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 3^rd REGULAR SESSION OF THE 10^th 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 3^rd 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