Service	Price (OUT-PATIENT)
CT Andiogram	Php 12,000.00
CT Brain & Facial Bones Plain	Php 9,500.00
CT Brain (Plain & Contrast)	Php 7,000.00
CT Brain (Sella, IAC, TMS, ORBITS)	Php 7,000.00
CT Brain (Sella, IAC, TMS, ORBITS) with Contrast	Php 10,000.00
CT Brain Completion	Php 2, 975.00
CT Brain Plain	Php 5,000.00
CT Chest (Plain & Contrast)	Php 10,500.00
CT Chest Plain	Php 5,500.00
CT Kidneys	Php 4,000.00
CT Lower Abdomen	Php 5,500.00
CT Lower Abdomen with Contrast	Php 10,000.00
CT Mastoid Plain	Php 6,100.00
CT Mylogram	Php 5,500.00
CT Nasopharynx Plain	Php 6,000.00
CT Neck Plain	Php 5,500.00
CT Neck with Contrast	Php 8,000.00
CT Orbits Plain	Php 6,000.00
CT Orbits with Contrast	Php 9,000.00
CT Paranasal CT Plain	Php 6,000.00
CT Paranasal with Contrast	Php 9,000.00
CT Pituitary (Plain)	Php 4,500.00
CT Sella Turcica	Php 6,000.00
CT Sinuses Coronal	Php 4,500.00
CT Spine 2-3 Level	Php 4,500.00
CT Spine 4-5 Level	Php 5,000.00
CT Upper Abdmomen (Plain)	Php 6,000.00
CT Upper Abdmomen with Contrast	Php 9,000.00
CT Whole Abdmomen (Plain)	Php 10,000.00
CT Whole Abdmomen with Contrast	Php 13,500.00
CT Stonography	Php 10,000.00
CT Thoraco-Lumbar Plain	Php 17,300.00
CT Whole Abdomen Triple Contrast	Php 15,000.00
CT Whole Abdomen Triphasic	Php 17,000.00
CT Lumbar Spine	Php 9,500.00
CT Lower Spine	Php 5,000.00
CT Knee Plain	Php 5,500.00
CT Knee (Contrast)	Php 7,000.00
CT Shoulder (Contrast)	Php 7,000.00

Service	Price (OUT-PATIENT)
Abdomen Flatplate	Php 300.00
Abdomen Flatplate & Upright	Php 600.00
Abdomen Lateral Decubitus	Php 3500.00
Abdomen Oblique	Php 300.00
Abdomen Upright	Php 300.00
Ankle AP	Php 260.00
Ankle AP & Lateral	Php 450.00
Ankle Lateral	Php 250.00
Ankle Mortise	Php 250.00
Arm AP	Php 300.00
Arm AP & Lateral	Php 520.00
Arm Lateral	Php 300.00
Barium Enema	Php 3,500.00
Barium Swallow with Esophacoraphy	Php 2,000.00
Caldwells view	Php 300.00
Cervical Spine (Complete) AP,LAT. & Both Oblique	Php 1,000.00
Cervical Spine AP	Php 250.00
Cervical Spine AP & LAT	Php 520.00
Cervical Spine APL & OPEN MOUTH	Php 720.00
Cervical Spine Lateral	Php 250.00
Chest Apicolordotic View	Php 250.00
Chest Lateral	Php 250.00
Chest Lateral Decubitus	Php 250.00
Chest AP/PA	Php 250.00
Chest PAL/APL	Php 520.00
Chest Pediatric 5y 0 Lateral	Php 250.00
Chest Pediatric 5y 0 PA/AP	Php 250.00
Chest Pediatric 5y 0 PA/AP &Lateral	Php 520.00
Clavicle	Php 250.00
Digits AP	Php 250.00
Digits AP & LATERAL	Php 480.00
Elbow AP	Php 520.00
Elbow AP & Lateral	Php 400.00
Elbow Lateral	Php 240.00
Foot AP	Php 250.00
Foot AP & Lateral	Php 420.00
Foot AP & Oblique	Php 420.00
Foot Oblique	Php 250.00
Foot Lateral	Php 250.00
Forearm AP	Php 300.00
Forearm AP & LATERAL	Php 500.00
Forearm Lateral	Php 300.00
Hand Oblique	Php 250.00
Hand Lateral	Php 250.00
Hand PA/AP	Php 250.00
Hand PA/AP & LATERAL	Php 450.00
Hand PA/AP & Oblique	Php 450.00
Hip Lateral	Php 300.00
Hip AP	Php 300.00
Hip AP & Lateral	Php 420.00
Intravenous Pyelography	Php 2,000.00
(Both) Knee AP & LATERAL	Php 800.00
Knee AP	Php 300.00
Knee AP and LATERAL	Php 400.00
Knee LATERAL	Php 300.00
Kub Xray	Php 300.00
Leg AP	Php 350.00
Leg AP & LATERAL	Php 550.00
Leg LATERAL	Php 350.00
Lumbar Spine AP	Php 275.00
Lumbar Spine AP & LATERAL	Php 480.00
Lumbar Spine Oblique	Php 275.00
Lumbar Spine LATERAL	Php 275.00
Lumbo-Sacral Spine AP	Php 300.00
Lumbo-Sacral Spine AP & LATERAL	Php 480.00
Lumbo-Sacral Spine Oblique	Php 300.00
Lumbo-Sacral Spine Lateral	Php 300.00
Mandible Oblique	Php 250.00
Mandible AP/PA	Php 250.00
Mastoid Series	Php 900.00
Myelography	Php 1,300.00
Nasal Bone Lateral	Php 250.00
Neck AP	Php 250.00
Neck LATERAL	Php 250.00
Paranasal:Waters, Caldwell, Lateral	Php 750.00
Pelvis AP	Php 340.00
Sacrum Lateral	Php 250.00
Sacrum AP	Php 250.00
Scoliosis Series	Php 2,200.00
Shoulder Oblique	Php 300.00
Shoulder AP	Php 300.00
Shoulder AP:INT. & EXT.ROTATION	Php 480.00
Scapular Y	Php 300.00
Skull AP	Php 300.00
Skull AP & LATERAL	Php 480.00
Skull LATERAL	Php 300.00
Temporomadisular Joint AP	Php 250.00
Temporomadisular Joint AP/PA & LATERAL	Php 500.00
Thigh AP	Php 300.00
Thigh AP & LATERAL	Php 500.00
Thigh LATERAL	Php 300.00
Thoracic Spine AP	Php 300.00
Thoracic Spine AP & LATERAL	Php 500.00
Thoracic Spine Oblique	Php 300.00
Thoracic Spine LATERAL	Php 300.00
Thoraco-Lumbar Oblique	Php 480.00
Thoraco-Lumbar AP	Php 480.00
Thoraco-Lumbar AP & LATERAL	Php 960.00
Thoraco-Lumbar LATERAL	Php 480.00
Townes View	Php 260.00
Upper Gastrointestinal Series	Php 900.00
Waters View	Php 250.00
Wrist Lateral	Php 240.00
Wrist AP/PA	Php 240.00
Wrist AP/PA & LATERAL	Php 420.00
X-ray Intraoperative Cholangiogram	Php 1,800.00
Portable Fee	Php 1,000.00

Service	Price (OUT-PATIENT)
(L) or (R) Breast	Php 1,000.00
(Both) Hemithorax	Php 1,300.00
(L) or (R) Hemithorax	Php 1,000.00
Cranial	Php 800.00
Eye	Php 1,000.00
Fetal Evaluation, BPP	Php850.00
HBT	Php 750.00
Inguinal Area	Php 800.00
Kidney and Pelvis	Php 900.00
KUB/PELVIS W/POST VOIDING	Php 1,000.00
KUBP W/POST VOIDING	Php 1,000.00
Liver	Php 900.00
Lower Abdomen w/Appendix	Php 1,100.00
Prostate	Php 500.00
Vascular Survey (L) or (R)	Php 3,000.00
Whole Abdomen w/ Appendix/post void	Php 1,600.00
Small Parts	Php 550.00
Trans Abdominal	Php 900.00
Trans Rectal	Php 750.00
Trans Vaginal	Php 800.00
Upper Abdomen	Php 1,100.00
Whole Abdomen	Php 1,500.00
(BOTH) Breast	Php 1,500.00
Gallbladder	Php 500.00
KUB	Php 800.00
KUB and PELVIC	Php 900.00
KUBP	Php 950.00
LEG	Php 1,175.00
Lower Abdomen	Php 1,000.00
Neck	Php 900.00
Parotoid	Php 90.00
Scrotum	Php 900.00