Republic of the Philippines

Department of Health
Jose R. Reyes Memorial Medical Center

Laboratory

Description Price
24 HOUR URINE PROTEIN 220.00
24 Hour Urine TP Determination 220.00
3mCI 4815.00
ABG (Arterial Blood Gas) 600.00
ABO w/ RH Typing 140.00
ABO w/ RH Typing, SLIDE METHOD 140.00
Acarus Test 60.00
ACID FAST STAIN 80.00
Acid Phosphatase 225.00
ACTH 530.00
Albumin (ALB) 160.00
Alkaline Phosphatase (ALP) 150.00
ALPHA FETO PROTEIN 675.00
AMACR 2285.71
Amylase (AMS) 220.00
ANA (SLE) 610.00
ANA (SLE) with DILUTION 950.00
Ana Titer 0.00
ANTI - TPO 0.00
ANTI- CARDIOLIPIN IgM 2650.00
Anti-Cardiolipin IgG 2650.00
Anti-HCV (EIA) 710.00
Anti-Hepatitis B Surface (Anti-HBs) 220.00
Anti-Thyroid Peroxidaze (A-Tpo) Radioimmunossary (RIA) Test 1180.00
APTT (Activated Partial Thromboplastin Time) 260.00
ASO (Anti-Streptolysis O) 230.00
ASO WITH DILUTION 0.00
Autopsy 3900.00
Autopsy - Partial 1950.00
Beta-HCG(Human Chorionic Gonadotrophin) (H-MOLE) 750.00
Bilirubin 195.00
Blood Bag Single 500.00
Blood Culture Sensitivity Test 1560.00
Blood Transport Bag 500.00
Blood Urea Nitrogen 140.00
Blood Uric Acid (BUA) 190.00
Body Fluid Creatinine 0.00
BODY FLUID LDH 195.00
BODY FLUID PROTEIN 180.00
BONE DENSITITOMETRY- ROUTINE (20%) 2000.00
Bone Densitometry 2500.00
Bone Densitometry (ROUTINE) 5105.00
BONE DENSITOMETRY- ROUTINE (30%) 1750.00
Bone Marrow Aspiration 520.00
BONE SCAN - with SCINTIMAMMO (20%) 4884.00
BONE SCAN HDP (SCINTIMAMMO) 6105.00
BONE SCAN- ROUTINE (20%) 4084.00
BONE SCAN- ROUTINE (30%) 3570.00
Bone Scan TC99m HDP 3000.00
BONE SCAN- with 3 PHASE (30%) 4270.00
BONE SCAN- with 3PHASE (20%) 4884.00
BONE SCAN- with SCINTIMAMMO (30%) 4270.00
Bone/ Soft Fungal C/S 0.00
Brain Natriuretic Peptide (BNP) 1260.00
BSMP 80.00
BUN (Blood Urea Nitrogen) 80.00
C Reactive Protein 250.00
CA125 OVARIAN CA 570.00
CA125 OVARIAN CA WITH DILUTION 1900.00
CA19-9 610.00
CA19-9 with DILUTION 2200.00
Calcium (Ca) 170.00
CBC (Complete Blood Count) with PLT (Platelet) 230.00
CD 117 2214.28
CD 34 2214.28
CD 99 2214.28
CD20 3200.00
 Republic of the Philippines
Department of Health
Jose R. Reyes Memorial Medical Center

CD3 3500.00
CD7 900.00
CEA 500.00
Cell Count / Differential Count 95.00
Cell Cytology 325.00
CHEST PA ADULT- PA Lateral 530.00
CHEST PA PEDIA- PA Lateral 530.00
Chloride (Cl) 160.00
Cholesterol 90.00
Chromogranin 3400.00
CK 5/6 2857.14
CK(pancytokeratin) 2214.28
CK20 2214.28
CK7 2214.28
CK-MM 1428.57
Clotting Time/Bleeding Time 50.00
Coomb's Test - Direct 195.00
CPK 671.42
CPK-MB 955.00
Creatinine 160.00
Crossmatching (Gel Method) Direct Coomb's Test 290.00
CSF / BODY FLUID LDH 195.00
CSF Culture and Sensitivity 1130.00
Culture and Sensitivity - Blood 650.00
CYOPRECIPITATES, CRYSUPERNATE 0.00
Cytokeratin 20 3500.00
Cytokeratin 7 3300.00
CYTOLOGY WITH CELL BLOCK 680.00
CYTOLOGY WITH CELLBLOCK (CYTO SPIN) 1080.00
D-Dimer 1140.00
DENGUE DUO 950.00
DENGUE NS1 Ag AND IgM / igG 760.00
Desmin 2214.28
DIF 900.00
DS DNA 5714.28
DXA (WHOLE BODY) 1480.00
ECT 100.00
EEG (Electroencephalography) 2985.00
Electroencephalography and Nerve Conduction Stimulation Studies Upper or Lower Extremities (Pay ECO 3460.00
Electroencephalography and Nerve Conduction Studies All Extremities (Pay ECO I-IV) Pay Consultation 4325.00
Electroencephalography Nerve Conduction Studies(Service/Indigent In Patients) Upper or Lower Extremi 2385.00
Electroencephalography Nerve Conduction Studies(Service/Indigent OPD/in Patients)Repetitive Nerve st 1830.00
Electroencephalography-Nerve Conduction Studies(Pay in Patients) Somato Sensory Evoked Potential 2030.00
Electromyography-Nerve Conduction Studies (Service/Indigent OPD in Patients) 3460.00
EMA 2214.28
EMG-NCV (All Stimulations) (RNS) 4325.00
EMG-NCV (Service/Indigent OPD/ In Patients) Somato Sensory Evoked Potential 1630.00
EMG-NCV(Service/Indigent OPD/In Patients) Facial / Facial&Blinks 2400.00
EMG-NCV(Service/Indigent OPD/In Patients) Visual Evoked Potential 1630.00
ER/PR/HER2 (HI-PRE) 4300.00
ESR (Erythocyte Sedimentation Rate) 180.00
Estrogen Receptor 3390.00
Expanded New born Screening 1750.00
Extra Copy of RIA Result 50.00
Exudates Culture and Sensitivity 1120.00
Facial with Contrast 12560.00
Facial/Facial and Blink Reflex (Pay ECO I-IV) Pay Consultation and referral from other private Hospi 3000.00
FBS (Fasting Blood Sugar) 150.00
Fecal Occult Blood Test 120.00
Fecalysis (F/A) 70.00
FOLLICLE STIMULATING HORMONE 600.00
Free Thyroxine (FT4) 410.00
Free Triiodothyronine (FT3) 280.00
Frozen Section 710.00
FT3 (30%) 575.00
FT3 (SEND OUT) 575.00
FT3 , FT4 , 820.00
FT3 , TSH 820.00
FT3 , TSH (30%) 575.00
FT3, FT4 656.00
FT3, FT4 (30%) 575.00
FT3, FT4 , TSH (30%) 865.00
FT3, FT4, TSH (20%) 988.00
 Republic of the Philippines
Department of Health
Jose R. Reyes Memorial Medical Center

FT3, FT4, TSH (Thyroid Profile) 1235.00

FT3, TSH (20%) 656.00
FT4 (20%) 328.00
FT4 (SEND OUT) 575.00
FT4 , TSH (30%) 575.00
FT4(30%) 287.00
FT4, TSH 820.00
FT4, TSH (20%) 656.00
G6PD 1100.00
Gallbladder 640.00
Gamma-Glutamyl Transferase 0.00
GATA3 2214.28
GeneXpert Cartridge and Pipette (DONATION) 1520.00
GeneXpert Cartridge and Pipette (PROCEDURES) 2450.00
GFAP 2214.28
GI BLEED SCAN 10625.00
GI BLEED SCAN (20%) 8500.00
GI BLEED SCAN (30%) 7440.00
GI BLEED STUDY 5000.00
GLUCOSE BODY FLUID 130.00
Glucose Solution 75/100 mg for OGTT/OGCT 150.00
Gomari Silver Stain 0.00
Gram's Staining (G/S) 80.00
Growth Hormone 0.00
H. PYLORI SERUM IgG Quanti/ H. PYLORI Quali 0.00
H. PYLORI SERUM IgM 0.00
H. PYLORI STOOL ANTIGEN 1600.00
HAT 340.00
HbeAg 340.00
HBSAG 300.00
HBSAG (Strips) 300.00
HBV DNA 0.00
HCV (Quantitative) 415.00
HDL (High Density Lipoprotein) 390.00
Hemoglobin A1C 830.00
HEPA PROFILE COMPLETE A B C 3920.00
HEPA PROFILE COMPLETE A B 3100.00
HER2/neu 3390.00
HIDA SCAN 4845.00
HIDA SCAN (20%) 3876.00
HIDA SCAN (30%) 3390.00
HIGH SENSITIVITY CRP 600.00
Histopathology - Large (Organ Resection, Radical Surgeries) 715.00
Histopathology - Medium (Excision Bigger Tissues Greater 2.5cms in Greatest Diameter) 455.00
Histopathology - Small (Excision, Section Biopsies) 325.00
IGF - 1 580.00
IGG Varicella 6000.00
Immunohistochemistry Tests 1882.40
India Ink 175.00
IONIZED CALCIUM 830.00
IRON (Fe) 330.00
IUFD and Body Parts Disposition fee 100.00
KI67 3200.00
KOH 170.00
KUB- IVP 4690.00
Large/Radical (breast, uterus, RND) 650.00
LCA-CD45 (LEUKOCYTE COMMON ANTIGEN) 3200.00
LDH (Lactate Dehydrogenase) 195.00
LEPTOSPIROSIS MICROAGGLUTINATION TEST 2000.00
Lipid Profile (TG, CHOLE, HDL, LDL) 675.00
Liver & Spleen Scan 7080.00
LIVER & SPLEEN SCAN (20%) 5664.00
LIVER & SPLEEN SCAN (30%) 4950.00
Luteinizing Hormone 330.00
Lymphscintigraphy 5500.00
LYMPHSCINTIGRAPHY (20%) 4400.00
LYMPHSCINTIGRAPHY (30%) 3850.00
Magnesium 250.00
Meckel's Scan 4370.00
MECKEL'S SCAN (20%) 3496.00
Methamphetamine & Tetrahydrocannabinol (Dual Test) 310.00
METHYLENE BLUE FUNGAL STAIN 235.00
MIBI (S-R) 14515.00
 Republic of the Philippines
Department of Health
Jose R. Reyes Memorial Medical Center

MICRA TEST 240.00

MICROALBUMIN / CREATININE RATIO 1500.00
MRI IGS PROTOCOL PLAIN 6230.00
MYOCARDIAL PERFUSION - TI-201(S-R) (20%) 14072.00
MYOCARDIAL PERFUSION- MIBI (S-R) (20%) 11612.00
MYOCARDIAL PERFUSION- MIBI (S-R) (30%) 10160.00
MYOCARDIAL PERFUSION- STRESS or REST ONLY (20%) 6400.00
MYOCARDIAL PERFUSION- STRESS or REST ONLY (30%) 5600.00
MYOCARDIAL PERFUSION- TI-201 (S-R) (30%) 12310.00
OGTT (Oral Glucose Tolerance Test) 585.00
ORAL GLUCOSE CHALLENGE TEST/ 2 HOUR POST PRANDIAL TEST 180.00
Oral Glucose Tolerance Test (without Glucose Solution) 585.00
P16 3900.00
P40 2214.28
p63 3150.00
Packed Red Cells Screening Fee 1500.00
Pan Keratin 3500.00
PAPS (PAP Smear) 130.00
PATCH TEST 1500.00
Peripheral Blood Smear (PBS) 325.00
Phosphorus 270.00
Point of Care Test (POCT) - ABG , Calcium Ionized , Electrolytes and Lactate 1340.00
Potassium (K) 160.00
Pregnancy Test (Preg Test) 180.00
Procalcitonin 2370.00
Progesterone Receptor 3390.00
PROLACTIN 600.00
PROLACTIN (PRL) 330.00
Prostate Specific Antigen (PSA) 1000.00
PT (Prothrombin Time) 225.00
PTT (Partial Prothrombine Time) 260.00
Random Blood Sugar 150.00
RAPID ANTIGEN KIT (DONATION) 270.00
RAPID ANTIGEN KIT (PROCEDURES) 660.00
RBS 150.00
RENAL SCAN - DTPA (30%) 3250.00
RENAL SCAN (CAPTOPRIL) 4645.00
Renal Scan (Diuretics) 4645.00
Renal Scan (DMSA) 4560.00
Renal Scan (GFR) 2880.00
RENAL SCAN- CAPTOPRIL (20%) 3716.00
RENAL SCAN- CAPTOPRIL (30%) 3250.00
Renal Scan Catopril 6110.00
RENAL SCAN- DMSA (20%) 3648.00
RENAL SCAN -DMSA (30%) 3190.00
RENAL SCAN- DTPA (20%) 3716.00
RENAL SCAN- GFR (20%) 2304.00
RENAL SCAN- GFR (30%) 2020.00
Renal Scan Lasix 3800.00
RENAL SCAN- with DIURETICS (20%) 3716.00
RENAL SCAN- with DIURETICS (30%) 3250.00
Repetitive Nerve Stimulation Studies (PAY ECO I-IV) / Pay Consultation and referral from other priva 2030.00
Reticulocyte Count 100.00
Rheumatoid Factor 230.00
RPR (Rapid-Plasma Regin) 150.00
RT-PCR COVID-19 TEST 2450.00
S 100 3300.00
Schilling's Hemogram 195.00
Scintibone Combo 5000.00
Scintimammo TC99m HDP 6105.00
SCINTIMAMMOGRAPHY (20%) 3200.00
SCINTIMAMMOGRAPHY (30%) 2800.00
Scintimmamography 4000.00
Screening of Blood Units - Fresh Frozen Plasma 1000.00
Semen Analysis 90.00
Serum Bicabornate 571.00
SERUM CRYPTOCOCCAL ANTIGEN LATEX AGGLUTINATION SYSTEM 2500.00
SERUM FERRITIN 660.00
Serum Osmolality 0.00
SERUM PTH 0.00
SGOT (Serum Glutamic Oxaloacetic Transaminase) (ASAT) 150.00
SGPT (Serum glutamic Pyruvate Transaminase) (ALAT) 150.00
Sodium (Na) 160.00
 Republic of the Philippines
Department of Health
Jose R. Reyes Memorial Medical Center

Spleen 5664.00
Sputum AFB 80.00
Sputum Culture and Sensitivity 1130.00
Stool Culture and Sensitivity 1130.00
Stress or Rest Only 8000.00
SURGICAL BIOPSY (MEDIUM) (6-10 CASETTES) 1460.00
SURGICAL BIOPSY EXTRA SMALL (1CASETTE) 700.00
SURGICAL BIOPSY LARGE (11-12 CASETTES) 2600.00
SURGICAL BIOPSY SMALL (2-6 CASETTES) 890.00
Synaptophysin 3200.00
TB Quantiferon 7142.00
TEMPORAL BONE (CONTRAST) 5580.00
Testicular Scan 4890.00
TESTICULAR SCAN (20%) 3912.00
TESTICULAR SCAN (30%) 3420.00
TESTOSTERONE 1000.00
Thypoid AG (Thypidot) 945.00
Thyroglobulin (TG) IRMA Test 450.00
Thyroid I-131 Scan 2500.00
Thyroid Scan 1045.00
THYROID SCAN (20%) 836.00
THYROID SCAN (30%) 730.00
Thyroid Scan TC99mm 2820.00
Thyroid Scan with Perfusion 1100.00
Thyroid Stimulating Hormone (TSH) 415.00
TI-201 (S-R) 17590.00
Total Bilirubin 170.00
TOTAL BILIRUBIN (TB, B1 & B2) 210.00
Total Cholesterol 180.00
Total Protein 160.00
TP A/G Ratio 190.00
TP Ab (Serology) 300.00
TPAG (TP, Albumin, AG ratio) 155.00
TRANSFERRIN 650.00
TREPONEMA PALLIDUM HEME AGGLUTINATION 300.00
TREPONEMA PALLIDUM- PARTICLE AGGLUTINATION (QUALITATIVE) 360.00
TREPONEMA PALLIDUM- PARTICLE AGGLUTINATION with DILUTION 1300.00
Triglyceride 195.00
Troponin I 1800.00
TS with PERFUSION (20%) 880.00
TS with PERFUSION (30%) 770.00
TSH 290.00
TSH (20%) 332.00
TSH (30%) 290.00
TSH (SEND OUT) 857.14
TTF-1 2214.28
TZANcK Smear 75.00
Urinalysis 240.00
URINE ALBUMIN CREATINE RATIO 2571.42
URINE CREATININE 395.00
Urine Culture and Sensitivity 1130.00
URINE PROTEIN CREA RATIO 1357.14
URINE RBC MORPHOLOGY 75.00
Urodynamics Procedure (w/ Supplies) w/o EMG 2210.00
Urodynamics Procedure w/ Supplies 2600.00
Vimentin 3300.00
Vitamin D (-25 Hydroxy) 4000.00
VITAMIN D2/D3 8000.00
WBS I-131 / 5.0 mCi 3500.00
Wet Smear 60.00
Whole Blood Screening Fee (500ml) 1800.00
WHOLE BODY I-131 SCAN- 3mCI (35m6) (20%) 3852.00
WHOLE BODY I-131 SCAN 3mCI (35m6) (30%) 3370.00
Whole Body I-131(3-5mCi) Scan 4815.00