DAFTAR PEMERIKSAAN LABORATORIUM

PENGGUNAAN VOUCHER FAVE

HEMATOLOGI Harga
1 Hematologi Lengkap Rp 125,000
2 Hematologi Rutin Rp 105,000
3 Hemoglobin Rp 70,000
4 LED Rp 50,000
5 Golongan Darah (ABO-Rh) Rp 75,000
6 Serum Iron (SI) Rp 200,000
7 TIBC Rp 200,000
8 Indeks Malaria Rp 110,000
9 Malaria Slide Mikroskopis Rp 120,000
10 Gambaran Darah Tepi Rp 235,000

HEMOSTASIS
1 Rumple Leede Rp 35,000
2 Ms Pendarahan Rp 65,000
3 Ms Pembekuan Rp 65,000

KIMIA KLINIK
TES FUNGSI HATI
1 Protein Total Rp 90,000
2 Albumin Rp 90,000
3 Prot. Total, Albumin dan Globulin Rp 180,000
4 Bilirubin Total Rp 80,000
5 Bilirubin direk Rp 80,000
6 Bilirubin Total Direk,Indirek Rp 160,000
7 SGPT (ALT) Rp 65,000
8 SGOT (AST) Rp 65,000
9 SGOT dan SGPT Rp 130,000
10 Gamma GT (GGT) Rp 105,000
11 Fosfatase Alkali Rp 90,000
12 Cholinesterase Rp 195,000

TES FUNGSI GINJAL

1 Ureum Rp 65,000
2 Creatinin Rp 65,000
3 Asam urat Rp 65,000

DIABETES MILITUS
1 Glukosa Puasa Rp 45,000
2 Glukosa 2 Jam PP Rp 45,000
3 Glukosa sewaktu Rp 45,000
4 Tes Toleransi Glukosa 5x Rp 225,000
5 Tes Toleransi Glukosa 3x Rp 145,000
6 Kurva Harian (4x) Rp 190,000
7 HbA1c Rp 200,000

PROFIL LEMAK
1 Kolesterol total Rp 65,000
2 Kolesterol HDL Direk Rp 85,000
3 Kolest.LDL direk Rp 120,000
4 Trigliserida Rp 65,000

URINALISA
1 Urine Lengkap Rp 65,000
2 Test Pack Rp 110,000

NARKOTEST
1 Morfine/Opiat Rp 145,000
2 Amphetamin/Shabu-shabu Rp 145,000
3 Mariyuana/THC Rp 145,000
4 Benzoadiazepin Rp 145,000
5 Cocaine Rp 145,000
6 Methampetamin Rp 145,000
7 Drug 3 Parameter (Amph,Morfin,THC) Rp 435,000
Drug 6 Parameter (Amp,Meth,Benzo,
8 THC,Morfin, Cocaine) Rp 870,000

FAECES
1 Faeces Rutin Rp 90,000
2 Darah samar Rp 200,000

IMUNOLOGI
HEPATITIS
1 HBsAg Rapid Test ( Screening ) Rp 150,000
2 Anti HBs Rp 230,000
3 Anti HBe Rp 720,000
4 Anti HCV total Kuantitatif Rp 535,000
5 Anti HCV total Kualitatif Rp 435,000

IMUNOLOGI LAIN
1 Anti Dengue Ig G/M Rp 530,000
2 Dengue NS1 Rp 450,000
3 Anti HIV Rp 425,000

SEROLOGI
1 Widal Rp 150,000
2 Anti Salmonella Typhi IgM / Tubek Rp 350,000
3 TPHA Rp 185,000
4 VDRL/RPR Rp 120,000
5 ASTO Kualitatif Rp 150,000
6 RF Kualitatif Rp 150,000

HORMON
ENDOKRINOLOGI
1 T3 Total Rp 320,000
2 T4 Total Rp 320,000
3 TSHs Rp 310,000

TORCH
1 Anti TOXO Ig G Rp 360,000
2 Anti TOXO Ig M Rp 360,000
3 Anti Rubella Ig G Rp 395,000
4 Anti Rubella Ig M Rp 485,000

NON LAB / LAIN - LAIN

1 Thorax PA Rp 210,000
2 EKG Rp 130,000
7 Pemeriksaan Fisik Rp 100,000