Ruko Villa Pamulang blok CH8 No. 8 Tanggerang Selatan Banten Indonesia.

Telp (021) 29212807

DAFTAR HARGA DAFTAR HARGA

LABORATORIUM LABORATORIUM
NO. KODE JENIS PEMERIKSAAN HARGA KET. NO. KODE JENIS PEMERIKSAAN HARGA
HEMATOLOGI KIMIA DARAH
DIABETES
1 H01 Darah rutin ( H2TL ) Rp 50,000 1 D01 Glucosa darah puasa Rp 30,000
2 H02 Seri DHF Rp 50,000 2 D02 Gluc. puasa + 2 jam PP Rp 60,000
3 H03 Darah lengkap Rp 60,000 3 D03 Glucosa darah sewaktu Rp 30,000
4 H04 Hemoglobin Rp 30,000 4 D04 Gluc. Kurva harian Rp 60,000
5 H05 Lekosit Rp 30,000 5 D05 GTT ( Puasa 1,2,3 jam ) Rp 120,000
6 H06 Hitung jenis lekosit Rp 30,000 6 D06 HBA1C (Glyco Hb) Rp 190,000
7 H07 LED Rp 30,000 7 D07 Fruktosamin -
8 H08 Hematokrit Rp 30,000 FUNGSI HATI
9 H09 Eritrosit Rp 30,000 8 FH01 Total protein Rp 30,000
10 H10 Trombosit Rp 30,000 9 FH02 Albumin / globulin Rp 50,000
11 H11 MCV,MCH,MCHC Rp 50,000 10 FH03 Bilirubin total Rp 100,000
12 H12 Golongan darah + rh Rp 40,000 11 FH04 Bilirubin direct/Indirect Rp 100,000
13 H13 Rumpel leed Rp 30,000 12 FH05 SGOT Rp 40,000
14 H14 Waktu protrombin Rp 145,000 13 FH06 SGPT Rp 40,000
15 H15 Fibrinogen Rp 185,000 14 FH07 Gamma GT Rp 66,000
16 H16 APTT Rp 185,000 15 FH08 Alkali fosfatase Rp 95,000
17 H17 Trombo Test Owren FUNGSI LEMAK
18 H18 Agregasi trombosit Rp 250,000 16 L01 Total lipid Rp 50,000
19 H19 INR Rp 165,000 17 L02 Cholesterol total Rp 30,000
20 H20 Sel LE Rp 120,000 18 L03 HDL Cholesterol Rp 30,000
21 H21 LE sel Rp 120,000 19 L04 LDL Cholesterol Rp 30,000
22 H22 Ferittin Rp 225,000 20 L05 Trigliserida Rp 35,000
23 H23 Vit B12 Rp 490,000 21 L06 APO-A Rp 320,000
24 H24 Asam Folad Rp 400,000 22 L07 APO-B Rp 279,500
23 L08 TTT Rp 150,000
24 L09 Kunkel -
25 L10 Takata Ara -
26 L11 Bile Acid -
27 L12 Cholinesterase -
28 L13 LDH Rp 130,000
FUNGSI GINJAL
29 FG01 Ureum Rp 41,000
30 FG02 Creatinin Rp 41,000
31 FG03 Urea clearance Rp 82,000
32 FG04 Creatinin clearance Rp 82,000
 33 FG05 Asam urat Rp 30,000
FUNGSI JANTUNG
34 FJ03 CK - Nac Rp 180,000
35 FJ04 CKMB Rp 390,000
36 FJ05 LDH Rp 130,000
37 FJ06 Troponin-T Rp 450,000
38 FJ07 Lipase -
39

DAFTAR HARGA DAFTAR HARGA

LABORATORIUM LABORATORIUM
NO. KODE JENIS PEMERIKSAAN HARGA KET. NO. KODE JENIS PEMERIKSAAN HARGA

ELEKTROLIT URINE
1 El01 Natrium Rp 104,000 1 Ur 01 Urine rutin Rp 40,000
2 El02 Kalium Rp 104,000 2 Ur 02 Urine lengkap Rp 40,000
3 El03 Chlorida Rp 104,000 3 Ur 03 Berat Jenis Reduksi Rp 22,000
4 El04 Calcium total Rp 104,000 4 Ur 04 Reduksi Rp 22,000
5 El05 Magnesium Rp 93,000 5 Ur 05 Protein Rp 22,000
6 El06 Fosfor Organik Rp 70,000 6 Ur 06 Glucosa / reduksi Rp 22,000
7 Ur 07 Keton Rp 22,000
PARASITOLOGI 8 Ur 08 Bilirubin Rp 22,000
12 Par 01 Malaria Rp 58,000 9 Ur 09 Urobilinogen Rp 22,000
13 Par 02 Filaria 10 Ur 10 Sedimen Rp 35,000
14 Par 03 Analisa sperma Rp 167,000 11 Ur 11 Protein kuant(24 jam) Rp 44,000
15 Par 04 Analisa batu ginjal 12 Ur 12 Bence Jones -
13 Ur 13 Kadar Asam Urat -
KADAR OBAT 14 Ur 14 Test kehamilan Rp 40,000
16 KO 01 Amphetamine Rp 80,000
17 KO 02 Benzodiazephine Rp 80,000 FESSES
18 KO 03 Coccaine Rp 80,000 15 Tn 01 Fesses rutin Rp 55,000
19 KO 04 Morphine Rp 80,000 16 Tn 02 Fesses lengkap Rp 60,000
20 KO 05 Marijuana Rp 80,000 17 Tn 03 Pencernaan Rp 98,000
21 KO 06 Metamphetamine Rp 80,000
22 KO 07 Opiat Rp 80,000 HORMON
23 KO 08 Barbiturate Rp 80,000 18 Hr 01 T3 Total Rp 260,000
24 KO 09 Tes Narkoba + HCG Rp 110,000 19 Hr 02 T4 Total Rp 260,000
20 Hr 03 TSHs Rp 265,000
21 Hr 04 FSH Rp 210,000
22 Hr 05 LH Rp 310,000
23 Hr 06 Prolactin Rp 295,000
24 Hr 07 Progesteron Rp 390,000
25 Hr 08 Estrogen -
26 Hr 09 Estriol -
27 Hr 10 Estradiol Rp 390,000
 28 Hr 11 Testoteron Rp 360,000

TEST KHUSUS / lain-lain

31 TKLL01 Papsmear Rp 200,000

DAFTAR HARGA DAFTAR HARGA

LABORATORIUM LABORATORIUM
NO. KODE JENIS PEMERIKSAAN HARGA KET. NO. KODE JENIS PEMERIKSAAN HARGA
BAKTETERIOLOGI
IMUNOLOGI MIKROSKOPIS
1 Im 01 HBSAg Rp 145,000 1 Mik 01 Preparat GRAM Rp 87,000
2 Im 02 Anti HBS Rp 170,000 2 Mik 02 Preparat BTA ( 3X ) Rp 170,000
3 Im 03 HBeAg Rp 397,500 3 Mik 03 Candida Rp 87,000
4 Im 04 Anti Hbe - 4 Mik 04 Trichomonas Rp 87,000
5 Im 05 Anti Hbc Rp 345,000 5 Mik 05 Spora Rp 87,000
6 Im 06 Anti HCV Rp 42,000 6 Mik 06 Filament -
7 Im 07 Anti HAV Total Rp 465,000
8 Im 08 Anti HAV IgM Rp 595,000 KULTUR + RESISTENSI
9 Im 09 CEA - 7 KR 01 Gall kultur Rp 450,000
10 Im 10 AFF - 8 KR 02 BTA Kultur Rp 500,000
11 Im 11 IgE Total - 9 KR 03 Fesses kultur Rp 450,000
12 Im 12 IgG Rp 521,000 10 KR 04 Unine kultur Rp 450,000
13 Im 13 IgA Rp 500,000 11 KR 05 Sputum kultur Rp 450,000
14 Im 14 IgM Rp 521,000 12 Darah kultur Rp 450,000
15 Im 15 HIV / AIDS Rp 465,000 13 KR 06 Anti TB IgG -
14 KR 07 ACA IgG Rp 637,000
SEROLOGI 15 KR 08 ACA IgM Rp 637,000
16 Sr 01 Widal Rp 50,000
17 Sr 02 VDRL Rp 58,000
18 Sr 03 TPHA Rp 93,000
19 Sr 04 ASTO Rp 88,000
20 Sr 05 CRP Rp 90,000
21 Sr 06 RA / RF Rp 132,000
22 Sr 07 Denue IgG test -
23 Sr 08 Denue IgM test -

TORCH
24 T 01 Toxoplasma IgG/IgM Rp 299,000
25 T 02 Rubella IgG Rp 315,000
26 T 03 CMV IgG Rp 305,000
27 T 04 Rubella IgM Rp 39,000
28 T 05 CMV IgM Rp 409,500
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