List of Laboratory Examination Fees (as of February 8, 2021) (* subject for change)

List of Laboratory Examination Fees (as of December 6, 2019) (* subject for change)
Examination |
Rate |
|
|
Standard |
Senior Citizen |
|
|
24 Hour Urine collection for protein (AGAPE) |
600.00 |
480.00 |
|
ABG (AGAPE) Panel A |
1,900.00 |
1,520.00 |
|
ABG (AGAPE) Panel B |
2,100.00 |
1,680.00 |
|
AFB STAIN |
- |
- |
|
AFP |
1,800.00 |
1,440.00 |
|
AFP (AGAPE) |
1,800.00 |
1,440.00 |
|
Albumin (AGAPE) |
180.00 |
144.00 |
|
Albumin / A/G Ratio |
85.00 |
68.00 |
|
Alkaline Phosphatase |
350.00 |
280.00 |
|
Alkaline Phosphatase (AGAPE) |
450.00 |
360.00 |
|
Amylase (AGAPE) |
1,400.00 |
1,120.00 |
|
ANA - EIA (AGAPE) |
1,800.00 |
1,440.00 |
|
Anti HAV (Quantitative) AGAPE |
980.00 |
784.00 |
|
Anti-HAV (AGAPE) |
500.00 |
400.00 |
|
Anti-HAV (IgM) or Hep. A (EIA) AGAPE |
1,100.00 |
880.00 |
|
Anti-HBc IgM (Quanti/Vidas) AGAPE |
1,800.00 |
1,440.00 |
|
Anti-HBe (Quanti/Vidas) AGAPE |
1,600.00 |
1,280.00 |
|
Anti-HBs (Quanti/Vidas) AGAPE |
950.00 |
760.00 |
|
Anti-HBs (Rapid) AGAPE |
380.00 |
304.00 |
|
Anti-HBs Determination |
165.00 |
132.00 |
|
Anti-HCV (IgM) or Hepatitis C (EIA) AGAPE |
950.00 |
760.00 |
|
APTT |
450.00 |
360.00 |
|
APTT (AGAPE) |
450.00 |
360.00 |
|
ASO |
100.00 |
80.00 |
|
ASO Titer (AGAPE) |
600.00 |
480.00 |
|
B1B2 (AGAPE) |
300.00 |
240.00 |
|
Beta HCG (AGAPE) |
1,500.00 |
1,200.00 |
|
Bilirubin |
250.00 |
200.00 |
|
Bilirubin (Total, Direct & Indirect) AGAPE |
500.00 |
400.00 |
|
BIOPSY |
1,000.00 |
800.00 |
|
BIOPSY (LARGE) + frieght (P500) |
1,100.00 |
880.00 |
|
BIOPSY (MEDIUM) + freight (P375) |
875.00 |
700.00 |
|
BIOPSY (SMALL)+ freight (P 275) |
675.00 |
540.00 |
|
Biopsy PF (Dr. Harold L. Tee) |
1,000.00 |
800.00 |
|
Blood Bag 450 ml. (single) |
155.00 |
124.00 |
|
Blood Culture / sensi (AGAPE) |
2,700.00 |
2,160.00 |
|
Blood Culture 2 sites Packages (AGAPE) |
4,900.00 |
3,920.00 |
|
Blood Donor Screening |
1,500.00 |
1,200.00 |
|
Blood Donor Screening (PNRC) |
1,800.00 |
1,440.00 |
|
BLOOD DONOR SCREENING (ZNMC) |
1,500.00 |
1,200.00 |
|
Blood Typing with Rh |
90.00 |
72.00 |
|
Body Fluid Aspirate Culture & Sensi (AGAPE) |
- |
|
|
BSMP (DJRMH) |
50.00 |
40.00 |
|
BUA |
95.00 |
76.00 |
|
BUN |
140.00 |
112.00 |
|
BUN (AGAPE) |
180.00 |
144.00 |
|
C3 (AGAPE) |
970.00 |
776.00 |
|
CA 125 (AGAPE) |
2,500.00 |
2,000.00 |
|
CA 19-9 (AGAPE) |
4,850.00 |
3,880.00 |
|
Calcium |
275.00 |
220.00 |
|
Calcium (Ionized) (AGAPE) |
900.00 |
720.00 |
|
Calcium Total (AGAPE) |
300.00 |
240.00 |
|
Cardiac Triage (AGAPE) |
3,900.00 |
3,120.00 |
|
Cardiac Triage Package (Trop T & pro BNP) AGAPE |
5,650.00 |
4,520.00 |
|
CBC only |
150.00 |
120.00 |
|
CBC with Platelet |
210.00 |
168.00 |
|
CBC with Platelet (AGAPE) |
250.00 |
200.00 |
|
CBC, PLT(AGAPE) |
250.00 |
200.00 |
|
CEA (AGAPE) |
2,000.00 |
1,600.00 |
|
Cell Block/ Cytology Biopsy (NORTH) + Professional Fee |
850.00 |
680.00 |
|
Cell Count and Diff count (Peritoneal Fluid) |
1,400.00 |
1,120.00 |
|
Chloride |
275.00 |
220.00 |
|
Chloride (AGAPE) |
380.00 |
304.00 |
|
Cholesterol |
95.00 |
76.00 |
|
Cholesterol (HDL) AGAPE |
300.00 |
240.00 |
|
Cholesterol (Total) AGAPE |
150.00 |
120.00 |
|
Creatinine |
135.00 |
108.00 |
|
Creatinine (AGAPE) |
150.00 |
120.00 |
|
Crossmatching |
70.00 |
56.00 |
|
CRP (C-Reactive Protein) AGAPE |
600.00 |
480.00 |
|
CSF Glucose (AGAPE) |
400.00 |
320.00 |
|
CSF Protein (AGAPE) |
700.00 |
560.00 |
|
CTBT (Clotting Time/Bleeding) |
70.00 |
56.00 |
|
Culture and Sensi (Wound Culture) (AGAPE) |
1,800.00 |
1,440.00 |
|
D-Dimer (AGAPE) |
2,500.00 |
2,000.00 |
|
DAT/Combs Test |
70.00 |
56.00 |
|
Dengue Antibody (AGAPE) |
1,500.00 |
1,200.00 |
|
Dengue Antibody Determination |
550.00 |
440.00 |
|
Dengue Dou Package (NS1 Ag, IgM, IgG) AGAPE |
1,500.00 |
1,200.00 |
|
Dengue NS1 Ag |
300.00 |
240.00 |
|
Dengue NS1 Package (OKD) |
1,800.00 |
1,440.00 |
|
Differential Count |
40.00 |
32.00 |
|
Discharge Culture & Sensitivity Test (AGAPE) |
2,150.00 |
1,720.00 |
|
ESR |
135.00 |
108.00 |
|
ESR (AGAPE) |
450.00 |
360.00 |
|
FBS |
95.00 |
76.00 |
|
Fecalysis (AGAPE) |
50.00 |
40.00 |
|
Fecalysis (AGAPE) |
30.00 |
24.00 |
|
Fecalysis only |
30.00 |
24.00 |
|
Fecalysis with Occult Blood |
130.00 |
104.00 |
|
FORMALIN 10% |
10.00 |
8.00 |
|
FORMALIN 10% 100 ml. |
16.30 |
13.04 |
|
FORMALIN 10% 1000 ml. |
163.00 |
130.40 |
|
FORMALIN 10% 150 ml. |
24.45 |
19.56 |
|
FORMALIN 10% 200 ml. |
32.60 |
26.08 |
|
FORMALIN 10% 250 ml. |
40.75 |
32.60 |
|
FORMALIN 10% 300 ml. |
48.90 |
39.12 |
|
FORMALIN 10% 350 ml. |
57.05 |
45.64 |
|
FORMALIN 10% 400 ml. |
65.20 |
52.16 |
|
FORMALIN 10% 500 ml. |
81.50 |
65.20 |
|
FORMALIN 10% 600 ml. |
97.80 |
78.24 |
|
FORMALIN 10% 700 ml. |
114.10 |
91.28 |
|
FORMALIN 10% 800 ml. |
130.40 |
104.32 |
|
FORMALIN 10% 90 ml. |
14.67 |
11.74 |
|
FORMALIN 10% 900 ml. |
146.70 |
117.36 |
|
Fresh Frozen Plasma/ Platelet Concentrate |
1,000.00 |
800.00 |
|
FT3 |
880.00 |
704.00 |
|
FT4 |
900.00 |
720.00 |
|
Gene expert |
- |
- |
|
GLOBULIN (djrmh) |
85.00 |
68.00 |
|
Glucose (FBS/RBS) AGAPE |
100.00 |
80.00 |
|
Gram Stain |
50.00 |
40.00 |
|
GS & CS Vaginal Discharge |
2,750.00 |
2,200.00 |
|
H. Pylori Determination |
295.00 |
236.00 |
|
H. Pylori Determination (AGAPE) |
500.00 |
400.00 |
|
Hba 1C |
792.00 |
633.60 |
|
Hba 1C (AGAPE) |
700.00 |
560.00 |
|
HBeAg (Quanti/Vidas) AGAPE |
1,600.00 |
1,280.00 |
|
HBs Ag |
185.00 |
148.00 |
|
HBsAg (Quanti/Vidas) AGAPE |
850.00 |
680.00 |
|
HCV |
330.00 |
264.00 |
|
HDL (AGAPE) |
300.00 |
240.00 |
|
HDL / LDL |
135.00 |
108.00 |
|
Hematocrit |
45.00 |
36.00 |
|
Hematocrit (AGAPE) |
50.00 |
40.00 |
|
Hemoglobin |
45.00 |
36.00 |
|
Hepatitis Profile |
6,480.00 |
5,184.00 |
|
Histopathology - Large |
2,000.00 |
1,600.00 |
|
HIV |
165.00 |
132.00 |
|
Ionized Calcium |
- |
|
|
KOH Preparation |
35.00 |
28.00 |
|
LDH (Agape) |
880.00 |
704.00 |
|
Lipase (AGAPE) |
1,800.00 |
1,440.00 |
|
Lipid Profile (Package) |
550.00 |
440.00 |
|
Magnesium (AGAPE) |
380.00 |
304.00 |
|
Micral Test (AGAPE) |
350.00 |
280.00 |
|
Microalbumin/Creatinine ratio (semi-quantitative) AGAPE |
600.00 |
480.00 |
|
Occult Blood (AGAPE) |
600.00 |
480.00 |
|
Occult Blood (AGAPE) |
450.00 |
360.00 |
|
Occult Blood only |
100.00 |
80.00 |
|
Oral Glucose Tolerance Test (OGGT) 75 grms. |
460.00 |
368.00 |
|
Oral Glucose Tolerance Test 50 grms. (SW) |
375.00 |
300.00 |
|
Packed Red Blood Cells |
1,500.00 |
1,200.00 |
|
Paragonimus |
- |
|
|
PBS (Bloodline) |
1,000.00 |
800.00 |
|
Peripheral Smear (OKD) |
1,200.00 |
960.00 |
|
Phosphorus (AGAPE) |
380.00 |
304.00 |
|
Platelet ATM Count Only |
115.00 |
92.00 |
|
PLATELET CONCENTRATE (ZANORTE) |
1,000.00 |
800.00 |
|
Pleural Fluid AFB smear (AGAPE) |
950.00 |
760.00 |
|
Pleural Fluid Analysis (Color, Character, Cell Count, Glucose, LDH) AGAPE |
1,900.00 |
1,520.00 |
|
Pleural Fuid culture&sensi (AGAPE) + Gram Stain |
2,700.00 |
2,160.00 |
|
Potassium (K plus) (AGAPE) |
380.00 |
304.00 |
|
POTASSIUM - GERONIMO |
450.00 |
360.00 |
|
Potassium K plus |
275.00 |
220.00 |
|
Pregnancy Test |
80.00 |
64.00 |
|
PRO BNP (Quanti-Vidas) AGAPE |
3,500.00 |
2,800.00 |
|
Prothrombin Time (INR) DerivedFibrinogen, Protime % Activity |
450.00 |
360.00 |
|
Protime (AGAPE) |
450.00 |
360.00 |
|
Protime (OKD) |
500.00 |
400.00 |
|
PSA |
330.00 |
264.00 |
|
PSA Quantitative (AGAPE) |
1,800.00 |
1,440.00 |
|
PTT (AGAPE) |
310.00 |
248.00 |
|
RBC Count (DJRMH) MC |
30.00 |
24.00 |
|
RBS /(Wet Method) |
95.00 |
76.00 |
|
RBS Strips |
85.00 |
68.00 |
|
Reticulocyte count |
150.00 |
120.00 |
|
Reticulocyte Count (AGAPE) |
300.00 |
240.00 |
|
Reticulocyte count (OKD) |
500.00 |
400.00 |
|
RHEUMATOID FACTOR (R.F) AGAPE) |
600.00 |
480.00 |
|
Salmonella |
600.00 |
480.00 |
|
Salmonella (AGAPE) |
700.00 |
560.00 |
|
Serum Proteins (TPAG - package) AGAPE |
500.00 |
400.00 |
|
SGOT (AST) |
125.00 |
100.00 |
|
SGOT (AST) AGAPE |
300.00 |
240.00 |
|
SGPT (ALT) |
115.50 |
92.40 |
|
SGPT (ALT) AGAPE |
300.00 |
240.00 |
|
Sodium & Potassium |
550.00 |
440.00 |
|
Sodium (AGAPE) |
380.00 |
304.00 |
|
Sodium (Na+) |
275.00 |
220.00 |
|
Sodium, Potassium & Calcium |
550.00 |
440.00 |
|
Sodium, Potassium (AGAPE) |
760.00 |
608.00 |
|
Sodium, Potassium, Chloride (AGAPE) |
760.00 |
608.00 |
|
Sputum Culture & Sensi (AGAPE) Endotracheal Asp. GS/CS |
1,980.00 |
1,584.00 |
|
Sputum Examination for P. Westermanii |
- |
- |
|
Stool Culture & Sensitivity Test (AGAPE) |
2,200.00 |
1,760.00 |
|
T3 (AGAPE) |
- |
- |
|
T3 (AGAPE) |
880.00 |
704.00 |
|
T4 (AGAPE) |
880.00 |
704.00 |
|
T4 (AGAPE, SNR.) |
704.00 |
563.20 |
|
Total Calcium (AGAPE) |
250.00 |
200.00 |
|
TOTAL PROTEIN (djrmh) |
85.00 |
68.00 |
|
Total Protein, AG Ratio (TPAG for body fluids) AGAPE |
1,200.00 |
960.00 |
|
Total Proteins (AGAPE) |
180.00 |
144.00 |
|
TPAG |
350.00 |
280.00 |
|
Triglycerides |
245.00 |
196.00 |
|
Triglycerides (AGAPE) |
300.00 |
240.00 |
|
Trop T (Quanti) AGAPE |
2,000.00 |
1,600.00 |
|
TROP-I (QUANTITATIVE-VIDAS) AGAPE |
2,250.00 |
1,800.00 |
|
Trop-I (rapid) AGAPE |
950.00 |
760.00 |
|
Troponin I |
331.20 |
264.96 |
|
Troponin T |
1,004.00 |
803.20 |
|
Troponin T (rapid) AGAPE |
1,300.00 |
1,040.00 |
|
TSH (AGAPE) |
950.00 |
760.00 |
|
TSH, T3, T4 (AGAPE) |
2,250.00 |
1,800.00 |
|
Typhidot (IgM & IgG) AGAPE |
700.00 |
560.00 |
|
Typhidot (IgM/IgG) OKD |
1,100.00 |
880.00 |
|
Urinalysis (U/A) |
50.00 |
40.00 |
|
Urinalysis Automated |
150.00 |
120.00 |
|
Urine Albumin |
45.00 |
36.00 |
|
Urine Albumin/Creatinine ratio (AGAPE) |
1,500.00 |
1,200.00 |
|
Urine Culture and Sensi (AGAPE) |
1,200.00 |
960.00 |
|
VDRL / RPR |
100.00 |
80.00 |
|
WBC |
40.00 |
32.00 |
|
WHOLE BLOOD |
1,800.00 |
1,440.00 |
|
Whole Blood (Blood Donor Screening) |
1,800.00 |
1,440.00 |
|
Wound Discharge or Abscess AFB / AFB Staining (Body Fluids & abscess) AGAPE |
950.00 |
760.00 |
|
Wound Discharge or Abscess AFB/AFB Staining )Body Fluids & Abscess (Sen. Citizen) AGAPE |
760.00 |
608.00 |
Commission on Audit
Civil Service Commission
Department of Health
Department of Budget and Management
Philippine Health Insurance Corporation
Government Social Security System
Bureau of Internal Revenue
PAGIBIG FUND