An Ordinance Amending Ordinance No. 10-26

December 12, 2013 SAN CARLOS CITY ORDINANCE NO. 034-13 Excerpts from the Minutes of the Regular Session of the Sangguniang Panlungsod Held on the 12th Day of December, 2013 at 4:00 p.m. at the SP Session Hall, this City. PRESENT: Hon. Edgardo B. Quisumbing Vice Mayor/Presiding Officer Hon. Rommel T. Debulgado SP Member Hon. Christopher Paul S. Carmona SP Member Hon. Victoriana C. Cabili SP Member Hon. Hernan V. Antonio SP Member Hon. Dickson N. Yu SP Member Hon. Eddie L. Apuhin SP Member Hon. Fleur De Lis V. Mascuana SP Member Hon. Emmanuel J. Baguioro SP Member Clint S. Mansueto SP Member (ABC President) ABSENT: Hon. Mark E. Cui SP Member (On Official Business) Hon. Jonie S. Uy SP Member SAN CARLOS CITY ORDINANCE NO. 034-13 AN ORDINANCE AMENDING ORDINANCE NO. 10-26, ENTITLED "REVENUE CODE OF THE CITY OF SAN CARLOS, NEGROS OCCIDENTAL" PROVIDING FOR NEW RATES FOR HOSPITAL FEES AND SERVICES Introduced by Hons. Baguioro, Debulgado and Carmona Be it ordained by the Sangguniang Panlungsod of the City of San Carlos, Negros Occidental, in regular session assembled, that: SECTION 1. Section 1, Article C of Ordinance No. 10-26, entitled "Revenue Code of the City of San Carlos, Negros Occidental, is hereby amended to read as follows: HEITAD Resident of SCC Non-Resident Non-Med Medicare of SCC Rooms Private Room with Aircon PHIC RATE +250 PHIC RATE +250 PHIC RATE +350 Private Room without Aircon PHIC RATE +100 PHIC RATE +100 PHIC RATE +150 Semi-Private PHIC RATE +50 PHIC RATE +50 PHIC RATE +100 Medicare Ward PHIC RATE PHIC RATE PHIC RATE +50 OB Ward PHIC RATE PHIC RATE PHIC RATE +50 NICU (Newborn Intensive Care Unit) PHIC RATE PHIC RATE PHIC RATE +50 NICU with Incubator use PHIC RATE +50 PHIC RATE +50 PHIC RATE +100 Female, Male, Pedia Ward PHIC RATE PHIC RATE PHIC RATE +50 Surgical Ward PHIC RATE PHIC RATE PHIC RATE +50 Isolation Room PHIC RATE PHIC RATE PHIC RATE +50 Delivery Room PHIC RATE PHIC RATE PHIC RATE +100 Intensive Care Unit (ICU) PHIC RATE PHIC RATE PHIC RATE +100 Operating Room RUV of: above 10 units (81 & above) PHIC RATE PHIC RATE PHIC RATE +550 5.1 to 10 units (31-80) PHIC RATE PHIC RATE PHIC RATE +300 5.0 and below (30 & below) PHIC RATE PHIC RATE PHIC RATE +150 Emergency Room (ER) Fee 300.00 300.00 350.00 Recovery Room 25/hr 25/hr 50/hr Labor Room fee/hr 25/hr 25/hr 30/hr Medical Fees Medical Certificate 50.00 50.00 50.00 Medico Legal Certificate 75.00 75.00 75.00 Certificate of True Copy 50.00 50.00 50.00 Birth/Death Certificate 50.00 50.00 75.00 Consultation Fee 100.00 Ambulance Within City Proper 200/call 200/call 250/call Outside City Proper +20.00/km +20.00/km +25.00/km San Carlos City-Bacolod City 3,000.00 3,000.00 3,700.00 San Carlos City-Dumaguete 3,500.00 3,500.00 4,300.00 San Carlos City-Cebu (via Toledo) 5,500.00 5,500.00 7,000.00 (Passenger/Patient to shoulder the freight charge on RORO and all other fees vice versa) Dental Services Extraction, permanent, per tooth 200.00 200.00 250.00 Extraction, temporary, per tooth 100.00 100.00 150.00 Permanent filling, per cavity 200.00 200.00 250.00 Temporary filling, per cavity 100.00 100.00 150.00 Calcium Hydroxide 100.00 100.00 150.00 Glass Ionomer 200.00 200.00 250.00 Oral Prophylaxis 250.00 250.00 300.00 Wound Dressing Small (0.5 cm or less) 40.00 40.00 50.00 Medium (0.6-4.0) 75.00 75.00 100.00 Large (more than 4.0 cm) 100.00 100.00 125.00 Minor Surgical Procedures Excision 200.00 PHIC RATE 250.00 Incision and Drainage 200.00 PHIC RATE 250.00 Suturing 200.00 PHIC RATE 250.00 Circumcision 200.00 PHIC RATE 250.00 Closed Reduction 200.00 PHIC RATE 250.00 Application of Plaster Cast 200.00 PHIC RATE 250.00 Removal of Plaster Cast 100.00 100.00 150.00 Insertion of NGT 100.00 100.00 150.00 Insertion of Urinary Catheter 50.00 50.00 75.00 Other Fees Cardiac Monitor Fee 25/hr 25/hr 75/hr Pulse Oximeter Fee 10/hr 10/hr 25/hr Syringe Pump Fee 50/use 50/use 100/use Infusion Pump Fee 100/day 100/day 150/day Doppler Fee 50/use 50/use 75/use Defibrillator Fee 150/use 150/use 200/use Bili Light/Photo Therapy use 50/hr 50/hr 75/hr Injection 15.00 15.00 25.00 Nebulization 20.00 20.00 35.00 EKG 300.00 300.00 350.00 Suction Fee 20/use 20/use 30/use Electrical Appliances 50.00/day 50.00/day 60.00/day Service Fee Daily Visit General Practitioner PHIL RATE PHIC RATE Specialist PHIC RATE PHIC RATE Surgery PHIC RATE PHIC RATE Pathologic Services (Laboratory) Hematology CBC 100.00 100.00 110.00 CT/BT 50.00 50.00 60.00 Blood Typing 75.00 75.00 100.00 Sedimentation Rate (ESR) 110.00 110.00 120.00 Clinical Microscopy Urinalysis 60.00 60.00 70.00 Stool Exam/Fecalysis 50.00 50.00 60.00 Pregnancy Test 100.00 100.00 120.00 Serology Dengue Test 650.00 650.00 700.00 RPR 250.00 250.00 300.00 Hepa "A" 400.00 400.00 450.00 Hepa "B" Antigen 250.00 250.00 300.00 Hepa "C" 300.00 300.00 350.00 HIV Test 300.00 300.00 350.00 Salmonella Typhidot IgG/IgM 700.00 700.00 750.00 Donor Screening Fee 750.00 750.00 850.00 Crossmatching 100.00 100.00 120.00 Clinical Chemistry FBS 130.00 130.00 150.00 RBS 100.00 100.00 110.00 BUN 130.00 130.00 150.00 Creatinine 130.00 130.00 150.00 Uric Acid 130.00 130.00 150.00 Lipid Profile 500.00 500.00 550.00 Cholesterol 130.00 130.00 150.00 Triglyceride 130.00 130.00 150.00 HDL only 130.00 130.00 150.00 LDL only 130.00 130.00 150.00 K (Potassium) 250.00 250.00 300.00 Na (Sodium) 250.00 250.00 300.00 Amylase 250.00 250.00 300.00 Calcium 250.00 250.00 300.00 SGPT/ALT 130.00 130.00 150.00 SGOT/AST 130.00 130.00 150.00 HbA1c 600.00 600.00 700.00 TPAG 280.00 280.00 300.00 Total Protein Only 130.00 130.00 150.00 Albumin Only 130.00 130.00 150.00 Globulin only 130.00 130.00 150.00 B1B2 Total Bilirubin 130.00 130.00 150.00 Indirect Bilirubin 130.00 130.00 150.00 Direct Bilirubin 130.00 130.00 150.00 Prothrombin Time 400.00 400.00 500.00 TROP T 750.00 750.00 850.00 CK-MB 400.00 400.00 450.00 Alkaline Phosphatase 250.00 250.00 300.00 Parasitology Stool Exam/Fecalysis 40.00 40.00 50.00 Occult Blood 75.00 75.00 90.00 Special Procedures Thyroid Panel 1,200.00 1,200.00 1,300.00 T3 500.00 500.00 550.00 T4 500.00 500.00 550.00 TSH 500.00 500.00 550.00 Kato Katz 150.00 150.00 200.00 AFB 100.00 100.00 150.00 Drug Testing Kit 200.00 200.00 250.00 Cell Morphology 50.00 50.00 70.00 Malaria Smear 100.00 100.00 110.00 Micral Test 110.00 110.00 120.00 Newborn Screening Fee 650.00 650.00 700.00 Newborn Hearing Screening Test 300.00 300.00 350.00 Radiologic Services (X-Ray) Chest (Adult) Chest AP or PA 190.00 190.00 200.00 Chest PA & PA Portable 200.00 200.00 220.00 Chest PA & Lateral 330.00 330.00 400.00 Chest PA & Left or Right Oblique 330.00 330.00 400.00 Chest PA & Lordotic 350.00 350.00 400.00 Chest PA & Bilateral Obliques 330.00 330.00 400.00 Chest Left or Right Lateral 190.00 190.00 200.00 Chest Lordotic 190.00 190.00 200.00 Chest Left or Right Oblique 190.00 190.00 200.00 Chest Bilateral Obliques 330.00 330.00 390.00 Chest Lateral Decubitus 230.00 230.00 390.00 Chest (Bucky) AP or PA 190.00 190.00 250.00 Chest (Bucky) AP or PA & Left or Right Lateral 330.00 330.00 410.00 Chest (Bucky) AP or PA & Left & Right Lateral 520.00 520.00 650.00 Chest (Bucky) AP or PA & Left or Right Obliques 330.00 330.00 410.00 Chest (Bucky) AP or PA & Bilateral 520.00 520.00 650.00 Chest (6 Years Old and Below) Chest AP or PA 190.00 190.00 200.00 Chest AP or PA & Lateral 300.00 300.00 320.00 Chest AP Portable 190.00 190.00 200.00 Abdomen (Adult) Abdomen AP (Supine or Upright) 325.00 325.00 400.00 Abdomen AP (Supine & Upright) 530.00 530.00 660.00 Abdomen Left/Right Lateral Decubitus 250.00 250.00 400.00 Abdomen Left/Right Lateral 325.00 325.00 400.00 Abdomen AP (Supine, Upright & Decubitus) 745.00 745.00 930.00 Abdomen (Infant 1-Year Old & Below) Abdomen AP (Supine or Upright) 230.00 230.00 290.00 Abdomen AP (Supine & Upright) 480.00 480.00 600.00 Abdomen Left/Right Lateral Decubitus 230.00 230.00 325.00 Abdomen AP (Supine, Upright & Decubitus) 600.00 600.00 750.00 Abdomen (Wangestein Right) 500.00 500.00 625.00 Head Skull AP or PA 270.00 270.00 340.00 Skull Lateral 270.00 270.00 340.00 Skull AP & Lateral 490.00 490.00 610.00 Skull-Towne 270.00 270.00 340.00 Skull-Waters 270.00 270.00 340.00 Skull-Submentovertical 270.00 270.00 340.00 Skull AP & Towne 490.00 490.00 610.00 Skull AP & Waters 490.00 490.00 610.00 Skull Towne & Waters 490.00 490.00 610.00 Skull Lateral & Towne 490.00 490.00 610.00 Skull Lateral & Waters 490.00 490.00 610.00 Skull AP, Lateral & Towne 600.00 600.00 750.00 Skull AP, Lateral & Waters 600.00 600.00 750.00 Skull AP, Lateral & Tangential 600.00 600.00 750.00 Skull Lateral, Towne & Waters 600.00 600.00 750.00 Skull AP/Lateral/Towne & Waters & Submentovertical 660.00 660.00 825.00 Skull Series 660.00 660.00 825.00 Skull-Tangential 190.00 190.00 200.00 Mastoids (Any One View) 270.00 270.00 340.00 Mastoids (Any Two Views) 480.00 480.00 600.00 Mastoids (Any Three Views) 530.00 530.00 660.00 Mastoids Complete 600.00 600.00 700.00 Mandible PA & Axiolateral 400.00 400.00 500.00 Temporo-Mandibular Joints 600.00 600.00 750.00 Paranasal Sinuses-Lateral 230.00 230.00 250.00 Paranasal Sinuses-Caldwell 230.00 230.00 250.00 Paranasal Sinuses-Waters 230.00 230.00 250.00 Paranasal Sinuses-Caldwell & Waters 330.00 330.00 410.00 Paranasal Sinuses-Lateral & Caldwell 330.00 330.00 410.00 Paranasal Sinuses-Lateral & Waters 330.00 330.00 410.00 Paranasal Sinuses-Complete 450.00 450.00 560.00 Sella Turcica-Lateral 190.00 190.00 240.00 Sella Turcica-AP Axial 190.00 190.00 240.00 Sella Turcica-AP Axial & Lateral 420.00 420.00 525.00 Facial Bones/Maxillae 500.00 500.00 625.00 Nasal Bone-Waters, Lateral & Dental 520.00 520.00 680.00 Nasal Bone-Dental 190.00 190.00 200.00 Orbits 560.00 560.00 700.00 Optic Foramen 560.00 560.00 700.00 Zygomatic Aches 330.00 330.00 410.00 Shoulder Girdle & Bony Thorax Shoulder AP 190.00 190.00 240.00 Shoulder AP & Lateral 330.00 330.00 410.00 Both Shoulder AP 330.00 330.00 410.00 Both Shoulder AP (Internal & External Rotations) 330.00 330.00 410.00 Scapula AP 190.00 190.00 240.00 Scapula Lateral 190.00 190.00 240.00 Scapula AP & Lateral 330.00 330.00 410.00 Scapula AP & PA or AP Oblique 330.00 330.00 410.00 Clavicle AP & Axial Sternum 500.00 500.00 625.00 Sternoclavicular joints 500.00 500.00 625.00 Ribs Detail AP or PA 190.00 190.00 240.00 Ribs Detail AP & PA & Left or Right Oblique 600.00 600.00 710.00 Ribs Details AP/PA & Bilateral Oblique 600.00 600.00 710.00 Vertebral Column Cervical Spine AP, Lateral, Open-Mouth 600.00 600.00 710.00 Cervical Spine-Bilateral Obliques 330.00 330.00 410.00 Cervical Spine (Complete) 720.00 720.00 900.00 Cervical Spine AP 190.00 190.00 240.00 Cervical Spine (Atlas/Axis) 190.00 190.00 240.00 Cervical Spine (Flexion & Extension) 330.00 330.00 410.00 Cervical Spine-Translateral (Cross-table) 190.00 190.00 240.00 Cervical Spine AP & Translateral 330.00 330.00 410.00 Cervical Spine-Translateral Open Mouth 330.00 330.00 410.00 Cervicothoracic Lateral (swimmer's) 190.00 190.00 240.00 Thoracic (Dorsal) Spine AP & Lateral 600.00 600.00 750.00 Thoracic Spine AP 350.00 350.00 440.00 Thoracic Spine Lateral 350.00 350.00 440.00 Thoracic Spine Left or Right Oblique 350.00 350.00 440.00 Thoracic Spine (Bilateral Obliques) 560.00 560.00 700.00 Thoracic-Spine (Complete) 1,200.00 1,200.00 1,500.00 Thoracic-Lumbar Spine AP (Supine or Upright) *** Scoliosis Study 380.00 380.00 475.00 Thoraco-Lumbar Spine AP & Lateral (Supine or Upright) *** Scoliosis Study 630.00 630.00 790.00 Lumbar/Lumbosacral Spine AP & Lateral 600.00 600.00 750.00 Lumbar/Lumbosacral Spine AP 350.00 350.00 440.00 Lumbar/Lumbosacral Spine Lateral 350.00 350.00 440.00 Lumbar/Lumbosacral Spine Left or Right Oblique 350.00 350.00 440.00 Lumbar/Lumbosacral Spine Bilateral Oblique 560.00 560.00 700.00 Lumbar/Lumbosacral Spine (Complete) 1,220.00 1,220.00 1,525.00 Sacrum AP or PA & Lateral 475.00 475.00 590.00 Coccyx AP or PA & Lateral 400.00 400.00 500.00 Upper Extremities Hand PA 190.00 190.00 220.00 Both Hand PA 330.00 330.00 380.00 Hands PA, Oblique & Lateral 330.00 330.00 380.00 Wrist PA & Lateral 190.00 190.00 240.00 Wrist PA (Flexion) 190.00 190.00 240.00 Wrist-PA, Lateral PA (Flexion) 400.00 400.00 500.00 Wrist-Carpal Canal 190.00 190.00 240.00 Forearm AP & Lateral 420.00 420.00 520.00 Elbow AP Lateral 330.00 330.00 410.00 Numerous AP & Lateral 400.00 400.00 500.00 Pelvis & Lower Extremities Pelvis AP 430.00 430.00 540.00 Pelvis AP & Left or Right HIP 530.00 530.00 660.00 Pelvis AP & Bilateral Hips 730.00 730.00 910.00 Hip AP & Bilateral Hips 420.00 420.00 525.00 Hip AP & Groin Axiolateral 430.00 430.00 540.00 Both Hips AP 430.00 430.00 540.00 Hips (Front-Leg) 430.00 430.00 540.00 Hip Nailing 660.00 660.00 825.00 Femur AP & Lateral 420.00 420.00 525.00 Femur AP 190.00 190.00 240.00 Knee AP & Lateral 330.00 330.00 375.00 Knee AP 190.00 190.00 200.00 Knee Oblique 190.00 190.00 200.00 Knee Lateral 190.00 190.00 200.00 Both Knees AP (Weight Bearing) 420.00 420.00 525.00 Patella-Tangential 190.00 190.00 200.00 Knee AP, Lateral & Patella (Tangential) 600.00 600.00 710.00 Knee-Intercondyloid Fossa (Axial) 190.00 190.00 240.00 Knee AP, Lateral & Intercondyloid Fossa (Axial) 430.00 430.00 540.00 Leg AP 190.00 190.00 240.00 Leg Lateral 190.00 190.00 240.00 Leg AP & Lateral 420.00 420.00 525.00 Ankle AP 190.00 190.00 240.00 Ankle Lateral 190.00 190.00 240.00 Ankle-Mortise View 190.00 190.00 240.00 Ankle AP, Lateral & Oblique 400.00 400.00 500.00 Ankle AP, Lateral & Mortise View 400.00 400.00 500.00 Ankle-Tanential (Calcaneus) 190.00 190.00 240.00 Ankle AP, Lateral, Oblique & Tangential (Calcaneus) 500.00 500.00 625.00 Foot AP 190.00 190.00 240.00 Foot Lateral 190.00 190.00 240.00 Foot AP, Lateral & Oblique 480.00 480.00 600.00 Both Feet AP 380.00 380.00 475.00 Both Feet Lateral 380.00 380.00 475.00 Both Feet Obliques 380.00 380.00 475.00 Both Feet AP, Lateral & Obliques 970.00 970.00 1,210.00 Special Examinations Neck-Soft Tissue Lateral 190.00 190.00 240.00 Neck-Soft Tissue AP & lateral 330.00 330.00 410.00 Nasopharyngogram (Soft Tissue Study) 420.00 420.00 525.00 Oropharyngogram (Soft Tissue Study) 420.00 420.00 525.00 Pharyngogram (Soft Tissue Study) 420.00 420.00 525.00 Oral GB Series/Oral Cholecystography 820.00 820.00 1,020.00 Scout Film-Oral GB Series 120.00 120.00 150.00 Operative Cholangiogram 970.00 970.00 1,210.00 Scout Film-Operative Cholangiogram 190.00 190.00 240.00 T-Tube Cholangiography 900.00 900.00 1,125.00 KUB 325.00 325.00 325.00 IVP 1,340.00 1,340.00 1,675.00 Scout Film-IVP 190.00 190.00 240.00 IVP with voiding Cystogram 1,560.00 1,560.00 1,950.00 Retrograde Pyelography 1,040.00 1,040.00 1,300.00 Bilateral Retrograde Pyelography 2,030.00 2,030.00 2,540.00 Cystography 760.00 760.00 950.00 Urethrography 760.00 760.00 950.00 Voiding Cystourethrography 900.00 900.00 1,125.00 Fetography (Pelvimetry) 360.00 360.00 450.00 Fistulogram/Sinus Tract Visualization 800.00 800.00 1,000.00 Bone Survey (Adult) 2,400.00 2,400.00 3,000.00 Bone Survey (Children) 2,550.00 2,550.00 3,200.00 Barium Enema 820.00 820.00 1,200.00 Barium Swallow 820.00 820.00 1,200.00 Gastro-intestinal Series (G.I. Series) 1,340.00 1,340.00 1,500.00 Administrative Provision: 1. Mark-Up : a. Medicines : a-1. Resident of San Carlos City Non-Philhealth member with 10% mark-up. Philhealth member with 20% mark-up for admitted patients only. a-2. Non-resident of San Carlos City Non-Philhealth member with 15% mark-up. Philhealth member with 25% mark-up for admitted patients only. b. Supplies : b-1. Resident of San Carlos City with 15% mark-up. b-2. Non-resident of San Carlos with 20% mark-up. ATICcS c. Oxygen Consumption : c-1. Resident of San Carlos City acquisition cost plus 15% mark-up for 1 tank. cost per hour, acquisition cost plus 15% mark-up divided by 8 hours. c-2. Non-resident of San Carlos City acquisition cost plus 20% mark-up for 1 tank. cost per hour, acquisition cost plus 20% mark-up divided by 8 hours. 2. Only Regular Employees of the Local Government Unit of San Carlos City admitted at the San Carlos City Hospital can avail of 20% discount of the total bill in excess of PHILHEALTH claims, provided that this provision covers only to LGU Regular Employees, it does not extend to their immediate family or relatives. SECTION 2. Repealing Clause . All ordinances, rules and regulations or part thereof, in conflict with or inconsistent with the provision of this ordinance are hereby repealed or modified accordingly. SECTION 3. Effectivity. This ordinance shall take effect on the day after copies of the duly approved ordinance shall have been posted for ten (10) days in the bulletin board at the entrance of the City Hall and in at least two (2) conspicuous places in the local government unit not later than five (5) days after approval hereof. ETHIDa ENACTED: DECEMBER 12, 2013, by the affirmative votes of Hons. of Hons. DEBULGADO, CARMONA CABILI, ANTONIO, YU, APUHIN, MASCUNAA, BAGUIORO and MANSUETO.