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APMC sealDepartment of HealthAmai Pakpak Medical Center

Rates and Fees

Official price list for procedures, imaging, and laboratory services at Amai Pakpak Medical Center.

Price list

ProcedurePrice (Cash)Price (Charge)
24 Hour Holter25002500
2D ECHO25002500
2D ECHO25002500
3D IMAGING42004200
ABDOMEN - FLATPLATE & UPRIGHT A260260
ABDOMEN - FLATPLATE & UPRIGHT P195195
ABDOMEN - SFA/KUB A175175
ABDOMEN - SFA/KUB P175175
ABDOMEN182260
ADRENALS25902590
LE- ANKLE122122
APICOLORDOTIC VIEW115115
ARTERIAL 1 LEG13501350
Arterial Duplex Scan27002700
ECG300300
CHEST PA + APICOLORDOTIC VIEW420420
Chest PAL (ADULT)420420
CHEST PEDIA APL420420
CHEST SPOT VIEW LEFT UPPER LF210210
CHEST SPOT VIEW RIGHT LOWER LF210210
CHEST SPOT VIEW RIGHT ULF210210
Clavicle210210
CLAVICLE AP210210
CLAVICLE R and L420420
COCCYX AP210210
COCCYX APL420420
COLONOGRAM15001500
CYSTOGRAM12001200
DIGIT APL/APO420420
ELBOW AP210210
ELBOW APL420.25420.25
Elbow APL (left)420420
Elbow APL (right)420420
ELBOW LAT210210
Elbow, Both APL840840
Feet, Both APL840840
FEMUR AP210210
FEMUR APL420420
Femur APL (left)420420
Femur APL (right)420420
FOOT AP210210
FOOT APL/APO420420
Foot APO (left)420420
Chest (Bucky) AP or PA210210
Foot APO (right)420420
Foot Harris View210210
Foot Lateral View (left)210210
Foot Lateral View (right)210210
Forearm APL (left)420420
Forearm APL (right)420420
Forearm, Both APL840840
Hand APO (left)420420
Hand APO (right)420420
Hand Lateral View (left)210210
Hand Lateral View (right)210210
Hand Left (Bone Aging)420420
Hands, Both APO/APL840840
HIP AP / CT APL420420
Humerus APL (left)420420
Humerus APL (right)420420
Humerus, Both APL840840
INVERTOGRAM420420
IVP15001500
JUDET VIEW-LEFT,HIP JOINT210210
JUDET VIEW-RIGHT,HIP JOINT210210
JUDET VIEWS, HIP JOINT420420
Knee APL (left)420420
Knee APL (right)420420
Knee Sunrise View(right)210210
Knee Tunnel View(right)210210
Knee, Sunrise View(Left)210210
Knee, Tunnel View(Left)210210
Knees, Both APL840840
KUB Bowel Prep. Needed210210
Leg APL (left)420420
Leg APL (right)420420
Leg, Both APL420420
LUMBAR AP210210
LUMBAR APL420420
LUMBAR LAT/OBLIQUE420420
LUMBOSACRAL210210
LUMBOSACRAL (L/S) OBLIQUE210210
LUMBOSACRAL FLEX/EXT420420
LUMBOSACRAL SPINE + OBLIQUE630630
LUMBOSACRAL SPINE APL420420
MAMMOGRAM12001200
MANDIBLE APL/APO420420
MANDIBLE APO420420
MASTOID SERIES630630
NASAL BONE420420
ORBIT CALDWELL210210
ORBIT WATER AND CALDWELL420420
PARANASAL SINUSES420420
PELVIS AP210210
PELVIS AP210210
Chest PA210210
PELVIS APL420420
PELVIS INLET OR OUTLET VIEWS210210
PORTABLE FEE300300
PORTABLE USE FEE200200
RGP12001200
S.I.S.12001200
SCAPULA AP210210
SCAPULA LAT210210
SCAPULA Y210210
SCOLIOSIS AP210210
Scoliosis Series630630
SHOULDER AP210210
SHOULDER APL420420
SHOULDER LAT210210
SHOULDER R & L420420
Shoulders, Both210210
SKELETAL SURVEY (ADULT)20002000
SKELETAL SURVEY (PEDIA)20002000
SKELETAL SURVEY (PEDIAA)10001000
SKULL AP210210
SKULL APL420420
SKULL LATERAL VIEW210210
SKULL SERIES (APL + Townes views)630630
SKULL SUBMENTOVERTEX210210
SKULL TOWNES210210
SKULL WATERS210210
TBC210210
TBC APL420420
TBC R & L OBLIQUE420420
TBC with obliques420420
TEMPORO MANDIBULAR JOINT840840
TEST2210210
TEST3420420
TEST4420420
Thigh, Both APL840840
THORACIC APL420420
THORACIC AP/LAT/OBLIQUE630630
Thoracic Bony Cage AP210210
THORACOLUMBAR APL420420
TOWNE'S VIEW only210210
UGIS15001500
URETHROGRAM12001200
WATER'S VIEW210210
WRIST AP210210
WRIST APL420420
Wrist APL (left)420420
Wrist APL (right)420420
Wrist, Both APL840840
HEAD/CRANIAL95009500
Barium Enema (ADULT)15001500
Barium Enema (PEDIA)15001500
Colonogram (ADULT)15001500
Colonogram (PEDIA)15001500
CYSTOGRAM (NON-VOIDING)10001000
DACRYOCYSTOGRAM12001200
Esophagogram10001000
Fistulogram10001000
Hysterosalpingogram600600
IVP (WITH PREPARATION)15001500
RGP (RETROGRADE PYELOGRAPHY)12001200
SIALOGRAM (SUBMANDIBULAR GLAND)12001200
Sialography / Sinugraphy12001200
T-tube Cholangiogram12001200
UGIS (WITH FOLLOW THROUGH)20002000
UGIS (WITH PREPARATION)15001500
VCUG (VOIDING CYTOURETHROGRAM)12001200
ABDOMEN (PLAIN)210210
ABDOMEN U/S420420
ANKLE AP210210
Ankle APL (left)420420
Ankle APL (right)420420
ANKLE APL/APO420420
Ankle Mortisse View (left)210210
Ankle Mortisse View (right)210210
Ankle, Both APL840840
ARM APL420420
AXIAL VIEW, SHOULDER210210
AXILLARY VIEW210210
BABYGRAM210210
CALCANEUS210210
CERVICAL APL420420
CERVICAL APL + Obliques840840
CERVICAL R/L OBLIQUE420420
CHEST APICOLORDOTIC VIEW210210
Chest Apicolordotic View Only210210
CHEST CONE DOWN VIEW210210
CHEST LATERAL DECUBITUS210210
Chest Lateral View Only210210
SKELETAL- BABY GRAM154154
SP- BARIUM ENEMA10501050
BRAIN PLAIN24502450
BRAIN PLAIN27002700
BRAIN PLAIN WITH CONTRAST28002800
BRAIN WITH CONTRAST30003000
BRAIN PLAIN- M24503500
Bronchoscopy1000010000
CHEST - APICOLORDOTIC VIEW A165165
CHEST - APICOLORDOTIC VIEW P165165
CHEST - HEART AND LUNGS (1 VIEW) A175175
CHEST - HEART AND LUNGS (1 VIEW) P122175
CHEST-HEART AND LUNGS 2 VIEW A175175
CHEST - HEART AND LUNGS (2 VIEW) P175175
CHEST - LATERAL DECUBITUS A175175
CHEST - LATERAL DECUBITUS P175175
Carotid Duplex Scan22802280
CTA CEREBRAL/CAROTID60906090
CT GUIDED BIOPSY14001400
CHEST WITH CONTRAST37003700
CHEST PAL250250
CHEST PAL OPD175250
UE- CLAVICLE122122
CTA PERIPHERALS66506650
VC- CERVICAL SPINE APL143143
CARDIAC STUDIES CALCIUM SCORING60906090
CTA THORACIC/ABDOMEN66506650
BRAIN PLAIN PF24503800
SP- DISTAL COLONOGRAM700700
DIAGNOSTIC MAMMOGRAM17501750
EMERGENCY ADD ON420420
EXTREMITIES BILATERAL STD25902590
UE- ELBOW122122
SP- ESOPHAGOGRAM490490
LE- FOOT164164
R / L FOOT164235
UE- FOREARM171171
FOREIGN BODY195195
ABDOMEN- FLATPLATE & UPRIGHT182182
LE- FEMUR/THIGH224224
UE- HUMERUS/ARM224224
UE- HAND164164
High Flow6363
HEART AND LUNGS (1 VIEW)122122
HEART AND LUNGS (2 VIEW)175175
HEPATOBILIARY TREE330330
SP-I.V.P840840
IF 1 Leg Only13501350
KIDNEYS25902590
LE- KNEE122122
KIDNEY URINARY BLADDER AND PROSTATE350350
LATERAL DECUBITUS122122
LE-ANKLE(ADULT)160160
LE-ANKLE(PEDIA)160160
LE-FEMUR/THIGH(ADULT)320320
LE-FEMUR/THIGH(PEDIA)300300
LE-FOOT (ADULT)235235
LE-FOOT (PEDIA)235235
LE-KNEE(ADULT)160160
LE-KNEE(PEDIA)160160
LE-LEG(ADULT)320320
LE-LEG(PEDIA)245245
LE-PELVIS(ADULT)250250
LE-PELVIS(PEDIA)250250
LE- LEG244244
VS- LUMBAR SPINE APL245245
LOWER ABDOMEN32903290
MANDIBLE (2 VIEWS)133133
MASTOID SERIES285285
MAMMOGRAM17001700
Maxilla/Mandible250250
Maxilla/Mandible (Pedia)190190
NASAL BONE260260
NECK29402940
NASO/OROPHARYNX/LARYNX32003200
ORBITS29404200
ORBITS32003200
Orbits260260
OSTEOMEATAL COMPLEX16801680
ORBITAL SERIES (3 VIEWS)182182
LE- PELVIS175175
PERFUSION36403640
PELVIS25902590
PARANASAL SINUSES32003200
CHEST PORTABLE250250
PARANASAL SINUS (PEDIA)410410
PORTABLE XRAY500500
PARANASAL SINUSES29404200
SKULL - APL (PEDIA)260260
PARANASAL SINUS410410
TMJ (Pedia)340340
PELVIS/TRANSABDOMINAL SONOGRAPHY300300
Sella/Pituary Dynamic29402940
VC- SACRUM136136
SKULL - APL260260
ABDOMEN- SFA/KUB122122
SHOULDER APL L420420
SHOULDER APL R420420
UE- SHOULDER157157
SKELETAL-BABY GRAM (PEDIA)220220
SKELETAL-BABY GRAM (PEDIA)- PORT250250
SKELETAL-SKELETAL SURVEY(ADULT)10001000
SKELETAL-SKELETAL SURVEY(PEDIA)850850
SKELETAL-THORACIC CAGE(ADULT)250250
SKELETAL-THORACIC CAGE(PEDIA)175175
SKELETAL- SKELETAL SURVEY700700
SCREENING MAMMOGRAM17501750
STONOGRAPHY36403640
STONOGRAM42004200
SOFT TISSUE195195
Spirometry500500
SP-BARIUM ENEMA(ADULT)15001500
SP-DISTAL COLONOGRAM(ADULT)10001000
SP-T-TUBE CHOLANGIOGRAPHY(ADULT)700700
SP-T-TUBE CHOLANGIOGRAPHY(PEDIA)700700
SP-I.V.P(ADULT)12001200
SP-UPPER GI SERIES(ADULT)15001500
SELLA/PITUITARY DYNAMICC CONTRAST29402940
SPINE (PER REGION) WITH SD-STD45504550
SOFT TISSUE200200
Stress Test (Treadmill)18001800
SP- T-TUBE CHOLANGIOGRAPHY490490
TEMPORAL BONE/MASTOIDS29402940
SKELETAL- THORACIC CAGE175175
TMJ340340
THYROID/NECK/CRANIAL200200
VC- THORACIC SPINE APL245245
STONOGRAM36403640
TRANSVAGINAL/TRANSRECTAL SONOGRAPHY300300
ANY SINGLE ORGAN200200
BREAST200200
BIOPHYSICAL SCORING WITHOUT NST300300
CHEST200200
UE - CLAVICLE A160160
UE - CLAVICLE P160160
UE - ELBOW A160160
UE - ELBOW P160160
UE - FOREARM A245245
UE - FOREARM P200200
UE - HAND A235235
UE - HUMERUS/ARM A320320
UE - HUMERUS/ARM P200200
UE - HAND P160160
UE - SHOULDER A225225
UE - SHOULDER P225225
UE - WRIST A160160
UE - WRIST P160160
SP- UPPER GI SERIES10501050
UROGRAPHY60906090
KIDNEY URINARY BLADDER300300
Ultrasound300300
LOWER ABDOMEN300300
UPPER ABDOMEN32903290
UPPER ABDOMEN500500
SCROTUM300300
VC - CERVICAL SPINE APL A205205
VC - CERVICAL SPINE APL P205205
VC - LUMBAR SPINE APL A350350
VC - LUMBAR SPINE APL P275275
VC - SACRUM A195195
VC - SACRUM P195195
VC - THORACIC SPINE APL A350350
VC - THORACIC SPINE APL P275275
VENOUS 1 LEG13501350
Venou Duplex Scan27002700
VIRTUAL STUDIES60906090
WHOLE ABDOMEN CT SCAN52005200
WHOLE ABDOMEN600600
UE- WRIST12248
Zygoma215215
ZYGOMA/MAXILLA150150
Arterial Blood Gas13001300
SARS-CoV-2 Antigen10001000
SARS-CoV-2 RTPCR18001800
AFB Stain150150
AFP (alpha feto protein)18001800
HAV IgM18001800
ANTI-HBs18001800
ALKALINE PHOSPHATASE150150
ALBUMIN ONLY300300
AMYLASE300300
APTT300300
B1 (Indirect Bilirubin) ONLY150150
B2 (Direct Bilirubin)150150
BIOPSY-FROZEN30003000
Body Fluid: Cytology & Cell Block700700
Blood Gas Analysis (p02,pC-O2, pH, HCO3)13001300
Free Beta-HCG18001800
Surgical Biopsy: Large800800
BILIRUBIN PROFILE300300
Surgical Biopsy: Medium500500
Biopsy: Processing Fee - Large10001000
Biopsy: Processing Fee - Medium700700
Biopsy: Processing Fee - Small500500
Biopsy: Processing Fee - XLarge15001500
Surgical Biopsy: Small400400
BTB BAG300300
Blood Typing including RH Typing150150
BUN100100
BIOPSY- EXTRA LARGE10001000
IONIZED CALCIUM150150
Ca 125 (Ovarian Tumors)21002100
Ca 15-321002100
CA 19-921002100
TOTAL CALCIUM200200
CELL BLOCK400400
CBC with Platelet Count170170
CEA (CarcinoembryonicAg)21002100
CELL BLOCK700700
CHOLESTEROL ONLY150150
CK-MB10001000
COMB'S TEST500500
CROSSMATCHING500500
CRP (C-Reactive Protein)10001000
CULTURE AND SENSITIVITY25002500
CULTURE AND SENSITIVITY-BLOOD25002500
CULTURE AND SENSITIVITY-OTHERS25002500
CLOTTING TIME/BLEEDING TIME8080
CREATININE100100
CERVICO-VAGINAL CYTOLOGY250250
DIRECT BILIRUBIN350350
Direct Coomb's Test500500
Dengue Profile (NS1, IgG/IgM)10001000
Donor'sScreening(WB)18001800
THYROID PANEL (FT4)10001000
ESR300300
THYROID PANEL (T3)10001000
FLUIDANALYSIS(Cell Count)300300
FLUID ANALYSIS CHEM800800
FBS (Fasting Blood Sugar)100100
FERRITIN10001000
FECALYSIS5050
Donor'sScreening(FFP)10001000
FNAB700700
FNAB: Processing Fee700700
OCCULT FECAL BLOOD (Screening Test)450450
Frozen Section: Processing Fee50005000
Frozen Section50005000
Follicle-stimulating hormone (FSH)18001800
Free T310001000
Free T410001000
GRAM STAIN150150
HBA1C700700
HBC18001800
HBcAb IgG18001800
HBe Ab18001800
HBe Ag18001800
HBsAg (QUALITATIVE)200200
HBSAG (QUANTITATIVE)15001500
HCV (QUALITATIVE)500500
HCV (QUANTITATIVE)15001500
HDL ONLY150150
HE418001800
HEPA B PROFILE15001500
HGT100100
Hematocrit/Hemaglobin ONLY8080
HIV500500
Peripheral Smear200200
high sensitive-TROPONIN I16001600
HIV (QUANTITATIVE)15001500
Indirect Coombs' Test500500
INDIA INK150150
KOH Stain150150
LDH300300
LIPASE400400
LIPID PROFILE (LDL,HDL,Chole,Trigly)500500
MAGNESIUM450450
MALARIA (QUALITATIVE)500500
ELECTROLYTES (Na,K,Cl)450450
OGTT 100g (Oral Glucose Tolerance Test)750750
OGTT 50g (Oral Glucose Tolerance Test)750750
PHOSPHORUS300300
PERIPHERAL SMEAR250250
Donor'sScreening(PC)10001000
PLATELET COUNT ONLY8080
Papsmear: Processing Fee250250
Donor'sScreening(PRBC)15001500
PROLACTIN18001800
proBNP10001000
PSA18001800
Papsmear250250
PSA (Prostate Specific Ag)18001800
Peripheral Smear: Processing Fee200200
PREGNANCY TEST100100
PTPA300300
RBS (Random Blood Sugar)100100
Reticulocyte Count150150
Screening Drug Testing250250
Rates and Fees | APMC (unofficial RE:GOV concept) · RE:GOV