This is a listing of the current prices and fees for medical services at Primary Care Facility. These prices represent the highest cost you could possibly incur for these services at our office , regardless of your insurance coverage
If you like to know the cost of a service or procedure code that is not listed on this form please, contact us. Any visit, appointment or consultation that involves a standard medical examination and or requires any medical decision making to assess, diagnose, and treat a medical condition or issue. While the prices are mostly based on time, the nature of your visit also factors into your costs. Prices for office visits are discounted when you see our PA.
Professional/Consultation fee: 0.00 php
Tooth Extraction: 0.00 php (for appointment)
Operating Room Fee: 0.00 php
National Immunization Program: 0.00 php (Under DOH)
Tetanus Toxoid/ATS: 0.00 php
Dental Medicine Consultation/Tooth Extraction: 0.00 php
Medical Certificate: 0.00 php
Death Certificate: 0.00 php
Minor Sutures: Upon available of suturing materials. PF: 0.00 php
DMPA: 0.00 php
Specialist, Critical Care and Emergency Room: Referral to Ospital ng Lungsod ng San Jose del Monte
DRUGS AND MEDICINE
DESCRIPTION PRICE
A:
Acetylcysteine 100mg effervescent table(EO Pharmacy) 15.00
Acetylcysteine 200mg effervescent granules (EO Pharmacy) 20.00
Adsorbed Tetanus Toxoid 0.5 mL ampule (EO Pharmacy) 90.00
Amiordane HCI 150mg/3mL vial (EO Pharmacy) 500.00
Amikacin 250mg/mL, 2mL vial (EO pharmacy) 80.00
Aminophylline 25mg/mL ampule 50.00
Amlodipine 5mg tablet 0.00
Amlodipine 10mg tablet 0.00
Ampicillin 250mg vial (EO Pharmacy) 15.00
Ampicillin 500mg vial (EO Pharmacy) 20.00
Ampicillin 1g vial (EO Pharmacy) 35.00
Ampicillin + Sulbactam 750mg vial (EO Pharmacy) 700.00
Antitoxin Tetanus Serum,(ATS 1,500 I.U.) ampule 0.00
Ascorbic Acid 100mg/5mL syrup,120mL 0.00
Ascorbic Acid 500mg tablet (EO Pharmacy) 5.00
Aspirin 80mg tablet 0.00
Atropine Sulfate 1mh/mL ampule (EO Pharmacy) 55.00
Atorvastatin 20mg tablet 0.00
Atorvastatin 40mg tablet 0.00
Atorvastatin 80m tablet 0.00
Azithromycin monohydrate 200mg/mL, suspension, 22.5mL 0.00
Azithromycin monohydrate 500mg film coated tablet 0.00
B:
Bacillus clausii nebule (Erceflora) (EO Pharmacy) 40.00
Betahistine 16mg tablet 0.00
Bisacodyl 10mg suppository (EO Pharmacy) 40.00
Budesonide 250mcg/mL, 2mL nebule 0.00
C:
Captopril 25mg tablet (EO Pharmacy) 5.00
Cefaclor 250mg/5mL suspension, 60mL (EO Pharmacy) 600.00
Cefaclor 50mg/mL drops, 20mL (EO Pharmacy) 200.00
Cefalexin 250mg/5mL suspension 60m: 0.00
Cefalexin 500mg capsule 0.00
Cefalexin drops 15mL 0.00
Cefixime 200mg tablet (EO Pharmacy) 61.00
Cetirizine 5mg/5mL syrup, 60mL 0.00
Cetirizine HCI 10mg tablet 0.00
Cefuroxime sodium 750mg vial 0.00
Cefuroxime axetil 500mg tablet 0.00
Celecoxib 200mg capsule 0.00
Chlorhexidine digluconate, WOUND SPRAY (EO Pharmacy) 450.00
Chlorhexidine digluconate, OB wash (EO Pharmacy) 450.00
Cinnarizine 25mg tablet 0.00
Ciprofloxacin 500mg tablet (EO Pharmacy) 10.00
Clarithromycin 125mg/5mL suspension, 50mL (EO Pharmacy) 400.00
Clarithromycin 250mg/5mL suspension, 50mL (EO Pharmacy) 600.00
Clindamycin palmitate HCI 75mg/5mL, granules, 60mL (EO Pharmacy) 340.00
Clindamycin palmitate HCI 300mg capsule (EO Pharmacy) 15.00
Clonidine 75mg tablet 0.00
Clonidine 150mcg tablet 0.00
Clonidine HCI 150mcg/mL capsule 0.00
Clopidogrel 75mg tablet 0.00
Cloxacillin 250mg/5mL, suspension, 60mL 0.00
Cloxacillin 500mg capsule 0.00
Co-amoxiclav 250mg/62.5mg/5mL suspension, 60mL 0.00
Co-amoxiclav 625mg tablet 0.00
D:
Diclofenac 50mg tablet 0.00
Diclofenac 25mg/mL, 3mL, ampule IM/IV (EO Pharmacy) 25.00
Dompreidone 10mg tablet 0.00
E:
Epinephrine HCI 1:1000 solution, ampule 0.00
Erythromycin 0.5% opthalmic ointment, 3.5G (EO Pharmacy) 120.00
F:
Ferrous Sulfate tab/ cap SR, feosol 0.00
Folic Acid 5mg tablet 0.00
Furosemide 20mg tablet (EO Pharmacy) 2.00
Furosemide 40mg tablet (EO Pharmacy) 3.00
G:
Gentamicin 80mg/2mL vial (EO Pharmacy) 50.00
Gliclazide 80mg tablet 0.00
H:
Hyoscine-N-Butyl Bromide 20mg/mL 1mL clear ampule (EO Pharmacy) 20.00
Hyoscine Butyl-Bromide 10mg tablet 0.00
I:
Insulin - N 100 I.U./mL 10mL vial 0.00
Insulin - R 100 I.U./mL 10mL vial 0.00
Insulin 70/30 vial 0.00
K:
Ketoanalogues + Aminoacids 600mg tablet (EO Pharmacy) 30.00
Ketorolac ampule (EO Pharmacy) 150.00
Ketorolac 10mg tablet (EO Pharmacy) 26.00
L:
Lactulose 3.3mg/5mL, solution 120mL (EO Pharmacy) 150.00
Lagundi 600mg tablet 0.00
Lidocaine + Epinephrine 1.8 mL, 1:100,000 carpule (EO Pharmacy) 24.00
Lidocaine 2% 50mL vial 0.00
Lidocaine 2% 5mL, polyampule 0.00
Lidocaine 10mg/dose, pump spray (EO Pharmacy) 5000.00
Loratadine 10mg tablet 0.00
Losartan 50mg tablet 0.00
Losartan + Hydrochlorothiazide 50mg/12.5mg tablet 0.00
M:
Mebendazole 500mg tablet 0.00
Mefenamic acid 500mg tablet 0.00
Meloxicam 7.5mg tablet (EO Pharmacy) 5.00
Meloxicam 15mg tablet (EO Pharmacy) 7.00
Metformin 500mg tablet (EO Pharmacy) 0.00
Methylprednisolone 4mg tablet (EO Pharmacy) 30.00
Methylprednisolone 16mg tablet (EO Pharmacy) 30.00
Metronidazole 500mg tablet (EO Pharmacy) 4.00
Metronidazole 500mg/100mL, IV (EO Pharmacy) 85.00
Multivitamins + VIT.C + Zinc capsule 0.00
Multivitamins + Folic Acid + Iron capsule 0.00
Mupirocin 2% cream/ointment,5G, tube 0.00
O:
Omeprazole 20mg tablet 0.00
Omeprazole 40mg capsule 0.00
Omeprazole 40mg powder for injection, vial 0.00
Oral Rehydration Salt tablet 0.00
P:
Paracetamol 100mg/mL, drops, 15mL 0.00
Paracetamol 125mg/5mL, syrup, 60mL 0.00
Paracetamol 250mg/5mL, syrup, 60mL 0.00
Paracetamol 300mg ampule 0.00
Paracetamol 500mg tablet 0.00
Paracetamol + Tramadol 325mg/37.5mg tablet 0.00
Paracetamol 1G, 100mL vial (EO Pharmacy) 700.00
Probiotics + Zinc Power (Prozinc) (EO Pharmacy) 55.00
R:
Ranitidine HCI 50mg, 2mL ampule (EO Pharmacy) 85.00
S:
Salbutamol nebule 1mg/mL 2.5 mL 0.00
Sambong 500mg tablet 0.00
Silversulfadiazine 1% cream 20G 0.00
Silymarin Plus-B-complex capsule (EO Pharmacy) 15.00
Simvastatin 20mg tablet 0.00
Sodium Ascorbate + Zinc Capsule 0.00
T:
Tramadol 50mg capsule (EO Pharmacy) 10.00
Trimetazidine dihydrochloride 35mg tablet (EO Pharmacy) 12.00
Tranexamic acid 500mg capsule (EO Pharmacy) 16.00
V:
Vitamin B complex ampule (EO Pharmacy) 80.00
Vitamin B complex (100mg/5mg/50mcg) tablet 0.00
Z:
Zinc Sulfate 27.5mg/mL,drops, 15mL 0.00
Zinc SUlfate 55mg/5ml, syrup, 60mL 0.00
MEDICAL SUPPLIES
DESCRIPTION PRICE
Disposable needle G. 23 0.00
Disposable needle G. 26 0.00
Disposable Insulin Syringe 1 cc, 100's 0.00
Disposable gloves 0.00
Disposable syringe 1 cc 0.00
Disposable syringe 3 cc 0.00
Disposable syringe 5 cc 0.00
Disposable syringe 10 cc 0.00
Nebulizer tubing kit (Adult) 0.00
Nebulizer tubing kit (Pedia) 0.00
Oxygen cannula (Adult) 0.00
Oxygen cannula (Neonate) 0.00
Oxygen cannula (Pedia) 0.00
Oxygen mask (Adult) 0.00
Oxygen mask (Pedia) 0.00
MEDICAL CONSULTATIONS
MATERNAL CARE
CHILD CARE
VITAMIN A SUPPLEMENTATION AND DEWORMING
IMMUNIZATION
FAMILY PLANNING
TB DOTS
HIV / HB / SYPHILIS SCREENING
HYPERTENSION AND DIABETIC CLUB
ADOLESCENT HEALTH PROGRAM
DENTAL SERVICES
PROCEDURE PRICE
CHEST X-RAY (ADULT) 150
CHEST X-RAY (AP-L) 300
CERVICAL (AP-L) 300
THORACIC (AP-L) 300
LUMBO-SACRAL (AP-L) 300
PELVIC (AP) 150
THIGH (AP-L) 300
ELBOW (AP-L) 300
HAND (AP-L) 300
KNEE (AP-L) 300
LEG (AP-L) 300
SKULL (AP-L) 300
FOREARM (AP-L) 300
WRIST (AP-L) 300
FOOT (AP-L) 300
NASAL ( TRANS LATERAL ) 300
MASTOID 300
MANDIBLE 300
ABDOMEN (UPRIGHT AND SUPINE) 300
ECG 150
PRIMARY CARE FACILITY II