Hey there, congrats on your upcoming arrival! So the snippets you shared are actually in pesos, which looks like a Philippine hospital's pricing, so that's not going to be relevant for TMC here in Singapore, just a heads up! A few of us in my mum circle have delivered at TMC and from what we gathered, for an elective C-section at TMC you'd generally want to budget somewhere in the range of $8,000 to $12,000+ SGD out-of-pocket cash after Medisave deduction, though it really does vary depending on your ward choice, how long baby stays in nursery, and any extras. I'd honestly recommend calling TMC's billing counter directly to ask for an estimated breakdown under Dr Lawrence Ang specifically, since gynae fees do differ and they're usually quite helpful walking you through what Medisave can cover. Some mums in my circle also found it useful to clarify upfront whether the quote includes paediatrician fees for baby, because that can add a meaningful chunk to the final bill!