An Ordinance Rationalizing And Amending Chapter XVIII, Section 67, Paragraph (h) of City Ordinance No. LXIX, Otherwise Known as the Omnibus Tax Ordinance of the City of Cebu, as Amended by City Tax Ordinance No. LXXXV

December 12, 2012 Excerpt from the Minutes of the Regular Session Held by the Sangguniang Panlungsod of the City of Cebu in its Session Hall on December 12, 2012. PRESENT: Hon. Joy Augustus G. Young Presiding Officer Hon. Rodrigo A. Abellanosa Presiding Officer Pro Tempore Hon. Augustus G. Pe Jr. Majority Floor Leader Hon. Lea O. Japson 1st District Asst. Majority Floor Leader Hon. Raul D. Alcoseba 2nd District Asst. Majority Floor Leader Hon. Sisinio M. Andales Member Hon. Alvin B. Arcilla Member Hon. Roberto A. Cabarrubias Member Hon. Ma. Nida C. Cabrera Member Hon. Ronald R. Cuenco Member Hon. Jose C. Daluz III Member Hon. Alvin M. Dizon Member Hon. Edgardo C. Labella Member Hon. Margarita V. Osmea Member Hon. Richard Z. Osmea Member Hon. John Philip E. Po II Member Hon. Michael L. Ralota Member Hon. Noel Eleuterio G. Wenceslao Member ABSENT: Hon. Eduardo R. Rama Jr. Member (On Leave) RESOLUTION NO. 12-4733-12 The Sangguniang Panlungsod of the City of Cebu, as moved by Member Cuenco, and seconded by Member M. Osmea; RESOLVED, to approve the following Ordinance: CEBU CITY TAX ORDINANCE NO. CXXIX AN ORDINANCE RATIONALIZING AND AMENDING CHAPTER XVIII, SECTION 67, PARAGRAPH (h) OF CITY ORDINANCE NO. LXIX, OTHERWISE KNOWN AS THE OMNIBUS TAX ORDINANCE OF THE CITY OF CEBU, AS AMENDED BY CITY TAX ORDINANCE NO. LXXXV WHEREAS, City Ordinance No. LXIX, as amended by City Tax Ordinance No. LXXXV, under Chapter XVIII, Section 67, paragraph (h) enumerates the Miscellaneous Fees and Charges for services rendered by the City Health Department and the Cebu City Medical Center (CCMC); WHEREAS, the current rates of CCMC for its services need to be rationalized because the same no longer reflect the prevailing costs of such services, having been pegged over a decade ago; furthermore, City Ordinance No. LXIX, as amended, does not contain all the services available at CCMC with their corresponding rates; WHEREAS, the Cebu City Medical Center (CCMC) is in pursuit of providing an environment that promotes high quality and cost-effective health care services for all particularly the constituents of the City of Cebu; WHEREAS, the Cebu City Medical Center is a Level IV training teaching hospital in Internal Medicine, Surgery, Pediatrics, OB-Gyne and Nursing with 300 bed capacity; WHEREAS, as part of the mandate as a Level IV training-teaching hospital and in order to offer state of the art health care facilities to the Cebuanos at a reasonable cost, CCMC has currently acquired equipment for this sustainability; IHAcCS WHEREAS, there is a need to rationalize CCMC rates and to bill all services and supplies provided by CCMC for accounting and inventory purposes and to establish standard charges for the use of the equipment for its maintenance and sustainability; WHEREAS, the services, as charged, already include the cost of supplies used in rendering such services, except in cases that may require additional supplies; WHEREAS, while patient's ability or willingness to pay cannot be controlled, rationalizing the rates and billing all services and supplies will facilitate the tracking and inventory of supplies as such system will necessitate the documentation of all services rendered and supplies used; WHEREAS, benchmarking with other hospital (private and public) and diagnostic clinics on the current costs of the identified diagnostic procedures using the newly acquired equipment were done; WHEREAS, the Cebu City Medical Center Hospital Board convened with the hospital consultants and agreed on the standard charges for the use of the newly acquired equipment using the rates set by the other hospitals and diagnostic clinics as reference; and WHEREAS, the adoption of an ordinance rationalizing CCMC rates and giving CCMC the authority to charge all its services and supplies would lead to better financial management. THEREFORE, for and in consideration of the foregoing premises considered, the Sangguniang Panlungsod of the City of Cebu, in a regular session assembled, hereby ordains that: SECTION 1. Title . This Ordinance shall be known as the "CCMC Rate Rationalization Ordinance of 2012". SECTION 2. Rates . Chapter XVIII, Section 67, paragraph (h) of Ordinance No. LXIX, as amended by City Tax Ordinance No. LXXXV, is hereby further amended to read as follows: CAaSHI Item Cost (Peso) "I. ROOM and BOARD A. WARDS 1) Pay Ward/Medicare P600.00 2) Charity Ward 0.00 B. SPECIAL AREAS 1) Emergency Room (ER) 50.00 2) Out Patient Department (OPD) 30.00 3) Minor Surgery ER/Wards 350.00 4) Operating Room (OR) a) Major Operation (RVU of 31 and above) b) Minor Operation (RVU of 30 and below) 5) Delivery Room (DR) 1,500.00 6) Intensive Care Unit (ICU) 1,200.00 7) Pediatric Intensive Care Unit (PICU) 350.00 8) Neo-natal Intensive Care Unit (NICU) 350.00 II. DIAGNOSTIC SERVICES A. LABORATORY FEES 1) Clinical Microscopy Urine a) Pregnancy Test (One Step) 150.00 b) Routine Urinalysis 50.00 c) Sugar Analysis 70.00 d) Urine Protein 60.00 Feces a) Occult Blood 60.00 b) Routine Stool Exam 60.00 2) Hematology a) Blood Typing 150.00 b) Clotting Time/Bleeding Time (CT/BT) 50.00 c) Complete Blood Count (CBC) 75.00 d) Dengue Spot Test 350.00 e) Hematocrit (Anemia) 50.00 f) Malarial Smear 75.00 g) Peripheral Blood Studies 100.00 h) Platelet Count 80.00 i) Reticulocyte Count (Blood Test) 60.00 j) White Blood Cell (WBC) 50.00 3) Blood Banking and Serology a) Blood Collection Kit 300.00 b) Cross Matching 200.00 c) Hbs Ag (Raphadex) 130.00 d) Hbs Antibody P130.00 e) Hepatitis C 200.00 f) HIV Testing (STD-AIDS) 250.00 g) Serologic Test for Syphilis 120.00 h) Widal Test (for Typhoid) 120.00 4) Microbiology a) Acid Fast Bacilli Smear (AFB for Leprosy) 75.00 b) Blood Culture (Traditional) 200.00 c) Blood Culture 675.00 d) Culture 150.00 e) Gram Staining 75.00 f) KOH 50.00 g) Rectal Culture 100.00 h) Sensitivity Testing 350.00 5) Clinical Chemistry a) Albumin/Globulin 60.00 b) Blood Glucose 85.00 c) Blood Urea Nitrogen (BUN) 100.00 d) Cholesterol 110.00 e) Direct Bilirubin 150.00 f) OGTT 235.00 g) Serum Potassium 110.00 h) Serum Sodium 110.00 i) SGOT (AST) 120.00 j) SGPT (ALT) 120.00 k) Total Protein 80.00 l) Total Protein, Albumin w/ AG Ratio 100.00 m) Triglycerides 120.00 n) Uric Acid 90.00 6) Anatomic Pathology a) Biopsy 300.00 b) Cell Block 300.00 7) Other Lab Fees a) Cerebrospinal Fluid Analysis Routine (CSF) 180.00 b) Fluid Analysis Routine of Other Body Fluids 135.00 c) Sperm Analysis 100.00 d) Vaginal Smear for Spermatozoa 60.00 B. 2D ECHOCARDIOGRAM 1) 2D Echo Plain P1,300.00 2) 2D Echo with Color Flow Doppler 1,500.00 3) Arterial Lower Extremities 1,200.00 4) Arterial Upper Extremities 1,200.00 5) Carotid Scan 1,000.00 6) Renal Arterial Scan 2,000.00 7) Transcranial Duplex Scan 1,400.00 8) Venous Lower Ext 1,200.00 9) Venous Upper Ext 1,200.00 C. ORGAN IMAGING 1) X-Ray a) 14" x 17" 170.00 b) 14" x 14" 170.00 c) 11" x 11" 170.00 d) 10" x 12" 130.00 e) 8" x 10" 130.00 2) Ultra Sound a) Breast 600.00 b) KUB or HBI 700.00 c) Pelvis 600.00 d) Thyroid 600.00 e) TVS 600.00 f) Upper Abdomen 800.00 g) Whole Abdomen 1,200.00 III. DENTAL SERVICES 1) Cementation of Loose/Crown/Bridge 200.00 2) Dental X-Ray 150.00 3) Filling a) Temporary Cement 175.00 b) Permanent Amalgam 250.00 c) Permanent Light Cure Composite 275.00 4) Oral Prophylaxis 150.00 5) Root canal Therapy 850.00 6) Simple tooth Extraction P150.00 7) Surgery on Cysts/Gingivectomy 250.00 8) Surgical removal of Impacted Teeth 550.00 IV. EYE SERVICES 1) Eye Irrigation 2,600.00 2) Eye Suture 600.00 3) Visual Examination 210.00 4) Phacoemulsification Machine a) Phacoemulsification for cataract per eye per use 2,000.00 b) Vitrectomy per eye per use 3,000.00 V. GENERAL SERVICES 1) Ambulance (with complete gadget) 200.00 2) Baby Bath 30.00 3) Bladder Flushing 50.00 4) Blood Pressure Taking (for OPD only) 30.00 5) Cardiac Monitor 100.00 6) Cardio Tocogram (CTG) 300.00 7) Cast Removal 100.00 8) Casting Arm 300.00 9) Casting Leg-Long 400.00 10) Catheterization 125.00 11) CBS Monitoring 30.00 12) Change of Colostomy 50.00 13) Chest Thoracostomy 850.00 14) Cord Dressing 50.00 15) CP Clearance 50.00 16) CTT Bottle Changing 600.00 17) CTT Insertion 1,000.00 18) CTT Removal 700.00 19) Cutdown 350.00 20) CVP Insertion 350.00 21) Cystostomy 350.00 22) Debridement of Burns 250.00 23) Debridement of Wounds 100.00 24) Defibrillation 100.00 25) Dressing of Burns 150.00 26) Dressing of Wounds 100.00 27) ECG 200.00 28) Enema 30.00 29) Eye Irrigation P460.00 30) FBC Insertion 50.00 31) FBR Removal 50.00 32) Foley Catheter removal 30.00 33) Gastric Lavage 250.00 34) I and D 350.00 35) Immunization 50.00 36) Incision & Drainage 100.00 37) Injection 30.00 38) Internal examination 125.00 39) Intubation 300.00 40) Irrigation of Fistula/Gastric Tubes 50.00 41) IUD Removal 200.00 42) IV Reinsertion 150.00 43) IVF Insertion + Supplies 50.00 44) IVF Removal 30.00 45) Lumbar Tap 350.00 46) Nebulization 20.00 47) Newborn Care 50.00 48) NGT/OGT Feeding 30.00 49) NGT Insertion 50.00 50) NGT Removal 30.00 51) Oral Care 30.00 52) Oxygen Humidifier 13.00 53) Oxygen Inhalation 50.00 54) Pap Smear 100.00 55) Paracenthesis 350.00 56) Pelvic Examination 50.00 57) Pericardiostomy/Pericardicen 1,000.00 58) Perineal Preparation 50.00 59) Phototherapy 100.00 60) Physical Exam for Employment 50.00 61) Pleurodesis 350.00 62) Post-Mortem Care 50.00 63) Pre-Natal 50.00 64) Rectal Examination 50.00 65) Removal of Foreign Body 100.00 66) Skin Preparation 50.00 67) Skin Traction 100.00 68) Straight Catheterization 50.00 69) Suctioning 50.00 70) Suture Removal P50.00 71) Suturing 150.00 72) Thoracentesis 350.00 73) Tracheostomy 500.00 74) Tracheostomy Care 50.00 75) Vaginal Douche 25.00 76) Vital Signs Taking 25.00 77) Wound Dressing 125.00 VI. LAPAROSCOPY 20,000.00 VII. GENERAL SUPPLIES 1) Alcohol 70%, 50ml 5.00 2) Asepto Syringe 60.00 3) Black Bag 10.00 4) Bonnet 5.00 5) Cotton Balls, 10 pcs. 3.00 6) Cotton Pledget, 10 pcs. 6.00 7) CTT Bottle 150.00 8) Enema Tray 50.00 9) Flammacerium 12.00/gm 10) Gillette Blade 5.00 11) Gloves, sterilize 12.00 12) Hot Water Bag, Ice Cap 5.00 13) Mask 5.00 14) Nasal Pack, Sterile 10.00 15) OS (Gauze) 5.00 16) Penrose Drain 25.00 17) Plaster (1 in.), 1 roll 100.00 18) Plaster (Hospital Size), 1 roll 100.00 19) Roller Bandage (2 in.), 1 roll 15.00 20) Rubber Tubing Latex, 1 ft. 55.00 21) Scalpel Blade 12.00 22) Specimen Bottle 10.00 23) Sterile Penrose Drain 29.00 24) Sterile Scissors 30.00 25) Sterile Specimen Bottle 5.00 26) Sterile Strip 120.00 27) Suction Bulb 150.00 28) Tongue Depressor 2.00 29) Urobag 15.00 30) Vaseline OS 5.00 VIII. MISCELLANEOUS 1) CERTIFICATION a) Certificate of Confinement P30.00 b) Certificate of Delayed Registration 50.00 c) Medical Certificate for Live Birth 30.00 d) Medical Certificate 30.00 e) Medico-Legal 50.00 IX. USE OF FACILITIES 1) Electrical Charges, per day, per appliance 25.00 2) Use of Gooseneck Lamp 50.00/shift 3) Use of Oximeter 100.00 4) Forcep (rental) 25.00 5) Use of Bedpan/Urinal, per day 20.00 6) Use of Kidney Basin 20.00 7) Use of Linen, per day 20.00 X. REGISTRATION 1) Issuance of Hospital ID 10.00 2) Wristband ID 10.00 3) Replacement of Hospital ID and/or Watcher's ID 20.00 XI. RESEARCH (Per Research Proposal) 1) By Affiliated School 300.00 2) By Non-affiliated School 500.00 SECTION 3. Charity . The cost of charity cases will be compiled for reporting to the Sangguniang Panlungsod on a yearly basis to determine how much revenue of the CCMC has been utilized for charity. Verbal endorsements shall not be entertained. SECTION 4. Repealing Clause . All previous ordinances or parts thereof which are inconsistent with the provisions of this Ordinance are hereby repealed, modified or amended accordingly. SECTION 5. Effectivity . This ordinance shall take effect upon its approval. CARRIED UNANIMOUSLY. I hereby certify to the correctness of the afore-quoted resolution/ordinance. TDESCa (SGD.) CYNTHIA M. KAHULUGAN Acting Secretary to the Sangguniang Panlungsod ATTESTED: (SGD.) JOY AUGUSTUS G. YOUNG Presiding Officer APPROVED: (SGD.) MICHAEL L. RAMA City Mayor