OFFICE OF THE CITY HEALTH OFFICER
Provision of Ultrasound and X-ray Services
Classification: Simple
Type of Transaction: G2C – Government to Citizen
Who may avail: All residents of San Fernando with doctor’s request
The physician employs diagnostic tests (ultrasound, x-ray) to help with proper patient diagnosis and accurate treatment.
X-ray Fees
| SERVICE | Fees |
| 1. Skeletal Survey | 1500 |
| 2. Bilateral Leg APO/L | 800 |
| 3. Bilateral Shoulder Joint (Trauma Series) | 800 |
| 4. Bilateral Leg APL | 500 |
| 5. Bilateral Thigh APL | 500 |
| 6. Thoracolumbar Spine APL | 450 |
| 7. Bilateral Foot APO/L | 400 |
| 8. Bilateral Ankle APL + MORT | 400 |
| 9. Bilateral Hand APO/L | 400 |
| 10. Leg APOL | 400 |
| 11. Bilateral Forearm APL | 350 |
| 12. Bilateral Arm APL | 350 |
| 13. Abdomen APL (Adult) | 250 |
| 14. Abdomen S/U | 250 |
| 15. Bilateral Ankle APL | 250 |
| 16. Bilateral Elbow Joint APL | 250 |
| 17. Bilateral Foot APL | 250 |
| 18. Bilateral Hand APO | 250 |
| 19. Bilateral Shoulder Joint AP | 250 |
| 20. Bilateral Wrist APL | 250 |
| 21. Chest APL (Adult) | 250 |
| 22. Femur APL | 250 |
| 23. Flat Plate Abdomen (Upright/ Supine) | 250 |
| 24. Leg APL | 250 |
| 25. Mastoid Series | 250 |
| 26. Paranasal Sinuses | 250 |
| 27. Thigh APL | 250 |
| 28. Pelvimetry | 250 |
| 29. Ankle APL + Mortise | 200 |
| 30. Cervical R/L Obliques | 200 |
| 31. Coccyx APL | 200 |
| 32. Foot APOL | 200 |
| 33. Hand APOL | 200 |
| 34. Knee APO/L | 200 |
| 35. Lumbar Spine APL | 200 |
| 36. Lumbar Spine R&L Obliques | 200 |
| 37. Lumbosacral Spine APL | 200 |
| 38. Lumbosacral R&L Obliques | 200 |
| 39. Sacrum APL | 200 |
| 40. Thoracic Spine APL | 200 |
| 41. Sacrum APL | 200 |
| 42. Abdomen APL (Pedia) | 150 |
| 43. Arm APL | 150 |
| 44. Cervical APL | 150 |
| 45. Chest APL (Pedia) | 150 |
| 46. Forearm APL | 150 |
| 47. Mandible APO | 150 |
| 48. Orbital X-ray | 150 |
| 49. Skull APL | 150 |
| 50. TMJ APO | 150 |
| 51. Abdomen AP | 100 |
| 52. Abdomen Decubitus | 100 |
| 53. Ankle (Mortise) | 100 |
| 54. Ankle APL | 100 |
| 55. Chest AP/PA (Adult) | 100 |
| 56. Chest Apicolordotic View | 100 |
| 57. Chest R/L Lateral Decubitus | 100 |
| 58. Chest R/L Lateral | 100 |
| 59. Clavicle AP | 100 |
| 60. Cross-table Lateral (Hip Joint) | 100 |
| 61. Elbow Joint APL | 100 |
| 62. Fetogram | 100 |
| 63. Foot APO/L | 100 |
| 64. Hand APO/L | 100 |
| 65. Hip Joint AP | 100 |
| 66. Knee (Skyline/ Sunrise) | 100 |
| 67. Knee APL | 100 |
| 68. KUB X-ray | 100 |
| 69. Pelvis (Frogleg) | 100 |
| 70. Pelvis (Inlet & Outlet View | 100 |
| 71. Pelvis (Juddet View) | 100 |
| 72. Pelvis AP | 100 |
| 73. Thoracic Cage | 100 |
| 74. Wrist APL | 100 |
| 75. Shoulder Joint AP | 100 |
| 76. Cervical LAT | 100 |
| 77. Nasal Bone/ Soft Tissue Lateral | 100 |
| 78. Open Mouth View- Cervical | 100 |
| 79. Skull AP | 100 |
| 80. Skull- Caldwell’s View | 100 |
| 81. Skull- Towne’s View | 100 |
| 82. Skull- Water’s View | 100 |
| 83. Swimmer’s View Shoulder | 100 |
Ultrasound Fees
| SERVICE | Fees |
| 1. Abdomen-Pelvis | 500 |
| 2. Abdomen- Prostate | 500 |
| 3. Whole abdomen | 450 |
| 4. Biophysical Scoring | 450 |
| 5. Thryroid/ Neck | 400 |
| 6. Kidneys, Spleen Pancreas | 400 |
| 7. Chest/ Hemithorax | 400 |
| 8. Scrotal/Testicular/ Inguinal | 400 |
| 9. KUB-Prostate | 400 |
| 10. Cranial | 400 |
| 11. Cardiac | 400 |
| 12. Breast | 400 |
| 13. Transvaginal (TVS) | 400 |
| 14. KUB | 350 |
| 15. Upper Abdomen | 350 |
| 16. HBT-Kidneys | 300 |
| 17. HBT-Pancreas | 300 |
| 18. HBT-Abdominal Aorta | 300 |
| 19. HBT-Gallbladder | 250 |
| 20. HBT-Pelvis | 250 |
| 21. Spleen/Pancreas | 250 |
| 22. Liver | 250 |
| 23. Gallbladder | 250 |
| 24. Kidneys | 250 |
| 25. Pancreas | 250 |
| 26. Abdominal Aorta | 250 |
| 27. Spleen | 250 |
| 28. Urinary Bladder | 250 |
| 29. Pelvis | 250 |
| 30. Prostate | 250 |