PhilHealth Hospital Bill & Out-of-Pocket Cost Calculator

PhilHealth Hospital Bill Calculator (2026) | Estimate Case Rate & Out-of-Pocket Costs

PhilHealth Hospital Bill Calculator

Estimate how much of your hospital bill will be covered by PhilHealth Case Rates, Senior Citizen / PWD 20% discounts, and private HMO insurance—and know your exact out-of-pocket balance.

2026 PhilHealth All-Case Rate (ACR) Schedule
RA 9994 (Senior) & RA 10754 (PWD) Sequencing
No Balance Billing (NBB) Qualification Check
100% Private & Client-Side Calculation

Billing Parameters

Step 1 of 2
Total statement of account before any discounts or PhilHealth deductions.
Add Secondary Case Rate (50% Deduction Rule)
For patients with a 2nd simultaneous medical condition or surgical procedure.
Approved letter of authorization (LOA) credit after PhilHealth deduction.

Calculation Summary

Estimated Balance
Estimated Out-of-Pocket Balance
₱37,000.00
Total amount payable to hospital cashier upon discharge.
  • Gross Hospital Bill ₱65,000.00
  • Subtotal After Discounts ₱65,000.00
  • Primary PhilHealth Case Rate − ₱15,000.00
  • Estimated Net Out-of-Pocket ₱50,000.00
PhilHealth Benefit Component Allocation:
• Hospital / Facility Share: ₱10,500.00
• Professional Fee (Doctor) Share: ₱4,500.00

How Hospital Billing & PhilHealth Deductions Work

Philippine healthcare billing follows a legally mandated deduction order established under Republic Act 9994, Republic Act 10754, and PhilHealth Circular No. 2017-0017.

1

Gross Billing Audit

The hospital compiles total actual charges itemized into facility usage, room, laboratory/diagnostics, medications, and attending physician professional fees (PF).

2

20% Senior / PWD Discount

If the patient is a verified Senior Citizen or PWD, 12% VAT exemption and a 20% discount are deducted from actual unbundled gross charges before insurance.

3

PhilHealth Case Rate

The predetermined All-Case Rate (ACR) package is subtracted. If two qualifying diagnoses exist, the secondary case rate is credited at 50% value.

4

HMO & Final Cashier

Private HMO insurance pays remaining covered hospital expenses. Any excess beyond policy limits represents the final out-of-pocket balance.

2026 Common PhilHealth Inpatient Case Rates

PhilHealth All-Case Rates (ACR) are fixed amounts encompassing both the Health Care Institution (HCI) facility fees and Professional Fees (PF).

Condition / Procedure ICD-10 / RVS Code Total Case Rate Hospital Facility Share Doctor Fee (PF) Share
Pneumonia (Moderate Risk) J18.9 ₱15,000 ₱10,500 ₱4,500
Pneumonia (High Risk) J18.0 ₱32,000 ₱22,400 ₱9,600
Dengue Fever (without warning) A90 ₱13,000 ₱9,100 ₱3,900
Dengue Fever (with warning signs) A91 ₱16,000 ₱11,200 ₱4,800
Acute Gastroenteritis (AGE) A09 ₱9,000 ₱6,300 ₱2,700
Cesarean Section (C-Section) 59514 ₱19,000 ₱11,400 ₱7,600
Appendectomy (Simple) 44950 ₱24,000 ₱14,400 ₱9,600
Ischemic Stroke / Infarction I63.9 ₱38,000 ₱26,600 ₱11,400
Hemodialysis (per session) 90999 ₱4,000 ₱4,000 ₱0 (Comprehensive)

Understanding No Balance Billing (NBB) Policy

The “Walang Dagdag Bayad” or No Balance Billing Policy ensures that vulnerable Filipino patients admitted to accredited government health facilities leave the hospital without paying any out-of-pocket co-payment.

Who is Qualified for NBB?

  • Indigent Members: Individuals identified under the DSWD Listahanan database.
  • Sponsored Members: Beneficiaries whose premiums are paid by LGUs or national government agencies.
  • Pantawid Pamilyang Pilipino Program (4Ps): Active conditional cash transfer beneficiaries.
  • Senior Citizen Members: Covered under RA 10645 in ward facilities.
  • Kasambahay Members: Formally registered domestic workers.

Key Conditions for Zero Out-of-Pocket Balance

NBB applies strictly to admissions in government hospital ward beds. If the patient requests voluntary transfer to a private or semi-private room, or purchases medicines/supplies outside the hospital’s pharmacy consignment, NBB protection is waived, and standard billing rates apply.

Frequently Asked Questions (FAQ)

Authoritative answers to common questions regarding PhilHealth deductions, claim forms, and hospital bill negotiations.

PhilHealth uses the All-Case Rate (ACR) system. Instead of item-by-item reimbursements, specific medical diagnoses (ICD-10) or surgical operations (RVS) have fixed benefit packages. When you are discharged, the hospital billing clerk automatically deducts this predetermined sum from your total bill upon presentation of your PhilHealth Member Data Record (MDR) and Claim Form 2 (CF2).
By law (Republic Act 9994, Republic Act 10754, and PhilHealth regulations), the 20% discount and 12% VAT exemption are applied first to your gross hospital charges and professional fees. After the statutory discount has reduced the bill, the fixed PhilHealth case rate is deducted from the remaining subtotal.
To ensure smooth deduction before discharge, submit:
1. PhilHealth Claim Form 1 (CF1): Signed by your employer (if employed) or self-certified (if voluntary/individual).
2. Member Data Record (MDR): Updated copy showing qualifying contribution history.
3. PhilHealth Claim Form 2 (CF2): Completed by the hospital billing department and attending doctors.
4. Valid Government ID / Senior Citizen ID / PWD ID.
Under PhilHealth rules, if your total actual hospital bill is lower than the published case rate, PhilHealth covers the bill in full, resulting in zero out-of-pocket balance. However, the patient cannot claim or pocket the cash difference.
PhilHealth permits claiming up to two case rates during a single confinement. The primary diagnosis or procedure with the higher monetary value is covered at 100%, while the secondary condition or minor surgical procedure is reimbursed at 50% of its standard case rate value.

Methodology & Verification Notice

Calculations are based on public circulars from the Philippine Health Insurance Corporation (PhilHealth), Republic Act No. 11223 (Universal Health Care Act), RA 9994 (Expanded Senior Citizens Act), and RA 10754 (An Act Expanding the Benefits and Privileges of Persons with Disability).

Disclaimer: This tool provides an estimate for planning purposes. Official bill totals, exact case rate eligibility, and final out-of-pocket copayments are determined exclusively by the hospital billing department and attending physicians upon medical discharge audit.