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LABORATORY TEST AND PREPARATION

AS OF FEBRUARY 07, 2017

February 07, 2017


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

read urine specimen collection


protocol; (refer to Laboratory 24-hour urine collection in clean
24 HOURS URINE TOTAL PROTEIN 844.00 CHEMISTRY DAILY same day (after 8 hours)
Manual);get specimen container container (without preservatives)
from the lab.
Abstain from eating or drinking
(nuts, coffee, tea
,softdrinks,banana,
24HRS URINE with 10ml Pls check with Laboratory Section
5 HIAA SEROTININ QUAN 2,050.00 CHEMISTRY chocolate,Drugs (glycerol Monday(Cut-off 8 AM) FOLLOWING DAY
concentrated HCl concerned if further clarification is needed
guiacolate, mephenesin ,
methydopa, tetracycline and
phenazopyridine)for 3 days
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
ACACIA LONGIFOLIA (t19) 1,455.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
ED Satellite
ACETONE (KETONES) 462.00 NON-FASTING 1 GREEN TOP (Lithium Heparin) DAILY same day (after 8 hours)
Laboratory
if the submitted specimen is fixed in
ACID FAST (AFB STAIN-TISSUE) Paraffin block w/history and formalin, must be processed for Routine
2,200.00 HISTOPATH TISSUE Monday to Saturday 4 to 5 working days
H&E result & slide Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
ADRENOCORTICOTROPHIN (ACTH) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

For sputum sample, preferrably


early morning for 3 consecutive
AFB CONCENTRATION (ACID FAST) 600.00 MICROBIOLOGY SPUTUM/OTHER SAMPLE DAILY SAME DAY
days. Other samples, no
preparation needed
AFB SMEAR/DIRECT 514.00 MICROBIOLOGY NO PREPARATION CSF DAILY SAME DAY
ALBUMIN- OTHER BODY FLUIDS ( DIALYSATE) 370.00 CHEMISTRY NO PREPARATION DIALYSATE FLUID DAILY same day (after 8 hours)

ALBUMIN-OTHER BODY FLUIDS (PANCREATIC) 370.00 CHEMISTRY NO PREPARATION PANCREATIC FLUID DAILY same day (after 8 hours)
ALBUMIN-OTHER BODY FLUIDS (PERITONEAL
370.00 CHEMISTRY NO PREPARATION PERITONEAL FLUID DAILY same day (after 8 hours)
FLUID)
ALBUMIN-OTHER BODY FLUIDS (PLEURAL
370.00 CHEMISTRY NO PREPARATION PLEURAL FLUID DAILY same day (after 8 hours)
FLUID)
ALBUMIN-OTHER BODY FLUIDS (SYNOVIAL
370.00 CHEMISTRY NO PREPARATION SYNOVIAL FLUID DAILY same day (after 8 hours)
FLUID)
ALBUMIN-SERUM 370.00 CHEMISTRY NON-FASTING RED/SST TUBE DAILY same day (after 8 hours)
if the submitted specimen is fixed in
Paraffin block w/history and formalin, must be processed for Routine
ALCIAN BLUE 2,600.00 HISTOPATH TISSUE Monday to Saturday 3 to 4 working days
H&E result & slide Histopath first;pls check w/ Histopath for
availability of reagent/result

Page 1 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
ALK 1, CONFIRM 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

ALK PHOS HEAT FRACTIONATION 1,588.00 CHEMISTRY NON-FASTING Serum(red/sst tube) DAILY same day (after 8 hours)

ALK PHOSPHATASE BONE SPECIFIC SERUM 2,985.00 CHEMISTRY NON-FASTING Serum(red/sst tube) Thurs 8am cut off FOLLOWING DAY
ALKALINE PHOSPHATASE SERUM 400.00 CHEMISTRY NON-FASTING Serum(red/sst tube) DAILY same day (after 8 hours)
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut
ALLERGENS:ADDTL TEST AFTER PANEL 10 & 20 1,086.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am)
PATIENT CHOICE, 10 DIFFERENT
atleast 3mL Serum (red/sst tube), Tuesday and Friday, (cut
ALLERGENS:PANEL 10 13,100.00 IMMUNOLOGY No patient preparation Following day ALLERGENS, Please check with Immunology
transport on ice off 8am)
Section for the availability of the allergens

PATIENT CHOICE, 20 DIFFERENT


atleast 3mL Serum (red/sst tube), Tuesday and Friday, (cut
ALLERGENS:PANEL 20 20,600.00 IMMUNOLOGY No patient preparation Following day ALLERGENS, Please check with Immunology
transport on ice off 8am)
Section for the availability of the allergens

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
ALMOND(f20) 3,212.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
ALPHA 1-ANTICHYMOTRYPSIN 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
ALPHA FETO PROTEIN (CHEMI) 2,646.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
ALPHA-1-ANTITRYPSIN(AAT) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
ALPHA-1-FETOPROTEIN(AFP) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
Wednesday
WHOLE BLOOD, (1) 4 ML EDTA;
(Cut-Off: Tuesday at
MOLECULAR CBC and Hemoglobin Electrophoresis result
ALPHA-GLOBIN GENOTYPING 13,500.00 NO PREPARATION 1300H) FRIDAY
PATHOLOGY Refrigerate specimen at (2-8C) is required.
(new cut off time effective
Sept 18, 2015)
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
ALTERNARIA ALTERNATA (m6) 1,455.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
No patient preparation.
Requirement: if available,
atleast 2 mL Serum (red/sst tube), Monday and Thursday, (cut NOTE: Clinical diagnosis or initial diagnosis
AMA-ANTI MITOCHONDRIAL ANTIBODY 3,252.00 IMMUNOLOGY Clinical abstract/initial diagnosis Following day
transport on ice off 8am) of the patient
of the patient

Serum, (1) 5 cc Red top tube; Do


not use SST or serum gel tube;
AMIKACIN(S.O.) 8,350.00 CHEMISTRY NO PREPARATION Daily after 3 working days
Note last dose and time of
extraction.
No preparation. Take note date
AMINOPHYLLINE /THEOPHYLLINE ASSAY 1,484.00 CHEMISTRY and time of last dose and Serum(red/sst tube) DAILY same day (after 8 hours)
dosage.

Page 2 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

NO FASTING, Patient is
K2 EDTA (lavander top), 4cc
instructed to avoid any form of
*For send out test please separate For send out test please separate plasma
muscular exercises before and
AMMONIA BLOOD 1,363.00 CHEMISTRY plasma using Closed System, DAILY same day (after 8 hours) using Closed System, freeze immediately
during blood extraction. You
freeze immediately and transport and transport under ice
should not smoke prior to
under ice
collection of the specimen.

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut


AMOXICILLIN(c6) 3,212.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) Required: Doctors request and Clinical
Abstract.
If Negative- results will be Saturday and Sunday (for emergency cases
Mon-Fri (except Holidays) 8-
AMPHET/CANNA COMBI QUALI (drug test) 300.00 CHEMISTRY NO PREPARATION Random Urine available within 24 hours. If only); please use polyethylene container
4 pm
Positive- after 3 to 4 weeks only
AMYLASE - OTHER BODY FLUIDS
670.00 CHEMISTRY NO PREPARATION PANCREATIC FLUID DAILY same day (after 8 hours)
(PANCREATIC)
AMYLASE - OTHER BODY FLUIDS (PLEURAL
670.00 CHEMISTRY NO PREPARATION PLEURAL FLUID DAILY same day (after 8 hours)
FLUIDS)
AMYLASE - OTHER BODY FLUIDS (SYNOVIAL
670.00 CHEMISTRY NO PREPARATION SYNOVIAL FLUID DAILY same day (after 8 hours)
FLUID)
AMYLASE- OTHER BODY FLUIDS ( PERITONEAL
670.00 CHEMISTRY NO PREPARATION PERITONEAL FLUID DAILY same day (after 8 hours)
FLUID)
AMYLASE- OTHER BODY FLUIDS (DIALYSATE) 670.00 CHEMISTRY NO PREPARATION DIALYSATE FLUID DAILY same day (after 8 hours)
AMYLASE SERUM 670.00 CHEMISTRY NON-FASTING Serum(red/sst tube) DAILY same day (after 8 hours)
read urine specimen collection
protocol; (refer to Laboratory
AMYLASE URINE 24HRS 895.00 CHEMISTRY 24 HRS. URINE SPECIMEN DAILY same day (after 8 hours)
Manual);get specimen container
from the lab.
AMYLASE URINE RANDOM 895.00 CHEMISTRY NO PREPARATION URINE-RANDOM DAILY same day (after 8 hours)
No patient preparation. NOTE: Specimen must be accompanied
ANA PROFILE (Lupus Panel): ANA, Anti dsDNA,
Requirement: Clinical atleast 3 mL Serum (red/sst tube), Monday and Thursday, (cut with doctor's request and patient's
Anti- Smith, Anti- RO/SSA, Anti-LA/SSB, Anti 8,500.00 IMMUNOLOGY Following day
abstract/initial diagnosis of the transported with ice off 8am) abstract/initial diagnosis for clinical
RNP70, Anti-JO1
patient interpretation
No patient preparation.
Titer and Pattern will be reported only if
Requirement: if available, atleast 2 mL Serum (red/sst tube), Monday and Thursday, (cut
ANA-ANTI NUCLEAR ANTIBODY 1,700.00 IMMUNOLOGY Following day ANA (ANTI NUCLEAR ANTIBODY) result is
Clinical abstract/initial diagnosis transport on ice off 8am)
POSITIVE
of the patient
No patient preparation,
requirement: Clinical atleast 2 mL Serum (red/sst tube), Monday and Thursday, (cut Also known as ANTI-CARDIOLIPIN IgG /
ANTI CARDIO (ACA) IgG 6,200.00 IMMUNOLOGY Following day
abstract/initial diagnosis of the transport on ice off 8am) ANTI-PHOSPHOLIPID IgG
patient
ANTI HAV,IGG (CMIA)- HEPATITIS A 1,091.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
Please indicate if patient is pregnant or
ANTI HCV (CHEMI)/Hep.C 1,350.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
non-pregnant
No patient preparation, NOTE: Specimen must be accompanied
requirement: Clinical atleast 2 mL Serum (red/sst tube), DAILY RUNNING with doctor's request and patient's
ANTI JO-1 3,000.00 IMMUNOLOGY Following day
abstract/initial diagnosis of the transport on ice (Cut-off time: 12nn) abstract/initial diagnosis for clinical
patient interpretation
No patient preparation, NOTE: Specimen must be accompanied
requirement: Clinical atleast 2 mL Serum (red/sst tube), DAILY RUNNING with doctor's request and patient's
ANTI RNP 3,000.00 IMMUNOLOGY Following day
abstract/initial diagnosis of the transport on ice (Cut-off time: 12nn) abstract/initial diagnosis for clinical
patient interpretation

Page 3 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks
No patient preparation, NOTE: Specimen must be accompanied
requirement: Clinical atleast 2 mL Serum (red/sst tube), DAILY RUNNING with doctor's request and patient's
ANTI SSB/LA 3,000.00 IMMUNOLOGY Following day
abstract/initial diagnosis of the transport on ice (Cut-off time: 12nn) abstract/initial diagnosis for clinical
patient interpretation
ANTI -TPO(CHEMI) 2,800.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
Routine: within 8 hours
upon receipt of request &
1 (4mL) NO ADDITIVE GLASS RED specimen at Blood Bank. NOTE: The Antibody Screening is valid only
ANTIBODY SCREENING (PATIENT) 2,750.00 BLOOD BANK NO PREPARATION DAILY
TOP TUBE/1 (4mL) EDTA STAT: within 2 hours upon for THREE DAYS (72 hours).
receipt of request &
specimen at Blood Bank.
DAILY RUNNING
ANTI-CARDIOLIPIN IgG 6,200.00 IMMUNOLOGY Following day Old Name: ACA IgG (UNICAP)
(Cut-off time: 12nn)
No patient preparation,
Also known as ANTI-CARDIOLIPIN IgM /
requirement: Clinical atleast 2 mL Serum (red/sst tube), DAILY RUNNING
ANTI-CARDIOLIPIN IgM 6,200.00 IMMUNOLOGY Following day ANTI-PHOSPHOLIPID IgM
abstract/initial diagnosis of the transport on ice (Cut-off time: 12nn)
Old Name: ANTI CARDIO (ACA) IgM
patient
ANTI-CCP 3,800.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
No patient preparation, NOTE: Specimen must be accompanied
requirement: Clinical atleast 2 mL Serum (red/sst tube), Monday and Thursday, (cut with doctor's request and patient's
ANTI-dsDNA (DOUBLE STRANDED DNA) 2,200.00 IMMUNOLOGY Following day
abstract/initial diagnosis of the transport on ice off 8am) abstract/initial diagnosis for clinical
patient interpretation
ANTI-HAV IGM (CHEMI) - HEPATITIS A 1,612.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
ANTI-HBC IGM (CHEMI) 1,350.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
ANTI-HBC TOTAL 1,350.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
ANTI-HBE 1,091.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
ANTI-HBS (CHEMI) 1,350.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
No patient preparation, NOTE: Specimen must be accompanied
requirement: Clinical atleast 2 mL Serum (red/sst tube), DAILY RUNNING with doctor's request and patient's
ANTI-SM (anti-smith) 3,000.00 IMMUNOLOGY Following day
abstract/initial diagnosis of the transport on ice (Cut-off time: 12nn) abstract/initial diagnosis for clinical
patient interpretation
No patient preparation, NOTE: Specimen must be accompanied
requirement: Clinical atleast 2 mL Serum (red/sst tube), DAILY RUNNING with doctor's request and patient's
ANTI-SSA/RO 2,400.00 IMMUNOLOGY Following day
abstract/initial diagnosis of the transport on ice (Cut-off time: 12nn) abstract/initial diagnosis for clinical
patient interpretation
ANTI-TG (CHEMI)ANTI THYROGLOBULIN 2,800.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
Wednesday only, 11AM cut
2 blue top,plasma in plastic Check with Lab Section concerned on
ANTI-THROMBIN III CS 5,000.00 HEMATOLOGY NONE/FRESHLY drawn off within 24 hours
cryovials or clean plastic test tube availability of reagent

2 blue top,plasma in plastic Check with Lab Section concerned on


ANTI-THROMBIN III CS SINGLE RUN-STAT 8,000.00 HEMATOLOGY NONE/FRESHLY drawn Wednesday only same day (within 4 hours)
cryovials or clean plastic test tube availability of reagent
1 (4mL) NO ADDITIVE GLASS RED
APHERESIS O.S. 15,500.00 BLOOD BANK NO PREPARATION DAILY
TOP TUBE/1 (4mL) EDTA
CLINICAL Grossly vomitus, stool, gastric fluid NOTE: Specimen with no visible blood is
APTS TEST 398.00 No patient preparation Daily After 8 hours
MICROSCOPY in clean container not appropriate for analysis
No patient preparation.
NOTE: Specimen must be accompanied
Requirement: if available,
atleast 2 mL Serum (red/sst tube), Monday and Thursday, (cut with doctor's request and patient's
ASMA-ANTI SMOOTH MUSCLE ANTIBODY 4,100.00 IMMUNOLOGY Clinical abstract/initial diagnosis Following day
transport on ice off 8am) abstract/initial diagnosis for clinical
of the patient
interpretation

ASO TITER (ANTI STREPTOLYSIN O TITER 1,548.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY SAME DAY(after 8 hours)

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
ASPERGILLIUS FUMIG (m3) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

Page 4 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
AVOCADO(f26) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
B2 MICROGLOBULIN 2,646.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY SAME DAY(after 8 hours)
BACTERIAL CHALLENGE 1,368.00 MICROBIOLOGY NO PREPARATION DISINFECTANTS DAILY after 1 week
At least 1 mL of CSF, collected in a NOTE: Specimen must be accompanied
sterile bottle , should be with doctor's request and patient's
BACTERIAL MENINGITIS ANTIGEN 2,200.00 IMMUNOLOGY No patient preparation submitted to laboratory within 24 Daily After 8 hours abstract/initial diagnosis for clinical
hours after collection, transport interpretation
on ice. Old name: PHADEBACT
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
BAMBOO SHOOT (f51) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
BANANA(f92) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

If Negative- results will be Saturday and Sunday (for emergency cases


Mon-Fri (except Holidays) 8-
BARBITURATES QUALI 300.00 CHEMISTRY NO PREPARATION URINE available within 24 hours. If only); please use polyethylene container
4 pm
Positive- after 3 to 4 days only

If Negative- results will be Saturday and Sunday (for emergency cases


Mon-Fri (except Holidays) 8-
BARBITURATES QUANTITATIVE 2,500.00 CHEMISTRY NO PREPARATION URINE available within 24 hours. If only); please use polyethylene container
4 pm
Positive- after 3 to 4 days only

if the submitted specimen is fixed in


Monday to Saturday, Cut- formalin, must be processed for Routine
BCL 2 5,200.00 HISTOPATH TISSUE 3 to 4 working days
off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
BCL- 6 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
Blood, (1) 4ml EDTA tube.
(FRESHLY COLLECTED) After 2 working days
BCR-ABL (QRT-PCR) Must be processed within 24 (within cut-off) After 2 working days (within cut-off)
MOLECULAR Monday to Friday (Cut-
13,000.00 NO PREPARATION hours after collection.
PATHOLOGY Off 1200H)
After 3 working days (after After 3 working days (after cut-off)
Transport under ice. cut-off)

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
BEEF (f27) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
NOT AVAILABLE IN THE SECTION, Send-out
CLINICAL test to other hospital, Please coordinate
BENCE JONES PROTEIN 277.00 No patient preparation RANDOM URINE Daily
MICROSCOPY with the clinical microscopy section before
CPOE
If Negative- results will be Saturday and Sunday (for emergency cases
Monday to Friday (except
BENZODIAZEPINE QUALI 300.00 CHEMISTRY NO PREPARATION Random Urine available within 24 hours. If only); please use polyethylene container
holidays) 8-4 PM
Positive- after 3 to 4 days only

If Negative- results will be Saturday and Sunday (for emergency cases


Monday to Friday (except
BENZODIAZEPINE QUANTITATIVE 2,500.00 CHEMISTRY NO PREPARATION Random Urine available within 24 hours. If only); please use polyethylene container
holidays) 8-4 PM
Positive- after 3 to 4 days only

Page 5 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
BerEP4 3,465.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
BERMUDA GRASS (g2) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
BETA HCG (CHEMI) 2,500.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
WHOLE BLOOD, (1) 4 ML EDTA. Thursday (Cut-Off:
MOLECULAR Tuesday at 1300H) CBC and Hemoglobin Electrophoresis result
BETA-GLOBIN 12,500.00 NO PREPARATION FRIDAY
PATHOLOGY Refrigerate specimen at (2-8C) (new cut off time effective is required
Sept 18, 2015)
BLEEDING TIME ONLY(DUKE'S) 310.00 HEMATOLOGY NO PREPARATION PRICK DAILY same day (after 8 hours) TO BE PERFORMED BY MMC MED.TECH
BLOOD ALCOHOL LEVEL 1,484.00 CHEMISTRY NO PREPARATION red top (5cc) or lavander top (4cc) DAILY same day (after 8 hours)

collection preferably on height if no growth: after 5 days;if


BLOOD CULTURE (AEROBIC & ANAEROBIC) 4,450.00 MICROBIOLOGY blood DAILY
of fever positive refer to bacteriology

collection preferably on height if no growth: after 5 days;if


BLOOD CULTURE WARD 4,175.00 MICROBIOLOGY blood DAILY
of fever positive refer to bacteriology
BLOOD PROCESSING FEE 1,500.00 BLOOD BANK NO PREPARATION BLOOD BAG COMPONENT N/A N/A
BLOOD SCREENING FEE CRYOPRECIPITATE 1,000.00 BLOOD BANK NO PREPARATION BLOOD BAG COMPONENT N/A N/A
BLOOD SCREENING FEE FRESH FROZEN
1,000.00 BLOOD BANK NO PREPARATION BLOOD BAG COMPONENT N/A N/A
PLASMA
BLOOD SCREENING FEE PACKED RED CELLS 1,500.00 BLOOD BANK NO PREPARATION BLOOD BAG COMPONENT N/A N/A
BLOOD SCREENING FEE PLATELET
1,000.00 BLOOD BANK NO PREPARATION BLOOD BAG COMPONENT N/A N/A
CONCENTRATE
BLOOD SCREENING FEE WHOLE BLOOD
1,800.00 BLOOD BANK NO PREPARATION BLOOD BAG COMPONENT N/A N/A
(500ml)
BLOOD TRASPORT BAG 500.00 BLOOD BANK NO PREPARATION None DAILY same day
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
BLUE MUSSEL (f37) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

Freshly collected CSF and other


CLINICAL
BODY FLUIDS-CELL COUNT 500.00 No patient preparation body fluids,should be submitted Daily After 8 hours
MICROSCOPY
to the laboratory within 1 hour.
4mL LAVANDER TOP (PLASTIC
BRAIN NATRIURETIC PEPTIDE (BNP) 1,819.00 CHEMISTRY NO PREPARATION DAILY same day (after 8 hours)
TUBE)

BREAST PANEL HISTOPATH

NOTE: Specimen must be accompanied


atleast 2 mL Serum (red/sst tube), DAILY RUNNING with doctor's request and patient's
BSCL-70 3,500.00 IMMUNOLOGY No patient preparation Following day
transport on ice (Cut-off time: 12nn) abstract/initial diagnosis for clinical
interpretation
NOTE: Specimen must be accompanied
BP 180 (BULLOUS PEMPHIGOID 180) atleast 2 mL Serum (red/sst tube), with doctor's request and patient's
3,600.00 IMMUNOLOGY No patient preparation Tuesday (cut off 8am) Following day
transport on ice abstract/initial diagnosis for clinical
interpretation
BUN - OTHER BODY FLUID (PLEURAL FLUID) 450.00 CHEMISTRY NON-FASTING PLEURAL FLUID DAILY same day (after 8 hours)

Page 6 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

BUN - OTHER BODY FLUID (SYNOVIAL FLUID) 450.00 CHEMISTRY NON-FASTING SYNOVIAL FLUID DAILY same day (after 8 hours)
BUN - OTHER BODY FLUIDS (DIALYSATE) 450.00 CHEMISTRY NON-FASTING DIALYSATE FLUID DAILY same day (after 8 hours)
BUN - OTHER BODY FLUIDS (PERITONEAL
450.00 CHEMISTRY NON-FASTING PERITONEAL FLUID DAILY same day (after 8 hours)
FLUID)
BUN SERUM 500.00 CHEMISTRY NON-FASTING Serum(red/sst tube) DAILY same day (after 8 hours)
read urine specimen collection
protocol; (refer to Laboratory
BUN URINE 24 HRS 942.00 CHEMISTRY URINE-24 HRS DAILY same day (after 8 hours)
Manual);get specimen container
from the lab.
BUN URINE RANDOM 942.00 CHEMISTRY NO PREPARATION URINE-RANDOM DAILY same day (after 8 hours)
C REACTIVE PROTEIN HIGH SENSITIVITY 1,068.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
Pls check with Histopath on availability of
C.T. GUIDED SMEARS WITH CELL BLOCK 4,070.00 HISTOPATH by schedule smear, body fluid Monday to Saturday 3 to 4 working days
results
C.T. GUIDED WITH CORE BIOPSY (RT Pls check with Histopath on availability of
5,350.00 HISTOPATH by schedule smear, body fluid, tissue Monday to Saturday 3 to 4 working days
HISTOPATH) results
Serum(red/sst tube)transport
C3 BETA COMPLEMENT 1,283.00 CHEMISTRY NO PREPARATION DAILY same day (after 8 hours)
under ice
C4 BETA COMPLEMENT 1,283.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
CA 125 3,000.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CA 125(HISTO) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
CA 15-3 SERUM (CMIA) 2,559.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CA 19-9 (HISTO) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
CA 19-9 SERUM CMIA) 3,916.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
CA 72-4 3,968.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
CABBAGE(f216) 3,212.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
CACAO(f93) 3,212.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CALCITONIN 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
CALCIUM IONIZED 1,548.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours) Must be collected thru closed-system.
CALCIUM-SERUM 650.00 CHEMISTRY NON-FASTING Serum(red/sst tube) DAILY same day (after 8 hours)
read urine specimen collection
protocol; (refer to Laboratory 24HRS URINE with 10ml
CALCIUM URINE 24 HRS 844.00 CHEMISTRY DAILY same day (after 8 hours)
Manual);get specimen container concentrated HCl
from the lab.

read urine specimen collection


protocol; (refer to Laboratory
CALCIUM URINE RANDOM 844.00 CHEMISTRY with HCl DAILY same day (after 8 hours)
Manual);get specimen container
from the lab.

Page 7 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CALDESMON 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
CALDOSPORIUM HERB (m2) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CALPONIN 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CALRETININ 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
No patient preparation.
NOTE: Specimen must be accompanied
Requirement: if available,
atleast 2 mL Serum (red/sst tube), Monday and Thursday, (cut with doctor's request and patient's
C-ANCA 4,800.00 IMMUNOLOGY Clinical abstract/initial diagnosis Following day
transport on ice off 8am) abstract/initial diagnosis for clinical
of the patient
interpretation

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
CANDIDA ALBICANS (m5) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

If Negative, results will be Saturday and Sunday (for emergency cases


Mon-Fri (except Holidays) 8-
CANNABINOIDS/MARIJUANA/ THC QUALI 300.00 CHEMISTRY NO PREPARATION URINE available within 24 hours. If only); please use polyethylene container
4 pm
Positive, after 3 to 4 weeks. only
No preparation. Take note date
CARBAMEZEPENE-TEGRETOL 1,484.00 CHEMISTRY and time of last dose and Serum(red/sst tube) DAILY same day (after 8 hours)
dosage.
CARDIAC ENZYMES 2,205.00 CHEMISTRY NO PREPARATION at least 3 ml serum DAILY same day (after 8 hours)
CARDIAC ENZYMES PACKAGE 2,095.00 CHEMISTRY NO PREPARATION at least 3 ml serum DAILY same day (after 8 hours)
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
CASHEW NUT(f202) 3,212.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
CAT DANDER(e1) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
CBC (COMPLETE BLOOD COUNT) 500.00 HEMATOLOGY NO PREPARATION 1 Lavender Top DAILY same day (after 8 hours)
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CD 10 3,300.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CD 117 3,465.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CD 138(SYNDECAN-1) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

Page 8 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CD 15 (GRANOLYTE) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CD 2 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CD 20, CONFIRM 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CD 30,Confirm 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CD 31 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CD 34 BE12 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

Transport at (2-8C), no direct


contact with ice, send within 1 APHERESED STEM CELL HARVEST
CD 34 (ABSOLUTE STEM CELL COUNT) (S.O.)
hour. Indicate Patient's weight at least 1 mL (blood bag
(Test is now offered by CTC) BY SCHEDULE AFTER 1 WORKING DAY Test is now offered by CTC
(kg), total harvest volume, blood segment/sterile tube), Whole
bag number, date and time of Blood 4 mL EDTA Tube.
extraction.

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CD 43 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CD 56 (N CAM) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for H&E
CD 68 3,465.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn first;pls check w/ Histopath for availability
of reagent/result
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CD 68-CONFIRM 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

Page 9 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CD 79A 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CD 99 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CD1a 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CD3,confirm 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CD45 (LCA),confirm 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CD5,confirm 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CDX-2 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

Pls check with Laboratory Section


CEA 3,000.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
concerned if further clarification is needed

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CEA-MONOCLONAL-TISSUE 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
Pls check with Histopath on availability of
CELL BLOCK & CYTOLOGY SMEAR 3,000.00 HISTOPATH NO PREPARATION w/ history smears, Body fluids Monday to Saturday 3 to 4 working days
results
Pls check with Laboratory Section
CERULOPLASMIN 1,819.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day(after 8 hours)
concerned if further clarification is needed

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
CHEDDAR CHEESE(f81) 3,212.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
CHEM 12 6,160.00 CHEMISTRY 10-14 hrs.fasting Serum(red/sst tube) DAILY same day (after 8 hours)
CHEM 12 PACKAGE 4,350.00 CHEMISTRY 10-14 hrs.fasting Serum(red/sst tube) DAILY same day (after 8 hours)
CHEM 15 7,580.00 CHEMISTRY 10-14 hrs.fasting Serum(red/sst tube) DAILY same day (after 8 hours)
CHEM 15 PACKAGE 5,520.00 CHEMISTRY 10-14 hrs.fasting Serum(red/sst tube) DAILY same day (after 8 hours)
CHEM 16 7,730.00 CHEMISTRY 10-14 hrs.fasting Serum(red/sst tube) DAILY same day (after 8 hours)
CHEM 16 PACKAGE 5,860.00 CHEMISTRY 10-14 hrs.fasting Serum(red/sst tube) DAILY same day (after 8 hours)

Page 10 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks
CHEM 17 10,030.00 CHEMISTRY 10-14 hrs.fasting Serum(red/sst tube) DAILY same day (after 8 hours)
CHEM 17 PACKAGE 6,250.00 CHEMISTRY 10-14 hrs.fasting Serum(red/sst tube) DAILY same day (after 8 hours)
CHEM 19 10,580.00 CHEMISTRY 10-14 hrs.fasting Serum(red/sst tube) DAILY same day (after 8 hours)
CHEM 19 PACKAGE 7,020.00 CHEMISTRY 10-14 hrs.fasting Serum(red/sst tube) DAILY same day (after 8 hours)
CHEM 23 14,250.00 CHEMISTRY 10-14 hrs.fasting Serum(red/sst tube) DAILY same day (after 8 hours)
CHEM 23 PACKAGE 8,470.00 CHEMISTRY 10-14 hrs.fasting Serum(red/sst tube) DAILY same day (after 8 hours)
CHEM M 10,080.00 CHEMISTRY 10-14 hrs.fasting Serum(red/sst tube) DAILY same day (after 8 hours)
CHEM M PACKAGE 5,880.00 CHEMISTRY 10-14 hrs.fasting Serum(red/sst tube) DAILY same day (after 8 hours)
CHEM NEURO 4,205.00 CHEMISTRY 10-14 hrs.fasting Serum(red/sst tube) DAILY same day (after 8 hours)
CHEM NEURO PACKAGE 3,770.00 CHEMISTRY 10-14 hrs.fasting Serum(red/sst tube) DAILY same day (after 8 hours)
CHICKEN MEAT (f83) 2,100.00 IMMUNOLOGY
NOTE: Specimen must be accompanied
atleast 2 mL Serum (red/sst tube), DAILY with doctor's request and patient's
CHIKUNGUNYA IgM 1,700.00 IMMUNOLOGY No patient preparation after 8 hours
transport on ice (effective Sept 12, 2016) abstract/initial diagnosis for clinical
interpretation
NOTE: Only Polyester Swabs to be used,
urethral/endocervical swab(w/o please acquire from Immunology section,
CHLAMYDIA ANTIGEN 1,245.00 IMMUNOLOGY No patient preparation DAILY After 8 hours
grossly blood or mucus) NO wooden swab will be accepted
OLD name: CHLAMYDIAZYME

CHLORIDE - OTHER BODY FLUIDS (DIALYSATE) 550.00 CHEMISTRY NO PREPARATION Dialysate DAILY same day (after 8 hours)
CHLORIDE SERUM 650.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
CHLORIDE- OTHER BODY FLUIDS (CSF) 550.00 CHEMISTRY NO PREPARATION CSF DAILY same day (after 8 hours)
CHLORIDE URINE- RANDOM 688.00 CHEMISTRY NO PREPARATION URINE DAILY same day (after 8 hours)
read urine specimen collection
protocol; (refer to Laboratory
CHLORIDE URINE 24HRS 688.00 CHEMISTRY 24HRS URINE DAILY same day (after 8 hours)
Manual);get specimen container
from the lab.
CHOLESTEROL - OTHER BODY FLUIDS
445.00 CHEMISTRY NO PREPARATION pleural fluid DAILY same day (after 8 hours)
(PLEURAL FLUID)
CHOLESTEROL - OTHER BODY FLUIDS
445.00 CHEMISTRY NO PREPARATION peritoneal fluid DAILY same day (after 8 hours)
(PERITONEAL FLUID)
CHOLESTEROL - OTHER BODY FLUIDS
445.00 CHEMISTRY NO PREPARATION synovial fluid DAILY same day (after 8 hours)
(SYNOVIAL FLUID)
CHOLESTEROL- OTHER BODY FLUIDS
445.00 CHEMISTRY NO PREPARATION Dialysate DAILY same day (after 8 hours)
(DIALYSATE)
CHOLESTEROL TOTAL-SERUM 445.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CHROMOGRANIN A 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
CK 19 3,700.00 HISTOPATH
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CK 7(CYTOKERATIN) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
Fresh random stool in sterile
bottle, should be submitted to the
CLOSTRIDIUM DIFFICILE ANTIGEN CLINICAL laboratory within 1 hour from
4,620.00 No patient preparation Daily After 8 hours Old Name: CLOSTRIDIUM -C DIFF TEST
MICROSCOPY collection, should not be
contaminated with urine, water or
other contaminants

Page 11 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks
NOTE THE TIME OF COLLECTION;SHOULD
CLOT RETRACTION 385.00 HEMATOLOGY NO PREPARATION blood ,5 ml plain red top DAILY same day (after 8 hours) BE RECEIVED WITHIN 30 MIN AFTER
COLLECTION
CLOTTING TIME (LW METHOD) 360.00 HEMATOLOGY None blood, venous DAILY same day (after 8 hours) TO BE PERFORMED BY MMC MED.TECH
CMV IGM (CMIA) 2,300.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
CMV-IGG 2,500.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
CO2-CARBON DIOXIDE 550.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
If Negative- results will be Saturday and Sunday (for emergency cases
Mon-Fri (except Holidays) 8-
COCCAINE QUALI 300.00 CHEMISTRY NO PREPARATION Random Urine available within 24 hours. If only); please use polyethylene container
4 pm
Positive- after 3 to 4 days only

If Negative- results will be Saturday and Sunday (for emergency cases


Mon-Fri (except Holidays) 8-
COCCAINE QUANTITATIVE 2,500.00 CHEMISTRY NO PREPARATION Random Urine available within 24 hours. If only); please use polyethylene container
4 pm
Positive- after 3 to 4 days only

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
COCKROACH(15) 3,212.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
COFFEE (f247) 3,212.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
NOTE: Specimen must be accompanied
atleast 5 mL red tube (glass tube with doctor's request and patient's
COLD AGGLUTININS 415.00 SEROLOGY No patient preparation Daily Following day
only) abstract/initial diagnosis for clinical
interpretation
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
COMMON PIGWEED (w14) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
COMMON RAGWEED (w1) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
A.) Whole Blood, (1) 5 mL Sodium
Heparin Tube or Within Cut-Off: After 3
B.) Bone Marrow Aspirate, 2- 5 mL Working days
COMPREHENSIVE LEUKEMIA PANEL MOLECULAR Monday to Saturday (Cut-
26,500.00 NO PREPARATION Sodium Heparin Tube.
PATHOLOGY Off time 1400H)
Transport at Room Temperature. After Cut-Off: After 4
Specimen stability is within 24 Working days
hours.
A.) Whole Blood, (1) 5 mL Sodium
Heparin Tube or
B.) Bone Marrow Aspirate, 2- 5 mL
Sodium Heparin Tube.
Transport at Room Temperature.
Specimen stability is within 24
hours. Within Cut-Off: After 3
COMPREHENSIVE LYMPHOMA PANEL Working days
MOLECULAR Monday to Saturday (Cut-
21,500.00 NO PREPARATION C.) Lymph Node, 1-2 cm, newly
PATHOLOGY Off time 1400H)
excised suspended in Mc Coys After Cut-Off: After 4
medium(provided by Molecular Working days
Section).
Should be kept at refrigerated
temp. If not transported
immediately.

Transport on ice for Lymph Node.

Page 12 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks
Stool or colonic wash in sterile
CLINICAL container, should be submitted to
CONCENTRATION METHOD 320.00 No patient preparation Daily After 8 hours
MICROSCOPY the laboratory within 1 hour from
collection,
if the submitted specimen is fixed in
Paraffin block w/history and formalin, must be processed for Routine
CONGO RED STAIN 3,800.00 HISTOPATH TISSUE Monday to Saturday 3 to 4 working days
H&E result & slide Histopath first;pls check w/ Histopath for
availability of reagent/result

CONICAL TUBE; 50ML 50S - MICRO 22.20 MICROBIOLOGY


Routine: within 8 hours
upon receipt of request &
1 (2mL or 4mL) EDTA tube ; specimen at Blood Bank.
COOMBS DIRECT 485.00 BLOOD BANK NO PREPARATION DAILY
If microtainer 1 (500uL) EDTA STAT: within 2 hours upon
receipt of request &
specimen at Blood Bank.
Routine: within 8 hours
upon receipt of request &
1 (4mL) NO ADDITIVE GLASS RED
specimen at Blood Bank.
COOMBS INDIRECT 485.00 BLOOD BANK NO PREPARATION TOP TUBE; If microtainer 1 (600uL) DAILY
STAT: within 2 hours upon
SST
receipt of request &
specimen at Blood Bank.
CORTISOL 1,500.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
C-Peptide 3,000.00 CHEMISTRY 8-10 hours fasting Serum(red/sst tube) DAILY same day (after 8 hours)
CPK MB ISOENZYME 1,525.00 CHEMISTRY no preparation Serum(red/sst tube) DAILY same day (after 8 hours)
CPK/CK 895.00 CHEMISTRY no preparation Serum(red/sst tube) DAILY same day (after 8 hours)
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
CRAB (f23) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
CREATININE - OTHER BODY FLUIDS
550.00 CHEMISTRY NO PREPARATION Dialysate DAILY same day (after 8 hours)
(DIALYSATE)
CREATININE - OTHER BODY FLUIDS (PLEURAL
550.00 CHEMISTRY NO PREPARATION pleural fluid DAILY same day (after 8 hours)
FLUID)
CREATININE - OTHER BODY FLUIDS (SYNOVIAL
550.00 CHEMISTRY NO PREPARATION synovial fluid DAILY same day (after 8 hours)
FLUID)
CREATININE - OTHER BODY FUIDS
550.00 CHEMISTRY NO PREPARATION peritoneal fluid DAILY same day (after 8 hours)
(PERITONEAL FLUID)
Serum mid-point Creatinine and
*Read 24-hour urine collection
CREATININE CLEARANCE 1,715.00 CHEMISTRY 24-hour urine collection in sterile DAILY same day (after 8 hours)
protocol
container (without preservatives)

CREATININE KINASE MM 3,900.00 CHEMISTRY NO PREPARATION SERUM DAILY same day (after 8 hours) Total CK and CKMB are already included
CREATININE SERUM 550.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
read urine specimen collection
protocol; (refer to Laboratory 24-hour urine collection in clean
CREATININE URINE 24 HRS 942.00 CHEMISTRY DAILY same day (after 8 hours)
Manual);get specimen container container (without preservatives)
from the lab.
CREATININE URINE RANDOM 942.00 CHEMISTRY NO PREPARATION URINE DAILY same day (after 8 hours)

Page 13 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

*DEPENDENT ON
AVAILABILITY OF BLOOD
UNIT*
STAT: 2 hours upon receipt
of request and blood
specimen at Blood Bank. NOTE: Turn-around time is also dependent
1 (2mL or 4mL) EDTA tube and RESERVE: it will be processed on availability of blood units. It may be
1 (4mL) NO ADDITIVE GLASS RED only after the request is prolonged if patient is found to be positive
CROSSMATCH Packed Red Blood Cell 1,500.00 BLOOD BANK NO PREPARATION DAILY
TOP TUBE;If microtainer 2 (500uL) confirmed for Crossmatching for Antibody Screen, if patient has
EDTA and 3 (600uL) SST by the Nurse-in-charge of incompatibility issues or if no blood type
the patient. specific unit is available.
OR USE: within 8 hours upon
receipt of request and blood
specimen at Blood Bank or
crossmatched a day prior to
OR schedule.

*DEPENDENT ON
AVAILABILITY OF BLOOD
UNIT*
STAT: 2 hours upon receipt
of request and blood
specimen at Blood Bank. NOTE: Turn-around time is also dependent
1 (2mL or 4mL) EDTA tube and RESERVE: it will be processed on availability of blood units. It may be
1 (4mL) NO ADDITIVE GLASS RED only after the request is prolonged if patient is found to be positive
CROSSMATCH Whole Blood 1,500.00 BLOOD BANK NO PREPARATION DAILY
TOP TUBE; If microtainer 2 (500uL) confirmed for Crossmatching for Antibody Screen, if patient has
EDTA and 3 (600uL) SST by the Nurse-in-charge of incompatibility issues or if no blood type
the patient. specific unit is available.
OR USE: within 8 hours upon
receipt of request and blood
specimen at Blood Bank or
crossmatched a day prior to
OR schedule.

OUTSOURCED SPECIMEN FROM OTHER


atleast 5 mL red tube (glass tube HOSPITAL, TRANSPORTED AT ROOM
CRYOGLOBULIN 600.00 SEROLOGY 8 to 12 hours fasting Daily Following day
only) TEMPERATURE AND SUBMIT WITHIN 1
HOUR AFTER BLOOD COLLECTION
CRYOPRECIPITATE O.S. 1,570.00 BLOOD BANK
Atleast 2 mL serum (red tube); TRANSPORTED ON ICE, FOR CSF SPECIMEN
CRYPTOCCOCCUS ANTIGEN/CALAS
3,483.00 SEROLOGY No patient preparation atleast 2 mL CSF (Sterile Daily After 8 hours MUST SUBMITTED WITHIN 24 HOURS
QUANTITATIVE
Container) AFTER COLLECTION
Atleast 2 mL serum (red tube); TRANSPORTED ON ICE, FOR CSF SPECIMEN
CRYPTOCOCCUS ANTIGEN/CALAS
1,200.00 SEROLOGY No patient preparation atleast 2 mL CSF (Sterile Daily After 8 hours MUST SUBMITTED WITHIN 24 HOURS
QUALITATIVE
Container) AFTER COLLECTION
CRYPTOSPORIDIUM 549.00 MICROBIOLOGY NO PREPARATION STOOL DAILY same day (after 8 hours)
10 ml of Sterile body fluids in 3 to 5 days (May be
C-S BODY FLUIDS sterile screw-cap container. Do extended depending on the
3,500.00 MICROBIOLOGY NO PREPARATION DAILY
(USING BACTEC BOTTLE)- AEROBIC not refrigerate. Inoculate at pathogenic organisms
bedside if ordered by the doctor. isolated).

Page 14 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

10 ml of Sterile body fluids in 3 to 5 days (May be


C-S BODY FLUIDS sterile screw-cap container. Do extended depending on the
3,700.00 MICROBIOLOGY NO PREPARATION DAILY
(USING BACTEC BOTTLE)- ANAEROBIC not refrigerate. . Inoculate at pathogenic organisms
bedside if ordered by the doctor. isolated).

Pus, tissue, or other material


properly obtained from an
abscess, biopsy, aspirate, 3 to 4 days (May be
drainage, exudate, lesion, or extended depending on the
C-S OTHER SPECIMEN WITH ANAEROBIC 3,500.00 MICROBIOLOGY NO PREPARATION DAILY
wound. To ensure proper growth pathogenic organisms
of organisms place isolated).
swabs/specimen in anaerobic
transporter. Do not refrigerate.
Sterile body fluids, abscess,
3 to 4 days (May be
exudates, tissue biopsy in sterile
* verify with Physician re extended depending on
C-S OTHER SPECIMEN WITHOUT ANAEROBIC 2,300.00 MICROBIOLOGY screw-cap container. Swab in DAILY
specimen prep pathogenic organisms
Amies transport medium. Do not
isolated).
refrigerate
3 to 4 days (May be
Representative portion of stool
extended depending on the
C-S STOOL + ECOLI 3,000.00 MICROBIOLOGY NO PREPARATION specimen in sterile container. DAILY
pathogenic organisms
Submit immediately.
isolated).
Preferably 1st morning urine. 3 to 4 days (May be
Random urine is accepted. extended depending on the
C-S URINE (urine culture) 1,715.00 MICROBIOLOGY Midstream Clean Catch DAILY
Specimen in sterile container. pathogenic organisms
Submit immediately isolated).
A.) Urine (for Male and Female),
10 ml first catch
B.) Genital Swabs : use DNA FREE
CT/NG SWAB (Red cap); Add 3 mL NSS on
(Chlamydia Trachomatis / Neisseria MOLECULAR First catch urine or the collected sample. Monday to Friday (Cut-Off
6,000.00 After 2-3 Working days
Gonorrhea) PCR PATHOLOGY Vaginal/Endocervical Discharge 1200H)
Refrigerate sample at 2-8C.

Transport under ice.

No preparation. Take note date


CYA-MONO (CYCLOSPORIN) 7,479.00 CHEMISTRY and time of last dose and Whole Blood, Lavander tube DAILY same day (after 8 hours)
dosage.
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CYCLIN D1 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CYTOKERATIN (CAM 5.2) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CYTOKERATIN 19 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

Page 15 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CYTOKERATIN 20 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CYTOKERATIN 5/6 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CYTOKERATIN 7 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CYTOKERATIN 8 & 18 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CYTOKERATIN HIGH MOLECULAR WEIGHT 4,725.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
CYTOKERATIN PAN (CK AE1/AE3) HISTOPATH
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
CYTOKERATIN PAN (CK AE1/AE3) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

3 to 4 working days except Pls check with Histopath on availability of


CYTOLOGY SMEAR 1,620.00 HISTOPATH NO PREPARATION w/ History Smears(air dried/alcohol fixed) Monday to Saturday
Saturdays and Sundays results
A. Blood, (1) 4mL EDTA or (1) 5mL
Red/SST tube. Centrifuge and
CYTOMEGALOVIRUS (CMV) QUANTITATIVE- Refrigerate (2-8C).
BATCH RUN MOLECULAR B. Urine, at least 10 ml. Monday Friday (Cut-Off
8,000.00 NO PREPARATION After 1 week
PATHOLOGY Freeze at (-20C). 0800H)
C. CSF, at least 1 ml.
Freeze (-20C)

A. Blood, (1) 4mL EDTA or (1) 5mL


Red/SST tube. Centrifuge and
CYTOMEGALOVIRUS (CMV) QUANTITATIVE- Refrigerate (2-8C).
SINGLE RUN MOLECULAR B. Urine, at least 10 ml. Monday Friday (Cut-Off
13,000.00 NO PREPARATION After 1 working day
PATHOLOGY Freeze at (-20C). 0800H)
C. CSF, at least 1 ml.
Freeze (-20C)

3 to 4 working days except Pls check with Histopath on availability of


CYTOSPIN -CYTOL 1,700.00 HISTOPATH NO PREPARATION w/ History clear body fluid Monday to Saturday
Saturdays and Sundays results

3 to 4 working days except


CYTOSPIN-URINE+3 SAMPLES 3,979.00 HISTOPATH NO PREPARATION clear specimen Monday to Saturday
Saturdays and Sundays

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
D.FARINAE (d2)/ HOUSE DUST (d2) 2,100.00 IMMUNOLOGY No patient preparation After 8 hours
transport on ice off 8am) the availability of the allergens

Page 16 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

D-DIMER (MINI-VIDAS) 1 blue top,plasma in plastic


4,200.00 HEMATOLOGY NONE/FRESHLY drawn DAILY same day (after 8 hours)
cryovials or clean plastic test tube

if the submitted specimen is fixed in


Paraffin block w/history and formalin, must be processed for Routine
Monday to Saturday, Cut-
DDISH (HER2 DUAL ISH) 14,200.00 HISTOPATH H&E plus Her2neu results & TISSUE 3 to 4 working days Histopath first and Her2neu test is
off 12:00 nn
slides recommended;pls check w/ Histopath for
availability of reagent/result
atleast 2 mL Serum (red/sst tube),
DENGUE DUO IGG/IGM 1,761.00 SEROLOGY No patient preparation Daily After 8 hours
transport on ice
atleast 2 mL Serum (red/sst tube),
DENGUE NS 1 2,500.00 SEROLOGY No patient preparation Daily After 8 hours
transport on ice
A.) Blood, (1) 4mL EDTA or 1 (5mL)
Red/SST tube. Centrifuge and
DENGUE RNA-PCR (SCREENING)
Refrigerate (2-8C).
MOLECULAR Monday to Friday (Cut-Off
9,500.00 NO PREPARATION B.) CSF, at least 1 ml. After 1 working day
PATHOLOGY 0800H)
Freeze (-20C).
C.) Mosquito Sample.

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
DESMIN 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
NOTE: Specimen must be accompanied
atleast 2 mL Serum (red/sst tube), with doctor's request and patient's
DESMOGLEIN 1 2,800.00 IMMUNOLOGY No patient preparation Tuesday (cut off 8am) Following day
transport on ice abstract/initial diagnosis for clinical
interpretation
NOTE: Specimen must be accompanied
atleast 2 mL Serum (red/sst tube), with doctor's request and patient's
DESMOGLEIN 3 2,800.00 IMMUNOLOGY No patient preparation Tuesday (cut off 8am) Following day
transport on ice abstract/initial diagnosis for clinical
interpretation
DHEA-S (CHEMI) 1,800.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
No preparation. Take note date
DIGOXIN 2,600.00 CHEMISTRY and time of last dose and Serum(red/sst tube) DAILY same day(after 8 hours)
dosage.
No preparation. Take note date
5cc serum, Red top transport with
DILANTIN (PHENYTOIN) 1,484.00 CHEMISTRY and time of last dose and DAILY same day (after 8 hours)
ice
dosage.
DIRECT BILIRUBIN 635.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day(after 8 hours)
REQUIREMENTS:
1. ) Adult: (18 years old or above) including
the alleged father, 2pcs 2X2 picture and 2
valid IDs.
2.) Minor: (Below 18 years old) including
the alleged father, 2pcs 2X2 picture and
DONT EAT 30 MINS PRIOR TO
MOLECULAR NSO Birth Certificate,
DNA PATERNITY/ DNA PROFILE 28,000.00 COLLECTION OF SAMPLE/BY BUCCAL SWAB BY SCHEDULE 2 to 4 weeks
PATHOLOGY
APPOINTMENT
Note: Appearance of Mother is required.
Must bring 2x2 picture and valid ID.
**Failure to submit requirements means
cancellation of scheduled specimen
collection.

Page 17 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
DOG 1 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
DOG DANDER (e2) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
Please check with Immunology Section for
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut the availability of the allergens, please
D-PTERONYSINNUS (d1)/ HOUSE DUST (d1) 1,455.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) indicate specific species of house dust or
dust mite
DPYR (PYRILINKS) 2,985.00 CHEMISTRY NO PREPARATION 1st or 2nd morning urine Thursday (CUT-OFF 8 AM) FOLLOWING DAY

EBV (EBER) HISTOPATH


atleast 2 mL Serum (red/sst tube), DAILY RUNNING
EBV-IGG (ESPTEIN BAR VIRUS) 1,900.00 IMMUNOLOGY No patient preparation Following day
transport on ice (Cut-off time: 12nn)
atleast 2 mL Serum (red/sst tube), DAILY RUNNING
EBV-IGM(ESPTEIN BAR VIRUS) 2,500.00 IMMUNOLOGY No patient preparation Following day
transport on ice (Cut-off time: 12nn)
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
E-CADHERIN 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

If Negative- results will be Saturday and Sunday (for emergency cases


Mon-Fri (except Holidays) 8-
ECSTASY(QUALI) 300.00 CHEMISTRY NO PREPARATION URINE available within 24 hours. If only); please use polyethylene container
4 pm
Positive- after 3 to 4 days only

if the submitted specimen is fixed in


EGFR(EPIDERMAL GROWTH FACTOR Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
5,200.00 HISTOPATH TISSUE 3 to 4 working days
RECEPTOR)- HISTOPATH H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
EGGWHITE (f1) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
EGGYOLK (f75) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
NOTE: Specimen must be accompanied
ELECTROPHORESIS CSF (W/IMMUNIFIXATION) No patient preparation, atleast 3 mL serum and atleast 2
with doctor's request and patient's
- OLIGOCLONAL TEST (OLIGOCLONAL 11,700.00 IMMUNOLOGY Requirement: Serum IgG and mL CSF, should be drawn at the Friday, (cut-off 8 am) Monday, 5PM
abstract/initial diagnosis for clinical
BANDING) CSF IgG result same time, transport on ice
interpretation
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
EMA (EPITHELIAL MEMBRANE ANTIGEN) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

Page 18 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

Peri-anal swab using prepared


"scotch tape"slides, collect
specimen first thing in the
morning before bowel Please ask Clinical Microscopy staff for
movement or washing, thorough instruction to patient and
ENTEROBIUS VERMICULARIS IDENTIFICATION CLINICAL
300.00 collection may be done at home Scotch tape swab slide Daily After 8 hours materials to be used for the procedure.
(SCOTCH TAPE METHOD) MICROSCOPY
after thoroughly giving
instructions on the proper way Old Name: SCOTCH TAPE SWAB
and time of collection, and
should be submitted to the
laboratory within 1 hour.

A.) Blood, (1) 4ml Red or Yellow


Nasal and Pharyngeal Secretions: Use
ENTEROVIRUS RNA-PCR Tube.
Human DNA Free Sterile Swab immersed in
MOLECULAR B.) Nasal and Pharyngeal Monday to Friday (Cut-Off
11,000.00 NO PREPARATION After 1 working day a 2mL NSS after collection of sample. Store
PATHOLOGY secretions, sputum, stool, or 0800H)
(2-8C) in an upright position.
C.) CSF, at least 1 ml.
Serum/Sputum/Stool/CSF Freeze at (-20C).

ER TRIAGE PANEL (CKMB,MYOGLOBIN,TROP ED SATELLITE


I,BNP) LABORATORY

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
ERA-PRA PACKAGE 5,900.00 HISTOPATH tissue 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
ESR MACRO (ADULT) 465.00 HEMATOLOGY NO PREPARATION Whole blood, Black tube DAILY same day (after 8 hours)
ESR MICRO (PEDIA) 465.00 HEMATOLOGY NO PREPARATION SPECIAL TUBE DAILY same day (after 8 hours) Get special tube from section
No preparation. Indicate if
Not recommended for patients taking
patient is PREGNANT or NOT
ESTRADIOL (CHEMI)/Estrogen 2,500.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours) FULVESTRANT (FASLODEX)
PREGNANT and last menstrual
(will give falsely elevated Estradiol Result)
period.
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
ESTROGEN RECEPTOR(ERA) 3,465.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

1 blue top,plasma in plastic Mon and Thurs only, 8AM


FACTOR 5 CS 4,300.00 HEMATOLOGY NONE/FRESHLY drawn same day
cryovials or clean plastic test tube cut off

1 blue top,plasma in plastic


FACTOR 5 CS LEIDEN SINGLE RUN-STAT 11,700.00 HEMATOLOGY NONE/FRESHLY drawn Mon and Thurs only same day (within 4 hours)
cryovials or clean plastic test tube

1 blue top,plasma in plastic Mon and Thurs only, 11


FACTOR 5 LEIDEN CS 7,500.00 HEMATOLOGY NONE/FRESHLY drawn within 24 hours
cryovials or clean plastic test tube AM cut off

1 blue top,plasma in plastic Mon and Thurs only, 11


FACTOR IX 4,000.00 HEMATOLOGY NONE/FRESHLY drawn within 24 hours
cryovials or clean plastic test tube AM cut off

FACTOR SPECIFIC ASSAY IX CS SINGLE RUN- 1 blue top,plasma in plastic


7,000.00 HEMATOLOGY NONE/FRESHLY drawn Mon and Thurs only same day (within 4 hours)
STAT cryovials or clean plastic test tube

1 blue top,plasma in plastic Mon and Thurs only, 11


FACTOR SPECIFIC ASSAY V CS 4,300.00 HEMATOLOGY NONE/FRESHLY drawn within 24 hours
cryovials or clean plastic test tube AM cut off

FACTOR SPECIFIC ASSAY V CS SINGLE RUN- 1 blue top,plasma in plastic


6,900.00 HEMATOLOGY NONE/FRESHLY drawn Mon and Thurs only same day (within 4 hours)
STAT cryovials or clean plastic test tube

Page 19 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

1 blue top,plasma in plastic Mon and Thurs only, 11AM


FACTOR SPECIFIC ASSAY VIII CS 4,000.00 HEMATOLOGY NONE/FRESHLY drawn within 24 hours
cryovials or clean plastic test tube cut off

FACTOR SPECIFIC ASSAY VIII CS SINGLE RUN- 1 blue top,plasma in plastic


7,000.00 HEMATOLOGY NONE/FRESHLY drawn Mon and Thurs only same day (within 4 hours)
STAT cryovials or clean plastic test tube

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
FASCIN 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
FEATHER MIX (ex73) 3,212.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

(No Fasting if Stand Alone.


FERRITIN (CMIA) 2,368.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
FASTING if requested together
with IRON and TIBC)
FIBRIN DEGRADATION PRODUCT 4,229.00 HEMATOLOGY NO PREPARATION special tube from hema DAILY same day
1 blue top,plasma in plastic
FIBRINOGEN LEVEL 1,900.00 HEMATOLOGY NO PREPARATION DAILY same day (after 8 hours)
cryovials or clean plastic test tube

1 blue top,plasma in plastic


FIBRINOGEN LEVEL CS - STAT 2,955.00 HEMATOLOGY NO PREPARATION DAILY same day (within 2 hours)
cryovials or clean plastic test tube

FILTER; PLATELET PURECELL PL PL2VAE PALL 2,253.00 BLOOD BANK None None None N/A

FILTER; RED CELL PURECELL RC RC1VAE PALL 2,166.00 BLOOD BANK None None None N/A
FINE NEEDLE ASPIRATION BIOPSY 1,500.00 HISTOPATH
FINE NEEDLE ASPIRATION BIOPSY- STAT 2,580.00 HISTOPATH

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
FISH COD (f3) 1,455.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
fresh specimen wrapped in 3 to 4 working days; to be Pls check with Histopath for availability of
FLUORESCENCE-IGG-IGA-(RENAL) 4,863.00 HISTOPATH Tissue without fixative Monday to Saturday
gauze,soaked in NSS/history read by Dr.Billote reagents/ results
fresh specimen wrapped in to be read by Pls check with Histopath on availability of
FLUORESCENCE-IGG-IGA-(SKIN) 4,863.00 HISTOPATH fresh specimen without fixative 3 to 4 working days
gauze,soaked in NSS Dermapathologist results
FOLATE 3,026.00 CHEMISTRY 6 to 8 hrs.fasting Serum( red/sst tube) DAILY same day(after 8 hours) Pls indicate time of last meal.
FREE BETA HCG 3,000.00 CHEMISTRY NO PREPARATION SERUM DAILY same day(after 8 hours)
FRESH FROZEN PLASMA O.S. 1,810.00 BLOOD BANK
if more than 7 sites, additional site will be
FROZEN DERMA (MOH'S) -7 SITES 9,000.00 HISTOPATH by schedule skin specimen without fixative Monday to Saturday to be read by Dermapath charged as regular Frozen Section;Pls check
with Histopath on availability of results
Pls check with Histopath on availability of
FROZEN SECTION 2,500.00 HISTOPATH by schedule Tissue without fixative Monday to Saturday 3 to 4 working days
results
FSH (CHEMI) 1,500.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
FSH(HISTO) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
FT3 CHEMI 1,200.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
FT4 CHEMI 1,200.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
Tissues, hair, skin, blood etc. A final negative report is
Specimen collected in sterile Pls check with SECTION on availability of
FUNGAL C/S 1,595.00 MICROBIOLOGY placed in screw-cap sterile DAILY issued after 14 days of
condition. results
container incubation.

Page 20 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks
Specimen collected in sterile Tissues, hair, skin etc. placed in
FUNGAL SMEAR-KOH 300.00 MICROBIOLOGY DAILY same day (after 8 hours)
condition. sterile slide
FX2 (SHRIMPS,TUNA,SALMON,BLUE atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
3,100.00 IMMUNOLOGY No patient preparation Following day
MUSSEL,FISH CO) transport on ice off 8am) the availability of the allergens

FX5 E(EGG atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
3,700.00 IMMUNOLOGY No patient preparation Following day
WHITE,MILK,FISH,WHEAT,PEANUT,SOYA) transport on ice off 8am) the availability of the allergens

G G T P- OTHER BODY FLUID (PLEURAL FLUID) 850.00 CHEMISTRY none pleural fluid DAILY same day (after 8 hours)
G G T P- OTHER BODY FLUID (SYNOVIAL
850.00 CHEMISTRY none synovial fluid DAILY same day (after 8 hours)
FLUID)
G G T P- OTHER BODY FLUIDS (PERITONEAL
850.00 CHEMISTRY none peritoneal fluid DAILY same day (after 8 hours)
FLUID)
G G T P- SERUM (Gamma-glutamyl No preparation needed; Non-
850.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
transpeptidase) fasting
G G T P-OTHER BODY FLUIDS (DIALYSATE) 850.00 CHEMISTRY none Dialysate DAILY same day (after 8 hours)
Whole blood, 4 mL lavander tube
G6PD (Glucose-6-Phosphate Dehydrogenase) Monday, Wednesday,
1,500.0 IMMUNOLOGY No patient preparation (EDTA TUBE) or at least 2 mL Following day
ADULT Friday, (cut off 8am)
lavander tube, transport on ice

NOTE: Specimen must be accompanied


with doctor's request and result of
Whole blood, 2mL lavander tube
G6PD (Glucose-6-Phosphate Dehydrogenase) newborn screening, please note the
(EDTA TUBE) or at least 2 Monday, Wednesday,
NEWBORN- Confirmatory. Please see 400.00 IMMUNOLOGY No patient preparation Following day following information: Date of Birth of the
microtainer lavander tube, Friday, (cut off 8am)
remarks. Patient, Name of the Mother, contact
transport on ice
number and name of the requesting doctor
(please write clearly on the CPOE).

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
GALECTIN -3 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


GCDFP (GROSS CYSTIC DISEASE FLUID Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
5,200.00 HISTOPATH TISSUE 3 to 4 working days
PROTEIN-15 H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and formalin, must be processed for Routine
GFAP (GLIAL FIBRI ACIDIC PROTE 5,200.00 HISTOPATH TISSUE Daily, Cut-off 12:00 nn 3 to 4 working days
H&E result & slide Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and formalin, must be processed for Routine
GIEMSA STAIN 3,100.00 HISTOPATH TISSUE Monday to Saturday 3 to 4 working days
H&E result & slide Histopath first;pls check w/ Histopath for
availability of reagent/result

GLUCOSE - OTHER BODY FLUID (DIALYSATE ) 255.00 CHEMISTRY None Dialysate DAILY same day (after 8 hours)
GLUCOSE - OTHER BODY FLUID (PLEURAL
255.00 CHEMISTRY None pleural fluid DAILY same day (after 8 hours)
FLUID)
GLUCOSE - OTHER BODY FLUID (SYNOVIAL
255.00 CHEMISTRY None synovial fluid DAILY same day (after 8 hours)
FLUID)
GLUCOSE - OTHERT BODY FLUID
255.00 CHEMISTRY None peritoneal fluid DAILY same day (after 8 hours)
(PERITONEAL FLUID)
GLUCOSE (FBS/FPG) 320.00 CHEMISTRY 8 to 12 hours fasting Serum( red/sst tube) DAILY same day (after 8 hours)

Page 21 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks
GLUCOSE RANDOM (RBS)(RANDOM BLOOD
255.00 CHEMISTRY Non fasting Serum( red/sst tube) DAILY same day (after 8 hours)
SUGAR)
75-gram glucose load or two
GLUCOSE 2HRS PPBS 375.00 CHEMISTRY hours complete meal (breakfast Serum( red/sst tube) DAILY same day (after 8 hours)
or lunch).
GLUCOSE CAPILLARY (CBG) RANDOM 265.00 POCT None capillary blood(prick) DAILY same day
GLUCOSE CAPILLARY 2HRSPP 265.00 POCT See glucose 2hrs PPBS capillary blood(prick) DAILY same day
GLUCOSE CAPILLARY- FASTING 265.00 POCT 8-14 hrs.fasting capillary blood(prick) DAILY same day
GLUCOSE CAPILLARY KIDNEY UNIT 98.00 POCT
GLUCOSE CHALLENGE TEST (50 GRAMS) Fasting or non-fasting is
520.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
(OGCT) acceptable.
GLUCOSE CSF 375.00 CHEMISTRY Spinal tap CSF in sterile tube or container DAILY same day (after 8 hours)
GLUCOSE TOLERANCE 3 SAMPLES (100
1,132.00 CHEMISTRY 8-14 hrs.fasting Serum( red/sst tube) DAILY same day (after 8 hours)
GRAMS) (OGTT)
GLUCOSE TOLERANCE 2 SAMP (75 GRAMS)
982.00 CHEMISTRY 8-14 hrs.fasting Serum( red/sst tube) DAILY same day (after 8 hours)
(OGTT)
Read patient preparation for
OGTT protocol. (100 grams for
GLUCOSE TOLERANCE 3 SAMPLES (75GRAMS)
1,200.00 CHEMISTRY pregnant, 75 grams for adults Serum( red/sst tube) DAILY same day (after 8 hours)
(OGTT)
and 1.75g/kg BW up to 75 g for
children).
GLUCOSE TOLERANCE 4 SAMPLES 75 GRAMS
1,537.00 CHEMISTRY 8-14 hrs.fasting Serum( red/sst tube) DAILY same day (after 8 hours)
(OGTT)
GLUCOSE TOLERANCE 5 SAMPLES 75 GRAMS
1,612.00 CHEMISTRY 8-14 hrs.fasting Serum( red/sst tube) DAILY same day (after 8 hours)
(OGTT)
GLUCOSE TORELANCE 4 SAMPLES 100 GRAMS
1,537.00 CHEMISTRY 8-14 hrs.fasting Serum( red/sst tube) DAILY same day (after 8 hours)
(OGTT)
GLUCOSE TORELANCE 5 SAMPLES 100 GRAMS
1,612.00 CHEMISTRY 8-14 hrs.fasting Serum( red/sst tube) DAILY same day (after 8 hours)
(OGTT)
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
GLYCOPHORIN A 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
GLYPICAN 3 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
Smear (air-dried) made at bedside
or immediately after collection is
GRAMS STAIN 405.00 MICROBIOLOGY None preferred or one made in DAILY same day (after 8 hours)
laboratory from swab or clinical
material.
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
GRANZYME B 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
GUINEA PIG EPITH. (e6) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
3-4 working days/to be read Pls check with Histopath on availability of
H&E VERTICAL/HORIZONTAL CUTS 1,800.00 HISTOPATH Clinical History TISSUE Monday to Saturday
by dermapath results

Page 22 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

1). If the request is for IMMIGRATION


For Routine- result is purposes, the patient shall be required to
available after 2 to 3 bring 1x1 colored picture and photocopy of
WORKING days. For STAT- goverment ID and endorsed to corporate
Monday to Friday, Cut off
No preparation, Signed consent atleast 3 mL Serum (red/sst tube), result is available 24 hours health and wellness center2). If the request
HACT 1,100.00 IMMUNOLOGY 12nn, no running on
form transport on ice after the extraction IF within is for DIAGNOSTIC purposes, patient should
holidays.
the cut-off time. For bring doctor's request and picture and
CONFIRMATORY - result is photocopy of ID is NOT required. 3).
available after 3 weeks Informed the patient to give the consent
form before blood extraction.

Blood, (2) 4ml EDTA TUBE or 4ml


PLASMA.
HACT-RNA REAL TIME PCR-TAQMAN (BATCH MOLECULAR Storage of specimen:
8,600.00 NO PREPARATION pool of 9 samples AFTER 2 WEEKS
RUN) PATHOLOGY Centrifuge then refrigerate (2-8
C). Plasma transport under ice.

Blood, (2) 4ml EDTA TUBE or 4ml


PLASMA.
HACT-RNA REAL TIME PCR-TAQMAN (SINGLE MOLECULAR Storage of specimen:
54,000.00 NO PREPARATION Monday-Friday After 1 working day
RUN) PATHOLOGY Centrifuge then refrigerate (2-8
C). Plasma transport under ice.

WHOLE BLOOD, (1) 4 ml EDTA


Tube. Tuesday (Cut-Off 1300H)
MOLECULAR
HAEMOCHROMATOSIS MUTATION ANALYSIS 9,000.00 NO PREPARATION Refrigerate specimen within 2 (new cut off time effective Friday
PATHOLOGY
hours after collection Sept 18, 2015)

HAMS TEST 550.00 HEMATOLOGY NO PREPARATION 1 red and lavander or green top DAILY same day

HANDLING FEE(S.O.) ANATOMIC PATHOLOGY 2,270.00 HISTOPATH

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
HAZEL NUT (f17) 3,212.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

2 mL whole blood (lavander Weekdays, cut of 3pm and If beyond cut off time, result is available
HBA1c Electrophoresis 1,500.00 IMMUNOLOGY No patient preparation After 8 hours
tube/EDTA) Weekends cut off 1pm the following day, 10am
HBE AG (hepatitis BE antigen) 1,091.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
Please indicate if patient is pregnant or
HBsAG 1,350.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
non-pregnant
Blood, (2) 4ml EDTA TUBE or 4ml
PLASMA.
HBV-DNA REAL TIME PCR-TAQMAN HEPATITIS MOLECULAR Storage of specimen:
8,100.00 NO PREPARATION pool of 9 samples AFTER 2 WEEKS
B VIRUS (BATCH RUN) PATHOLOGY Centrifuge then refrigerate (2-8
C). Plasma transport under ice.

Blood, (2) 4ml EDTA TUBE or 4ml


PLASMA.
HBV-DNA REAL TIME PCR-TAQMAN HEPATITIS MOLECULAR Storage of specimen:
50,000.00 NO PREPARATION Monday-Friday After 1 working day
B VIRUS (SINGLE RUN) PATHOLOGY Centrifuge then refrigerate (2-8
C). Plasma transport under ice.

Page 23 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
HCG(HISTO) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
Blood, (1) 4ml EDTA TUBE or
2ml PLASMA.
HCV RNA PCR
(HEPATITIS C VIRUS) MOLECULAR Centrifuge then refrigerate (2- Monday to Friday (Cut-
10,700.00 NO PREPARATION After one (1) week
PATHOLOGY 8C). Off 0800H)

Plasma transport under ice.

HDL 750.00 CHEMISTRY NO PREPARATION 3mL serum DAILY same day (after 8 hours)
atleast 2 mL Serum (red/sst tube), DAILY RUNNING
HELICOBACTER (H.PYLORI) IGG 2,000.00 SEROLOGY No patient preparation the following day
transport on ice (Cut-off time: 12nn)
atleast 2 mL Serum (red/sst tube),
HELICOBACTER IGM 2,000.00 SEROLOGY No patient preparation Wednesday, Cut-off 8AM After 8 hours
transport on ice
HEMA STAIN 140.00 HEMATOLOGY No preparation 1 good smear DAILY within the day
Please provide the following data: 1. Latest
CBC result (within a month), 2. History of
Whole blood, 4cc Lavander tube blood transfusion, 3. Result of Iron Studies
HEMOGLOBIN ELECTROPHORESIS 4,300.00 IMMUNOLOGY No patient preparation Wednesday, Cut-off 8AM Friday at 5 PM
EDTA TUBE, transport on ice and any IRON supplementation given.
Note: NO blood transfussion within 3
months
10-30 mL first morning Urine or
CLINICAL random urine, collected in sterile
HEMOGLOBIN-URINE 197.00 No patient preparation Daily After 8 hours
MICROSCOPY container, should be submitted
within 1 hour
HEPA PROFILE 14- RENAL(Anti-HBs, HBsAg, No preparation needed; Non- Please indicate if patient is pregnant or
3,000.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
ANTI-HCV (CHEMI)/Hep.C fasting non-pregnant
HEPARIN TEST ROUTINE- within the day INDICATE HEPARIN INTAKE AND LAST
1,800.00 HEMATOLOGY NONE BLUE TOP. 2 ML PLASMA MWF 8 AM
STAT - with 4 hours DOSE
HEPATITIS PROFILE 4 (Anti-HBs, ANTI-HBC No preparation needed; Non- Please indicate if patient is pregnant or
2,800.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
TOTAL, ANTI-HAV IgG) fasting non-pregnant
HEPATITIS PROFILE 1 (HBsAg, Anti-Hbc IgM, No preparation needed; Non- Please indicate if patient is pregnant or
3,000.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
Anti-HAV IgM) fasting non-pregnant
HEPATITIS PROFILE 10 (HBsAg, Anti-HBs, Anti- No preparation needed; Non- Please indicate if patient is pregnant or
2,850.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
HBC TOTAL) fasting non-pregnant
No preparation needed; Non- Please indicate if patient is pregnant or
HEPATITIS PROFILE 11 (Anti_HBs) 1,200.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
fasting non-pregnant
HEPATITIS PROFILE 12 (HBsAg, Anti-HBs, No preparation needed; Non- Please indicate if patient is pregnant or
3,000.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
HBeAg, Anti-Hbe) fasting non-pregnant
HEPATITIS PROFILE 13(HBsAg, HBeAg, Anti- No preparation needed; Non- Please indicate if patient is pregnant or
2,590.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
Hbe) fasting non-pregnant
HEPATITIS PROFILE 2 (HBsAg, Anti-Hbe, Anti- No preparation needed; Non- Please indicate if patient is pregnant or
2,800.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
HBs) fasting non-pregnant
HEPATITIS PROFILE 3 (HBsAg,HBeAg, Anti- No preparation needed; Non- Please indicate if patient is pregnant or
2,500.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
Hbe) fasting non-pregnant
HEPATITIS PROFILE 5 (Anti-HAV IgM, Anti-HAV No preparation needed; Non- Please indicate if patient is pregnant or
2,000.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
IgG) fasting non-pregnant
HEPATITIS PROFILE 6 (HBsAg, HBeAg, Anti- No preparation needed; Non- Please indicate if patient is pregnant or
4,850.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
HBs, Anti-Hbc IgM, Anti-HBC TOTAL, Anti-Hbe) fasting non-pregnant
HEPATITIS PROFILE 7 (Anti-HAV IgM, Anti-
No preparation needed; Non- Please indicate if patient is pregnant or
HAV IgG, HBsAg, HBeAg, Anti-HBs, Anti-Hbc 5,800.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
fasting non-pregnant
IgM, Anti-HBC TOTAL, Anti- Hbe)

Page 24 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks
HEPATITIS PROFILE 8 (HBsAg, HBeAg, Anti-
No preparation needed; Non- Please indicate if patient is pregnant or
HBs, Anti-Hbc IgM, Anti-HBC TOTAL, Anti- 5,350.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
fasting non-pregnant
Hbe, Anti HCV (CHEMI)/ Hep.C)
HEPATITIS PROFILE 9 (Anti-HAV IgM, Anti-
HAV IgG, HBsAg, HBeAg, Anti-HBs, Anti-Hbc No preparation needed; Non- Please indicate if patient is pregnant or
6,900.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
IgM, Anti-HBC TOTAL, Anti- Hbe, Anti HCV fasting non-pregnant
(CHEMI)/ Hep.C)
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
HEPATOCYTE 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for H&E
HER2 DUAL DISH 14,200.00 HISTOPATH tissue 3 to 4 working days
H&E result & slide off 12:00 nn first;pls check w/ Histopath for availability
of reagent/result
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
HER-2/NEU 5,200.00 HISTOPATH tissue 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
HER2NEU+ERA-PRA PACKAGE 9,860.00 HISTOPATH tissue 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
atleast 2 mL Serum (red/sst tube), DAILY RUNNING
HERPES SIMPLEX I IGG 3,000.00 IMMUNOLOGY No patient preparation Following day
transport on ice (Cut-off time: 12nn)
atleast 2 mL Serum (red/sst tube), DAILY RUNNING
HERPES SIMPLEX I IGM 2,800.00 IMMUNOLOGY No patient preparation Following day
transport on ice (Cut-off time: 12nn)

atleast 2 mL Serum (red/sst tube), DAILY RUNNING


HERPES SIMPLEX II IGG 3,000.00 IMMUNOLOGY No patient preparation Following day
transport on ice (Cut-off time: 12nn)

atleast 2 mL Serum (red/sst tube), DAILY RUNNING


HERPES SIMPLEX II IGM 2,800.00 IMMUNOLOGY No patient preparation Following day
transport on ice (Cut-off time: 12nn)
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
HGH(HUMAN GROWING HORMONE) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
HISTOPATH BONE MARROW BIOPSY *5 to 7 working days
*modified turn-around time for results is 5 to 3,462.00 HISTOPATH Clinical History Bone marrow fixed in formalin Monday to Saturday (Holidays and weekends
7 days effective March 24, 2015 excluded)
TISSUE OR FOREIGN OBJECTS OR
HISTOPATH GROSS 670.00 HISTOPATH History Monday to Saturday 3 to 4 working days Check with Histopath for the result
STONE
Pls check with Histopath on availability of
HISTOPATH ROUTINE 2,240.00 HISTOPATH Clinical History tissue Monday to Saturday 3 to 4 working days
results
Pls check with Histopath on availability of
HISTOPATH SLIDE/BLOCK II 1,480.00 HISTOPATH Request from the Doctor TISSUE BLOCK/SLIDE Monday to Saturday 1 to 2 working days
results
Blood, (2) 8.5 ml ACD TUBE
FRESHLY COLLECTED. Must
MOLECULAR Monday to Friday (cut off
HLA TISSUE TYPING (PCR) 21,500.00 NO PREPARATION be processed within 6 hours after AFTER 1 WEEK Centrifuge and float at once to Molecular.
PATHOLOGY 0800 AM)
collection

Page 25 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks
(1) 8.5 ml ACD TUBE
FRESHLY COLLECTED. Must be
MOLECULAR Monday to Friday (Cut off Centrifuge and float at once to Molecular
HLA-B27 (PCR) 10,500.00 NO PREPARATION processed within 6 hours after after 3 working days
PATHOLOGY 0800H) Pathology.
collection

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
HOLLISTIER-STIER LABS(h2) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
HOMOCYSTEINE 2,368.00 CHEMISTRY None Serum( red/sst tube) DAILY same day (after 8 hours)
After 1 working days
(within cut-off)
MOLECULAR Cervical SPECIMEN in Monday to Friday (Cut- NOTE: REFRIGERATE SPECIMEN (2-8C):
HPV DNA GENOTYPING 7,000.00 NO PREPARATION
PATHOLOGY SUREPATH container. Off 1200H) DO NOT FREEZE
After 2 working days (after
cut-off)
Herpes Secretions/ Genital Swab: Use
A.) Herpes Secretions or Genital
HSV 1&2 DNA PCR Human DNA Free Sterile Swab immersed in
Swab samples
MOLECULAR Monday Friday (Cut off a 2mL NSS after collection of sample. Store
9,000.00 NO PREPARATION B.) CSF, 1 ml After 1 working day
PATHOLOGY 0800H) (2-8C) in an upright position.
C.) Serum, 2 ml
*Serum/CSF Freeze at (-20C).

HUMAN EPIDIDYMIS PROTEIN 4 (HE4) 2,050.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
No preparation needed; Non-
IGA IMMUNOGLOBULINS 1,455.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
fasting
IGG (CSF) 1,455.00 CHEMISTRY Spinal tap CSF in sterile tube DAILY same day (after 8 hours)
No preparation needed; Non-
IGG IMMUNOGLOBULINS- SERUM 1,455.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
fasting
No preparation needed; Non-
IGM IMMUNOGLOBULINS-SERUM 1,455.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
fasting
No preparation needed; Non-
IMMATURE PLATELET FRACTION 600.00 HEMATOLOGY 1 lavander top DAILY within 8 hours
fasting
atleast 2 mL Serum (red/sst tube), Preferably with Serum Protein
IMMUNOFIXATION SERUM 9,200.00 IMMUNOLOGY No patient preparation Wednesday, Cut-off 8AM, Every Friday
transport on ice Electrophoresis result
IMMUNOGLOBULINS(IgG,IgM,IgA) 4,366.00 CHEMISTRY none Serum( red/sst tube) DAILY same day (after 8 hours)

Covers up to 4 IHC tests. Applicable for in-


house IHC only. If the submitted specimen
IMMUNOHISTOCHEMICAL STAIN (IHC) Paraffin block & slide With Monday to Saturday, Cut-
16,000.00 HISTOPATH TISSUE 3 TO 4 working days is fixed in formalin, must be processed for
PACKAGE history and H&E result off 12:00 nn
Routine Histopath first;pls check w/
Histopath for availability of reagent/result
INDIA INK 323.00 MICROBIOLOGY Spinal tap Cerebro Spinal Fluid DAILY same day (after 8 hours)
atleast 2 mL Serum (red/sst tube),
INFECTIOUS MONO (HETEROPHILE) TEST 1,000.00 SEROLOGY No patient preparation Daily After 8 hours
transport on ice
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
INHIBIN, ALPHA 3,120.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
INSULIN 4,066.00 CHEMISTRY 6-8 hrs.fasting Serum( red/sst tube) DAILY same day (after 8 hours)
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
INSULIN (HISTO) 4,060.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
INTACT PTH (CHEM) 3,000.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
IRON 953.00 CHEMISTRY 6-8 hrs.fasting Serum( red/sst tube) DAILY same day (after 8 hours)

Page 26 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks
WHOLE BLOOD, (1) 4 ML EDTA
FRESHLY COLLECTED. Must be
JAK2 MUTATION PCR (ASSAY)
processed within 6 hours after
MOLECULAR Tuesday (cut-off 0800H) Accepts Specimen Monday to Friday cut-off
11,500.00 NO PREPARATION collection (Part 1 of PCR Wednesday
PATHOLOGY (Part 2 : PCR Procedure) time 0800H.
Procedure: Immediate extraction
of RNA)

a.) Blood, (1) 4mL EDTA or 1 (5mL)


Red/SST tube.
Centrifuge and Refrigerate at (2-
JAPANESE ENCEPHALITIS VIRUS RNA-PCR 8C).
MOLECULAR Monday to Friday (cut off
11,500.00 NO PREPARATION b.) Serum or Plasma, 1 ml after 1 working day
PATHOLOGY 8am)
Freeze (-20C)
c.) CSF, at least 1 ml
Freeze at (-20C)

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
JOHNSON GRASS (g10) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

if the submitted specimen is fixed in


Paraffin block w/history and Monday and Thursday, Cut- formalin, must be processed for Routine
KAPPA, Confirm 3,120.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off time 12:00 noon Histopath first;pls check w/ Histopath for
availability of reagent/result

Sterile container: Stool, formed


or semiformed, 2-3 gms(pea-size)
Send-out test to other hospital, Please
CLINICAL or Stool, watery, 5-10mL, Monday to Friday, (cut off
KATOKATZ (S.0) 1,540.00 No patient preparation After 2 working days coordinate with the Clinical Microscopy
MICROSCOPY transport at room temperature, 12noon)
section before CPOE
should be submitted to laboratory
within 1 hour after collection

if the submitted specimen is fixed in


Paraffin block w/history and Monday and Thursday, Cut- formalin, must be processed for Routine
KI - 67, Confirm 3,290.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off time 12:00 noon Histopath first;pls check w/ Histopath for
availability of reagent/result
KIDNEY FUNCTION TEST(NA, K,CL, BUN,
4,400.00 CHEMISTRY None Serum( red/sst tube) DAILY same day (after 8 hours)
CREA,TP,UA,MG,PHOS)
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
KIWI (f84) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

LACTATE 1,000.00 CHEMISTRY None Plasma (Sodium Heparin Tube) DAILY same day (after 8 hours)

if the submitted specimen is fixed in


Paraffin block w/history and Monday and Thursday, Cut- formalin, must be processed for Routine
LAMBDA,Confirm 3,290.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off time 12:00 noon Histopath first;pls check w/ Histopath for
availability of reagent/result
LDH - OTHER BODY FLUIDS (DIALYSATE) 610.00 CHEMISTRY None Dialysate DAILY same day (after 8 hours)
LDH - OTHER BODY FLUIDS (PERITONEAL
610.00 CHEMISTRY None PERITONEAL FLUID DAILY same day (after 8 hours)
FLUID)
LDH - OTHER BODY FLUIDS (SYNOVIAL FLUID) 610.00 CHEMISTRY None SYNOVIAL FLUID DAILY same day (after 8 hours)

LDH - OTHER BODY FLUIDS (PLEURAL FLUID) 610.00 CHEMISTRY None PLEURAL FLUID DAILY same day (after 8 hours)
No preparation needed; Non-
LDH SERUM 610.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
fasting
LDL 850.00 CHEMISTRY no preparation 1 sm red/yellow top DAILY same day (after 8 hours)

Page 27 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks
8-10 ml of venous blood on a dry Pls check with Hematology on availability
LE PREP 600.00 HEMATOLOGY NO PREPARATION DAILY 24-48 hours
sterile test tube of results
atleast 2 mL Serum (red/sst tube),
LEPTOSPIRA IgG/IgM 1,215.00 SEROLOGY No patient preparation Daily After 8 hours Old Name: Leptospira
transport on ice
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
LETTUCE(f215) 3,212.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
Pls check with Hematology on availability
LEUKOCYTE ALKALINE PHOS (Lap score) 3,935.00 HEMATOLOGY Non fasting 12 blood smear DAILY 24-48 hours
of results
LEUTINIZING HORMONE (CHEMI) 1,500.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
LH(HISTO) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
LIPASE 711.00 CHEMISTRY Non fasting Serum( red/sst tube) DAILY same day (after 8 hours)
LIPID PROFILE (HDL LDL CHOL TRIG) SERUM
2,550.00 CHEMISTRY 12-14 Hours Fasting Serum( red/sst tube) DAILY same day (after 8 hours)
PACKAGE
LIPID PROFILE (HDL,LDL MINUS CHOL &
1,400.00 CHEMISTRY 12-14 Hours Fasting Serum( red/sst tube) DAILY same day (after 8 hours)
TRIGLY)
LIPID PROFILE (HDL,LDL,CHOL,TRIG)- SERUM 2,795.00 CHEMISTRY 12-14 Hours Fasting Serum( red/sst tube) DAILY same day (after 8 hours)

LIPID PROFILE (TRIGLY,HDL,LDL,MINUS CHOL) 1,900.00 CHEMISTRY 12-14 Hours Fasting Serum( red/sst tube) DAILY same day (after 8 hours)
Serum( red/sst tube)Note last
LITHIUM 485.00 CHEMISTRY NON-FASTING dose, dosage and time of DAILY same day (after 8 hours)
extraction
LIVER
2,970.00 CHEMISTRY NON-FASTING Serum( red/sst tube) DAILY same day (after 8 hours)
ENZYMES(SGOT,SGPT,ALKPHOS,LDH,GGTP)
LIVER FUNCTION
TEST(SGOT,SGPT,ALKPHOS,TPAG,TOTAL BILI, 3,210.00 CHEMISTRY NON-FASTING Serum( red/sst tube) DAILY same day (after 8 hours)
DIRECT BILI)

TO LAB PSR: 5 BILLING FORMS( 2 FOR


LAB LIVER PANEL 1 13,540.00 CHEMISTRY CALL SECTION, 3020 CALL SECTION, 3020 CALL SECTION, 3020 CALL SECTION, 3020 HEMA, 1 FOR CHEM, 1 FOR CASHIER, 1 FOR
PATIENT)

TO LAB PSR: 6 BILLING FORMS( 2 FOR


LAB LIVER PANEL 2 40,655.00 CHEMISTRY CALL SECTION, 3020 CALL SECTION, 3020 CALL SECTION, 3020 CALL SECTION, 3020 HEMA, 1 FOR CHEM, 1 FOR IMMUNO, 1
FOR CASHIER, 1 FOR PATIENT)
TO LAB PSR: 6 BILLING FORMS( 2 FOR
LAB LIVER PANEL 3 51,770.00 CHEMISTRY CALL SECTION, 3020 CALL SECTION, 3020 CALL SECTION, 3020 CALL SECTION, 3020 HEMA, 1 FOR CHEM, 1 FOR IMMUNO, 1
FOR CASHIER, 1 FOR PATIENT)
LIVER PANEL 1 - with Ultrasound
(REFER TO ENDOSCOPY UNIT FOR BILLING OF
18,940.00 CHEMISTRY CALL SECTION, 3020 CALL SECTION, 3020 CALL SECTION, 3020 CALL SECTION, 3020
ENTIRE PACKAGE AND SCHEDULING OF
ULTRASOUND)
LIVER PANEL 1 PACKAGE - with Ultrasound
(REFER TO ENDOSCOPY UNIT FOR BILLING OF
14,500.00 CHEMISTRY CALL SECTION, 3020 CALL SECTION, 3020 CALL SECTION, 3020 CALL SECTION, 3020
ENTIRE PACKAGE AND SCHEDULING OF
ULTRASOUND)
LIVER PANEL 2 - with Ultrasound
(REFER TO ENDOSCOPY UNIT FOR BILLING OF
46,060.00 CHEMISTRY CALL SECTION, 3020 CALL SECTION, 3020 CALL SECTION, 3020 CALL SECTION, 3020
ENTIRE PACKAGE AND SCHEDULING OF
ULTRASOUND)

Page 28 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

LIVER PANEL 2 PACKAGE - with Ultrasound


(REFER TO ENDOSCOPY UNIT FOR BILLING OF
39,800.00 CHEMISTRY CALL SECTION, 3020 CALL SECTION, 3020 CALL SECTION, 3020 CALL SECTION, 3020
ENTIRE PACKAGE AND SCHEDULING OF
ULTRASOUND)
LIVER PANEL 3 - with Ultrasound
(REFER TO ENDOSCOPY UNIT FOR BILLING OF
57,170.00 CHEMISTRY CALL SECTION, 3020 CALL SECTION, 3020 CALL SECTION, 3020 CALL SECTION, 3020
ENTIRE PACKAGE AND SCHEDULING OF
ULTRASOUND)
LIVER PANEL 3 PACKAGE - with Ultrasound
(REFER TO ENDOSCOPY UNIT FOR BILLING OF
49,500.00 CHEMISTRY CALL SECTION, 3020 CALL SECTION, 3020 CALL SECTION, 3020 CALL SECTION, 3020
ENTIRE PACKAGE AND SCHEDULING OF
ULTRASOUND)
NOTE: Specimen must be accompanied
LKM -1(LIVER/KIDNEY MICROSOME) atleast 2 mL Serum (red/sst tube), DAILY RUNNING with doctor's request and patient's
4,500.00 IMMUNOLOGY No patient preparation Following day
ANTIBODY TEST transport on ice (Cut-off time: 12nn) abstract/initial diagnosis for clinical
interpretation
1 blue top,plasma in plastic Tuesday and Friday, 11am
LUPUS ANTICOAGULANT CS 5,700.00 HEMATOLOGY NO PREPARATION within 24 hours
cryovials or clean plastic test tube cut off

1 blue top,plasma in plastic


LUPUS ANTICOAGULANT CS-STAT 8,335.00 HEMATOLOGY NONE/FRESHLY drawn Tuesday and Friday same day (within 4 hours)
cryovials or clean plastic test tube
MAGNESIUM - OTHER BODY FLUID
670.00 CHEMISTRY NO PREPARATION PERITONEAL FLUID DAILY same day (after 8 hours)
(PERITONEAL FLUID)
MAGNESIUM - OTHER BODY FLUID (SYNOVIAL
670.00 CHEMISTRY NO PREPARATION SYNOVIAL FLUID DAILY same day (after 8 hours)
FLUID)
MAGNESIUM - OTHER BODY FLUIDS
670.00 CHEMISTRY NO PREPARATION DIALYSATE FLUID DAILY same day (after 8 hours)
(DIALYSATE)
MAGNESIUM - OTHER BODY FLUIDS (PLEURAL
670.00 CHEMISTRY NO PREPARATION PLEURAL FLUID DAILY same day (after 8 hours)
FLUID)
MAGNESIUM SERUM 700.00 CHEMISTRY NON-FASTING Serum( red/sst tube) DAILY same day (after 8 hours)
MAGNESIUM URINE(Random or 24 hours random or 24-hour urine in
*Read 24-hour urine collection
urine) 901.00 CHEMISTRY clean container with HCl as DAILY same day (after 8 hours)
protocol
preservative.
MALARIAL ANTIBODY TEST 750.00 HEMATOLOGY NO PREPARATION Lavander top DAILY within 8 hours
MALARIAL ANTIGEN 750.00 HEMATOLOGY NO PREPARATION Whole blood, Lavander tube DAILY same day (after 8 hours)
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
MAMMAGLOBIN 3,700.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
MANGO(f91) 3,212.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
MART-1/MELAN A, CONFIRM 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

Note:
a.) Nasal and Pharyngeal Nasal and Pharyngeal Secretions: Use
secretions, swab sample Human DNA Free Sterile Swab immersed in
MOLECULAR Monday to Friday (cut off
MEASLES VIRUS RNA-PCR (Rubeola PCR) 10,500.00 NO PREPARATION b.) Sputum at least 1 mL After 1 working day a 2mL NSS after collection of sample. Store
PATHOLOGY 8am)
c.) CSF at least 1 mL. (2-8C) in an upright position.
Sputum and CSF, Freeze at (-20C).

Page 29 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
MELANOMA (HMB45) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

If Negative- results will be


Mon-Fri (except Holidays) 8- Saturday and Sunday (for emergency cases
METAMPETHAMINE QUALI OUP 300.00 CHEMISTRY NO PREPARATION Random urine available within 24 hours. If
4 pm only)
Positive- after 3 to 4 weeks
Abstain from eating or drinking
(nuts, coffee, tea
,softdrinks,banana,
24-hour urine in clean container
METANEPHRINE 3,460.00 CHEMISTRY chocolate,Drugs (glycerol Monday, cut off 8AM FOLLOWING DAY
with 10 mL HCl as preservative
guiacolate, mephenesin,
methydopa, tetracycline and
phenazopyridine)for 3 days
Mon-Fri (except Holidays) 8- Saturday and Sunday (for emergency cases
METHADONE QUALI 300.00 CHEMISTRY NO PREPARATION Random urine After 24 hrs
4 pm only)
if the submitted specimen is fixed in
Paraffin block w/history and formalin, must be processed for Routine
METHENAMINE SILVER STAIN 3,800.00 HISTOPATH TISSUE Monday to Saturday 3 to 4 working days
H&E result & slide Histopath first;pls check w/ Histopath for
availability of reagent/result
10-20 mL first morning or random
CLINICAL urine, collected in sterile
MICRAL TEST 480.00 No patient preparation Daily After 8 hours
MICROSCOPY container, should be submitted
within 1 hour
RANDOM URINE or read 24
MICRO ALBUMIN CREATININE RATIO
1,500.00 CHEMISTRY hr.urine collection protocol in RANDOM URINE/or 24 hrs. Urine EVERYDAY same day, after 8 hours
(available effective Jan 6, 2016)
lab. Manual)
MICROFILARIAL TEST 600.00 HEMATOLOGY NO PREPARATION Lavander top DAILY same day
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
MILK (f2) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
MOSQUITO(171) 3,212.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
MOULD MIX(mx2) 3,212.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
MOUSE EPITHELIEUM(ex70) 3,212.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

At least 1mL of Sputum,


Endotracheal Aspirate, Bronchial Monday to Friday
MTB GeneXpert
Washing, Bronchoalveolar Lavage, Cut-Off Time: 12:00pm
(replacing MTB DNA Taqman starting MOLECULAR Store specimen at 2-8C (Refrigerate). DO
7,500.00 NONE CSF, Pleural Fluid Peritoneal Fluid, (new cut off time effective After 1 Working day
September 18, 2015) PATHOLOGY NOT FREEZE.
Ascitic Fluid, other body fluids. Sept 18, 2015)
Tissues (at least the size of rice
grain) immersed in 2mL NSS.

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
MUM 1 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

Page 30 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

atleast 2 mL Serum (red/sst tube), DAILY RUNNING


MUMPS ANTIBODY TITER-IGG (ELISA) 2,800.00 IMMUNOLOGY No patient preparation Following day
transport on ice (Cut-off time: 12nn)

atleast 2 mL Serum (red/sst tube), DAILY RUNNING


MUMPS ANTIBODY TITER-IGM- ELISA 3,600.00 IMMUNOLOGY No patient preparation Following day
transport on ice (Cut-off time: 12nn)

atleast 2 mL Serum (red/sst tube), DAILY RUNNING for Mycoplasma IgM only
MYCOPLASMA PNEUMONIAE IgM 1,865.00 SEROLOGY No patient preparation following day
transport on ice (Cut-off time: 12nn) Old Name: MYCOPLASMA PNEUMONAE

A.) Whole Blood, (1) 5 mL Sodium


Heparin Tube or
Within Cut-Off: After 3
B.) Bone Marrow Aspirate, (1) 5
MYELOMA PANEL Working days
MOLECULAR mL Sodium Heparin Tube. Monday to Saturday (Cut-
18,500.00 NO PREPARATION
PATHOLOGY Off time 1400H)
After Cut-Off: After 4
Transport at Room Temperature.
Working days
Specimen stability is within 24
hours.

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
MYELOPEROXIDASE-TISSUE 3,465.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
MYOGENIN 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
MYOSIN 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
NAPSIN 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
NEONATAL PANEL 1 (Sodium, Potassium ,
2,640.00 CHEMISTRY none Serum( red/sst tube) DAILY same day (after 8 hours)
Chloride, CO2, BUN, Creatinine)
NEONATAL PANEL 2(Alkaline Phosphatase,
Direct Bilirubin, Total Protein, Albumin, 3,130.00 CHEMISTRY none Serum( red/sst tube) DAILY same day (after 8 hours)
Calcium, Phosphorus)

NEONATAL PANEL 3 (CBC, Reticulocyte Count) 1,000.00 HEMATOLOGY non fasting Whole blood, Lavander tube DAILY same day (after 8 hours)

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
NEUROFILAMENT 3,120.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
venous,peripheral blood(prick Pls check with Hematology on availability
NEWBORN SCREENING 600.00 HEMATOLOGY At least 24 hours DAILY after 1 month
method) of results

Page 31 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

No preparation needed; Non-


NSE(NEURON SPECIFIC ENOLASE) 3,968.00 CHEMISTRY Serum( red/sst tube) DAILY same day(after 8 hours)
fasting

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
NSE-TISSUE 3,570.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

Routine: within 8 hours


upon screening of donors at
Specimen directly collected from Blood Bank. Screening Procedure for Blood Donors on
NUCLEIC ACID TESTING (NAT) COMPONENT 4,000.00 BLOOD BANK NO PREPARATION DAILY
DONOR 4mL EDTA (2 vial). STAT: within 5 hours upon HBV, HCV, HIV-1 Group O & HIV-2.
screening of donors at Blood
Bank.
Routine: within 8 hours
upon screening of donors at
Specimen directly collected from Blood Bank. Screening Procedure for Blood Donors on
NUCLEIC ACID TESTING (NAT) DONOR 4,500.00 BLOOD BANK NO PREPARATION DAILY
DONOR 4mL EDTA (2 vial). STAT: within 5 hours upon HBV, HCV, HIV-1 Group O & HIV-2.
screening of donors at Blood
Bank.

NOTE: I. 3 days meat free diet, II. avoid


fruits and vegatables with peroxidase-
like substances, III. Restrict intake of
vitamin C, IV. Patient with bleeding from Sterile container: Stool, formed
CLINICAL other conditions such as hemorrhoids,
OCCULT BLOOD 400.00 constipation or menstrual bleeding
or semiformed, 2-3 gms(pea-size) Daily After 8 hours Transport on ICE for send-out specimen
MICROSCOPY
should not be tested while such or Stool, watery, 5-10mL
conditions are present. V. Do not collect
specimen if patient is using rectal
preparation

Accomplish chain of custody If Negative- results will be Saturday and Sunday (for emergency cases
Mon-Fri (except Holidays) 8-
OPIATES (MORPHINE DEMEROL) QUALI 300.00 CHEMISTRY forms. Finger scanning and Random Urine available within 24 hours. If only); please use polyethylene container
4 pm
picture data capture. Positive- after 3 to 4 days only

Accomplish chain of custody If Negative- results will be Saturday and Sunday (for emergency cases
Mon-Fri (except Holidays) 8-
OPIATES (MORPHINE DEMEROL) QUANTI 2,500.00 CHEMISTRY forms. Finger scanning and Random Urine available within 24 hours. If only); please use polyethylene container
4 pm
picture data capture. Positive- after 3 to 4 days only

atleast 2 mL Serum (red/sst tube), Please check with Immunology Section for
ORANGE (f33) 2,100.00 IMMUNOLOGY No patient preparation Tuesday and Friday Following day
transport on ice the availability of the allergens
1 green top (Sodium Heparin) or
OSMOLALITY PLASMA/SERUM 1,357.00 CHEMISTRY No preparation DAILY same day (after 8 hours)
3mL serum sample.
OSMOLALITY URINE
2,200.00 CHEMISTRY No preparation Random Urine DAILY same day (after 8 hours)

Page 32 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

Whole blood, Lavander or Green Patient should call & schedule a day before
Mondays to Fridays by
OSMOTIC FRAGILITY 543.00 HEMATOLOGY NO PREPARATION tube freshly collected and same day extraction(advice patient to be here 1 hr
schedule
extracted in our Lab before the test)

No preparation needed; Non-


OSTEOCALCIN SERUM 2,985.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
fasting
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
OYSTER(f290) 3,212.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
P - 53 3,465.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
P - 63 3,810.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
P504S 3,465.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
No patient preparation.
NOTE: Specimen must be accompanied
Requirement: if available,
atleast 2 mL Serum (red/sst tube), Monday and Thursday, (cut with doctor's request and patient's
P-ANCA 4,800.00 IMMUNOLOGY Clinical abstract/initial diagnosis Following day
transport on ice off 8am) abstract/initial diagnosis for clinical
of the patient
interpretation

Cervical/vaginal specimens
collected by physician. Clinical
Pls check with Histopath on availability of
PAP AUTO 1,425.00 HISTOPATH history including LMP is Specimen in ThinPrep vial Monday to Saturday 3 to 4 working days
results
imperative. * Read Gynecologic
cytology collection protocol.

Cervical/vaginal specimens
collected by physician. Clinical
Smears fixed in 95% ethanol or Pls check with Histopath on availability of
PAP SMEAR 900.00 HISTOPATH history including LMP is Monday to Saturday 3 to 4 working days
cytospray fixative results
imperative. * Read Gynecologic
cytology collection protocol.
PAPP-A 3,000.00 CHEMISTRY no preparation Serum(red/sst tube) DAILY same day (after 8 hours)
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
PARROT FEATHERS (e213) 3,212.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

1 blue top,plasma in plastic Patient should specify blood thinner


PARTIAL THROMBOPLASTIN TIME CS 800.00 HEMATOLOGY NO PREPARATION DAILY same day (after 8 hours)
cryovials or clean plastic test tube medication taken

1 blue top,plasma in plastic Patient should specify blood thinner


PARTIAL THROMBOPLASTIN TIME CS - STAT 1,120.00 HEMATOLOGY NO PREPARATION DAILY same day (after 8 hours)
cryovials or clean plastic test tube medication taken

if the submitted specimen is fixed in


Paraffin block w/history and formalin, must be processed for Routine
PAS (PERIODIC ACID SHIFF) 2,900.00 HISTOPATH TISSUE Monday to Saturday 3 to 4 working days
H&E result & slide Histopath first;pls check w/ Histopath for
availability of reagent/result

Page 33 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
PAX-5, CONFIRM 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

PCP QUALITATIVE If Negative- results will be Saturday and Sunday (for emergency cases
Mon-Fri (except Holidays) 8-
300.00 CHEMISTRY NO PREPARATION Random Urine in Sterile Bottle available within 24 hours. If only); please use polyethylene container
4 pm
Positive- after 3 to 4 days only

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
PEANUT (f13) 1,455.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
PROCEDURE MUST BE
PERIPHERAL BLOOD STEM CELL HARVEST
34,000.00 BLOOD BANK None None SCHEDULED WITH BLOOD
PROCEDURE
BANK
Pls check with section on availability of
PERIPHERAL SMEAR (price includes CBC) 900.00 HEMATOLOGY NO PREPARATION Lavander top DAILY 24-48 hours
results
Random Urine in Sterile Bottle
PH URINEwith mineral oil 508.00 CHEMISTRY NO PREPARATION DAILY same day (after 8 hours)
with mineral oil
PHADIATOP (Inhalant Allergens) : molds,
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
house dust, mites, cockroach, cat, epithelium, 3,500.00 IMMUNOLOGY NO PREPARATION After 8 hours
transport on ice off 8am) the availability of the allergens
bermuda grass, pigweed
No preparation. Take note date
PHENOBARBITAL 1,484.00 CHEMISTRY and time of last dose and Serum, 5 ml/ Red/sst tube DAILY same day(after 8 hours)
dosage.
PHOSPHOROUS - OTHER BODY FLUIDS Pls check with Laboratory Section
595.00 CHEMISTRY NO PREPARATION Dialysate DAILY same day (after 8 hours)
(DIALYSATE) concerned if further clarification is needed

PHOSPHOROUS - OTHER BODY FLUIDS Pls check with Laboratory Section


595.00 CHEMISTRY NO PREPARATION PLEURAL FLUID DAILY same day (after 8 hours)
(PLEURAL FLUID) concerned if further clarification is needed

PHOSPHOROUS - OTHER BODY FLUIDS Pls check with Laboratory Section


595.00 CHEMISTRY NO PREPARATION SYNOVIAL FLUID DAILY same day (after 8 hours)
(SYNOVIAL FLUID) concerned if further clarification is needed

read urine specimen collection


random or 24-hour urine in clean
PHOSPHOROUS - URINE protocol; (refer to Laboratory
670.00 CHEMISTRY container with HCl as DAILY same day (after 8 hours)
Manual);get specimen container
preservative.
from the lab.

PHOSPHOROUS- OTHER BODY FLUIDS Pls check with Laboratory Section


595.00 CHEMISTRY NO PREPARATION PERITONEAL FLUID DAILY same day (after 8 hours)
(PERITONEAL FLUID) concerned if further clarification is needed
PHOSPHOROUS SERUM 595.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
Fresh random stool in sterile
bottle, should be submitted to the
CLINICAL laboratory within 1 hour from
PH-STOOL 250.00 No patient preparation Daily After 8 hours
MICROSCOPY collection, should not be
contaminated with urine, water or
other contaminants
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
PINEAPPLE (f20) 3,212.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
PLAP (PLACENTAL ALKALINE PHOSP 3,120.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

Page 34 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks
1 (2mL or 4mL) EDTA tube and
PLASMA PHERESIS (DONOR) 27,894.00 BLOOD BANK NONE 1 (4mL) NO ADDITIVE GLASS RED on call same day
TOP TUBE
1 (2mL or 4mL) EDTA tube and
Pls check with Laboratory Section
PLATELET APHERESIS 21,000.00 BLOOD BANK none 1 (4mL) NO ADDITIVE GLASS RED DAILY same day
concerned if further clarification is needed
TOP TUBE
atleast 3 mL sputum, either
induced or not or 5 mL BAL Send-out test to other hospital, Please
PNEUMOCYSTIS CARINI (SPUTUM PCP-IFA) specimen. Specimen should be Weekdays, (cut off 12 coordinate with the Immunology section
4,580.00 IMMUNOLOGY No patient preparation After 2 working days
IMMUNOFLOURESCENCE METHOD (S.O.) collected in a clean, sterile noon) before CPOE, Please inform the section
container and sent to the prior specimen submission
laboratory as soon as possible.

container,
PNEUMOCYSTIS CARINII (PCP) PCR (S.O.) MOLECULAR
6,100.00 NO PREPARATION Monday to Friday After 4-5 working days Send Out to TMC
PATHOLOGY secretions sample at least 1-2 mL
in sterile container

PNEUMOCYSTIS CARINII(JIROVECI) DNA-PCR container,


MOLECULAR Monday to Friday (cut off
10,500.00 NO PREPARATION After 1 working day Store specimen at (-20C)
PATHOLOGY secretions sample at least 1-2 mL 0800H)
in sterile container

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
PORK (f26) 1,455.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
Send-out test to other hospital, Please
POST-ENGRAFTMENT ANALYSIS (S.O.) 25,500 IMMUNOLOGY coordinate with the Immunology section
before CPOE
POTASSIUM - OTHER BODY FLUID (CSF) 540.00 CHEMISTRY NO PREPARATION CSF DAILY same day (after 8 hours)

POTASSIUM- OTHER BODY FLUID (DIALYSATE) 540.00 CHEMISTRY NO PREPARATION Dialysate DAILY same day (after 8 hours)
POTASSIUM SERUM 700.00 CHEMISTRY NON FASTING Serum( red/sst tube) DAILY same day (after 8 hours)
read urine specimen collection
protocol; (refer to Laboratory
POTASSIUM URINE 24 HRS 1,098.00 CHEMISTRY 24 hours urine specimen DAILY same day (after 8 hours)
Manual);get specimen container
from the lab.
POTASSIUM URINE RANDOM 1,098.00 CHEMISTRY per doctor's request random urine specimen DAILY same day (after 8 hours)
First morning or random urine,
CLINICAL
PREGNANCY TEST 550.00 No patient preparation collected in sterile container, Daily After 8 hours Also known as HCG Urine Test
MICROSCOPY
should be submitted within 1 hour

PRO BRAIN NATRIURETIC PEPTIDE 3,881.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
PROCALCITONIN
2,000.00 CHEMISTRY NO PREPARATION serum(red/sst tube) DAILY same day (after 8 hours)

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
PROGESTERONE RECEPTOR 3,650.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
PROGESTERONE(CHEMI) 2,500.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
Blood extracted 3 to 4 hours Pls check with Laboratory Section
PROLACTIN (CHEMI) 1,500.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
after waking up in the morning concerned if further clarification is needed

Page 35 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
PROLACTIN (HISTO) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

If Negative- results will be Saturday and Sunday (for emergency cases


Mon-Fri (except Holidays) 8-
PROPOXYPHENE (URINE) 500.00 CHEMISTRY NO PREPARATION URINE available within 24 hours. If only); please use polyethylene container
4 pm
Positive- after 3 to 4 days only

1 blue top,plasma in plastic


PROTEIN C SINGLE RUN CS-STAT 25,000.00 HEMATOLOGY NONE/FRESHLY drawn Wednesday only same day (within 4 hours)
cryovials or clean plastic test tube

1 blue top,plasma in plastic Wednesday only, 11am cut


PROTEIN C-CS 4,560.00 HEMATOLOGY None within 24 hours
cryovials or clean plastic test tube off
NOTE: Specimen must be accompanied
8 hours fasting, Requirement:
atleast 2 mL Serum (red/sst tube), with doctor's request and patient's
PROTEIN ELECTROPHORESIS SERUM 5,500.00 IMMUNOLOGY with Serum Total Protein result Wednesday, (Cut-off 8am) Friday at 5PM
transport on ice abstract/initial diagnosis for clinical
(within a month)
interpretation
1 blue top,plasma in plastic Wednesday only, 11am cut Pls check with Section on availability of
PROTEIN S CS 7,850.00 HEMATOLOGY None within 24 hours
cryovials or clean plastic test tube off reagent

1 blue top,plasma in plastic


PROTEIN S CS SINGLE RUN-STAT 20,000.00 HEMATOLOGY NONE/FRESHLY drawn Wednesday only same day (within 4 hours)
cryovials or clean plastic test tube

1 blue top,plasma in plastic Patient should specify blood thinner


PROTIME CS 700.00 HEMATOLOGY NO PREPARATION DAILY same day (after 8 hours)
cryovials or clean plastic test tube medication taken

1 blue top,plasma in plastic Patient should specify blood thinner


PROTIME CS - STAT 1,020.00 HEMATOLOGY NO PREPARATION DAILY same day (within 2 hours)
cryovials or clean plastic test tube medication taken

if the submitted specimen is fixed in


PSA - TISSUE (PROSTATIC SPECIFIC ANTIGEN- Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
3,120.00 HISTOPATH TISSUE 3 to 4 working days
TISSUE) H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

Test should be done 24 hours


after Digital Rectal Exam(DRE) of
the prostate gland, Transrectal
PSA FREE-SERUM 4,124.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
Ultrasound(TRUS) or Prostate
Biopsy, Sexual activity and
Prostatic massage.

Test should be done 24 hours


after Digital Rectal Exam(DRE) of
the prostate gland, Transrectal
PSA-PROSTATIC SPECIFIC ANTIGEN (BLOOD) 3,800.00 CHEMISTRY Serum( red/sst tube) DAILY same day (after 8 hours)
Ultrasound(TRUS) or Prostate
Biopsy, Sexual activity and
Prostatic massage.

1 blue top,plasma in plastic Patient should specify blood thinner


PT MIXING STUDIES 2,300.00 HEMATOLOGY NO PREPARATION DAILY same day (after 8 hours)
cryovials or clean plastic test tube medication taken

1 blue top,plasma in plastic Patient should specify blood thinner


PT MIXING STUDIES- STAT 3,355.00 HEMATOLOGY NO PREPARATION DAILY same day (within 2 hours)
cryovials or clean plastic test tube medication taken

1 blue top,plasma in plastic Patient should specify blood thinner


PTT MIXING STUDIES 2,500.00 HEMATOLOGY NO PREPARATION DAILY same day (after 8 hours)
cryovials or clean plastic test tube medication taken

Page 36 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

1 blue top,plasma in plastic Patient should specify blood thinner


PTT MIXING STUDIES - STAT 3,555.00 HEMATOLOGY NO PREPARATION DAILY same day within 2 hours
cryovials or clean plastic test tube medication taken

RA OR RF - RHEUMATOID FACTOR (QUANTI) 1,599.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
10-30 mL first morning Urine or
CLINICAL random urine, collected in sterile
RBC MORPHOLOGY URINE 375.00 No patient preparation Daily After 8 hours Preferably first morning urine
MICROSCOPY container, should be submitted
within 1 hour
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
RENAL CELL CARCINOMA 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

if the submitted specimen is fixed in


RETICULIN (SILVER IMPREGNATION)
Paraffin block w/history and formalin, must be processed for Routine
3,000.00 HISTOPATH TISSUE Monday to Saturday 3 to 4 working days
H&E result & slide Histopath first;pls check w/ Histopath for
availability of reagent/result

RETICULOCYTE COUNT 550.00 HEMATOLOGY NO PREPARATION Lavander top DAILY same day (after 8 hours)

*DEPENDENT ON
AVAILABILITY OF BLOOD
UNIT*
STAT: 2 hours upon receipt
of request and blood
specimen at Blood Bank. NOTE: Turn-around time is also dependent
1 (2mL or 4mL) EDTA tube and RESERVE: it will be processed on availability of blood units. It may be
1 (4mL) NO ADDITIVE GLASS RED only after the request is prolonged if patient is found to be positive
REVERSE TYPING FOR CRYOPRECIPITATE 900.00 BLOOD BANK NO PREPARATION DAILY
TOP TUBE; If microtainer 2 (500uL) confirmed for Crossmatching for Antibody Screen, if patient has
EDTA and 3 (600uL) SST by the Nurse-in-charge of incompatibility issues or if no blood type
the patient. specific unit is available.
OR USE: within 8 hours upon
receipt of request and blood
specimen at Blood Bank or
crossmatched a day prior to
OR schedule.

Page 37 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

*DEPENDENT ON
AVAILABILITY OF BLOOD
UNIT*
STAT: 2 hours upon receipt
of request and blood
specimen at Blood Bank. NOTE: Turn-around time is also dependent
1 (2mL or 4mL) EDTA tube and RESERVE: it will be processed on availability of blood units. It may be
1 (4mL) NO ADDITIVE GLASS RED only after the request is prolonged if patient is found to be positive
REVERSE TYPING FOR FRESH FROZEN PLASMA 900.00 BLOOD BANK NO PREPARATION DAILY
TOP TUBE; If microtainer 2 (500uL) confirmed for Crossmatching for Antibody Screen, if patient has
EDTA and 3 (600uL) SST by the Nurse-in-charge of incompatibility issues or if no blood type
the patient. specific unit is available.
OR USE: within 8 hours upon
receipt of request and blood
specimen at Blood Bank or
crossmatched a day prior to
OR schedule.

STAT: 2 hours upon receipt


of request and blood
specimen at Blood Bank.
RESERVE: it will be processed
NOTE: Turn-around time is also dependent
only after the request is
1 (2mL or 4mL) EDTA tube and on availability of blood units. It may be
confirmed for Crossmatching
REVERSE TYPING FOR PLATELET 1 (4mL) NO ADDITIVE GLASS RED prolonged if patient is found to be positive
900.00 BLOOD BANK NO PREPARATION DAILY by the Nurse-in-charge of
CONCENTRATE TOP TUBE; If microtainer 2 (500uL) for Antibody Screen, if patient has
the patient.
EDTA and 3 (600uL) SST incompatibility issues or if no blood type
OR USE: within 8 hours upon
specific unit is available.
receipt of request and blood
specimen at Blood Bank or
crossmatched a day prior to
OR schedule.

STAT: 2 hours upon receipt


of request and blood
specimen at Blood Bank.
RESERVE: it will be processed
NOTE: Turn-around time is also dependent
only after the request is
1 (2mL or 4mL) EDTA tube and on availability of blood units. It may be
confirmed for Crossmatching
1 (4mL) NO ADDITIVE GLASS RED prolonged if patient is found to be positive
REVERSE TYPING FOR PLATELET APHERESIS 900.00 BLOOD BANK NO PREPARATION DAILY by the Nurse-in-charge of
TOP TUBE; If microtainer 2 (500uL) for Antibody Screen, if patient has
the patient.
EDTA and 3 (600uL) SST incompatibility issues or if no blood type
OR USE: within 8 hours upon
specific unit is available.
receipt of request and blood
specimen at Blood Bank or
crossmatched a day prior to
OR schedule.

Routine: within 8 hours


Adult: 1 (2mL or 4mL) EDTA and 1
upon receipt of request &
NO ADDITIVE GLASS RED TOP
specimen at Blood Bank.
RH TITER 1,034.00 BLOOD BANK NO PREPARATION TUBE. DAILY
STAT: within 2 hours upon
Pedia: 1 microtainer (500uL) EDTA
receipt of request &
and 2 microtainer (600uL) SST.
specimen at Blood Bank.

Page 38 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
RHIZOPUS NIGRICANS (m11) 2,100.00 IMMUNOLOGY No patient preparation After 8 hours
transport on ice off 8am) the availability of the allergens

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
RICE (f9) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
Fresh random stool in sterile
bottle, should be submitted to the
CLINICAL laboratory within 1 hour from
ROTAVIRUS ANTIGEN 1,500.00 No patient preparation Daily After 8 hours Old Name: ROTAVIRUS STOOL
MICROSCOPY collection, should not be
contaminated with urine, water or
other contaminants
atleast 2 mL Serum (red/sst tube),
RPR(RAPID PLASMA REAGIN)QUALITATIVE 450.00 SEROLOGY No patient preparation Daily After 8 hours
transport on ice
atleast 2 mL Serum (red/sst tube),
RPR(RAPID PLASMA REAGIN)QUANTITATIVE 1,225.00 SEROLOGY No patient preparation Daily After 8 hours
transport on ice
RUBELLA IGG (GERMAN MEASLES) 2,000.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)

RUBELLA IGM (GERMAN MEASLES) 3,800.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
RUBEOLA IgG (ELISA) (MEASLES) 1 Patient per atleast 2 mL Serum (red/sst tube), Daily for STAT, (cut off
10,330.00 IMMUNOLOGY No patient preparation after 24 Hours
Run transport on ice 12noon)
RUBEOLA IgG (ELISA) (MEASLES) BATCH atleast 2 mL Serum (red/sst tube), DAILY RUNNING
5,000.00 IMMUNOLOGY No patient preparation the following day
RUNNING transport on ice (Cut-off time: 12nn)

RUBEOLA IGM (ELISA) (MEASLES) 1 Patient atleast 2 mL Serum (red/sst tube), Daily for STAT, (cut off
9,000.00 IMMUNOLOGY No patient preparation after 24 Hours
per Run transport on ice 12noon)

RUBEOLA IGM (ELISA) (MEASLES) BATCH atleast 2 mL Serum (red/sst tube), DAILY RUNNING
5,000.00 IMMUNOLOGY No patient preparation the following day
RUNNING transport on ice (Cut-off time: 12nn)
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
S 100 3,650.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

SAFEKEEPING WITH PROCESSING 630.00 Out-Patient


5cc serum ( plain red top only);
SALICYLATE(S.O.) 4,730.00 CHEMISTRY NO PREPARATION Note last dose, dosage and time DAILY after 3 working days
of extraction
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
SALMON (f41) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

Page 39 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks
atleast 2 mL Serum (red/sst tube), Old Name: TYPHIDOT DUO(IGG & IGM)
SALMONELLA TYPHI IgG/IgM 1,600.00 SEROLOGY No patient preparation Daily After 8 hours
transport on ice (Rapid Salmonella)
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
SARCOMERIC ACTIN 3,465.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

1). Patient is advised to abstain


from sexual activities 3-5 days
prior to semen analysis, A short
period or prolonged abstinence
is discourage as this may affect The following information shall be
to quality of the semen. 2). indicated in the request form(CPOE):
Collection of the specimen is 1.Days of Abstinence,
preferably done at the Hospital. 2.Time of collection,
if the collection is to be done Freshly collected seminal fluid in a 3. Completeness of collection,
CLINICAL outside, the specimen should be sterile bottle.Transport 4. location of collection(hospital or
SEMEN ANALYSIS 800.00 Daily Following day
MICROSCOPY placed in a wide mouthed plastic immediately to Clinical outside), if outside- manner of
(not in condoms) or glass Microscopy section transportation.
container. 3). The specimen
should be kept warm at body Old Name: SEMEN ANALYSIS(SPERM
temperature and shall be COUNT)
submitted to the laboratory
within 30 minutes but no more
than 1 hour after the collection
to ensure accurate specimen
analysis.

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
SESAME SEED (f10) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
SGOT (AST) 700.00 CHEMISTRY Non-fasting Serum( red/sst tube) DAILY same day (after 8 hours)
SGPT (ALT) 700.00 CHEMISTRY Non-fasting Serum( red/sst tube) DAILY same day (after 8 hours)
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
SHRIMPS (F24) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
PRICK method to be performed by Monday to Friday by Pls check with section on availability of
SICKLE CELL THALASEMIA 408.00 HEMATOLOGY NO PREPARATION same day
MMC med.tech schedule reagents
No preparation. Take note date
Whole blood specimen collected
SIROLIMUS (RAPAMUNE) 1,890.00 CHEMISTRY and time of last dose and DAILY same day (after 8 hours)
in 4 ml EDTA TUBES.
dosage.
Additonal charge of Histopath Slide/Block
Paraffin block & slide With for re-cut of block, if needed. Quantity of
SLIDE REVIEW 2,300.00 HISTOPATH TISSUE Monday to Saturday 3 TO 4 working days
history and H&E result charge depends on the number of blocks.
Please verify with Histopath personnel.

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
SMOOTH MUSCLE ACTIN (SMA) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
SODIUM SERUM 700.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
read urine specimen collection
protocol; (refer to Laboratory Pls check with Laboratory Section
SODIUM URINE 24 HRS 1,334.00 CHEMISTRY 24 hours urine specimen DAILY same day (after 8 hours)
Manual);get specimen container concerned if further clarification is needed
from the lab.
SODIUM URINE RANDOM 1,334.00 CHEMISTRY NO PREPARATION random urine specimen DAILY same day (after 8 hours)

Page 40 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
SOYA BEANS (f14) 2,100.00 IMMUNOLOGY No patient preparation After 8 hours
transport on ice off 8am) the availability of the allergens
10-20 mL first morning Urine or
CLINICAL random urine, collected in sterile
SPECIFIC GRAVITY 260.00 No patient preparation Daily After 8 hours
MICROSCOPY container, should be submitted
within 1 hour
SPECIMEN FOR SAFE KEEPING 265.00 Out-Patient
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
SQUID (f58) 2,100.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens
Send Out to Phil. Heart Center Tel No. 925-
ST2 CARDIAC BIOMARKERS (S.O.) 8,930.00 CHEMISTRY NO PREPARATION 3-5mL serum Tuesday(cut-off 8 am) after 3 working days
2401 local 5139
Fresh random stool in sterile
Send-out test to other hospital, Please
CLINICAL bottle, should be submitted to the
STOOL FOR REDUCING SUBSTANCE/SUGAR 1,470.00 No patient preparation Daily Following day, 5PM coordinate with the Clinical Microscopy
MICROSCOPY laboratory within 1 hour from
section before CPOE
collection, should not be
Fresh random stool in sterile
bottle, pea-sized, should be
submitted to the laboratory
CLINICAL Specimen on diaper must be checked by
STOOL ROUTINE 275.00 No patient preparation within 1 hour from collection, Daily After 8 hours
MICROSCOPY Clinical Microscopy staff before accepting.
should not be contaminated with
urine, water or other
contaminants
Fresh random stool in sterile
bottle, should be submitted to the
CLINICAL laboratory within 1 hour from
SUDAN (STOOL FOR FATS) 325.00 No patient preparation Daily After 8 hours
MICROSCOPY collection, should not be
contaminated with urine, water or
other contaminants
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
SYNAPTOPHYSIN 3,465.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
No preparation. Take note date
Whole blood specimin collected in
TACROLIMS/FK506/PROGRAF 2,600.00 CHEMISTRY and time of last dose and DAILY same day (after 8 hours)
4 ml EDTA TUBES.
dosage.
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
TAG- 72 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
Pls check with section on availability of
TB CULTURE SENSITIVITY 3,100.00 MICROBIOLOGY Early Morning sample sputum DAILY 6 to 8 Weeks
results
Specimen must be transported 4 cc Lithium Heparin Specimen cut off Tuesday PLEASE NOTE THE TIME OF BLOOD
TB QUANTIFERON ASSAY TEST (ELISA)
6,100.00 IMMUNOLOGY to the section immediately after TRANSPORT IN ROOM 4PM, Running Day is Friday, 5PM EXTRACTION, INITIAL DIAGNOSIS OF THE
blood extraction TEMPERATURE Thursday PATIENT

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
TdT 4,950.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
TESTOSTERONE (CHEMI) 1,500.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
PROCEDURE MUST BE
THERAPEUTIC LEUCOCYTE REDUCTION 30,319.00 BLOOD BANK NONE PROCEDURE SCHEDULED WITH BLOOD
BANK

Page 41 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

NOTE: Patient's must have a Doctor's


request for therapeutic phlebotomy.
Patient's with Polycythemia or
THERAPEUTIC PHLEBOTOMY 600.00 BLOOD BANK base on result of hemoglobin None Daily None
Erythrocytosis indication, latest CBC result
should be given. Patient with Iron Overload
indication, latest ferritin Result
PROCEDURE MUST BE
THERAPEUTIC PLASMA
30,000.00 BLOOD BANK none procedure SCHEDULED WITH BLOOD same day
EXCHANGE(PHERESIS)PATIENT
BANK
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
THYROGLOBULIN (TISSUE) 3,120.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
THYROGLOBULIN(BLOOD) 2,500.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
atleast 2 mL Serum (red/sst tube), Tuesday and Friday, (cut Please check with Immunology Section for
TOMATO (f25) 1,455.00 IMMUNOLOGY No patient preparation Following day
transport on ice off 8am) the availability of the allergens

Request for Toxoplasma IgG, Rubella IgG,


CMV IgG are under Immunochemistry
TORCH : Toxoplasma IgG, Rubella IgG, CMV atleast 3 mL Serum (red/sst tube) ,
10,200.00 IMMUNOLOGY No patient preparation Mon-Sat(cut off 12 noon) section and HSV II IgG under Immunology.
IgG,HSV II IgG transported with ice
If doctor's request is TORCH IgM, this will
be requested individually
TOTAL BILIRUBIN 675.00 CHEMISTRY NO PREPARATION Serum(red/sst tube) DAILY same day (after 8 hours)
TOTAL IGE (FOR ALLERGENS) 3,212.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
TOTAL IRON BINDING CAPACITY 1,999.00 CHEMISTRY 6 to 8 hours fasting Serum( red/sst tube) DAILY same day (after 8 hours)
TOTAL PROTEIN - OTHER BODY FLUID (
480.00 CHEMISTRY NO PREPARATION Dialysate DAILY same day (after 8 hours)
DIALYSATE)
TOTAL PROTEIN - OTHER BODY FLUID
480.00 CHEMISTRY NO PREPARATION pancreatic fluid DAILY same day (after 8 hours)
(PANCREATIC)
TOTAL PROTEIN - OTHER BODY FLUID
480.00 CHEMISTRY NO PREPARATION peritoneal fluid DAILY same day (after 8 hours)
(PERITONEAL FLUID)
TOTAL PROTEIN - OTHER BODY FLUID
480.00 CHEMISTRY NO PREPARATION PLEURAL FLUID DAILY same day (after 8 hours)
(PLEURAL FLUID)
TOTAL PROTEIN - OTHER BODY FLUID
480.00 CHEMISTRY NO PREPARATION SYNOVIAL FLUID DAILY same day (after 8 hours)
(SYNOVIAL FLUID)
read urine specimen collection
protocol; (refer to Laboratory
TOTAL PROTEIN (URINE) 844.00 CHEMISTRY 24 Hours Urine / Random DAILY same day (after 8 hours)
Manual);get specimen container
from the lab.

TOTAL PROTEIN A G RATIO-SERUM 613.00 CHEMISTRY NON-FASTING Serum( red/sst tube) DAILY same day (after 8 hours)
TOTAL PROTEIN CSF 480.00 CHEMISTRY NO PREPARATION CSF DAILY same day (after 8 hours)
TOTAL PROTEIN SERUM 480.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
TOTAL T3 (CMIA) 1,650.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
TOTAL T4 (CMIA) 1,168.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
TOXOPLASMOSIS IGG QUANTI 2,400.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
TOXOPLASMOSIS IGM QUANTI 2,700.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
TRANSFER BAG ALIQUOT (ADULT) 1,000.00 BLOOD BANK None transfer bag N/A N/A
TRANSFER BAG ALIQUOT (PEDIA) 1,000.00 BLOOD BANK None transfer bag N/A N/A
TRANSFER BAG; 300ML TERUMO T030CB 197.00 BLOOD BANK None N/A N/A N/A
TREPONEMA PALLIDUM AGGLUTINATION atleast 2 mL Serum (red/sst tube),
1,345.00 SEROLOGY No patient preparation Friday, Cut-off 10AM Following day Old Name: TPHA QUALI
ASSAY QUALI transport on ice

Page 42 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks
Note: Titer is not reported if the result is
TREPONEMA PALLIDUM AGGLUTINATION atleast 2 mL Serum (red/sst tube),
3,800.00 SEROLOGY No patient preparation Friday, Cut-off 10AM Following day negative
ASSAY QUANTI transport on ice
Old Name: TPHA QUANTI
TRIGLYCERIDES - OTHER BODY FLUID (
750.00 CHEMISTRY NO PREPARATION PLEURAL FLUID DAILY same day (after 8 hours)
PLEURAL FLUID)
TRIGLYCERIDES - OTHER BODY FLUID
750.00 CHEMISTRY NO PREPARATION SYNOVIAL FLUID DAILY same day (after 8 hours)
(SYNOVIAL)
TRIGLYCERIDES- OTHER BODY FLUID
750.00 CHEMISTRY NO PREPARATION Dialysate DAILY same day (after 8 hours)
(DIALYSATE)
TRIGLYCERIDES- OTHER BODY FLUID
750.00 CHEMISTRY NO PREPARATION peritoneal fluid DAILY same day (after 8 hours)
(PERITONEAL)
TRIGLYCERIDES SERUM 750.00 CHEMISTRY 12-14 Hours Fasting Serum( red/sst tube) DAILY same day (after 8 hours)
TROPONIN I HIGH SENSITIVITY 3,000.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
TRUTOL SOLUTION (DEXTROSE OR GLUCOSE) 289.00 CHEMISTRY None None None None

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
TSH (HISTO) 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

Pls check with Laboratory Section


TSH CHEMI 1,200.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
concerned if further clarification is needed

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
TTF-1 (THYROID TRANSCRIPTION FACTOR 1) 3,650.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

atleast 2 mL Serum (red/sst tube), Please check with Immunology Section for
TUNA (f40) 2,100.00 IMMUNOLOGY No patient preparation Tuesday and Friday Following day
transport on ice the availability of the allergens
Routine: within 8 hours
1 (2mL or 4mL) EDTA tube and upon receipt of request &
1 (4mL) NO ADDITIVE GLASS RED specimen at Blood Bank.
TYPE ABO BLOOD TYPING BLOOD BANK NO PREPARATION DAILY
TOP TUBE; If microtainer 1 (500uL) STAT: within 2 hours upon
EDTA and 1 (600uL) SST receipt of request &
specimen at Blood Bank.
Routine: within 8 hours
upon receipt of request &
1 (2mL or 4mL) EDTA ; specimen at Blood Bank.
TYPE RH (D) BLOOD TYPING BLOOD BANK NO PREPARATION DAILY
If microtainer 1 (500uL) EDTA STAT: within 2 hours upon
receipt of request &
specimen at Blood Bank.
Routine: within 8 hours
1 (2mL or 4mL) EDTA tube and upon receipt of request &
1 (4mL) NO ADDITIVE GLASS RED specimen at Blood Bank.
TYPING ABO/RH (PEDIA 0-6 MONTHS) 460.00 BLOOD BANK NO PREPARATION DAILY
TOP TUBE; If microtainer 1 (500uL) STAT: within 2 hours upon
EDTA and 1 (600uL) SST receipt of request &
specimen at Blood Bank.
Routine: within 8 hours
upon receipt of request &
1 (2mL or 4mL) EDTA and
specimen at Blood Bank.
TYPING ABO/RH Blood (ADULT) 950.00 BLOOD BANK NO PREPARATION 1 (4mL) NO ADDITIVE GLASS RED DAILY
STAT: within 2 hours upon
TOP TUBE
receipt of request &
specimen at Blood Bank.
SMEAR FIXED IN 95% ALCOHOL/ Pls check with Histopath on availability of
TZANKS 1,285.00 HISTOPATH Smears Monday to Saturday 3 to 4 working days
HISTORY results

Page 43 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks

Quantity of charge may vary depanding on


UNSTAINED SLIDES 500.00 HISTOPATH Paraffin block TISSUE Monday to Saturday 1 to 2 working days the number of blocks submitted. Please
verify with Histopath personnel.
CLINICAL
URIC ACID CRYSTAL (Body Fluid) 360.00 No patient preparation body fluids Daily After 8 hours
MICROSCOPY
URIC ACID-OTHER BODY FLUID (DIALYSATE) 425.00 CHEMISTRY NO PREPARATION DIALYSATE DAILY same day (after 8 hours)
URIC ACID-OTHER BODY FLUID (PERITONEAL
425.00 CHEMISTRY NO PREPARATION PERITONEAL FLUID DAILY same day (after 8 hours)
FLUID)
URIC ACID-OTHER BODY FLUID (PLEURAL
425.00 CHEMISTRY NO PREPARATION PLEURAL FLUID DAILY same day (after 8 hours)
FLUID)
URIC ACID-OTHER BODY FLUID (SYNOVIAL
425.00 CHEMISTRY NO PREPARATION SYNOVIAL FLUID DAILY same day (after 8 hours)
FLUID)
URIC ACID-SERUM 500.00 CHEMISTRY NO PREPARATION Serum( red/sst tube) DAILY same day (after 8 hours)
10-30 mL first morning Urine or
For pedia & geriatric patient specimen
CLINICAL random urine, collected in sterile
URINALYSIS ROUTINE 385.00 No patient preparation Daily After 8 hours volume, validate with Clinical Microscopy
MICROSCOPY container, should be submitted
staff if it is accepted
within 1 hour
NOTE: Specimen must be accompanied
No patient preparation,
10-20 mL, Urine, collected in with doctor's request and patient's
URINE PROTEIN ELECTROPHORESIS 6,000.00 IMMUNOLOGY Requirement: Urine Total Wednesday, (Cut-off 8am) Friday, 5PM
sterile container, transport on ice abstract/initial diagnosis for clinical
Protein result
interpretation
URINE PROTEIN/ CREATININE RATIO 2,400.00 CHEMISTRY No Preparation 24 hours/ Random DAILY same day (after 8 hours)

if the submitted specimen is fixed in


Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
UROPLAKIN 111 5,200.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result
Abstain from eating or drinking
(nuts, coffee, tea
,softdrinks,banana,
VMA 2,657.00 CHEMISTRY chocolate,Drugs(glycerol 24 Hours Urine with 10 CC HCL TUESDAY(cut-off 8 am) following day
guiacolate,mephenesin,methydo
pa,tetracycline and
phenazopyridine)for 3 days
No preparation. Take note date
VALPROIC ( DEPAKENE EPIVAL) 1,484.00 CHEMISTRY and time of last dose and Serum( red/sst tube) DAILY same day(after 8 hours)
dosage.
No preparation. Take note date
VANCOMYCI N 2,772.00 CHEMISTRY and time of last dose and SERUM DAILY same day(after 8 hours)
dosage.
atleast 2 mL Serum (red/sst tube), DAILY RUNNING
VARICELLA IgG (ELFA) 2,000.00 IMMUNOLOGY No patient preparation Following day
transport on ice (Cut-off time: 12nn)
atleast 2 mL Serum (red/sst tube), DAILY RUNNING
VARICELLA IgM (ELISA) 3,020.00 IMMUNOLOGY No patient preparation Following day
transport on ice (Cut-off time: 12nn)
VDRL QUALITATIVE
atleast 2 mL Serum (red/sst tube), Test Not Available as of June 30, 2014.
(Test Not Available as of June 30, 2014. 550.00 SEROLOGY No patient preparation Daily After 8 hours
transport on ice Alternative Test is RPR.
Alternative Test is RPR)
VDRL QUANTITATIVE
atleast 2 mL Serum (red/sst tube), Test Not Available as of June 30, 2014.
(Test Not Available as of June 30, 2014. 1,225.00 SEROLOGY No patient preparation Daily After 8 hours
transport on ice Alternative Test is RPR.
Alternative Test is RPR)
if the submitted specimen is fixed in
Paraffin block w/history and Monday to Saturday, Cut- formalin, must be processed for Routine
VIMENTIN 3,465.00 HISTOPATH TISSUE 3 to 4 working days
H&E result & slide off 12:00 nn Histopath first;pls check w/ Histopath for
availability of reagent/result

Page 44 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)


TEST *PRICE SECTION PREPARATION SPECIMEN RUNNING DAY RESULT Remarks
VIT B12 3,032.00 CHEMISTRY 6-8 hours fasting Serum( red/sst tube) DAILY same day(after 8 hours)
VITAMIN D (VIT D3-25-OH) 2,200.00 CHEMISTRY No Preparation Serum( red/sst tube) DAILY same day(after 8 hours)
2 blue top,plasma in plastic Pls check with section on availability of
VON WILLEBRAND FACTOR ANTIGEN 15,530.00 HEMATOLOGY NONE/FRESHLY drawn TUE- 6:30AM AFTER 5 DAYS
cryovials or clean plastic test tube. results

atleast 2 mL Serum (red/sst tube), Please check with Immunology Section for
WALNUT (f256) 2,100.00 IMMUNOLOGY No patient preparation Tuesday and Friday Following day
transport on ice the availability of the allergens
WASHING ONLY FOR RBC 924.00 BLOOD BANK NO PREPARATION BLOOD COMPONENT DAILY same day
faucet(nozzle) should be
WATER CULTURE 585.00 MICROBIOLOGY 60 ml water in sterile container DAILY 3 to 4 Days
sterilized
atleast 2 mL Serum (red/sst tube), Please check with Immunology Section for
WEIL FELIX ONLY 875.00 SEROLOGY No patient preparation Daily After 8 hours
transport on ice the availability of the allergens
Sterile body fluid in sterile
WET MOUNT METHOD 450.00 IMMUNOLOGY No patient preparation container; Submitted within an Daily After 8 hours
hour upon collection
vaginal swab on plain sterile Pls check with Laboratory Section
WET SMEAR (VAGINAL DISCHARGE) 468.00 MICROBIOLOGY NO PREPARATION DAILY same day (after 8 hours)
container concerned if further clarification is needed

atleast 2 mL Serum (red/sst tube), Please check with Immunology Section for
WHEAT (f4) 2,100.00 IMMUNOLOGY No patient preparation Tuesday and Friday Following day
transport on ice the availability of the allergens
WHOLE BLOOD O.S. 2,780.00 BLOOD BANK
atleast 3 mL Serum (red/sst tube), Please check with Immunology Section for
WIDAL ONLY 1,150.00 SEROLOGY No patient preparation Daily After 8 hours
transport on ice the availability of the allergens

atleast 3 mL Serum (red/sst tube), Please check with Immunology Section for
WIDAL AND WEIL FELIX TEST 2,000.00 SEROLOGY No patient preparation Daily After 8 hours
transport on ice the availability of the allergens
Air-dried smear or Pls check with Histopath on availability of
WRIGHT STAIN TOUCH PREP 190 HISTOPATH Unstained Smears(slide) Monday to Saturday 3 to 4 working days
imprint/history results

* PLEASE NOTE THAT PRICES ARE SUBJECT TO CHANGE WITHOUT PRIOR NOTICE.

Page 45 MMC LABORATORY PROCEDURE AND PREPARATION AS OF FEBRUARY 7, 2017 (1332H)

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