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(NAR) VOL. 8 NO. 4 / OCTOBER - DECEMBER 1997
[ BRL ADMINISTRATIVE ORDER NO. 14-A s. of 1997, July 23, 1997 ]
REVISED FEES FOR LABORATORY DIAGNOSTIC PROCEDURES PERFORMED IN THE BUREAU OF RESEARCH AND LABORATORIES (BRL) (AMENDMENT TO ADMINISTRATIVE ORDER NO. 97, 2. 1990)
By virtue of the authority of the Secretary of Health under Executive Order No. 119, dated January 30, 1987, to promulgate rules and regulations necessary to carry out the Department of Health objectives, policies, plans, programs and projects, pursuant to Section 3, General Provisions of Republic Act No. 8250, otherwise known as General Appropriations Act of CY 1997, the following fees shall be charged for certain laboratory examinations performed in the Bureau of Research and Laboratories, this Department:
| Laboratory Examination | Fee | |||
| A. | BACTERIOLOGY | |||
| 1. | Direct Smear for Acid Fast Bacilli (AFB) | 60.00 | ||
| 2. | Gram Stain | 60.00 | ||
| 3. | Flourescent Acid Fast Microscopy (FAM) test for AFB | 60.00 | ||
| 4. | Culture for Mycobacterium Tuberculosis (MTB) (Conventional Method) | 415.00 | ||
| 5. | Sensitivity Test for MTB (Conventional) | 250.00 | ||
| 6. | Culture for Enteric Organism | |||
| a. Salmonella/Shigella b. Vibrio c. E. coli d. Aeromonas/Plesiomonas e. Campylobacter f. Yersinia | 550.00 550.00 550.00 550.00 550.00 550.00 | |||
| 7. | Sensitivity Test for the above Enteric Organism | 150.00 | ||
| 8. | Blood Culture with sensitivity for S. Typhi | 415.00 | ||
| 9. | Culture & sensitivity for N. Gonorrhea | 310.00 | ||
| 10. | Culture & sensitivity for H. Influenza | 550.00 | ||
| 11. | Culture & sensitivity for Streptococci | 560.00 | ||
| 12. | Culture & sensitivity of Staphylococci | 380.00 | ||
| 13. | Culture & sensitivity for N. Meningitis | 470.00 | ||
| 14. | Other microorganisms from other body fluids | 540.00 | ||
| B. | ENVIRONMENTAL HEALTH - WATER ANALYSIS | |||
| 1. | Bacteriological Examination of Water | |||
| 1.a Total Coliform MPN Tests 1.b IMVic Test 1.c Heterotrophic Plate Count 1.d Fecal Coliform Test (E.C. Test) | 90.00 110.00 35.00 70.00 | |||
| 2. | Physical/Chemical Exam of Water | 1,050.00 | ||
| (20 Parameters) Odor Color Turbidity pH Residual Acidity | ||||
| Alkalinity | ||||
| Total Chloride | ||||
| Total Hardness | ||||
| Total Iron | ||||
| Total Solids | ||||
| Total Dissolved Solids Fluoride Nitrite Chlorine Calcium Magnesium Manganese Sulfate Total Suspended Solids Silica | ||||
| C. | IMMUNOLOGY | |||
| 1. | Serologic Test for Syphilis | |||
| 1.1 Venereal Disease Research Laboratory(VDRL) 1.2 Rapid Plasma Reagin (RPR) 1.3 Treponema Pallidum Hemagglutination(TPHA) 1.4 Flourescent Treponema- Antibody Absorption (FTA-ABS) | 85.00 85.00 150.00 350.00 | |||
| 2. | Hepatitis A Virus (HAV-Igm) | 275.00 | ||
| 3. | Hepatitis B | |||
| 3.1 HBsAg (Rapid Plasma Hemagglutination - RPHA) 3.2 HBsAg (Immunochromatography Assay) 3.3 HBsAg (Enzyme Immuno Asay - EIA) 3.4 HBsAg (Confirmatory) 3.5 Anti-HBc 3.6 Anti- HBs 3.7 Hbe/Anti-Hbe | 180.00 110.00 160.00 600.00 200.00 200.00 350.00 | |||
| 4. | Hepatitis C | |||
| 4.1 HCV Antibody (Particle Agglutination - PA) 4.2 HCV Antibody (EIA) 4.3 Hepatitis C Virus (HCV - Confirmatory) | 260.00 20.00 2,695.00 | |||
| 5. | HIV Antibody | |||
| 5.1 HIV-1/2 (Dot Immunoassay) 5.2 HIV-1 Antibody (PA) 5.3 HIV-1/2 Antibody (PA) 5.4 HIV Antibody (EIA) 5.5 Western Blot (HIV) 5.6 Line Immunoassay (LIA-HIV) | 150.00 170.00 220.00 240.00 1,300.00 2,375.00 | |||
| D. | IMMUNOHEMATOLOGY | |||
| 1. | Referral Laboratory Services | |||
| a. ABO Sub-Grouping b. Confirmation of weak A or B c. Weak D Test d. Red Cell Phenotyping | 385.00 2,155.00 315.00 | |||
| d.1 Rh Phenotyping d.2 Full Red Cell Phenotyping | 215.00 1,390.00 | |||
| e. Antibody Screening Test | ||||
| e.1 Saline Technique e.2 Low-ionic Strength Solution Technique (LISS) e.3 Albumin Technique e.4 Enzyme | 130.00 145.00 145.00 210.00 | |||
| f. Antibody Identification Test | ||||
| f.1 Saline f.2 LISS f.3 Albumin f.4 Enzyme | 1,635.00 2,130.00 2,100.00 1,800.00 | |||
| g. Compatibility Testing | ||||
| g.1 Bovine Albumin g.2 LISS g.3 Enzyme | 405.00 410.00 430.00 | |||
| 2. | Routine Services | |||
| a. Blood Grouping | 100.00 | |||
| a.1 ABO grouping a.2 Rh Typing | 60.00 40.00 | |||
| b. Direct Antiglobulin Test c. Indirect Antiglobulin Test | 150.00 120.00 | |||
| E. | HEMATOLOGY | |||
| 1. | Referral Laboratory Services | |||
| a. Cytochemistry (Confirmation of Leukemia Limeage) | ||||
| a.1 Wright’s Giemsa a.2 Periodic Acid Schiff (PAS) a.3 Sudan Black B (SBB) a.4 Myeloperoxidase (MPO) a.5 Alpha Napthyl Acid Esterase (ANAE) a.6 Alpha Napthyl Butyrate Esterase (ANBE) a.7 Napthol AS-D Chloroacetate (Exterase (NASDCAE) a.8 Leukocyte Alkaline Phosphatase (LAP) a.9 Acid Phosphatase (ACP) | 110.00 150.00 155.00 160.00 155.00 165.00 155.00 155.00 180.00 | |||
| b. Leukemia - Immunophenotyping (8 anti- body staining reagent panel) c. Lymphoma Screening ( 6 antibody screening panel) | 2,100.00 2,100.00 | |||
| d. Hemolytic anemia | ||||
| G-6-PD Assay Osmotic Fragility Test Acid serum Test (Ham’s test) Staining for Heinz bodies and iron Sugar Water Test | 450.00 185.00 170.00 115.00 105.00 | |||
| 2. | Routine Services | |||
| a. CBC with platelet (Automated) b. Erythrocyte Sedimentation Rate (ESR) (Winthrobe) c. Reticulocyte Count (NMB supravital Staining ) d. Prothrombin Time (Automated ) e. Activated Prothrombin Time (Automated) f. Clotting Time (Manual; Lee & White) g. Bleeding Time (Disposable Bleeding Time Device) h. L.E. Prep. (manual) | 140.00 25.00 60.00 215.00 260.00 40.00 200.00 135.00 | |||
| F. | ANATOMIC PATHOLOGY SECTION | |||
| 1. | Exfoliative Cytology | |||
| 1.a Routine Papanicolaou Staining (PAPs) 1.b Cell block 1.c Complete Examination for Papanicolaou/ Cell Block 1.d Laboratory Processing : | 60.00 70.00 130.00 | |||
| PAP’s (1-2 slides) Cell Block (1-2 slides) Pap’s/Cell Block (3-4 slides) | 50.00 60.00 120.00 | |||
| 2. | Histopathology | |||
| 2.a Complete examination for 1 and/or 2 small specimens 2.b Complete examination for 3 small and 1 large specimens 2.c Complete examination for 2 large specimens 2.d Complete examination for radical specimens | 100.00 120.00 160.00 220.00 | |||
| 3. | Laboratory Processing | |||
| 3.a 1 and/or 2 small specimens 3.b 3 small or 1 large specimens 3.c 2 large specimens 3.d Radical specimens | 90.00 110.00 140.00 170.00 | |||
| 4. | Additional Slides (per slide) | 30.00 | ||
| G. | PARASITOLOGY AND MEDICAL ENTOMOLOGY | |||
| 1. | Routine Laboratory Service Capability | |||
| 1.a Direct Fecal Smear 1.b Filarial smear (Giemsa stain) 1.c Malarial smear (Giemsa stain) 1.d Scotch tape method 1.e Test for occult blood | 30.00 50.00 50.00 50.00 30.00 | |||
| 2. | Reference Laboratory Service capability | |||
| 2.a Concentration method for stool 2.b Staining for amoeba | 50.00 50.00 | |||
| 2.b.1 Iron Hematoxylin 2.b.2 Trichrome stain 2.b.3 Chlorazol Black E stain | ||||
| 3. | Staining of adult worms Sechon Acetic Carmine Method | 50.00 | ||
| 4. | Identification of Cryptosporidium by staining of modified Acid Fast stain | 50.00 | ||
| 5. | Nucleopore membrane Technique for Filaria(Conc. method) | 75.00 | ||
| 6. | Concentration method for Pulmonary Flukes | 50.00 | ||
| 7. | Circum-Oval Precipitin Test for Schistosoma (COOPT) | 50.00 | ||
| H. | MEDICAL MYCOLOGY | |||
| 1. | KOH Smear | 60.00 | ||
| 2. | Mycologic culture | 100.00 | ||
| I. | BIOCHEMISTRY | |||
| 1. | Routine Clinical Chemistry | |||
| a. Glucose b. Uric Acid c. Cholesterol d. Creatinine e. Blood Urea Nitrogen (BUN) f. Alanine Aminotransferase (ALT) g. Aspartate Aminotransferase (AST) h. Total Protein i. Albumin j. Alkaline Phos k. Total Bilirubin | 60.00 70.00 60.00 60.00 60.00 65.00 65.00 60.00 60.00 75.00 70.00 | |||
| 2. | Special Test/ Special Program [Program Against Micronutrient Malnutrition (PAMM)] | |||
| a. Urine Iodine b. Thyroid Stimulating Hormone (TSH) (Blood Spot) | 80.00 40.00 | |||
The rate of laboratory fees herein promulgated is within the range of usual fees prevailing at the time, and in the different public health laboratories, taking into consideration the cost of reagents, supplies and materials, and qualify control of various laboratory procedures.
This Order supersedes all previous issuances inconsistent thereof and shall take effect after fifteen (15) days following its publication in the newspaper of general circulation.
Adopted: 23 July 1997
(SGD.) CARMENCITA NORIEGA-REODICA
M.D., M.P.H. CESO III
Secretary of Health