DAFTAR HARGA PEMERIKSAAN LABORATORIUM OGAN BETAWI 2022

HARGA (Rp)
PASIEN DOKTER KONTRAKTOR
NO NAMA PEMERIKSAAN
0% 30% 50-70%
HEMATOLOGI
1 HEMATOLOGI LENGKAP 104,000 73,000 31,000
2 HEMATOLOGI RUTIN 96,000 67,000 28,000
3 HB 96,000 67,000 28,000
4 LED 60,000 42,000 18,000
5 RETIKULOSIT 60,000 42,000 18,000
6 BESI 102,000 71,000 30,000
7 D-DIMER 510,000 357,000 153,000
8 GOLONGAN DARAH 48,000 33,000 14,000
9 GAMBARAN DARAH TEPI 70,000 49,000 21,000
10 WAKTU PERDARAHAN 60,000 42,000 18,000
11 WAKTU PEMBEKUAN 60,000 42,000 18,000
12 FERRITIN 240,000 168,000 72,000
13 TRANSFERRIN 270,000 189,000 81,000
14 FIBRINOGEN 210,000 147,000 63,000
15 PT 210,000 147,000 63,000
16 APTT 210,000 147,000 63,000
17 WAKTU TROMBIN 186,000 130,200 55,000
FAAL HATI
1 TOTAL PROTEIN 52,000 36,000 20,000
2 ALBUMIN 52,000 36,000 20,000
3 GLOBULIN 52,000 36,000 20,000
4 ALKALI FOSFATASE 50,000 35,000 20,000
5 CHE 90,000 63,000 27,000
6 BILIRUBIN TOTAL 54,000 37,000 21,000
7 SGOT 53,000 37,000 23,000
8 SGPT 53,000 37,000 23,000
9 BILIRUBIN DIRECT 54,000 37,000 24,000
10 BILIRUBIN INDIRECT 54,000 37,000 24,000
11 BILIRUBIN LENGKAP 120,000 84,000 54,000
12 GAMMA GT 60,000 42,000 18,000
LEMAK
1 KOLESTEROL TOTAL 55,000 38,000 16,000
2 HDL 66,000 46,000 19,000
3 LDL 114,000 79,000 34,000
4 TRIGLISERIDA 48,000 33,000 14,000
5 APO A1 228,000 159,000 68,000
6 APO B 144,000 100,000 43,000
7 LP (a) 216,000 151,000 64,000
OBAT
1 AMPHETAMIN 84,000 58,000 50,000
2 METAMPHETAMIN 84,000 58,000 50,000
3 CANNABIS 84,000 58,000 50,000
4 BENZODIAZEPINE 84,000 58,000 50,000
5 OPIAT 84,000 58,000 50,000
6 COCAIN 84,000 58,000 50,000
7 6 PANEL PEMERIKSAAN 276,000 193,000 165,000

FAAL GINJAL
1 UREUM 53,000 37,000 18,000
2 KREATININ 53,000 37,000 18,000
3 ASAM URAT 53,000 37,000 18,000
4 KREATININ CLEARENCE SERUM 54,000 37,000 16,000
5 CYSTATIN-C 276,000 193,000 110,000

DIABETES MELITUS
1 GULA DARAH PUASA 45,000 31,000 13,000
2 GULA DARAH 2 JAM PP 45,000 31,000 13,000
3 HBA1C 180,000 126,000 108,000
4 GULA DARAH SEWAKTU 45,000 31,000 13,000

FESES
1 FESES LENGKAP 72,000 50,000 21,000
2 FESES RUTIN 60,000 42,000 18,000
3 DARAH SAMAR 60,000 42,000 18,000

URINALISA
1 URINE LENGKAP 64,000 44,000 19,000
2 URINE RUTIN 54,000 37,000 16,000
3 SEDIMEN URINE 48,000 33,000 14,000

JANTUNG
1 CK 138,000 96,000 41,000
2 CK-MB 162,000 113,000 48,000
3 LDH 84,000 58,000 25,000
4 HS-CRP 144,000 100,000 43,000
5 TROPONIN I 420,000 294,000 210,000
6 TROPONIN T 420,000 294,000 210,000
7 NT PRO BNP 480,000 336,000 240,000
INFEKSI
1 ANTI HIV 210,000 147,000 100,000
2 IgG 180,000 126,000 54,000
3 IgM 180,000 126,000 54,000
4 IgA 180,000 126,000 54,000
5 WIDAL 96,000 67,000 28,000
6 ANTI SALMONELLA TYPHI (TUBEX) 210,000 147,000 63,000
7 MALARIA 132,000 92,000 39,000
8 DENGUE NS1 162,000 113,000 48,600
9 ANTI DENGUE IgG IgM 210,000 147,000 63,000
10 TPHA 97,000 68,000 29,000
11 VDRL 120,000 84,000 84,000
12 PCT 420,000 294,000 126,000
13 SIPILIS 150,000 105,000 45,000
14 CD 4 400,000 280,000 240,000
15 ANTI-SARS2COV Ag 75,000 75,000 75,000
16 ANTI-SARS2COV PCR 275,000 275,000 275,000

HEPATITIS
1 HBsAG 180,000 126,000 90,000
2 ANTI HBs 162,000 113,000 81,000
3 ANTI HCV 180,000 126,000 90,000
4 ANTI HAV 162,000 113,000 81,000

ELEKTROLIT
1 Na K Cl 168,000 117,000 67,000
2 NATRIUM 72,000 50,000 25,000
3 KALIUM 72,000 50,000 25,000
4 CHLORIDA 72,000 50,000 25,000
5 CALCIUM 72,000 50,000 25,000
6 FOSFOR ANORGANIK 72,000 50,000 25,000
7 MAGNESIUM 72,000 50,000 25,000
8 CALSIUM ION 276,000 193,000 96,000

PENANDA TUMOR
1 PSA 600,000 420,000 240,000
2 AFP 240,000 168,000 120,000
3 CEA 300,000 210,000 150,000

HORMON TYROID
1 T3 210,000 147,000 105,000
2 T4 210,000 147,000 105,000
3 TSHs 204,000 142,000 102,000
4 FT3 234,000 163,000 117,000
5 FT4 234,000 163,000 117,000
HORMON REPRODUKSI
1 LH 252,000 176,000 126,000
2 HCG 330,000 231,000 99,000
3 HCG TEST PACK 42,000 29,000 18,000

REMATIK
1 ASTO 138,000 96,000 69,000
2 CRP KUALITATIF 150,000 105,000 75,000
3 RF 150,000 105,000 75,000

MIKRONUTRISI
1 VITAMIN D 25-OH 270,000 189,000 135,000
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