| Paket Pemeriksaan |
Kelas |
Tarif Laborat |
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| Creatine Kinase-MB (CKMB) |
- |
Rp. 275.000,- |
| Serumen Glutamic Oxaloacetic Transaminase (SGOT) |
- |
Rp. 45.000,- |
| Bilirubin Direk |
- |
Rp. 35.000,- |
| Bilirubin Total |
- |
Rp. 35.000,- |
| International Normalized Ratio (INR) |
- |
Rp. 150.000,- |
| Activated Partial Trombolpastin (APTT) |
- |
Rp. 120.000,- |
| Prothrombin Time (PT) |
- |
Rp. 150.000,- |
| Waktu Pembekuan |
- |
Rp. 15.000,- |
| Waktu Pendarahan |
- |
Rp. 15.000,- |
| Malaria Rapid 25S |
- |
Rp. 150.000,- |
| Serum Pyruric Oxaloacetic (SGPT) |
- |
Rp. 45.000,- |
| Alkali Fostafase |
- |
Rp. 65.000,- |
| Protein Total |
- |
Rp. 35.000,- |
| Low Density Lipoprotein (LDL) Cholesterol (Manual) |
- |
Rp. 50.000,- |
| High Density Lipoprotein (HDL) Cholesterol |
- |
Rp. 60.000,- |
| Total Cholesterol |
- |
Rp. 45.000,- |
| Triglycerid |
- |
Rp. 50.000,- |
| Glukosa Rapid |
- |
Rp. 35.000,- |
| Glukosa Sewaktu |
- |
Rp. 30.000,- |
| Glukosa 2 jam PP |
- |
Rp. 30.000,- |
| Glukosa Puasa |
- |
Rp. 30.000,- |
| Albumin |
- |
Rp. 45.000,- |
| Filaria (Mikroskopik) |
- |
Rp. 70.000,- |
| Malaria (Mikroskopik) |
- |
Rp. 70.000,- |
| Golongan Darah ABO + Rhesus |
- |
Rp. 35.000,- |
| Cek Kultur |
- |
Rp. 225.000,- |
| Rapid Antigen |
- |
Rp. 75.000,- |
| SWAB PCR |
- |
Rp. 300.000,- |
| Combtest |
- |
Rp. 250.000,- |
| Eosinofil |
- |
Rp. 65.000,- |
| Retikulosit (Hematologi Rutin (HR) + Retik) |
- |
Rp. 75.000,- |
| Gambaran Sumsum Tulang |
- |
Rp. 135.000,- |
| Gambaran Darah Tepi |
- |
Rp. 125.000,- |
| Laju Endap Darah (LED) |
- |
Rp. 35.000,- |
| Diff |
- |
Rp. 70.000,- |
| Hematologi Lengkap (HL) = Hematologi Rutin (HR) + Diff + LED |
- |
Rp. 90.000,- |
| Hematologi Rutin (HR) |
- |
Rp. 70.000,- |
| A.D.A |
- |
Rp. 576.000,- |
| Laktat Dehidrogenase (LDH) |
- |
Rp. 85.000,- |
| Rapid Test Covid-19 |
- |
Rp. 200.000,- |
| Methampheta-mine (MET) Pemeriksaan Narkoba |
- |
Rp. 70.000,- |
| Mariyuana (THC) Pemeriksaan Narkoba |
- |
Rp. 70.000,- |
| Napza 3 Amphetamin, Morpin, THC |
- |
Rp. 210.000,- |
| Napza 1 Parameter |
- |
Rp. 70.000,- |
| BJ |
- |
Rp. 20.000,- |
| Aseton / Keton |
- |
Rp. 20.000,- |
| Bilirubin (Urinalisa) |
- |
Rp. 20.000,- |
| Glukosa (Urinalisa) |
- |
Rp. 20.000,- |
| Protein (Urinalisa) |
- |
Rp. 20.000,- |
| Morphine (MOP)Pemeriksaan Narkoba |
- |
Rp. 70.000,- |
| Cocain Pemeriksaan Narkoba |
- |
Rp. 70.000,- |
| Planotes |
- |
Rp. 30.000,- |
| Papsmear |
- |
Rp. 200.000,- |
| Hitung Jenis Leukosit |
- |
Rp. 70.000,- |
| Feses Rutin |
- |
Rp. 45.000,- |
| Pemeriksaan Globulin |
- |
Rp. 60.000,- |
| Elektrolit |
- |
Rp. 210.000,- |
| HBA 1C |
- |
Rp. 150.000,- |
| Benzidin Test |
- |
Rp. 100.000,- |
| MIKROBIOLOGI KLINIK : BTA SPUTUM (Dari Luar) |
- |
Rp. 60.000,- |
| ANALISA TINJA RUTIN |
- |
Rp. 45.000,- |
| pH (Urinalisa) |
- |
Rp. 20.000,- |
| Urine Rutin (Albumin, Reduksi, Bilirubin, Urobilin, Sedimen) |
- |
Rp. 65.000,- |
| VDRL (Strip) |
- |
Rp. 65.000,- |
| Glukosa (Analisa Cairan Pleura) |
- |
Rp. 35.000,- |
| Protein (Analisa Cairan Pleura) |
- |
Rp. 55.000,- |
| Jumlah Sel (Analisa Cairan Pleura) |
- |
Rp. 40.000,- |
| Calsium (Ca) |
- |
Rp. 50.000,- |
| Chlorida (Cl) |
- |
Rp. 70.000,- |
| Kalium (K) |
- |
Rp. 70.000,- |
| Natrium (Na) |
- |
Rp. 70.000,- |
| Asam Urat |
- |
Rp. 45.000,- |
| Creatinin |
- |
Rp. 40.000,- |
| LDH (Analisa Cairan Pleura) |
- |
Rp. 85.000,- |
| Sel PMN, Rivalta, Sel MN (Paket) |
- |
Rp. 235.000,- |
| Hepatitis B Surface Antigen (HbsAg) Rapid |
- |
Rp. 70.000,- |
| Anti Salmonella Typhii Igm (Tubek TF) |
- |
Rp. 260.000,- |
| Troponin I Enzyme - Linked Fluorescent Assay (ELFA) |
- |
Rp. 285.000,- |
| WIDAL |
- |
Rp. 50.000,- |
| Anti Human Immunodeficiency Virus (HIV) |
- |
Rp. 130.000,- |
| Thyroid Stimulating Hormone Sensitif (TSH Neonatus) |
- |
Rp. 220.000,- |
| Called Thyroxine (T4) |
- |
Rp. 225.000,- |
| T3 |
- |
Rp. 225.000,- |
| Anti HCV / Anti Hepatitis C Virus |
- |
Rp. 170.000,- |
| Anti HBs Rapid/ Antibody Hrpatitis B Surface Antigen |
- |
Rp. 70.000,- |
| Ureum |
- |
Rp. 40.000,- |
| Jaringan Besar ( >5 cm ) 1 Jaringan (5-6 cup) |
Kelas 1 |
Rp. 600.000,- |
| Cairan Abdomen, Pleura, Sikatan & Bilasan Bronkus |
Kelas 1 |
Rp. 450.000,- |
| Jaringan Besar ( >5 cm ), >1 Jaringan (7-8 cup) |
Kelas 1 |
Rp. 800.000,- |
| PAP SMEAR |
Kelas 1 |
Rp. 200.000,- |
| Bajah/ FNAB (>3 Lokasi) |
Kelas 1 |
Rp. 605.000,- |
| Jaringan Kecil ( <2cm, / 1-2 cup) |
Kelas 1 |
Rp. 300.000,- |
| Jaringan Besar ( >5 cm ), >1 Jaringan (7-8 cup) |
Kelas 3 |
Rp. 750.000,- |
| PAP SMEAR |
Kelas 3 |
Rp. 165.000,- |
| Jaringan Kecil ( <2cm, / 1-2 cup) |
Kelas 3 |
Rp. 275.000,- |
| Jaringan Sedang ( <2-5 cm, / 2-4 cup) |
Kelas 3 |
Rp. 450.000,- |