Last Updated: 11 January 2024
Ordinance No. 2023-626
| HEMATOLOGY | |
| CBC (Manual) | 250.00 |
| CBC Automated with platelet | 420.00 |
| Platelet Count (manual) | 100.00 |
| Platelet Count automated | 250.00 |
| Hemoglobin determination automated | 250.00 |
| Hematocrit (manual) | 100.00 |
| Hematocrit determination automated | 250.00 |
| Hematocrit (POCT) strips | 250.00 |
| Clotting time & Bleeding time | 75.00 |
| Reticulocyte Count | 350.00 |
| ESR Determination | 250.00 |
| Peripheral smear determination | 250.00 |
| APTT (Activated Plasma Thromboplastin Time) | 800.00 |
| Prothrombin Time | 800.00 |
| CLINICAL CHEMISTRY | |
| FBS (Fasting Blood Sugar) | 220.00 |
| RBS (Random Blood Sugar) | 150.00 |
| Oral Glucose Tolerance Test | 700.00 |
| BUN Determination | 250.00 |
| Cholesterol Determination | 250.00 |
| Triglycerides Determination | 320.00 |
| HDL Determination | 350.00 |
| Lactate Dehydrogenase | 300.00 |
| Lipase | 500.00 |
| Gamma Glutamyl Transferase | 800.00 |
| Amylase Determination | 400.00 |
| Bilirubin (Direct) Determination | 400.00 |
| Bilirubin (Indirect) Determination | 400.00 |
| Bilirubin (Total) Determination | 400.00 |
| Creatinine Kinase Determination | 650.00 |
| Creatinine Determination | 300.00 |
| ALT/SGPT Determination | 275.00 |
| ALT/SGOT Determination | 275.00 |
| Uric Acid Determination | 300.00 |
| Total Protein Determination | 350.00 |
| Albumin Determination | 350.00 |
| Globulin Determination | 350.00 |
| TPAG Determination | 750.00 |
| Phosphorus Determination | 350.00 |
| Alkaline Phosphatase Determination | 350.00 |
| Electrolyte Studies | 300.00 |
| Sodium | 320.00 |
| Potassium | 320.00 |
| Chloride | 320.00 |
| Total Calcium | 320.00 |
| Ionized Calcium | 320.00 |
| Magnesium | 600.00 |
| Lipid Profile Determination | 750.00 |
| Glycosylated Hemoglobin Determination | 1,000.00 |
| CLINICAL MICROSCOPY | |
| Automated Urinalysis | 250.00 |
| Urinalysis | 75.00 |
| Urine Ketones, Urobilinogen (10p’S) | 300.00 |
| Pregnancy Test | 180.00 |
| Serum Pregnancy Test | 200.00 |
| Sperm Count/ Identification | 250.00 |
| Fetal Occult Blood Test | 300.00 |
| Stool Exam | 75.00 |
| BACTERIOLOGY | |
| Gram Staining | 200.00 |
| AFB Staining | 150.00 |
| KOH WET MOUNT | 200.00 |
| Culture and Sensitivity | 2,000.00 |
| Water Bacteriology | 1,000.00 |
| Malaria Smear (ICT) | 500.00 |
| Malaria Smear | 150.00 |
| IMMUNOLOGY/ SEROLOGY | |
| T4 Determination | 800.00 |
| T3 Determination | 800.00 |
| TSH Determination | 900.00 |
| FT3 Determination | 800.00 |
| FT4 Determination | 900.00 |
| RPR/VDRL (ICT) | 500.00 |
| Syphilis (Quantitative) | 800.00 |
| Hepatitis B surface Antigen (HBsAg) | 250.00 |
| Hepatitis B surface Antigen (Quantitative) | 800.00 |
| Hepatitis C (Quantitative) | 1,000.00 |
| Hepatitis C (ICT) | 700.00 |
| HAV igM | 800.00 |
| H. Pylori Determination | 700.00 |
| Troponin Quantitative | 1,500.00 |
| Troponin ICT | 1,000.00 |
| Carcino Embryonic Antigen (CEA) | 900.00 |
| Alpha Feto Protein | 800.00 |
| Prostatic Surface Antigen (ICT) | 700.00 |
| Prostatic Surface Antigen (Quantitative) | 1,000.00 |
| CA 125 | 1,800.00 |
| CA 153 | 1,800.00 |
| CA 19-9 | 1,800.00 |
| CEA | 1,000.00 |
| Cortisol | 1,000.00 |
| D dimer | 2,000.00 |
| Hepatitis B profile | 3,500.00 |
| Anti Hbs | 800.00 |
| HBsAg | 800.00 |
| Anti Hbe | 800.00 |
| Hbe Ag | 800.00 |
| Anti Hbc | 800.00 |
| HIV Test (ICT) | 800.00 |
| HIV Test (Quantitative) | 1,000.00 |
| Ferritin (seum) | 1,200.00 |
| Vit B12 | 1,000.00 |
| Folate | 1,000.00 |
| Typhidot | 600.00 |
| Dengue NS1 | 900.00 |
| Dengue Dou | 800.00 |
| ASO Determination | 450.00 |
| Covid Antigen Test | 650.00 |
| Covid-19 RTPCR (Donated) | 250.00 |
| Covid-19 RTPCR (Procured) | 2,000.00 |
| Rheumatoid Factor | 350.00 |