Ruko Panji Makmur Blok D – 6 P : (031) 8481966

Jl. Raya Panjang Jiwo No. 46 – 48 F : (031) 8481966

Surabaya – Jawa Timur E : dimensi.dcsby@gmail.com
dcsmedika@gmail.com
DIMENSI CITRA SEMESTA www.dcsmedika.com

No : 01887 / 22 / X / PENW / DCS / SBY Surabaya, 4 Oktober 2022

Lamp : 1 (satu) Lembar
Hal : Pemberitahuan Kenaikan Harga

Kepada Yth,
RSUD Bali Mandara
Jl. By Pass Ngurah Rai No. 548
Denpasar

Dengan hormat,
Sebelumnya kami PT. Dimensi Citra Semesta mengucapkan terimakasih atas kerjasama yang telah terjalin
selama ini di Laboratorium RSUD Bali Mandara.

Sehubungan dengan adanya pelemahan nilai tukar Rupiah terhadap mata uang asing juga adanya peningkatan
dalam harga produksi kami melakukan penyesuaian harga produk Roche, Kami menginformasikan bahwa
kenaikan harga tersebut berlaku per tanggal 01 Januari 2023, dengan daftar harga terbaru terlampir
(harga belum termasuk PPN 11%).

Demikian pemberitahuan yang dapat kami sampaikan, apabila ada yang kurang jelas kami siap membantu.
Terima kasih atas perhatian dan kerjasamanya.

Hormat kami,
PT. Dimensi Citra Semesta

Yayan Eko Wibisono Luluk Musyarrofah

National Sales Manager Finance Control
 Ruko Panji Makmur Blok D – 6 P : (031) 8481966
Jl. Raya Panjang Jiwo No. 46 – 48 F : (031) 8481966
Surabaya – Jawa Timur E : dimensi.dcsby@gmail.com
dcsmedika@gmail.com
DIMENSI CITRA SEMESTA www.dcsmedika.com

Lampiran : 01887 / 22 / X / PENW / DCS / SBY

Harga
No. Katalog Nama Barang Kemasan
Satuan
ENZYMES
20764949322 Aspartate Transaminase IFCC ASTL 500 tes 2.837.000
4467388190 Alanine Transaminase IFCC with PYP ALTLP 275 tes 1.707.000
3183688122 Albumin Gen. 2 ALB2 300 tes 1.181.000
3333752190 Alkaline Phosphatase IFCC Gen.2 ALP2S 200 tes 1.047.000
20766682322 Ammonia NH3L 150 tes 1.721.000
20764957322 Alanine Transaminase IFCC ALTL 500 tes 2.837.000
4467493190 Aspartate Transaminase IFCC with PYP ASTLP 425 tes 27.739.000
3289923190 Bicarbonate Liquid CO2-L 250 tes 4.779.000
5589061190 Bilirubin Direk Gen. 2 BIL-D Gen.2 350 tes 1.465.000
5795397190 Bilirubin Total Gen. 3 BIL T3 250 tes 1.774.000
5061482190 Calcium Gen. 2 CA, Gen.2 300 tes 1.499.000
3039773190 Cholesterol Gen. 2 CHOL2 400 tes 2.622.000
4498577190 Cholinesterase Gen. 2 CHE2 200 tes 1.240.000
4498631190 Cholinesterase/Dibucaine Gen. 2 CHED2 150 tes 2.418.000
7190749190 Creatine Kinase CKL 200 tes 1.726.000
7190808190 Creatine Kinase - MB CKMBL 100 tes 1.434.000
4810716190 Creatinine Jaffe Gen.2 CREJ2 700 tes 3.203.000
3263991190 Creatinine Plus vers. 2 CREP2 250 tes 2.425.000
3183777190 Ethanol Gen. 2 ETOH2 100 tes 3.021.000
4537939190 Fructosamine FRA 150 tes 2.425.000
20767131322 Glucose HK Gen. 2 GLUC2 200 tes 1.067.000
4404483190 Glucose HK Gen. 3 GLUC3 800 tes 4.079.000
6750036190 HBDH Gen. 2 HBDH2 100 tes 3.034.000
7528566190 HDL-Cholesterol Plus Gen. 4 HDLC3 350 tes 7.422.000
3183696122 Iron Gen. 2 IRON2 200 tes 1.092.000
3004732122 Lactate Dehydrogenase (IFCC) LDHI2 300 tes 1.839.000
3183700190 Lactate Gen. 2 LACT2 100 tes 5.886.000
7005717190 LDL-Cholesterol Gen. 3 LDLC3 200 tes 5.930.000
3029590322 Lipase colorimetric assay LIPC 200 tes 1.451.000
4679598190 Lithium LI 100 tes 8.631.000
6481647190 Magnesium Gen.2 MG2 250 tes 1.600.000
3183793122 Phosphate (Inorganic) vers. 2 PHOS2 250 tes 1.203.000
3183734190 Total Protein Gen. 2 TP2 300 tes 1.425.000
20767107322 Triglyceride TRIGL 250 tes 1.642.000
4536355190 Unsaturated Iron-Binding Capacity UIBC 100 tes 968.000
4460715190 Urea/BUN UREAL 500 tes 3.574.000
3183807190 Uric Acid vers. 2 UA2 400 tes 2.056.000
20766623322 a-Amylase EPS Pancreatic AMY-P 200 tes 2.429.000
3183742122 a-Amylase EPS ver. 2 AMYL2 300 tes 3.618.000
3002721122 g-Glutamyltransferase vers. 2 GGT-2 400 tes 2.272.000
HbA1c
5336163190 TQ Hemoglobin A1c Gen. 3 A1C-3 150 tes 5.474.000
11488457122 HbA1c Hemolyzing Reagent (for hemolysate application) 1000 mL 1.199.000
4528182190 Hemolyzing Reagent A1CD2 2 x 22.5 mL 1.410.000
 Ruko Panji Makmur Blok D – 6 P : (031) 8481966
Jl. Raya Panjang Jiwo No. 46 – 48 F : (031) 8481966
Surabaya – Jawa Timur E : dimensi.dcsby@gmail.com
dcsmedika@gmail.com
DIMENSI CITRA SEMESTA www.dcsmedika.com

Lampiran : 01887 / 22 / X / PENW / DCS / SBY

Harga
No. Katalog Nama Barang Kemasan
Satuan
SPECIFIC PROTEINS
4469658190 TQ Albumin Gen.2 ALBT2 100 tes 1.751.000
4489403190 TQ Antistreptolysin-O ASLOT 150 tes 4.602.000
3032566122 TQ Apolipoprotein A-1 vers. 2 APOAT 100 tes 3.309.000
3032574122 TQ Apolipoprotein B vers. 2 APOBT 100 tes 2.917.000
20764663322 Ceruloplasmin CERU 100 tes 4.987.000
3001938322 TQ Complement C3c vers. 2 C3C-2 100 tes 6.867.000
3001962322 TQ Complement C4 vers. 2 C4-2 100 tes 6.867.000
4956842190 C-Reactive Protein (Latex) Gen. 3 CRPLX Gen. 3 250 tes 5.146.000
6600239 190 TQ Cystatin C Gen.2 CYSC2 225 tes 13.267.000
4912551190 Tina-quant D-Dimer Gen. 2 D-DI2 100 tes 8.779.000
4885317190 Tina-quant Ferritin Gen.4 FERR4 250 tes 7.985.000
3005593322 TQ Haptoglobin ver. 2 HAPT2 100 tes 4.987.000
5385415190 Homocysteine HCYS 100 tes 11.076.000
3507343190 TQ IgA Gen.2 IGA-2 150 tes 4.935.000
3507432190 TQ IgG Gen.2 IGG-2 150 tes 4.861.000
3507190190 TQ IgM Gen.2 IGM-2 150 tes 4.861.000
5852625190 TQ Lipoprotein (a) Gen. 2 LPA2 150 tes 7.498.000
4580010190 TQ Myoglobin Gen. 2 MYO2 100 tes 8.189.000
20764655322 Prealbumin PREA 100 tes 4.045.000
20764574322 Rheumatoid Factor II RF-II 100 tes 2.725.000
20763454122 TQ Soluble Transferrin Receptor STFR 80 tes 7.668.000
3333825190 Total Protein Urine/CSF Gen. 3 TPUC3 150 tes 710.000
3015050122 TQ Transferrin ver. 2 TRSF2 100 tes 2.936.000
3333795190 TQ a1-Acid Glycoprotein Gen. 2 AAGP2 100 tes 4.382.000
β2 Microglobulin (Harus menggunakan Multipack
11660551216 B2MG* 2 x 70 tes 3.611.000
untuk aplikasi di c311)
DRUG ABUSE TESTING (DAT)
4490754190 ONLINE DAT Barbiturates Plus BARB 200 tes 3.881.000
4490789190 ONLINE DAT Benzodiazepines Plus BENZ 200 tes 4.799.000
4490827190 ONLINE DAT Cocaine II COC2 200 tes 4.890.000
4491009190 ONLINE DAT Cannabinoids II THC2 200 tes 3.072.000
4490894190 ONLINE DAT Opiates II OPI2 200 tes 2.788.000
4939425190 ONLINE DAT Amphetamin II AMPS2 200 tes 3.326.000
THERAPEUTIC DRUG MONITORING (TDM)
20737836322 Digoxin DIG 250 tes 11.505.000
4490932190 Phenytoin PHNY2 100 tes 6.827.000
4491025190 Theophylline THEO2 100 tes 3.956.000
Ion Selective Electrodes (ISE)
3246353001 Chloride Electrode 1 pcs 7.819.000
10825441001 Kalium Electrode 1 pcs 4.933.000
3149501001 Reference Electrode 1 pcs 4.141.000
10825468001 Sodium Electrode 1 pcs 4.933.000
AUXILIARIES
4880307190 Acid Wash 2x2 L 1.146.000
 Ruko Panji Makmur Blok D – 6 P : (031) 8481966
Jl. Raya Panjang Jiwo No. 46 – 48 F : (031) 8481966
Surabaya – Jawa Timur E : dimensi.dcsby@gmail.com
dcsmedika@gmail.com
DIMENSI CITRA SEMESTA www.dcsmedika.com

Lampiran : 01887 / 22 / X / PENW / DCS / SBY

Harga
No. Katalog Nama Barang Kemasan
Satuan
4663632190 Activator 9 x 12 mL 3.168.000
4880285190 NaOH-D (cell wash) 2 x 1800 mL 1.898.000
4593138190 cobas c pack MULTI MULTI 1 kaset 916.000
7455682001 Carry-over Neddle Assessment CONA 80 tes 5.178.000
6544410190 ECOTergent c 501 12 x 59 mL 8.346.000
4851013190 Instrument Check INSTC 65 tes 1.838.000
4522320190 Internal Standard Gen.2 5 x 600 mL 2.289.000
11298500316 ISE Cleaning Solution SysClean 5 x 100 mL 2.135.000
4522630190 ISE Diluent Gen.2 5 x 300 mL 2.031.000
11183974216 ISE Standard Low 10 x 3 mL 641.000
11183982216 ISE Standard High 10 x 3 mL 641.000
11360981216 KCl (Reference Electrolyte) 5 x 300 mL 1.267.000
4813707001 LAMP HALOGEN 12V/100W ASSY 1 pcs 11.062.000
4489357190 Diluent NaCl 9% NACL 50 mL 540.000
4489241190 NaOH-D NAOHD 50 mL 600.000
4854241001 Reaction cell set 24 pcs 14.460.000
5352991190 Sample Cleaner 1, c 502 12 x 20 mL 825.000
4708725190 Multiclean 12 x 59 mL 1.270.000
5968828190 Sample Cleaner 2, c 502 12 x 20 mL 825.000
5958024190 Sample Cleaner 2, cobas c 12 x 68 mL 990.000
10394246001 Sample Cup 5000 pcs 3.021.000
5085713001 Sample Cup Micro 13/16 2 x 450 pcs 769.000
4489365190 Serum Index Gen. 2 SI2 2750 tes 791.000
4489225190 SMS 50 mL 525.000
4880994190 Special Cell Cleaning Solution SCCS 50 mL 633.000

HARGA
CATALOG NO. PRODUCTS DESCRIPTION PACK SIZE
SATUAN
CALIBRATOR
20751995190 Ammonia/Ethanol/CO2 Calibrator 2x4 mL 1.882.000
10759350190 C.f.a.s. (Calibrator for Automated Systems) 12 x 3 mL 1.628.000
11447394216 C.f.a.s. CK MB 3x1 mL 1.281.000
4975901 191 C.f.a.s. Cystatin C 4x1 mL 9.650.000
4528417190 Cfas HbA1c 3x2 mL 1.957.000
12172623122 C.f.a.s. Lipids 3x1 mL 1.201.000
4580044190 Cfas Myoglobin 3x1 mL 1.754.000
3555941190 C.f.a.s PAC 3x1 mL 2.140.000
11355279216 C.f.a.s. Protein 5x1 mL 2.928.000
3121305122 C.f.a.s PUC 5x1 mL 5.297.000
5050901190 D-Dimer Gen.2 Calibrator Set 6 x 0.5 mL 2.369.000
5385504190 Homocysteine Calibrator Kit 2x3 mL 1.726.000
20757144322 Check Solution Sample 25 mL 409.000
8047545190 β-2 microglobulin Calibrator 2x1 mL 478.000
STANDARD
12146401216 Fe Standard 1 x 75 mL 1.095.000
11098993122 Precimat Fructosamine 3x1 mL 984.000
 Ruko Panji Makmur Blok D – 6 P : (031) 8481966
Jl. Raya Panjang Jiwo No. 46 – 48 F : (031) 8481966
Surabaya – Jawa Timur E : dimensi.dcsby@gmail.com
dcsmedika@gmail.com
DIMENSI CITRA SEMESTA www.dcsmedika.com

Lampiran : 01887 / 22 / X / PENW / DCS / SBY

HARGA
CATALOG NO. PRODUCTS DESCRIPTION PACK SIZE
SATUAN
3304671190 Preciset DAT Plus I calibrators 6x5 mL 2.943.000
3304680190 Preciset DAT Plus II calibrators 6x5 mL 2.943.000
5852641190 Preciset Lp(a) Gen. 2 5x1 mL 4.487.000
11876406216 Preciset Plasma Protein 5x1 mL 3.275.000
12172828322 Preciset RF 5x1 mL 2.131.000
12148331122 Preciset STfR 5x1 mL 5.370.000
3375790190 Preciset TDM I 6x5 mL 3.702.000
20737267322 Serumproteins T-Standard 5 x 0,5 mL 1.460.000
CONTROL SERUM QCS
5117291922 PreciControl ClinChem Multi 2 QCS 20 x 5 mL 4.865.000
5117208922 PreciControl ClinChem Multi 1 QCS 20 x 5 mL 4.865.000
5991323922 PreciControl HBA1c Norm QCS 4x1 mL 6.789.000
5991331922 PreciControl HBA1c Path QCS 4x1 mL 6.789.000
6608817001 TIQCon Program (1pc/month) 1 pc 1.420.000
CONTROL SERUM
20753009190 Ammonia/Ethanol/CO2 Control A 5x4 mL 2.413.000
20752401190 Ammonia/Ethanol/CO2 Control N 5x4 mL 2.413.000
11729683216 β-2 microglobulin Control Set Serum 2 (2 x 1) mL 2.161.000
11730835216 Control Set Myoglobin 2x3 mL 1.951.000
3005496122 Control Set RF II 2x1 mL 1.471.000
12148340122 Control Set STfR I: 2 x 3; II: 2 x 3 mL 3.109.000
3312950190 Control Set DAT I PP: 2 x 10 ; PN: 2 x 10 mL 2.501.000
3312968190 Control Set DAT II PP: 2 x 10; PN: 2 x 10 mL 2.501.000
3312976190 Control Set DAT III PP: 2 x 10; PN: 2 x 10 mL 2.501.000
20766321322 CRP T Control N 5 x 0,5 mL 1.603.000
6729371 190 Cystatin C Control Set, Gen.2 3x3x1 mL 15.121.000
5050936190 D-Dimer Gen.2 Control I/II 2x2x1 mL 2.935.000
5142423190 Homocysteine Control Kit 2 (2 x 3) mL 2.625.000
10158046122 Precibil 4x2 mL 911.000
5852650190 Precicontrol Lp(a) Gen. 2 2 (2 x 1) mL 2.985.000
11098985122 Precinorm Fructosamine 3x1 mL 1.038.000
11174118122 Precipath Fructosamine 3x1 mL 1.038.000
3121313122 Precinorm PUC 4x3 mL 5.003.000
3121291122 Precipath PUC 4x3 mL 5.003.000
4521536190 TDM Control Set I : 2 x 5; II: 2 x 5; 2 x 5 mL 2.457.000
5117003190 PreciControl ClinChem Multi 2 20 x 5 mL 4.865.000
5117216190 PreciControl ClinChem Multi 1 20 x 5 mL 4.865.000
5479207190 PreciControl HBA1c Norm 4x1 mL 6.789.000
5912504190 PreciControl HBA1c Path 4x1 mL 6.789.000

Harga belum termasuk PPN 11%