HPS Internal Rev 03

Berlaku Mulai 16 Oktober 2017

ID NAME HPS Keterangan

00000462 ACA IgG Rp 108,009
00000287 ACA IgM Rp 109,977
00003735 Adenosine Deaminase Rp 77,128
P0000104 Adiponektin Rp 257,400
00000321 AFP Rp 48,325
00002708 Agregasi Trombosit Rp 66,561
00000055 Albumin Rp 2,505
00002978 Amniotic Fluid AFP Rp 48,325
00002180 Amphetamine Rp 19,794
00000062 Amylase Pancreatic Rp 42,366
P0000240 ANA IF Rp 168,919
10089376 ANA Profile Rp 504,122
00000549 Analisa Sperma Rp 10,400
00000466 Analisis Hb Rp 147,263
P0000287 Anti CMV IgG Avidity Rp 354,640
00003549 Anti Mullerian Hormon (AMH) Rp 268,096
R0000184 Anti-Amoeba Rp 112,398
P0000336 Anti-Beta 2-Glikoprotein 1 Rp 241,712
00000661 Anti-CCP IgG Rp 171,600
00003458 Anti-Chikungunya IgM Rp 93,437
P0000286 Anti-CMV IgG Rp 68,323
P0000285 Anti-CMV IgM Rp 76,770
00000688 Anti-Dengue IgG & IgM Rp 67,610
R0000185 Anti-dsDNA-NcX Rp 100,365
P0000007 Anti-EBV VCA IgA Rp 147,669
00000273 Anti-H. pylori IgG Rp 89,410
00000256 Anti-HAV Rp 116,913
00003716 Anti-HAV IgM Rp 113,524
00000259 Anti-HBc Rp 65,258
00000260 Anti-HBc IgM Rp 159,553
00000261 Anti-Hbe Rp 114,400
P0000788 Anti-HBs Rp 32,668
00000258 Anti-HCV Rp 62,331
00000285 Anti-HSV1 IgG Rp 74,848
00003994 Anti-HSV1 IgM Rp 78,215
00003999 Anti-HSV2 IgG Rp 68,098
00004000 Anti-HSV2 IgM Rp 78,112
00004030 Anti-Rubella IgG Rp 48,923
00002446 Anti-Rubella IgM Rp 78,570
P0000103 Anti-Salmonella typhi IgM Rp 109,023
00000165 Anti-Tiroglobulin Rp 47,458
00004032 Anti-Toxoplasma IgG Rp 60,608
00004031 Anti-Toxoplasma IgM Rp 60,597
00000444 Anti-TPO Rp 77,693
P0000549 Apo A1 Rp 15,996
P0000574 Apo B Rp 29,162
00003090 APTT Rp 27,957
P0000422 As Rp 156,000
00003394 Asam Folat Rp 122,000 Rev 02
00000106 Asam Laktat Rp 277,000 Rev 02
P0000523 Asam Urat Rp 3,762
00000266 ASTO Rp 19,674
00000267 Aviditas Anti-Toxoplasma IgG Rp 137,818
00002837 Badan Inklusi HbH Rp 33,280
R0000015 BCR-ABL Kualitatif Rp 409,398
00000716 Benzodiazepin Rp 19,794
00000228 Besi Rp 7,947
00000166 B-HCG Rp 62,264
10099420 Bilirubin Direk Rp 6,607
00000453 Bilirubin Indirek Rp 10,370 Rev 01
00000341 Bilirubin Total Rp 3,762
00000156 BTA Rp 2,080
00003705 CA 12-5 Rp 85,593
00000323 CA 15-3 Rp 56,428
00003506 CA 19-9 Rp 85,403
00003018 CA 72-4 Rp 136,362
P0000426 Cadmium (Cd) Rp 156,000
P0000510 Calcium Rp 2,503
00003047 Calcium Ion Rp 28,518
00001227 Cannabis Rp 19,794
00003847 Carbamazepin Rp 555,861
00000326 CEA Rp 48,361
00000074 CHE Rp 9,747
00002782 Chlorida Rp 12,942
P0000517 Cholesterol HDL Rp 5,501
00000787 Cholesterol LDL Rp 11,614
P0000516 Cholesterol Total Rp 2,586
P0000415 Chromium (Cr) Rp 156,000
P0000522 CK Rp 13,693
P0000778 CK-MB Rp 176,245
R2000517 Clostridium Difficile (GDH) Rp 153,849 Rev 02
R2000519 Clostridium Difficile (Toksin A/B) Rp 153,765 Rev 02
P0000418 Cobalt (Co) Rp 156,000
00002183 Cocain Rp 19,794
00003643 Cortisol Rp 49,539
R2000166 Cotinine Rp 19,136
00000081 C-Peptide Rp 194,504
00000729 CRP Kualitatif Rp 15,744
P0000050 CTx Rp 67,869
00003632 Cu Rp 156,000
R2000063 CYP2C19 Rp 211,567
P0000781 Cystatin C Rp 95,832
00000189 Darah Samar Rp 28,245
00002453 D-Dimer Rp 202,870
P0000121 Dengue NS1 Antigen Rp 93,024
P0000277 Dengue-RNA Rp 297,452
R0000039 DHEA-S Rp 126,628
00003657 Digoxin Rp 395,783
00003909 eLFG Rp -
00000190 Eosinofil Absolut Rp 16,745
00000168 Estradiol Rp 28,614
00000117 Faecal Elastase-1 Rp 711,933
R2000130 Fecal Calprotectin Rp 553,696
00003673 Ferritin Rp 36,448
00000212 Fibrinogen Rp 40,886
00000056 Fosfatase Alkali Rp 9,049
P0000515 Fosfor anorganik Rp 3,253
00003367 Free PSA Rp 142,754
P0000239 Free Testosteron Index Rp -
00003521 FSH Rp 48,010
00003732 FT3 Rp 27,140
00000171 FT4 Rp 24,091
00000217 G6PD-Neonatus Rp 19,836
00000458 Gambaran Darah Tepi Rp 33,956
P0000503 Gamma GT Rp 6,065
00000098 Globulin Rp 6,000 Rev 01
P0000859 Glukosa Rp 1,986
R0000056 Glycated Albumin (GA) Rp 44,278
00000512 Golongan Darah Rp 13,842
P0000502 GOT Rp 2,352
P0000501 GPT Rp 2,595
00003392 Growth Hormon Rp 78,032
P0000525 HBA1C (A1C) Rp 62,492
00000274 HBeAg Rp 98,770
00000275 HBsAg Rp 28,503
P0000282 HBsAg Konfirmasi Rp 200,009
P0000275 HBsAg Kuantitatif Rp 87,175
00003343 HBV DNA Rp 815,372
00000278 HCV Genotipe Rp 2,315,515
00004033 HCV-RNA Rp 1,126,159
P0000340 HE4 Rp 169,502
00003050 Hematologi Lengkap Rp 23,964
00000739 Hematologi Rutin Rp 19,649
R0000243 Hemoglobin Rp 19,649
P0000276 HIV-1-RNA (Real Time PCR) Rp 511,510
00002550 Homa-B Rp -
00002549 Homa-IR Rp -
00003547 Homocysteine Rp 263,623
P0000412 HpSA Rp 29,824
P0000004 HPV-DNA Rp 283,140
P0000400 HPV-Genotipe Rp 815,443
R2000269 hs Troponin I Rp 336,336
00003326 hs-CRP Rp 42,214
R2000146 IFN-Gamma Release Assay (IGRA) Rp 301,600
00000003 IgA Rp 124,800
00002447 IgE Atopy Rp 593,840
00000013 IgE Spesifik Coklat Rp 64,454
00000011 IgE Spesifik Daging Ayam Rp 64,454
00000029 IgE Spesifik Debu Rumah Rp 64,454
00000021 IgE Spesifik Epitel Anjing Rp 118,912
00000008 IgE Spesifik Epitel Kucing Rp 78,243
00000035 IgE Spesifik Epitel Tikus Rp 180,405
00000027 IgE Spesifik Ikan Rp 64,454
00000006 IgE Spesifik Jamur Aspergillus Rp 153,315 Rev 02
00000040 IgE Spesifik Jamur Penicillin Rp 114,656 Rev 02
00000038 IgE Spesifik Kacang Rp 64,454
00000017 IgE Spesifik Kapuk Rp 64,454
00000015 IgE Spesifik Kecoa Rp 64,454
00000019 IgE Spesifik Kepiting Rp 64,454
00000042 IgE Spesifik Kerang Rp 64,454
00000025 IgE Spesifik Kuning Telur Rp 64,454
00000023 IgE Spesifik Putih Telur Rp 64,454
00000033 IgE Spesifik Susu Rp 64,454
00000031 IgE Spesifik Tungau Debu Rumah Rp 64,454
00000044 IgE Spesifik Udang Rp 64,454
00003442 IgE Total Rp 61,156
00002855 IGF-1 Rp 98,258
00003037 IgG Rp 124,800
00003486 IgM Rp 135,200
P0000401 Immunotyping Rp 584,366 Rev 02
10099543 Indeks Masa Tubuh Rp -
00003118 Insulin Rp 56,160
P0000417 Iron (Fe) Rp 156,000
00002998 IT Rasio Rp 19,649
00002395 Jamur (Mikroskopik) Rp 1,040
00002781 Kalium Rp 12,942
R2000299 Kesan Rp -
10099483 Kreatinin Rp 9,559
00003928 Kultur Darah Rp 96,132
00001277 Kultur Feses Rp 171,842
P0000312 Kultur Gall Rp 85,621
P0000170 Kultur GO Rp 86,988
P0000551 Kultur lain-lain Rp 113,086
00003754 Kultur Swab Rektal Rp 88,177
P0000307 Kultur Urine Rp 108,965
P0000324 Kultur Vibrio Rp 68,447
00003575 LDH Rp 6,021
00002773 LED Rp 2,562
00000176 LH Rp 36,814
00003456 Lipase Rp 34,015
00000470 Lp (a) Rp 33,637
P0000514 Magnesium Rp 9,184
00000230 Malaria Rp 32,110
P0000416 Manganese (Mn) Rp 208,000
00003349 Mercury (Hg) Rp 156,000
00003910 Methamphetamine Rp 19,794
00002716 Methamphetamine Kualitatif Urine Rp 19,794
00000725 Mikrofilaria Rp 4,030
P0000424 Molybdenum (Mo) Rp 156,000
00002184 Morphine (Opiat) Rp 19,794
00000163 MS AFP Rp 48,325
P0000278 MTB-DNA Rp 108,129
R0000115 Na, K, Cl Rp 12,942
00002780 Natrium Rp 12,942
P0000419 Nickel (Ni) Rp 156,000
00002427 N-MID Osteocalcin Rp 57,050
R2000617 NRBC Rp -
00000331 NSE Rp 86,370
P0000111 NT-proBNP Rp 265,000 Rev 02
00000432 Opiates (Urin) Rp 19,794
P0000441 Panel Anti - Aging Rp 598,000
R0000121 Panel Nutrisi Rp 598,000
P0000486 Panel Nutrisi dan Logam Berat Rp 598,000
R0000123 Panel Toksik Rp 598,000
P0000429 Pb Rp 156,000
00002000 Penanganan Sampel Rp -
00002007 Pengambilan Specimen Rp -
00001049 Pengecatan Gram Rp 6,257
R2000675 Pewarnaan Neisser Rp 6,257
00001230 Phencyclidine Kualitatif Urine Rp 19,794
00000316 Phenobarbital Rp 662,470
00000317 Phenytoin Rp 174,566
00000122 Pre Albumin (Transthyretin) Rp 490,000 Rev 02
P0000125 Procalcitonin (PCT) Rp 393,034
00000178 Progesteron Rp 38,252
00000179 Prolactin Rp 33,897
00000469 Protein Electrophoresis Rp 111,849
P0000521 Protein Total Rp 3,494
00002993 Protein Total Urine Rp 99,976
00000334 PSA Rp 52,190
00003512 PTH intact Rp 53,140
10089357 Rasio albumin/globulin Rp -
P0000129 Rasio Albumin/Kreatinin Urin Sewaktu Rp 35,559 Rev 01
00000063 Rasio Apo A1/Apo B Rp -
00003431 Rasio Bilirubin Direk/Bilirubin Total Rp -
00000089 Rasio Cholesterol LDL Direct/Apo B Rp -
00000139 Rasio Cholesterol Total/Cholesterol HDL Rp -
00003368 Rasio Free PSA/PSA Rp -
Rasio Protein Total/Kreatinin (Urine
00002717 Rp 109,535 Rev 01
Sewaktu)
R0000144 Rasio Ureum / Kreatinin Rp -
00000242 Retikulosit Rp 16,074
00000297 RF Rp 6,673
P0000341 ROMA Rp -
00000731 Rotavirus Antigen Rp 85,006
00000243 Rumpel Leede Rp -
R2000304 Saran Rp -
00000251 Saturasi Transferin Rp 45,044
00000335 SCC Rp 137,031
R0000189 Sel LE Rp 33,887
P0000423 Selenium (Se) Rp 156,000
P0000238 SHBG Rp 54,074
P0000283 Small-Dense LDL Rp 109,076
00003656 Status Antioksidan Total Rp 312,000
R0000149 Subtipe Limfosit Rp 137,763
00000182 T3 (Total) Rp 21,852
00000183 T4 (Total) Rp 29,370
00002426 Tacrolimus Rp 86,672
10009523 Tekanan Darah Rp -
00000514 Tes Kehamilan Rp 11,134
00003660 Testosteron Rp 44,326
P0000428 Thallium (TI) Rp 156,000
00000318 Theophylin Rp 362,728
00000250 TIBC Rp 16,878
00000187 Tiroglobulin Rp 45,237
P0000342 Total P1NP Rp 321,421
00000300 TPHA Rp 12,157
P0000290 Transferrin Rp 141,380 Rev 02
00003006 Trichomonas (Mikroskopik) Rp 1,040
00000145 Trigliserida Rp 3,875
R0000190 Troponin I Rp 435,626
00000186 TsH Neonatus Rp 35,147
00000184 TSHs Rp 21,583
00003073 TTGO Rp 1,986
00000252 UIBC Rp 6,656
00000147 Urea Breath Test (UBT) Rp 382,720
P0000508 Urea N Rp 3,322
00003800 Urine Rutin Rp 6,320
P0000148 Urine Rutin Flowcytometry Rp 36,000 Rev 02
P0000414 Vanadium (V) Rp 156,000
00000689 VDRL/RPR Rp 4,315
R2000518 Vital Signs Rp -
P0000333 Vitamin A & E Rp 155,000 Rev 03
P0000339 Vitamin D 25-OH Total Rp 91,746
00000195 Waktu Pembekuan Rp 6,607
00000192 Waktu Pendarahan Rp 3,647
00002366 Waktu Protrombin Rp 22,405
00002557 Waktu Trombin Rp 72,800
00000475 Widal Rp 21,297
P0000421 Zinc (Zn) Rp 156,000
R200051 Beta2-Microglobulin Rp 284,170
P0000008 Sitologi Serviks Berbasis Cairan Rp 124,800
R2000819 Alkohol Rp 59,538
R2000214 Patologi Anatomi Kecil Rp 260,000
00001940 Patologi Antomi Sedang Rp 364,000
00001746 Patologi Anatomi Besar Rp 676,000
00003005 Anti-HIV Rp 93,250 Rev 01
00003594 C3 Komplemen Rp 104,000
00003676 C4 Komplemen Rp 104,000
00003856 Cyclosporin Parent Rp 519,524
P0000105 Anti-Chlamydia trachomatis IgG Rp 98,800
P0000106 Anti-Chlamydia trachomatis IgM Rp 98,800
P0000128 Albumin Urine Rp 26,000
00003621 Vitamin B12 Rp 80,492
00000472 Anti-HBs paska vaksinasi Rp 56,228
00000575 Pap Smear Rp 77,097
R2000710 CMV-DNA (Real Time PCR) Rp 577,517
R2000703 17-OH Progesterone (LC-MS/MS) Rp 220,083
R0000189 Feses Rutin Rp 15,000 Rev 01
R2000709 IgE Atopy Pediatrik Rp 602,717
R2001214 ST2 Rp 400,400
R2001224 Platelet Function Test Anti P2Y12 Rp 1,066,000
R2001223 Platelet Function Aspirin Rp 1,066,000
R2000087 Anti HIV (3 Metode) Rp 218,377 Rev 01
R2000448 Kreatinin Klearens Rp 19,118 Rev 01
R2001239 Uji saring Sindrom Down TM I Rp 1,612,000 Rev 01
R2001329 Cyfra 21-1 Rp 168,000 Rev 01
R2001233 IgG Food Sensitivity Profile Rp 4,257,586 Rev 01
R2001270 BCR-ABL p210 Kuantitatif Rp 1,670,000 Rev 01
R2001267 TRAb Rp 72,000 Rev 01
R2001269 APOE-Genotipe Rp 666,000 Rev 01
R2001266 Protein S Rp 561,791 Rev 01
R2001265 Protein C Rp 220,555 Rev 01
R2001268 IgE Atopy (Panel Indonesia) Rp 758,000 Rev 01
P0000006 Anti EBV EA-IgA Rp 150,000 Rev 02
R0000152 Triple Cardiac Marker Rp 518,000 Rev 03
R2000180 Immature Platelet Fraction (IPF) Rp 18,750 Rev 03 New
R2001330 Fragmentasi DNA Sperma Rp 1,100,000 Rev 03 New
R2001343 CT/NG-DNA (Real Time PCR) Rp 884,000 Rev 03 New
R2001392 MTB/MOTT-DNA (Real Time PCR) Rp 341,000 Rev 03 New
R2001353 Aldosteron Rp 529,338 Rev 03 New
R2001354 Mutasi JAK2 V617F Rp 213,000 Rev 03 New
R2001355 Warfarin IndivTest Rp 938,000 Rev 03 New
R2001391 HbsAg (Imunokromatografi) Rp 38,260 Rev 03 New
R2001399 Panel Syndrome Down Rp 1,100,000 Rev 03 New
R2001400 Panel Pre Eclampsia Rp 1,200,000 Rev 03 New
R2001401 Panel Syndrome Down dan Pre Eclampsia Rp 1,700,000 Rev 03 New
R2001403 Telomere Analysis Rp 4,787,300 Rev 03 New
R2001414 Analisa Batu Ginjal Rp 88,000 Rev 03 New
R2001404 AMA M2 Rp 425,000 Rev 03 New
R2001405 AMA dan ASMA IF Rp 530,000 Rev 03 New