| 1 |
Kimia Darah |
Glukosa Puasa |
Rp. 40.000, |
| 2 |
Kimia Darah |
Glukosa 2 Jam PP |
Rp. 40.000, |
| 4 |
Kimia Darah |
Glukosa Sewaktu |
Rp. 40.000, |
| 5 |
Kimia Darah |
Ureum |
Rp. 65.000, |
| 6 |
Kimia Darah |
Creatinin |
Rp. 65.000, |
| 7 |
Kimia Darah |
Asam Urat |
Rp. 47.500, |
| 8 |
Kimia Darah |
SGOT |
Rp. 55.000, |
| 9 |
Kimia Darah |
SGPT |
Rp. 55.000, |
| 10 |
Kimia Darah |
Bilirubin Total |
Rp. 65.000, |
| 11 |
Kimia Darah |
Bilirubin Direct |
Rp. 65.000, |
| 12 |
Kimia Darah |
Bilirubin Indirect |
Rp. 50.000, |
| 13 |
Kimia Darah |
Protein Total |
Rp. 50.000, |
| 14 |
Kimia Darah |
Albumin |
Rp. 50.000, |
| 15 |
Kimia Darah |
Globulin |
Rp. 35.000, |
| 16 |
Kimia Darah |
Alkali Phospatase |
Rp. 60.000, |
| 17 |
Kimia Darah |
Cholesterol |
Rp. 55.000, |
| 18 |
Kimia Darah |
HDL Cholesterol |
Rp. 70.000, |
| 19 |
Kimia Darah |
LDL Cholesterol |
Rp. 75.000, |
| 20 |
Kimia Darah |
Trigliserida |
Rp. 55.000, |
| 21 |
Kimia Darah |
Gamma GT |
Rp. 65.000, |
| 22 |
Kimia Darah |
Glukosa metode POCT |
Rp. 35.000, |
| 23 |
Kimia Darah |
Kalium |
Rp. 80.000, |
| 24 |
Kimia Darah |
Natrium |
Rp. 80.000, |
| 25 |
Kimia Darah |
Calsium |
Rp. 80.000, |
| 26 |
Kimia Darah |
Chlorida |
Rp. 58.800, |
| 27 |
Kimia Darah |
Magnesium |
Rp. 100.000, |
| 28 |
Kimia Darah |
HBA1C |
Rp. 175.000, |
| 29 |
Kimia Darah |
D-Dimmer |
Rp. 600.000, |
| 30 |
Kimia Darah |
Vit D |
Rp. 400.000, |
| 31 |
Hematologi |
Hemoglobin |
Rp. 18.500, |
| 32 |
Hematologi |
Hitung Jumlah Lekosit |
Rp. 18.500, |
| 33 |
Hematologi |
Hitung Jenis Lekosit |
Rp. 18.500, |
| 34 |
Hematologi |
Laju Endap Darah |
Rp. 15.000, |
| 35 |
Hematologi |
Hematokrit |
Rp. 18.500, |
| 36 |
Hematologi |
Waktu Pendarahan/BT |
Rp. 17.000, |
| 37 |
Hematologi |
Waktu Pembekuan/CT |
Rp. 17.000, |
| 38 |
Hematologi |
LE-Sel |
Rp. 110.000, |
| 39 |
Hematologi |
Morfologi darah Tepi |
Rp. 110.000, |
| 40 |
Hematologi |
Golongan Darah + Rhesus |
Rp. 50.000, |
| 41 |
Hematologi |
Hitung Jumlah Eritrosit |
Rp. 23.500, |
| 42 |
Hematologi |
Hitung Jumlah Retikulosit |
Rp. 30.000, |
| 43 |
Hematologi |
Hematology Lengkap (Automatic Hematology Analizer) |
Rp. 90.000, |
| 44 |
Hematologi |
Hitung Jumlah Eosinofil |
Rp. 50.000, |
| 45 |
Hematologi |
PTT (Partial Tromboplastin Time) |
Rp. 105.000, |
| 46 |
Hematologi |
APTT (Activated Partial Tromboplastin Time) |
Rp. 105.000, |
| 47 |
Hematologi |
TIBC (Total Iron Binding Capacity) |
Rp. 175.000, |
| 48 |
Hematologi |
Limposit Plasma Biru |
Rp. 125.000, |
| 49 |
Hematologi |
SI (Serum Iron) |
Rp. 125.000, |
| 50 |
Urinalisa |
Urine Lengkap (Analyzer) |
Rp. 17.500, |
| 51 |
Urinalisa |
Sedimen Urine |
Rp. 12.500, |
| 52 |
Urinalisa |
BD Urine |
Rp. 12.500, |
| 53 |
Urinalisa |
Darah Samar |
Rp. 12.500, |
| 54 |
Urinalisa |
Fisik (Vol, Bau, Warna, Kekeruhan) |
Rp. 20.000, |
| 55 |
Urinalisa |
Tes Kehamilan |
Rp. 30.000, |
| 56 |
Urinalisa |
Protein Esbach |
Rp. 30.000, |
| 58 |
Imunoserologi |
NS 1 |
Rp. 650.000, |
| 59 |
Imunoserologi |
HCV (Kualitatif) |
Rp. 100.000, |
| 60 |
Imunoserologi |
Rheumatoid Factor |
Rp. 85.000, |
| 61 |
Imunoserologi |
C. Reactive Protein |
Rp. 85.000, |
| 62 |
Imunoserologi |
Asto |
Rp. 85.000, |
| 63 |
Imunoserologi |
Widal |
Rp. 65.000, |
| 64 |
Imunoserologi |
RPR / VDRL |
Rp. 80.000, |
| 65 |
Imunoserologi |
TPHA |
Rp. 100.000, |
| 66 |
Imunoserologi |
HbsAg |
Rp. 175.000, |
| 67 |
Imunoserologi |
Anti HbsAg (Kuantitatif) |
Rp. 400.000, |
| 68 |
Imunoserologi |
HbsAg Titter |
Rp. 225.000, |
| 69 |
Imunoserologi |
Anti HbsAg Titter |
Rp. 225.000, |
| 70 |
Imunoserologi |
Anti Hbc Total |
Rp. 500.000, |
| 71 |
Imunoserologi |
Anti Hbe |
Rp. 800.000, |
| 72 |
Imunoserologi |
Anti HAV Total |
Rp. 600.000, |
| 73 |
Imunoserologi |
Anti HIV |
Rp. 300.000, |
| 74 |
Imunoserologi |
Vidas HIV Duo Utra |
Rp. 127.500, |
| 75 |
Imunoserologi |
T-3 |
Rp. 250.000, |
| 76 |
Imunoserologi |
T-4 |
Rp. 255.000, |
| 77 |
Imunoserologi |
TSH-s |
Rp. 250.000, |
| 78 |
Mikrobiologi Kultur |
Urine |
Rp. 150.000, |
| 79 |
Mikrobiologi Kultur |
Sekret |
Rp. 150.000, |
| 80 |
Mikrobiologi Kultur |
Darah |
Rp. 165.000, |
| 81 |
Mikrobiologi Kultur |
Pus |
Rp. 150.000, |
| 82 |
Mikrobiologi Kultur |
Gaal |
Rp. 165.000, |
| 83 |
Mikrobiologi Kultur |
LCS |
Rp. 165.000, |
| 84 |
Mikrobiologi Kultur |
Faeces |
Rp. 143.300, |
| 85 |
Mikrobiologi Kultur |
Jamur (Kerokan Kulit) |
Rp. 123.200, |
| 86 |
Mikrobiologi Kultur |
Rectal Swab Kultur per spesies (Salmonela/Shigella/Vibrio) |
Rp. 170.000, |
| 87 |
Mikrobiologi Kultur |
Corynebacterium Diphteri (Swab Tenggorok) |
Rp. 165.000, |
| 88 |
Mikrobiologi Kultur |
BTA / M.TBC |
Rp. 350.000, |
| 89 |
Mikrobiologi Kultur |
Specimen Lainnya |
Rp. 150.000, |
| 90 |
Mikrobiologi Kultur |
Identifikasi Per Species |
Rp. 100.000, |
| 91 |
Mikrobiologi Sensitivitas |
DST (Sensitivitas MTBC) |
Rp. 1.600.000, |
| 92 |
Mikrobiologi Sensitivitas |
Sensitivitas |
Rp. 150.000, |
| 93 |
Mikrobiologi Mikroskopis |
Faeces Lengkap |
Rp. 20.000, |
| 94 |
Mikrobiologi Mikroskopis |
Sekret Vagina/Urethra |
Rp. 45.500, |
| 95 |
Mikrobiologi Mikroskopis |
Trichomonas |
Rp. 20.000, |
| 96 |
Mikrobiologi Mikroskopis |
Sel Ragi |
Rp. 20.000, |
| 97 |
Mikrobiologi Mikroskopis |
Cat Gram |
Rp. 20.000, |
| 98 |
Mikrobiologi Mikroskopis |
Mycobaterium Leprae (ZN) |
Rp. 20.000, |
| 99 |
Mikrobiologi Mikroskopis |
Sputum BTA (ZN) |
Rp. 20.000, |
| 100 |
Mikrobiologi Mikroskopis |
Corrynebacterium diphteriae (Neisser) |
Rp. 20.000, |
| 101 |
Mikrobiologi Mikroskopis |
Malaria (Giemsa) |
Rp. 20.000, |
| 102 |
Mikrobiologi Mikroskopis |
Filaria (Giemsa) |
Rp. 20.000, |
| 103 |
Mikrobiologi Mikroskopis |
Benzidine Test |
Rp. 20.000, |
| 104 |
Mikrobiologi Mikroskopis |
Specimen Lainnya |
Rp. 20.000, |
| 105 |
Mikrobiologi Mikroskopis |
Pembacaan Kroscek (Program Pemerintah) |
Rp. 4.000, |
| 106 |
Biologi Molekuler |
PCR MTBC |
Rp. 595.000, |
| 107 |
Biologi Molekuler |
PCR Salmonella |
Rp. 595.000, |
| 108 |
Biologi Molekuler |
PCR Flu Burung / Flu Babi |
Rp. 595.000, |
| 109 |
Biologi Molekuler |
Swab PCR Covid |
Rp. 190.000, |
| 110 |
Biologi Molekuler |
Biosaliva PCR Covid |
Rp. 350.000, |
| 111 |
Biologi Molekuler |
DNA Babi (Uji Halal) |
Rp. 1.900.000, |
| 112 |
Tuberkolosis |
Kultur TBC (MTBC) |
Rp. 350.000, |
| 113 |
Tuberkolosis |
DST(MTBC) |
Rp. 1.600.000, |
| 114 |
Radiologi |
FOTO THORAX AP/IPA |
Rp. 125.000, |
| 115 |
Radiologi |
FOTO THORAX LATERAL |
Rp. 125.000, |
| 116 |
Radiologi |
FOTO BNO/ABDOMEN AP |
Rp. 121.000, |
| 117 |
Radiologi |
FOTO BNO/ABDOMEN LATERAL |
Rp. 121.000, |
| 118 |
Radiologi |
FOTO WAITERS |
Rp. 131.500, |
| 119 |
Radiologi |
FOTO SHEDELL LATERAL |
Rp. 131.500, |
| 120 |
Radiologi |
FOTO COLUMA VERTEBRAE AP |
Rp. 131.500, |
| 121 |
Radiologi |
FOTO COLUMA VERTEBRAE LAT |
Rp. 131.500, |
| 122 |
Radiologi |
FOTO AP/LATERAL EXTREMITAS /EXPOSURE |
Rp. 104.000, |
