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Laoag City Hospital Revenue Code of 2013 Amendment


Republic of the Philippines
Province of Ilocos Norte
CITY OF LAOAG
SANGGUNIANG PANLUNGSOD
EXCERPT FROM THE RECORD OF PROCEEDINGS OF THE 3rd REGULAR SESSION OF THE 10th SANGGUNIANG PANLUNGSOD OF LAOAG HELD AT the sangguniang panlungsod session hall, LAOAG CITY ON JULY 18, 2016.
PRESENT:
1.     Hon. Franklin Dante A. Respicio     S.P. Member & Temporary Presiding Officer
2.     Hon. Roger John C. Fariñas II          S.P. Member
3.     Hon. Handy T. Lao                           S.P. Member
4.     Hon. Portia Pamela R. Salenda         S.P. Member
5.     Hon. Shirley Ong Sin                       S.P. Member
6.     Hon. Roque B. Ablan                       S.P. Member
7.     Hon. Ferdinand L. Domingo              S.P. Member
8.     Hon. Edison H. Bonoan                    S.P. Member
9.     Hon. Justine Clarence Chua             S.P. Member
10.  Hon. Edison A. Siazon                     S.P. Member
11.  Hon. Mikee V. Fariñas                      S.P. Member (ABC Rep.)
ABSENT:
12.  Hon. Michael V. Fariñas  City Vice-Mayor/ Presiding Officer

WHEREAS, the newly upgraded Laoag City General Hospital is one of the most modern hospitals that is operating in the Province of Ilocos Norte;

WHEREAS, the Laoag City General Hospital (LCGH) is an Economic Enterprise under City Government of  Laoag pursuant to City Ordinance No. 2008-062 “ Declaring the LCGH as an Economic Enterprise of the City of Laoag”;

WHEREAS, as an Economic Enterprise, the Laoag City General Hospital is dependent on its own revenue for its day to day operations

WHEREAS,  the LCGH bases its revenue collections pursuant to City Ordinance No. 2009-038 otherwise known as “The Hospital Revenue Code of 2009” as amended by CO 2010-007, CO 2011-001, and CO 2011-014 and CO 2014-118;

WHEREAS, the ever increasing demands of quality service in the hospital now necessitate the amendment to Chapter 4, Article A, Sections 7.2 and 7.3 which are the Schedule of Fees and Charges at the Laboratory and Hematology Section as well as the Radiology Examination and Procedures, especially with the recent acquisition of the Magnetic Resonance Imaging (MRI) for the hospital;

WHEREFORE, upon motion of Committee on Ways and Means, Chaired by Hon. Shirley Ong Sin, Co-Sponsored by the Committee on Health and Public Sanitation Chaired by Hon. Edison A. Siazon, duly seconded by Hon. Hon. Portia Pamela R. Salenda, the Body with members present;

RESOLVED as it is hereby Resolved, to ENACT

CITY ORDINANCE NO. 2016-057
Series 2016
AN ORDINANCE AMENDING CITY ORDINANCE NO. 2014-118 OTHERWISE KNOWN AS “AN ORDINANCE AMENDING THE HOSPITAL REVENUE CODE OF 2013 OF THE LAOAG CITY GENERAL HOSPITAL”
Be It Enacted That:
Section 1. Chapter 4, Art. A Section 7.2 of City Ordinance No. 2009-038 otherwise known as “Hospital Revenue Code of 2009 of the Laoag City General Hospital” is hereby amended to read as follows:
Chapter 4
ARTICLE A. SCHEDULE OF FEES AND CHARGES
7.2 LABORATORY RATES and FEES
Procedure
Prevailing Rate
Proposed Rates
Reading Fee
HEMATOLOGY



ABO-Rh Typing
120.00
125.00

Aptt
475.00
480.00

Bleeding Time (BT)
50.00
55.00

Complete Blood Count (CBC)
180.00
185.00

Clotting Time (CT)
65.00
70.00

Erythrocyte Sedimentation Rate (ESR)
95.00
125.00

Hematocrit
120.00
185.00

Hemoglobin
180.00
185.00

Peripheral Blood Smear (PBS)
75.00
150.00

Platelet Count
180.00
185.00

Protime (PT w/ INR)
520.00
525.00

Reticulocyte Count (Manual)
160.00
175.00

Rbc Indices
NEW
185.00

WBC Differential Count
NEW
185.00

Blood Smear Staining (per slide)
NEW
80.00

Therapeutic Phlebotomy
NEW
350.00

BLOOD BANK



*Gel Typing



*Complete Cross Matching
600.00
650.00

*Direct Coombs Test
300.00
305.00

*Indirect Coombs Test
300.00
305.00

Cross Matching (Manual)
325.00
330.00

CLINICAL MICROSCOPY



URINE SPECIMEN



Inclusive Urine Container



Pregnancy Test
115.00
120.00

Routine Urinalysis (Adult)
60.00
70.00

Urine Glucose (Adult)
60.00
70.00

Urine Ketone (Adult)
60.00
70.00

Urine Protein (Adult)
60.00
70.00

Urine Miroalbumin (Adult) Strip
250.00
275.00

Routine Urinalysis (Pedia)
65.00
75.00

Urine Glucose (Pedia)
65.00
75.00

Urine Ketone (Pedia)
65.00
75.00

Urine Protein (Pedia)
65.00
75.00

Urine Miroalbumin (Pedia) Strip
250.00
280.00

STOOL SPECIMEN



inclusive Stool Container



Fetal Occult Blood (FOB)
110.00
120.00

Routine Stool Exam
75.00
80.00

Stool Concentration Technique
250.00
300.00

OTHER SPECIMEN



inclusive Container or Slide



Seminal Fluid Analysis
160.00
225.00

Malarial Smear
110.00
150.00





MICROBIOLOGY



inclusive Slide



Acid Fast Bacili (AFB)
75.00
85.00

Gram Stain Test
75.00
85.00

KOH
75.00
85.00

India Ink
75.00
85.00





HISPATHOLOGY



per slide



Pap Smear
75.00
80.00
150.00
Cytology
75.00
80.00
500.00
Fine Needle Biopsy (FNAB)
75.00
80.00
500.00
Note: Php 500.00 per patient per 6 slides in excess of 6 slides Php 100.00 per slide for




Specimen with Formalin



Category –I     (5-10 ml Formalin)
50.00
100.00

Category –II    (11-50 ml Formalin)
100.00
150.00

Category –III  (51-100 ml Formalin)
150.00
200.00

Category – IV (101-250 ml Formalin)
200.00
250.00

Category –V   (251 & above Formalin)
NEW
300.00





IMMUNOLOGY & SEROLOGY



Rapid Test



Anti-HBs
400.00
405.00

Anti-HCV
250.00
255.00

Chikungunya lgM
700.00
705.00

Dengue lgM
500.00
505.00

Dengue ns1
900.00
905.00

Dengue Duo (ns1 w/ lgG/lgM)
1,300.00
1,310.00

HAV – lgG/lgM
500.00
505.00

HBsAg (Screening)
135.00
140.00

HIV ½ (Screening)
230.00
275.00

Leptospira
550.00
560.00

RPR/VDRL
150.00
170.00

Salmonella typhi lgG/lgM
550.00
450.00

Serum Pregnancy Test
150.00
160.00





Latex



ASO (Latex)
175.00
180.00

CRP (Latex)
175.00
180.00

RF (Latex)
175.00
180.00

Widals Test (Latex)
175.00
180.00





Fully Automated (CLIA)



Thyroid Function Test



T3
500.00
505.00

T4
500.00
505.00

TSH
500.00
510.00

FT3
500.00
510.00

FT4
500.00
510.00





Tumor Marker



AFP
NEW
875.00

CEA
NEW
875.00

CA 125
NEW
1,450.00

PSA
NEW
875.00





CARDIAC MARKER



Troponin I (Quantitative)
NEW
1,300.00

Troponin I (Qualitative)
920.00
700.00

Troponin T (Qualitative)
920.00
920.00





NEWBORN SCREENING



Basic NBS
600.00
600.00

Expanded NBS
1,550.00
1,550.00





DRUG TESTING



with Urine Container



Dual Drug Testing (Met/THC)
200.00
215.00





CLINICAL CHEMISTRY



Albumin
140.00
145.00

Alkaline Phosphatase (ALP)
190.00
195.00

Amylase
950.00
230.00

Arterial Blood Gas (ABG)
inclusive 1 Blood Sampler & Needle
950.00
975.00

Bilirubin – Direct
170.00
175.00

Bilirubin – Total
175.00
180.00

Blood Uric Acid (BUA)
150.00
155.00

Blood Urea Nitrogen (BUN)
150.00
155.00

Calcium – Ionized
150.00
155.00

Calcium – Total
150.00
155.00

Chloride
120.00
125.00

Cholesterol – LDL
320.00
350.00

Cholesterol – HDL
210.00
240.00

Cholesterol – Total
150.00
155.00

CK-MB
425.00
430.00

Creatinine
160.00
165.00

Fasting Blood Sugar (FBS)
150.00
150.00

GGT
NEW
175.00

Glycosylated Hemoglobin (HbA1c)
850.00
900.00

Capillary Blood Sugar (Hgt) –
inclusive 1 pricker
90.00
85.00

LDH
230.00
240.00

Lipase
265.00
270.00

Magnesium
225.00
235.00

Oral Glucose Tolerance Test (OGTT-3)
Inclusive 1 Oral Glucose Solution
400.00
610.00

Oral Glucose Challenge Test (OGCT-2)
Inclusive 1 Oral Glucose Solution
300.00
310.00

Phosphorus
225.00
240.00

Potassium
125.00
125.00

Random Blood Sugar
150.00
150.00

SGOT / AST
165.00
170.00

SGPT / ALT
165.00
170.00

Sodium
120.00
125.00

Spot Urine
NEW
550.00

Total Protein
150.00
155.00

Total Protein Albumin Globulin Ratio (TPA/G Ratio)
380.00
380.00

Triglycerides
185.00
190.00

Two Hour Post Prandial Blood Sugar (2HPPBS)
150.00
150.00

Urine Creatinine
NEW
175.00

Urine Potassium
NEW
175.00

Urine Microalbumin
NEW
350.00





CLINICAL CHEMISTRY PROFILE



DIABETIC PROFILE
NEW
1,450.00

HbA1C



FBS



OGTT



KIDNEY PROFILE
NEW
275.00

Creatinine



Blood Urea Nitrogen (BUN)



LIPID PROFILE
650.00
700.00

Cholesterol - LDL



Cholesterol – HDL



Cholesterol – Total



Triglycerides



VLDL



LIVER PROFILE
NEW
850.00

Alkaline Phosphatase (ALP)



SGOT / AST



SGPT / ALT



Total Protein Albumin Globulin Ratio (TPA/G Ratio)







PANCREATIC PROFILE
New
375.00

Amylase



Lipase




OTHER LABORATORY FEES



Applicator Stick

1.00

Blood Bag (Double Bag)

350.00

Blood Collecting Tube (BLACK)

15.00

Blood Collecting Tube (BLUE) 2.7 ml

15.00

Blood Collecting Tube (GOLD)

20.00

Blood Collecting Tube (GREEN)

20.00

Blood Collecting Tube (VIOLET)-Plastic

15.00

Blood Sampler with Needle
100.00
110.00

Cotton Tipped Applicator (Steriled)
4.00
8.00

Disposable Syringe – 3cc/g23 (TERUMO)
10.00
10.00

Disposable Syringe – 5cc/g23 (TERUMO)
12.00
15.00

Exam Gloves (Non-Sterile) – Small

10.00

Exam Gloves (Non-Sterile) – Medium

10.00

Facemasks-Earlobe (3ply)

5.00

Frosted Slide

3.00

Glucose Tolerance Test Beverage

160.00

Lancet (Plastic)

2.00

Microtainer Tube (EDTA-Violet Top)

20.00

Needle –g23 (TERUMO)

5.00

Needle –g25 (TERUMO)

5.00

Pediatric Urine Collector
8.00
10.00

Stool Container
5.00
6.00

Urine Container (Adult)
5.00
8.00

Retrieval /Duplicate Copy (per page)
20.00
20.00

Send-out Fee (per specimen)
50.00
10.00





Hispathology Container



Small Histopath plastic container (screw cap)
NEW
15.00

Medium Histopath plastic container (screw cap)
NEW
25.00

Large Histopath plastic container (screw cap)
NEW
40.00

Extra Large Histopath plastic container (screw cap)
NEW
50.00





·         Less 10% to Laboratories with MOA to the Laboratory of Laoag City General
·         Lest 15% to Companies/Groups securing their laboratory examination at the Laoag City General Hospital
·         Additional 40% for STAT FEE








Section 2. Chapter 4, Art. A Section 7.3 of City Ordinance No. 2013-030 otherwise known as “Hospital Revenue Code of 2009 of the Laoag City General Hospital” is hereby amended to incorporate the following:

7.3 RADIOLOGY EXAMINATIONS/PROCEDURES

MRI FEES/CHARGES







PROCEDURE
PROCEDURE COST
READING FEE
TOTAL COST
NONCONTRAST STUDIES



Brain
7,500.00
1,500.00
9,000.00
Brain with MRA/MRV
8,500.00
1,700.00
10,200.00
Brain with MRA and MRV
9,500.00
1,900.00
11,400.00
Orbit/Temporal/TMJ/PNS/IAC
7,500.00
1,500.00
9,000.00
Cervical Spine
8,000.00
1,600.00
9,600.00
Thoracic Spine
9,000.00
1,800.00
10,800.00
Lumbar Spine
8,000.00
1,600.00
9,600.00
Joint (Shoulder/Elbow/Wrist/Hip/Knee/Ankle
8,500.00
1,700.00
10,200.00
Extremity
8,500.00
1,700.00
10,200.00
MRCP
9,000.00
1,800.00
10,800.00
Pelvis
7,000.00
1,400.00
8,400.00
Pituitary/Sella
6,500.00
1,400.00
7,900.00
Whole Spine
19,000.00
3,800.00
22,800.00
CONTRAST PROCEDURES



Brain
11,000.00
3,000.00
14,000.00
Orbit/Temporal/TMJ/PNS/IAC
11,000.00
3,000.00
14,000.00
Cervical Spine
12,000.00
3,500.00
15,500.00
Thoracic Spine
14,000.00
3,500.00
17,500.00
Lumbar Spine
12,000.00
3,500.00
15,500.00
Joint (Shoulder/Elbow/Wrist/Hip/Knee/Ankle
13,000.00
3,500.00
16,500.00
Extremity
13,000.00
3,500.00
16,500.00
Brain with MRA &/ OR MRV
14,000.00
3,500.00
17,500.00
Pelvis
8,000.00
1,900.00
9,900.00
Pituitary/Sella
7,500.00
2,000.00
9,500.00
Whole Spine
22,000.00
4,500.00
26,500.00




*Charges are exclusive of cost of contrast material and other incidental supplies for contrast studies.
*Additional P500 ON CALL fee for Radiologic Technologist
*Additional P1000 STAT fee for Radiologist
*Additional P1000 STAT fee for Pediatric/Internal Med/Anesthesia Specialist if services are warranted.
Section 3. Any Ordinance or part thereof inconsistent with any of the provisions of this Ordinance is hereby repealed or amended accordingly.
Section 4. This Ordinance shall take effect at the end of posting as provided in Sec. 511 of RA 7160.
Carried.
Approved this 18th day of July, 2016, by the members of the Sangguniang Panlungsod present with the following votes:
Those In Favor: Lao, Salenda, Sin, Domingo, Bonoan, Siazon, Mikee Fariñas.
Nays: Chua
Abstentions:  R.J. Fariñas II: “Mr. Chair, I haven’t further read the ordinance Mr. Chair, that’s why I did not vote, Mr. Chair.”
R.B. Ablan:  “Same reason Mr. Chairman, I want to vote but I am not really keen to.”
I HEREBY CERTIFY that the foregoing is a true, correct, and faithful excerpt from the Record of Proceedings of the 3rd Regular Session of the 10th Sangguniang Panlungsod held at the Sangguniang Panlungsod Session Hall, Laoag City on July 18, 2016.

(SGD) ENRICO A. AURELIO
Secretary to the Sanggunian

Attested: (SGD) FRANKLIN DANTE A. RESPICIO
S.P. Member & Temporary Presiding Officer


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