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CITY ORDINANCE NO. 2011-023 (REVENUE CODE OF LAOAG CITY GENERAL HOSPITAL)



Republic of the Philippines

Province of Ilocos Norte
CITY OF LAOAG
OFFICE OF THE SANGGUNIANG PANLUNGSOD


WHEREAS, City Ordinance No. 2008-062, amended by CO 2010-029, declared the Laoag City General Hospital as an Economic Enterprise pursuant to law;
WHEREAS, City Ordinance 2009-038 “created the Hospital Revenue Code of 2009” to provide the legal basis to charge and collect fees and charges for the services availed and pursuant to the mandate of local government units to create their own sources of revenue and to levy taxes, fees and charges;
WHEREAS, the same hospital revenue code has been amended by CO 2010-007, CO 2011-001, and CO 2011-014 creating a situation which could result to difficulties or confusion as to which is to be used as an accurate point of reference;
WHEREAS, there is a need to address such concern for which the only remedy is to legislate just one final Hospital Revenue Code of 2011;
WHEREFORE, upon motion of the Chairman, Committees on Health, Hon. Francis Manolito B. Dacuycuy with the joint sponsorship of the Committee on Ways and Means, and Finance, duly seconded by Hon. Sonia B. Siazon, the Body with members present,
RESOLVED as it is hereby Resolved, to ENACT
CITY ORDINANCE NO. 2011-023
Series of 2011
AN ORDINANCE ENACTING THE 2011 HOSPITAL REVENUE CODE OF LAOAG CITY GENERAL HOSPITAL.
Be It Enacted That:
CHAPTER I
ARTICLE  A. GENERAL PROVISIONS
Section 1.Short Title- This Ordinance shall be known as the “2011 Hospital Revenue Code of the Laoag City General Hospital.”
ARTICLE B.  DEFINITION OF TERMS
Section 2. Definitions – When used in this Code
Charges – refers to pecuniary liability, as fees against persons, business entities involved in health, provision both in government and in the private sector such as private health care providers, insurance companies, the PhilHealth Insurance, Inc., Social Security System, GSIS, and private business entities.
Fee- a charge fixed by law or ordinance relevant to the use of hospital facilities,
Services- the duties, work or functions performed, discharged by hospital employees or officers
Revenue – includes fees and charges that a state or a political subdivision collects and receives into the treasury for public purposes.
Pay patients- a category of patients determined and classified by virtue of their capability to pay hospital fees and charges
Service patient/s - a category of patients determined and classified by virtue of their incapability to pay hospital fees and charges.
Socialized fees – structured charges determined and exacted from hospital clients based on the socioeconomic capability of clients to pay.
Rental Fee – a determined amount, charged and lawfully exacted by the Local Government of Laoag City for the use of space, property and other non-medical facilities located within the premises of the LCGH and are considered as duly accounted revenues of the hospital and its operation.
Health Care Provider – a business entity that offers health care benefits/insurance to its clients.
Specialist – a physician who underwent residency training for a particular field of medicine in a DOH accredited training hospital.

CHAPTER 2
ARTICLE A. RULE ON VISITING MEDICAL SPECIALISTS
Section 3. The City Government of Laoag shall enter into a Memorandum of Agreement with trained medical specialists as visiting consultants of the LCGH[1] and shall only exact their corresponding professional fees to paying clients and shall provide their personal receipts issued at the Billing Section of the hospital.
Section 4. Service patients shall not be subject to any professional fees both by LCGH and visiting medical specialists.
Section 5. Termination of Contract - The City Government of Laoag shall have the power to terminate such contract entered in to between the City Government of Laoag and any visiting medical specialist if there are gross violations of the said contract by the visiting medical specialist.

CHAPTER 3
ARTICLE A.   RULE ON HEALTH CARE PROVIDERS
Section 6. HEALTH CARE PROVIDERS - The City Government of Laoag shall enter into a Memorandum of Agreement with various health care providers and health insurance providers as accredited partners in the delivery of health care services to health care providers’ clients and for purposes of collecting payment from the health care provider’s clients fees and charges from the use of the facilities of LCGH and services and if there are gross violations of the said contract by the health care provider.

CHAPTER 4
ARTICLE A.   SCHEDULE OF FEES AND CHARGES
Section 7. Imposition of Hospital Fees and Charges[2] – The following schedule of fees/charges is hereby imposed for services rendered:
7.1 ROOM & BED RATES
Daily Rates:
Service Ward                                                                                      500.00
Senior Citizen's Service Ward                                                          300.00
Payward (Ob/Gyne)                                                                          800.00
Payward ( Regular)                                                                            800.00
Nursery                                                                                            1,000.00
ICU/CCU/NICU                                                                               1,500.00
Isolation Room                                                                               1,250.00
Private Room (Regular)                                                                 1,800.00
Executive Suite                                                                               2,500.00
Mayor's Suite                                                                                  6,000.00
Use Of ER Minor OR                                                                          500.00/Use
Use Of Observation Room                                                                500.00/Use
Delivery Room                                                                                2,000.00/Use
Labor Room                                                                                     1,000.00/Use
OPD Treatment Room                                                                       200.00/Use
PACU (Recovery Room)                                                                    250.00/Hour
Specialty Clinics                                                                             6,000.00/Month
*Specialty clinics do not include the use of electricity, water and other utilities.
7.2 LABORATORY FEES
LABORATORY SERVICES                                                   RATE
HAEMATOLOGY                                        
ABO Rh Typing                                                                                             100.00
ABO Typing                                                                                                      55.00
Activated Partial Thromboplastine Time(A PTT)                                                             525.00
Bleeding Time                                                                                                 50.00
Clotting Time                                                                                                  65.00
Clot Retraction Time                                                                                   100.00
CBC                                                                                                                 180.00
Differential Count                                                                                        180.00
Erythrocyte Sedimentation Rate                                                                120.00
Hematocrit Determination                                                                         180.00
Hemoglobin Determination                                                                      180.00
Peripheral Blood Smear                                                                               160.00
Platelet Count                                                                                               180.00
Prothrombin Time With Inr                                                                        520.00
Rbc Indices                                                                                                     180.00
Reticulocyte Count                                                                                       175.00
Rh Typing                                                                                                         60.00
White Blood Cell Count                                                                              180.00
CLINICAL CHEMISTRY                              
Albumin                                                                                                         120.00
ALP                                                                                                                 150.00
Alpha Amylase                                                                                              185.00
Arterial Blood Gas (Abg)                                                                             900.00
AST/SGOT                                                                                                     170.00
ALT/SGPT                                                                                                      170.00
Bilirubin Direct                                                                                             170.00
Bilirubin Total                                                                                              175.00
Calcium                                                                                                          135.00
Chloride                                                                                                         125.00
HDL                                                                                                                230.00
Cholesterol Total                                                                                          135.00
CK-MB                                                                                                            425.00
Creatinine                                                                                                      125.00
Creatinine Clearance                                                                                    265.00
Electrolytes(Panel Nakcl)                                                                            350.00
GGT                                                                                                                 175.00
GLUCOSE TEST:                                          
     CBG/HGT                                                                                                  110.00
     FBS                                                                                                             110.00
     Glycated HGB (Hba1C)                                                                           900.00
     OGCT, (With Baseline FBS 2X)                                                             372.00
     OGTT (4x)                                                                                                650.00
     2 Hr. Post Prandial Blood Sugar                                                            110.00
     RBS                                                                                                             110.00
Ionized Calcium                                                                                            200.00
LDH                                                                                                                140.00
Lipase                                                                                                             185.00
Magnesium                                                                                                    225.00
Phosphorous                                                                                                  225.00
Total Protein                                                                                                 120.00
Triglycerides                                                                                                  175.00
Urea Nitrogen (Bun)                                                                                    120.00
Uric Acid (Bua)                                                                                             150.00
Potassium                                                                                                      125.00
Sodium                                                                                                           125.00
TPAG-Ratio                                                                                                   350.00
Troponin T Qualitative                                                                               880.00
Troponin T Quantitative                                                                          2,290.00
DIAGNOSTIC PROFILE:                             
     Bone Injury Profile                                                                                   200.00
     Diabetic Profile                                                                                     1,150.00
     Kidney Profile                                                                                          245.00
     Lipid Profile                                                                                              800.00
     Liver Profile                                                                                           1,300.00
     Mi Profile                                                                                               1,775.00
     Pancreatic Profile                                                                                     350.00
SEROLOGY/IMMUNOLOGY                     
Rheumatiod Panel                                       
     ANA                                                                                                           900.00
     ASO Titer                                                                                                  465.00
     CRP                                                                                                            360.00
     Rheumatoid Factor                                                                                  465.00
Thyroid Function Tests                              
     FT3                                                                                                             500.00
     FT4                                                                                                             500.00
     TSH                                                                                                            500.00
     T3                                                                                                               500.00
     T4                                                                                                               500.00
Tumor Markers                                            
     PSA                                                                                                             800.00
     AFP2                                                                                                       1,000.00
     CEA                                                                                                         1,000.00
     Total beta HCG                                                                                     1,200.00
     CA-19-19                                                                                                 1,300.00
     CA 125                                                                                                     1,330.00
     C3                                                                                                               400.00
     C4                                                                                                               450.00
     ACP-TOTAL PROSTATIC                                                                    1,500.00
Infectious Disease Markers                        
     Anti HBs Screening                                                                                 450.00
     Anti HCV Screening                                                                                340.00
     Anti HIV 1/2 Screening                                                                            285.00
     Dengue IgG/IgM                                                                                       675.00
     Dengue NS1                                                                                            1,400.00
     Dengue NS1 Antigen and IgG/IgM                                                      1,525.00
HBeAG Screening                                                                                         600.00
HBsAG Screening                                                                                          140.00
     RPR                                                                                                            140.00
Salmonella IgG/IgM                                                                                     650.00
     TPHA                                                                                                         375.00
     Widal's Test                                                                                              150.00
     Anti HAV IgM                                                                                          680.00
     Anti HAV Total                                                                                        800.00
     Anti HCV EIA                                                                                           650.00
     Anti HIV 1/2 EIA                                                                                       380.00
     Hepatitis Virus Profile                                                                         3,600.00
HBsAG EIA                                                                                                    420.00
CLINICAL MICROSCOPY                           
URINE:                                                           
Pregnancy Test                                                                                               125.00
Routine Urinalysis                                                                                           60.00
24 Hr Hcg Titer                                                                    125 X # Of Strips Used
Urine Flow Citometry                                                                                   350.00
Urine Ketones                                                                                                  60.00
Urine Microalbumin                                                                                     190.00
STOOL:                                                         
Routine Stool Exam                                                                                         75.00
Fecal Occult Blood                                                                                        115.00
Seminal Fluid Analysis                                                                                 160.00
BODY FLUID ANALYSIS:                           
Physical Examination                                                                                     75.00
Total Cell Count                                                                                           285.00
Sugar (Automated)                                                                                      110.00
Protein (Automated)                                                                                    250.00
LDH                                                                                                                270.00
BLOOD BANKING                                      
CROSSMATCHING:                                     
Antibody Testing                                                                                       1,000.00
Coomb's Test Direct                                                                                     250.00
Coomb's Test Indirect                                                                                  250.00
Cryoprecipitate                                                                                             250.00
Cryosupernate                                                                                               250.00
Fresh Frozen Plasma                                                                                    250.00
Packed Rbc                                                                                                     250.00
Platelet Concentrate                                                                                    250.00
Washed Rbc                                                                                                   250.00
Whole Blood                                                                                                 250.00
BACTERIOLOGY                                         
Acid Fast Staining                                                                                         100.00
Bacterial Heterotrophic Plate Count                                                         650.00
Bacterial Water Analysis                                                                             600.00
Fungal Culture                                                                                              500.00
Gram Stain                                                                                                     100.0
India Ink Preparation                                                                                   100.00
Koh Preparation                                                                                            100.00
Malarial Smear                                                                                              110.00
OTHERS                                                        
Dual Drug Test Met_Thc                                                                             225.00
New Born Screening                                                                                     600.00
Pap Smear                                                                                                      125.00
*Additional 20% for stat procedure.       
Lead Ekg                                                                                200.00 (50.00)
Stress Test                                                                             3,000.00 (250.00)
Holter Monitoring                                                               2,500.00 (750.00)
Defibrillator                                                                          500.00/Use
Nebulizer                                                                               56.00/Use
Mobile Xray                                                                          Same Rates As X Ray 
C-Arm                                                                                    Same Rates As X Ray
Spirometer                                                                            1,000.00 (200.00)
ENDOSCOPY/PROCTOSIGMOIDOSCOPY:                     
     Egd                                                                                     2,500.00         (5,000.00)
     Colonoscopy                                                                    2,800.00        (5,000.00)
     Bronchoscopy                                                                  2,500.00        (5,000.00)
Cautery Machine                                                                  400.00/Use
Ventilator                                                                              50.00/Hr
EEG                                                                                         2,500.00         (250.00)
Peripheral Angiography Procedure                                    1,850.00          (200.00)
Use Of Phaco Machine                                                        1,500.00          (250.00)
Biometry                                                                                800.00                        (200.00)
Keratometry                                                                          1,500.00          (250.00)
Optha Or Microscope                                                          2,000.00         (250.00)
Fetal Monitor-Single                                                           550.00            (20 Minutes) 250.00 (Succ. 20 Min)
Fetal Monitor-Twin                                                             550.00            (20 Minutes)
                                                                                                250.00 (Succ 20/Min)
Infant Incubator                                                                    325.00/Shift
Infant Radiant Warmer                                                       180.00/Shift
Phototheraphy Led Machine                                              380.00/Day
Infusion Pump                                                                      180.00/Day
Syringe Pump                                                                        180.00/Day
Cpap                                                                                       500.00/Day
Rehabilitation Traction Machine                                      50.00/Use
Paraffin Bath                                                                         30.00/Use
 7.3 EQUIPMENT AND SPECIAL EXAMINATIONS/ PROCEDURES
*Above items in parenthesis pertain to Specialists Interpretation or Reading Fee.
*Rates may not include consumables used in the procedure.
7.4 RADIOLOGY EXAMINATIONS/PROCEDURES
XRAY RATES:
PROCEDURE                                                                             RATE         READING FEE
Thoracic Contents:                                                                   
Heart and Lungs 1 view - Adult                                               185.00        50.00
Heart and Lungs 2 views - Adult                                            332.00        50.00
Heart and Lungs 2 views - Pedia                                            255.00        50.00
Heart and Lungs (portable) - Adult                                       235.00        50.00
Heart and lungs (APL Port.) - 11 yrs. Old and above            375.00        50.00
Heart and Lungs (APL Port.) - 1 to 10 yrs. Old                      305.00        50.00
Heart and Lungs (AP Port) - 0 to 1 yrs. Old                          220.00        100.00
Apicogram/ Lordotic 1 view                                                     160.00        150.00
Head:                                                                                           
Skull AP/L                                                                                  250.00        50.00
Mastoids Series 3 views                                                           310.00         50.00
Optic Foramen (R or L)                                                            285.00        50.00
Paranasal Sinuses( 3 views)                                                     340.00        50.00
Orbits (2 views)                                                                        250.00        50.00
Orbital Series                                                                            340.00        50.00
Maxilla/Mandible (AP, both Oblique)                                  340.00        50.00
Nasal Bone (2 views)/STL                                                        190.00        50.00
Temporomandibular Joint 4 views                                        470.00       50.00
Zygoma                                                                                       160.00        50.00
Towne's View/Water's view                                                    160.00        50.00
Facial Bones                                                                               160.00        50.00
Vertebral Column:                                                                   
Cervical 2 views                                                                         250.00        50.00
Thoracic Vert. 2 views                                                              333.00         50.00
Lumbar Vert. 2 views                                                               333.00         50.00
Lumbo-Sacral vert. 2 views                                                     333.00         50.00
Cervico-Thoracic                                                                       333.00         50.00
Scoliosis Series                                                                          580.00       100.00
Thoraco-Lumbosacral                                                              665.00       150.00
Neck:                                                                                          
Soft Tissues (2 views)                                                               250.00        50.00
Foreign Body                                                                             250.00        50.00
Abdomen:                                                                                 
FPA/KUB                                                                                    333.00         50.00
Abdomen (Upright, Supine)                                                    333.00         50.00
Skeletal System:                                                                       
Shoulder Joint (Bilateral)                                                        160.00        50.00
Clavicle Bilateral                                                                       280.00       50.00
Scapula AP View                                                                       240.00       50.00
Sternum 2 views                                                                        250.00        50.00
Humerus 2 views                                                                      300.00        50.00
Elbow joint 2 views                                                                   180.00        50.00
Forearm 2 views                                                                        190.00        50.00
Wrist ( 2 views)                                                                         180.00        50.00
Hand (2 views)                                                                          180.00        50.00
Pelvis AP view                                                                           185.00        50.00
Pelvis (frog Leg)                                                                        195.00        50.00
Hip Joint Bilateral                                                                    190.00        50.00
Femur 2views                                                                            230.00        50.00
Knee Joint (2 views)                                                                 195.00        50.00
Leg( 2 views)                                                                              220.00        50.00
Ankle Joint( 2 views)                                                                190.00        50.00
Oscalsis (2 views)                                                                     190.00        50.00
Foot (2 views)                                                                            190.00        50.00
Skeletal Survey (2 views)                                                         1,950.00     300.00
Miscellaneous:                                                                         
Fistulography                                                                            248.00       100.00
 -additional film                                                                        165.00       
Imperforate Anus 2 views                                                        250.00        50.00
Colonography                                                                            180.00        50.00
Billiary System:                                                                        
T-Tube Cholangiography                                                         595.00        200.00
Operative Cholangiography                                                    348.00        200.00
 -additional film                                                                        215.00        
Percutaneous Transhepatic                                                     1,843.00     200.00
ERCP                                                                                           1,795.00     200.00
Obstetrical Procedures:                                                          
Hysterogram                                                                              645.00       200.00
Urinary System:                                                                       
IVP                                                                                               1,050.00     200.00
Retrograde Pyelography                                                           590.00       200.00
Hypertensive IVP                                                                      1,220.00     200.00
Cystography                                                                               650.00       200.00
Urethrography                                                                           650.00       200.00
Voiding Cystomethography                                                    650.00       200.00
Cystomethography                                                                   650.00       200.00
Digestive Track System:                                                           
UGIS/SIS                                                                                     1,615.00      250.00
Barium Enema                                                                           1,460.00     250.00
Barium Swallow                                                                        915.00        200.00
UGI Series                                                                                  980.00       200.00
7.5  ULTRASONOGRAPHY RATES
PROCEDURE                                                                              RATE        READING FEE
Reno-Pelvic/prostate                                                                 500.00      300.00
Breast (bilateral)                                                                        500.00      300.00
Scrotum                                                                                       500.00      300.00
Inguinal Area                                                                              500.00      300.00
Prostate                                                                                       350.00       250.00
Thyroid                                                                                        350.00       250.00
Abdomen                                                                                     500.00      250.00
Abdomino-Pelvic                                                                       700.00      300.00
Guided Biopsy/Aspiration                                                        150.00       500.00
Hemithorax                                                                                350.00       250.00
Cranial                                                                                         450.00      250.00
Pelvic                                                                                           375.00       250.00
BPS                                                                                               450.00      250.00
TVS                                                                                               450.00      250.00
4D Ultrasound                                                                            2,500.00   1,000.00
Congenital Anomalies Scanning                                              500.00      1,000.00
Sonohysterogram                                                                       1,000.00    2,500.00
Pulse Doppler                                                                             1,000.00    500.00
Color Mapping                                                                           900.00      300.00
Fetal Echo Plain                                                                         800.00      600.00
Fetal Doppler                                                                             1,600.00    1,200.00
Plain 2D Echo                                                                             800.00      750.00
Doppler Echo                                                                              1,600.00    1,750.00
Doppler Echo (TVS)                                                                   1,800.00    1,750.00
7.6 DENTAL SERVICES
Extraction                                                                                                      300.00
Oral Prophylaxis                                                                                          350.00
Filling
           Composite                                                                                          400.00
            Amalgam                                                                                           300.00
Periapical Xray                                                                                             200.00
Bleaching (per arch)                                                                                                 4,500.00
Lite cure composite                                                                                     350.00
7.7 ANESTHESIA MACHINES
Anesthesia Machine W/Out Ventilator                                  200.00 (1ST HR) 100.00 (SUCC HR)
Anesthesia Machine W/ Ventilator                                         300.00 (1ST HR) 200.00 (SUCC HR)
Use Of Cardiac/Patient Monitor W/ Pulse Oxymeter         65.00/shift
O2 Concentrator                                                                         25.00/hr
*Use of oxygen and other gases: Fee for the use of oxygen and other gases shall be computed on the basis of volume actually used multiplied by the acquisition cost/per unit (lb.) plus 5% mark up but not less than P0.37/lb.
7.8 DIALYSIS RATE/ NEPHROLOGIST’S FEE
                                                                                           RATE             NEPHROLOGIST’S FEES
AVF F6-NEW                                                         4,300.00                       400.00
AVF F7-NEW                                                         4,400.00                      400.00
AVF F8-NEW                                                         4,500.00                      400.00
F6-TEMPORARY ACCESS                                    4,800.00                      400.00
F7-TEMPORARY ACCESS                                    4,900.00                      400.00
F8-TEMPORARY ACCESS                                    5,000.00                      400.00
HEMODIALYSIS                                                    4,000.00                      400.00
PERITONEAL                                                         2,500.00                       400.00
AVF F6-REUSE                                                      2,800.00                      400.00
AVF F7-REUSE                                                       2,800.00                      400.00
AVF F8-REUSE                                                      2,800.00                      400.00
7.9 RATES ON EMERGENCY ROOM SERVICES
SERVICES                                                                                           RATE
Bone Marrow Puncture                                                                   800.00
Casting (Long)                                                                                  1,200.00
Casting (Short)                                                                                 800.00
Circumcision                                                                                     955.00
CVP Line Insertion                                                                           1,190.00
Debridement, Infected Wound                                                      880.00
Endotracheal Intubation                                                                 550.00
Excision of Cyst/Tumor                                                                   1,520.00
Gastric Lavage                                                                                  415.00
Heplock Insertion                                                                            95.00
I.E.                                                                                                       75.00
IM Injection                                                                                       43.00
Incision and Drainage-Major                                                          500.00
Incision and Drainage-Minor                                                         200.00
Insertion of Foley Catheter                                                             180.00
IV Insertion                                                                                       100.00
IV Push                                                                                               15.00
Nebulization                                                                                     56.00
NGT Insertion                                                                                   415.00
PtyregiumExcission                                                                         730.00
Rectal Examination                                                                          32.00
Removal of Sutures                                                                          56.00
Sunctioning                                                                                       100.00
Suturing of Lacerated Wound                                                        865.00
Suturing of Wound-Major                                                               250.00
Suturing of Wound-Minor                                                              100.00
Tenorraphy                                                                                        786.00
Thoracenthesis                                                                                 560.00
Tracheostomy (T-Tube)                                                                  1,500.00
Wound Dressing-Major                                                                   150.00
Wound Dressing-Minor                                                                  100.00
*Rates may vary depending on the case of the patient.
7.10 RATES ON REHABILITATION AND PHYSICAL THERAPY TREATMENT
SERVICES                                                                                           RATE
OUT-PATIENT                                                                                
SPECIAL CHILDREN                                                                       
PLAY THERAPY                                                                               250.00/session
WITH PT MODALITY                                                                     300.00/session
NUERO CASES                                                                                 
THERAPEUTIC EXERCISE                                                              250.00/session
THERAPEUTIC EXERCISE W/ PT MODALITY                           
A. 1 area                                                                                              300.00/session
B. 2 areas                                                                                           350.00/session
C. More than 2 areas                                                                        400.00/session
D. With exercises using special equipment                                 500.00/session
ORTHOPEDIC CASE (Pain Syndrome)                                         
Without PT Ultrasound                                                                 
A. 1 area                                                                                              250.00/session
B. 2 areas                                                                                           300.00/session
C. More than 2 areas                                                                        350.00/session
With PT Ultrasound                                                                       
A. 1 area                                                                                              300.00/session
B. 2 areas                                                                                           350.00/session
C. More than 2 areas                                                                        400.00/session
IN-PATIENT                                                                                     
Service Ward                                                                                     200.00/session
Semi-Private                                                                                     300.00/session
Private                                                                                                400.00/session
7.11 OTHER CHARGES
*Use of Patient-Owned Appliances: Electric pot, electric fan, cellphone charging, radio cassette, Television, CD/DVD Player, computer, etc                                         Php 50.00/day
7.12 HOSPITAL CHARGES FOR USE OF MEDICAL EQUIPMENT OWNED BY ATTENDING PHYSICIANS
i.        A memorandum of agreement shall cover the authority of attending physicians using his/her medical equipment in the event that the required machine/equipment is not readily available at the hospital.
ii.     Prescribed rate is 15% of the corresponding fee for each use shall be retained by the hospital as its share to cover use of electricity and other costs, to be further defined in the MOA.
iii.   Payment thereof shall be made at the Billing Section where a Personal Official Receipt of the attending physician shall be issued.
7.13 AMBULANCE RATE
The use of the city’s ambulance/s shall be governed by City Ordinance No. 2011-015, s. 2011 entitled “Ordinance Setting the Fees for the Use of the Ambulances of the Department of Public Safety and Other Allied Services”
7.14 OPERATING ROOM & DELIVERY ROOM FEE
RELATIVE VALUE UNIT                 CLASSIFICATION     OR FEE                       ADDT’L CHARGES
RVU OF 30 & BELOW                     ORDINARY               1,060.00                    1,500.00
RVU OF 31 TO 80                             INTENSIVE                1,350.00                    1,750.00
RVU OF 81 & ABOVE                       CATASTROPHIC      3,490.00                  2,500.00
Patients shall be charged the above quoted rates. Philhealth privileges shall apply and deducted to the quoted rates. Excess charges not covered by Philhealth shall be assumed by the patient.
7.15 SURGEON’S FEE
i.        The peso equivalent per relative value unit (RVU) of the surgical procedure shall be based on the Philhealth rate.
ii.     Two or more surgical procedures done in one sitting or through a single incision performed by one or more physicians shall be compensated on the procedure of the highest value unit.
iii.   Surgeries performed on different dates shall be charged with their respective value units.
7.16 MISCELLANEOUS FEE/RENTALS
            The hospital shall provide amenities for accompanying relatives of service patients that include bathroom/toilet facilities. The use of these facilities shall be charged fees upon use by clients but not included in the hospital bill of patients
            Public Comfort Room                                                          Php 5.00/use
7.17 OUT PATIENT/ER REGISTRATION FEE and CONSULTATION FEE
OPD Registration Fee:                                                         25.00
ER Registration Fee:                                                                        25.00
Consultation fee:                                                                  50.00
ER Fee:                                                                                   100.00
*OPD/ER registration fee shall be charged to patients only on their initial hospital treatment visit.
7.18 RENTAL RATE FOR COMMERCIAL AREAS/PARKING FEES
Basement:                                                                  14 per sq.m /day
Ground Floor:                                                           12 per sq.m/day
1st Floor:                                                                     10 per sq.m/day
2nd Floor:                                                                      8 per sq.m/day
3rd Floor:                                                                      6 per sq.m/day
Parking fee:                                                                 10.00 for 1sthr (5.00 for each succeeding hour)
Section 8. Patients who are certified by the concerned DSWD as indigent shall be exempted from payment in part or all fees in this schedule.
Section 9. Payment in Kind Scheme (PIK) shall be adopted by the Hospital and shall apply to indigent patients who are certified by the DSWD. Indigent patients  shall be  allowed to pay voluntarily hospital services rendered unto him in kind such as blood products (from relatives/friends/barangaymates) or in the form of personal services  (from relatives/friends/barangaymates) whichever is available and shall be received, quantified and reflected by the corresponding hospital offices for proper accounting (laboratory, finance). The hospital shall assume the cost of blood extraction, processing, storage and blood bags.
Section 10. Damage to Hospital Property/Facilities/Equipments and Vandalism.
Patients/clients and/or their relatives and guests who cause damage to hospital property/facilities shall pay a fine of One Thousand Pesos (P1,000) and the corresponding cost for restoring the said property/facility.
Section 11. SPECIAL DISCOUNTS
Sub.11.1      Laoag City Government Officials and employees, their spouses and children under 21 years old, documented OFW’s from Laoag City, their spouses and children under 21 years of age, shall be given twenty percent (20%) discount after Philhealth deductions from the total hospital bill except Pharmacy items.
Sub.11.2     Barangay Officials and Tanods, Barangay Day Care Workers, BHW, BNS, BSPO, Barangay Lupon, SK officials, Past Barangay Chairmen of Laoag City shall be given twenty percent (20%) discount after Philhealth deductions from the total hospital bill except Pharmacy items.
Sub.11.3     A twenty percent (20%) discount  and E-vat exemptions  for Senior Citizens and War Veterans shall be accorded to them pursuant to the provisions of the Expanded Senior Citizen’s Act 0f 2010.The DSWD shall determine further indigent Senior Citizens for full discount of all hospital bills.
Sub.11.4     Persons With Disabilities (PWD’s) shall be given twenty percent (20%) discount after Philhealth deductions from the total hospital bill except Pharmacy items.
Sub.11.5     Employees of National Government Offices attached to the city government of Laoag (e.g. City DepEd, Laoag PNP, Laoag BFP, Laoag BJMP, City COA, City DILG, etc) shall be given twenty percent (20%) discount after Philhealth deductions from the total hospital bill except Pharmacy items.
Sub.11.6     All bona fide residents of Laoag City who are not eligible recipients under Subs.11.1 to Sub.11.5 shall enjoy a five percent (5%) discount after Philhealth deductions from the total hospital bill except Pharmacy items
Sub.11.7     Discounts shall be given to companies, schools, and other organized groups on laboratory and radiology services:
                        Not less than 10 members availing                                                            5% discount
                        More than 10 members to 20 members availing                                     7% discount
                        More than 20 members availing                                                    10% discount
Section 12. This ordinance partakes the nature of a tax measure and shall be subject to the mandated requirements of posting, public hearing and after approval, publication in local newspapers.
Section 13. All Ordinances, Resolutions, motions, or parts thereof not consistent herewith are hereby repealed, amended or superseded accordingly.
Section 14. This Ordinance shall take effect immediately upon approval.
Carried
APPROVED this 21st day of September, 2011, by the members of the Sangguniang Panlungsod present with the following votes:
Those in favor: Siazon, Ong Sin, Respicio, Lao, Tamayo, Dacuycuy, Chua, Frez, Fariñas, Maulit.
Nays:  N o n e
Abstentions:  N o n e
I HEREBY CERTIFY that the foregoing is a true, correct, and faithful excerpt from the minutes of the 61st Regular Session of the 8th Sangguniang Panlungsod held at the Session Hall on September 21, 2011.

(SGD) ENRICO A. AURELIO
Secretary to the Sanggunian

Attested:
(Sgd) ATTY. DONALD G. NICOLAS
Acting City Vice Mayor/ Presiding Officer

Approved: October 4, 2011
(SGD) MICHAEL V. FARIÑAS
City Mayor




[1]Pursuant to Resolution No. 2011-032, s. 2011 authorizing the execution of such Memorandum of Agreement prescribing adherence to the provisions of the “Guidelines and Policies on Private Practice of Medical Health Professionals at the LCGH”
[2] All rates indicated are in Philippine Peso (PhP)

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