Pathologist

Other Specialists and General Practitioners

U/E

R

U/E

R                T/M

21.1

Haematology

3705

Alkali resistant haemoglobin

4.5

77.00

3

51.33

3709

Antiglobulin test (Coombs' or trypsinzied red cells)

3.65

62.45

2.45

41.92

3710

Antibody titration

7.2

123.19

4.8

82.13

3711

Ameth count

2.25

38.50

1.5

25.67

3712

Antibody identification

8.45

144.58

5.65

96.67

3713

Bleeding time (does not include the cost of the simplate device)

6.94

118.74

4.63

79.22

3715

Buffy Layer examination

19.9

340.49

13 27

227.05

3716

Mean Cell Volume

2.25

38.50

1.5

25.67

3717

Bone marrow cytological examination only

19.9

340.49

13.27

227.05

3719

Bone marrow: Aspiration

8.4

143.72

5.6

95.82

3720

Bone marrow trephine biopsy

32.6

557.79

21.7

371.29

3721

Bone marrow aspiration and trephine biopsy (excluding histological examination)

36.8

629.65

24.5

419.20

3722

Capillary fragility: Hess

2.02

34.56

1.35

23.10

3723

Circulating anticoagulants

5.85

100.09

3.9

66.73

3724

Coagulation factor inhibitor assay

57.56

984.85

38.37

656.51

3726

Activated protein C resistance

26

444.86

17.3

296.00

3727

Coagulation time

3.16

54.07

2.11

36.10

3728

Anti-factor Xa Activity

53.6

917.10

35.73

611.34

3729

Cold agglutinins

3.6

61.60

24 4

1.06

3730

Protein S: Functional

37.5

641.63

25

427.75

3731

Compatability for blood transfusion

3.6

61.60

2.4

41.06

3734

Protein C (chromogenic)

30.29

518.26

20.19

345.45

3739

Erythrocyte count

2.25

38.50

1.5

25.67

3740

Factors V and VII: Qualitative

7.2

123.19

4.8

82.13

3741

Coagulation factor assay: functional

9.45

161.69

6.3

107.79

3742

Coagulation factor assay: Immunological

4.5

77.00

3

51.33

3743

Erythrocyte sedimentation rate

3

51.33

2

34.22

3744

Fibrin stabilising factor (urea test)

4.5

77.00

3

51.33

3746

Fibrin monomers

2.7

46.20

1.8

30.80

3748

Plasminogen Activator lnhibitor (PAl-l)

65.95

1,128.40

43.97

752.33

3750

Tissue Plasminogen Activator (tPA)

67.79

1,159.89

45.19

773.20

3751

Osmotic fragility (screen)

2.25

38.50

1.5

25.67

3753

Osmotic fragility (before and after incubation)

18

307.98

12

205.32

3754

ABO Reverse Group

5.5

94.11

3.67

62.79

3755

Full blood count (including items 3739, 3762, 3783, 3785, 3791)

10.5

179.66

7

119.77

3756

Full cross match

7.2

123.19

4.8

82.13

3757

Coagulation factors (quantitative)

32.2

550.94

21.47

367.35

3758

Factor VIII related antigen

60.46

1,034.47

40.31

689.70

3759

Coagulation factor correction study

11.72

200.53

7.81

133.63

3761

Factor XIII related antigen

61.11

1,045.59

40.74

697.06

3762

Haemoglobin estimation

1.8

30.80

1.2

20.53

3763

Contact activated product essay

16.2

277.18

10.8

184.79

3764

Grouping: A-, B- and O-antigens

3.6

61.60

2.4

41.06

3765

Grouping; Rh antigens

3.6

61.60

2.4

41.06

3766

PIVKA

43.49

744.11

28.99

496.02

3767

Euglobulin lysis time

25.58

437.67

17.05

291.73

3768

Haemoglobin A2 (column chromatography)

15

256.65

10

171.10

3769

HB Electrophoresis

26.82

458.89

17.88

305.93

3770

Haemoglobin-S (solubility test)

3.6

61.60

2.4

41.06

3773

Ham's acidified serum test

8

136.88

5.3

90.68

3775

Heinz bodies

2.25

38.50

1.5

25.67

3776

Haemosiderin in urinary sediment

2.25

38.50

1.5

25.67

3777

DELETED 2009: Heparin estimation

3781

Heparin tolerance

7.2

123.19

4.8

82.13

3783

Leucocyte differential count

6.2

106.08

4.15

71.01

3785

Leucocytes: total count

1.8

30.80

1.2

20.53

3786

QBC malaria concentration and fluorescent staining

25

427.75

16.7

285.74

3787

LE-cells

8.3

142.01

5.55

94.96

3789

Neutrophil alkaline phosphatase

28

479.08

18.7

319.96

3791

Packed cell volume: Haematocrit

1.8

30.80

1.2

20.53

3792

Plasmodium falciparum: Monoclonal immunological identification

9

153.99

6

102.66

3793

Plasma haemoglobin

6.75

115.49

4.5

77.00

3794

Platelet Sensitivities

18.64

318.93

12.43

212.68

3795

Platelet aggregation per aggregant

12.14

207.72

8.09

138.42

3796

Platelet antibodies: agglutination

5.4

92.39

3.6

61.60

3797

Platelet count

2.25

38.50

1.5

25.67

3799

Platelet adhesiveness

4.5

77.00

3

51.33

3801

Prothrombin consumption

5.85

100.09

3.9

66.73

3803

Prothrombin determination (two stages)

5.85

100.09

3.9

66.73

3805

Prothrombin index

6

102.66

4

68.44

3806

Therapeutic drug level: Dosage

4.5

77.00

3

51.33

3807

Recalcification time

2.25

38.50

1.5

25.67

3809

Reticulocyte count

3

51.33

2

34.22

3811

Sickling test

2.25

38.50

1.5

25.67

3814

Sucrose lysis test for PNH

3.6

61.60

2.4

41.06

3816

T and B-cells EAC markers (limited to ONE marker only for CD4/8 counts)

21.1

361.02

14.07

240.74

3820

Thrombo-Elastogram

26

444.86

17.33

296.52

3825

Fibrinogen titre

3.6

61.60

2.4

41.06

3829

Glucose 6-phosphate-dehydragenase: Qualitative

8

136.88

5.33

91.20

3830

Glucose 6-phosphate-dehydrogenase: quantitative

16

273.76

10.7

183.08

3832

Red cell pyruvate kinase: quantitative

16

273.76

10.7

183.08

3834

Red cell Rhesus phenotype

9.9

169.39

6.6

112.93

3835

Haemoglobin F in blood smear

5.85

100.09

3.9

66.73

3837

Partial thromboplastin time

5.85

100.09

3.9

66.73

3841

Thrombin time (screen)

7.16

122.51

4.77

81.61

3843

Thrombin time (serial)

7.65

130.89

5.1

87.26

3847

Haemoglobin H

2.25

38.50

1.5

25.67

3851

Fibrin degeneration products (diffusion plate)

10.35

177.09

6.9

118.06

3853

Fibrin degeneration products (latex slide)

4.5

77.00

3

51.33

3854

XDP (Dimer test or equivalent latex slide test)

8.5

145.44

5.67

97.01

3856

D-Dimer

27.52

470.87

18.35

313.97

3855

Hemagglutination inhibition

9.9

169.39

6.6

112.93

3858

Heparin Removal

28.88

494.14

19.25

329.37

21.2

Microscopic examinations

3863

Autogenous vaccine

12.6

215.59

8.4

143.72

3864

Entomological examination

20.7

354.18

13.8

236.12

3865

Parasites in blood smear

5.6

95.82

3.73

63.82

3867

Miscellaneous (body fluids, urine, exudates, fungi, puss-scrapings, etc.)

4.9

83.84

3.3

56.46

3868

Fungus identification

8.3

142.01

5.5

94.11

3869

Faeces (including parasites)

4.9

83.84

3.27

55.95

3872

Automated urine microscopy

8.72

149.20

5.81

99.41

3873

Transmission electron microscopy

85

1,454.35

57

975.27

3874

Scanning electron microscopy

100

1,711.00

67

1,146.37

3875

Inclusion bodies

4.5

77.00

3

51.33

3878

Crystal identification polarised light microscopy

4.5

77.00

3

51.33

3879

Compylobacter in stool: fastidious culture

9.9

169.39

6.6

112.93

3880

Antigen detection with polyclonal antibodies

4.5

77.00

3

51.33

3881

Mycobacteria

3

51.33

2

34.22

3882

Antigen detection with monoclonal antibodies

10.8

184.79

7.2

123.19

3883

Concentration techniques for parasites

3

51.33

2

34.22

3884

Dark field. Phase- or interference contrast microscopy Nomarski or Fontana

6.3

107.79

4.2

71.86

3885

Cytochemical stain

5.45

93.25

3.65

62.45

21.3

Bacteriology (culture and biological examination)

3886

DELETED 2009: Antibiotic MIC per organism per antibiotic

3887

Antibiotic susceptibility test, per organism

8

136.88

5.33

91.20

3889

Clostridium difficile toxin: Monoclonal immunological

12.4

212.16

8.27

141.50

3890

Antibiotic assay of tissues and fluids

13.9

237.83

9.27

158.61

3891

Blood culture: aerobic

5.85

100.09

3.9

66.73

3892

Blood culture: anaerobic

5.85

100.09

3.9

66.73

3893

Bacteriological culture: miscellaneous

6.3

107.79

4.2

71.86

3894

Radiometric blood culture

10.8

184.79

7.2

123.19

3895

Bacteriological culture: fastidious organisms

9.9

169.39

6.6

112.93

3896

In vivo culture: bacteria

16

273.76

10.65

182.22

3897

In vivo culture: virus

16

273.76

10.65

182.22

3898

Bacterial exotoxin production (in vitro assay)

4.5

77.00

3

51.33

3899

Bacterial exotoxin production (in vivo assay)

20.7

354.18

13.8

236.12

3901

Fungal culture

4.5

77.00

3

51.33

3903

Antibiotic level: biological fluids

11.7

200.19

7.8

133.46

3905

Identification of virus or rickettsia

20.7

354.18

13.8

236.12

3906

Identification: chlamydia

16

273.76

10.65

182.22

3907

Culture for staphylococcus aureus

2.25

38.50

1.5

25.67

3908

Anaerobic culture: comprehensive

9.9

169.39

6.6

112.93

3909

Anaerobic culture: limited procedure

4.5

77.00

3

51.33

3911

B-Lactamase

4.5

77.00

3

51.33

3915

Mycobacterium culture

4.5

77.00

3

51.33

3917

Mycoplasma culture: limited

2.25

38.50

1.5

25.67

3918

Mycoplasma culture: comprehensive

9.9

169.39

6.6

112.93

3919

Identification of mycobacterium

9.9

169.39

6.6

112.93

3920

Mycobacterium: antibiotic sensitivity

9.9

169.39

6.6

112.93

3921

Antibiotic synergistic study

20.7

354.18

13.8

236.12

3922

Viable cell count

1.35

23.10

0.9

15.40

3923

Staph 10 Abr (Yeast 1D)

3.15

53.90

2.1

35.93

3924

Biochemical ident of bacterium: extended

12.5

213.88

8.33

142.53

3925

Serological ident of bacterium: abridged

3.15

53.90

2.1

35.93

3926

Serological ident of bacterium: extended

10.2

174.52

6.8

116.35

3927

Grouping of streptococci

7.3

124.90

4.85

82.98

3928

Antimicrobic substances

3.8

65.02

2.5

42.78

3929

Radiometric mycobacterium identification

14

239.54

9.3

159.12

3930

Radiometric mycobacterium antibiotic sensitivity

25

427.75

16.7

285.74

4652

Rapid automated bacterial identification per organism

15

256.65

10

171.10

4653

Rapid automated antibiotic susceptibility per organism

17

290.87

11.33

193.86

4654

Rapid automated MIC per organism per antibiotic

17

290.87

11.33

193.86

4655

Mycobacteria: MIC determination·- E Test

16.50

282.32

11.00

188.21

4656

Mycobacteria: Identification HPLC

35.00

598.85

23.33

399.18

4657

Mycobacteria: Liquefied, concentrated, fluorochrome stain

9.90

169.39

6.60

112.93

21.4

Serology

3932

HIV Elisa Type I and II ( Screening tests only)

14.1

241.25

9.4

160.83

3933

lgE: Total: EMIT or ELISA

11.7

200.19

7.8

133.46

3934

Auto antibodies by labelled antibodies

16

273.76

10.65

182.22

3938

Precipitation test per antigen

4.5

77.00

3

51.33

3939

Agglutination test per antigen

5.5

94.11

3.67

62.79

3940

Haemagglutination test: per antigen

9.9

169.39

6.6

112.93

3941

Modified Coombs' test for brucellosis

4.

77.00

3

51.33

3942

Hepatitis Rapid Viral Ab

12.24

209.43

8.16

139.62

3943

Antibody titer to bacterial exotoxin

3.6

61.60

2.4

41.06

3944

lgE: Specific antibody titer: ELISA/EMIT: per Ag

12.4

212.16

8.27

141.50

3945

Complement fixation test

5.85

100.09

3.9

66.73

3946

lgM: Specific antibody titer: ELISA or EMIT: per Ag

14.05

240.40

9.37

160.32

3947

C-reactive protein

10.84

185.47

7.23

123.71

3948

lgG: Specific antibody titer: ELISA/EMIT: per Ag

12.95

221.57

8.63

147.66

3949

Qualitative Kahn. VDRL or other flocculation

2.25

38.50

1.5

25.67

3950

Neutrophil phagocytosis

25.2

431.17

16.8

287.45

3951

Quantitative Kahn. VDRL or other flocculation

3.6

61.60

2.4

41.06

3952

Neutrophil chemotaxis

67.95

1,162.62

45.3

775.08

3953

Tube agglutination test

4.15

71.01

2.76

47.22

3955

Paul Bunnell: presumptive

2.25

38.50

1.5

25.67

3956

Infectious Mononucleasis latex slide test (Monospot or equivalent)

8.5

145.44

5.67

97.01

3957

Paul Bunnell: Absorption

4.5

77.00

3

51.33

4601

Panel typing: Antibody detection: Class 1

36

615.96

24

410.64

4602

Panel typing: Antibody detection Class II

44

752.84

29.3

501.32

4607

Cross matching T-cells (per tray)

18

307.98

12

205.32

4608

Cross matching B-cells

38

650.18

25.3

432.88

4609

Cross matching T· & B-cells

48

821.28

32

547.52

4610

Helicobacter pylori antigen test

34.6

592.01

23.07

394.73

4613

Anti-Gm1 Antibody Assay

75

1,283.25

50

855.50

4614

HIV Ab – Rapid Test

12

205.32

8

136.88

3959

Rose Waaler Agglutination test

4.5

77.00

3

51.33

3961

Slide agglutination test

2.63

45.00

1.75

29.94

3962

Rebuck skin window

5.4

92.39

3.6

61.60

3963

Serum complement level: each component

3.15

53.90

2.1

35.93

3967

Auto-antibody: Sensitised erythrocytes

4.5

77.00

3

51.33

3969

Western blot technique

74

1,266.14

49

838.39

3970

DELETED 2009: Epstein-Barr virus antibody titer

3971

Immuno-diffusion test: per antigen

3.15

53.90

2.1

35.93

3973

Immune electrophoresis: per immune serum

9.45

161.69

6.3

107.79

3975

Indirect immuno-fluorescence test (Bacterial. viral. parasitic)

12

205.32

8

136.88

3977

Counter immuno-electrophoresis

6.75

115.49

4.5

77.00

3978

Lymphocyte transformation

51.7

884.59

34.5

590.30

3980

Bilharzia Ag Serum/Urine

14.5

248.10

9.67

165.45

21.5

Skin tests

For skin-prick allergy tests, please refer to items 0218 to 0221 in the Integumentary Section

21.6

Biochemical tests: Blood

3991

Abnormal pigments: qualitative

4.5

77.00

3

51.33

3993

Abnormal pigments: quantitative

9

153.99

6

102.66

3995

Acid phosphatase

5.18

88.63

3.45

59.03

3996

Serum Amyloid A

8.28

141.67

5.52

94.45

3997

Acid phosphatase fractionation

1.8

30.80

1.2

20.53

3998

Amino acits: Quantitative (Post derivatisation HPLC)

78.12

1,336.63

52.08

891.09

3999

Albumin

4.8

82.13

3.2

54.75

4000

Alcohol

12.4

212.16

8.27

141.50

4001

Alkaline phosphatase

5.18

88.63

3.45

59.03

4002

Alkaline Phosphatase-iso-enzymes

11.7

200.19

7.8

133.46

4003

Ammonia: enzymatic

7. 71

131.92

5.14

87.95

4004

Ammonia: monitor

4.5

77.00

3

51.33

4005

Alpha-1-antitrypsin

7.2

123.19

4.8

82.13

4006

Amylase

5.18

88.63

3.45

59.03

4007

Arsenic in blood, hair or nails

36.25

620.24

24.17

413.55

4008

Bilirubin - Reflectance

4.77

81.61

3.18

54.41

4009

Bilirubin: total

4.77

81.61

3.18

54.41

4010

Bilirubin: conjugated

3.62

61.94

2.41

41.24

4014

Cadmium: atomic absorption

18.12

310.03

12.08

206.69

4016

Calcium: Ionized

6.75

115.49

4.5

77.00

4017

Calcium: spectrophotometric

3.62

61.94

2.41

41.24

4018

Calcium: atomic absorption

7.25

124.05

4.83

82.64

4019

Carotene

2.25

38.50

1.5

25.67

4023

Chloride

2.59

44.31

1.73

29.60

4026

LDL cholesterol (chemical determination)

6.9

118.06

4.6

78.71

4027

Cholesterol total

5.34

91.37

3.56

60.91

4029

Cholinesterase: serum or erythrocyte: each

7.48

127.98

4.99

85.38

4030

Cholinesterase phenotype (Dibucaine or fluoride each)

9

153.99

6

102.66

4031

Total C02

5.18

88.63

3.45

59.03

4032

Creatinine

3.62

61.94

2.41

41.24

4035

CSF-Albumin

9.45

161.69

6.3

107.79

4036

CSF-IgG Index

22.05

377.28

14.7

251.52

4040

Homocysteine (random)

15.3

261.78

10.2

174.52

4041

Homocysteine (after Methionine load)

18.1

309.69

12.06

206.35

4042

D-Xylose absorption test: two hours

13.15

225.00

8.75

149.71

4045

Fibrinogen: quantitative

3.6

61.60

2.4

41.06

4047

Hollander test

24.75

423.47

16.5

282.32

4049

Glucose tolerance test (2 specimens)

8.97

153.48

5.98

102.32

4050

Glucose strip-test with photometric reading

1.8

30.80

1.2

20.53

4051

Galactose

11.25

192.49

7.5

128.33

4052

Glucose tolerance test (3 specimens)

13.17

225.34

8.78

150.23

4053

Glucose tolerance test (4 specimens)

17.37

297.20

11.58

198.13

4057

Glucose Quantitative

3.62

61.94

2.41

41.24

4061

Glucose tolerance test (5 specimens)

21.56

368.89

14.37

245.87

4063

Fructosamine

7.2

123.19

4.8

82.13

4064

Glycated haemoglobin: chromatography/HbA1C

14.25

243.82

9.5

162.55

4067

Lithium: flame ionisation

5.18

88.63

3.45

59.03

4068

Lithium: atomic absorption

7.48

127.98

4.99

85.38

4071

Iron

6.75

115.49

4.5

77.00

4073

Iron-binding capacity

7.65

130.89

5.1

87.26

4076

Carboxy Hemoglobin (6x per 24 hrs)

19.1

326.80

12.73

217.81

4078

Oximetry analysis: MetHb, COHb, 02Hb, RHb, SulfHb

6.75

115.49

4.5

77.00

4079

Ketones in plasma: qualitative

2.25

38.50

1.5

25.67

4081

Drug level-biological fluid: Quantitative

10.8

184.79

7.2

123.19

4086

Plasma Lactate

16

273.76

10.67

182.56

4085

Lipase

5.18

88.63

3.45

59.03

4091

Lipoprotein electrophoresis

9

153.99

6

102.66

4093

Osmolality: Serum or urine

6.75

115.49

4.5

77.00

4094

Magnesium: Spectrophotometric

3.62

61.94

2.41

41.24

4095

Magnesium: Atomic absorption

7.25

124.05

4.83

82.64

4096

Mercury: Atomic absorption

18.12

310.03

12 08

206.69

4098

Copper: Atomic absorption

18.12

310.03

12.08

206.69

4105

Protein electrophoresis

9

153.99

6

102.65

4106

lgG sub-class 1.2. 3 or 4: Per sub-class

20

342.20

13.2

225.85

4109

Phosphate

3.62

61.94

2.41

41.24

4111

Phospholipids

3.15

53.90

2.1

35.93

4113

Potassium

3.62

61.94

2.41

41.24

4114

Sodium

3.62

61.94

2.41

41.24

4117

Protein: total

3.11

53.21

2.07

35.42

4121

pH. pCO:; or p02 each

6 75

115.49

4.5

77.00

4123

Pyruvic acid

4.5

77.00

3

51.33

4125

Salicylates

4.5

77.00

3

51.33

4126

Secretin-pancreozymin responds

26.1

446.57

17.4

297.71

4127

Caeruloplasmin

4.5

77.00

3

51.33

4128

Phenylalanine: Quantitative

11.25

192.49

7.5

128.33

4129

Glutamate dehydrogenase (GDH)

5.4

92.39

3.6

61.60

4130

Aspartate ammo transferase (AST)

5.4

92.39

3.6

61.60

4131

Alanine amino transferase (ALT)

5.4

92.39

3.6

61.60

4132

Cretine kinase (CK)

5.4

92.39

3.6

61.60

4133

Lactate dehidrogenase (LD)

5.4

92.39

3.6

61.60

4134

Gamma glutamyl transferase (GGT)

5.4

92.39

3.6

61.60

4135

Aldolase

5.4

92.39

3.6

61.60

4136

Angiotensin converting enzyme (ACE)

9

153.99

6

102.66

4137

Lactate dehydrogenase isoenzyme

10.8

184.79

7.2

123.19

4138

CK-MB: immunoinhibition/precipitation

10.8

184.79

7.2

123.19

4139

Adenosine deaminase

5.4

92.39

3.6

51.60

4142

Red cell enzymes: each

7.8

133.46

5.2

88.97

4143

Serum/plasma enzymes: each

5.4

92.39

3.6

61.60

4144

Transferrin

11.7

200.19

7.8

133.46

4146

Lead: atomic absorption

15

256.65

10

171.10

4151

Urea

3.62

61.94

2.41

41.24

4152

CK-MB

12.4

212.16

8.27

141.50

4154

Myoglobin quantitative: Monoclonal immunological

12.4

212.16

8.27

141.50

4155

Uric acid

3.78

64.68

2.52

43.12

4157

Vitamin A-saturation test

15.3

261.78

10.2

174.52

4158

Vitamin E (tocopherol)

3.6

61.60

2.4

41.06

4159

Vitamin A

6.3

107.79

4.2

71.86

4160

Vitamin C (ascorbic acid)

2.25

38.50

1.5

25.67

4161

Trop T

20

342.20

13.33

228.08

4171

Sodium + potassium + chloride + C02 + urea

15.84

271.02

10.56

180.68

4172

ELIZA or EMIT technique

12.42

212.51

8.28

141.67

4181

Quantitative protein estimation Mancini method

7.76

132.77

5.17

88.46

4182

Quantitative protein estimation: nephelometer

8.28

141.67

5.52

94.45

4183

Quantitative protein estimation labelled antibody

12.42

212.51

8.28

141.67

4185

Lactose

10.8

184.79

7.2

123.19

4187

Zinc: atomic absorption

18.12

310.03

12.08

206.69

21.7

Biochemical tests: Urine

4188

Urine dipstick. per stick (irrespective of the number of tests on stick)

1.5

25.67

1

17.11

4189

Abnormal pigments

4.5

77.00

3

51.33

4193

Alkapton test: homogentisic acid

4.5

77.00

3

51.33

4194

Amino acids: quantitative (Post derivatisation HPLC)

78.12

1,336.63

52.08

891.09

4195

Amino laevulinic acid

28

307.98

12

205.32

4197

Amylase

5.18

88.63

3.45

59.03

4199

Ascorbic acid

2.25

38.50

1.5

25.67

4201

Bence-Jones protein

2.7

46.20

1.8

30.80

4203

Phenol

3.6

61.60

2.4

41.06

4204

Calcium: atomic absorption

7.25

124.05

4.83

82.64

4205

Calcium: spectrophotometric

3.62

61.94

2.41

41.24

4206

Calcium: absorption and excretion studies

25

427.75

16.7

285.74

4209

Lead: atomic absorption

15

256.65

10

171.10

4211

Bile pigments: qualitative

2.25

38.50

1.5

25.67

4213

Protein: quantitative

2.25

38.50

1.5

25.67

4216

Mucopolysaccharides: qualitative

3.6

61.60

2.4

41.06

4217

Oxalate/Citrate: enzymatic each

9.38

160.49

6.25

106.94

4218

Glucose: quantitative

2.25

38.50

1.5

25.67

4219

Steroids: chromatography (each}

7.2

123.19

4.8

82.13

4221

Creatinine

3.62

61.94

2.41

41.24

4223

Creatinine clearance

7.65

130.89

5.1

87.26

4227

Electrophoreses: qualitative

4.5

77.00

3

51.33

4229

Uric acid clearance

7.65

130.89

5.1

87.26

4231

Metabolites HPLC (High Pressure Liquid Chromatography)

37.50

641.63

25.00

427.75

4232

Metabolites (Gaschromatography/Mass spectrophotometry)

46.80

800.75

31.20

533.83

4233

Pharmacological/Drugs of abuse: Metabolites HPLC (High Pressure Liquid Chromatography)

37.50

641.63

25.00

427.75

4234

Pharmacological/Drugs of abuse: Metabolites (Gaschromatography/Mass spectrophotometry)

46.80

800.75

31.20

533.83

4237

5-Hydroxy-indole-acetic acid: screen test

2.7

46.20

1.8

30.80

4239

5-Hydroxy-indole-acetic acid: quantitative

6.75

115.49

4.5

77.00

4241

DELETED 2009: Indican or indole qualitative

4247

Ketones: excluding dip-stick method

2.25

38.50

1.5

25.67

4248

Reducing substances

1.8

30.80

1.2

20.53

4251

Metanephrines: column chromatography

22.05

377.28

14.7

251.52

4253

Aromatic amines (gas chromatography/mass spectrophotometry)

27

461.97

18

307.98

4254

Nitrosonaphtol test for tyrosine

2.25

38.50

1.5

25.67

4262

Micro Albumin-Qualitative

4.5

77.00

3

51.33

4263

pH: Excluding dip-stick method

0.9

15.40

0.6

10.27

4265

Thin layer chromatography: one way

6.75

115.49

4.5

77.00

4266

Thin layer chromatography:· two way

11.25

192.49

7.5

128.33

4267

Total organic matter screen: Infrared

31.25

534.69

20.83

356.40

4268

Organic acids: quantitative: GCMS

109.38

1,871.49

72.92

1,247.66

4269

Phenylpyruvic acid: ferric chloride

2.25

38.50

1.5

25.67

4271

Phosphate excretion index

22.05

377.28

14.7

251.52

4272

Porphabilinagen qualitative screen: urine

5

85.55

3.33

56.98

4273

Porphabilinogen/ALA quantitative each

15

256.65

10

171.10

4283

Magnesium: spectrophotometric

3.62

61.94

2.41

41.24

4284

Magnesium atomic absorption

7.25

124.05

4.83

82.64

4285

Identification of carbohydrate

7.65

130.89

5.1

87.26

4287

Identification of drug: qualitative

4.5

77.00

3

51.33

4288

Identification of drug: quantitative

10.8

184.79

7.2

123.19

4293

Urea clearance

5.4

92.39

3.6

61.60

4297

Copper: spectrophotometric

3.62

61.94

2.41

41.24

4298

Copper: Atomic absorption

18.12

310.03

12.08

206.69

4300

Indican or Indole: Qualitative

3.15

53.90

2.1

35.93

4301

Chloride

2.59

44.31

1.73

29.60

4307

Ammonium chloride loading test

22.05

377.28

14.7

251.52

4309

Urobilonogen: quantitative

6.75

115.49

4.5

77.00

4313

Phosphates

3.62

61.94

2.41

41.24

4315

Potassium

3.62

61.94

2.41

41.24

4316

Sodium

3.62

61.94

2.41

41.24

4319

Urea

3.62

61.94

2.41

41.24

4321

Uric acid

3.62

61.94

2.41

41.24

4322

Fluoride

5.18

88.63

3.45

59.03

4323

Total protein and protein electrophoreses

11.25

192.49

7.5

128.33

4325

VMA: quantitative

11.25

192.49

7.5

128.33

4327

lmmunofixation: Total Protein, lgG, lgA, lgM, Kappa, Lambda

46.88

802.12

31.25

534.69

4335

Cystine: quantitative

12.6

215.59

8.4

143.72

4336

Dinitrophenal hydrazine test: ketoacids

2.25

38.50

1.5

25.67

4337

Hydroxyproline: quantitative

18.9

323.38

12.6

215.59

21.8

Biochemical tests: Faeces

4339

Chloride

2.59

44.31

1.73

29.60

4343

Fat: qualitative

3.15

53.90

2.1

35.93

4345

Fat: quantitative

22.05

377.28

14.7

251.52

4347

pH

0.9

15.40

0.6

10.27

4351

Occult blood: chemical test

2.25

38.50

1.5

25.67

4352

Occult blood (monoclonal antibodies)

10

171.10

6.67

114.12

4357

Potassium

3.62

61.94

2.41

41.24

4358

Sodium

3.62

61.94

2.41

41.24

4361

Stercobilin

2.25

38.50

1.5

25.67

4363

Stercobilinogen: quantitative

6.75

115.49

4.5

77.00

21.9

Biochemical tests: Miscellaneous

4370

Vancomycin, Phenytoin, Theophylline

12.4

212.16

8.27

141.50

4371

Amylase in exudate

5.18

88.63

3.45

59.03

4374

Trace metals in biological fluid: Atomic absorption

18.13

310.20

12.08

206.69

4375

Calcium in fluid: Spectrophotometric

3.62

61.94

2.41

41.24

4376

Calcium in fluid: Atomic absorption

7.25

124.05

4.83

82.64

4388

Gastric contents: Maximal stimulation

27

461.97

18

307.98

4389

Gastric fluid: Total acid per specimen

2.25

38.50

1.5

25.67

4391

Renal calculus: Chemistry

5.4

92.39

3.6

61.60

4392

Renal calculus: Crystallography

16.25

278.04

10.8

184.79

4393

Saliva: Potassium

3.62

61.94

2.41

41.24

4394

Saliva: Sodium

3.62

61.94

2.41

41.24

4395

Sweat: Sodium

3.62

61.94

2.41

41.24

4396

Sweat: Potassium

3.62

61.94

2.41

41.24

4397

Sweat: Chloride

2.59

44.31

1.73

29.60

4399

Sweat collection by iontophoresis (excluding collection material)

4.5

77.00

3

51.33

4400

Triptophane loading test

22.05

377.28

14.7

251.52

21.10

Cerebrospinal fluid

4401

Cell count

3.45

59.03

2.3

39.35

4407

Cell count, protein, glucose and chloride

7.65

130.89

5.1

87.26

4409

Chloride

2.59

44.31

1.73

29.60

4415

Potassium

3.62

61.94

2.41

41.24

4416

Sodium

3.62

61.94

2.41

41.24

4417

Protein: Qualitative

0.9

15.40

0.6

10.27

4419

Protein: Quantitative

3.11

53.21

2.07

35.42

4421

Glucose

3.62

61.94

2.41

41.24

4423

Urea

3.62

61.94

2.41

41.24

4425

Protein electrophoresis

12.6

215.59

8.4

143.72

21.12

Isotopes

4458

Micro-albuminuria: radio-isotope method

12.42

212.51

8.28

141.67

4459

Acetyl choline receptor antibody

158.12

2,705.43

105.41

1,803.57

4463

C6 complement functional essay

45

769.95

30

513.30

4466

Beta-2-microglobulin

12.42

212.51

8.28

141.67

4469

S-S100

20

342.20

13.33

228.08

4452

Bone-Specific Alk. Phosphatase

20

342.20

13.33

228.08

4479

Vitamin B12-absorption: Shilling test

11.7

200.19

7.8

133.46

4480

Serotonin

18.75

320.81

12.5

213.88

4482

Free thyroxine (FT4)

17.48

299.08

11.65

199.33

4484

Thyroid profile (only with special motivation)

37.8

646.76

24.72

422.96

4485

Insulin

12.42

212.51

8.28

141.67

4488

NT Pro BNP

47.04

804.85

33.35

570.62

4491

Vitamin B12

12.42

212.51

8.28

141.67

4493

Drug concentration: quantitative

12.42

212.51

8.28

141.67

4497

Carbohydrate deficient transferrin

29.06

497.22

19.37

331.42

4499

Cortisol

12.42

212.51

8.28

141.67

4500

DHEA sulphate

12.42

212.51

8.28

141.67

4507

Thyrotropin (TSH)

19.6

335.36

13.07

223.63

4509

Free tri-iodothyronine (FT3)

17.48

299.08

11.65

199.33

4511

Renin activity

18.9

323.38

12.6

215.59

4516

Follitropin (FSH)

12.42

212.51

8.28

141.67

4517

Lutropin (LH)

12.42

212.51

8.28

141.67

4522

Alpha-Feto protein

12.42

212.51

8.28

141.67

4523

ACTH

21.74

371.97

14.49

247.92

4524

Free PSA

20

342.20

13.33

228.08

4527

Gastrin

12.42

212.51

8.28

141.67

4528

Ferritin

12.42

212.51

8.28

141.67

4530

Antiplatelet antibodies

15.3

261.78

10.2

174.52

4531

Hepatitis: per antigen or antibody

14.49

247.92

9.66

165.28

4532

Transcobalamine

12.42

212.51

8.28

141.67

4533

Folic acid

12.42

212.51

8.28

141.67

4536

Erythrocyte folate

17.48

299.08

11 65

199.33

4537

Prolactin

12.42

212.51

8.28

141.67

4538

Procalcitonin: qualitative

32

547.52

21.33

364.96

4539

Procalcitonin: Quantitative

46

787.06

30.67

524.76

21.13

After hour service and travelling fees (applicable to pathologists only)

Miscellaneous

4544

Attendance in theatre

27

461.97

4547

After hour service: (Monday to Friday) 17:00 to 08:00. Saturday 13:00 to Monday 08:00 and public holidays

Tariff

+50%

Tariff

+50%

4549

Minimum fee for after hour service

6.3

107.79

4551

Fees not detailed in the above Pathology Schedule (section 21) are obtainable from the National Pathology Group of the SAMA, and will be based on the fee for a comparable service in the Tariff of fees