Baguio General Hospital and Medical Center

Rates and Fees

MRI

PROCEDURES RATES
Additional (1) SPINE with contrast 4,600.00
Additional (2) SPINE with contrast 8,500.00
Additional (3) SPINE with contrast 10,000.00
ADDITIONAL 1 ANKLE CONTRAST 4,700.00
Ankle Plain (Bilateral) 12,500.00
Ankle Plain (Unilateral) 7,000.00
Ankle with Contrast (Bilateral) 15,000.00
Ankle with Contrast (Unilateral) 11,700.00
Brachial Plexus Plain 7,500.00
Brain (Stroke Protocol with TOF) 8,000.00
Brain (Stroke Protocol) 6,000.00
Brain and Cervical Plain 13,000.00
Brain and Cervical with Contrast 16,000.00
Brain Plain 6,200.00
Brain Plain (CPA/IAC) 7,000.00
Brain Plain (Orbit Protocol) 6,600.00
Brain Plain (Seizure Protocol) 7,900.00
Brain with Contrast 11,000.00
Brain with Contrast (Angiogram/MRA or MRV) 15,000.00
Brain with Contrast (CPA/IAC) 11,500.00
Brain with Contrast (Dynamic Pituitary/Sella) 16,200.00
Brain with Contrast (MRV) 15,000.00
Brain with Contrast (Orbit Protocol) 18,000.00
Brain with Contrast (Seizure Protocol) 12,600.00
Brain with Contrast with Spectroscopy 15,000.00
Brain with TOF 8,000.00
Breast with Contrast 12,000.00
Chest Plain 6,000.00
Chest with Contrast 10,200.00
Complete MRA (Brain & Neck) 25,000.00
Contrast Gadobutrol (Gadovist) 3,500.00
Elbow Plain (Bilateral) 11,000.00
 Baguio General Hospital and Medical Center
Rates and Fees

MRI

Elbow Plain (Unilateral) 6,500.00

Elbow with Contrast (Bilateral) 17,000.00
Elbow with Contrast (Unilateral) 11,000.00
Femur Plain (Bilateral) 11,000.00
Femur Plain (Unilateral) 7,000.00
Femur with Contrast (Bilateral) 17,000.00
Femur with Contrast (Unilateral) 11,000.00
Foot Plain (Bilateral) 11,000.00
Foot Plain (Unilateral) 7,000.00
Foot with Contrast (Bilateral) 17,000.00
Foot with Contrast (Unilateral) 11,000.00
Forearm Plain (Bilateral) 10,000.00
Forearm Plain (Unilateral) 6,000.00
Forearm with Contrast (Bilateral) 17,000.00
Forearm with Contrast (Unilateral) 10,700.00
Hand Plain (Bilateral) 13,500.00
Hand Plain (Unilateral) 7,500.00
Hand with Contrast (Bilateral) 17,000.00
Hand with Contrast (Unilateral) 10,000.00
Hip Plain (Bilateral) 10,000.00
Hip Plain (Unilateral) 7,600.00
Hip with Contrast (Bilateral) 15,000.00
Hip with Contrast (Unilateral) 12,000.00
Humerus Plain (Bilateral) 10,000.00
Humerus Plain (Unilateral) 6,000.00
Humerus with Contrast (Bilateral) 19,000.00
Humerus with Contrast (Unilateral) 11,000.00
Knee Plain (Bilateral) 13,000.00
Knee Plain (Unilateral) 7,500.00
Knee with Contrast (Bilateral) 15,000.00
Knee with Contrast (Unilateral) 12,500.00
Leg Plain (Bilateral) 8,500.00
Leg Plain (Unilateral) 6,000.00
Leg with Contrast (Bilateral) 18,800.00
 Baguio General Hospital and Medical Center
Rates and Fees

MRI

Leg with Contrast (Unilateral) 10,500.00

Neck Plain 5,500.00
Neck with Contrast 10,000.00
Pelvis Plain 6,500.00
Pelvis Plain (Uterus/Cervix) 7,000.00
Pelvis with Contrast 11,000.00
Pelvis with Contrast (Fistula) 9,500.00
Pelvis with Contrast (Prostate Dynamic) 8,500.00
Pelvis with Contrast (Rectal) 12,000.00
Pelvis with Contrast (Soft Tissue) 11,500.00
Pelvis with Contrast (Uterus/Cervix) 11,500.00
PNS with Contrast 12,000.00
PNS/Facial Plain 6,500.00
Shoulder Plain (Bilateral) 13,500.00
Shoulder Plain (Unilateral) 7,500.00
Shoulder with Contrast (Bilateral) 17,000.00
Shoulder with Contrast (Unilateral) 11,500.00
Spine Plain (1 Spine) 6,000.00
Spine Plain (2 Spine) 10,000.00
Spine Plain (3 Spine) 14,000.00
Spine with Contrast (1 Spine) 10,600.00
Spine with Contrast (2 Spine) 18,500.00
Spine with Contrast (3 Spine) 24,000.00
Temporal/Mastoids (Plain) 7,000.00
Temporal/Mastoids with Contrast 11,700.00
Upper Abdomen with Contrast (Dynamic Study Liver) 13,600.00
Upper Abdomen with MRCP Plain 10,000.00
Upper Abdomen with MRCP with Contrast 16,000.00
Wrist Plain (Bilateral) 12,000.00
Wrist Plain (Unilateral) 7,000.00
Wrist with Contrast (Bilateral) 17,000.00
Wrist with Contrast (Unilateral) 11,500.00