As of May 2017
Services | BMC Patient | Non-BMC Patient |
---|---|---|
Component | Network Transaction | Non-Network Transaction |
Whole Blood | 1,600.00 | 1,600.00 |
Packed Red Blood Cell | 1,500.00 | 1,500.00 |
Platelet Concentrate | 1,000.00 | 1,000.00 |
Fresh Frozen Plasma | 1,000.00 | 1,000.00 |
Cryoprecipitate / Cryosupernate | 1,000.00 | 1,000.00 |
Washed Red Blood Cell | 2,700.00 | 2,700.00 |
Leukocyte Reduced Red Blood Cell (any volume) | 3,800.00 | 3,800.00 |
ALIQUOT for Pediatric Cases (200ml below) | 800.00 | 800.00 |
Antibody Screening (Patient) - 3 cell panel | 700.00 | 700.00 |
Antibody Screening (Donor) - 1 cell panel | 550.00 | 550.00 |
Apheresis Derived Components | Not Yet Available | Not Yet Available |
OTHER SERVICES | ||
Therapeutic Phlebotomy ** | 450.00 | 450.00 |
Compatability Testing | 500.00 | N/A |
Direct Antihuman Globulin (Coomb's) Test | 370.00 | N/A |
Indirect Antihuman Globulin (Coomb's) Test | 370.00 | N/A |
Transfusion Reaction Investigation 1 (w/o culture) | 3,200.00 | N/A |
Transfusion Reaction Investigation 2 (w/ culture) | 4,200.00 | N/A |
Forward ABO/RH Grouping (Gel Method) | 430.00 | N/A |
Forward ABO/RH Grouping-NEWBORN (Gel Method) | 500.00 | N/A |
Reverse ABO/RH Grouping (Gel Method) | 350.00 | N/A |
Forward ABO/RH Grouping-for donors only (Tube Method) | 50.00 | 50.00 |
Combined Reverse & Forward ABO/Rh Grouping | 530.00 | N/A |
Massive Transfusion Protocol Pack #1 | 13,650.00 | N/A |
Massive Transfusion Protocol Pack #2 | 19,050.00 | N/A |
FOR ORGAN DONORS ONLY | ||
Screening for HbsAg (Quantitative) | 420.00 | N/A |
Screening for HCV (Quantitative) | 600.00 | N/A |
Screening for HIV 1 & 2 (Quantitative) | 300.00 | N/A |
Screening for HIV Malaria (ICT) | 250.00 | N/A |
Screening for Syphilis (Quantitative) | 250.00 | N/A |
Duplicate Copy of Result (per print/copy) | 50.00 | 50.00 |
SUPPLIES | ||
Blood Bag Single | 150.00 | 150.00 |
Blood Bag Double | 250.00 | 250.00 |
Blood Bag Triple | 350.00 | 350.00 |
Blood Set-Platelet | 150.00 | 150.00 |
Blood Set-Leukocyte Depleted Filter (Laboratory/Blood Bank Type) | 2,200.00 | 2,200.00 |
*Additional Fee for blood bag and other materials