Amending the Quezon City Revenue Code by Providing for Revised/New Hospital Charges for Laboratory Examinations

March 11, 2013 QUEZON CITY ORDINANCE NO. SP-2211-13 PO2012-105 83rd Regular Session AN ORDINANCE AMENDING ORDINANCE NO. SP-91, S-93, OTHERWISE KNOWN AS THE QUEZON CITY REVENUE CODE, AS AMENDED, BY PROVIDING FOR REVISED/NEW HOSPITAL CHARGES FOR EXISTING AND NEW LABORATORY EXAMINATIONS Introduced by: Councilors Jessica Castelo Daza, Francisco A. Calalay, Jr., Dorothy A. Delarmente, Anthony Peter D. Crisologo, Ricardo T. Belmonte, Jr., Joseph P. Juico, Alexis R. Herrera, Precious Hipolito Castelo, Alfredo D. Vargas III, Eden "Candy" A. Medina, Julienne Alyson Rae V. Medalla, Roderick M. Paulate, Godofredo T. Liban II, Julian ML. Coseteng, Allan Benedict S. Reyes, Jaime F. Borres, Jose Mario Don S. De Leon, Gian Carlo G. Sotto, Eufemio C. Lagumbay, Jesus Manuel C. Suntay, Raquel S. Malagen, Vincent DG. Belmonte, Marvin C. Rillo, Ivy Lim-Lagman, Ranulfo Z. Ludovica and John Ansell R. De Guzman WHEREAS, Republic Act No. 7160, otherwise known as the "Local Government Code of 1991", authorizes local government units to create their own sources of revenues to defray the expenses of government operations; ADECcI WHEREAS, Section 153 of the Local Government Code of 1991 empowers the local government units to impose and collect such reasonable fees and charges for services rendered; WHEREAS, the existing fees and charges imposed nine (9) years ago under Ordinance No. SP-1452, S-2004, are already inadequate to deliver effective hospital services; WHEREAS, it is imperative to adjust fees and charges to meet the spiraling cost of various hospital services. NOW, THEREFORE, BE IT ORDAINED BY THE CITY COUNCIL OF QUEZON CITY IN REGULAR SESSION ASSEMBLED. SECTION 1. Amendment. Section 188 under Article 48 (HOSPITAL CHARGES) of Ordinance No. SP-91, S-93, as amended, is hereby further amended, to read as follows: Section 188. Imposition of Charges . The rate of fees prescribed herein shall be charged by the Quezon City General Hospital: A.) Room accommodation rate/day QCGH New Rate 1. Suite room (32" LED, 4.5cuft. ref., Couch Sofa) 1,500.00 2. Single private room (w/aircon, CR, & 1,300.00 3-seater monoblock sofa) 3. Service ward 500.00 4. Oncology Chemo room 800.00 5. Isolation room 500.00 6. PhilHealth ward 500.00 B.) Intensive Care Unit 1. MICU Pay 1,000.00 2. MICU service 800.00 3. SICU 1,000.00 4. PICU 1,000.00 5. NICU 600.00 C.) Other areas 1. PACU 400.00 2. Labor room 1,000.00 D.) Procedure/Examination/Treatment * 1. OPD PE/Consultation fee 20.00/40.00 2. ER PE/Consultation fee/ 50.00/100.00/ Medico-legal 150.00 3. Parenteral Injections (IM. SC, 30.00 intradermal) 4. IV insertion (cut down) excluding 80.00 cannula & tubings 5. Cut Down w/CVP 350.00 6. Surgical Dressing small/medium 30.00/60.00 7. Nebulization inhalation (excluding 40.00 medicine) 8. Skin preparation w/shaving 50.00 9. ETT insertion 100.00 10. Foley catheter/NGT insertion 90.00/60.00 11. Suctioning portable/wall 16.00/18.00 E.) OR/DR/procedures* 1. Major OR 3,500.00 2. Medium OR 1,500.00 3. Minor OR 500.00 4. NSD (normal delivery) 700.00 5. High-risk Delivery 1,000.00 6. Dilatation & Curettage 1,000.00 7. Hysteroscopy 2,000.00 8. BTL (optional) 1,500.00 F.) Machine/Equipment (per/hr/use) 1. Anesthesia machine 300.00/use 2. Cardiac monitor w/central monitor 300.00/use 3. Colposcope w/Leep Focus 800.00/use 4. Defibrillator 400.00/use 5. Electro Cautery 200.00/use 6. Fetal Monitor 350.00/use 7. Incubator w/transport 400.00/use 8. Incubator w/o transport 300.00/use 9. Infusion pump 600.00/use 10. Ventilator 650.00/use 11. Suction machine portable/wall 20.00/P40.00/use 12. Syringe pump 200.00/use 13. Pulse Oximeter 100.00/use 14. Radiant heat unit 150.00/use 15. Laparoscopic machine 6,000/use 16. Phototherapy unit 200.00/use 17. Phaco Machine (colposcope ophtha) 2,000.00/use 18. ENT Mobile Treatment Unit 300.00/use 19. Mortuary Freezer 1,000.00/use 20. Bronchoscope 1,000.00/use 21. Operating Microscope 200.00/hr 22. Hysteroscope 800.00/use G.) Gases 1. O2 charges/hr 36.00/hr 2. CO2/hr 150/hr H.) Others 1. ECG 100.00/use Hematology Laboratory Determination QCGH (proposed) CBC Automated 180 CBC Manual 100 ABO and RH 130 Bleeding Time 65 Cell Count Clotting Time 65 Differential Count 59 ESR 70 Hematocrit 65 Hemoglobin 70 Malarial Smear 70 PBS 75 Platelet Count 104 RBC Count 52 Reticulocyte Count 70 Toxic Granules 50 WBC Count 60 Clinical Microscopy Acetone and other Ketone 30 Fecalysis 40 Occult Blood 50 Scotch Tape Method 40 Sperm Analysis 160 Urinalysis 45 Urine Albumin 40 Urine RBC 40 HBsAg 160 HCV 750 HIV 310 RPR 200 NS1Ag 900 Dengue IgM & IgG 600 Clinical Chemistry Laboratory Determination Albumin 100 ALP 130 Amylase 175 BUA 100 BUN 100 CA 15-3 1000 CA 125 1000 Calcium 105 CEA 700 Chloride 130 Cholesterol 125 CK-MB 350 CK-Total 190 Creatinine 105 CSF Protein 145 CSF Sugar 200 Direct Bilirubin 200 FSH 500 FT3 500 FT4 500 HBAIc 700 HCG 500 HDL 250 LDL 280 LH 350 Potassium 150 Prothrombin Time 200 Protime 200 PSA 500 SGOT 155 SGPT 155 Sodium 150 FBS 140 T3 500 T4 500 Total Bilirubin 200 Triglycerides 160 Troponin 1 1300 TSH 500 Bacteriology Laboratory Determination Gram Staining 100 TMG 180 KOH 100 Culture and Sensitivity Blood (automated) 987 Resp origin 300 Urine origin 300 Stool origin 300 Culture Only Blood (automated) 919 Resp origin 200 Urine origin 200 Stool origin 200 Blood Bank Tube Method Blood Typing ABO 100 Crossmatching 100 EMT Crossmatching 200 Ab Screening 300 Rh Typing 300 Gel Tech Blood typing 300 Crossmatching + Blood typing 520 Histopathology Laboratory Determination Reading Processing Fee Fee Small Specimen (1 slide) 450 250 Med. Specimen (2-4 slides) 650 362 Large Specimen (5-9 slides) 850 400 x-Large Specimen(> 10 slides) 1300 900 Rush Frozen Section 2500 1000 Cervical Cytology 108 90 FNAB (min. of 3 slides) 108 90 Radiology Department-Ultrasound Examination Procedure Professional Fee cranial 500.00 150.00 any single organ 500.00 150.00 HBT 800.00 240.00 Upper Abdomen (L, GB, P, S) 900.00 270.00 Lower Abdomen (K, UB, P) Male 800.00 240.00 (KUB, UT, Ovary) Female 850.00 255.00 Whole Abdomen 1,250.00 375.00 Transvaginal 650.00 195.00 Transrectal 600.00 180.00 Scrotal 500.00 150.00 Scrotal with Doppler 650.00 195.00 Pelvic OB 500.00 150.00 BPS 650.00 195.00 Carotid 2,000.00 600.00 Peripheral Venous (Lower Ext) 2,000.00 600.00 Artery (Lower Ext) 2,000.00 600.00 Peripheral Venous/Artery 3,500.00 1,050.00 2D-ECHO 2,500.00 Thoracentesis UTZ Guided 500.00 Paracentesis UTZ Guided 500.00 Biopsy UTZ Guided 500.00 CT Scan Procedure/Examination Hospital Prof. Fee Rate Cranial: plain/Contrast 2,700.00 540.00 Cranial: w/3D Reconstruct 3,150.00 630.00 Chest Plain 2,700.00 540.00 Chest w/Contrast 2,790.00 558.00 Mandible/Neck 3,600.00 720.00 w/3D Reconstruction 3,240.00 648.00 Mastoid 3,150.00 630.00 PNS 2,790.00 540.00 Temporal Bone 2,790.00 540.00 Nasopharynx 2,970.00 594.00 Facial Bone 3,600.00 720.00 w/3D Reconstruction 4,050.00 810.00 Thoracic Spine 3,150.00 630.00 Lumbosacral 3,150.00 630.00 Whole Abdomen 5,580.00 1,116.00 Upper Abdomen 3,150.00 630.00 Lower Abdomen 3,150.00 630.00 Extremities 2,610.00 522.00 Pelvis 3,150.00 630.00 CT Localization Only 2,000.00 400.00 CT Guided Biopsy w/o previous scan 7,200.00 1,140.00 Adrenals 3,240.00 648.00 CT Anglography (Brain) 8,100.00 1,620.00 CT Anglography (Pulmonary) 8,100.00 1,620.00 CT Anglography (Renal) 8,100.00 1,620.00 CT Anglography (Thoracic Aorta) 9,900.00 1,980.00 CT Anglography (Abdominal Aorta) 9,900.00 1,980.00 Stonogram 6,552.00 1,310.00 CT Angio 7,650.00 1,530.00 Virtual Broncoscopy 6,000.00 1,800.00 Virtual Colonoscopy 6,000.00 1,800.00 SECTION 2. Repealing Clause . All ordinances, rules and regulations or parts thereof, which are in conflict with the provisions of this Ordinance are hereby repealed or modified accordingly. CDHaET SECTION 3. Effectivity . This ordinance shall take effect immediately upon its approval. ENACTED: March 11, 2013. (SGD.) MA. JOSEFINA G. BELMONTE Vice Mayor Presiding Officer ATTESTED: (SGD.) ATTY. JOHN THOMAS S. ALFEROS III City Gov't. Asst. Dept. Head III APPROVED: May 24, 2013 (SGD.) HERBERT M. BAUTISTA City Mayor