DOTC Department Order No. 2002-57

(NAR) VOL. 13 NOS. 1-4 / OCTOBER-DECEMBER 2002

[ DOTC DEPARTMENT ORDER NO. 2002-57, November 15, 2002 ]

AN ORDER REVISING CERTAIN FEES AND CHARGES OF THE AIR TRANSPORTATION OFFICE (ATO) FOR MEDICAL, DENTAL AND LABORATORY SERVICE UNDER D.O. #94-762.

In compliance with Executive Order Nos. 197 and 218 as implemented by DOF-DBM Joint Circular No. 2000-4 dated April 4, 2000, the following schedule of revised fees and charges for Part VIII of D.O. #94-762 is hereby adopted for implementation: MEDICAL, LABORATORY AND DENTAL FEES A. MEDICAL 1. Consultation P100.00 2. Treatments (dressing, injection, etc.) 100.00 3. Minor Surgery a) Circumcision 400.00 b) Incision and Drainage, Suturing 200.00 c) Removal of Cyst 300.00 4. Physical Examination with Issuance of 50.00 Medical Certificate 5. Ambulance conduction fee within Metro 500.00 Manila 6. Nebulization with kit and medicine 180.00 7. Nebulization without kit and medicine 30.00 8. Optical examination (refraction and visual 50.00 acuity) 9. Neuro-Psychiatric Examination 150.00 10. Annual fee for designation of Aviation 200.00 Medical Examiners 11. Treadmill/Stress Test 700.00 B. LABORATORY 1. ECG 200.00 2. Chest X-ray 14 x 17 150.00 11 x 14 120.00 3. Complete Blood Count 95.00 4. Hemoglobin 50.00 5. Hematocrit 50.00 6. White cell count 50.00 7. Red cell count 50.00 8. Blood typing 100.00 9. Platelet count 65.00 10. ESR 80.00 11. Differential count 50.00 12. Occult blood 85.00 13. Pregnancy test 145.00 14. Routine urinalysis 70.00 15. Urine albumin and sugar 60.00 16. Stool exam 60.00 17. Blood chemistry a) Glucose 120.00 b) BUN 120.00 c) Creatinine 120.00d) Uric Acid 120.00 e) Cholesterol 120.00 f) Triglycerides 130.00 g) HDL 180.00 h) SGOT 140.00 i) SGPT 140.00

C. DENTAL

1. Treatment 35.00 2. Filling per tooth 100.00 3. Extraction per tooth 50.00 4. Prophylaxis (light) 100.00 REPEALING CLAUSE All previous administrative/department orders, rules and regulations, or part thereof inconsistent with or contrary to any prevision of this order are hereby repealed or modified accordingly.

EFFECTIVITY DATE

This Order shall be published once a week for two (2) consecutive weeks in two (2) newspapers of general circulation in the Philippines and the same shall be effective fifteen (15) days after the last publication.

RECOMMENDING APPROVAL: M/Gen. ADELBERTO F. YAP (Ret.)

Assistant Secretary

APPROVED:

(SGD.) LEANDRO R. MENDOZA Secretary Attachment Rates for Medical, Laboratory and Dental Services Examination/Procedure Pay Rates – Class A Charity Rates Outpatients/Ward/Semi-Private/Private/ Deluxe./Suite Ward/Semi- Private Suite Deluxe Class D Class B Class C Priv.

A. Medical 1. Consultation (ER Only) 200.00 200.00 200.00 - - - 2. Treatment (dressing, Injection, - - -etc.) 3. Minor Surgery 390.00 500.00 855.00 435.00 695.00 a. Circumcision b. Incision & drainage, Suturing c. removal of cyst 4. Physical Examination w/ Issuance NA NA NA NA NA NA of Medical Certificate 5. Ambulance Conduction Fee 600.00- 600.00 600.00 600.00 w./in Metro Manila 800.00 800.00 800.00 800.00 800.00 800.00 6. Nebulization w/Kit & Medicine NA NA NA NA NA NA7. Nebulization w/o Kit & Medicine 35.00/day 35.00/day 35.00/day - - - 8. Optical Examination (Refraction NA NA NA NA NA NA & Visual Acuity) 9. Neuro-Psychiatry Examination NA NA NA NA NA NA 10. Annual fee for designation of NA NA NA NA NA NA Aviation Medical examiners NA B. Laboratory 1. ECG- Regular 200.00 240.00 350.00 - 70.00 40.00 - Bedside/Emer. 260.00 310.00 - - - - 2. Chest X-ray PA 285.00 285.00 345.00 - 100.00 100.00 PA and lateral 345.00 345.00 415.00 - 130.00 140.00 3. Complete Blood Count 95.00 115.00 115.00 - 40.00 60.00 4. Hemoglobin 50.00 50.00 60.00 - 15.00 30.00 5. Hematocrit 50.00 50.00 60.00 - 15.00 30.00 6. White Cell Count 50.00 50.00 60.00 - 15.00 30.00 7. Differential Count 70.00 70.00 75.00 - 20.00 40.00 8. Hemoglobin only 50.00 50.00 60.00 - 15.00 30.00 9. Red Blood Cell/Count/ WBC 65.00 65.00 70.00 - 20.00 35.00 Morpitology 10. Blood Typing 125.00 160.00 160.00 - 35.00 70.00 11. Platelet Count 65.00 65.00 80.00 - 20.00 40.00 12. ESR 100.00 100.00 100.00 - 50.00 55.00 13. Occult Blood 90.00 100.00 100.00 - 40.00 45.00 14. Pregnancy Test Qualitative: Slide Test 100.00 110.00 110.00 - 40.00 45.00 Card Test 145.00 160.00 160.00 - 105.00 115.00 Quantitative: 24 hrs.

HCG

15. Urinalysis (Routine) 70.00 75.00 75.00 - 35.00 40.00 16. Urine Albumin 70.00 90.00 90.00 - 30.00 35.00 17. Sugar 45.00 50.00 50.00 - 30.00 35.00 18. Stool Exam (Routine) 70.00 75.00 75.00 - 20.00 25.00 19. Blood Chemistry Glucose 350.00 350.00 385.00 - 95.00 195.00 BUN 85.00 100.00 100.00 - 25.00 50.00 Creatinine 90.00 90.00 105.00 - 25.00 55.00 Uric Acid 85.00 95.00 95.00 - 25.00 50.00 Cholesterol 105.00 115.00 115.00 - 30.00 60.00 Triglycerides 185.00 215.00 215.00 - 55.00 110.00 HDL 195.00 210.00 210.00 - 115.00 135.00 SGOT 115.00 125.00 125.00 - 30.00 65.00 SGPT 115.00 125.00 125.00 - 30.00 65.00C. Dental 1. Treatment (Preventive periodontal 50.00 50.00 50.00 - 30.00 30.00 therapy) 2. Filing per tooth NA NA NA NA NA NA 3. Extraction per tooth 32.00 32.00 32.00 - 18.00 18.00 4. Prophylaxis 50.00 50.00 50.00 50.00 50.00 50.00