Annual Physical Exam (APE) Cost in the Philippines [2026 Price Guide]

Quick Answer: An annual physical exam (APE) in the Philippines costs an estimated ₱530-₱25,000 (tantya, our own range) depending on the package tier and facility. Only some facilities publish package prices: Makati Medical Center lists its IPHC Health Investment Essentials Basic 5 Package at ₱4,200 (as of March 3, 2026), De Los Santos Medical Center lists HealthForward Basic at ₱7,170 and HealthForward Optimum at ₱15,750 (female) to ₱16,300 (male), and Chong Hua Hospital lists ECU Plans from ₱10,090.90 to ₱39,007.70 (effective October 18, 2024). Hi-Precision Diagnostics and NWDI list the tests in a basic APE (CBC, urinalysis, fecalysis, chest X-ray, physical exam) but do not publish a package price online.

About these figures: Package prices marked as listed come from the facility's own website: Makati Medical Center (price list, entries dated as shown), De Los Santos Medical Center (undated, prices subject to change without notice), Chong Hua Hospital (Executive Health Unit prices, effective October 18, 2024), Hi-Precision Diagnostics (Metro Manila lab price list, updated July 4, 2023) and NWDI (online price list). Everything else on this page, including the ranges by package tier and by city, is our own estimate (tantya) and not a published rate. The Hi-Precision package prices and the Asian Hospital package prices in the tier sections below could not be confirmed on a live official page, so treat them as unconfirmed. Facilities can change prices without notice, so confirm before you book. Last checked: October 2026.

Table of Contents

• Introduction
• What Is an Annual Physical Exam?
• Price Breakdown by Package Tier
• What Is Included in Each Package
• Additional Tests and Costs
• Price by Facility
• Price by City
• PhilHealth and HMO Coverage
• When to Get an Annual Physical Exam
• Frequently Asked Questions
• Conclusion

Introduction

An annual physical exam — commonly referred to as APE in the Philippines — is a comprehensive health screening designed to detect potential health problems before they become serious. For many Filipinos, the APE is encountered as an employer requirement: under the Occupational Safety and Health Law (RA 11058), employers must comply with occupational safety and health standards, which include medical examination of workers.

Beyond workplace requirements, a yearly health checkup is one of the smartest investments you can make. Conditions like hypertension, diabetes, high cholesterol, thyroid disorders, and even early-stage cancers are often detectable through routine screening long before symptoms appear. Early detection dramatically improves treatment outcomes and reduces long-term healthcare costs.

The cost of an APE in the Philippines varies enormously: our estimate runs from about ₱530 for a bare-bones package at a budget clinic to ₱25,000 or more at a premium hospital, and published hospital packages run from ₱4,200 to ₱39,008. This guide breaks down every package tier, what tests are included, and which facilities offer the best value.

What Is an Annual Physical Exam?

An annual physical exam is a preventive health screening that typically includes:

1. Medical history review — the doctor reviews your personal and family medical history, current medications, lifestyle factors (smoking, alcohol, exercise, diet), and any symptoms or concerns
2. Physical examination — head-to-toe examination including vital signs (blood pressure, heart rate, temperature, weight, height, BMI), heart and lung auscultation, abdominal examination, and assessment of overall health
3. Laboratory tests — blood and urine tests that screen for common conditions
4. Imaging — chest X-ray at minimum; higher-tier packages include ultrasound, ECG, or other imaging
5. Results consultation — a physician reviews all results with you and provides recommendations

The specific tests included depend on the package you choose, your age, sex, and risk factors.

Price Breakdown by Package Tier

Basic APE Package (estimate: ₱530-₱1,100)

The most affordable option, covering essential screening tests. Suitable for young, healthy individuals with no known health concerns or risk factors.

Typical inclusions:

• Complete physical examination
• Complete blood count (CBC) with platelet count
• Routine urinalysis
• Fecalysis (stool exam)
• Chest X-ray (PA view)
• Visual acuity check

Price range:

• Budget clinics (TopHealth, provincial): about ₱530-₱650 (our estimate, no published price found)
• Hi-Precision Diagnostics Standard Chem Package: about ₱1,100 (our estimate; Hi-Precision lists the inclusions but not the price: FBS, BUN, creatinine, uric acid, cholesterol, triglycerides, lipoprotein profile, SGPT, SGOT)
• Hi-Precision Pre-Employment and Basic APE Package: CBC with platelet count, complete urinalysis, fecalysis, full medical exam and chest X-ray PA (price not published online)

Best for: Employees aged 20-30 with no health complaints, basic DOLE compliance, budget-conscious screening.

Standard APE Package (estimate: ₱2,150-₱3,700)

Adds blood chemistry, ECG, and more comprehensive testing. The most popular package tier — provides a solid health picture at a reasonable cost.

Typical inclusions (everything in basic, plus):

• Fasting blood sugar (FBS)
• Lipid panel (cholesterol, triglycerides, HDL, LDL)
• Blood urea nitrogen (BUN) and creatinine (kidney function)
• Blood uric acid
• SGPT and SGOT (liver enzymes)
• 12-lead ECG (electrocardiogram)

Price range:

• Hi-Precision Routine Package: about ₱2,150 (our estimate; inclusions listed online, price not published)
• Asian Hospital Starter: ₱3,700 (unconfirmed; the Asian Hospital page that listed it is no longer online)

Best for: Adults aged 30-45, employees with desk jobs, individuals wanting a thorough baseline health assessment.

Comprehensive APE Package (estimate: ₱3,150-₱11,000)

Adds hormonal screening, advanced blood chemistry, and imaging beyond basic X-ray.

Typical inclusions (everything in standard, plus):

• HbA1c (3-month blood sugar average — diabetes screening)
• TSH (thyroid function)
• Total calcium
• Sodium and potassium
• Whole abdomen ultrasound
• Alkaline phosphatase

Price range:

• Hi-Precision Basic Health Package: about ₱3,150 (our estimate; inclusions listed online, price not published)
• Asian Hospital (unconfirmed; the page that listed these is no longer online): Basic Male ₱6,000, Basic Female ₱7,400 (includes Pap smear), Intermediate Male ₱9,600, Intermediate Female ₱11,000

Best for: Adults aged 35+, individuals with family history of diabetes/thyroid/kidney disease, those wanting more thorough screening.

Executive Health Screening (estimate: ₱6,000-₱18,200)

A premium package that adds advanced imaging, cardiac screening, and cancer markers. Designed for executives and individuals who want the most thorough screening available.

Typical inclusions (everything in comprehensive, plus):

• 2D echocardiogram (heart ultrasound)
• Treadmill stress test (TMT)
• Tumor markers (PSA for men, CA-125 for women, CEA, AFP)
• Complete thyroid panel (T3, T4, free T4, TSH)
• Hepatitis B screening (HBsAg, Anti-HBs)
• Whole abdomen ultrasound
• Stool occult blood test

Price range:

• Manila Doctors Hospital: ₱6,300+ (our estimate; no published price found)
• Asian Hospital (unconfirmed; the page that listed these is no longer online): Advance 1 Male ₱16,800, Advance 1 Female ₱18,200
• De Los Santos Medical Center (published, undated): HealthForward Optimum Female ₱15,750, HealthForward Optimum Male ₱16,300
• Chong Hua Hospital (published, effective October 18, 2024): ECU Plan 1 ₱10,090.90; ECU Plan 2 ₱15,461.80 (female) and ₱16,366.10 (male)

Best for: Adults aged 45+, executives, individuals with multiple risk factors (hypertension, obesity, diabetes, smoking, family history of cancer or heart disease).

Premium / VIP Health Screening (estimate: ₱16,000-₱25,000+)

The most comprehensive package, often including CT scans, advanced cardiac imaging, and extensive cancer screening. Available at premium hospitals.

Typical inclusions (everything in executive, plus):

• CT scan (specific body area)
• Extensive tumor marker panel
• Complete hormonal panel
• Bone density scan (DEXA)
• Advanced cardiac markers (BNP, troponin)
• Colonoscopy referral if indicated

Price range:

• Asian Hospital (unconfirmed; the page that listed these is no longer online): Advance 2 Male ₱22,000, Advance 2 Female ₱23,400
• The Medical City Executive: ₱25,000+ (our estimate; The Medical City's price directory is not publicly readable)
• Chong Hua Hospital (published, effective October 18, 2024): ECU Plan 3 ₱34,957.10 (female) and ₱39,007.70 (male); ECU Plan 4 ₱30,133.40 (female) and ₱34,184.00 (male)
• Makati Medical Center (published): IPHC wellness packages from ₱19,500 to ₱41,000 (entries dated July 28, 2022, and a Lifestyle Executive Package entry dated March 5, 2026)
• St. Luke's Wellness packages: price not published

Best for: Individuals over 50, those with significant family history of cancer or heart disease, VIP/C-suite executives, comprehensive baseline before major life changes.

Package Comparison Table

What Is Included in Each Package

Tests Explained

Complete Blood Count (CBC): Measures red blood cells, white blood cells, hemoglobin, hematocrit, and platelets. Detects anemia, infections, blood disorders, and immune system issues.

Fasting Blood Sugar (FBS): Measures blood glucose after an overnight fast. Screens for diabetes and pre-diabetes. Normal: below 100 mg/dL.

HbA1c: Measures average blood sugar over the past 2-3 months. More reliable than a single FBS reading for diabetes screening. Normal: below 5.7%.

Lipid Panel: Measures total cholesterol, LDL ("bad" cholesterol), HDL ("good" cholesterol), and triglycerides. Screens for cardiovascular disease risk.

BUN and Creatinine: Measures kidney function. Elevated levels may indicate kidney disease or dehydration.

SGPT/SGOT (ALT/AST): Liver enzymes that indicate liver health. Elevated levels may suggest liver damage from alcohol, medication, fatty liver disease, or hepatitis.

TSH (Thyroid Stimulating Hormone): Screens for thyroid disorders (hypothyroidism and hyperthyroidism). Thyroid conditions are common in the Philippines, especially in women.

12-Lead ECG: Records the heart's electrical activity. Screens for arrhythmias, heart enlargement, and signs of previous heart attacks.

Chest X-ray: Screens for lung conditions (tuberculosis, pneumonia), heart size, and other chest abnormalities. TB screening remains important in the Philippines.

PSA (Prostate-Specific Antigen): For men aged 50+ (or 40+ with family history). Screens for prostate cancer.

Pap Smear: For women. Screens for cervical cancer and precancerous changes. Included in most female APE packages.

Additional Tests and Costs

Beyond the standard package, you may want to add specific tests based on your age, sex, and risk factors:

Published rates for some add-ons differ from these estimates. HbA1c is listed from ₱250 (Bulacan Medical Center) to ₱475 (Hi-Precision, July 4, 2023), ₱1,300 (Chong Hua Hospital, effective August 26, 2026) and ₱2,170 to ₱4,100 (Makati Medical Center, as of March 10, 2026). A Pap smear is listed at ₱60 (Bicol Medical Center, as of May 2026), ₱348 to ₱593 (NWDI) and ₱1,030 to ₱2,050 (Makati Medical Center, as of March 10, 2026). A 2D echocardiogram is listed at ₱2,370 (NWDI, plain), ₱3,320 (NWDI, with Doppler) and ₱9,750 to ₱17,600 (Makati Medical Center, as of March 4, 2026). A treadmill stress test is listed at ₱3,860 to ₱4,900 (Makati Medical Center, as of March 4, 2026). A whole abdomen ultrasound is listed at ₱1,200 (Jose B. Lingad Memorial General Hospital, October 2025). Total PSA is listed at ₱2,600 (Chong Hua Hospital).

Price by Facility

Diagnostic Centers

Hospitals

Male vs. Female Pricing

Do female packages cost more? Not at the two hospitals that publish both prices. De Los Santos Medical Center lists HealthForward Optimum at ₱15,750 for women and ₱16,300 for men. Chong Hua Hospital lists ECU Plan 2 at ₱15,461.80 for women and ₱16,366.10 for men, ECU Plan 3 at ₱34,957.10 (women) and ₱39,007.70 (men), and ECU Plan 4 at ₱30,133.40 (women) and ₱34,184.00 (men). The tests differ between the versions: the De Los Santos male package includes PSA and a prostate ultrasound, while the female package includes a bilateral breast ultrasound. Compare the inclusions, not just the price.

Price by City

Note: Provincial and non-NCR areas generally have fewer options for executive-tier packages. Patients seeking comprehensive screening in provincial areas may need to travel to the nearest major city.

PhilHealth and HMO Coverage

PhilHealth

PhilHealth does not pay for a private annual physical exam package at a diagnostic center or hospital. What it does offer is primary care through YAKAP (formerly Konsulta): members registered with a YAKAP clinic get consultations, health screening and assessment, and select tests (such as CBC, urinalysis, fecalysis, FBS, lipid profile and ECG, per the Konsulta benefit table in PhilHealth Circular 2024-0013) ordered by that clinic's doctor. PhilHealth describes YAKAP as an evolution of Konsulta, and we could not open a separate YAKAP laboratory list.

However, if your APE results reveal a condition that requires treatment (e.g., newly diagnosed diabetes, thyroid disorder), subsequent diagnostic workup and treatment may be covered under PhilHealth's benefit packages.

HMO Coverage

Most HMO plans in the Philippines include an annual physical exam benefit as part of the plan. Coverage varies by plan tier:

• Basic HMO plans: May cover a basic APE package (CBC, urinalysis, chest X-ray, physical exam)
• Standard HMO plans: May cover standard APE with blood chemistry and ECG
• Premium HMO plans: May cover comprehensive or executive-level screening

Important: Check your HMO plan documents for:

• Approved facilities: Your HMO may only cover APE at accredited clinics (e.g., Hi-Precision, Healthway, specific hospitals)
• Package inclusions: The HMO benefit may not cover all tests in a facility's package — you may need to pay out-of-pocket for add-ons
• Waiting period: New HMO members may have a waiting period before APE benefits activate
• Annual limits: Some plans only cover one APE per year

Corporate APE

Under the Occupational Safety and Health Law (RA 11058), employers must comply with occupational safety and health standards, which include medical examination of workers. How often, and which tests, depend on the workplace and your employer's program, so ask your HR. The employer typically:

• Selects an accredited diagnostic center or hospital
• Often covers the cost of a basic APE package (ask HR what your company covers)
• May offer employees the option to upgrade to a higher package at their own expense

If your employer provides a corporate APE, take full advantage of it — it is a valuable benefit that costs you nothing.

When to Get an Annual Physical Exam

By Age Group

Red Flags That Mean You Should Not Wait Until Your Annual Checkup

Schedule an appointment with a doctor immediately (not just an APE) if you experience:

• Unexplained weight loss or gain
• Persistent fatigue that is not relieved by rest
• Chest pain, shortness of breath, or palpitations
• Blood in urine, stool, or cough
• Persistent headaches or vision changes
• A lump or mass anywhere on the body
• Unexplained bleeding or bruising

Frequently Asked Questions

Do I need to fast before my APE?

Yes, if your package includes fasting blood sugar, lipid panel, or other blood chemistry tests. You should fast for 8-12 hours before the exam (no food, only water). Schedule your APE first thing in the morning, and eat a light dinner the night before. Avoid alcohol for 24-48 hours before the exam.

How long does an APE take?

• Basic package: 1-2 hours
• Standard package: 2-3 hours
• Executive package: 3-5 hours (or half a day)
• Results availability: Same day for basic tests; 3-7 days for comprehensive panels; some tests (tumor markers, cultures) may take up to 2 weeks

Is an APE at a diagnostic center as good as a hospital?

For standard health screening, yes. Diagnostic centers like Hi-Precision and NWDI publish lower per-test prices than Makati Medical Center and Chong Hua Hospital (for example, a CBC is listed at ₱280 at both chains, against ₱630 to ₱1,200 at Makati Medical Center and ₱450 at Chong Hua Hospital). Hospital-based executive checkups offer advantages when you want: (1) immediate specialist referral if something abnormal is found, (2) access to advanced imaging (CT, MRI) on-site, and (3) a VIP patient experience. For routine annual screening, a reputable diagnostic center provides excellent value.

What should I bring to my APE?

• Valid government ID (for registration)
• HMO card (if your HMO covers the APE)
• Previous APE results (for comparison — very useful for tracking trends)
• List of current medications and supplements
• List of symptoms or concerns you want to discuss with the doctor
• Comfortable clothing (you may need to change into a hospital gown)
• Morning urine sample (some clinics request you bring the first urine of the day in a sterile container)

Can I claim my APE cost from my employer?

If your employer does not provide a company-sponsored APE, you can ask your HR department about reimbursement policies. Some companies reimburse APE expenses up to a certain amount. If your company has an HMO benefit, check if the APE is covered under your plan. Employers must comply with occupational safety and health standards, which include medical examination of workers (RA 11058), but the specific package level depends on your employer's program.

Senior citizen discount on APE?

Yes, in many cases. Senior citizens (aged 60+) are entitled to a 20% discount and VAT exemption on medical services and diagnostic and laboratory fees in private facilities under Republic Act 9994 (Expanded Senior Citizens Act). The implementing rules cover tests that a physician requests for the diagnosis or treatment of an illness or injury, so ask the facility whether a routine APE package qualifies. Hi-Precision's FAQ says it offers a 20% discount for senior patients on lab tests. Present your senior citizen ID when registering.

Conclusion

An annual physical exam is one of the most cost-effective healthcare investments a Filipino can make. Detecting conditions like diabetes, hypertension, or thyroid disorders early can lead to earlier treatment and better health outcomes.

Budget option: A basic APE (CBC, urinalysis, fecalysis, chest X-ray and a physical exam) at a lab such as Hi-Precision or NWDI. Neither publishes a package price online, so ask for the package price at the branch. NWDI's item prices (CBC ₱280, urinalysis ₱128, fecalysis ₱123, chest X-ray PA ₱330) add up to ₱861 before the physical exam. Perfect for young, healthy adults with no complaints.

Best value: A mid-priced hospital package such as De Los Santos Medical Center's HealthForward Basic at ₱7,170, or Makati Medical Center's IPHC Health Investment Essentials Basic 5 at ₱4,200 (as of March 3, 2026). Compare the inclusions before you choose.

Comprehensive option: De Los Santos Medical Center's HealthForward Optimum (₱15,750 female, ₱16,300 male) or Chong Hua Hospital's ECU Plan 1 (₱10,090.90) and ECU Plan 2 (₱15,461.80 female, ₱16,366.10 male). Ideal for ages 35+ or those with risk factors.

Premium option: Chong Hua Hospital's ECU Plan 3 and ECU Plan 4 (₱30,133.40 to ₱39,007.70) or Makati Medical Center's IPHC wellness packages (₱19,500 to ₱41,000 on its price list). Recommended for ages 45+ or those who want peace of mind with extensive cancer and cardiac screening.

Pro tip: If your employer provides a basic corporate APE, use it as your baseline and consider paying out-of-pocket for a few key add-ons based on your age and risk factors (for example, an HbA1c, which Hi-Precision lists at ₱475). Compare the add-on prices with the package upgrade price before you decide.

Use ClinicFinderPH to find diagnostic centers and hospitals near you that offer APE packages, compare prices, and book your annual health screening.