PARAMETER | HARGA |
HEMATOLOGI |
|
Darah Rutin (+Hm, Trom, | Rp 100.000 |
Cloting Time (CLT) | Rp 30.000 |
Bleeding Time (BLT) | Rp 30.000 |
Hitung Jenis Leukosit | Rp 30.000 |
Hemoglobin | Rp 30.000 |
Evaluasi Darah Tepi | Rp 150.000 |
Retikulosit | Rp 30.000 |
LED | Rp 30.000 |
Darah lengkap (Darah rutin + LED) | Rp 130.000 |
Darah Lengkap + Retikulosit | Rp 150.000 |
KIMIA KLINIK |
|
Fungsi Methabolisme Karbohidrat |
|
Glukosa Darah Sewaktu | Rp 35.000 |
Glukosa Darah Puasa | Rp 35.000 |
Glukosa Darah 2 jam PP | Rp 50.000 |
Glukose Toleransi Test (GTT) | Rp 60.000 |
HbA1c | Rp 200.000 |
Profil Lipid |
|
Cholesterol Total | Rp 40.000 |
HDL Cholesterol | Rp 90.000 |
LDL Cholesterol | Rp 110.000 |
Trigliserida | Rp 40.000 |
Fungsi Hati |
|
Bilirubin Total | Rp 75.000 |
Bilirubin Direct | Rp 75.000 |
SGOT | Rp 40.000 |
SGPT | Rp 40.000 |
Alkali Phospatase | Rp 40.000 |
Gamma GT | Rp 60.000 |
Total Protein | Rp 40.000 |
Albumin | Rp 40.000 |
Cholinesterase | Rp 100.000 |
Globulin | Rp 40.000 |
Fungsi Ginjal |
|
Ureum (BUN) | Rp 40.000 |
Kreatinin | Rp 40.000 |
Asam Urat | Rp 40.000 |
Fungsi Jantung |
|
CK | Rp 150.000 |
CK-MB | Rp 120.000 |
LDH | Rp 75.000 |
Elektrolit |
|
Kalium | Rp 45.000 |
Natrium | Rp 45.000 |
Chlorida | Rp 45.000 |
Calsium | Rp 45.000 |
Analisa Cairan |
|
Rivalta | Rp 30.000 |
Glukose | Rp 35.000 |
Protein | Rp 60.000 |
pH | Rp 30.000 |
Bj | Rp 30.000 |
LDH | Rp 75.000 |
Cellen | Rp 30.000 |
Cellen + Diff | Rp 40.000 |
URINALISA |
|
Urine rutin | Rp 70.000 |
Sedimen (automatic) | Rp 130.000 |
Sedimen (Manual) | Rp 30.000 |
Urine Lengkap | Rp 90.000 |
Protein Esbach | Rp 30.000 |
ANALISA |
|
Analisa Sperma | Rp 150.000 |
Prothrombin Time (PT) | Rp 150.000 |
APTT | Rp 100.000 |
|
PARAMETER |
HARGA |
|
PEMERIKSAAN PENYAKIT TROPIS |
|
|
Ns1 |
Rp 200.000 |
|
Dangue Blot IgG+IgM |
Rp 200.000 |
|
NS1 + Dengue blot IgG, IgM |
Rp 220.000 |
|
Salmonella IgM |
Rp 250.000 |
|
Tubex/ Typhydot |
Rp 250.000 |
|
Widal |
Rp 95.000 |
|
PEMERIKSAAN IMS |
|
|
VDRL |
Rp 100.000 |
|
TPHA |
Rp 120.000 |
|
Anti TP (Rapid) |
Rp 50.000 |
|
Anti HIV (Strategi 3) |
Rp 175.000 |
|
HEPATITIS |
|
|
HBs Ag (Elfa/Elisa) Kualitatif |
Rp 120.000 |
|
HBs Ag (Rapid) Kualitatif |
Rp 75.000 |
|
HBSAg Kuantitatif (CLIA) |
Rp 220.000 |
|
Anti HBs (Elfa/Elisa/CLIA) Kuantitatif |
Rp 200.000 |
|
Anti HBs (Rapid) |
Rp 75.000 |
|
Anti HCV (Vidas/Elisa) Kualitatif |
Rp 250.000 |
|
Anti HCV (Rapid) Kualitatif |
Rp 100.000 |
|
HBe (Elfa/Elisa/CLIA) |
Rp 400.000 |
|
Anti HBe (Elfa/Elisa/CLIA) |
Rp 450.000 |
|
Anti HAV IgM (Elfa) |
Rp 275.000 |
|
Anti HAV Total EIA |
Rp 275.000 |
|
Anti HBc IgM |
Rp 350.000 |
|
Anti HBc Total |
Rp 290.000 |
|
PETANDA TUMOR |
|
|
Alpha Feto Protein (AFP) |
Rp 220.000 |
|
CEA EIA |
Rp 275.000 |
|
PSA Total |
Rp 250.000 |
|
Free PSA |
Rp 400.000 |
|
Ca 125 EIA |
Rp 250.000 |
|
Ca 15-3 EIA |
Rp 350.000 |
|
Ca 19-9 |
Rp 400.000 |
|
NSE |
Rp 400.000 |
|
Digoxin |
Rp 500.000 |
|
THYROID |
|
|
TSHs EIA |
Rp 220.000 |
|
TSH EIA |
Rp 185.000 |
|
FT4 EIA |
Rp 220.000 |
|
T4 EIA |
Rp 200.000 |
|
T3 EIA |
Rp 200.000 |
|
Tiroglobulin |
Rp 350.000 |
|
Anti-TPO |
Rp 250.000 |
|
PEMERIKSAAN BIOMOLEKULER |
|
|
HIV-RNA (PCR ) |
Rp 800.000 |
|
HBV-DNA (PCR) |
Rp 800.000 |
|
HCV-RNA |
Rp 800.000 |
|
HPV-DNA |
Rp 750.000 |
|
LAINNYA |
|
|
Ferittin |
Rp 250.000 |
|
Chikungunya IgM |
Rp 250.000 |
|
Leptospira IgM |
Rp 250.000 |
|
Vitamin D 25-OH Total |
Rp 400.000 |
|
D-dimer |
Rp 500.000 |
|
TORCH |
|
|
Anti Toxoplasma IgG (Elfa/Elisa) |
Rp 250.000 |
|
Anti Toxoplasma IgM (Elfa/Elisa) |
Rp 250.000 |
|
Anti Rubella IgG (Elfa/Elisa) |
Rp 250.000 |
|
Anti Rubella IgM (Elfa/Elisa) |
Rp 250.000 |
|
Cytomegalovirus IgG (Elfa/Elisa) |
Rp 250.000 |
|
Cytomegalovirus IgM (Elfa/Elisa) |
Rp 250.000 |
|
HSV IgG (Elfa/Elisa) |
Rp 350.000 |
|
HSV IgM (Elfa/Elisa) |
Rp 350.000 |
|
RHEUMATIK |
|
|
CRP |
Rp 100.000 |
|
ASTO |
Rp 100.000 |
|
Rh. Faktor |
Rp 100.000 |
|
NARKOBA/NAPZA |
|
|
Amphetamin, THC, Morphin (3 panel) |
Rp 125.000 |
|
THC / MOR /AMP /MET / BZO / COC ( multi panel 6 ) |
Rp 250.000 |
|
Barbiturates Kualitatif |
Rp 50.000 |
|
Benzodiazepine Kualitatif |
Rp 50.000 |
|
Cocain Kualitatif |
Rp 50.000 |
|
MDMA Kualitatif |
Rp 50.000 |
|
Alkohol Kualitatif |
Rp 50.000 |
|
Methamphetamin Kualitatif |
Rp 50.000 |
|
Methadone Kualitatif |
Rp 50.000 |
|
Morphin Kualitatif |
Rp 50.000 |
|
THC Kualitatif |
Rp 50.000 |
|
Opiat |
Rp 50.000 |
|
REPRODUKSI |
|
|
Plano Test |
Rp 50.000 |
|
HCG (Elfa) |
Rp 150.000 |
|
β HCG (Elfa) |
Rp 250.000 |
|
LH (Elfa) |
Rp 250.000 |
|
FSH (Elfa) |
Rp 250.000 |
|
Prolactin (Elfa) |
Rp 250.000 |
|
Progesteron (Elfa) |
Rp 350.000 |
|
Testosteron Total (Elfa) |
Rp 350.000 |
|
Anti Mullerian Hormone (AMH) |
Rp 1.000.000 |
|
Estradiol |
Rp 250.000 |
|
GOLONGAN DARAH |
|
|
Golongan Darah dan Rhesus |
Rp 50.000 |
|
PEMERIKSAAN AUTOIMUN |
|
|
ANA Detect (Elisa) |
Rp 400.000 |
|
Rheumatoid factor Ig M (Elisa) |
Rp 400.000 |
|
Rheumatoid factor Ig G (Elisa) |
Rp 400.000 |
|
Antibodi Cardiolipin (ACA) IgM |
Rp 350.000 |
|
Antibodi Cardiolipin (ACA) IgG |
Rp 350.000 |
|
Anti ds-DNA |
Rp 400.000 |
|
Pemeriksaan Rapid Covid – 19 |
|
|
Covid – 19 Antibodi (Rapid) |
Rp 75.000 |
|
Covid – 19 Antigen |
Rp 125.000 |
|
SARS COV2 (ig G) |
Rp 120.000 |
|
SARS COV2 (ig M) |
Rp 150.000 |
|
Antibodi IgM+IgG SARSCoV2 |
Rp 200.000 |
|
Pemeriksaan Alergi |
|
|
IgE Total |
Rp 200.000 |
|
Pemeriksaan Fibrosis Hati |
|
|
M2BPGi (Mac – 2 Binding Protein) |
Rp 650.000 |
| PARAMETER | TARIF (Rp) |
|---|---|
| PEMERIKSAAN MIKROSKOPIK | |
| BTA 1x | 35.000 |
| BTA 2x | 70.000 |
| BTA 3x | 105.000 |
| Gram | 35.000 |
| Jamur | 30.000 |
| Neisser | 30.000 |
| Faeces rutin (Direct smear) | 30.000 |
| Metode Flotasi | 50.000 |
| Metode Sedimentasi | 50.000 |
| Metode Kato | 50.000 |
| Metode Kato Kats | 75.000 |
| Plasmodium (Mikroskopik) | 35.000 |
| Mikrofilaria | 35.000 |
| Trichomonas Vaginalis | 35.000 |
| PEMERIKSAAN MYCOBACTERIUM TB | |
| Kultur Media Padat (LJ) | 200.000 |
| Uji Resistensi M. Tuberculosis (DST Media Padat) | 350.000 |
| Kultur Media Cair (MGIT) | 450.000 |
| Uji Kepekaan M. Tuberculosis Antibiotik Lini 1 | 450.000 |
| Uji Kepekaan M. Tuberculosis Antibiotik Lini 2 | 500.000 |
| Kultur Media Cair + DST Lini 1 | 900.000 |
| Uji Kepekaan Tuberculosis antibiotik SDP | 1.100.000 |
| PEMERIKSAAN BIAKAN | |
| Kultur & Sensitivy bakteri anaerob | |
| Darah/Cairan tubuh lainnya | 700.000 |
| Urine/pus/sputum/jaringan/swab lain | 550.000 |
| Kultur & Sensitivy bakteri aerob | |
| Darah/Cairan tubuh lainnya | 800.000 |
| Pus/sputum/jaringan/swab lain | 650.000 |
| Urine | 600.000 |
| Rectal swab/feses | 650.000 |
| Corynebacterium diptheriae | 350.000 |
| Kultur identifikasi bakteri | |
| Kultur identifikasi bakteri manual | 250.000 |
| Kultur identifikasi bakteri automatic | 375.000 |
| BAKTERIOLOGI AIR | |
| MPN Coliform Metode tabung ganda | 250.000 |
| MPN E.Coli Metode Tabung Ganda | 250.000 |
| MPN Coliform & Ecoli Metode Enzim (Air Minum) | 200.000 |
PARAMETER | HARGA |
PEMERIKSAAN |
|
Bau | Rp |
Daya | Rp |
Kadar | Rp |
Kekeruhan | Rp |
Kejernihan | Rp |
Kontaminasi | Rp |
Lapisan | Rp |
Sedimen | Rp |
Rasa | Rp |
Suhu | Rp |
Warna | Rp |
Zat | Rp |
Zat | Rp |
KIMIA |
|
Aluminium | Rp |
Arsen | Rp |
Besi | Rp |
Barium | Rp |
Boron | Rp |
Cadmium | Rp |
Merkuri | Rp |
Cobalt | Rp |
Chrom | Rp |
Chrom |
|
Kalium | Rp |
Kalsium | Rp |
Mangan | Rp |
Magnesium | Rp |
Natrium(Na) | Rp |
Nikel | Rp |
Perak | Rp |
Argentum | Rp |
Selenium | Rp |
Seng | Rp |
Tembaga | Rp |
Timbal | Rp |
Stannum | Rp |
KIMIA |
|
Alkalinitas | Rp |
Amoniak | Rp |
BOD | Rp |
COD | Rp |
Derajat | Rp |
Detergen | Rp |
Fluorida | Rp |
Kesadahan | Rp |
Zat | Rp |
Klorida | Rp |
Klor | Rp |
Nitrat | Rp |
Nitrit | Rp |
Minyak | Rp |
Oksigen | Rp |
Phosphat | Rp |
Sianida | Rp |
Silika | Rp |
Phenol | Rp |
Sulfat | Rp |
Sulfida | Rp |
H2S | Rp |
UDARA |
|
Amoniak | Rp |
Carbon | Rp |
Carbon | Rp |
Getaran | Rp |
Hidrogen | Rp |
Kadar | Rp |
Kecepatan | Rp |
Kebisingan | Rp |
Kelembaban | Rp |
Nitrit | Rp |
Opositas | Rp |
Ozon | Rp |
Pencahayaan | Rp |
Sulfida | Rp |
Suhu | Rp |
Timbal | Rp |
PEMERIKSAAN |
|
Asam | Rp 50.000 |
Bilangan | Rp |
Bilangan | Rp |
Bilangan | Rp |
Bilangan | Rp |
Karbohidrat | Rp |
Karbohidrat | Rp |
Kadar | Rp |
Kadar | Rp |
Kadar | Rp |
Sulfit | Rp |
Kafein | Rp |
Kadar | Rp |
Protein | Rp |
Serat | Rp |
Beta | Rp |
Beta | Rp |
Pewarna | Rp |
Pewarna | Rp |
Pewarna | Rp |
Methanil | Rp |
Rhodamin | Rp |
Dark | Rp |
Pewarna | Rp |
Pewarna | Rp |
Boraks | Rp |
Asam | Rp |
Sakarin | Rp |
Siklamat | Rp |
Formalin | Rp |
KIO3 | Rp |
Likopen | Rp |
Vitamin | Rp |
C-Organik | Rp |
Kalium | Rp |
Nitrit | Rp |
Natrium | Rp |
Phosphat | Rp |
Identifikasi | Rp |
Vitamin | Rp |
Vitamin | Rp |
Tanin | Rp |
Antocyanin | Rp |
Glukosa | Rp |
Sukrosa | Rp |
Albumin | Rp |
Klorin | Rp |
Nitrogen | Rp |
Antioksidan | Rp |
Curcumin | Rp |
Pati | Rp |
Total | Rp |
Identifikasi | Rp |
PESTISIDA |
|
Pestisida | Rp |
Pestisida | Rp |
Pestisida | Rp |
Pestisida | Rp |
Pestisida | Rp |
Pestisida | Rp |
Hydroquinone | Rp |
Hidroksi | Rp |
Pemeriksaan |
|
Kalium | Rp |
Kalium | Rp |
Total | Rp |
PARAMETER | HARGA |
Foto Thorax (1 posisi) | Rp |
Foto Thorax (2 posisi) | Rp |
Foto Ekstremitas (2 posisi ) | Rp |
Foto Ekstremitas (3 posisi ) | Rp |
Foto Vertebra (2 posisi) | Rp |
Foto Vertebra (3 posisi) | Rp |
USG Abdomen/ Mammae/ Leher | Rp |
USG Muskoloskeletal | Rp |
USG Doppler | Rp |
|
PARAMETER |
HARGA |
|
EKG |
Rp 100.000 |
|
Pemeriksaan Fisik |
Rp 50.000 |
|
Pembuatan Surat Ket Sehat/Narkoba/Buta Warna |
Rp 20.000 |
|
Pembuatan Sertifikat/Medical Report |
Rp 15.000 |
|
Pemeriksaan penunjang MCU |
Rp. 100.000 – 1.000.000 |
|
PARAMETER |
HARGA |
|
MEDIA |
|
|
Media Transport |
|
|
Amies |
Rp 26.000 |
|
Carry Blair |
Rp 26.000 |
|
Stuart |
Rp 26.000 |
|
Media Pemupuk |
|
|
BHIB |
Rp 26.000 |
|
EC Broth |
Rp 26.000 |
|
GN Broth |
Rp 27.000 |
|
NaCl broth |
Rp 26.000 |
|
Thyoglikolat Medium |
Rp 26.000 |
|
APW 3% |
Rp 26.000 |
|
BPW |
Rp 20.000 |
|
Media Diferensial |
|
|
Mac Conkey |
Rp 40.000 |
|
KIA |
Rp 26.000 |
|
Media Identifikasi |
|
|
TCBS |
Rp 40.000 |
|
SS Agar |
Rp 40.000 |
|
Mannitol Selenit Broth |
Rp 26.000 |
|
PCA |
Rp 40.000 |
|
LJ |
Rp 40.000 |
|
LJ+ INH high |
Rp 45.000 |
|
LJ+ INH low |
Rp 45.000 |
|
LJ+ Capreomycin |
Rp 45.000 |
|
LJ+ Kanamycin |
Rp 45.000 |
|
LJ+ Ofloxacin |
Rp 45.000 |
|
LJ+ Moksifloksasin |
Rp 45.000 |
|
GC Agar |
Rp 30.000 |
|
Tellurite Glicine Agar |
Rp 30.000 |
|
Endo Agar |
Rp 40.000 |
|
Colombia Blood Agar |
Rp 50.000 |
|
Glukose |
Rp 20.000 |
|
Laktosa |
Rp 20.000 |
|
Maltose |
Rp 20.000 |
|
Mannitol |
Rp 20.000 |
|
Sukrose |
Rp 20.000 |
|
MR-VP |
Rp 20.000 |
|
Simon Citrat Agar |
Rp 20.000 |
|
Urea Agar |
Rp 20.000 |
|
LIA |
Rp 20.000 |
|
MSA |
Rp 30.000 |
|
MIO/SIM |
Rp 20.000 |
|
Muller Hinton Agar |
Rp 40.000 |
|
Muller Hinton Broth |
Rp 26.000 |
|
LB 0,5% |
Rp 26.000 |
|
LB 1,5% |
Rp 27.000 |
|
BGLB |
Rp 27.000 |
|
TinsdaleAgar Base |
Rp 40.000 |
|
Of Basal Medium |
Rp 20.000 |
|
Malonat Broth |
Rp 20.000 |
|
Bile Esculin Agar |
Rp 20.000 |
|
PAD |
Rp 20.000 |
|
D-Nase Agar |
Rp 20.000 |
|
Nitrat Broth |
Rp 20.000 |
|
Sabaroud + Chloramphenicol |
Rp 40.000 |
|
Nutrient Agar |
Rp 40.000 |
|
Nutrient Broth |
Rp 25.000 |
|
Blood Agar |
Rp 50.000 |
|
Blood agar EGG |
Rp 85.000 |
|
Lofler Serum |
Rp 86.000 |
|
Skim Milk 10% |
Rp 32.000 |
|
RVS Broth |
Rp 27.000 |
|
XLD |
Rp 40.000 |
|
MKTTn Broth |
Rp 33.000 |
|
Coklat Agar |
Rp 50.000 |
|
EMB Agar |
Rp 25.000 |
|
CCA |
Rp 20.000 |
|
B.E.Coli |
Rp 27.000 |
|
BHIB + NaCl 6.5% |
Rp 25.000 |
|
BHIA |
Rp 40.000 |
|
Hoyle Tellurite |
Rp 25.000 |
|
Triptic soy broth |
Rp 25.000 |
|
Selenite Cistine Broth |
Rp 25.000 |
|
Triptone soya broth |
Rp 25.000 |
|
Triptone soya agar |
Rp 25.000 |
|
TSIA |
Rp 25.000 |
|
REAGENSIA |
|
|
Larutan Fisiologis |
|
|
NaCL 6,5% |
Rp 30.000 |
|
NaCL 0,85% |
Rp 30.000 |
|
NaCl 0,9% |
Rp 30.000 |
|
NaOH 4% |
Rp 25.000 |
|
Methylene Blue 0,1% |
Rp 50.000 |
|
HCL Alkohol 3 % |
Rp 75.000 |
|
Carbol Fuchsin 0,3% |
Rp 100.000 |
|
Pengecatan Gram |
|
|
Fuchsin |
Rp 100.000 |
|
Lugol |
Rp 50.000 |
|
Carbol Gentien Violet |
Rp 70.000 |
|
Pewarnaan Difteri |
|
|
Neisser A |
Rp 50.000 |
|
Neisser B |
Rp 50.000 |
|
Neisser C |
Rp 50.000 |
|
Desinfektan |
|
|
Alkohol 70% |
Rp 20.000 |
|
Phenol 5% |
Rp 25.000 |
|
Tes Identifikasi TB |
|
|
Niasin Test |
Rp 100.000 |
|
Catalase Test |
Rp 100.000 |
|
Nitrate reduksi test |
Rp 100.000 |
|
Tes Biokimia |
|
|
Alfa Napthol 5% |
Rp 155.000 |
|
KoVACS |
Rp 365.000 |
|
Methyl Red 0,02% |
Rp 25.000 |
|
O’Meara |
Rp 105.000 |
|
PAD |
Rp 145.000 |
|
KOH 40% |
Rp 80.000 |
|
H2O2 3% |
Rp 20.000 |
|
Ehrlich (indol test) |
Rp 100.000 |
|
Pengawet |
|
|
Formalin 10% |
Rp 75.000 |
|
Pembersih Lensa Mikroskop |
|
|
Eter alkohol 7:3 |
Rp 135.000 |
|
Larutan Buffer |
|
|
PBS NaCl pH 7,2 |
Rp 25.000 |
|
PBS NaCl pH 7,4 |
Rp 25.000 |
|
PBS pH 6,8 |
Rp 25.000 |
|
PBS pH 6,4 |
Rp 25.000 |
|
PBS pH 7,0 |
Rp 25.000 |
|
PBS pH 7,2 |
Rp 25.000 |
|
PBS pH 5 |
Rp 25.000 |
|
PBS pH 6,5 |
Rp 25.000 |
|
PBS pH 8 |
Rp 25.000 |
|
Antikoagulen |
|
|
EDTA 10% |
Rp 100.000 |
|
Natrium Citrat 3,8% |
Rp 25.000 |
|
Pemeriksaan Jamur |
|
|
KOH 10% |
Rp 35.000 |
|
KOH 20% |
Rp 40.000 |
|
Regens Standar Sensitivity |
|
|
MC Farland |
Rp 15.000 |
|
Regens Pemeriksaan Retikulosit |
|
|
Larutan BCB |
Rp 300.000 |
|
Reagens Tes kadar Hb |
Rp 45.000 |
|
Reagens pemeriksaan eritrosit |
|
|
Hayem |
Rp 35.000 |
|
Reagens pemeriksaan trombosit |
|
|
Rees Ecker |
Rp 35.000 |
|
Reagens pemeriksaan lekosit |
|
|
Turk |
Rp 25.000 |
|
Reagens pemeriksaan bilirubin dalam urine |
|
|
Fouchet |
Rp 350.000 |
|
Reagens pemeriksaan glukose dalam urine |
|
|
Benedict |
Rp 50.000 |
|
Reagens pemeriksaan protein dalam urine |
|
|
As. Sulfosalisil 20% |
Rp 305.000 |
|
Esbach |
Rp 30.000 |
|
Reagens pemeriksaan urobilin dalam urine |
|
|
Schelisinger |
Rp 100.000 |
|
Reagens Creatinine |
|
|
Asam pikrat 1.2% |
Rp 25.000 |
|
NaOH 1.2N |
Rp 30.000 |
|
Standar creatinine |
Rp 25.000 |
|
Reagens pemeriksaan sperma |
|
|
Larutan pengencer sperma |
Rp 30.000 |
|
Reagens |
|
|
MGG |
Rp 125.000 |
|
Larutan pyrazinamide |
Rp 25.000 |
Terakhir diperbarui : 01/03/2023