Raspa Price in the Philippines (2026): D&C Hospital Costs & PhilHealth
Quick answer: The raspa price in the Philippines depends on the hospital, procedure, anesthesia and accommodation. Published private hospital prices range from ₱22,000 to ₱27,000 for a D&C surgical estimate (excluding doctors’ professional fees) at Holy Name University Medical Center, and ₱40,500 to ₱57,500 for D&C packages at De Los Santos Medical Center.
At government-run Dr. Jose Fabella Memorial Hospital, a minor curettage procedure fee is listed at ₱1,755, but this is not an all-inclusive hospital bill. Eligible patients may also benefit from PhilHealth’s updated ₱36,500 D&C hospital benefit in 2026.
When Raspa Needed
Raspa, medically called dilation and curettage (D&C), removes tissue from inside the uterus. An OB-GYN may recommend it after certain miscarriages when pregnancy tissue remains, or to investigate abnormal uterine bleeding.
It can also be used to collect tissue for laboratory examination, including when an abnormal uterine lining needs further evaluation. However, not every miscarriage requires raspa, and other treatment options may be appropriate depending on the patient’s condition.
Raspa Price List in the Philippines
Here are actual published hospital charges and package prices reviewed in October 2026.
| Hospital / Procedure | Published Price | Important Note |
|---|---|---|
| Dr. Jose Fabella Memorial Hospital, Manila | ₱1,755 | Minor curettage procedure fee only |
| Holy Name University Medical Center, Bohol | ₱22,000–₱27,000 | Surgical estimate, excluding doctors’ professional fees |
| De Los Santos Medical Center, gynecologic D&C, outpatient | ₱40,500 | Closed package |
| De Los Santos Medical Center, obstetric D&C, outpatient | ₱41,000 | Closed package |
| De Los Santos Medical Center, gynecologic D&C, ward | ₱46,200 | Closed package |
| De Los Santos Medical Center, obstetric D&C, ward | ₱49,000 | Closed package |
| De Los Santos Medical Center, gynecologic D&C, small private room | ₱53,300 | Closed package |
| De Los Santos Medical Center, obstetric D&C, small private room | ₱57,500 | Closed package |
Important: These are published rates, not a nationwide average. The Fabella amount is a procedure only fee; Holy Name’s estimate excludes professional fees, and De Los Santos publishes broader hospital packages. They should not be treated as identical types of prices.
Some older Philippine price guides report D&C costs around ₱20,000–₱67,000, while individual patients have reported higher bills. These figures can help explain why families encounter different quotations, but they are less reliable for current budgeting than prices published directly by hospitals.
Actual Raspa Prices at Private Hospitals
De Los Santos Medical Center
De Los Santos Medical Center in Quezon City publishes separate packages for obstetric D&C and gynecologic D&C.
| Accommodation | Obstetric D&C | Gynecologic D&C |
|---|---|---|
| Outpatient | ₱41,000 | ₱40,500 |
| Ward | ₱49,000 | ₱46,200 |
| Small private room | ₱57,500 | ₱53,300 |
The published packages include operating room services, medical supplies, anesthesia services, recovery room use and the professional fees of the OB-GYN and anesthesiologist. Admitted patients also receive one day of room accommodation under the applicable package.
This is useful when comparing prices because the doctor’s and anesthesiologist’s fees are often substantial components of a surgical bill.
What about the hospital’s after-PhilHealth prices?
The hospital website also displays estimated cash-out amounts after PhilHealth. For example, its obstetric outpatient D&C package shows a ₱41,000 package and ₱19,550 cash-out.
However, those displayed figures reflect a ₱21,450 difference, rather than the updated 2026 D&C benefit of ₱36,500.
Therefore, the online cash-out figures should not automatically be used as the amount a patient will pay today. Ask the hospital to calculate the current bill using the applicable PhilHealth code and the latest billing rules.
Holy Name University Medical Center
Holy Name University Medical Center in Tagbilaran City, Bohol, published an updated surgery price list in May 2026. Its estimated price for dilation and curettage is ₱22,000 to ₱27,000, excluding doctors’ professional fees.
This means the total amount may be higher once the OB-GYN, anesthesiologist and other applicable charges are included. Before comparing this estimate with another hospital’s package, ask for an itemized quotation that includes the complete surgical team and required services.
What About Makati Medical Center and Other Private Hospitals?
Older Philippine price guides have reported D&C bills of approximately ₱67,100 at Makati Medical Center, ₱30,000 at Divine Grace Medical Center and ₱20,000 at De Los Santos Medical Center.
These are historical secondary source figures, not current hospital-confirmed quotations. In particular, the older De Los Santos estimate is substantially different from the hospital’s currently published packages.
For 2026 budgeting, prioritize a fresh quotation from the hospital rather than assuming an older online price remains available.
For a future pregnancy, the usual prenatal checks apply again. You can check the CAS ultrasound cost when you plan that budget.
Magkano ang Raspa sa Public Hospital?
Government hospitals may offer more affordable care, particularly for eligible patients receiving covered treatment in basic or ward accommodation. However, a low published procedure fee does not necessarily represent the complete bill.
Dr. Jose Fabella Memorial Hospital
Dr. Jose Fabella Memorial Hospital in Manila publishes a charge of ₱1,755 for a minor curettage case. Its listed category includes D&C and certain other curettage procedures.
This is an individual procedure charge, not a complete quotation for the OB-GYN, anesthesia, laboratory tests, medications and other possible services. The publicly available rate listing does not clearly establish a current all-in patient price.
For an accurate estimate, ask the hospital about your patient classification, PhilHealth eligibility and whether admission is necessary.
Public vs. Private Hospital Raspa Costs
| Consideration | Public Hospital | Private Hospital |
|---|---|---|
| Price information | May list individual procedure charges | May publish complete packages |
| Accommodation | Basic or ward care commonly available | Outpatient, ward and private-room options |
| Professional fees | Depend on the care arrangement and billing rules | May be included or billed separately |
| PhilHealth | Available for qualifying care at accredited hospitals | Also available at accredited private hospitals |
| Financial assistance | Hospital social services and government assistance may be available | Depends on the facility and program |
| Final cash-out | Depends on coverage and eligible services | Depends on coverage, package and accommodation |
The lowest advertised procedure fee is not necessarily the lowest final patient payment.
For patients whose care qualifies under the updated PhilHealth rules, the type of accommodation and the hospital’s billing arrangements can matter more than the published procedure price.
In a next pregnancy, routine screening returns, including glucose testing. You can check the OGTT price for that stage.
Raspa Price With PhilHealth in 2026
PhilHealth expanded its benefits for selected maternal and gynecologic hospital services through Circular No. 2026-0005, effective April 30, 2026. The updated schedule includes:
| Procedure | PhilHealth Code | Benefit Rate |
|---|---|---|
| Dilation and curettage (D&C) | 58120 | ₱36,500 |
| Surgical treatment of incomplete pregnancy loss | 59812 | ₱24,000 |
| Manual vacuum aspiration for spontaneous pregnancy loss | 59814 | ₱21,450 |
| Endometrial sampling or biopsy | 58100 | ₱31,500 |
These amounts are PhilHealth benefit rates, not hospital cash prices or guaranteed cash refunds to patients.
The correct benefit depends on the procedure performed, the applicable code, eligibility and the hospital’s claims arrangements.
Why the PhilHealth Procedure Code Matters
In everyday Filipino conversation, raspa may refer to different procedures involving removal of tissue from the uterus. However, the medical and billing classifications are not always identical.
For example, a D&C performed to evaluate abnormal uterine bleeding may be billed under a different procedure code from surgical management of an incomplete miscarriage.
The official PhilHealth schedule uses the term incomplete abortion for one procedure category. In clinical terminology, this can include spontaneous pregnancy loss, commonly called miscarriage.
Ask the hospital’s PhilHealth desk which procedure code applies to your treatment rather than assuming every raspa qualifies for the same benefit.
Is Raspa Free With PhilHealth?
Eligible patients admitted to basic or ward accommodation for covered services at participating PhilHealth-accredited hospitals may have no co-payment for those covered services under the updated policy.
This is an important improvement for patients who need medically necessary hospital care. However, it does not mean every raspa procedure is automatically free under all circumstances. The following can affect billing:
- Whether the procedure qualifies for the benefit
- The correct diagnosis and procedure code
- PhilHealth eligibility and hospital accreditation
- Whether the care is inpatient or outpatient
- The selected accommodation
- Whether services outside the covered standard are requested
Private-room upgrades or other chargeable services may affect the final amount. If the hospital provides a ward-admission quotation with an additional patient payment, ask its PhilHealth desk to explain how the current no-co-payment policy applies.
Can You Simply Deduct ₱36,500 From the Hospital Bill?
Not necessarily. For example, suppose a hospital advertises a ₱50,000 D&C package. Subtracting ₱36,500 would produce a mathematical difference of ₱13,500. But that is not a reliable prediction of the patient’s final cash-out.
The hospital must apply the correct benefit, eligibility rules, accommodation policy and applicable billing restrictions. For qualifying covered ward care, the no-co-payment policy may mean that the patient does not pay that mathematical difference.
For other arrangements, the hospital must provide the applicable calculation. Best approach: Request a written estimate showing the hospital’s charges, PhilHealth benefit and actual patient cash-out.
Why Do Some Websites Still Show ₱21,450?
Some older D&C guides and hospital package calculations use ₱21,450, reflecting a previous D&C benefit. The updated 2026 D&C rate for code 58120 is ₱36,500.
However, ₱21,450 is also the current listed benefit for a separate procedure: manual vacuum aspiration for spontaneous pregnancy loss. The correct amount depends on the procedure code, not merely the term raspa.
Official source: PhilHealth Circular No. 2026-0005
What Is Included in a Raspa Hospital Bill?
A D&C quotation may cover only the procedure itself or a more complete hospital package.
| Possible Charge | What It Covers |
|---|---|
| OB-GYN professional fee | Doctor performing the procedure |
| Anesthesiologist fee | Assessment and administration of anesthesia |
| Operating room | Surgical facility, equipment and personnel |
| Anesthesia supplies | Medicines and equipment used for anesthesia |
| Medical supplies | Instruments and consumables |
| Recovery room | Monitoring after the procedure |
| Room accommodation | Ward or private room, if admitted |
| Laboratory tests | CBC, blood typing or other tests when needed |
| Ultrasound | Imaging used to assess the uterus |
| Histopathology | Laboratory examination of removed tissue when requested |
| Take-home medicines | Medicines prescribed after discharge |
| Follow-up consultation | Review of symptoms, recovery or test results |
De Los Santos Medical Center’s published D&C packages include the OB-GYN and anesthesiologist professional fees, while Holy Name University Medical Center’s published surgical estimate excludes professional fees.
That difference alone explains why comparing headline prices without checking inclusions can be misleading.
Is Histopathology Included?
Not always. Histopathology means examining removed tissue under a microscope. It may be requested when the procedure is performed for abnormal uterine bleeding, a suspected uterine lining problem or another medical indication.
Ask whether tissue examination is necessary in your case and whether the laboratory fee is included in the package.
Is Raspa Always Needed After a Miscarriage?
No. A miscarriage does not automatically mean a patient needs D&C. An OB-GYN may consider different approaches depending on the pregnancy stage, ultrasound findings, bleeding, infection risk and overall condition.
| Treatment Approach | What Happens | Possible Costs |
|---|---|---|
| Expectant management | Waiting for pregnancy tissue to pass under medical supervision | Consultations, ultrasound and follow-up |
| Medical management | Prescribed medication helps the uterus empty | Medicines, medical assessment and follow-up |
| Manual vacuum aspiration (MVA) | Tissue is removed using suction | Procedure, pain control and facility fees |
| D&C | Tissue is removed using the planned surgical technique | Hospital, anesthesia and professional fees |
A patient with an uncomplicated early pregnancy loss may have more than one medically appropriate option. However, significant bleeding, infection or an unstable condition may require urgent treatment.
The safest option is determined by clinical needs, not simply by the advertised price.
D&C vs. Manual Vacuum Aspiration
Manual vacuum aspiration uses a handheld suction device to remove tissue from the uterus. In appropriately selected cases, it can be performed with different anesthesia and facility arrangements from those used for some D&C procedures.
However, not every patient is suitable for MVA. The distinction also matters financially because PhilHealth lists separate benefit codes for the procedures. Before paying for a package, ask whether the planned treatment is D&C, MVA or another uterine evacuation procedure.
Some couples who go through a pregnancy loss later consider fertility treatment. If that is your path, you can look at the IVF cost in the Philippines to understand the budget involved.
What Happens During Raspa?
Dilation and curettage is generally performed by an OB-GYN in a hospital or appropriately equipped healthcare facility. The process usually includes:
- Assessment: The doctor reviews the patient’s symptoms, medical history and relevant test results.
- Preparation: The patient receives instructions about medicines, eating or drinking before anesthesia and other preparations.
- Anesthesia or pain control: The appropriate method is administered.
- Procedure: The cervix is opened when necessary, and tissue is removed from the uterus using the selected technique.
- Recovery: The patient is monitored for bleeding, pain and anesthesia-related effects before discharge or transfer to a hospital room.
The procedure itself can be relatively brief, but the overall hospital visit is longer because of preparation, anesthesia and recovery monitoring.
Is Raspa Painful?
Pain control depends on the technique and anesthesia used. Some patients receive sedation or general anesthesia, while others undergo suitable procedures using local or regional anesthesia.
Cramping and light bleeding can occur afterward. Ask the OB-GYN and anesthesiologist what level of discomfort to expect and what pain relief will be provided.
How Long Is the Hospital Stay?
Many uncomplicated D&C procedures are performed as day surgery. Some patients go home the same day, while others need overnight admission or longer monitoring.
The length of stay depends on the medical reason for the procedure, anesthesia, bleeding and other health concerns.
Recovery After Raspa
After an uncomplicated D&C, some patients experience mild cramps and light vaginal bleeding or spotting. Recovery varies, and patients should follow their hospital’s specific discharge instructions.
A clinician may advise temporarily avoiding vaginal intercourse, tampons or certain activities while healing. Ask when to return for follow-up and whether any laboratory results need to be reviewed.
Warning Signs After Raspa
Seek urgent medical attention if you experience:
- Heavy bleeding, especially when soaking pads rapidly
- Severe or worsening abdominal pain
- Fever
- Fainting or significant dizziness
- Foul-smelling vaginal discharge
- Marked weakness or other symptoms of significant blood loss
These symptoms may indicate complications that require prompt assessment. If heavy bleeding, fainting or severe pain occurs before a scheduled procedure, seek emergency care rather than waiting for a cheaper appointment.
Can You Get Pregnant Again After Raspa?
Many patients can become pregnant again after an uncomplicated D&C. However, complications are possible, including infection or, rarely, scar tissue inside the uterus.
The appropriate timing for attempting another pregnancy depends on the reason for the procedure and individual recovery. Discuss fertility concerns and follow-up care with your OB-GYN.
How to Reduce Raspa Costs in the Philippines
Ask About Covered Ward Care
For patients eligible under the 2026 PhilHealth rules, qualifying basic or ward hospital care may have no co-payment for covered services. Ask the hospital to explain this before choosing a room or paying a deposit, when the situation is not an emergency.
Consider a Government Hospital
Government hospitals may provide lower-cost services and access to hospital social workers. However, availability, admission arrangements and total billing depend on the facility.
If urgent care is required, go to an appropriate emergency department rather than delaying treatment to compare prices.
Ask About Malasakit Center and Other Assistance
Patients with financial difficulty can ask the hospital’s social service department about programs such as:
- Malasakit Centers
- DSWD medical assistance
- PCSO medical assistance
- Local government medical assistance
Eligibility, required documents and available assistance differ by program. These programs do not guarantee payment of every hospital expense.
Check HMO Coverage Before an Elective Procedure
An HMO may cover some medically necessary gynecologic procedures, depending on the plan. However, maternity-related exclusions, pregnancy-loss provisions, preauthorization and benefit limits may apply.
Ask whether the particular diagnosis, hospital, OB-GYN and anesthesia services are covered. A hospital accepting your HMO card does not automatically mean your D&C is included.
Ask About Senior Citizen or PWD Benefits
Eligible senior citizens and persons with disabilities may receive applicable statutory discounts and VAT exemptions on qualifying medical services. These benefits can be particularly relevant when D&C is recommended for abnormal uterine bleeding or endometrial evaluation.
The final billing calculation must account for applicable PhilHealth rules and any existing no-co-payment protection.
Frequently Asked Questions
Magkano ang raspa sa Pilipinas?
Published examples include ₱22,000–₱27,000 excluding professional fees at Holy Name University Medical Center and ₱40,500–₱57,500 for selected D&C packages at De Los Santos Medical Center. The final amount depends on the facility, treatment and PhilHealth eligibility.
Magkano ang raspa sa public hospital?
Dr. Jose Fabella Memorial Hospital lists a ₱1,755 minor curettage procedure fee, but this is not a complete hospital bill. Eligible patients receiving covered basic or ward care may have no co-payment under the updated PhilHealth rules.
Magkano ang raspa with PhilHealth?
The 2026 PhilHealth benefit for D&C code 58120 is ₱36,500. The patient’s actual cash-out depends on the applicable procedure, admission and billing rules. Do not assume it is always calculated by simply subtracting ₱36,500 from a package price.
Magkano ang raspa without PhilHealth?
The amount depends on the hospital and whether the quotation includes professional fees. Published private-hospital examples range from ₱22,000–₱27,000 excluding professional fees to ₱40,500–₱57,500 for broader packages. These are examples rather than a national price range.
Libre ba ang raspa sa government hospital?
Qualifying covered basic or ward hospital care may have no co-payment under PhilHealth’s 2026 policy. However, not every patient, procedure or service arrangement automatically qualifies. Ask the hospital’s PhilHealth desk to confirm.
Is raspa always required after a miscarriage?
No. Depending on the patient’s condition, observation, medication, MVA or D&C may be considered. An OB-GYN should determine which options are appropriate.
How many days will I stay in the hospital after raspa?
Some patients go home the same day. Others require overnight admission or additional monitoring because of bleeding, infection, anesthesia or other medical concerns.
Is raspa painful?
Appropriate anesthesia or pain control is used for the planned procedure. Cramping and spotting may occur afterward, and recovery experiences vary.
Can I get pregnant after raspa?
Many patients can conceive after an uncomplicated D&C. Rare complications can affect fertility, so discuss concerns and recovery with your OB-GYN.
Does PhilHealth cover raspa after miscarriage?
PhilHealth lists several relevant procedures, including D&C and surgical management of incomplete pregnancy loss, under separate codes. The hospital must determine the correct benefit based on the actual treatment and claim requirements.
How CareCostPH Checked These Prices
CareCostPH reviewed publicly available hospital price schedules, private-hospital package listings and official PhilHealth information on October 14, 2026.
The price examples were classified according to what they represent:
- Procedure-only charge: A fee for an individual hospital service, not the full bill.
- Surgical estimate excluding professional fees: A partial estimate that may require additional payments.
- Closed hospital package: A published package covering specified services and professional fees.
- PhilHealth benefit: A reimbursement rate under an applicable benefit package, not a cash price or guaranteed refund.
Historical price-guide estimates were not used as current hospital-confirmed quotations.
Prices are for general information and can change. Confirm current charges, package inclusions and PhilHealth eligibility with the hospital. Treatment decisions should be made with a qualified OB-GYN.
Before Booking Raspa: Questions to Ask the Hospital
- What is the exact procedure recommended: D&C, MVA or another treatment?
- Is the procedure medically necessary now, or are other options appropriate?
- Is the quotation a complete package or only a surgical fee?
- Are the OB-GYN and anesthesiologist professional fees included?
- What type of anesthesia will be used?
- Are ultrasound, blood tests and histopathology included when needed?
- Will I be admitted or discharged the same day?
- Which PhilHealth procedure code applies?
- Does the 2026 no-co-payment rule apply to my admission?
- Is the quoted PhilHealth cash-out based on the updated benefit?
- Does my HMO cover the procedure?
- Can hospital social services help if I cannot afford the remaining eligible expenses?
You can ask the billing department:
“Magkano po ang total raspa package kasama ang OB-GYN, anesthesiologist, gamot, at laboratory tests? Covered po ba ito ng bagong PhilHealth benefit? May cash-out po ba kung ward ang accommodation?”
Requesting a written, itemized quotation is the best way to understand what the hospital will charge and what you may actually need to pay.
