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ECG & 2D Echo Cost in the Philippines [2026 Price Guide]
Quick Answer: An ECG (electrocardiogram) costs roughly ₱200-₱1,300 at most facilities (up to ₱2,250 at Makati Medical Center). A 2D echocardiogram costs roughly ₱2,100-₱6,000 (₱9,750-₱17,600 at Makati Medical Center). Combined ECG + 2D echo packages cost an estimated ₱2,500-₱6,500. Government hospitals have the lowest published rates, such as ₱200 for an ECG and ₱2,800 for a 2D echo with Doppler at Jose B. Lingad Memorial General Hospital. Top facilities include Philippine Heart Center, The Medical City, Makati Medical Center, and Hi-Precision Diagnostics.
About these figures: Most prices in this guide are estimates, meant for budgeting, not confirmed facility rates. Only the hospitals in the "Official Hospital Rates" table publish their own prices, and each row there carries the date of its source. Hi-Precision does not publish ECG or 2D echo prices, and we could not verify published ECG or 2D echo prices for the other private facilities listed here. Confirm the current price with the facility before your visit. Last checked: October 2026.
Magkano ang 2D Echo at ECG? ₱300 – ₱6,000 (2026)
Mag-subscribe sa YouTubeTable of Contents
- Introduction
- What Are ECG and 2D Echo?
- ECG Price Breakdown
- 2D Echo Price Breakdown
- What Is Included in the Price
- Price by Facility
- Additional Cardiac Tests
- Price by City
- PhilHealth and HMO Coverage
- When to Get Cardiac Screening
- Frequently Asked Questions
- Conclusion
Introduction
Heart disease is the leading cause of death in the Philippines, claiming more Filipinos each year than any other single condition. The good news: most cardiovascular diseases are detectable through simple, affordable screening tests long before they become life-threatening. Two of the most fundamental cardiac tests — the ECG (electrocardiogram) and the 2D echocardiogram — provide comprehensive information about your heart's electrical activity and physical structure.
An ECG costs as little as ₱200 at government hospitals (Jose B. Lingad Memorial General Hospital publishes ₱200) and is included in some annual physical exam packages. A 2D echo is more sophisticated (and more expensive at ₱2,100-₱6,000) but provides detailed images of your heart's chambers, valves, and pumping function. Together, they form the foundation of cardiac screening for adults — especially those over 40, with a family history of heart disease, or with symptoms like chest pain, shortness of breath, or palpitations.
This guide breaks down the cost of ECG and 2D echo tests in the Philippines across every facility tier. If you are planning comprehensive health screening, also see our Annual Physical Exam Cost guide — these cardiac tests are often included in executive APE packages.
What Are ECG and 2D Echo?
ECG (Electrocardiogram)
An electrocardiogram records the electrical activity of the heart through small electrode patches attached to your chest, arms, and legs. It is a quick, non-invasive test that takes less than 10 minutes and can detect:
- Arrhythmias (irregular heartbeats)
- Previous heart attacks (ischemic damage)
- Heart enlargement (chamber hypertrophy)
- Electrolyte imbalances affecting the heart
- Coronary artery disease signs
- Heart block and conduction abnormalities
Types of ECG:
- 12-lead resting ECG — standard, most common
- Holter monitor (24-48 hour ECG) — records heart activity for a full day
- Event monitor (1-2 weeks) — captures intermittent symptoms
- Treadmill stress test — ECG during exercise
2D Echocardiogram (2D Echo)
A 2D echocardiogram uses ultrasound waves to create moving images of the heart. A trained sonographer or cardiologist moves a transducer across your chest and captures images of the heart's chambers, valves, and blood flow. It can detect:
- Heart valve problems (stenosis, regurgitation)
- Heart chamber size and wall thickness
- Heart muscle function (ejection fraction)
- Congenital heart defects
- Pericardial effusion (fluid around the heart)
- Wall motion abnormalities from previous heart attacks
- Blood clots in the heart
Types of echocardiogram:
- 2D Echo — basic 2-dimensional imaging
- Doppler Echo — measures blood flow through the heart
- 3D Echo — more detailed imaging (premium facilities only)
- Stress Echo — echocardiogram during exercise
ECG Price Breakdown
Standard 12-Lead ECG (₱200-₱2,250)
The most common ECG test — a resting 12-lead recording that takes about 5-10 minutes.
- Government hospitals: ₱200-₱600 (published: Jose B. Lingad ₱200, PGH ₱317, Bicol Medical Center ₱500)
- Diagnostic centers: ₱500-₱900 (estimate)
- Mid-tier private hospitals: ₱700-₱1,100 (published: Chong Hua ₱1,050)
- Premium private hospitals: ₱1,100-₱2,250 (published: Makati Medical Center ₱1,130-₱2,250)
24-Hour Holter Monitor (₱1,782-₱11,500)
Records your heart's activity continuously for 24-48 hours while you go about your normal activities. Used to catch intermittent arrhythmias.
- Government hospitals: ₱1,782-₱3,500 (published: PGH ₱1,782, Jose B. Lingad ₱3,500)
- Private facilities: ₱3,877-₱11,500 (published: Chong Hua ₱3,877, Makati Medical Center ₱9,200-₱11,500)
Treadmill Stress Test (TMT / Exercise ECG) (₱1,400-₱4,900)
An ECG performed while you walk or run on a treadmill at increasing speeds. Used to detect coronary artery disease that may not show at rest.
- Government hospitals: ₱1,400-₱4,000 (published: PGH ₱1,400-₱1,845, Jose B. Lingad ₱2,600, Bicol Medical Center ₱4,000)
- Private hospitals: ₱2,440-₱4,900 (published: Chong Hua ₱2,440, Makati Medical Center ₱3,860-₱4,900)
2D Echo Price Breakdown
Standard 2D Echocardiogram (₱2,100-₱17,600)
The standard echocardiogram with 2D and Doppler imaging.
- Government hospitals: ₱2,800-₱3,450 (published: Jose B. Lingad ₱2,800, PGH ₱3,150-₱3,450)
- Diagnostic centers (Hi-Precision, Healthway): ₱2,500-₱3,500 (estimate)
- Mid-tier private hospitals: ₱3,000-₱4,500 (published: Chong Hua ₱4,378)
- Premium private hospitals: ₱9,750-₱17,600 (published: Makati Medical Center)
2D Echo with Doppler (₱2,500-₱6,000)
Includes color Doppler for detailed blood flow assessment. This is usually the standard test at most facilities today.
- Government hospitals: ₱2,800-₱3,450 (published: Jose B. Lingad, PGH)
- Private facilities: ₱3,000-₱6,000 (estimate; Makati Medical Center publishes ₱9,750-₱17,600)
2D Echo for Children (Pediatric Echo) (₱1,800-₱13,300)
Specialized echocardiogram for children, often performed by pediatric cardiologists. Used to evaluate congenital heart defects.
- Government hospitals: ₱1,800-₱4,500 (published: PGH ₱1,800 outpatient, Jose B. Lingad ₱2,800, Bicol Medical Center ₱4,500)
- Private hospitals: ₱4,982-₱13,300 (published: Chong Hua ₱4,982, Makati Medical Center ₱10,600-₱13,300)
Stress Echocardiogram (₱4,700-₱26,500)
Echocardiogram performed before and after exercise (or dobutamine-induced stress). Used to detect ischemic heart disease.
- Government hospitals: ₱4,700-₱8,045 (published: PGH treadmill stress echo ₱4,700-₱5,405 and dobutamine ₱6,995-₱8,045; Jose B. Lingad ₱5,000 treadmill, ₱6,000 dobutamine)
- Private hospitals: ₱7,735-₱26,500 (published: Chong Hua treadmill stress echo ₱7,735; Makati Medical Center ₱15,300-₱19,200 treadmill, ₱21,200-₱26,500 dobutamine)
Transesophageal Echo (TEE) (₱7,995-₱71,200)
An advanced echocardiogram where the probe is passed through the esophagus for closer imaging of the heart. Used in specific clinical situations (atrial fibrillation with stroke risk, endocarditis evaluation, etc.).
- Government hospitals: ₱7,995-₱12,000 (published: PGH ₱7,995-₱9,195, Bicol Medical Center ₱8,000, Jose B. Lingad ₱12,000)
- Private hospitals: ₱32,900-₱71,200 (published: Makati Medical Center)
Price Comparison Table
| Test | Price Range | Duration | Best For |
|---|---|---|---|
| Standard 12-lead ECG | ₱200 - ₱2,250 | 5-10 min | Basic cardiac screening |
| Holter monitor (24-48h) | ₱1,782 - ₱11,500 | 1-2 days | Intermittent arrhythmias |
| Treadmill stress test | ₱1,400 - ₱4,900 | 30-60 min | Coronary disease screening |
| Standard 2D echo | ₱2,100 - ₱17,600 | 30-45 min | Structural heart disease |
| 2D echo with Doppler | ₱2,500 - ₱6,000 | 30-45 min | Most common echo |
| Pediatric 2D echo | ₱1,800 - ₱13,300 | 30-60 min | Children's heart evaluation |
| Stress echo | ₱4,700 - ₱26,500 | 60-90 min | Advanced cardiac screening |
| Transesophageal echo (TEE) | ₱7,995 - ₱71,200 | 60-90 min | Specific clinical cases |
What Is Included in the Price
ECG Price Typically Includes:
- Technician time for electrode placement and recording
- 12-lead ECG tracing
- Cardiologist interpretation (at most facilities)
- Printed/digital copy of the tracing
2D Echo Price Typically Includes:
- Sonographer or cardiologist performing the scan
- Full 2D and Doppler examination
- Measurements of heart chambers, walls, and valves
- Calculation of ejection fraction
- Written interpretation report
- Digital copies of images (at most private facilities)
Not usually included:
- Pre-test consultation with cardiologist (₱500-₱2,500)
- Follow-up consultation to discuss results
- Additional tests if abnormalities are found (cardiac MRI, stress test, etc.)
Official Hospital Rates (Published)
These are rates the hospitals publish on their own websites, with the date shown on each source. Hospitals can change rates without notice, so confirm with the hospital before you go.
| Hospital | ECG (12-lead) | 2D Echo (adult) | Source date |
|---|---|---|---|
| Jose B. Lingad Memorial General Hospital (Pampanga, government) | ₱200 | ₱2,800 (with Doppler) | As of October 2025 |
| Philippine General Hospital (Manila, government) | ₱317 (outpatient) | ₱3,150 to ₱3,450 (ward/semi-private to suite; PGH also lists a ₱1,680 service rate) | No date on page |
| Bicol Medical Center (Naga, government) | ₱500 | ₱1,500 (limited 2D echo) | As of March 2024 |
| Chong Hua Hospital (Cebu, private) | ₱1,050 | ₱4,378 (with Doppler) | Effective August 26, 2026 |
| Makati Medical Center (private) | ₱1,130 to ₱2,250 | ₱9,750 to ₱17,600 | As of March 4, 2026 |
Makati Medical Center lists a low and a high price for each test. Chong Hua's list covers procedure costs only; medicines and supplies are not included.
Price by Facility
Government Hospitals and Specialized Centers
Figures in this section are estimates unless they match the Official Hospital Rates table above.
| Facility | ECG (estimate) | 2D Echo (estimate) |
|---|---|---|
| Philippine Heart Center | Call to confirm | Call to confirm |
| Philippine General Hospital | ₱317 - ₱591 (published) | ₱3,150 - ₱3,450 (published) |
| East Avenue Medical Center | ₱300 - ₱600 | ₱2,500 - ₱3,500 |
| Jose Reyes Memorial Medical Center | ₱300 - ₱500 | ₱2,500 - ₱3,500 |
| Baguio General Hospital | ₱400 - ₱700 | ₱2,500 - ₱4,000 |
Diagnostic Centers
| Facility | ECG (estimate) | 2D Echo (estimate) |
|---|---|---|
| Hi-Precision Diagnostics | ₱450 - ₱700 | ₱2,500 - ₱3,800 |
| Healthway / QualiMed | ₱500 - ₱900 | ₱2,500 - ₱4,000 |
| NWDI (Nationwide Diagnostic) | ₱500 - ₱800 | ₱2,500 - ₱3,500 |
Private Hospitals
| Facility | ECG (estimate) | 2D Echo (estimate) |
|---|---|---|
| Cardinal Santos Medical Center | ₱700 - ₱1,100 | ₱3,500 - ₱5,000 |
| Asian Hospital | ₱800 - ₱1,200 | ₱4,000 - ₱5,500 |
| The Medical City | ₱800 - ₱1,200 | ₱4,000 - ₱5,500 |
| Makati Medical Center | ₱1,130 - ₱2,250 (published) | ₱9,750 - ₱17,600 (published) |
| St. Luke's Medical Center | ₱900 - ₱1,300 | ₱4,500 - ₱6,000 |
| Manila Doctors Hospital | ₱800 - ₱1,200 | ₱4,000 - ₱5,500 |
| Cebu Doctors' University Hospital | ₱700 - ₱1,100 | ₱3,500 - ₱5,000 |
| Davao Doctors Hospital | ₱700 - ₱1,100 | ₱3,500 - ₱5,000 |
Additional Cardiac Tests
Often ordered alongside ECG and 2D echo:
| Test | Typical Cost |
|---|---|
| Chest X-ray | ₱300 - ₱800 |
| Lipid profile (cholesterol) | ₱500 - ₱1,500 |
| HbA1c (diabetes screening) | ₱400 - ₱800 |
| BNP or NT-proBNP (heart failure marker) | ₱1,500 - ₱3,500 |
| Troponin (heart attack marker) | ₱1,000 - ₱3,000 |
| Cardiac CT scan (calcium score) | ₱8,000 - ₱20,000 |
| Cardiac MRI | ₱15,000 - ₱30,000 |
| Coronary angiogram | ₱70,000 - ₱150,000 |
Price by City
| City | Government ECG | Private ECG | Government 2D Echo | Private 2D Echo |
|---|---|---|---|---|
| Metro Manila | ₱300 - ₱600 | ₱700 - ₱1,300 | ₱2,100 - ₱3,500 | ₱3,500 - ₱6,000 |
| Cebu City | ₱300 - ₱600 | ₱700 - ₱1,100 | ₱2,500 - ₱3,500 | ₱3,000 - ₱5,000 |
| Davao City | ₱300 - ₱600 | ₱700 - ₱1,100 | ₱2,500 - ₱3,500 | ₱3,000 - ₱5,000 |
| Iloilo City | ₱300 - ₱500 | ₱600 - ₱1,000 | ₱2,500 - ₱3,500 | ₱2,800 - ₱4,500 |
| Baguio City | ₱400 - ₱700 | ₱700 - ₱1,100 | ₱2,500 - ₱4,000 | ₱3,000 - ₱4,500 |
| Provincial areas | ₱300 - ₱500 | ₱600 - ₱900 | ₱2,500 - ₱3,500 | ₱3,000 - ₱4,500 |
PhilHealth and HMO Coverage
PhilHealth
PhilHealth's primary-care benefit (Konsulta, now expanded as YAKAP) lists ECG among the tests your primary care team can order as part of your case management. It does not list 2D echo. If you are admitted to a hospital, the case rate for your illness covers the hospital charges, so ECG and 2D echo are billed inside the case rate and not paid separately. For emergency room visits where you are discharged within 24 hours, PhilHealth's facility-based emergency benefit has a fixed fee of ₱423 per ECG and ₱2,720 per 2D echo. Hi-Precision says on its website that it is not PhilHealth accredited, so PhilHealth cannot be used there.
HMO Coverage
Most HMO plans include ECG and 2D echo in their coverage:
- Basic plans: Usually cover ECG as part of annual check-up
- Standard plans: Cover both ECG and 2D echo when medically indicated
- Premium plans: Include cardiac screening in executive APE packages
Coverage typically requires:
- Doctor's referral or order
- Use of in-network facilities
- Pre-authorization for 2D echo (in some plans)
When to Get Cardiac Screening
By Age
| Age | Recommendation |
|---|---|
| 20-29 | Baseline ECG during APE (rarely needed otherwise) |
| 30-39 | ECG every 2-3 years if no risk factors |
| 40-49 | Ask your doctor how often you need an ECG; a 2D echo is usually ordered for symptoms or risk factors |
| 50+ | Ask your doctor how often you need an ECG and whether a 2D echo or stress test is needed |
Indications for Immediate Testing
Get an ECG and 2D echo (or see a cardiologist) immediately if you have:
- Chest pain (especially with exertion)
- Shortness of breath (especially when lying flat or with exertion)
- Palpitations (irregular or fast heartbeat sensations)
- Fainting or near-fainting episodes
- Unusual fatigue that is not relieved by rest
- Swelling of the legs, ankles, or feet
- Previous heart attack or heart surgery
High-Risk Factors
More frequent cardiac screening is recommended if you have:
- Hypertension (high blood pressure)
- Diabetes
- High cholesterol
- Smoking history
- Family history of heart disease before age 55 (men) or 65 (women)
- Obesity
- Sedentary lifestyle
Frequently Asked Questions
Is an ECG enough, or do I need a 2D echo too?
An ECG is a good basic screening test and is sufficient for most young adults without symptoms. A 2D echo provides much more detailed information about heart structure and function — it is recommended for adults 40+, those with symptoms, hypertension, diabetes, or family history of heart disease. For comprehensive cardiac screening, both tests together provide the best picture.
Does ECG or 2D echo hurt?
Neither test causes any pain. Both are non-invasive. An ECG involves sticking small patches to your skin — you may feel a slight tug when they are removed. A 2D echo involves a gel and a transducer moved across your chest — this may feel slightly cold or firm but is not painful.
How do I prepare for these tests?
- ECG: No preparation needed. Wear comfortable clothing that allows easy access to your chest.
- 2D Echo: No preparation needed. Wear clothing that is easy to remove from the upper body.
- Treadmill stress test: Wear comfortable exercise clothes and shoes. Follow your facility's instructions. Hi-Precision's guide, for example, says no food or drink for at least 4 hours before, and no caffeine, alcohol, or smoking on the day of the test. Some medications may need to be withheld, so ask your doctor.
How long do results take?
- ECG: Results are typically available immediately. A cardiologist's interpretation may take a few hours to 1 day.
- 2D Echo: Results are usually available within 1-3 days after the study.
Can I drive or work after these tests?
Yes. ECG and 2D echo are non-invasive and have no downtime. You can resume normal activities immediately.
Is the Philippine Heart Center only for heart patients?
No. The Philippine Heart Center is a government specialty hospital that provides cardiac services to all patients — both those with diagnosed heart disease and those seeking routine screening. Call the hospital to confirm its current rates and whether you need a doctor's request or referral before you go.
Are there any risks with these tests?
ECG and 2D echo are extremely safe with virtually no risks. Treadmill stress tests carry a very small risk of triggering cardiac events in patients with severe coronary disease — this is why they are performed under medical supervision. Transesophageal echo has slightly more risks (minor throat discomfort, very rare esophageal injury) but is still generally very safe.
Conclusion
ECG and 2D echo are among the most valuable cardiac screening tests available, and they are more affordable than most people realize. A basic ECG at ₱200-₱600 and a 2D echo at about ₱2,800-₱3,450 at a government hospital, based on the published rates of Jose B. Lingad Memorial and PGH, can provide comprehensive insight into your heart health.
Budget option: A government hospital such as Philippine General Hospital or Jose B. Lingad Memorial. ECG ₱200-₱591, 2D echo ₱2,800-₱3,450 (published rates).
Best value: Hi-Precision Diagnostics or similar diagnostic centers. ECG ₱450-₱700, 2D echo ₱2,500-₱3,800 (estimates, not published rates). Many branches nationwide.
Premium option: Makati Medical Center publishes ECG ₱1,130-₱2,250 and 2D echo ₱9,750-₱17,600 (as of March 4, 2026). We could not verify published ECG or 2D echo prices for The Medical City or St. Luke's.
Pro tip: If you are 40+ or have any cardiac risk factors, include ECG and 2D echo in your annual physical exam. Most executive APE packages bundle these tests at a discount. Early detection of heart disease is one of the most important preventive health measures a Filipino can take. Browse diagnostic centers and hospitals on ClinicFinderPH to find cardiac screening near you.