Hospital Services
MEDICINES AND SUPPLIES
CT-SCAN
| CT SCAN PROCEDURES | PLAIN | PLAIN + CONTRAST | ||
|---|---|---|---|---|
| CONTRAST | ||||
| ULTRAVIST | IOHEXOL/ | SCANLUX | ||
| (P2,347.00) | OMNIHEXOL | (P1,600.00) | ||
| (P1,600.00) | ||||
| CRANIAL | P 1,600.00 | P 3,947.00 | P 3,200.00 | P 3,200.00 |
| FACIAL BONES | P 1,600.00 | P 3,947.00 | P 3,200.00 | P 3,200.00 |
| ORBITS | P 1,600.00 | P 3,947.00 | P 3,200.00 | P 3,200.00 |
| PARANASAL SINUSES | P 1,850.00 | P 4,197.00 | P 3,450.00 | P 3,450.00 |
| TEMPORAL BONES AND MASTOIDS | P 1,850.00 | P 4,197.00 | P 3,450.00 | P 3,450.00 |
| FACIAL/MIDFACE/ | P 1,850.00 | P 4,197.00 | P 3,450.00 | P 3,450.00 |
| MAXILLARY/MANDIBLE | ||||
| PITUITARY GLAND | P 1,850.00 | P 4,197.00 | P 3,450.00 | P 3,450.00 |
| PITUITARY/SELLA | P 1,850.00 | P 4,197.00 | P 3,450.00 | P 3,450.00 |
| NECK | P 1,750.00 | P 4,097.00 | P 3,350.00 | P 3,350.00 |
| NASOPHARYNX | P 1,850.00 | P 4,197.00 | P 3,450.00 | P 3,450.00 |
| NASOPHARYNX/MIDFACE | P 1,850.00 | P 4,197.00 | P 3,450.00 | P 3,450.00 |
| NASOPHARYNX/NECK | P 1,850.00 | P 4,197.00 | P 3,450.00 | P 3,450.00 |
| HIGH RESOLUTION CHEST X-RAY | P 1,850.00 | P 4,197.00 | P 3,450.00 | P 3,450.00 |
| CHEST/LUNG HIRES | P 1,850.00 | P 4,197.00 | P 3,450.00 | P 3,450.00 |
| WHOLE ABDOMEN | P 2,850.00 | P 5,197.00 | P 4,450.00 | P 4,450.00 |
| UPPER ABDOMEN | P 1,850.00 | P 4,197.00 | P 3,450.00 | P 3,450.00 |
| LOWER ABDOMEN | P 1,850.00 | P 4,197.00 | P 3,450.00 | P 3,450.00 |
| CT STONOGRAM | P 1,350.00 | P 3,697.00 | P 2,950.00 | P 2,950.00 |
| KIDNEYS, ADRENALS, LIVER, PANCREAS AND SPLEEN | P 1,850.00 | P 4,197.00 | P 3,450.00 | P 3,450.00 |
| CERVICAL SPINE | P 2,100.00 | P 4,447.00 | P3,700.00 | P3,700.00 |
| THORACIC SPINE | P 2,100.00 | P 4,447.00 | P 3,700.00 | P 3,700.00 |
| THORACOLUMBAR | P 3,200.00 | P 5,547.00 | P 4,800.00 | P 4,800.00 |
| LUMBAR | P 3,100.00 | P 5,447.00 | P 4,700.00 | P 4,700.00 |
| LUMBOSACRAL | P 3,100.00 | P 5,447.00 | P 4,700.00 | P 4,700.00 |
| 1 EXTREMITY ONLY | P 1,750.00 | P 4,097.00 | P 3,350.00 | P 3,350.00 |
| CT GUIDED BIOPSY | P 1,600.00 | P 3,947.00 | P 3,200.00 | P 3,200.00 |
| CT ANGIOGRAPHY | P 3,850.00 | P 6,197.00 | P 5,450.00 | P 5,450.00 |
| CT MYELOGRAM | P 3,200.00 | P 5,547.00 | P 4,800.00 | P 4,800.00 |
| TRIPHASE | ||||
| UPPER ABDOMEN | P 5,600.00 | P 5,600.00 | ||
| LIVER/PANCREAS | P 4,800.00 | P 4,800.00 | ||
| WHOLE ABDOMEN | P 6,800.00 | P 6,800.00 | ||
| ANGIOGRAM W/100CC CONTRAST | ||||
| HEAD | P 5,040.00 | P 5,040.00 | ||
| RENAL | P 5,040.00 | P 5,040.00 | ||
| PULMONARY | P 5,040.00 | P 5,040.00 |