORPHOLOGY (PERCENT DYSMORPHIC ERYTHROCYTE), URINE PHP 490.00 PHP 590.00 1041 PHP 924.00 36.15% PHP 924.00 36.15%
CMI 1879 FORMALIN ETHER CONCENTRATION TECHNIQUE PHP 500.00 PHP 600.00 PHP 630.00 4.76%
CMI 103 SEMEN ANALYSIS PHP 600.00 PHP 720.00 1036 PHP 756.00 4.76% PHP 756.00 4.76%

MOLECULAR LABORATORY
Section Code PARTICULARS OPD GCCode GC 16% net
OLD NEW
MOL 1603 HBV DNA VIRAL LOAD (REAL TIME PCR) PHP 4,000.00 PHP 4,000.00 815 PHP 8,904.00 55.08% PHP 8,904.00 55.08%
MOL 1655 MTB ASSAY BY PCR PHP 5,000.00 PHP 5,000.00 3367 PHP 6,750.00 25.93% PHP 6,750.00 25.93%
MOL 308 HCV RNA VIRAL LOAD (REAL TIME PCR) PHP 8,400.00 PHP 8,400.00 113 PHP 8,800.00 4.55% PHP 8,800.00 4.55%
MOL 1651 HCV GENOTYPING PHP 10,500.00 PHP 10,500.00 1808 PHP 14,616.00 28.16% PHP 17,400.00 39.66%
MOL 2055 K-RAS MUTATION ASSAY PHP 19,500.00 PHP 19,500.00 3366 PHP 19,450.20 -0.26% PHP 19,450.00 -0.26%
MOL 1995 BCR-ABL BY QRT-PCR PHP 8,000.00 PHP 8,000.00 PHP 11,500.00 30.43%
MOL 2282 ATYPICAL PNEUMONIA DNA PANEL PHP 10,000.00 PHP 10,000.00
MOL 2048 BK VIRUS (BKV) QUANTITATIVE TEST PHP 4,400.00 PHP 4,620.00
MOL 1903 JAK2 MUTATION ASSAY (QUALITATIVE) PHP 6,000.00 PHP 6,000.00 3487 PHP 11,500.00 47.83% PHP 11,500.00 47.83%
MOL 2047 CMV DNA VIRAL LOAD PHP 7,900.00 PHP 7,900.00
MOL 1882 HBV GENOTYPING PHP 13,500.00 PHP 13,500.00 1805 PHP 9,492.00 -42.23% PHP 11,300.00 -19.47%
MOL 1863 HBV ANTI-VIRAL DRUG RESISTANCE ASSAY PHP 17,000.00 PHP 17,000.00 PHP 18,800.00 9.57%

FLOW CYTOMETRY
Section Code PARTICULARS OPD GCCode GC 16% net
OLD NEW

FLW 1861 REPRINTING OF LAB. RESULT – FLOW CYTOMETRY & FI PHP 90.00 PHP 90.00
FLW 1594 ADDITIONAL MONOCLONAL ANTIBODY (FLOW CYTOMETER) PHP 1,500.00 PHP 1,500.00
FLW 1533 USE OF FLOWCYTOMETER PHP 3,000.00 PHP 3,000.00
FLW 1208 B-LINEAGE LEUKEMIA PANEL (KAPPA/LAMBDA) PHP 3,200.00 PHP 3,200.00
FLW 2064 T CELL LINEAGE DETERMINATION (THYMOGRAM CLINIC) PHP 3,330.00 PHP 3,330.00
FLW 1565 IMMUNODEFICIENCIENCY PANEL “Zilongjin Study” PHP 3,400.00 PHP 3,400.00
FLW 1881 IMMUNODEFICIENCIENCY PANEL 6 (CD19/CD20) PHP 3,500.00 PHP 3,500.00 888 PHP 5,040.00 30.56%
FLW 1229 B-LINEAGE LEUKEMIA PANEL – BLOOD PHP 3,600.00 PHP 3,600.00
FLW 1230 B-LINEAGE LEUKEMIA PANEL – BONE MARROW PHP 3,600.00 PHP 3,600.00
FLW 1809 IMMUNODEFICIENCIENCY PANEL 4 (CD4/CD8) PHP 3,600.00 PHP 3,600.00
FLW 1209 MYELOID – LINEAGE LEUKEMIA PANEL (CD14a/GIyA) PHP 3,600.00 PHP 3,600.00 888 PHP 5,040.00 28.57%
FLW 1225 T-LINEAGE LEUKEMIA PANEL (CD4/CD8) – BLOOD PHP 3,600.00 PHP 3,600.00
FLW 1226 T-LINEAGE LEUKEMIA PANEL (CD4/CD8) – BONE MARROW PHP 3,600.00 PHP 3,600.00
FLW 1810 IMMUNODEFICIENCIENCY PANEL 5 (CD4, CD8, CD19) PHP 3,700.00 PHP 3,700.00 888 PHP 5,040.00 26.59%
FLW 1952 NATURAL KILLER CELL ACTIVATION (CD56) PHP 3,700.00 PHP 3,700.00 888 PHP 5,040.00 26.59%
FLW 1588 IMMUNODEFICIENCIENCY PANEL 1 (T CELL) PHP 4,000.00 PHP 4,000.00 888 PHP 5,040.00 20.63%
FLW 1455 IMMUNODEFICIENCIENCY PANEL 2 (NK CELL) PHP 4,500.00 PHP 4,500.00 888 PHP 5,040.00 10.71%
FLW 1951 IMMUNOPHENOTYPE (FERTILITY PANEL) PHP 4,800.00 PHP 4,800.00
FLW 1043 IMMUNODEFICIENCIENCY PANEL 3 (T AND B CELL) PHP 5,000.00 PHP 5,000.00 888 PHP 5,040.00 0.79% PHP 5,040.00 0.79%
FLW 237 BASIC LEUKEMIA PANEL – BLOOD PHP 8,500.00 PHP 8,500.00
FLW 1035 BASIC LEUKEMIA PANEL – BONE MARROW PHP 8,500.00 PHP 8,500.00
FLW 1695 BASIC LEUKEMIA PANEL – LYMPH NODE PHP 8,500.00 PHP 8,500.00
FLW 1700 MINIMAL RESIDUAL DISEASE PANEL (MRDP) LYMPH NODE PHP 9,000.00 PHP 9,000.00 864 PHP 12,348.00 27.11%
FLW 1690 MINIMAL RESIDUAL DISEASE PANEL (MRDP) – BLOOD PHP 9,000.00 PHP 9,000.00 864 PHP 12,348.00 27.11% PHP 12,348.00 27.11%
FLW 1516 MINIMAL RESIDUAL DISEASE PANEL (MRDP) – BONE MARROW PHP 9,000.00 PHP 9,000.00 864 PHP 12,348.00 27.11%
FLW 987 BASIC LYMPHOMA PANEL – BLOOD PHP 9,900.00 PHP 9,900.00
FLW 246 BASIC LYMPHOMA PANEL – BONE MARROW PHP 9,900.00 PHP 9,900.00
FLW 1697 BASIC LYMPHOMA PANEL – LYMPH NODE PHP 9,900.00 PHP 9,900.00
FLW 1561 DENDRITIC CELL PANEL PHP 10,000.00 PHP 10,000.00
FLW 247 ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - BLOOD PHP 10,800.00 PHP 10,800.00
FLW 1039 ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) – BONE MARROW PHP 10,800.00 PHP 10,800.00
FLW 1693 ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) – LYMPH NODE PHP 10,800.00 PHP 10,800.00
FLW 240 ACUTE MYELOGENOUS LEUKEMIA (AML) – BLOOD PHP 10,800.00 PHP 10,800.00 705 PHP 10,164.00 -6.26%
FLW 241 ACUTE MYELOGENOUS LEUKEMIA (AML) – BONE MARROW PHP 10,800.00 PHP 10,800.00 705 PHP 10,164.00 -6.26%
FLW 1694 ACUTE MYELOGENOUS LEUKEMIA (AML) – LYMPH NODE PHP 10,800.00 PHP 10,800.00 705 PHP 10,164.00 -6.26%
FLW 1714 CHRONIC LYMPHOCYTIC LEUKEMIA (CLL) PANEL – BLOOD PHP 10,900.00 PHP 10,900.00 750 PHP 7,392.00 -47.46%
FLW 1761 CHRONIC LYMPHOCYTIC LEUKEMIA (CLL) PANEL – BONE MARROW PHP 10,900.00 PHP 10,900.00 750 PHP 7,392.00 -47.46%
FLW 1762 CHRONIC LYMPHOCYTIC LEUKEMIA (CLL) PANEL – LYMPH NODE PHP 10,900.00 PHP 10,900.00 750 PHP 7,392.00 -47.46%
FLW 1715 HAIRY CELL LEUKEMIA PANEL – BLOOD PHP 10,900.00 PHP 10,900.00 814 PHP 9,576.00 -13.83%
FLW 1765 HAIRY CELL LEUKEMIA PANEL – BONE MARROW PHP 10,900.00 PHP 10,900.00 814 PHP 9,576.00 -13.83% PHP 9,576.00 -13.83%
FLW 1766 HAIRY CELL LEUKEMIA PANEL – LYMPH NODE PHP 10,900.00 PHP 10,900.00 814 PHP 9,576.00 -13.83%
FLW 1042 COMPREHENSIVE LEUKEMIA PANEL – BLOOD PHP 11,600.00 PHP 11,600.00 758 PHP 16,044.00 27.70%
FLW 242 COMPREHENSIVE LEUKEMIA PANEL – BONE MARROW PHP 11,600.00 PHP 11,600.00 758 PHP 16,044.00 27.70% PHP 16,044.00 27.70%
FLW 1696 COMPREHENSIVE LEUKEMIA PANEL – LYMPH NODE PHP 11,600.00 PHP 11,600.00 758 PHP 16,044.00 27.70%
FLW 1791 PLASMA CELL/MULTIPLE MYELOMA PANEL – BLOOD PHP 12,000.00 PHP 12,000.00

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FLW 1793 PLASMA CELL/MULTIPLE MYELOMA PANEL – BONE MARROW' PHP 12,000.00 PHP 12,000.00
FLW 1792 PLASMA CELL/MULTIPLE MYELOMA PANEL – LYMPH NODE PHP 12,000.00 PHP 12,000.00
FLW 1705 COMPREHENSIVE LYMPHOMA – BLOOD PHP 12,200.00 PHP 12,200.00 759 PHP 13,272.00 8.08%
FLW 1763 COMPREHENSIVE LYMPHOMA – BONE MARROW PHP 12,200.00 PHP 12,200.00 759 PHP 13,272.00 8.08% PHP 13,272.00 8.08%
FLW 1764 COMPREHENSIVE LYMPHOMA – LYMPH NODE PHP 12,200.00 PHP 12,200.00
FLW 1872 ALL PANEL FOR PCMC STUDY PHP 12,500.00 PHP 12,500.00
FLW 2094 STEM CELL ENUMERATION ASSAY (CD34) – ADDITIONAL PHP 14,000.00 PHP 14,000.00
FLW 2093 STEM CELL ENUMERATION ASSAY (CD34) – INITIAL PHP 44,000.00 PHP 44,000.00 688 PHP 72,408.00 39.23% PHP 72,408.00 39.23%

HEMATOLOGY
Section Code PARTICULARS OPD GCCode GC 16% net
OLD NEW

HEM 191 RETICULOCYTE COUNT PHP 215.00 PHP 225.00 424 PHP 420.00 46.43% PHP 420.00 46.43%
HEM 1835 RBC COUNT FOR BODY FLUIDS PHP 240.00 PHP 255.00 2436 PHP 420.00 39.29% PHP 420.00 39.29%
HEM 1836 WBC COUNT FOR BODY FLUIDS PHP 240.00 PHP 255.00 2436 PHP 420.00 39.29% PHP 420.00 39.29%
HEM 180 COMPLETE BLOOD COUNT PHP 335.00 PHP 355.00 385 PHP 420.00 15.48% PHP 420.00 15.48%
HEM 175 CELL COUNT FOR BODY FLUIDS PHP 345.00 PHP 365.00 2436 PHP 420.00 13.10% PHP 420.00 13.10%
HEM 181 ESR PHP 345.00 PHP 365.00 390 PHP 420.00 13.10% PHP 420.00 13.10%
HEM 188 PERIPHERAL BLOOD SMEAR PHP 395.00 PHP 415.00 414 PHP 420.00 1.19% PHP 420.00 1.19%
HEM 189 PROTHROMBIN TIME (PT) PHP 450.00 PHP 475.00 420 PHP 588.00 19.22% PHP 588.00 19.22%
HEM 2106 PROTHROMBIN TIME – TRW PHP 450.00 PHP 475.00
HEM 959 PARTIAL THROMBOPLASTIN TIME (PTT) PHP 490.00 PHP 515.00 412 PHP 840.00 38.69% PHP 840.00 38.69%
HEM 184 HAMS TEST PHP 495.00 PHP 520.00 3704 PHP 500.00 -4.00% PHP 500.00 -4.00%
HEM 173 BLEEDING TIME PHP 590.00 PHP 620.00 381 PHP 756.00 17.99% PHP 756.00 17.99%
HEM 1365 MALARIAL SCREENING PHP 650.00 PHP 685.00 PHP 672.00 -1.93%
HEM 183 FIBRINOGEN LEVEL PHP 900.00 PHP 345.00 401 PHP 924.00 62.66% PHP 924.00 62.66%
HEM 1364 KAOLIN CLOTTING TIME (LUPUS ANTI COAGULANT ASSAY) PHP 1,000.00 PHP 1,050.00 PHP 3,192.00 67.11%
HEM 1301 MIXING TEST (PT) PHP 1,250.00 PHP 1,315.00 421 PHP 1,596.00 17.61% PHP 1,596.00 17.61%
HEM 1775 MIXING TEST (PTT) PHP 1,250.00 PHP 1,315.00 412 PHP 840.00 -56.55% PHP 1,680.00 21.73%
HEM 1989 REPTILASE TIME PHP 1,250.00 PHP 1,315.00 #DIV/0!
HEM 1369 MALARIAL COUNT PHP 1,300.00 PHP 1,365.00 PHP 672.00 -103.13%
HEM 1582 D-DIMER (SEMI-QUANTITATIVE) PHP 1,450.00 PHP 1,525.00 388 PHP 6,888.00 77.86% PHP 6,888.00 77.86%
HEM 193 THROMBIN TIME PHP 1,450.00 PHP 1,525.00 428 PHP 588.00 -159.35% PHP 588.00 -159.35%
HEM 1991 DRVVT SCREEN PHP 1,950.00 PHP 2,050.00 408 PHP 3,192.00 35.78% PHP 3,192.00 35.78%
HEM 1992 DRVVT CONFIRM PHP 2,300.00 PHP 2,415.00
HEM 2120 NRL Participation (hematology) PHP 2,800.00 PHP 2,940.00 PHP 2,940.00 0.00%
HEM 1444 FACTOR IX PHP 2,900.00 PHP 3,045.00 393 PHP 3,444.00 11.59% PHP 3,444.00 11.59%
HEM 1366 FACTOR VIII PHP 2,900.00 PHP 3,045.00 397 PHP 3,444.00 11.59% PHP 3,444.00 11.59%

HISTOPHATOLOGY
Section Code PARTICULARS OPD GCCode GC 16% net
OLD NEW

HIS 2309 HERCEP, TISSUE PHP 2,000.00 PHP 2,000.00 3559 PHP 9,996.00 79.99%
HIS 1808 URINE DECOY CELLS (POLYOMA VIRUS, BK VIRUS) PHP 2,700.00 PHP 2,700.00 3570 PHP 4,000.00 32.50% PHP 4,000.00 32.50%
HIS 93 RENAL BIOPSY – SS, IMF (RAPID PROCESSING) PHP 8,000.00 PHP 8,000.00 534 PHP 9,828.00 18.60% PHP 9,828.00 18.60%
HIS 1865 ANTI-HUMAN C4D ANTIBODY (PARAFFIN BLOCK) PHP 9,800.00 PHP 9,800.00 3706 PHP 4,800.00 -104.17%
HIS 1878 ELECTRON MICROSCOPY PHP 12,500.00 PHP 12,500.00 PHP 8,316.00 -50.31%
HIS 74 PAP SMEAR PHP 225.00 PHP 225.00 515 PHP 840.00 73.21% PHP 840.00 73.21%
HIS 90 RETICULIN, SS PHP 950.00 PHP 950.00 538 PHP 1,932.00 50.83% PHP 1,932.00 50.83%
HIS 1634 CD15, TISSUE PHP 1,350.00 PHP 1,350.00 586 PHP 1,680.00 19.64% PHP 1,680.00 19.64%
HIS 1633 DESMIN, TISSUE PHP 1,395.00 PHP 1,395.00 613 PHP 1,596.00 12.59% PHP 1,596.00 12.59%
HIS 1706 ALPHA-1 FETOPROTEIN (AFP), TISSUE PHP 1,450.00 PHP 1,450.00 556 PHP 1,596.00 9.15% PHP 1,596.00 9.15%
HIS 1621 EPITHELIAL MEMBRANE ANTIGEN (EMA), TISSUE PHP 1,450.00 PHP 1,450.00 616 PHP 1,512.00 4.10% PHP 1,512.00 4.10%
HIS 1536 MUSCLE SPECIFIC ACTIN (MSA), TISSUE PHP 1,450.00 PHP 1,450.00 553 PHP 1,932.00 24.95%
HIS 1711 MYELOPEROXIDASE (MPO(, TISSUE PHP 1,450.00 PHP 1,450.00 650 PHP 1,596.00 9.15% PHP 1,596.00 9.15%
HIS 1782 THYROGLOBULIN, TISSUE PHP 1,450.00 PHP 1,450.00 677 PHP 1,680.00 13.69% PHP 1,680.00 13.69%
HIS 1616 CD 34, TISSUE PHP 1,480.00 PHP 1,480.00 581 PHP 2,352.00 37.07% PHP 2,352.00 37.07%
HIS 1541 CD30 (RS CELL), TISSUE PHP 1,480.00 PHP 1,480.00 588 PHP 1,848.00 19.91% PHP 1,848.00 19.91%
HIS 1540 CD3 (TCELL), TISSUE PHP 1,495.00 PHP 1,495.00 592 PHP 1,932.00 22.62% PHP 1,932.00 22.62%
HIS 1612 HMB 45, TISSUE PHP 1,550.00 PHP 1,550.00 646 PHP 2,268.00 31.66% PHP 2,700.00 42.59%
HIS 1625 CALRETININ, TISSUE PHP 1,595.00 PHP 1,595.00 577 PHP 2,100.00 24.05% PHP 2,100.00 24.05%
HIS 1624 CD 117, C-KIT, TISSUE PHP 1,595.00 PHP 1,595.00 550 PHP 2,772.00 42.46% PHP 2,772.00 42.46%
HIS 1627 CYTOKERATIN, HIGH MOLECULAR WEIGHT (34 BE 12), TISSUE PHP 1,600.00 PHP 1,600.00 606 PHP 2,268.00 29.45% PHP 2,268.00 29.45%
HIS 1712 THYROID TRANSCRIPTION FACTOR (TTF1), TISSUE PHP 1,600.00 PHP 1,600.00 679 PHP 2,184.00 26.74% PHP 2,184.00 26.74%
HIS 1623 PLACENTAL PHOSPHATASE (PLAP), TISSUE PHP 1,650.00 PHP 1,650.00 523 PHP 1,680.00 1.79% PHP 1,680.00 1.79%
HIS 1620 SYNAPTOPHYSIN, TISSUE PHP 1,650.00 PHP 1,650.00 675 PHP 2,184.00 24.45% PHP 2,184.00 24.45%
HIS 1632 NEURON SPECIFIC ENOLASE (NSE, TISSUE PHP 1,690.00 PHP 1,690.00 655 PHP 1,512.00 -11.77% PHP 1,512.00 -11.77%
HIS 1719 ANTI-HUMAN KAPPA LIGHT CHAINS, TISSUE PHP 1,750.00 PHP 1,750.00 638 PHP 2,268.00 22.84% PHP 2,268.00 22.84%
HIS 1897 HEPATOCYTE, TISSUE PHP 1,800.00 PHP 1,800.00 628 PHP 2,100.00 14.29% PHP 2,100.00 14.29%
HIS 2122 CALCITONIN, TISSUE PHP 1,900.00 PHP 1,900.00 575 PHP 1,512.00 -25.66% PHP 1,812.00 -4.86%
HIS 1784 CD138, TISSUE PHP 1,900.00 PHP 1,900.00
HIS 2125 EPITHELIAL ANTIGEN (Ber-EP4), TISSUE PHP 1,900.00 PHP 1,900.00 565 PHP 2,184.00 13.00% PHP 2,184.00 13.00%
HIS 2128 SARCOMERIC ACTIN (Clone Alpha-Sr-1), TISSUE PHP 1,900.00 PHP 1,900.00 671 PHP 2,016.00 5.75% PHP 2,016.00 5.75%
HIS 1720 ANTI-HUMAN LAMBDA LIGHT CHAINS, TISSUE PHP 1,950.00 PHP 1,950.00 642 PHP 2,268.00 14.02% PHP 2,268.00 14.02%
HIS 1710 KI-67 ANTIGEN, TISSUE PHP 1,950.00 PHP 1,950.00 640 PHP 2,436.00 19.95% PHP 2,436.00 19.95%
HIS 1619 CYTOKERATIN – 20 (CK 20), TISSUE PHP 1,995.00 PHP 1,995.00 609 PHP 2,604.00 23.39% PHP 2,604.00 23.39%
HIS 1622 c-ERB B2 (HER 2 NEU), TISSUE PHP 2,000.00 PHP 2,000.00 570 PHP 3,250.00 38.46% PHP 3,612.00 44.63%
HIS 1618 CYTOKERATIN – 7 (CK 7), TISSUE PHP 2,195.00 PHP 2,195.00 611 PHP 3,024.00 27.41% PHP 3,024.00 27.41%
HIS 2127 SMOOTH MUSCLE ACTIN (CLONE 1A4), TISSUE PHP 2,300.00 PHP 2,300.00 673 PHP 2,184.00 -5.31% PHP 2,184.00 -5.31%
HIS 1543 PROGESTERONE RECEPTOR (PR), TISSUE PHP 2,390.00 PHP 2,390.00 527 PHP 3,780.00 36.77% PHP 3,780.00 36.77%
HIS 1708 CD 246, ALK PROTEIN, TISSUE PHP 2,395.00 PHP 2,395.00 555 PHP 3,864.00 38.02% PHP 3,864.00 38.02%
HIS 1542 ESTROGEN RECEPTOR (ER), TISSUE PHP 2,450.00 PHP 2,450.00 477 PHP 3,780.00 35.19% PHP 3,780.00 35.19%
HIS 2126 EPITHELIAL RELATED ANTIGEN (MOC-31), TISSUE PHP 3,000.00 PHP 3,000.00
HIS 2123 FASCIN (Clone 55K-2), TISSUE PHP 3,000.00 PHP 3,000.00 435 PHP 3,780.00 20.63% PHP 4,500.00 33.33%
HIS 2115 PROSTATE BIOPSY PACKAGE PHP 5,400.00 PHP 5,400.00 PHP 7,224.00 25.25%
HIS 79 RENAL BIOPSY, IMF ONLY PHP 3,000.00 PHP 3,150.00 532 PHP 3,696.00 14.77% PHP 3,696.00 14.77%
HIS 1807 ANTI-HUMAN C4d ANTIBODY (IMMUNOFLUORESCENCE) PHP 3,500.00 PHP 3,675.00 3706 PHP 4,800.00 23.44%
HIS 78 RENAL BIOPSY, SPECIAL STAIN ONLY PHP 4,700.00 PHP 4,935.00 536 PHP 1,848.00 -167.05% PHP 1,848.00 -167.05%
HIS 1956 LM & IMF/C4D (PACKAGE 1) PHP 8,325.00 PHP 8,745.00
HIS 1957 LM & IMF/SV40 (PACKAGE 2) PHP 9,135.00 PHP 9,590.00
HIS 1960 LM & IMF/C4D,CD68 (PACKAGE 5) PHP 10,080.00 PHP 10,585.00
HIS 1961 LM & IMF/SV40&CD68 (PACKAGE 6) PHP 10,890.00 PHP 11,434.00
HIS 1902 RENAL BIOPSY – SS, IMF, EM PHP 11,000.00 PHP 11,550.00 534 PHP 9,828.00 -17.52% PHP 9,828.00 -17.52%
HIS 1958 LM & IMF/C4D, SV40 (PACKAGE 3) PHP 12,285.00 PHP 12,900.00
HIS 1962 LM & IMF/C4D, SV40&CD68 (PACKAGE 7) PHP 14,040.00 PHP 14,745.00
HIS 1963 LM & IMF, EM, C4D (PACKAGE 8) PHP 19,575.00 PHP 20,555.00
HIS 1964 LM & IMF, EM, SV40 (PACKAGE 9) PHP 20,385.00 PHP 21,405.00
HIS 1966 LM & IMF, EM, C4D, CD68 (PACKAGE 11) PHP 21,330.00 PHP 22,400.00
HIS 1967 LM & IMF, EM, SV40, CD68 (PACKAGE 12) PHP 22,140.00 PHP 23,250.00
HIS 1965 LM, IMF, EM, C4D, SV40 (PACKAGE 10 ) PHP 23,535.00 PHP 24,715.00
HIS 1968 LM, IMF, EM, C4D, SV40, CD68 (PACKAGE 13 ) PHP 25,290.00 PHP 26,554.00
HIS 1257 EM PRESERVATIVE PHP 25.00 PHP 30.00
HIS 1826 EM PRESERVATIVE AND SILANIZED SLIDES PHP 100.00 PHP 120.00
HIS 59 ADDITIONAL SLIDES PHP 190.00 PHP 230.00 PHP 109.20 -110.62%
HIS 1258 SLIDE REVIEW PHP 250.00 PHP 300.00 548 PHP 2,100.00 85.71% PHP 2,100.00 85.71%
HIS 2092 UTILIZATION OF POLARIZING MICROSCOPE PHP 260.00 PHP 315.00
HIS 953 USE OF MORGUE REF. (PER HOUR) PHP 300.00 PHP 360.00
HIS 2096 COPY OF EM IMAGES (CD) PHP 400.00 PHP 480.00
HIS 63 CYTOSPIN (W/ SLIDES & FILTER CARD) PHP 500.00 PHP 600.00 PHP 1,428.00 57.98%
HIS 65 GROSS EXAM ONLY PHP 500.00 PHP 600.00 492 PHP 210.00 -185.71% PHP 210.00 -185.71%

Page 4
Sheet1
HIS 62 CELL BLOCK PHP 850.00 PHP 1,020.00 457 PHP 2,016.00 49.40% PHP 2,016.00 49.40%
HIS 67 HISTO. EXAM-SMALL PHP 850.00 PHP 1,020.00 511 PHP 1,344.00 24.11% PHP 1,344.00 24.11%
HIS 83 AFB, SS PHP 900.00 PHP 1,080.00 950 PHP 672.00 -60.71% PHP 924.00 -16.88%
HIS 174 BONE MARROW SMEAR PHP 900.00 PHP 1,080.00 PHP 4,620.00 76.62%
HIS 85 CONGO RED, SS PHP 900.00 PHP 1,080.00 433 PHP 588.00 -83.67% PHP 588.00 -83.67%
HIS 87 GIEMSA,SS PHP 900.00 PHP 1,080.00 PHP 420.00 -157.14%
HIS 75 PAP SMEAR W/ CELL BLOCK PHP 950.00 PHP 1,140.00 463 PHP 1,428.00 20.17% PHP 2,016.00 43.45%
HIS 76 PAP SMEAR-CELL BLOCK (BASIC) PHP 950.00 PHP 1,140.00 PHP 3,948.00 71.12%
HIS 91 TRICHROME (MASSONS TRICH. STAIN), SS PHP 950.00 PHP 1,140.00 536 PHP 1,848.00 38.31% PHP 1,260.00 9.52%
HIS 89 PAS (PERIODIC ACID SCHIFF), SS PHP 1,000.00 PHP 1,200.00 519 PHP 1,176.00 -2.04% PHP 1,176.00 -2.04%
HIS 86 GROCOTTS, SS PHP 1,200.00 PHP 1,440.00
HIS 88 PAAG (PERIODIC ACID SILVER), SS PHP 1,200.00 PHP 1,440.00
HIS 1614 LEUKOCYTE COMMON ANTIGEN (CD45), TISSUE PHP 1,300.00 PHP 1,560.00 641 PHP 1,428.00 -9.24% PHP 1,428.00 -9.24%
HIS 1538 PROSTATE SPECIFIC ANTIGEN (PSA), TISSUE PHP 1,350.00 PHP 1,620.00 560 PHP 2,436.00 33.50% PHP 2,436.00 33.50%
HIS 1545 S – 100, TISSUE PHP 1,350.00 PHP 1,620.00 670 PHP 1,596.00 -1.50% PHP 1,596.00 -1.50%
HIS 1584 AUTOPSY – TISSUE PROCESSING FEES C/O PEDF PHP 1,390.00 PHP 1,670.00
HIS 1544 CD20 (B CELL), TISSUE PHP 1,395.00 PHP 1,675.00 587 PHP 1,512.00 -10.78% PHP 1,512.00 -10.78%
HIS 70 IF STUDY – C3 PHP 1,450.00 PHP 1,740.00 533 PHP 2,352.00 26.02%
HIS 71 IF STUDY – IgA PHP 1,450.00 PHP 1,740.00 533 PHP 2,352.00 26.02%
HIS 72 IF STUDY – IgG PHP 1,450.00 PHP 1,740.00 533 PHP 2,352.00 26.02%
HIS 73 IF STUDY – IgM PHP 1,450.00 PHP 1,740.00 533 PHP 2,352.00 26.02%
HIS 69 IF STUDY – C1q PHP 1,450.00 PHP 1,740.00 533 PHP 2,352.00 26.02%
HIS 68 IF STUDY – FIBRINOGEN PHP 1,450.00 PHP 1,740.00 533 PHP 2,352.00 26.02%
HIS 81 SKIN BIOPSY IMF ONLY PHP 1,450.00 PHP 1,740.00 533 PHP 2,352.00 26.02% PHP 3,360.00 48.21%
HIS 1537 VIMENTIN, TISSUE PHP 1,450.00 PHP 1,740.00 541 PHP 3,360.00 48.21% PHP 1,680.00 -3.57%
HIS 1613 CD45-RO, TISSUE PHP 1,480.00 PHP 1,780.00 583 PHP 1,932.00 7.87% PHP 1,932.00 7.87%
HIS 1539 BASIC CYTOKERATIN, TISSUE PHP 1,495.00 PHP 1,795.00 PHP 1,596.00 -12.47%
HIS 1617 CHROMOGRANIN, TISSUE PHP 1,495.00 PHP 1,795.00 600 PHP 1,512.00 -18.72% PHP 1,512.00 -18.72%
HIS 92 CYTOLOGY, BRONCHO-ALVEOLAR LAVAGE (BAL) PHP 1,500.00 PHP 1,800.00 463 PHP 1,428.00 -26.05% PHP 1,428.00 -26.05%
HIS 1650 Interpretation fee/ referral/ care PHP 1,500.00 PHP 1,800.00
HIS 1855 PGMT, SS PHP 1,500.00 PHP 1,800.00
HIS 66 HISTO. EXAM – 1L PHP 1,600.00 PHP 1,920.00 PHP 2,520.00 23.81%
HIS 1707 BCL 2 ONCOPROTEIN, TISSUE PHP 1,700.00 PHP 2,040.00 PHP 1,932.00 -5.59%
HIS 1867 BONE MARROW ASPIRATE (CORE ONLY) PHP 1,700.00 PHP 2,040.00 439 PHP 4,620.00 55.84% PHP 5,628.00 63.75%
HIS 1615 CARCINOEMBRYONIC ANTIGEN (CEA), TISSUE PHP 1,700.00 578 PHP 1,848.00 100.00% PHP 1,848.00 100.00%
HIS 1912 CD79 ALPHA, TISSUE PHP 1,700.00 585 PHP 2,016.00 100.00% PHP 2,016.00 100.00%
HIS 1818 CYCLIN D1, TISSUE PHP 1,700.00 603 PHP 2,100.00 100.00% PHP 2,100.00 100.00%
HIS 1631 CD 99, TISSUE PHP 1,750.00 580 PHP 2,184.00 100.00% PHP 2,184.00 100.00%
HIS 2124 GLIAL FIBRILLARY ACIDIC PROTEIN (GFAP) (clone GF2), TISSUE PHP 1,800.00 PHP 1,596.00 100.00%
HIS 1820 p63, TISSUE PHP 1,850.00 662 PHP 2,436.00 100.00% PHP 2,436.00 100.00%
HIS 1785 P53, TISSUE PHP 1,890.00 446 PHP 5,124.00 100.00% PHP 3,360.00 100.00%
HIS 1629 ANTI-HUMAN VON WILLEBRAND, TISSUE PHP 1,900.00 619 PHP 1,898.00 100.00%
HIS 1911 CD 43, TISSUE PHP 1,900.00
HIS 1709 CYTOKERATIN 8 (LOW MOLECULAR WEIGHT CYTOKERATIN), TISSUE PHP 1,900.00 462 PHP 1,848.00 100.00%
HIS 952 HISTO. EXAM (RAD. RESEC. SP.) PHP 1,900.00 PHP 2,940.00 100.00%
HIS 1626 CD 68 (AUTOMATED), TISSUE PHP 1,950.00 596 PHP 3,184.00 100.00% PHP 2,184.00 100.00%
HIS 1816 CD5, TISSUE PHP 1,950.00 595 PHP 3,192.00 100.00% PHP 3,192.00 100.00%
HIS 2121 CA19-9 (Clone 1116-NS-19-9), TISSUE PHP 2,100.00 574 PHP 1,428.00 100.00% PHP 1,428.00 100.00%
HIS 1898 WILMS TUMORE, TISSUE PHP 2,200.00 3456 PHP 2,200.00 100.00% PHP 2,200.00 100.00%
HIS 1819 TDT, TISSUE PHP 2,350.00 PHP 2,856.00 100.00%
HIS 1909 CA 125, TISSUE PHP 2,400.00 572 PHP 1,428.00 100.00% PHP 1,428.00 100.00%
HIS 1866 BONE MARROW ASPIRATE (CORE WITH SMEAR) PHP 2,500.00 PHP 5,628.00 100.00%
HIS 2129 CD21 (Clone 1 F8), TISSUE PHP 2,500.00 PHP 3,192.00 100.00%
HIS 1817 CD23, TISSUE PHP 2,500.00 2923 PHP 2,400.00 100.00% PHP 2,400.00 100.00%
HIS 64 FROZEN SECTION MULTIPLE (1-2 SPECIMENS) PHP 2,500.00 PHP 6,636.00 100.00%
HIS 77 PAP SMEAR-CELL BLOCK (EXPRESS) PHP 2,500.00
HIS 1910 MAMMOGLOBIN, TISSUE PHP 2,750.00 3462 PHP 2,000.00 100.00% PHP 2,000.00 100.00%
HIS 1783 CD1a, TISSUE PHP 2,950.00 PHP 4,956.00 100.00%
HIS 1062 AUTOPSY (PARTIAL-WITHOUT PROCESSING) PHP 3,000.00
HIS 1061 FROZEN SECTION MULTIPLE (3-5 SPECIMENS) PHP 3,000.00
HIS 1063 AUTOPSY (COMPLETE-WITHOUT PROCESSING) PHP 4,000.00
HIS 1955 EM SCOPING ONLY PHP 4,200.00
HIS 1954 EM CUTTING AND SCOPING PHP 4,400.00
HIS 1806 SV-40 LARGE T ANTIGEN (AUTOMATED), TISSUE PHP 4,400.00 PHP 5,900.00 100.00%
HIS 61 AUTOPSY (PARTIAL) PHP 5,500.00
HIS 80 RENAL BIOPSY (SS&IMF) PHP 5,750.00 PHP 9,828.00 100.00%
HIS 1959 LM & IMF / C 68 (PACKAGE 4) PHP 6,930.00 534 PHP 9,828.00 100.00%
HIS 60 AUTOPSY (COMPLETE) PHP 7,500.00 3540 PHP 19,000.00 100.00%

IMMUNOCHEMISTRY (c/o Immunology)


Section Code PARTICULARS OPD GC Code GC 16% net
OLD NEW

IMC 1813 RUBELLA – IgG II (MINI-VIDAS) PHP 1,900.00 PHP 1,900.00 838 PHP 2,100.00 9.52% PHP 2,100.00 9.52%
IMC 1811 TOXO – IgG PHP 1,900.00 PHP 1,900.00 840 PHP 2,940.00 35.37% PHP 2,940.00 35.37%
IMC 1812 TOXO – IgM PHP 1,900.00 PHP 1,900.00 847 PHP 2,772.00 31.46% PHP 2,772.00 31.46%
IMC 1926 VARICELLA IgG PHP 1,900.00 PHP 1,900.00 PHP 2,352.00 19.22%
IMC 279 CMV IgG PHP 1,950.00 PHP 1,950.00 769 PHP 3,024.00 35.52% PHP 3,024.00 35.52%
IMC 1520 MEASLES ANTIBODY IgG PHP 2,000.00 PHP 2,000.00 PHP 1,536.00 -30.21%
IMC 1927 MUMPS IgG PHP 1,000.00 PHP 1,000.00 PHP 2,352.00 57.48%
IMC 1972 BETA2 GLYCOPRPTEIN IgG (ELISA) PHP 2,300.00 PHP 2,300.00 3501 PHP 3,400.00 32.35% PHP 3,400.00 32.35%
IMC 1973 BETA2 GLYCOPRPTEIN IgM (ELISA) PHP 2,300.00 PHP 2,300.00 3501 PHP 3,400.00 32.35%
IMC 280 CMV IgM PHP 2,450.00 PHP 2,450.00 PHP 2,940.00 16.67%
IMC 1814 RUBELLA – IgM (MINI-VIDAS) PHP 2,500.00 PHP 2,500.00 845 PHP 3,528.00 29.14% PHP 3,528.00 29.14%
IMC 1780 ANTI-MITOCHONDRIAL (AMA Ab) PHP 3,100.00 PHP 3,100.00 708 PHP 3,024.00 -2.51% PHP 3,024.00 -2.51%
IMC 1781 ANTI-SMOOTH MUSCLE (ASMA Ab) PHP 3,100.00 PHP 3,100.00 714 PHP 6,888.00 54.99% PHP 6,888.00 54.99%
IMC 1976 BETA2 GLYCOPRPTEIN IgG/IgM (ELISA) PACKAGE PHP 3,400.00 PHP 3,400.00 3501 PHP 3,400.00 0.00% PHP 3,400.00 0.00%
IMC 2228 RUBELLA IGG/IGM PHP 3,500.00 PHP 3,500.00
IMC 2229 CMV IGG/IGM PACKAGE PHP 3,850.00 PHP 3,850.00
IMC 2232 ACA G/M PHP 5,000.00 PHP 5,000.00 706 PHP 7,140.00 29.97% PHP 7,140.00 29.97%
IMC 2246 SPECIFIC ALLERGEN – A. ALTERNATA PHP 1,950.00 PHP 1,950.00
IMC 2244 SPECIFIC ALLERGEN – ACACIA PHP 1,950.00 PHP 1,950.00 PHP 3,780.00 48.41%
IMC 2264 SPECIFIC ALLERGEN – AMOXICILLIN PHP 1,950.00 PHP 1,950.00
IMC 2265 SPECIFIC ALLERGEN – AMPICILLIN PHP 1,950.00 PHP 1,950.00 PHP 5,292.00 63.15%
IMC 2257 SPECIFIC ALLERGEN – APPLE PHP 1,950.00 PHP 1,950.00
IMC 2269 SPECIFIC ALLERGEN – BANANA PHP 1,950.00 PHP 1,950.00 PHP 7,140.00 72.69%
IMC 2254 SPECIFIC ALLERGEN – BEEF PHP 1,950.00 PHP 1,950.00 PHP 8,400.00 76.79%
IMC 2258 SPECIFIC ALLERGEN – BERMUDA GRASS PHP 1,950.00 PHP 1,950.00 PHP 3,780.00 48.41%
IMC 2276 SPECIFIC ALLERGEN – CACAO PHP 1,950.00 PHP 1,950.00
IMC 2242 SPECIFIC ALLERGEN – CANDIDA ALBICANS PHP 1,950.00 PHP 1,950.00 PHP 5,292.00 63.15%
IMC 2239 SPECIFIC ALLERGEN – CAT DANDER PHP 1,950.00 PHP 1,950.00 PHP 6,804.00 71.34%
IMC 2274 SPECIFIC ALLERGEN – CHEDDAR CHEESE PHP 1,950.00 PHP 1,950.00 PHP 8,400.00 76.79%
IMC 2260 SPECIFIC ALLERGEN – CHICKEN MEAT PHP 1,950.00 PHP 1,950.00 PHP 8,400.00 76.79%
IMC 2270 SPECIFIC ALLERGEN – COCKROACH PHP 1,950.00 PHP 1,950.00 PHP 4,536.00 57.01%
IMC 2245 SPECIFIC ALLERGEN – COMMON PIGWEED PHP 1,950.00 PHP 1,950.00
IMC 2261 SPECIFIC ALLERGEN – CRAB PHP 1,950.00 PHP 1,950.00 PHP 5,292.00 63.15%
IMC 2237 SPECIFIC ALLERGEN – D. FARINAE PHP 1,950.00 PHP 1,950.00 PHP 4,536.00 57.01%
IMC 2236 SPECIFIC ALLERGEN – D. PTERONYSINNUS PHP 1,950.00 PHP 1,950.00 PHP 4,536.00 57.01%
IMC 2240 SPECIFIC ALLERGEN – DOG DANDER PHP 1,950.00 PHP 1,950.00 PHP 6,804.00 71.34%
IMC 2248 SPECIFIC ALLERGEN – EGG WHITE PHP 1,950.00 PHP 1,950.00 PHP 8,400.00 76.79%
IMC 2262 SPECIFIC ALLERGEN – EGG YOLK PHP 1,950.00 PHP 1,950.00 PHP 8,400.00 76.79%

Page 5
Sheet1
IMC 2250 SPECIFIC ALLERGEN – FISH (COD) PHP 1,950.00 PHP 1,950.00
IMC 2277 SPECIFIC ALLERGEN – GRAPES PHP 1,950.00 PHP 1,950.00
IMC 2238 SPECIFIC ALLERGEN – HOLLISTIERSTIER LABS PHP 1,950.00 PHP 1,950.00
IMC 2243 SPECIFIC ALLERGEN – JOHNSON GRASS PHP 1,950.00 PHP 1,950.00 PHP 3,780.00 48.41%
IMC 2271 SPECIFIC ALLERGEN – MAIZE PHP 1,950.00 PHP 1,950.00 PHP 7,140.00 72.69%
IMC 2275 SPECIFIC ALLERGEN – MANGO PHP 1,950.00 PHP 1,950.00
IMC 2249 SPECIFIC ALLERGEN – MILK PHP 1,950.00 PHP 1,950.00 PHP 8,400.00 76.79%
IMC 2255 SPECIFIC ALLERGEN – ORANGE PHP 1,950.00 PHP 1,950.00 PHP 7,140.00 72.69%
IMC 2241 SPECIFIC ALLERGEN – P. NOTATUM PHP 1,950.00 PHP 1,950.00 PHP 5,292.00 63.15%
IMC 2272 SPECIFIC ALLERGEN – PEANUT PHP 1,950.00 PHP 1,950.00 PHP 7,140.00 72.69%
IMC 2263 SPECIFIC ALLERGEN – PENICILLIN G PHP 1,950.00 PHP 1,950.00
IMC 2267 SPECIFIC ALLERGEN – PENICILLIN V PHP 1,950.00 PHP 1,950.00 PHP 5,292.00 63.15%
IMC 2278 SPECIFIC ALLERGEN – PORK PHP 1,950.00 PHP 1,950.00 8400 ( #VALUE!
IMC 2247 SPECIFIC ALLERGEN – R. NIGRIGANS PHP 1,950.00 PHP 1,950.00 #DIV/0!
IMC 2268 SPECIFIC ALLERGEN – SALMON PHP 1,950.00 PHP 1,950.00 PHP 5,292.00 63.15%
IMC 2259 SPECIFIC ALLERGEN – SHRIMP' PHP 1,950.00 PHP 1,950.00 PHP 5,292.00 63.15%
IMC 2252 SPECIFIC ALLERGEN – SOYA BEAN PHP 1,950.00 PHP 1,950.00
IMC 2273 SPECIFIC ALLERGEN – SQUID PHP 1,950.00 PHP 1,950.00
IMC 2253 SPECIFIC ALLERGEN – TOMATO PHP 1,950.00 PHP 1,950.00
IMC 2256 SPECIFIC ALLERGEN – TUNA PHP 1,950.00 PHP 1,950.00 PHP 5,292.00 63.15%
IMC 2251 SPECIFIC ALLERGEN – WHEAT PHP 1,950.00 PHP 1,950.00 PHP 7,140.00 72.69%
IMC 1913 SERUM GALACTOMANNAN PHP 2,600.00 PHP 2,600.00 1001 PHP 2,184.00 -19.05% PHP 2,184.00 -19.05%
IMC 2231 CMV/EBV SCREENING PACKAGE PHP 3,200.00 PHP 3,200.00
IMC 2227 TOXO IGG/IGM PHP 3,200.00 PHP 3,200.00
IMC 2226 MEASLES, MUMPS, RUBELLA (PACKAGE) PHP 5,500.00 PHP 5,500.00
IMC 2230 MEASLES, MUMPS, VARICELLA (PACKAGE) PHP 5,500.00 PHP 5,500.00
IMC 2235 CHROMOGRANIN A ASSAY PHP 6,500.00 PHP 6,500.00
IMC 2279 SPECIFIC ALLERGEN PANEL D5 PHP 7,500.00 PHP 7,500.00
IMC 2234 APL SCREEN PHP 9,500.00 PHP 9,500.00
IMC 2280 SPECIFIC ALLERGEN PANEL D10 PHP 12,000.00 PHP 12,000.00
IMC 2233 APAS PANEL(ACA-G, ACA-M, B24GP1-G, B24GP1-M, DRVVT, KCT) PHP 14,900.00 PHP 14,900.00 PHP 12,976.00 -14.83%
IMC 2008 INHALANTS PHP 2,700.00 PHP 2,835.00 PHP 4,536.00 37.50%
IMC 269 ANTI-CARDIOLIPIN ANTIBODY (IgG) PHP 2,800.00 PHP 2,940.00 706 PHP 7,140.00 58.82% PHP 7,140.00 58.82%
IMC 270 ANTI-CARDIOLIPIN ANTIBODY (IgM) PHP 2,800.00 PHP 2,940.00 706 PHP 7,140.00 58.82%
IMC 2009 INGESTANTS PHP 2,900.00 PHP 3,045.00
IMC 2011 ALLERGY PANEL B (TOTAL IgE, INHALANTS) PHP 3,700.00 PHP 3,885.00 PHP 4,536.00 14.35%
IMC 2012 ALLERGY PANEL B (TOTAL IgE,INGESTANTS, INHALANTS) PHP 5,000.00 PHP 5,250.00
IMC 1974 ANA PANEL (ANA, dsDNA, Anti-Sm, Anti-RNP, Anti-SSa, Anti-SSb) PHP 7,500.00 PHP 7,875.00
IMC 1981 VON WILLEBRAND AG (ELISA) PHP 7,750.00 PHP 8,140.00
IMC 1980 VON WILLEBRAND CBA (ELISA) PHP 7,750.00 PHP 8,140.00
IMC 1852 RENAL AUTOIMMUNE DISEASE PANEL PHP 9,500.00 PHP 9,975.00
IMC 1847 BASIC LUPUS PANEL PHP 11,000.00 PHP 11,550.00 PHP 26,628.00 56.62%
IMC 2022 VON WILLEBRAND FACTOR AG: CBA PACKAGE PHP 12,000.00 PHP 12,600.00 PHP 9,072.00 -38.89%
IMC 1853 COMPREHENSIVE IMMUNODEFICIENCY PANEL PHP 12,500.00 PHP 13,125.00 PHP 17,388.00 24.52%
IMC 1848 EXPANDED LUPUS PANEL (BASIC LUPUS PANEL PLUS HsCRP, C3, C4) PHP 15,000.00 PHP 15,750.00
IMC 276 ANTI-ds-DNA (1:10) PHP 1,700.00 PHP 1,870.00 709 PHP 2,100.00 10.95% PHP 2,100.00 10.95%
IMC 1293 ANTI-RNP PHP 1,700.00 PHP 1,870.00 PHP 3,612.00 48.23%
IMC 1294 ANTI-SSA (Ro) PHP 1,700.00 PHP 1,870.00 716 PHP 4,032.00 53.62% PHP 4,032.00 53.62%
IMC 1295 ANTI-SSB (La) PHP 1,700.00 PHP 1,870.00 716 PHP 4,032.00 53.62%
IMC 283 EBV-IgG PHP 1,900.00 PHP 2,090.00 833 PHP 4,032.00 48.16% PHP 2,100.00 0.48%
IMC 2141 GAMMA INTERFERON ASSAY PHP 13,000.00 PHP 14,300.00
IMC 1901 C-ANCA (PR3) PHP 2,000.00 PHP 2,200.00 PHP 6,720.00 67.26%
IMC 1753 EBV – IgM PHP 2,000.00 PHP 2,200.00 848 PHP 3,612.00 39.09% PHP 3,612.00 39.09%
IMC 271 P-ANCA PHP 2,000.00 PHP 2,200.00 710 PHP 6,720.00 67.26% PHP 6,720.00 67.26%
IMC 2010 TOTAL IgE PHP 2,200.00 PHP 2,420.00 913 PHP 1,764.00 -37.19% PHP 1,764.00 -37.19%
IMC 1570 HSV 1 IgG EIA SINLE RUN PHP 2,400.00 PHP 2,200.00 835 PHP 2,940.00 25.17%
IMC 1569 HSV 2 IgG EIA SINLE RUN PHP 2,400.00 PHP 2,200.00 836 PHP 2,856.00 22.97%
IMC 1292 ANTI-Sm PHP 2,450.00 PHP 2,695.00 PHP 3,612.00 25.39%
IMC 1851 ARTHRITIS PANEL (ANA, HsCRP, RF, ASO) PHP 2,600.00 PHP 2,860.00
IMC 298 RA/RF-QUALITATIVE PHP 600.00 PHP 720.00
IMC 297 IMMUNOGLOBULIN G (IgG) LC PHP 950.00 PHP 1,140.00 PHP 1,512.00 24.60%
IMC 299 RA/RF-SEMI-QUANTITATIVE PHP 990.00 PHP 1,188.00 PHP 756.00 -57.14%
IMC 282 COMPLEMENT 4 (C4) PHP 1,100.00 PHP 1,320.00 753 PHP 1,344.00 1.79% PHP 1,344.00 1.79%
IMC 272 ANA (QUANTITATIVE) PHP 1,400.00 PHP 1,680.00 711 PHP 1,932.00 13.04% PHP 1,932.00 13.04%
IMC 2142 NEUTROPHIL GELATINASE-ASSOCIATED LIPOCALIN (NGAL) PHP 2,400.00 PHP 2,880.00 PHP 2,500.00 -15.20%
IMC 2007 ANTI-CYCLIC CITRULLINATED PEPTIDE (ANTI-CCP) PHP 2,500.00 PHP 3,000.00 707 PHP 2,604.00 -15.21% PHP 2,604.00 -15.21%
IMC 1606 ANTI-HISTONE ANTIBODIES – REGULAR PHP 2,900.00 PHP 3,480.00 PHP 3,612.00 3.65%
IMC 1754 EBV- IGM (STAT) PHP 2,950.00 PHP 3,540.00
IMC 985 CMV IgG “STAT” PHP 3,300.00 PHP 3,960.00
IMC 986 CMV IgM “STAT” PHP 3,300.00 PHP 3,960.00
IMC 1558 ANTI-GLOMERULAR BASE MEMBRANE IgG PHP 3,450.00 PHP 4,140.00 PHP 3,200.00 -29.38%
IMC 974 EBV-IgG “STAT” PHP 3,650.00 PHP 4,380.00
IMC 1573 ACA-IgG (STAT) PHP 3,950.00 PHP 4,740.00
IMC 1574 ACA-IgM (STAT) PHP 3,950.00 PHP 4,740.00
IMC 1607 ANTI-HISTONE ANTIBODIES-STAT PHP 4,450.00 PHP 5,340.00
IMC 1779 AMA/ASMA PACKAGE (ANTI-MITOCHONDRIAL/ANTI-SMOOTH ANTIBODY) PHP 5,000.00 PHP 6,000.00
IMC 1815 TORCH PANEL PHP 8,600.00 PHP 10,320.00 934 PHP 21,252.00 51.44% PHP 21,252.00 51.44%
IMC 2318 ADAMTS-13 INH ASSAY (NEW TEST) PHP 6,700.00
IMC 2319 GALACTOMANNAN – STAT (NEW TEST) PHP 3,800.00 PHP 2,184.00 -73.99%
IMC 2320 H. PYLORI IgG ASSAY (NEW TEST) PHP 1,950.00 813 PHP 2,016.00 3.27% PHP 2,016.00 3.27%

IMMUNOCHEMISTRY (c/o Chemistry)


Section Code PARTICULARS OPD GC Code GC 16% net
OLD NEW

CCH 300 ASO (ANTI-STREPTOLYSIN O) PHP 600.00 PHP 1,200.00 717 PHP 924.00 -29.87% PHP 924.00 -29.87%
CCH 281 COMPLEMENT 3 (C3) PHP 990.00 PHP 1,100.00 752 PHP 1,344.00 18.15% PHP 1,344.00 18.15%
CCH 1474 FREE T3 (FT3) PHP 990.00 PHP 1,000.00 910 PHP 1,344.00 25.60% PHP 1,344.00 25.60%
CCH 254 T3 (TOTAL) PHP 990.00 PHP 1,100.00 938 PHP 1,260.00 12.70% PHP 1,260.00 12.70%
CCH 255 T4 (FREE) PHP 990.00 PHP 1,100.00 939 PHP 1,260.00 12.70% PHP 1,344.00 18.15%
CCH 1548 CORTISOL (COR) PHP 1,100.00 PHP 1,400.00 237 PHP 2,100.00 33.33% PHP 2,100.00 33.33%
CCH 1547 DIGOXIN PHP 1,100.00 PHP 1,700.00 247 PHP 1,764.00 3.63% PHP 1,764.00 3.63%
CCH 1475 HIGH SENSITIVITY C REACTIVE PROTEIN (HsCRP) PHP 1,100.00 PHP 1,800.00 822 PHP 1,428.00 -26.05% PHP 1,428.00 -26.05%
CCH 1554 PROLACTIN PHP 1,150.00 PHP 1,250.00 920 PHP 2,352.00 46.85% PHP 2,352.00 46.85%
CCH 256 TSH PHP 1,150.00 PHP 1,150.00 932 PHP 2,352.00 51.11% PHP 2,352.00 51.11%
CCH 1549 ESTRADIOL PHP 1,200.00 PHP 2,300.00 779 PHP 2,520.00 8.73% PHP 2,520.00 8.73%
CCH 1553 FOLLICLE STIMULATING HORMONE (FSH, FOLLITROP) PHP 1,200.00 PHP 1,200.00 810 PHP 2,352.00 48.98% PHP 2,352.00 48.98%
CCH 294 IMMUNOGLOBULIN A (IgA) PHP 1,200.00 PHP 1,200.00 912 PHP 1,512.00 20.63% PHP 1,512.00 20.63%
CCH 295 IMMUNOGLOBULIN A (IgG) PHP 1,200.00 PHP 1,200.00 914 PHP 1,512.00 20.63% PHP 1,512.00 20.63%
CCH 296 IMMUNOGLOBULIN A (IgM) PHP 1,200.00 PHP 1,200.00 915 PHP 1,512.00 20.63% PHP 1,512.00 20.63%
CCH 1555 LUTEINIZING HORMONE (LH, LUTROPIN) PHP 1,200.00 PHP 1,200.00 858 PHP 2,352.00 48.98% PHP 2,352.00 48.98%
CCH 1552 PROGESTERONE PHP 1,200.00 PHP 2,000.00 919 PHP 2,520.00 20.63% PHP 2,520.00 20.63%
CCH 1550 TESTOSTERONE PHP 1,200.00 PHP 1,400.00 924 PHP 2,520.00 44.44% PHP 2,520.00 44.44%
CCH 260 ALPHA-FETO-PROTEIN (AFP) PHP 1,300.00 PHP 2,000.00 704 PHP 2,352.00 14.97% PHP 2,352.00 14.97%
CCH 2068 Beta HCG (HUMAN CHORIONIC GONADOTROPIN) PHP 1,300.00 PHP 2,300.00 923 PHP 1,428.00 -61.06% PHP 1,428.00 -61.06%
CCH 258 CARCINOEMBRYONIC ANTIGEN (CEA) PHP 1,450.00 PHP 2,000.00 738 PHP 2,520.00 20.63% PHP 2,520.00 20.63%
CCH 1978 FREE PSA (fPSA) PHP 1,450.00 PHP 2,900.00 908 PHP 2,940.00 1.36% PHP 2,940.00 1.36%
CCH 253 PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL PHP 1,450.00 PHP 1,800.00 921 PHP 3,450.00 47.83% PHP 5,376.00 66.52%
CCH 252 Intact-PTH PHP 1,490.00 PHP 1,600.00 854 PHP 1,092.00 -46.52% PHP 1,092.00 -46.52%
CCH 1470 CA 125 (OM-MA) PHP 1,500.00 PHP 2,400.00 734 PHP 2,856.00 15.97% PHP 2,856.00 15.97%
CCH 1472 CA 15-3 (BR-MA) PHP 1,500.00 PHP 2,400.00 735 PHP 4,704.00 48.98% PHP 4,704.00 48.98%
CCH 1473 CA19-9 (GI-MA) PHP 1,500.00 PHP 1,800.00 737 PHP 5,208.00 65.44% PHP 5,208.00 65.44%

Page 6
Sheet1
CCH 257 FERRITIN PHP 1,650.00 PHP 2,000.00 782 PHP 3,444.00 41.93% PHP 3,444.00 41.93%
CCH 2134 TOTAL T4 PHP 1,900.00 PHP 1,900.00 PHP 1,260.00 -50.79%
CCH 1471 BETA 2 MICROGLOBULIN (B2MG) PHP 2,300.00 PHP 2,600.00 728 PHP 3,864.00 32.71% PHP 3,864.00 32.71%
CCH 1850 THYROID PANEL (FREE T3, TOTAL T3, FREE T4, TSH) PHP 2,900.00 PHP 3,480.00 PHP 4,452.00 21.83%
CCH 1979 ATG (ANTI-THYROGLOBULIN) PHP 3,200.00 PHP 3,600.00 719 PHP 3,696.00 2.60% PHP 3,696.00 2.60%
CCH 2133 CA72-4 PHP 3,300.00 PHP 3,300.00 736 PHP 3,024.00 -9.13% PHP 3,024.00 -9.13%
CCH 2132 CYFRA 21-1 PHP 3,900.00 PHP 3,900.00
CCH 1849 FERTILITY PANEL PHP 5,000.00 PHP 6,000.00

Page 7
Sheet1
MICROBIOLOGY SECTION
Section Code PARTICULARS OPD GC Code GC 16% net
OLD NEW

MIC 1248 AFB CULTURE AND SENSITIVTY (C/O LUNG CENTER) PHP 9,246.16 PHP 9,246.16
MIC 141 AFB STAIN (ROUTIME) PHP 600.00 PHP 600.00 950 PHP 672.00 10.71% PHP 672.00 10.71%
MIC 151 GRAM STAIN PHP 600.00 PHP 600.00 990 PHP 1,092.00 45.05% PHP 1,092.00 45.05%
MIC 148 CULTURE AND SENSITIVITY, DIALYSATE PHP 1,300.00 PHP 1,300.00 PHP 1,596.00 18.55%
MIC 160 CULTURE, STOOL PHP 1,300.00 PHP 1,300.00
MIC 168 CULTURE AND SENSITIVITY, URINE PHP 1,400.00 PHP 1,400.00 1006 PHP 1,512.00 7.41% PHP 1,512.00 7.41%
MIC 155 CULTURE, OTHER BODY FLUIDS PHP 1,500.00 PHP 1,500.00
MIC 158 CULTURE, SPUTUM PHP 1,500.00 PHP 1,500.00
MIC 170 CULTURE, WOUND PHP 1,500.00 PHP 1,500.00
MIC 161 CULTURE AND SENSITIVITY, STOOL PHP 1,600.00 PHP 1,600.00 1003 PHP 1,512.00 -5.82% PHP 1,512.00 -5.82%
MIC 164 CULTURE AND SENSITIVITY, THROAT SWAB (OTHERS) PHP 1,700.00 PHP 1,700.00 976 PHP 1,596.00 -6.52% PHP 1,596.00 -6.52%
MIC 156 CULTURE AND SENSITIVITY, OTHER BODY FLUIDS PHP 1,800.00 PHP 1,800.00 PHP 1,596.00 -12.78%
MIC 159 CULTURE AND SENSITIVITY, SPUTUM PHP 1,800.00 PHP 1,800.00 1002 PHP 1,512.00 -19.05% PHP 1,512.00 -19.05%
MIC 171 CULTURE AND SENSITIVITY, WOUND PHP 1,800.00 PHP 1,800.00 PHP 1,596.00 -12.78%
MIC 2159 BLOOD CULTURE -TRW PHP 2,000.00 PHP 2,000.00
MIC 145 CULTURE, BLOOD PHP 2,000.00 PHP 2,000.00
MIC 144 CULTURE AND SENSITIVITY, BLOOD PHP 2,200.00 PHP 2,200.00
MIC 1498 CULTURE AND SENSITIVITY W/ ANTIBIOTIC REMOVING DEVICE, BLOOD PHP 3,000.00 PHP 3,000.00 PHP 4,368.00 31.32%
MIC 1529 STORAGE OF URINE/OTHER BODY FLUID PHP 100.00 PHP 120.00
MIC 1297 WET MOUNT (INDIA INK) PHP 300.00 PHP 360.00
MIC 169 WET MOUNT (KOH) PHP 300.00 PHP 360.00 992 PHP 336.00 -7.14% PHP 420.00 14.29%
MIC 150 GIEMSA STAIN PHP 400.00 PHP 480.00 1008 PHP 420.00 -14.29% PHP 420.00 -14.29%
MIC 154 AFB STAIN (MODIFIED) PHP 600.00 PHP 720.00 PHP 672.00 -7.14%
MIC 172 STERILIZATION BY AUTOCLVING PHP 600.00 PHP 720.00 #DIV/0!
MIC 162 CULTURE, SURVEILLANCE PHP 650.00 PHP 780.00 #DIV/0!
MIC 146 CRYPTOSPORIDIUM STAIN PHP 700.00 PHP 840.00 PHP 672.00 -25.00%
MIC 1456 CULTURE, NOCARDIA PHP 700.00 PHP 840.00
MIC 2131 E-TEST FOR VANCOMYCIN (RESEARCH) PHP 800.00 PHP 960.00 PHP 756.00 -26.98%
MIC 147 CULTURE, DIALYSATE PHP 1,000.00 PHP 1,200.00
MIC 152 LEPTOSPIRAL AGG'N (LATS) PHP 1,000.00 PHP 1,200.00 857 PHP 1,176.00 -2.04% PHP 1,176.00 -2.04%
MIC 2054 RAPID STREPTOCOCCUS PNEUMONIAE TEST PHP 1,000.00 PHP 1,200.00
MIC 165 TOLUIDINE B STAIN PHP 1,000.00 PHP 1,200.00
MIC 1907 SENSITIVITY TESTING (FOR RESEARC/STUDY ONLY) PHP 1,200.00 PHP 1,440.00
MIC 1854 TYPHI RAPID PHP 1,360.00 PHP 1,635.00
MIC 163 CULTURE, THROAT SWAB PHP 1,400.00 PHP 1,680.00
MIC 166 TYPHIDOT PHP 1,400.00 PHP 1,680.00 942 PHP 1,764.00 4.76% PHP 1,764.00 4.76%
MIC 149 CULTURE, FUNGAL PHP 1,500.00 PHP 1,800.00 PHP 588.00 -206.12%
MIC 1887 CLOSTRIDIUM DIFFICILE TOXIN A/B PHP 2,000.00 PHP 2,400.00 973 PHP 1,764.00 -36.05% PHP 1,764.00 -36.05%
MIC 157 CRYPTOCOCCAL AGGLUTINATION TEST (CLATS/CALS) PHP 2,000.00 PHP 2,400.00 PHP 2,352.00 -2.04%
MIC 1888 LEUKO-TEST PHP 2,000.00 PHP 2,400.00
MIC 142 CULTURE, ANAEROBIC PHP 2,200.00 PHP 2,640.00
MIC 143 CULTURE AND SENSITIVITY, ANAEROBIC PHP 2,400.00 PHP 2,880.00 PHP 1,680.00 -71.43%

FISH AND CYTOGENETICS LAB.


Section Code PARTICULARS OPD GC Code GC 16% net
OLD NEW

FCL 1777 HER-2/NEU (F.I.S.H.) PHP 9,000.00 PHP 9,000.00 493 PHP 19,278.00 53.31% PHP 21,420.00 57.98%
FCL 2196 MYELODYSPLASTIC SYNDROME (MDS) PANEL (F.I.S.H) PHP 10,600.00 PHP 10,600.00
FCL 2193 20q DELETION (F.I.S.H.) PHP 7,000.00 PHP 7,000.00
FCL 2195 9q 34 DELETION (F.I.S.H.) PHP 7,000.00 PHP 7,000.00
FCL 2173 TRISOMY9 (F.I.S.H.) PHP 7,000.00 PHP 7,000.00
FCL 2194 7q DELETION/MONOSOMY 7 (F.I.S.H.) PHP 7,200.00 PHP 7,200.00
FCL 2174 TRISOMY 8 (F.I.S.H.) PHP 7,200.00 PHP 7,200.00
FCL 2147 ALL, t(12;21) (F.I.S.H.) PHP 7,300.00 PHP 7,300.00
FCL 2148 AML, t(8;21) (F.I.S.H.) PHP 7,300.00 PHP 7,300.00
FCL 2192 11q23 REARRANGEMENT (F.I.S.H.) PHP 7,500.00 PHP 7,500.00
FCL 2187 13q14/13q34 DELETION (F.I.S.H) PHP 7,500.00 PHP 7,500.00
FCL 2191 17p DELETION (F.I.S.H) PHP 7,500.00 PHP 7,500.00
FCL 2188 5q DELETION/MONOSOMY 5 (F.I.S.H) PHP 7,500.00 PHP 7,500.00
FCL 2183 CHROMOSOMES 5,9,15 ENUMERATION (F.I.S.H) PHP 7,500.00 PHP 7,500.00
FCL 2186 IGH/CCND1, t(11;14) (F.I.S.H) PHP 7,500.00 PHP 7,500.00
FCL 2185 IGH/FGFR3, t(4;14) (F.I.S.H) PHP 7,500.00 PHP 7,500.00
FCL 2184 IGH/MAF t(14;16) (F.I.S.H) PHP 7,500.00 PHP 7,500.00
FCL 2190 INVERSION 16/t(16;16) (F.I.S.H) PHP 7,500.00 PHP 7,500.00
FCL 2179 TRISOMY 21 (F.I.S.H) PHP 7,500.00 PHP 7,500.00
FCL 2221 CDKN2A/CEP 9 (p16(9p21)) (F.I.S.H) PHP 7,800.00 PHP 7,800.00
FCL 2224 TCF3/PBX1, t(1;19) (F.I.S.H) PHP 7,800.00 PHP 7,800.00
FCL 2180 SEX DETERMINATION, X/Y(F.I.S.H) PHP 7,900.00 PHP 7,900.00
FCL 2283 5q AND 7q ABERRATION, MYELODYSPLASTIC SYNDROME (F.I.S.H) PHP 8,400.00 PHP 8,400.00
FCL 2284 CHROMOSOMES 17p DELETION AND IGH/FGFR3, t4:1 PHP 9,200.00 PHP 9,200.00
FCL 2220 CHROMOSOMES 4,10,17 ENUMERATION (F.I.S.H) PHP 9,500.00 PHP 9,500.00
FCL 2178 PRADER-WILLI/ANGELMAN SYNDROME (F.I.S.H) PHP 9,700.00 PHP 9,700.00
FCL 2182 X INACTIVATION (XIST), Xq13.2 DELETION (F.I.S.H) PHP 9,700.00 PHP 9,700.00
FCL 2189 AML WITH MDS/THERAPY RELATED MDS PANEL (F.I.S.H) PHP 10,500.00 PHP 10,500.00
FCL 2176 ACUTE MYELOID LEUKEMIA (AML) PANEL (F.I.S.H) PHP 12,200.00 PHP 12,200.00
FCL 2175 MYELOPROLIFERATIVE NEOPLASMS (MPN) PANEL (F.I.S.H) PHP 12,300.00 PHP 12,300.00
FCL 2222 ALL PANEL (ACUTE LYMPHOBLASTIC LEUKEMIA) (F.I.S.H) PHP 12,800.00 PHP 12,800.00
FCL 2177 MULTIPLE MYELOMA (MM) PANEL (F.I.S.H) PHP 14,000.00 PHP 14,000.00
FCL 2181 CHROMOSOME ENUMERATION (13,18,21) W/ SEX DETERMINATION (F.I.S.H) PHP 14,600.00 PHP 14,600.00
FCL 2223 ALL/AML PANEL (F.I.S.H) PHP 17,500.00 PHP 17,500.00
FCL 2172 CYTOPLASMIC IMMUNOGLOBULIN MULTIPLE MYELOMA PANEL (F.I.S.H) PHP 20,000.00 PHP 20,000.00
FCL 1485 BCR/ABL (F.I.S.H) PHP 6,600.00 PHP 6,600.00
FCL 1778 BLADDER (F.I.S.H) PHP 7,500.00 PHP 7,500.00
FCL 1526 PML/RARA (F.I.S.H) PHP 7,600.00 PHP 7,600.00
FCL 1971 EGFR FISH PHP 8,500.00 PHP 8,500.00

Page 8
Sheet1
MOLECULAR AND CELLULAR THERAPEUTICS
Section Code PARTICULARS OPD GC Code GC 16% net
OLD NEW

MCT 1436 MAINTAINING FROZEN TUMOR CELLS (MONTHLY) PHP 6,200.00 PHP 6,820.00
MCT 2001 MCT FACILITIES, SUPPLIES AND SERVICE PHP 10,000.00 PHP 11,000.00
MCT 2090 STEMCELL CRYOPRESERVATION PHP 34,000.00 PHP 37,400.00
MCT 1838 AUTOLOGOUS TUMOR CULTURE – INITIAL PROCESSING PHP 48,000.00 PHP 52,800.00
MCT 1593 VACCINE PROCESSING PHP 55,000.00 PHP 60,500.00
MCT 1595 FREEZINGAUTOLOGOUS TUMOR CULTURE PHP 77,000.00 PHP 84,700.00
MCT 1510 GENERATION OF MATURE DENDRITIC CELLS FR. PBMC PHP 130,000.00 PHP 143,000.00
MCT 1587 Autologous Tumor Culture PHP 155,000.00 PHP 170,500.00
MCT 1435 AUTOLOGOUS TUMOR CULTURE & VACCINE PROCESSING PHP 192,500.00 PHP 211,750.00
MCT 1598 DENDRITIC CELL COLLECTED OUTSIDE PHP 291,500.00 PHP 320,650.00

SEROLOGY
Section Code PARTICULARS OPD GC Code GC 16% net
OLD NEW

SER 2041 SYPHILIS TESTING -RPR (c/o blood bank) PHP 350.00 PHP 440.00 892 PHP 504.00 12.70% PHP 804.00 45.27%
SER 1833 SYPHILIS TESTING (TP-PA QUALITATIVE) (bldbk) PHP 450.00 PHP 565.00
SER 289 HBsAg (Hepatitis B Surface Antigen) PHP 800.00 PHP 1,050.00 818 PHP 1,008.00 -4.17% PHP 1,008.00 -4.17%
SER 198 HACT REFERRAL PHP 850.00 PHP 1,900.00
SER 284 HbcAb-M/Anti-Hbc-M (Hepatitis B Core Antibody IgM) PHP 850.00 PHP 1,100.00 842 PHP 1,092.00 -0.73% PHP 1,092.00 -0.73%
SER 285 HbcAb-M/Anti-Hbs (Hepatitis B Core Antibody) PHP 850.00 PHP 1,100.00 936 PHP 924.00 -19.05% PHP 924.00 -19.05%
SER 288 HBsAb/Anti-Hbe (Hepatitis B Surface Antibody) PHP 850.00 PHP 1,050.00 723 PHP 1,008.00 -4.17% PHP 1,008.00 -4.17%
SER 286 HbeAb/Anti-HBe (Hepatitis B Envelope Antigen) PHP 900.00 PHP 1,200.00 724 PHP 1,176.00 -2.04% PHP 1,176.00 -2.04%
SER 287 HbeAg (Hepatitis B Envelope Antigen) PHP 900.00 PHP 1,200.00 819 PHP 1,260.00 4.76% PHP 1,260.00 4.76%
SER 962 IgM ANTIBODY FOR HEPATITIS A PHP 900.00 PHP 1,200.00 841 PHP 1,092.00 -9.89% PHP 1,092.00 -9.89%
SER 205 HCV TEST/Anti HCV (Hepatitis C Antibody) PHP 950.00 PHP 1,200.00 725 PHP 1,932.00 37.89% PHP 1,932.00 37.89%
SER 2225 ANTI-HAV (Antibodies IgG and IgM to Hepatitis A Virus) PHP 1,600.00 PHP 1,600.00 834 PHP 1,092.00 -46.52%
SER 1581 HEPATITIS 3 MARKERS ( HbsAg, HbsAb, HbcAb) PHP 1,700.00 PHP 1,900.00
SER 1834 SYPHILIS TESTING (TP-PA QUANTITATIVE) PHP 2,200.00 PHP 2,200.00 PHP 4,452.00 50.58%
SER 1013 HEPATITIS PROFILE (A, B & C) PHP 4,200.00 PHP 5,200.00 820 PHP 8,904.00 41.60% PHP 8,904.00 41.60%

LABORATORY RECEPTION AREA


Section Code PARTICULARS OPD GC Code GC 16% net
OLD NEW

LRA 1458 REPRINTING OF LABORATORY RESULTS PHP 10.00 PHP 15.00


LRA 1530 EMAIL FEE PHP 20.00 PHP 25.00
LRA 1469 *FAX FEE PHP 20.00 PHP 25.00
LRA 1465 CERTIFICATION FEE PHP 25.00 PHP 30.00
LRA 955 BLOOD EXTRACTION FEE PHP 50.00 PHP 65.00

SPECIAL CHEMISTRY
Section Code PARTICULARS OPD GC Code GC 16% net
OLD NEW

SPC 2301 STONE ANALYSIS (OTHER SOURCE) PHP 1,100.00 PHP 1,100.00 PHP 1,092.00 -0.73%
SPC 137 STONE ANALYSIS (URINARY) PHP 1,100.00 PHP 1,100.00 355 PHP 1,092.00 -0.73%
SPC 1798 INNOFLUOR CERTICAN/EVEROLIMUS ASSAY – LABOR ONLY PHP 2,200.00 PHP 2,200.00
SPC 2198 CYA C1 BY CMIA PHP 2,300.00 PHP 2,300.00
SPC 2200 CYA C10 BY CMIA PHP 2,300.00 PHP 2,300.00
SPC 2201 CYA C12 BY CMIA PHP 2,300.00 PHP 2,300.00
SPC 2201 CYA C16 BY CMIA PHP 2,300.00 PHP 2,300.00
SPC 2197 CYA C2 BY CMIA PHP 2,300.00 PHP 2,300.00
SPC 2203 CYA C3 BY CMIA PHP 2,300.00 PHP 2,300.00
SPC 2204 CYA C4 BY CMIA PHP 2,300.00 PHP 2,300.00
SPC 2205 CYA C6 BY CMIA PHP 2,300.00 PHP 2,300.00
SPC 2206 CYA C8 BY CMIA PHP 2,300.00 PHP 2,300.00
SPC 2199 CYA TROUGH BY CMIA PHP 2,300.00 PHP 2,300.00
SPC 2006 INNOFLUOR CERTICAN/EVEROLIMUS ASSAY (STAT) PHP 3,150.00 PHP 3,150.00
SPC 1390 CYA C1 BY HPLC PHP 3,200.00 PHP 3,200.00
SPC 1019 CYA C12 BY HPLC PHP 3,200.00 PHP 3,200.00
SPC 1020 CYA C16 BY HPLC PHP 3,200.00 PHP 3,200.00
SPC 1014 CYA C2 BY HPLC PHP 3,200.00 PHP 3,200.00
SPC 1015 CYA C3 BY HPLC PHP 3,200.00 PHP 3,200.00
SPC 1016 CYA C4 BY HPLC PHP 3,200.00 PHP 3,200.00
SPC 1017 CYA C6 BY HPLC PHP 3,200.00 PHP 3,200.00
SPC 1018 CYA C8 BY HPLC PHP 3,200.00 PHP 3,200.00
SPC 136 CYA THROUGH BY HPLC PHP 3,200.00 PHP 3,200.00
SPC 303 TACROLIMUS/FK506/PROGRAF PHP 2,750.00 PHP 2,890.00 PHP 11,424.00 74.70%
SPC 140 BILE(BILIARY) PHP 625.00 PHP 750.00
SPC 139 CHOLESTEROL (BILIARY) PHP 640.00 PHP 770.00
SPC 138 STONE ANALYSIS (BILIARY) PHP 1,765.00 PHP 2,120.00
SPC 1001 RAPAMUNE/SIROLIMUS ASSAY BY HPLC PHP 3,500.00 PHP 4,200.00
SPC 2164 RAPAMUNE/SIROLIMUS ASSAY BY CMIA PHP 3,850.00 PHP 4,620.00

HLA-TISSUE TYPING LAB


Section Code PARTICULARS OPD GC Code GC 16% net
OLD NEW

HLA 1983 T-CELL ISOLATION PHP 3,500.00 PHP 3,500.00


HLA 268 T-CELL TISSUE CROSSMATCH (AHG) PHP 4,400.00 PHP 4,400.00 933 PHP 3,024.00 -45.50%
HLA 1914 T-CELL TISSUE CROSSMATCH (AHG/DTT) PHP 4,900.00 PHP 4,900.00 933 PHP 3,024.00 -62.04% PHP 3,024.00 -62.04%
HLA 262 HLA B27 TYPING PHP 5,000.00 PHP 5,000.00 824 PHP 5,880.00 14.97% PHP 5,880.00 14.97%
HLA 1917 T-CELL TISSUE CROSSMATCH (AHG/IVIG) PHP 5,500.00 PHP 5,500.00 933
HLA 1982 HLA DRDQ TYPING PHP 7,000.00 PHP 7,000.00 826 PHP 7,812.00 10.39%
HLA 1915 T CELL TISSUE CROSSMATCH (AHG/DTT/CAD/STAT) PHP 7,800.00 PHP 7,800.00 933
HLA 1918 T CELL TISSUE CROSSMATCH (AHG/IVIG CAD/STAT) PHP 7,800.00 PHP 7,800.00 933
HLA 264 HLA ABC TYPING PHP 7,900.00 PHP 7,900.00 825 PHP 6,384.00 -23.75%
HLA 1029 T-CELL TISSUE CROSSMATCH (CAD/STAT) PHP 7,900.00 PHP 7,900.00 933
HLA 2119 HLA ABDRDQ TYPING (Outpatient Kidney Transplant) PHP 13,000.00 PHP 13,000.00 825/826 PHP 14,196.00 8.42% PHP 14,196.00 8.42%
HLA 1919 T CELL TISSUE CROSSMATCH (AHG/IVIG Weekend) PHP 15,500.00 PHP 15,500.00 933 PHP 3,024.00 -412.57%
HLA 2118 HLA ABDRDQ TYPING (Inpatient Kidney/In&Out Pt Bone Marrow Tx) PHP 16,900.00 PHP 16,900.00 933 PHP 3,024.00 -458.86%
HLA 1916 T CELL TISSUE CROSSMATCH (AHG/DTT Weekend) PHP 18,000.00 PHP 18,000.00 825/826 PHP 14,196.00 -26.80%
HLA 263 HLA ABDRDQ TYPING (CAD/STAT) PHP 24,000.00 PHP 24,000.00 933 PHP 3,024.00 -693.65%
HLA 2044 T CELL TISSUE CROSSMATCH (AHG/Weekend) PHP 25,000.00 PHP 25,000.00
HLA 1920 B CELL TISSUE CROSSMATCH (DTT) PHP 4,700.00 PHP 5,170.00
HLA 1923 B CELL TISSUE CROSSMATCH (IVIG) PHP 4,700.00 PHP 5,170.00
HLA 1921 B CELL TISSUE CROSSMATCH (DTT CAD/STAT) PHP 7,500.00 PHP 8,250.00
HLA 1924 B CELL TISSUE CROSSMATCH (IVIG CAD/STAT) PHP 7,500.00 PHP 8,250.00
HLA 1922 B CELL TISSUE CROSSMATCH (DTT Weekend) PHP 14,000.00 PHP 15,400.00
HLA 1925 B CELL TISSUE CROSSMATCH (IVIG Weekend) PHP 14,000.00 PHP 15,400.00
HLA 961 SERUM STORAGE FOR CADAVER POOL PHP 80.00 PHP 95.00
HLA 267 STERILE BLOOD COLLECTION PHP 420.00 PHP 505.00

VIROLOGY
Section Code PARTICULARS OPD GC Code GC 16% net
OLD NEW
PHP 100.00 PHP 120.00

Page 9
Sheet1
VIR 2053 STORAGE OF SERUM/URINE SAMPLE – VIRO PHP 120.00 PHP 145.00
VIR 1899 CENTRIFUGATION OF SINGLE SPECIMEN PHP 280.00 PHP 340.00
VIR 1900 CENTRIFUGATION OF BATCH SPECIMEN (3 TO 4) PHP 775.00 PHP 930.00
VIR 1034 STORAGE IN LIQUID NITROGEN TANK PHP 1,300.00 PHP 1,300.00
VIR 129 DENGUE ANTIBODY CARD TEST PHP 2,100.00 PHP 2,100.00 PHP 1,176.00 -78.57%
VIR 1970 DENGUE NS1 ANTIGEN RAPID TEST PHP 2,400.00 PHP 2,400.00 771 PHP 2,100.00 -14.29% PHP 2,100.00 -14.29%
VIR 1635 PROCALCITONIN (PCT-Q) PHP 2,700.00 PHP 2,700.00 3636 PHP 2,800.00 3.57% PHP 2,800.00 3.57%
VIR 1842 LEGIONELLA URINARY ANTIGEN TEST (QUALITATIVE) PHP 4,000.00 PHP 4,000.00 PHP 3,612.00 -10.74%
VIR 114 AMOEBA SPOT IF PHP 4,300.00 PHP 4,300.00
VIR 131 LEGIONELLA PNEUMOPHILA DIRECT ANTIGEN DETECTION PHP 4,800.00 PHP 4,800.00 PHP 3,612.00 -32.89%
VIR 135 PNEUMOCYSTIS JIROVECII (P. CARINII) DIRECT ANTIGEN DETECTION PHP 5,000.00 PHP 5,000.00 PHP 2,604.00 -92.01%
VIR 130 HSV CULTURE (CTCT) PHP 6,000.00 PHP 6,000.00
VIR 124 CMV-ET/SPUTUM CULTURE (CTCT) PHP 6,000.00 PHP 6,000.00
VIR 122 CMV-BAL, CTCT PHP 6,000.00 PHP 6,000.00
VIR 126 CMV-BRONCHIAL/PLEURAL FLUID, CTCT PHP 6,000.00 PHP 6,000.00
VIR 116 CMV-URINE, CTCT PHP 6,000.00 PHP 6,000.00 PHP 3,276.00 -83.15%
VIR 1841 CSF CMV CTCT PHP 6,000.00 PHP 6,000.00
VIR 1451 CMV-BRONCHIAL/PLEURAL FLD, EAD FINAL RESULT with 24 hrs, CTCT PHP 7,000.00 PHP 7,000.00
VIR 1450 CMV-ET/SPUTUM, EAD FINAL RESULT w/ 24 hrs PHP 7,000.00 PHP 7,000.00
VIR 1447 CMV-URINE, EAD FINAL RESULT w/ 24 HRS PHP 7,000.00 PHP 7,000.00
VIR 1839 CSF CMV EAD FINAL RESULT w/ 24 HRS PHP 7,000.00 PHP 7,000.00
VIR 1449 CMV-BAL, EAD FINAL RESULT w/ 24 HRS PHP 7,100.00 PHP 7,100.00
VIR 118 CMV-TISSUE, CTCT PHP 7,600.00 PHP 7,600.00
VIR 1448 CMV-TISSUE, EAD FINAL RESULT w/ 24 HRS PHP 8,000.00 PHP 8,000.00
VIR 2021 CMV-ANIGENEMIA, IPA (BLOOD) PHP 8,500.00 PHP 8,500.00 PHP 12,852.00 33.86%
VIR 119 CMV-BLOOD, EAD FINAL RESULT w/ 24 HRS PHP 9,000.00 PHP 9,000.00
VIR 1096 CMV-BAL,EAD/CTCT PHP 11,500.00 PHP 11,500.00
VIR 1097 CMV-BRONCHIAL/PLEURAL FLD, EAD/CTCT PHP 11,500.00 PHP 11,500.00
VIR 1102 CMV-ET/SPUTUM, EAD/CTCT PHP 11,500.00 PHP 11,500.00
VIR 1100 CMV-URINE, EAD & CTCT PHP 11,500.00 PHP 11,500.00
VIR 1840 CSF CMV EAD & CTCT PHP 11,500.00 PHP 11,500.00
VIR 1099 CMV-TISSUE, EAD/CTCT PHP 12,500.00 PHP 12,500.00

Page 10
Sheet1
CODE PROCEDURE Professional Fee

Cytopathology GC Code 16% net


76 Pap smear-Cell block (Basic FNAB) PHP 1,350.00
75 Pap smear- Cell block PHP 750.00 463 PHP 1,428.00 47.48%
74 Pap smear PHP 320.00 515 PHP 840.00 61.90%
62 Cell block PHP 750.00 457 PHP 2,016.00 62.80%
92 Broncho-alveolar lavage (BAL) PHP 1,900.00 PHP 3,948.00 51.87%
77 FNAB-Express 480
Cythochemical Stains PHP 580.00
70 IF Study - C3 PHP 580.00 533
71 IF Study - Iga PHP 580.00 533 PHP 2,352.00 75.34%
72 IF Study - IgG PHP 580.00 533
73 IF Study - IgM PHP 580.00 533
69 IF Study - Clq PHP 580.00 533
68 IF Study - Fibrinogen PHP 580.00 533
83 SS - AFB PHP 370.00 950 PHP 950.00 61.05%
85 SS - Congo Red PHP 580.00 433 PHP 588.00 1.36%
87 SS - Giemsa PHP 580.00 624 PHP 420.00 -38.10%
86 SS - Grocotts PHP 580.00
88 SS - PAAg PHP 580.00
89 SS - PAS PHP 580.00 519 PHP 1,176.00 50.68%
84 SS - PAS w/ Diastase PHP 580.00 519
90 SS - Reticulin PHP 580.00 538 PHP 1,932.00 69.98%
Routine Histopathology
65 Gross exam only - anysize PHP 750.00 492 PHP 2,104.00 64.35%
67 Histo Exam. (1) Small specimen, 1st 2 spec-PF PHP 750.00 511 PHP 1,344.00 44.20%
Each Additional Specimen (Prof. Fee only) PHP 480.00 511
66 Histo Exam. (1) Large specimen, 1st 2 spec-PF PHP 1,050.00 507 PHP 2,520.00 58.33%
Each add'l sp. (except radical sp.) Prof. Fee only PHP 480.00 507
952 Radical Resection Specimen PHP 1,420.00 505 PHP 2,940.00 51.70%
1258 Slide review (NOS) - per case PHP 750.00 548 PHP 2,100.00 64.29%
1258 Slide review (JDV) - per case PHP 2,000.00 548
67/89 Liver Transplant (JDV) PHP 2,950.00 495 PHP 8,400.00 64.88%
81 Skin biopsy - IMF only PHP 2,310.00 541 PHP 3,360.00 31.25%
Bone Marrow
67/59/90 Bone marrow w/core PHP 2,540.00 439 PHP 4,620.00 45.02%
67/59/91 Bone marrow (JDV) w/ core, w/smear PHP 2,540.00 441 PHP 5,628.00 54.87%
67/59/90/87Bone marrow (JDV) aspirate only PHP 2,310.00 439 PHP 4,620.00 50.00%
Renal Biopsy
78 Renal biopsy - SS only PHP 1,750.00 536 PHP 1,848.00 5.30%
80 Renal biopsy - SS, IMF PHP 2,900.00 534 PHP 9,828.00 70.49%
79 Renal biopsy - IMF only PHP 1,750.00 532 PHP 3,696.00 52.65%
1902 Renal biopsy - SS, IMF, EM PHP 4,860.00 534 PHP 9,828.00 50.55%
93 SS, IMF/RAPID PROCESSING PHP 5,800.00 536
91 SS, TRICHROME (MTS) PHP 370.00 536 PHP 1,848.00 79.98%
1855 SS, PGMT PHP 370.00 536
1954 EM Cutting & Scoping PHP 2,500.00 RBD
1955 EN Scoping Only PHP 2,500.00 RBD
1626 Tissue CD 68 PHP 11,500.00 546 PHP 2,184.00 -426.56%
1807 Tissue Anti-Human C4D Antibody (Immunofluorescence) PHP 1,500.00
1806 SV-40 Large T Antigen (SV40 1HCOR BK Virus) PHP 1,500.00 3716 PHP 5,900.00 74.58%
1808 Urine Decoy Cells (Polyoma Virus, BK Virus) PHP 1,500.00 3570 PHP 4,000.00 62.50%
1865 Anti-Human C4d Antibody (Paraffin Block) PHP 1,500.00 3706 PHP 4,800.00 68.75%
RENAL/EM
1878 Electron Microscopy PHP 2,500.00 RBD
1956 LM&IMF/ C4d (Package 1) PHP 4,100.00 534 PHP 9,828.00 58.28%
1957 LM&IMF/ SV 40 (Package 2) PHP 4,100.00 534 PHP 9,828.00 58.28%
1958 LM & IMF/ C4d, SV 40 (Package 3) PHP 4,900.00 534 PHP 9,828.00 50.14%
1959 LM & IMF/CD 68 (Package 4) PHP 4,100.00 534 PHP 9,828.00 58.28%
1960 LM & IMF/C4D, CD 68 (Package 5) PHP 4,900.00 534 PHP 9,828.00 50.14%
1961 LM & IMF/SV 40/CD68 (Package 6) PHP 4,100.00 534 PHP 9,828.00 58.28%
1962 LM & IMF/C4D/SV 40/ CD 68 (Package 7) PHP 5,900.00 534 PHP 9,828.00 39.97%
1963 LM & IMF/EM, C4D (Package 8) PHP 5,900.00 534 PHP 9,828.00 39.97%
1964 LM & IMF/EM, SV 40 (Package 9) PHP 5,900.00 534 PHP 9,828.00 39.97%
1965 LM & IMF/EM, C4D/SV 40 (Package 10) PHP 7,200.00 534 PHP 9,828.00 26.74%
1966 LM & IMF/EM, C4D, CD 68 (Package 11) PHP 7,200.00 534 PHP 9,828.00 26.74%
1967 LM & IMF/EM, SV 40 CD 68 (Package 12) PHP 7,200.00 534 PHP 9,828.00 26.74%
1968 LM & IMF/EM, C4D, SV 40, CD 68 (Package 13) PHP 8,450.00 534 PHP 9,828.00 14.02%
Slide review (RENAL)
1258 SS only PHP 1,750.00 548 PHP 2,100.00 16.67%
1258 IMF only PHP 1,750.00 548 PHP 2,100.00 16.67%
1258 SS & IMF PHP 2,900.00 548 PHP 2,100.00 -38.10%
1258 SS, IMF & EM PHP 4,860.00 548 PHP 2,100.00 -131.43%
Intra - operative Consulation
64 Frozen section/ Cytology - scheduled PHP 1,750.00 490 PHP 6,636.00 73.63%
64 FS/Cyto - unscheduled PHP 2,310.00 490 PHP 6,636.00 65.19%
64 FS/Cyto - (2-5 Specimen) PHP 1,160.00 490 PHP 6,636.00 82.52%
77 US/ CT guided FNAB/ Biopsy PHP 1,750.00 490 PHP 6,636.00 73.63%
77 US/ CT guided FNAB/Bx - unscheduled PHP 2,310.00 490 PHP 6,636.00 65.19%
77 US/ CT guided FNAB/Bx - subsequent sp. PHP 1,160.00 490 PHP 6,636.00 82.52%
Special Stains or Studies
Histochemical Stains PHP 370.00
Cytochemcial Stains PHP 580.00
Immunohistochemistry Stidues PHP 1,500.00
1712 Tissue - Thyroid Transcription Factor 1 (ttf1) PHP 1,500.00 679 PHP 2,184.00 31.32%
1627 Tissue 34 BE 12 (HMWC) PHP 1,500.00 606 PHP 2,268.00 33.86%
1536 Tissue Actin PHP 1,500.00 553 PHP 1,932.00 22.36%
1630 Tissue Anti Terminal Deoxynucleotidyl T. PHP 1,500.00 676 PHP 2,856.00 47.48%
1629 Tissue Anti Human Von Willebrand PHP 1,500.00 619 PHP 1,848.00 18.83%
1539 Tissue Basic Cytokeratin PHP 1,500.00 605 PHP 1,680.00 10.71%
1622 Tissue c-ERB B2 (HER 2 NEU) PHP 1,500.00 570 PHP 3,250.00 53.85%
1625 Tisue Calretinin PHP 1,500.00 577 PHP 2,100.00 28.57%
1615 Tissue Carcinoembryonic Antigen (CEA) PHP 1,500.00 578 PHP 1,848.00 18.83%
1624 Tissue CD 117, C-KIT PHP 1,500.00 550 PHP 2,772.00 45.89%
1616 Tissye CD 34 PHP 1,500.00 581 PHP 2,352.00 36.22%
1626 Tissue CD 68 PHP 1,500.00 596 PHP 3,184.00 52.89%
1631 Tissue CD 99 PHP 1,500.00 580 PHP 2,184.00 31.32%
1544 Tissue CD 20 (B CELL) PHP 1,500.00 587 PHP 1,512.00 0.79%
1540 Tissue CD3 (T CELL) PHP 1,500.00 592 PHP 1,932.00 22.36%
1541 Tissue CD 30 (RS CELL) PHP 1,500.00 588 PHP 1,848.00 18.83%
1613 Tissue CD 45- RO PHP 1,500.00 583 PHP 1,932.00 22.36%
1617 Tissue Chromogranin PHP 1,500.00 600 PHP 1,515.00 0.99%
1619 Tissue Cytokeratin - 7 (CK 7) PHP 1,500.00 609 PHP 2,604.00 42.40%
1618 Tissue Cytokeratin - 20 (CK 7) PHP 1,500.00 611 PHP 3,024.00 50.40%
1633 Tissue Desmin PHP 1,500.00 613 PHP 1,596.00 6.02%
1621 Tissue Epithelial Membrane Antigen (EMA) PHP 1,500.00 616 PHP 1,512.00 0.79%
1542 Tissue Estrogen Receptor (ER) PHP 1,500.00 477 PHP 3,780.00 60.32%
1612 TissUE HMB 45 PHP 1,500.00 646 PHP 2,268.00 33.86%
1648 Tissue k1-67 Antigen PHP 1,500.00 640 PHP 2,436.00 38.42%

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Sheet1
1614 Tissue Leukocyte Common Antigen (CD 45) PHP 1,500.00 641 PHP 1,428.00 -5.04%
1632 Tissue Neuro Specific Enolase (NSE) PHP 1,500.00 655 PHP 1,512.00 0.79%
1623 Tissue Placental Phosphatase (PLAP) PHP 1,500.00 523 PHP 1,680.00 10.71%
1543 Tissue Progesterone Receptor (PR) PHP 1,500.00 527 PHP 3,780.00 60.32%
1538 Tissue Prostate Specific Antigen PHP 1,500.00 560 PHP 2,436.00 38.42%
1545 Tissue s-100 PHP 1,500.00 670 PHP 1,596.00 6.02%
1620 Tissue Synaptophysin PHP 1,500.00 675 PHP 2,184.00 31.32%
1537 Tissue Vimentin PHP 1,500.00 681 PHP 1,680.00 10.71%
1706 Tissue Alpha I-FetoProtein (AFP) PHP 1,500.00 556 PHP 1,593.00 5.84%
1816 Tissue CD5 PHP 1,500.00 595 PHP 3,192.00 53.01%
1646 Tissue CA 125 PHP 1,500.00 572 PHP 1,428.00 -5.04%
1719 Tissue Anti - Human Kappa Light Chains PHP 1,500.00 638 PHP 2,268.00 33.86%
1720 Tissue Anti - Human Lambda Light Chains PHP 1,500.00 642 PHP 2,268.00 33.86%
1707 Tissue BCL 2 Oncoprotein PHP 1,500.00 562 PHP 1,932.00 22.36%
1708 Tissue CD246, Alk. Protein PHP 1,500.00 555 PHP 3,864.00 61.18%
1911 Tissue CD 43 PHP 1,500.00
1784 Tissue CD 138 PHP 1,500.00
1634 Tissue CD 15 PHP 1,500.00 586 PHP 1,680.00 10.71%
1783 Tissue CD 1a PHP 1,500.00 590 PHP 4,956.00 69.73%
1817 Tissue CD 23 PHP 1,500.00 2923 PHP 2,400.00 37.50%
1912 Tissue CD 79 Alpha PHP 1,500.00 585 PHP 2,016.00 25.60%
1818 Tissue Cyclin D1 PHP 1,500.00 603 PHP 2,100.00 28.57%
1709 Tissue Cytokeratin 8 (LMW) PHP 1,500.00 462 PHP 1,848.00 18.83%
1896 Tissue Cytomegalovirus (CMV) PHP 1,500.00 612 PHP 1,596.00 6.02%
1897 Tissue Hepatocyte PHP 1,500.00 628 PHP 2,100.00 28.57%
1910 Tissye Mammaglobin PHP 1,500.00 3462 PHP 2,000.00 25.00%
1711 Tissue Myeloperoxidase PHP 1,500.00 650 PHP 1,596.00 6.02%
1785 Tissue P53 PHP 1,500.00 446 PHP 5,124.00 70.73%
1820 Tissue P63 PHP 1,500.00 662 PHP 2,436.00 38.42%
1782 Tissue Thyroglobulin PHP 1,500.00 677 PHP 1,680.00 10.71%
1898 Tissue Wilms Tumor PHP 1,500.00 3456 PHP 2,200.00 31.82%
1706 Tissye Alpha 1-Feto Protein (AFP) PHP 1,500.00 556 PHP 1,596.00 6.02%
Note: ForNote : 1806
Panels & 1807of(Simultaneous)
consisting - Prof Fee
several Immunohistochemistry PHP Tumors
tests for example Panel 1 for Undifferentiated 2,000.00
(EMA, S100, LCA, PLAP, CD30)
Professional Fee is 1, 500.00 per panel, not per test
Note: Professional fee for service patient and Immunohistostains without Interpretation - NO CHARGE (NC)

Autopsy
61 Autopsy, Partial PHP 11,550.00 3504 PHP 19,000.00 39.21%
1062 Autopsy, Partial (Without Processing) PHP 11,550.00
60 Autopsy, Complete PHP 17,350.00 3540 PHP 19,000.00 8.68%
1063 Autopsy, Complete (Without Processing) PHP 17,350.00
DR.F.PADUA'S PF
Tissue Typing
265 PRA Screening PHP 550.00
1575 PRA Sreening - STAT PHP 1,100.00
266 PRA Specific PHP 1,500.00
1576 PRA Specific - STAT PHP 1,650.00
268 T Cell Tissue Crossmatching PHP 2,000.00
264 HLA-ABC Typing PHP 550.00
263 HLA-ABDR (CAD/STAT) PHP 1,650.00
262 HLA-B27 Typing PHP 550.00
1029 T Cell Tissue Crossmatching (Cadaver/STAT) PHP 2,250.00
1914 T Cell Tissue Crossmatching (AHG/DTT) PHP 2,000.00
1915 T Cell Tissue Crossmatching (AHG/DTT) Cadaver/STAT PHP 2,250.00
1917 T Cell Tissue Crossmatching (AHG/IVIG) PHP 1,500.00
1918 T Cell Tissue Crossmatching (AHG/IVIG) Cadaver/STAT PHP 2,250.00
1920 B Cell Tissue Crossmatch (DTT) PHP 2,000.00
1921 B Cell Tissue Crossmatch (DTT) Cadaver / STAT PHP 2,250.00
1923 B Cell Tissue Crossmatch (IVIG) PHP 2,000.00
1924 B Cell Tissue Crossmatch (IVIG) Cadaver / STAT PHP 2,250.00
1922 B Cell TXM (DTT Weekend) PHP 2,250.00
1925 B Cell TXM (IVIG Weekend) PHP 2,250.00
1916 T Cell TXM (AHG/DTT Weekend) PHP 2,250.00
1919 T Cell TXM (AHG/IVIG Weekend) PHP 2,250.00
1982 HLA DR-DQB Typing PHP 550.00
2118 HLA ABDR/DR Typing DNA Technique PHP 1,100.00
2119 HLA ABC-DR/DQB Typing PHP 550.00
2044 T Cell Tissue Crossmatching (Weekend) PHP 2,250.00
FISH & Cytogenetics Laboratory
1485 BCR/ABL (FOSH) PHP 1,200.00
1487 Karyotyping of Peripheral Blood PHP 1,200.00
1488 Karyotyping for Bone Marrow PHP 1,200.00
1526 PML / RARA (FISH) PHP 1,200.00
1777 HER-2/neu FISH, Pacakage PHP 1,400.00 493 PHP 19,278.00 92.74%
1778 BLADDER, FISH PHP 1,200.00
1908 BIOLOGICAL DOSIMETRY PHP 1,200.00
1971 EGFR, FISH PHP 1,400.00
2147 ALL, t (12;2) by FISH PHP 1,500.00
2148 AML, t(8;21) by FISH PHP 2,000.00
2074 Myelodysplastic Syndrome Panel (MDS) by FISH
MOLECULAR LABORATORY
308 HCV/RNA Viral Load (Real Time PCR) PHP 450.00 113 PHP 8,800.00 94.89%
1603 HBV/DNA Viral Load (Real Time PCR) PHP 450.00 815 PHP 8,904.00 94.95%
1651 HCV GENOTYPING PHP 450.00
1655 MTB ASSAY BY PCR PHP 450.00
1882 HBV GENOTYPING PHP 450.00
1863 HBV ANTI VIRAL DRUG RESISTANCE ASSAY (MUTATION) PHP 450.00
1903 JAK2 MUTATION ASSAY (Qualitative) PHP 450.00 3487 PHP 11,500.00 96.09%
1995 BCR-ABL BY QRT-PCR PHP 450.00
2047 CMV DNA VIRAL LOAD PHP 450.00
2048 BK VIRUS (BKV) QUANTITATIVE TEST PHP 450.00
2055 K-RAS MUTATION ASSAY PHP 450.00 3366 PHP 19,450.20 97.69%
CELLULAR- DR. F. PADUA
249 Nitroblue Tetrazolium Test (NBT) PHP 500.00
DR.J. VELOSO's/FAUNDO PF
Flowcytometry/Cellular
237 Basic Leukemia Panel - Blood PHP 2,200.00
1035 Basic Leukemia Panel - Bone Marrow PHP 2,200.00
247 ALL Panel - Blood PHP 2,200.00
1039 ALL Panel - Bone Marrow PHP 2,200.00
241 AML Panel - Bone Marrow PHP 2,200.00
240 AML Panel - Blood PHP 2,200.00
1714 CLL Panel - Blood PHP 2,200.00
1761 CLL Panel - Bone Marrow PHP 2,200.00
1762 CLL Panel - Lymph Node PHP 2,200.00
1705 Comprehensive Lymphoma Panel - Blood PHP 2,200.00 759 PHP 13,272.00 83.42%
1763 Comprehensive Lymphoma Panel - Bone Marrow PHP 2,200.00
1764 Comprehensive Lymphoma Panel - Lymph Node PHP 2,200.00
1715 Hairy Cell Leukemia Panel - Blood PHP 2,200.00
1765 Hairy Cell Leukemia Panel - Bone Marrow PHP 2,200.00

Page 12
Sheet1
1766 Hairy Cell Leukemia Panel - Lymph Node PHP 2,200.00
1693 Leukemia Acute Lympho (ALL)- Lymph Node PHP 2,200.00
1694 Leukemia Acute Myelogenous (AML)-Lymph Node PHP 2,200.00
1695 Leukemia Basic Panel - Lymph Node PHP 2,200.00
1696 Leukemia Comprehensive Panel - Lymph Node PHP 2,200.00
1691 Lymphoma Basic Panel - Lymph Node PHP 2,200.00
1868 Fetal Hemoglobin PHP 400.00
1933 Stem Cell Enumeration Assay (Initial) PHP 5,000.00
2094 Stem Cell Enuameration Assay (ADD)
1791 Plasma Cell. Multiple Myeloma Panel - Blood PHP 2,200.00
1793 Plasma Cell. Multiple Myeloma Panel - Bone Marrow PHP 2,200.00
1792 Plasma Cell. Multiple Myeloma Panel - Lymph Node PHP 2,200.00
1952 Natural Killer Celll Activation (CD56) PHP 1,000.00
1951 Immunophenotype (Fertility Panel) PHP 1,000.00
1700 Minimal Residual Disease Panel (MRDP)-Lymph Node PHP 2,200.00
1561 Dendritic Cell Panel PHP 1,500.00
242 Comprehensive Leukemia Panel - Bone Marrow PHP 2,200.00
1042 Comprehensive Leukemia Panel - Blood PHP 2,200.00
246 Basic Lymphoma Panel - Bone Marrow PHP 2,200.00
987 Basic Lymphoma Panel - Blood PHP 2,200.00
1043 Immunodeficiency Panel 3 (T and B Cell) PHP 1,000.00
1455 Immunodeficiency Panel 2 (NK Cell) PHP 1,000.00
1516 Minimal Residual Disease Panel (MRDP)- BM PHP 2,200.00
1565 Immunodeficiency Panel (Zilongjin Study) PHP 400.00
1690 Minimal Residual Disease Panel (MRDP)- Blood PHP 2,200.00
1588 Immunodeficiency Panel 1 (T Cell) PHP 1,000.00
1770 Serum Protein Elec. (SPE) PHP 1,000.00 922 PHP 4,704.00 78.74%
1738 Serum Protein Elec. (SPE) - STAT PHP 1,000.00
251 Hemoglobin Elec. (Hgb. Elec.) PHP 1,000.00 816 PHP 8,484.00 88.21%
1736 Hemoglobin Elec. (Hgb. Elec.) - STAT PHP 1,000.00
1478 Immunofixation Elec. (IFE)-Urine PHP 1,000.00 832 PHP 10,584.00 90.55%
1477 Immunofixation Elec. (IFE) -Serum PHP 1,000.00 852 PHP 10,416.00 90.40%
1608 Urine Protein Elec. (UPE) PHP 1,000.00 944 PHP 4,620.00 78.35%
1737 Urine Protein Elec. (UPE) - STAT PHP 1,000.00
207 Plasmapheresis PHP 1,500.00
208 Plateletpheresis PHP 500.00
1795 Granulocyte Concetrate PHP 10,000.00

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