Informasi
Rumah Sakit Jiwa Grhasia menyediakan kemudahan e-reservasi, kapasitas bed rawat inap, jadwal poliklinik, tarif pelayanan, dan jadwal dokter. Anda akan mendapatkan kenyamanan dalam perawatan yang dibutuhkan.
Tarif Pelayanan
| No | Tindakan | Harga | Kelas | Nama Ruangan |
|---|---|---|---|---|
| Laboratorium Umum (Penelitian) | ||||
| 1 | Jumlah lekosit | Rp 24.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 2 | Jumlah lekosit | Rp 24.000 | VIP | Laboratorium Umum (Penelitian) |
| 3 | Jumlah lekosit | Rp 24.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 4 | Jumlah lekosit | Rp 24.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 5 | Jumlah lekosit | Rp 24.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 6 | KED | Rp 23.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 7 | KED | Rp 23.000 | VIP | Laboratorium Umum (Penelitian) |
| 8 | KED | Rp 23.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 9 | KED | Rp 23.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 10 | KED | Rp 23.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 11 | Masa Pembekuan | Rp 30.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 12 | Masa Pembekuan | Rp 30.000 | VIP | Laboratorium Umum (Penelitian) |
| 13 | Masa Pembekuan | Rp 30.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 14 | Masa Pembekuan | Rp 30.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 15 | Masa Pembekuan | Rp 30.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 16 | Masa Pendarahan | Rp 30.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 17 | Masa Pendarahan | Rp 30.000 | VIP | Laboratorium Umum (Penelitian) |
| 18 | Masa Pendarahan | Rp 30.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 19 | Masa Pendarahan | Rp 30.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 20 | Masa Pendarahan | Rp 30.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 21 | Golongan darah | Rp 35.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 22 | Golongan darah | Rp 35.000 | VIP | Laboratorium Umum (Penelitian) |
| 23 | Golongan darah | Rp 35.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 24 | Golongan darah | Rp 35.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 25 | Golongan darah | Rp 35.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 26 | Hitung jenis lekosit | Rp 30.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 27 | Hitung jenis lekosit | Rp 30.000 | VIP | Laboratorium Umum (Penelitian) |
| 28 | Hitung jenis lekosit | Rp 30.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 29 | Hitung jenis lekosit | Rp 30.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 30 | Hitung jenis lekosit | Rp 30.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 31 | Hitung Eritrosit | Rp 24.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 32 | Hitung Eritrosit | Rp 24.000 | VIP | Laboratorium Umum (Penelitian) |
| 33 | Hitung Eritrosit | Rp 24.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 34 | Hitung Eritrosit | Rp 24.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 35 | Hitung Eritrosit | Rp 24.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 36 | Hitung Trombosit | Rp 24.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 37 | Hitung Trombosit | Rp 24.000 | VIP | Laboratorium Umum (Penelitian) |
| 38 | Hitung Trombosit | Rp 24.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 39 | Hitung Trombosit | Rp 24.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 40 | Hitung Trombosit | Rp 24.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 41 | Hematokrit | Rp 24.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 42 | Hematokrit | Rp 24.000 | VIP | Laboratorium Umum (Penelitian) |
| 43 | Hematokrit | Rp 24.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 44 | Hematokrit | Rp 24.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 45 | Hematokrit | Rp 24.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 46 | Indeks eritrosit ( MCV / MCH / MCHC ) | Rp 24.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 47 | Indeks eritrosit ( MCV / MCH / MCHC ) | Rp 24.000 | VIP | Laboratorium Umum (Penelitian) |
| 48 | Indeks eritrosit ( MCV / MCH / MCHC ) | Rp 24.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 49 | Indeks eritrosit ( MCV / MCH / MCHC ) | Rp 24.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 50 | Indeks eritrosit ( MCV / MCH / MCHC ) | Rp 24.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 51 | Darah rutin 3 diff | Rp 60.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 52 | Darah rutin 3 diff | Rp 60.000 | VIP | Laboratorium Umum (Penelitian) |
| 53 | Darah rutin 3 diff | Rp 60.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 54 | Darah rutin 3 diff | Rp 60.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 55 | Darah rutin 3 diff | Rp 60.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 56 | Darah rutin 5 diff | Rp 70.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 57 | Darah rutin 5 diff | Rp 70.000 | VIP | Laboratorium Umum (Penelitian) |
| 58 | Darah rutin 5 diff | Rp 70.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 59 | Darah rutin 5 diff | Rp 70.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 60 | Darah rutin 5 diff | Rp 70.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 61 | Darah lengkap 5 diff + LED | Rp 85.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 62 | Darah lengkap 5 diff + LED | Rp 85.000 | VIP | Laboratorium Umum (Penelitian) |
| 63 | Darah lengkap 5 diff + LED | Rp 85.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 64 | Darah lengkap 5 diff + LED | Rp 85.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 65 | Darah lengkap 5 diff + LED | Rp 85.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 66 | Morfologi darah tepi | Rp 70.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 67 | Morfologi darah tepi | Rp 70.000 | VIP | Laboratorium Umum (Penelitian) |
| 68 | Morfologi darah tepi | Rp 70.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 69 | Morfologi darah tepi | Rp 70.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 70 | Morfologi darah tepi | Rp 70.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 71 | Malaria | Rp 30.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 72 | Malaria | Rp 30.000 | VIP | Laboratorium Umum (Penelitian) |
| 73 | Malaria | Rp 30.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 74 | Malaria | Rp 30.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 75 | Malaria | Rp 30.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 76 | HbA1c | Rp 180.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 77 | HbA1c | Rp 180.000 | VIP | Laboratorium Umum (Penelitian) |
| 78 | HbA1c | Rp 180.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 79 | HbA1c | Rp 180.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 80 | HbA1c | Rp 180.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 81 | Pengambilan Darah Vena | Rp 15.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 82 | Pengambilan Darah Vena | Rp 15.000 | VIP | Laboratorium Umum (Penelitian) |
| 83 | Pengambilan Darah Vena | Rp 15.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 84 | Pengambilan Darah Vena | Rp 15.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 85 | Pengambilan Darah Vena | Rp 15.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 86 | APTT | Rp 150.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 87 | APTT | Rp 150.000 | VIP | Laboratorium Umum (Penelitian) |
| 88 | APTT | Rp 150.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 89 | APTT | Rp 150.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 90 | APTT | Rp 150.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 91 | PPT | Rp 150.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 92 | PPT | Rp 150.000 | VIP | Laboratorium Umum (Penelitian) |
| 93 | PPT | Rp 150.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 94 | PPT | Rp 150.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 95 | PPT | Rp 150.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 96 | Fibrinogen | Rp 445.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 97 | Fibrinogen | Rp 445.000 | VIP | Laboratorium Umum (Penelitian) |
| 98 | Fibrinogen | Rp 445.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 99 | Fibrinogen | Rp 445.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 100 | Fibrinogen | Rp 445.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 101 | HbSAg (rapid kualitatif) | Rp 54.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 102 | HbSAg (rapid kualitatif) | Rp 54.000 | VIP | Laboratorium Umum (Penelitian) |
| 103 | HbSAg (rapid kualitatif) | Rp 54.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 104 | HbSAg (rapid kualitatif) | Rp 54.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 105 | HbSAg (rapid kualitatif) | Rp 54.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 106 | VDRL ( Venereal Disease Research Laboratory ) | Rp 80.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 107 | Tes Kehamilan. | Rp 34.000 | VVIP | Laboratorium Umum (Penelitian) |
| 108 | Tes Kehamilan. | Rp 34.000 | VIP B | Laboratorium Umum (Penelitian) |
| 109 | Tes Kehamilan. | Rp 34.000 | VIP A | Laboratorium Umum (Penelitian) |
| 110 | Tes Kehamilan. | Rp 34.000 | VIP | Laboratorium Umum (Penelitian) |
| 111 | Tes Kehamilan. | Rp 34.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 112 | Tes Kehamilan. | Rp 34.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 113 | Tes Kehamilan. | Rp 34.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 114 | Tes Kehamilan. | Rp 34.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 115 | Tubex TF | Rp 192.000 | VVIP | Laboratorium Umum (Penelitian) |
| 116 | Tubex TF | Rp 192.000 | VIP B | Laboratorium Umum (Penelitian) |
| 117 | Tubex TF | Rp 192.000 | VIP A | Laboratorium Umum (Penelitian) |
| 118 | Tubex TF | Rp 192.000 | VIP | Laboratorium Umum (Penelitian) |
| 119 | Tubex TF | Rp 192.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 120 | Tubex TF | Rp 192.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 121 | Tubex TF | Rp 192.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 122 | Tubex TF | Rp 192.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 123 | IgG/IgM Dengue | Rp 294.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 124 | NS1. | Rp 210.000 | VVIP | Laboratorium Umum (Penelitian) |
| 125 | NS1. | Rp 210.000 | VIP B | Laboratorium Umum (Penelitian) |
| 126 | NS1. | Rp 210.000 | VIP A | Laboratorium Umum (Penelitian) |
| 127 | NS1. | Rp 210.000 | VIP | Laboratorium Umum (Penelitian) |
| 128 | NS1. | Rp 210.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 129 | NS1. | Rp 210.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 130 | NS1. | Rp 210.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 131 | NS1. | Rp 210.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 132 | HIV ( rapid test ) | Rp 102.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 133 | FT4 | Rp 300.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 134 | HbSAg (titer) | Rp 120.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 135 | HbeAg | Rp 340.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 136 | HbeAg (rapidkualitatif) | Rp 100.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 137 | Antigen SARSCoV2. | Rp 90.000 | VVIP | Laboratorium Umum (Penelitian) |
| 138 | Antigen SARSCoV2. | Rp 90.000 | VIP B | Laboratorium Umum (Penelitian) |
| 139 | Antigen SARSCoV2. | Rp 90.000 | VIP A | Laboratorium Umum (Penelitian) |
| 140 | Antigen SARSCoV2. | Rp 90.000 | VIP | Laboratorium Umum (Penelitian) |
| 141 | Antigen SARSCoV2. | Rp 90.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 142 | Antigen SARSCoV2. | Rp 90.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 143 | Antigen SARSCoV2. | Rp 90.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 144 | Antigen SARSCoV2. | Rp 90.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 145 | Penyediaan Transfusi Darah | Rp 550.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 146 | Penyediaan Transfusi Darah | Rp 550.000 | VIP | Laboratorium Umum (Penelitian) |
| 147 | Penyediaan Transfusi Darah | Rp 550.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 148 | Penyediaan Transfusi Darah | Rp 550.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 149 | Penyediaan Transfusi Darah | Rp 550.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 150 | Creatinin | Rp 29.500 | Non Kelas | Laboratorium Umum (Penelitian) |
| 151 | Creatinin | Rp 29.500 | VIP | Laboratorium Umum (Penelitian) |
| 152 | Creatinin | Rp 29.500 | Kelas I | Laboratorium Umum (Penelitian) |
| 153 | Creatinin | Rp 29.500 | Kelas II | Laboratorium Umum (Penelitian) |
| 154 | Creatinin | Rp 29.500 | Kelas III | Laboratorium Umum (Penelitian) |
| 155 | Erytrosit | Rp 105.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 156 | Hematokrit | Rp 105.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 157 | Trombosit | Rp 110.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 158 | Laju Endap Darah (LED) | Rp 105.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 159 | Leukosit | Rp 105.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 160 | Hemoglobin | Rp 110.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 161 | Analisa Semen | Rp 551.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 162 | Analisa Semen | Rp 551.000 | VIP B | Laboratorium Umum (Penelitian) |
| 163 | Analisa Semen | Rp 551.000 | VVIP | Laboratorium Umum (Penelitian) |
| 164 | Analisa Semen | Rp 551.000 | VIP A | Laboratorium Umum (Penelitian) |
| 165 | Analisa Semen | Rp 551.000 | VIP | Laboratorium Umum (Penelitian) |
| 166 | Analisa Semen | Rp 551.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 167 | Analisa Semen | Rp 551.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 168 | Analisa Semen | Rp 551.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 169 | Fecal Calprotectin | Rp 892.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 170 | Creatinin Urine | Rp 102.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 171 | Creatinin Urine | Rp 102.000 | VIP B | Laboratorium Umum (Penelitian) |
| 172 | Creatinin Urine | Rp 102.000 | VVIP | Laboratorium Umum (Penelitian) |
| 173 | Creatinin Urine | Rp 102.000 | VIP A | Laboratorium Umum (Penelitian) |
| 174 | Creatinin Urine | Rp 102.000 | VIP | Laboratorium Umum (Penelitian) |
| 175 | Creatinin Urine | Rp 102.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 176 | Creatinin Urine | Rp 102.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 177 | Creatinin Urine | Rp 102.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 178 | Mikroalbumin (Urin 24 jam) | Rp 282.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 179 | Albumin-Creatinine Ratio (ACR) | Rp 323.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 180 | Albumin-Creatinine Ratio (ACR) | Rp 323.000 | VVIP | Laboratorium Umum (Penelitian) |
| 181 | Albumin-Creatinine Ratio (ACR) | Rp 323.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 182 | Albumin-Creatinine Ratio (ACR) | Rp 323.000 | VIP B | Laboratorium Umum (Penelitian) |
| 183 | Albumin-Creatinine Ratio (ACR) | Rp 323.000 | VIP A | Laboratorium Umum (Penelitian) |
| 184 | Albumin-Creatinine Ratio (ACR) | Rp 323.000 | VIP | Laboratorium Umum (Penelitian) |
| 185 | Albumin-Creatinine Ratio (ACR) | Rp 323.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 186 | Albumin-Creatinine Ratio (ACR) | Rp 323.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 187 | Mikroalbumin Sewaktu | Rp 323.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 188 | Elektroforesis Protein Urine (Urine ELP) | Rp 546.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 189 | Betta HCG kuantitatif Urine | Rp 801.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 190 | Betta HCG kuantitatif Urine | Rp 801.000 | VIP B | Laboratorium Umum (Penelitian) |
| 191 | Betta HCG kuantitatif Urine | Rp 801.000 | VVIP | Laboratorium Umum (Penelitian) |
| 192 | Betta HCG kuantitatif Urine | Rp 801.000 | VIP A | Laboratorium Umum (Penelitian) |
| 193 | Betta HCG kuantitatif Urine | Rp 801.000 | VIP | Laboratorium Umum (Penelitian) |
| 194 | Betta HCG kuantitatif Urine | Rp 801.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 195 | Betta HCG kuantitatif Urine | Rp 801.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 196 | Betta HCG kuantitatif Urine | Rp 801.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 197 | BJ Urine | Rp 71.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 198 | BJ Urine | Rp 71.000 | VIP B | Laboratorium Umum (Penelitian) |
| 199 | BJ Urine | Rp 71.000 | VVIP | Laboratorium Umum (Penelitian) |
| 200 | BJ Urine | Rp 71.000 | VIP A | Laboratorium Umum (Penelitian) |
| 201 | BJ Urine | Rp 71.000 | VIP | Laboratorium Umum (Penelitian) |
| 202 | BJ Urine | Rp 71.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 203 | BJ Urine | Rp 71.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 204 | BJ Urine | Rp 71.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 205 | TIBC | Rp 256.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 206 | Serum Iron | Rp 256.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 207 | Panel Iron | Rp 525.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 208 | Sel LE | Rp 186.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 209 | Coombs Test Indirect | Rp 324.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 210 | Coombs Test Indirect | Rp 324.000 | VIP B | Laboratorium Umum (Penelitian) |
| 211 | Coombs Test Indirect | Rp 324.000 | VVIP | Laboratorium Umum (Penelitian) |
| 212 | Coombs Test Indirect | Rp 324.000 | VIP A | Laboratorium Umum (Penelitian) |
| 213 | Coombs Test Indirect | Rp 324.000 | VIP | Laboratorium Umum (Penelitian) |
| 214 | Coombs Test Indirect | Rp 324.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 215 | Coombs Test Indirect | Rp 324.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 216 | Coombs Test Indirect | Rp 324.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 217 | CD4 | Rp 402.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 218 | CD4 | Rp 402.000 | VIP B | Laboratorium Umum (Penelitian) |
| 219 | CD4 | Rp 402.000 | VVIP | Laboratorium Umum (Penelitian) |
| 220 | CD4 | Rp 402.000 | VIP A | Laboratorium Umum (Penelitian) |
| 221 | CD4 | Rp 402.000 | VIP | Laboratorium Umum (Penelitian) |
| 222 | CD4 | Rp 402.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 223 | CD4 | Rp 402.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 224 | CD4 | Rp 402.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 225 | D Dimer | Rp 905.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 226 | D Dimer | Rp 905.000 | VIP B | Laboratorium Umum (Penelitian) |
| 227 | D Dimer | Rp 905.000 | VVIP | Laboratorium Umum (Penelitian) |
| 228 | D Dimer | Rp 905.000 | VIP A | Laboratorium Umum (Penelitian) |
| 229 | D Dimer | Rp 905.000 | VIP | Laboratorium Umum (Penelitian) |
| 230 | D Dimer | Rp 905.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 231 | D Dimer | Rp 905.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 232 | D Dimer | Rp 905.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 233 | Test Agregasi Trombosit (TAT) | Rp 592.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 234 | Test Agregasi Trombosit (TAT) | Rp 592.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 235 | Test Agregasi Trombosit (TAT) | Rp 592.000 | VIP | Laboratorium Umum (Penelitian) |
| 236 | Test Agregasi Trombosit (TAT) | Rp 592.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 237 | Test Agregasi Trombosit (TAT) | Rp 592.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 238 | Fibrinogen | Rp 445.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 239 | Fibrinogen | Rp 445.000 | VIP | Laboratorium Umum (Penelitian) |
| 240 | Fibrinogen | Rp 445.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 241 | Fibrinogen | Rp 445.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 242 | Fibrinogen | Rp 445.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 243 | Protrombin Time (PT - INR) | Rp 398.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 244 | APTT | Rp 283.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 245 | APTT | Rp 283.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 246 | APTT | Rp 283.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 247 | APTT | Rp 283.000 | VIP | Laboratorium Umum (Penelitian) |
| 248 | APTT | Rp 283.000 | VIP A | Laboratorium Umum (Penelitian) |
| 249 | APTT | Rp 283.000 | VVIP | Laboratorium Umum (Penelitian) |
| 250 | APTT | Rp 283.000 | VIP B | Laboratorium Umum (Penelitian) |
| 251 | APTT | Rp 283.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 252 | Panel Creatinin Clearence | Rp 224.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 253 | Panel Urea Clearence | Rp 224.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 254 | Asam Urat | Rp 82.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 255 | Asam Urat | Rp 82.000 | VIP B | Laboratorium Umum (Penelitian) |
| 256 | Asam Urat | Rp 82.000 | VVIP | Laboratorium Umum (Penelitian) |
| 257 | Asam Urat | Rp 82.000 | VIP A | Laboratorium Umum (Penelitian) |
| 258 | Asam Urat | Rp 82.000 | VIP | Laboratorium Umum (Penelitian) |
| 259 | Asam Urat | Rp 82.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 260 | Asam Urat | Rp 82.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 261 | Asam Urat | Rp 82.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 262 | BUN | Rp 82.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 263 | BUN | Rp 82.000 | VIP B | Laboratorium Umum (Penelitian) |
| 264 | BUN | Rp 82.000 | VVIP | Laboratorium Umum (Penelitian) |
| 265 | BUN | Rp 82.000 | VIP A | Laboratorium Umum (Penelitian) |
| 266 | BUN | Rp 82.000 | VIP | Laboratorium Umum (Penelitian) |
| 267 | BUN | Rp 82.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 268 | BUN | Rp 82.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 269 | BUN | Rp 82.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 270 | VLDL Cholesterol | Rp 216.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 271 | Small Dense LDL | Rp 524.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 272 | Chol Apo B | Rp 345.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 273 | Chol Apo B | Rp 345.000 | VIP B | Laboratorium Umum (Penelitian) |
| 274 | Chol Apo B | Rp 345.000 | VVIP | Laboratorium Umum (Penelitian) |
| 275 | Chol Apo B | Rp 345.000 | VIP A | Laboratorium Umum (Penelitian) |
| 276 | Chol Apo B | Rp 345.000 | VIP | Laboratorium Umum (Penelitian) |
| 277 | Chol Apo B | Rp 345.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 278 | Chol Apo B | Rp 345.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 279 | Chol Apo B | Rp 345.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 280 | Chol Apo A-1 | Rp 788.000 | VIP | Laboratorium Umum (Penelitian) |
| 281 | Chol Apo A-1 | Rp 788.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 282 | Chol Apo A-1 | Rp 788.000 | VIP B | Laboratorium Umum (Penelitian) |
| 283 | Chol Apo A-1 | Rp 788.000 | VVIP | Laboratorium Umum (Penelitian) |
| 284 | Chol Apo A-1 | Rp 788.000 | VIP A | Laboratorium Umum (Penelitian) |
| 285 | Chol Apo A-1 | Rp 788.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 286 | Chol Apo A-1 | Rp 788.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 287 | Chol Apo A-1 | Rp 788.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 288 | Total Lipid | Rp 244.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 289 | Cholesterol | Rp 81.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 290 | Cholesterol | Rp 81.000 | VIP B | Laboratorium Umum (Penelitian) |
| 291 | Cholesterol | Rp 81.000 | VVIP | Laboratorium Umum (Penelitian) |
| 292 | Cholesterol | Rp 81.000 | VIP A | Laboratorium Umum (Penelitian) |
| 293 | Cholesterol | Rp 81.000 | VIP | Laboratorium Umum (Penelitian) |
| 294 | Cholesterol | Rp 81.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 295 | Cholesterol | Rp 81.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 296 | Cholesterol | Rp 81.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 297 | Protein Elektroforesis (ELP) | Rp 445.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 298 | Gamma Globulin | Rp 507.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 299 | Ratio Alb/Glo | Rp 216.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 300 | Globulin | Rp 129.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 301 | Albumin | Rp 129.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 302 | Albumin | Rp 129.000 | VIP B | Laboratorium Umum (Penelitian) |
| 303 | Albumin | Rp 129.000 | VVIP | Laboratorium Umum (Penelitian) |
| 304 | Albumin | Rp 129.000 | VIP A | Laboratorium Umum (Penelitian) |
| 305 | Albumin | Rp 129.000 | VIP | Laboratorium Umum (Penelitian) |
| 306 | Albumin | Rp 129.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 307 | Albumin | Rp 129.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 308 | Albumin | Rp 129.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 309 | Betta Crosslap (CTx) | Rp 779.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 310 | Betta Crosslap (CTx) | Rp 779.000 | VVIP | Laboratorium Umum (Penelitian) |
| 311 | Betta Crosslap (CTx) | Rp 779.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 312 | Betta Crosslap (CTx) | Rp 779.000 | VIP B | Laboratorium Umum (Penelitian) |
| 313 | Betta Crosslap (CTx) | Rp 779.000 | VIP A | Laboratorium Umum (Penelitian) |
| 314 | Betta Crosslap (CTx) | Rp 779.000 | VIP | Laboratorium Umum (Penelitian) |
| 315 | Betta Crosslap (CTx) | Rp 779.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 316 | Betta Crosslap (CTx) | Rp 779.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 317 | VDRL TITER | Rp 282.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 318 | IgM Chlamydia | Rp 1.153.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 319 | IgG Chlamydia | Rp 1.153.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 320 | Anti HIV (SCREENING) | Rp 455.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 321 | Anti HIV (SCREENING) | Rp 455.000 | VVIP | Laboratorium Umum (Penelitian) |
| 322 | Anti HIV (SCREENING) | Rp 455.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 323 | Anti HIV (SCREENING) | Rp 455.000 | VIP B | Laboratorium Umum (Penelitian) |
| 324 | Anti HIV (SCREENING) | Rp 455.000 | VIP A | Laboratorium Umum (Penelitian) |
| 325 | Anti HIV (SCREENING) | Rp 455.000 | VIP | Laboratorium Umum (Penelitian) |
| 326 | Anti HIV (SCREENING) | Rp 455.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 327 | Anti HIV (SCREENING) | Rp 455.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 328 | Anti HIV | Rp 775.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 329 | Anti HIV | Rp 775.000 | VVIP | Laboratorium Umum (Penelitian) |
| 330 | Anti HIV | Rp 775.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 331 | Anti HIV | Rp 775.000 | VIP B | Laboratorium Umum (Penelitian) |
| 332 | Anti HIV | Rp 775.000 | VIP A | Laboratorium Umum (Penelitian) |
| 333 | Anti HIV | Rp 775.000 | VIP | Laboratorium Umum (Penelitian) |
| 334 | Anti HIV | Rp 775.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 335 | Anti HIV | Rp 775.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 336 | VDRL | Rp 156.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 337 | TPHA | Rp 265.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 338 | Panel TORCH II | Rp 3.935.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 339 | Panel TORCH I | Rp 4.960.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 340 | IgM HSV 2 | Rp 570.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 341 | IgG HSV1 | Rp 570.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 342 | Antigenemia CMV | Rp 1.631.000 | VIP A | Laboratorium Umum (Penelitian) |
| 343 | Antigenemia CMV | Rp 1.631.000 | VVIP | Laboratorium Umum (Penelitian) |
| 344 | Antigenemia CMV | Rp 1.631.000 | VIP B | Laboratorium Umum (Penelitian) |
| 345 | Antigenemia CMV | Rp 1.631.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 346 | Antigenemia CMV | Rp 1.631.000 | VIP | Laboratorium Umum (Penelitian) |
| 347 | Antigenemia CMV | Rp 1.631.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 348 | Antigenemia CMV | Rp 1.631.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 349 | Antigenemia CMV | Rp 1.631.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 350 | IgG CMV Avidity | Rp 750.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 351 | IgG CMV | Rp 482.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 352 | IgM Rubella | Rp 650.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 353 | IgG Rubella | Rp 510.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 354 | IgG Toxoplasma Avidity | Rp 765.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 355 | Anti HBs Titer | Rp 530.000 | VIP A | Laboratorium Umum (Penelitian) |
| 356 | Anti HBs Titer | Rp 530.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 357 | Anti HBs Titer | Rp 530.000 | VIP B | Laboratorium Umum (Penelitian) |
| 358 | Anti HBs Titer | Rp 530.000 | VVIP | Laboratorium Umum (Penelitian) |
| 359 | Anti HBs Titer | Rp 530.000 | VIP | Laboratorium Umum (Penelitian) |
| 360 | Anti HBs Titer | Rp 530.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 361 | Anti HBs Titer | Rp 530.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 362 | Anti HBs Titer | Rp 530.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 363 | Anti HBs | Rp 279.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 364 | Anti HBs | Rp 279.000 | VIP B | Laboratorium Umum (Penelitian) |
| 365 | Anti HBs | Rp 279.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 366 | Anti HBs | Rp 279.000 | VVIP | Laboratorium Umum (Penelitian) |
| 367 | Anti HBs | Rp 279.000 | VIP A | Laboratorium Umum (Penelitian) |
| 368 | Anti HBs | Rp 279.000 | VIP | Laboratorium Umum (Penelitian) |
| 369 | Anti HBs | Rp 279.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 370 | Anti HBs | Rp 279.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 371 | HBs Ag Confirmatory | Rp 1.281.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 372 | HBs Ag (Titer) | Rp 608.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 373 | HBsAg | Rp 250.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 374 | Malaria - ICT | Rp 651.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 375 | IgM CMV | Rp 660.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 376 | N Mid Osteocalsin | Rp 769.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 377 | C-Telo Peptide (CTx) | Rp 779.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 378 | C-Telo Peptide (CTx) | Rp 779.000 | VIP B | Laboratorium Umum (Penelitian) |
| 379 | C-Telo Peptide (CTx) | Rp 779.000 | VVIP | Laboratorium Umum (Penelitian) |
| 380 | C-Telo Peptide (CTx) | Rp 779.000 | VIP A | Laboratorium Umum (Penelitian) |
| 381 | C-Telo Peptide (CTx) | Rp 779.000 | VIP | Laboratorium Umum (Penelitian) |
| 382 | C-Telo Peptide (CTx) | Rp 779.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 383 | C-Telo Peptide (CTx) | Rp 779.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 384 | C-Telo Peptide (CTx) | Rp 779.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 385 | Panel HbA1c | Rp 240.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 386 | Lp (a) | Rp 635.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 387 | Kultur Mikroorganisme (vitek) | Rp 867.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 388 | Cholesterol total | Rp 32.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 389 | Cholesterol total | Rp 32.000 | VIP | Laboratorium Umum (Penelitian) |
| 390 | Cholesterol total | Rp 32.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 391 | Cholesterol total | Rp 32.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 392 | Cholesterol total | Rp 32.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 393 | Trigliserida | Rp 36.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 394 | Trigliserida | Rp 36.000 | VIP | Laboratorium Umum (Penelitian) |
| 395 | Trigliserida | Rp 36.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 396 | Trigliserida | Rp 36.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 397 | Trigliserida | Rp 36.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 398 | HDL | Rp 40.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 399 | HDL | Rp 40.000 | VIP | Laboratorium Umum (Penelitian) |
| 400 | HDL | Rp 40.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 401 | HDL | Rp 40.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 402 | HDL | Rp 40.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 403 | LDL (indirect) | Rp 25.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 404 | LDL (indirect) | Rp 25.000 | VIP | Laboratorium Umum (Penelitian) |
| 405 | LDL (indirect) | Rp 25.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 406 | LDL (indirect) | Rp 25.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 407 | LDL (indirect) | Rp 25.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 408 | Bilirubin total | Rp 36.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 409 | Bilirubin total | Rp 36.000 | VIP | Laboratorium Umum (Penelitian) |
| 410 | Bilirubin total | Rp 36.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 411 | Bilirubin total | Rp 36.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 412 | Bilirubin total | Rp 36.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 413 | Bilirubin Direct | Rp 36.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 414 | Bilirubin Direct | Rp 36.000 | VIP | Laboratorium Umum (Penelitian) |
| 415 | Bilirubin Direct | Rp 36.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 416 | Bilirubin Direct | Rp 36.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 417 | Bilirubin Direct | Rp 36.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 418 | CA-125 | Rp 875.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 419 | CA-125 | Rp 875.000 | VIP B | Laboratorium Umum (Penelitian) |
| 420 | CA-125 | Rp 875.000 | VVIP | Laboratorium Umum (Penelitian) |
| 421 | CA-125 | Rp 875.000 | VIP A | Laboratorium Umum (Penelitian) |
| 422 | CA-125 | Rp 875.000 | VIP | Laboratorium Umum (Penelitian) |
| 423 | CA-125 | Rp 875.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 424 | CA-125 | Rp 875.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 425 | CA-125 | Rp 875.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 426 | Ca 72-4 | Rp 1.365.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 427 | Ca 72-4 | Rp 1.365.000 | VIP B | Laboratorium Umum (Penelitian) |
| 428 | Ca 72-4 | Rp 1.365.000 | VVIP | Laboratorium Umum (Penelitian) |
| 429 | Ca 72-4 | Rp 1.365.000 | VIP A | Laboratorium Umum (Penelitian) |
| 430 | Ca 72-4 | Rp 1.365.000 | VIP | Laboratorium Umum (Penelitian) |
| 431 | Ca 72-4 | Rp 1.365.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 432 | Ca 72-4 | Rp 1.365.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 433 | Ca 72-4 | Rp 1.365.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 434 | Ca 19-9 | Rp 999.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 435 | Ca 19-9 | Rp 999.000 | VIP B | Laboratorium Umum (Penelitian) |
| 436 | Ca 19-9 | Rp 999.000 | VVIP | Laboratorium Umum (Penelitian) |
| 437 | Ca 19-9 | Rp 999.000 | VIP A | Laboratorium Umum (Penelitian) |
| 438 | Ca 19-9 | Rp 999.000 | VIP | Laboratorium Umum (Penelitian) |
| 439 | Ca 19-9 | Rp 999.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 440 | Ca 19-9 | Rp 999.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 441 | Ca 19-9 | Rp 999.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 442 | CA 15-3 | Rp 985.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 443 | CA 15-3 | Rp 985.000 | VIP B | Laboratorium Umum (Penelitian) |
| 444 | CA 15-3 | Rp 985.000 | VVIP | Laboratorium Umum (Penelitian) |
| 445 | CA 15-3 | Rp 985.000 | VIP A | Laboratorium Umum (Penelitian) |
| 446 | CA 15-3 | Rp 985.000 | VIP | Laboratorium Umum (Penelitian) |
| 447 | CA 15-3 | Rp 985.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 448 | CA 15-3 | Rp 985.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 449 | CA 15-3 | Rp 985.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 450 | Panel Free PSA | Rp 1.256.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 451 | PSA Total | Rp 630.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 452 | Rhematoid Factor (RF) Kualitatif | Rp 196.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 453 | Test Agregasi Trombosit (TAT) | Rp 592.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 454 | Test Agregasi Trombosit (TAT) | Rp 592.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 455 | Test Agregasi Trombosit (TAT) | Rp 592.000 | VIP | Laboratorium Umum (Penelitian) |
| 456 | Test Agregasi Trombosit (TAT) | Rp 592.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 457 | Test Agregasi Trombosit (TAT) | Rp 592.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 458 | Lipase | Rp 388.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 459 | Lipase | Rp 388.000 | VIP | Laboratorium Umum (Penelitian) |
| 460 | Lipase | Rp 388.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 461 | Lipase | Rp 388.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 462 | Lipase | Rp 388.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 463 | Hemoglobin | Rp 24.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 464 | Hemoglobin | Rp 24.000 | VIP | Laboratorium Umum (Penelitian) |
| 465 | Hemoglobin | Rp 24.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 466 | Hemoglobin | Rp 24.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 467 | Hemoglobin | Rp 24.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 468 | Retikulosit | Rp 30.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 469 | Retikulosit | Rp 30.000 | VIP | Laboratorium Umum (Penelitian) |
| 470 | Retikulosit | Rp 30.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 471 | Retikulosit | Rp 30.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 472 | Retikulosit | Rp 30.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 473 | D-dimer | Rp 634.500 | Non Kelas | Laboratorium Umum (Penelitian) |
| 474 | D-dimer | Rp 634.500 | VIP | Laboratorium Umum (Penelitian) |
| 475 | D-dimer | Rp 634.500 | Kelas I | Laboratorium Umum (Penelitian) |
| 476 | D-dimer | Rp 634.500 | Kelas II | Laboratorium Umum (Penelitian) |
| 477 | D-dimer | Rp 634.500 | Kelas III | Laboratorium Umum (Penelitian) |
| 478 | Reduksi urine | Rp 20.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 479 | Reduksi urine | Rp 20.000 | VIP | Laboratorium Umum (Penelitian) |
| 480 | Reduksi urine | Rp 20.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 481 | Reduksi urine | Rp 20.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 482 | Reduksi urine | Rp 20.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 483 | Protein Urine | Rp 20.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 484 | Protein Urine | Rp 20.000 | VIP | Laboratorium Umum (Penelitian) |
| 485 | Protein Urine | Rp 20.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 486 | Protein Urine | Rp 20.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 487 | Protein Urine | Rp 20.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 488 | Sedimen Urine | Rp 20.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 489 | Sedimen Urine | Rp 20.000 | VIP | Laboratorium Umum (Penelitian) |
| 490 | Sedimen Urine | Rp 20.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 491 | Sedimen Urine | Rp 20.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 492 | Sedimen Urine | Rp 20.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 493 | Urine rutin | Rp 30.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 494 | Urine rutin | Rp 30.000 | VIP | Laboratorium Umum (Penelitian) |
| 495 | Urine rutin | Rp 30.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 496 | Urine rutin | Rp 30.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 497 | Urine rutin | Rp 30.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 498 | Opiat | Rp 45.000 | VIP | Laboratorium Umum (Penelitian) |
| 499 | Opiat | Rp 45.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 500 | Opiat | Rp 45.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 501 | Opiat | Rp 45.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 502 | Opiat | Rp 45.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 503 | Protein total | Rp 31.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 504 | Protein total | Rp 31.000 | VIP | Laboratorium Umum (Penelitian) |
| 505 | Protein total | Rp 31.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 506 | Protein total | Rp 31.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 507 | Protein total | Rp 31.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 508 | Albumin | Rp 31.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 509 | Albumin | Rp 31.000 | VIP | Laboratorium Umum (Penelitian) |
| 510 | Albumin | Rp 31.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 511 | Albumin | Rp 31.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 512 | Albumin | Rp 31.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 513 | Globulin | Rp 31.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 514 | Globulin | Rp 31.000 | VIP | Laboratorium Umum (Penelitian) |
| 515 | Globulin | Rp 31.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 516 | Globulin | Rp 31.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 517 | Globulin | Rp 31.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 518 | Alkali phosphatase | Rp 100.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 519 | Alkali phosphatase | Rp 100.000 | VIP | Laboratorium Umum (Penelitian) |
| 520 | Alkali phosphatase | Rp 100.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 521 | Alkali phosphatase | Rp 100.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 522 | Alkali phosphatase | Rp 100.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 523 | Gama GT | Rp 110.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 524 | Gama GT | Rp 110.000 | VIP | Laboratorium Umum (Penelitian) |
| 525 | Gama GT | Rp 110.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 526 | Gama GT | Rp 110.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 527 | Gama GT | Rp 110.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 528 | SGOT | Rp 33.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 529 | SGOT | Rp 33.000 | VIP | Laboratorium Umum (Penelitian) |
| 530 | SGOT | Rp 33.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 531 | SGOT | Rp 33.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 532 | SGOT | Rp 33.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 533 | SGPT | Rp 33.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 534 | SGPT | Rp 33.000 | VIP | Laboratorium Umum (Penelitian) |
| 535 | SGPT | Rp 33.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 536 | SGPT | Rp 33.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 537 | SGPT | Rp 33.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 538 | Methamphetamine | Rp 45.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 539 | Methamphetamine | Rp 45.000 | VIP | Laboratorium Umum (Penelitian) |
| 540 | Methamphetamine | Rp 45.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 541 | Methamphetamine | Rp 45.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 542 | Methamphetamine | Rp 45.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 543 | Coccain | Rp 45.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 544 | Coccain | Rp 45.000 | VIP | Laboratorium Umum (Penelitian) |
| 545 | Coccain | Rp 45.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 546 | Coccain | Rp 45.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 547 | Coccain | Rp 45.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 548 | THC / Ganja | Rp 45.000 | VIP | Laboratorium Umum (Penelitian) |
| 549 | THC / Ganja | Rp 45.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 550 | THC / Ganja | Rp 45.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 551 | THC / Ganja | Rp 45.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 552 | THC / Ganja | Rp 45.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 553 | Amphetamine | Rp 45.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 554 | Amphetamine | Rp 45.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 555 | Amphetamine | Rp 45.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 556 | Amphetamine | Rp 45.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 557 | Amphetamine | Rp 45.000 | VIP | Laboratorium Umum (Penelitian) |
| 558 | Benzodiazephine | Rp 45.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 559 | Benzodiazephine | Rp 45.000 | VIP | Laboratorium Umum (Penelitian) |
| 560 | Benzodiazephine | Rp 45.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 561 | Benzodiazephine | Rp 45.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 562 | Benzodiazephine | Rp 45.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 563 | Morphine | Rp 45.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 564 | Morphine | Rp 45.000 | VIP | Laboratorium Umum (Penelitian) |
| 565 | Morphine | Rp 45.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 566 | Morphine | Rp 45.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 567 | Morphine | Rp 45.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 568 | K2 THC | Rp 100.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 569 | K2 THC | Rp 100.000 | VIP | Laboratorium Umum (Penelitian) |
| 570 | K2 THC | Rp 100.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 571 | K2 THC | Rp 100.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 572 | K2 THC | Rp 100.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 573 | Alkohol | Rp 125.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 574 | Alkohol | Rp 125.000 | VIP | Laboratorium Umum (Penelitian) |
| 575 | Alkohol | Rp 125.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 576 | Alkohol | Rp 125.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 577 | Alkohol | Rp 125.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 578 | Faeces rutin | Rp 30.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 579 | Faeces rutin | Rp 30.000 | VIP | Laboratorium Umum (Penelitian) |
| 580 | Faeces rutin | Rp 30.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 581 | Faeces rutin | Rp 30.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 582 | Faeces rutin | Rp 30.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 583 | Benzidine test | Rp 45.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 584 | Benzidine test | Rp 45.000 | VIP | Laboratorium Umum (Penelitian) |
| 585 | Benzidine test | Rp 45.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 586 | Benzidine test | Rp 45.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 587 | Benzidine test | Rp 45.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 588 | Gula darah puasa | Rp 26.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 589 | Gula darah puasa | Rp 26.000 | VIP | Laboratorium Umum (Penelitian) |
| 590 | Gula darah puasa | Rp 26.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 591 | Gula darah puasa | Rp 26.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 592 | Gula darah puasa | Rp 26.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 593 | Gula Darah 2 Jam PP | Rp 26.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 594 | Gula Darah 2 Jam PP | Rp 26.000 | VIP | Laboratorium Umum (Penelitian) |
| 595 | Gula Darah 2 Jam PP | Rp 26.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 596 | Gula Darah 2 Jam PP | Rp 26.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 597 | Gula Darah 2 Jam PP | Rp 26.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 598 | Gula darah sewaktu | Rp 26.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 599 | Gula darah sewaktu | Rp 26.000 | VIP | Laboratorium Umum (Penelitian) |
| 600 | Gula darah sewaktu | Rp 26.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 601 | Gula darah sewaktu | Rp 26.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 602 | Gula darah sewaktu | Rp 26.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 603 | Ureum | Rp 29.500 | Non Kelas | Laboratorium Umum (Penelitian) |
| 604 | Ureum | Rp 29.500 | VIP | Laboratorium Umum (Penelitian) |
| 605 | Ureum | Rp 29.500 | Kelas I | Laboratorium Umum (Penelitian) |
| 606 | Ureum | Rp 29.500 | Kelas II | Laboratorium Umum (Penelitian) |
| 607 | Ureum | Rp 29.500 | Kelas III | Laboratorium Umum (Penelitian) |
| 608 | Uric acid | Rp 31.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 609 | Uric acid | Rp 31.000 | VIP | Laboratorium Umum (Penelitian) |
| 610 | Uric acid | Rp 31.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 611 | Uric acid | Rp 31.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 612 | Uric acid | Rp 31.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 613 | Pengecatan BTA ( Bacil Tahan Asam ) | Rp 40.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 614 | Pengecatan BTA ( Bacil Tahan Asam ) | Rp 40.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 615 | Pengecatan BTA ( Bacil Tahan Asam ) | Rp 40.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 616 | Pengecatan gram | Rp 32.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 617 | Pengecatan gram | Rp 32.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 618 | Pengecatan gram | Rp 32.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 619 | Pengecatan gram | Rp 32.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 620 | Viscositas Plasma | Rp 181.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 621 | Viscositas Darah | Rp 181.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 622 | Hb H | Rp 810.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 623 | Hemoglobin Elektroforesis (Hb ELP) | Rp 803.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 624 | G 6 PD | Rp 492.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 625 | Vitamin B 12 | Rp 950.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 626 | Transferin | Rp 557.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 627 | Ferritin | Rp 437.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 628 | Protrombin Time (PT) | Rp 398.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 629 | C Peptide | Rp 690.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 630 | C Peptide | Rp 690.000 | VIP B | Laboratorium Umum (Penelitian) |
| 631 | C Peptide | Rp 690.000 | VVIP | Laboratorium Umum (Penelitian) |
| 632 | C Peptide | Rp 690.000 | VIP A | Laboratorium Umum (Penelitian) |
| 633 | C Peptide | Rp 690.000 | VIP | Laboratorium Umum (Penelitian) |
| 634 | C Peptide | Rp 690.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 635 | C Peptide | Rp 690.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 636 | C Peptide | Rp 690.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 637 | HbA1c | Rp 240.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 638 | Cholesterol/HDL Chol. Ratio | Rp 182.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 639 | Cholesterol/HDL Chol. Ratio | Rp 182.000 | VIP B | Laboratorium Umum (Penelitian) |
| 640 | Cholesterol/HDL Chol. Ratio | Rp 182.000 | VVIP | Laboratorium Umum (Penelitian) |
| 641 | Cholesterol/HDL Chol. Ratio | Rp 182.000 | VIP A | Laboratorium Umum (Penelitian) |
| 642 | Cholesterol/HDL Chol. Ratio | Rp 182.000 | VIP | Laboratorium Umum (Penelitian) |
| 643 | Cholesterol/HDL Chol. Ratio | Rp 182.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 644 | Cholesterol/HDL Chol. Ratio | Rp 182.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 645 | Cholesterol/HDL Chol. Ratio | Rp 182.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 646 | Panel Protein | Rp 272.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 647 | Bile Acid | Rp 1.275.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 648 | Bile Acid | Rp 1.275.000 | VIP B | Laboratorium Umum (Penelitian) |
| 649 | Bile Acid | Rp 1.275.000 | VVIP | Laboratorium Umum (Penelitian) |
| 650 | Bile Acid | Rp 1.275.000 | VIP A | Laboratorium Umum (Penelitian) |
| 651 | Bile Acid | Rp 1.275.000 | VIP | Laboratorium Umum (Penelitian) |
| 652 | Bile Acid | Rp 1.275.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 653 | Bile Acid | Rp 1.275.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 654 | Bile Acid | Rp 1.275.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 655 | IgG Anti EBV VCA | Rp 1.281.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 656 | IgM Anti EBV VCA | Rp 1.486.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 657 | IgM Chikungunya | Rp 388.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 658 | Dengue NS1 (Rapid) | Rp 587.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 659 | Dengue NS1 (Rapid) | Rp 587.000 | VIP | Laboratorium Umum (Penelitian) |
| 660 | Dengue NS1 (Rapid) | Rp 587.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 661 | Dengue NS1 (Rapid) | Rp 587.000 | VIP B | Laboratorium Umum (Penelitian) |
| 662 | Dengue NS1 (Rapid) | Rp 587.000 | VVIP | Laboratorium Umum (Penelitian) |
| 663 | Dengue NS1 (Rapid) | Rp 587.000 | VIP A | Laboratorium Umum (Penelitian) |
| 664 | Dengue NS1 (Rapid) | Rp 587.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 665 | Dengue NS1 (Rapid) | Rp 587.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 666 | Dengue NS1 (Elisa) | Rp 670.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 667 | Dengue NS1 (Elisa) | Rp 670.000 | VIP B | Laboratorium Umum (Penelitian) |
| 668 | Dengue NS1 (Elisa) | Rp 670.000 | VVIP | Laboratorium Umum (Penelitian) |
| 669 | Dengue NS1 (Elisa) | Rp 670.000 | VIP A | Laboratorium Umum (Penelitian) |
| 670 | Dengue NS1 (Elisa) | Rp 670.000 | VIP | Laboratorium Umum (Penelitian) |
| 671 | Dengue NS1 (Elisa) | Rp 670.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 672 | Dengue NS1 (Elisa) | Rp 670.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 673 | Dengue NS1 (Elisa) | Rp 670.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 674 | Anti DHF (rapid) | Rp 740.000 | VVIP | Laboratorium Umum (Penelitian) |
| 675 | Anti DHF (rapid) | Rp 740.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 676 | Anti DHF (rapid) | Rp 740.000 | VIP B | Laboratorium Umum (Penelitian) |
| 677 | Anti DHF (rapid) | Rp 740.000 | VIP A | Laboratorium Umum (Penelitian) |
| 678 | Anti DHF (rapid) | Rp 740.000 | VIP | Laboratorium Umum (Penelitian) |
| 679 | Anti DHF (rapid) | Rp 740.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 680 | Anti DHF (rapid) | Rp 740.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 681 | Anti DHF (rapid) | Rp 740.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 682 | IgM Anti DHF | Rp 627.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 683 | IgG Anti DHF | Rp 675.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 684 | Widal Slide | Rp 250.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 685 | IgG HSV 2 | Rp 570.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 686 | IgM HSV1 | Rp 570.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 687 | Free Testosterone Index | Rp 2.952.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 688 | T3 | Rp 430.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 689 | ANA PANEL TEST | Rp 1.600.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 690 | ANA PANEL TEST | Rp 1.600.000 | VIP B | Laboratorium Umum (Penelitian) |
| 691 | ANA PANEL TEST | Rp 1.600.000 | VVIP | Laboratorium Umum (Penelitian) |
| 692 | ANA PANEL TEST | Rp 1.600.000 | VIP A | Laboratorium Umum (Penelitian) |
| 693 | ANA PANEL TEST | Rp 1.600.000 | VIP | Laboratorium Umum (Penelitian) |
| 694 | ANA PANEL TEST | Rp 1.600.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 695 | ANA PANEL TEST | Rp 1.600.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 696 | ANA PANEL TEST | Rp 1.600.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 697 | ANA IF (Titer) | Rp 1.384.000 | VIP | Laboratorium Umum (Penelitian) |
| 698 | ANA IF (Titer) | Rp 1.384.000 | VIP B | Laboratorium Umum (Penelitian) |
| 699 | ANA IF (Titer) | Rp 1.384.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 700 | ANA IF (Titer) | Rp 1.384.000 | VVIP | Laboratorium Umum (Penelitian) |
| 701 | ANA IF (Titer) | Rp 1.384.000 | VIP A | Laboratorium Umum (Penelitian) |
| 702 | ANA IF (Titer) | Rp 1.384.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 703 | ANA IF (Titer) | Rp 1.384.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 704 | ANA IF (Titer) | Rp 1.384.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 705 | Calsium | Rp 162.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 706 | Calsium | Rp 162.000 | VIP | Laboratorium Umum (Penelitian) |
| 707 | Calsium | Rp 162.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 708 | Calsium | Rp 162.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 709 | Calsium | Rp 162.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 710 | Amilase | Rp 300.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 711 | Amilase | Rp 300.000 | VIP | Laboratorium Umum (Penelitian) |
| 712 | Amilase | Rp 300.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 713 | Amilase | Rp 300.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 714 | Amilase | Rp 300.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 715 | IgM Anti Salmonella typhi ( Tubex TF ) | Rp 485.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 716 | Anti HAV | Rp 745.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 717 | Anti HAV | Rp 745.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 718 | Anti HAV | Rp 745.000 | VIP | Laboratorium Umum (Penelitian) |
| 719 | Anti HAV | Rp 745.000 | VIP A | Laboratorium Umum (Penelitian) |
| 720 | Anti HAV | Rp 745.000 | VVIP | Laboratorium Umum (Penelitian) |
| 721 | Anti HAV | Rp 745.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 722 | Anti HAV | Rp 745.000 | VIP B | Laboratorium Umum (Penelitian) |
| 723 | Anti HAV | Rp 745.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 724 | Anti HBe | Rp 933.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 725 | Anti HBe | Rp 933.000 | VIP B | Laboratorium Umum (Penelitian) |
| 726 | Anti HBe | Rp 933.000 | VVIP | Laboratorium Umum (Penelitian) |
| 727 | Anti HBe | Rp 933.000 | VIP A | Laboratorium Umum (Penelitian) |
| 728 | Anti HBe | Rp 933.000 | VIP | Laboratorium Umum (Penelitian) |
| 729 | Anti HBe | Rp 933.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 730 | Anti HBe | Rp 933.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 731 | Anti HBe | Rp 933.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 732 | HBe Ag | Rp 765.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 733 | Kultur Usap Mata (Vitek) | Rp 836.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 734 | Profil besi | Rp 275.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 735 | Profil besi | Rp 275.000 | VIP | Laboratorium Umum (Penelitian) |
| 736 | Profil besi | Rp 275.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 737 | Profil besi | Rp 275.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 738 | Profil besi | Rp 275.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 739 | LDL (direct) | Rp 84.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 740 | LDL (direct) | Rp 84.000 | VIP | Laboratorium Umum (Penelitian) |
| 741 | LDL (direct) | Rp 84.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 742 | LDL (direct) | Rp 84.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 743 | LDL (direct) | Rp 84.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 744 | Glukosa POCT | Rp 26.000 | VIP | Laboratorium Umum (Penelitian) |
| 745 | Glukosa POCT | Rp 26.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 746 | Glukosa POCT | Rp 26.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 747 | Glukosa POCT | Rp 26.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 748 | Glukosa POCT | Rp 26.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 749 | Pencernaan | Rp 264.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 750 | Benzidine/darah samar | Rp 264.000 | VIP A | Laboratorium Umum (Penelitian) |
| 751 | Benzidine/darah samar | Rp 264.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 752 | Benzidine/darah samar | Rp 264.000 | VIP B | Laboratorium Umum (Penelitian) |
| 753 | Benzidine/darah samar | Rp 264.000 | VVIP | Laboratorium Umum (Penelitian) |
| 754 | Benzidine/darah samar | Rp 264.000 | VIP | Laboratorium Umum (Penelitian) |
| 755 | Benzidine/darah samar | Rp 264.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 756 | Benzidine/darah samar | Rp 264.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 757 | Benzidine/darah samar | Rp 264.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 758 | Faeces Rutin | Rp 134.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 759 | Amphetamin (Screening Test) | Rp 191.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 760 | Amphetamin (Screening Test) | Rp 191.000 | VIP B | Laboratorium Umum (Penelitian) |
| 761 | Amphetamin (Screening Test) | Rp 191.000 | VVIP | Laboratorium Umum (Penelitian) |
| 762 | Amphetamin (Screening Test) | Rp 191.000 | VIP A | Laboratorium Umum (Penelitian) |
| 763 | Amphetamin (Screening Test) | Rp 191.000 | VIP | Laboratorium Umum (Penelitian) |
| 764 | Amphetamin (Screening Test) | Rp 191.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 765 | Amphetamin (Screening Test) | Rp 191.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 766 | Amphetamin (Screening Test) | Rp 191.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 767 | Benzodiazepin (Screening Test) | Rp 191.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 768 | Benzodiazepin (Screening Test) | Rp 191.000 | VIP B | Laboratorium Umum (Penelitian) |
| 769 | Benzodiazepin (Screening Test) | Rp 191.000 | VVIP | Laboratorium Umum (Penelitian) |
| 770 | Benzodiazepin (Screening Test) | Rp 191.000 | VIP A | Laboratorium Umum (Penelitian) |
| 771 | Benzodiazepin (Screening Test) | Rp 191.000 | VIP | Laboratorium Umum (Penelitian) |
| 772 | Benzodiazepin (Screening Test) | Rp 191.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 773 | Benzodiazepin (Screening Test) | Rp 191.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 774 | Benzodiazepin (Screening Test) | Rp 191.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 775 | Cannabinoid (Screening Test) | Rp 191.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 776 | Cannabinoid (Screening Test) | Rp 191.000 | VIP B | Laboratorium Umum (Penelitian) |
| 777 | Cannabinoid (Screening Test) | Rp 191.000 | VVIP | Laboratorium Umum (Penelitian) |
| 778 | Cannabinoid (Screening Test) | Rp 191.000 | VIP A | Laboratorium Umum (Penelitian) |
| 779 | Cannabinoid (Screening Test) | Rp 191.000 | VIP | Laboratorium Umum (Penelitian) |
| 780 | Cannabinoid (Screening Test) | Rp 191.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 781 | Cannabinoid (Screening Test) | Rp 191.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 782 | Cannabinoid (Screening Test) | Rp 191.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 783 | Human Papilloma Virus / HPV (PCR) | Rp 846.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 784 | Kultur Sputum (Vitek) | Rp 856.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 785 | TSHs | Rp 420.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 786 | T4 | Rp 430.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 787 | Cyfra 21-1 | Rp 1.049.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 788 | Cyfra 21-1 | Rp 1.049.000 | VIP B | Laboratorium Umum (Penelitian) |
| 789 | Cyfra 21-1 | Rp 1.049.000 | VVIP | Laboratorium Umum (Penelitian) |
| 790 | Cyfra 21-1 | Rp 1.049.000 | VIP A | Laboratorium Umum (Penelitian) |
| 791 | Cyfra 21-1 | Rp 1.049.000 | VIP | Laboratorium Umum (Penelitian) |
| 792 | Cyfra 21-1 | Rp 1.049.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 793 | Cyfra 21-1 | Rp 1.049.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 794 | Cyfra 21-1 | Rp 1.049.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 795 | SCC | Rp 948.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 796 | Panel Elektrolit ( Na , K , Cl ) | Rp 180.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 797 | Panel Elektrolit ( Na , K , Cl ) | Rp 180.000 | VIP | Laboratorium Umum (Penelitian) |
| 798 | Panel Elektrolit ( Na , K , Cl ) | Rp 180.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 799 | Panel Elektrolit ( Na , K , Cl ) | Rp 180.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 800 | Panel Elektrolit ( Na , K , Cl ) | Rp 180.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 801 | Cocaine (Screening Test) | Rp 191.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 802 | Cocaine (Screening Test) | Rp 191.000 | VIP B | Laboratorium Umum (Penelitian) |
| 803 | Cocaine (Screening Test) | Rp 191.000 | VVIP | Laboratorium Umum (Penelitian) |
| 804 | Cocaine (Screening Test) | Rp 191.000 | VIP A | Laboratorium Umum (Penelitian) |
| 805 | Cocaine (Screening Test) | Rp 191.000 | VIP | Laboratorium Umum (Penelitian) |
| 806 | Cocaine (Screening Test) | Rp 191.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 807 | Cocaine (Screening Test) | Rp 191.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 808 | Cocaine (Screening Test) | Rp 191.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 809 | Calsium Urine | Rp 150.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 810 | Calsium Urine | Rp 150.000 | VIP B | Laboratorium Umum (Penelitian) |
| 811 | Calsium Urine | Rp 150.000 | VVIP | Laboratorium Umum (Penelitian) |
| 812 | Calsium Urine | Rp 150.000 | VIP A | Laboratorium Umum (Penelitian) |
| 813 | Calsium Urine | Rp 150.000 | VIP | Laboratorium Umum (Penelitian) |
| 814 | Calsium Urine | Rp 150.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 815 | Calsium Urine | Rp 150.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 816 | Calsium Urine | Rp 150.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 817 | Chloride Urine | Rp 175.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 818 | Chloride Urine | Rp 175.000 | VIP B | Laboratorium Umum (Penelitian) |
| 819 | Chloride Urine | Rp 175.000 | VVIP | Laboratorium Umum (Penelitian) |
| 820 | Chloride Urine | Rp 175.000 | VIP A | Laboratorium Umum (Penelitian) |
| 821 | Chloride Urine | Rp 175.000 | VIP | Laboratorium Umum (Penelitian) |
| 822 | Chloride Urine | Rp 175.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 823 | Chloride Urine | Rp 175.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 824 | Chloride Urine | Rp 175.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 825 | Asam Urat Urine | Rp 102.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 826 | Asam Urat Urine | Rp 102.000 | VIP B | Laboratorium Umum (Penelitian) |
| 827 | Asam Urat Urine | Rp 102.000 | VVIP | Laboratorium Umum (Penelitian) |
| 828 | Asam Urat Urine | Rp 102.000 | VIP A | Laboratorium Umum (Penelitian) |
| 829 | Asam Urat Urine | Rp 102.000 | VIP | Laboratorium Umum (Penelitian) |
| 830 | Asam Urat Urine | Rp 102.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 831 | Asam Urat Urine | Rp 102.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 832 | Asam Urat Urine | Rp 102.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 833 | Creatinin urine (Pagi Pertama) | Rp 102.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 834 | Creatinin urine (Pagi Pertama) | Rp 102.000 | VIP B | Laboratorium Umum (Penelitian) |
| 835 | Creatinin urine (Pagi Pertama) | Rp 102.000 | VVIP | Laboratorium Umum (Penelitian) |
| 836 | Creatinin urine (Pagi Pertama) | Rp 102.000 | VIP A | Laboratorium Umum (Penelitian) |
| 837 | Creatinin urine (Pagi Pertama) | Rp 102.000 | VIP | Laboratorium Umum (Penelitian) |
| 838 | Creatinin urine (Pagi Pertama) | Rp 102.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 839 | Creatinin urine (Pagi Pertama) | Rp 102.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 840 | Creatinin urine (Pagi Pertama) | Rp 102.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 841 | LDH | Rp 203.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 842 | LDH | Rp 203.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 843 | LDH | Rp 203.000 | VIP | Laboratorium Umum (Penelitian) |
| 844 | LDH | Rp 203.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 845 | LDH | Rp 203.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 846 | CK MB | Rp 610.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 847 | CK MB | Rp 610.000 | VIP B | Laboratorium Umum (Penelitian) |
| 848 | CK MB | Rp 610.000 | VVIP | Laboratorium Umum (Penelitian) |
| 849 | CK MB | Rp 610.000 | VIP A | Laboratorium Umum (Penelitian) |
| 850 | CK MB | Rp 610.000 | VIP | Laboratorium Umum (Penelitian) |
| 851 | CK MB | Rp 610.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 852 | CK MB | Rp 610.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 853 | CK MB | Rp 610.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 854 | CPK / CK | Rp 320.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 855 | CPK / CK | Rp 320.000 | VIP B | Laboratorium Umum (Penelitian) |
| 856 | CPK / CK | Rp 320.000 | VVIP | Laboratorium Umum (Penelitian) |
| 857 | CPK / CK | Rp 320.000 | VIP A | Laboratorium Umum (Penelitian) |
| 858 | CPK / CK | Rp 320.000 | VIP | Laboratorium Umum (Penelitian) |
| 859 | CPK / CK | Rp 320.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 860 | CPK / CK | Rp 320.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 861 | CPK / CK | Rp 320.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 862 | Cystatine C | Rp 496.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 863 | Cystatine C | Rp 496.000 | VIP B | Laboratorium Umum (Penelitian) |
| 864 | Cystatine C | Rp 496.000 | VVIP | Laboratorium Umum (Penelitian) |
| 865 | Cystatine C | Rp 496.000 | VIP A | Laboratorium Umum (Penelitian) |
| 866 | Cystatine C | Rp 496.000 | VIP | Laboratorium Umum (Penelitian) |
| 867 | Cystatine C | Rp 496.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 868 | Cystatine C | Rp 496.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 869 | Cystatine C | Rp 496.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 870 | Panel Cystatine C | Rp 496.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 871 | Acid Phosphatase | Rp 815.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 872 | Acid Phosphatase | Rp 815.000 | VIP B | Laboratorium Umum (Penelitian) |
| 873 | Acid Phosphatase | Rp 815.000 | VVIP | Laboratorium Umum (Penelitian) |
| 874 | Acid Phosphatase | Rp 815.000 | VIP A | Laboratorium Umum (Penelitian) |
| 875 | Acid Phosphatase | Rp 815.000 | VIP | Laboratorium Umum (Penelitian) |
| 876 | Acid Phosphatase | Rp 815.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 877 | Acid Phosphatase | Rp 815.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 878 | Acid Phosphatase | Rp 815.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 879 | Total Protein | Rp 130.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 880 | Bilirubin | Rp 211.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 881 | Bilirubin | Rp 211.000 | VIP B | Laboratorium Umum (Penelitian) |
| 882 | Bilirubin | Rp 211.000 | VVIP | Laboratorium Umum (Penelitian) |
| 883 | Bilirubin | Rp 211.000 | VIP A | Laboratorium Umum (Penelitian) |
| 884 | Bilirubin | Rp 211.000 | VIP | Laboratorium Umum (Penelitian) |
| 885 | Bilirubin | Rp 211.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 886 | Bilirubin | Rp 211.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 887 | Bilirubin | Rp 211.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 888 | Cholinesterase | Rp 259.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 889 | Cholinesterase | Rp 259.000 | VIP B | Laboratorium Umum (Penelitian) |
| 890 | Cholinesterase | Rp 259.000 | VVIP | Laboratorium Umum (Penelitian) |
| 891 | Cholinesterase | Rp 259.000 | VIP A | Laboratorium Umum (Penelitian) |
| 892 | Cholinesterase | Rp 259.000 | VIP | Laboratorium Umum (Penelitian) |
| 893 | Cholinesterase | Rp 259.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 894 | Cholinesterase | Rp 259.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 895 | Cholinesterase | Rp 259.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 896 | Alkali Fosfatase | Rp 139.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 897 | Alkali Fosfatase | Rp 139.000 | VIP B | Laboratorium Umum (Penelitian) |
| 898 | Alkali Fosfatase | Rp 139.000 | VVIP | Laboratorium Umum (Penelitian) |
| 899 | Alkali Fosfatase | Rp 139.000 | VIP A | Laboratorium Umum (Penelitian) |
| 900 | Alkali Fosfatase | Rp 139.000 | VIP | Laboratorium Umum (Penelitian) |
| 901 | Alkali Fosfatase | Rp 139.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 902 | Alkali Fosfatase | Rp 139.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 903 | Alkali Fosfatase | Rp 139.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 904 | Gamma GT | Rp 156.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 905 | Anti SARS CoV-2 | Rp 158.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 906 | Anti SARS CoV-2 | Rp 158.000 | VIP B | Laboratorium Umum (Penelitian) |
| 907 | Anti SARS CoV-2 | Rp 158.000 | VVIP | Laboratorium Umum (Penelitian) |
| 908 | Anti SARS CoV-2 | Rp 158.000 | VIP A | Laboratorium Umum (Penelitian) |
| 909 | Anti SARS CoV-2 | Rp 158.000 | VIP | Laboratorium Umum (Penelitian) |
| 910 | Anti SARS CoV-2 | Rp 158.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 911 | Anti SARS CoV-2 | Rp 158.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 912 | Anti SARS CoV-2 | Rp 158.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 913 | IgM Anti Measless | Rp 1.842.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 914 | IgM Toxoplasma | Rp 465.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 915 | IgG Toxoplasma | Rp 465.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 916 | IgM Anti HCV | Rp 948.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 917 | Anti HCV | Rp 670.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 918 | Anti HCV | Rp 670.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 919 | Anti HCV | Rp 670.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 920 | Anti HCV | Rp 670.000 | VIP | Laboratorium Umum (Penelitian) |
| 921 | Anti HCV | Rp 670.000 | VIP A | Laboratorium Umum (Penelitian) |
| 922 | Anti HCV | Rp 670.000 | VVIP | Laboratorium Umum (Penelitian) |
| 923 | Anti HCV | Rp 670.000 | VIP B | Laboratorium Umum (Penelitian) |
| 924 | Anti HCV | Rp 670.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 925 | IgM Anti HAV | Rp 685.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 926 | IgM Anti HBc | Rp 882.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 927 | Kultur Pus (Vitek) | Rp 825.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 928 | Fe / besi serum | Rp 100.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 929 | Fe / besi serum | Rp 100.000 | VIP | Laboratorium Umum (Penelitian) |
| 930 | Fe / besi serum | Rp 100.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 931 | Fe / besi serum | Rp 100.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 932 | Fe / besi serum | Rp 100.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 933 | ACA-IgM | Rp 882.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 934 | ACA-IgM | Rp 882.000 | VIP B | Laboratorium Umum (Penelitian) |
| 935 | ACA-IgM | Rp 882.000 | VVIP | Laboratorium Umum (Penelitian) |
| 936 | ACA-IgM | Rp 882.000 | VIP A | Laboratorium Umum (Penelitian) |
| 937 | ACA-IgM | Rp 882.000 | VIP | Laboratorium Umum (Penelitian) |
| 938 | ACA-IgM | Rp 882.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 939 | ACA-IgM | Rp 882.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 940 | ACA-IgM | Rp 882.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 941 | ACA-IgG | Rp 882.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 942 | ACA-IgG | Rp 882.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 943 | ACA-IgG | Rp 882.000 | VIP B | Laboratorium Umum (Penelitian) |
| 944 | ACA-IgG | Rp 882.000 | VVIP | Laboratorium Umum (Penelitian) |
| 945 | ACA-IgG | Rp 882.000 | VIP A | Laboratorium Umum (Penelitian) |
| 946 | ACA-IgG | Rp 882.000 | VIP | Laboratorium Umum (Penelitian) |
| 947 | ACA-IgG | Rp 882.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 948 | ACA-IgG | Rp 882.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 949 | Prolaktin | Rp 556.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 950 | FSH | Rp 577.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 951 | LH | Rp 577.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 952 | NSE | Rp 1.128.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 953 | ROMA | Rp 1.486.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 954 | CEA | Rp 490.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 955 | CEA | Rp 490.000 | VIP B | Laboratorium Umum (Penelitian) |
| 956 | CEA | Rp 490.000 | VVIP | Laboratorium Umum (Penelitian) |
| 957 | CEA | Rp 490.000 | VIP A | Laboratorium Umum (Penelitian) |
| 958 | CEA | Rp 490.000 | VIP | Laboratorium Umum (Penelitian) |
| 959 | CEA | Rp 490.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 960 | CEA | Rp 490.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 961 | CEA | Rp 490.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 962 | AFP | Rp 535.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 963 | AFP | Rp 535.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 964 | AFP | Rp 535.000 | VIP A | Laboratorium Umum (Penelitian) |
| 965 | AFP | Rp 535.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 966 | AFP | Rp 535.000 | VIP B | Laboratorium Umum (Penelitian) |
| 967 | AFP | Rp 535.000 | VVIP | Laboratorium Umum (Penelitian) |
| 968 | AFP | Rp 535.000 | VIP | Laboratorium Umum (Penelitian) |
| 969 | AFP | Rp 535.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 970 | Interleukin 6 (IL 6) | Rp 567.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 971 | Anti ß2 - Glycoprotein 1 ((ß2-GP1) IgG | Rp 1.020.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 972 | Anti ß2 - Glycoprotein 1 ((ß2-GP1) IgG | Rp 1.020.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 973 | Anti ß2 - Glycoprotein 1 ((ß2-GP1) IgG | Rp 1.020.000 | VIP B | Laboratorium Umum (Penelitian) |
| 974 | Anti ß2 - Glycoprotein 1 ((ß2-GP1) IgG | Rp 1.020.000 | VVIP | Laboratorium Umum (Penelitian) |
| 975 | Anti ß2 - Glycoprotein 1 ((ß2-GP1) IgG | Rp 1.020.000 | VIP A | Laboratorium Umum (Penelitian) |
| 976 | Anti ß2 - Glycoprotein 1 ((ß2-GP1) IgG | Rp 1.020.000 | VIP | Laboratorium Umum (Penelitian) |
| 977 | Anti ß2 - Glycoprotein 1 ((ß2-GP1) IgG | Rp 1.020.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 978 | Anti ß2 - Glycoprotein 1 ((ß2-GP1) IgG | Rp 1.020.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 979 | Anti ß2 - Glycoprotein 1 (ß2-GP1) IgM | Rp 1.020.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 980 | Anti ß2 - Glycoprotein 1 (ß2-GP1) IgM | Rp 1.020.000 | VIP B | Laboratorium Umum (Penelitian) |
| 981 | Anti ß2 - Glycoprotein 1 (ß2-GP1) IgM | Rp 1.020.000 | VVIP | Laboratorium Umum (Penelitian) |
| 982 | Anti ß2 - Glycoprotein 1 (ß2-GP1) IgM | Rp 1.020.000 | VIP A | Laboratorium Umum (Penelitian) |
| 983 | Anti ß2 - Glycoprotein 1 (ß2-GP1) IgM | Rp 1.020.000 | VIP | Laboratorium Umum (Penelitian) |
| 984 | Anti ß2 - Glycoprotein 1 (ß2-GP1) IgM | Rp 1.020.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 985 | Anti ß2 - Glycoprotein 1 (ß2-GP1) IgM | Rp 1.020.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 986 | Anti ß2 - Glycoprotein 1 (ß2-GP1) IgM | Rp 1.020.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 987 | ANCA | Rp 1.256.000 | VVIP | Laboratorium Umum (Penelitian) |
| 988 | ANCA | Rp 1.256.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 989 | ANCA | Rp 1.256.000 | VIP B | Laboratorium Umum (Penelitian) |
| 990 | ANCA | Rp 1.256.000 | VIP A | Laboratorium Umum (Penelitian) |
| 991 | ANCA | Rp 1.256.000 | VIP | Laboratorium Umum (Penelitian) |
| 992 | ANCA | Rp 1.256.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 993 | ANCA | Rp 1.256.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 994 | ANCA | Rp 1.256.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 995 | Kultur Faeces (Vitek) | Rp 808.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 996 | Preparat Sekret | Rp 424.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 997 | Bilirubin urine | Rp 71.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 998 | Bilirubin urine | Rp 71.000 | VIP B | Laboratorium Umum (Penelitian) |
| 999 | Bilirubin urine | Rp 71.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1000 | Bilirubin urine | Rp 71.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1001 | Bilirubin urine | Rp 71.000 | VIP | Laboratorium Umum (Penelitian) |
| 1002 | Bilirubin urine | Rp 71.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1003 | Bilirubin urine | Rp 71.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1004 | Bilirubin urine | Rp 71.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1005 | Panel Hapusan Darah | Rp 422.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1006 | Retikulosit | Rp 178.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1007 | Eosinophil | Rp 128.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1008 | Uji Fragmentasi DNA (Analisa Sperma) | Rp 1.919.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1009 | Vitamin D | Rp 510.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1010 | Vitamin D | Rp 510.000 | VIP | Laboratorium Umum (Penelitian) |
| 1011 | Vitamin D | Rp 510.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1012 | Vitamin D | Rp 510.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1013 | Vitamin D | Rp 510.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1014 | Adenosin Deaminase (ADA) - Cairan Tubuh | Rp 681.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1015 | Adenosin Deaminase (ADA) - Cairan Tubuh | Rp 681.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1016 | Adenosin Deaminase (ADA) - Cairan Tubuh | Rp 681.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1017 | Adenosin Deaminase (ADA) - Cairan Tubuh | Rp 681.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1018 | Adenosin Deaminase (ADA) - Cairan Tubuh | Rp 681.000 | VIP | Laboratorium Umum (Penelitian) |
| 1019 | Adenosin Deaminase (ADA) - Cairan Tubuh | Rp 681.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1020 | Adenosin Deaminase (ADA) - Cairan Tubuh | Rp 681.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1021 | Adenosin Deaminase (ADA) - Cairan Tubuh | Rp 681.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1022 | Lipase | Rp 388.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1023 | Lipase | Rp 388.000 | VIP | Laboratorium Umum (Penelitian) |
| 1024 | Lipase | Rp 388.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1025 | Lipase | Rp 388.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1026 | Lipase | Rp 388.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1027 | P-Amylase | Rp 475.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1028 | Cyclosporin | Rp 1.275.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1029 | Cyclosporin | Rp 1.275.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1030 | Cyclosporin | Rp 1.275.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1031 | Cyclosporin | Rp 1.275.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1032 | Cyclosporin | Rp 1.275.000 | VIP | Laboratorium Umum (Penelitian) |
| 1033 | Cyclosporin | Rp 1.275.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1034 | Cyclosporin | Rp 1.275.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1035 | Cyclosporin | Rp 1.275.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1036 | Carbamazepin | Rp 1.882.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1037 | Carbamazepin | Rp 1.882.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1038 | Carbamazepin | Rp 1.882.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1039 | Carbamazepin | Rp 1.882.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1040 | Carbamazepin | Rp 1.882.000 | VIP | Laboratorium Umum (Penelitian) |
| 1041 | Carbamazepin | Rp 1.882.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1042 | Carbamazepin | Rp 1.882.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1043 | Carbamazepin | Rp 1.882.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1044 | Digoxin | Rp 1.785.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1045 | Digoxin | Rp 1.785.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1046 | Digoxin | Rp 1.785.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1047 | Digoxin | Rp 1.785.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1048 | Digoxin | Rp 1.785.000 | VIP | Laboratorium Umum (Penelitian) |
| 1049 | Digoxin | Rp 1.785.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1050 | Digoxin | Rp 1.785.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1051 | Digoxin | Rp 1.785.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1052 | Hs-CRP | Rp 419.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1053 | HS Troponin I | Rp 734.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1054 | Troponin I | Rp 446.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1055 | Magnesium | Rp 177.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1056 | Magnesium | Rp 177.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1057 | Magnesium | Rp 177.000 | VIP | Laboratorium Umum (Penelitian) |
| 1058 | Magnesium | Rp 177.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1059 | Magnesium | Rp 177.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1060 | Phosphor Anorganik | Rp 168.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1061 | Phosphor Anorganik | Rp 168.000 | VIP | Laboratorium Umum (Penelitian) |
| 1062 | Phosphor Anorganik | Rp 168.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1063 | Phosphor Anorganik | Rp 168.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1064 | Phosphor Anorganik | Rp 168.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1065 | Calsium | Rp 162.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1066 | Calsium | Rp 162.000 | VIP | Laboratorium Umum (Penelitian) |
| 1067 | Calsium | Rp 162.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1068 | Calsium | Rp 162.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1069 | Calsium | Rp 162.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1070 | Chlorida | Rp 189.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1071 | Chlorida | Rp 189.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1072 | Chlorida | Rp 189.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1073 | Chlorida | Rp 189.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1074 | Chlorida | Rp 189.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1075 | Chlorida | Rp 189.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1076 | Chlorida | Rp 189.000 | VIP | Laboratorium Umum (Penelitian) |
| 1077 | Chlorida | Rp 189.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1078 | Kalium | Rp 189.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1079 | Natrium | Rp 189.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1080 | Panel Elektrolit (Na, K, Cl) | Rp 480.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1081 | Homa 1-1R | Rp 684.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1082 | C Peptide 2jam PP | Rp 690.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1083 | C Peptide 2jam PP | Rp 690.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1084 | C Peptide 2jam PP | Rp 690.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1085 | C Peptide 2jam PP | Rp 690.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1086 | C Peptide 2jam PP | Rp 690.000 | VIP | Laboratorium Umum (Penelitian) |
| 1087 | C Peptide 2jam PP | Rp 690.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1088 | C Peptide 2jam PP | Rp 690.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1089 | C Peptide 2jam PP | Rp 690.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1090 | Insulin (2 jamPP) | Rp 644.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1091 | Insulin | Rp 647.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1092 | Panel Resistensi Insulin | Rp 662.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1093 | ANA Test | Rp 633.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1094 | ANA Test | Rp 633.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1095 | ANA Test | Rp 633.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1096 | ANA Test | Rp 633.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1097 | ANA Test | Rp 633.000 | VIP | Laboratorium Umum (Penelitian) |
| 1098 | ANA Test | Rp 633.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1099 | ANA Test | Rp 633.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1100 | ANA Test | Rp 633.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1101 | Anti RA - 33 | Rp 625.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1102 | Anti RA - 33 | Rp 625.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1103 | Anti RA - 33 | Rp 625.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1104 | Anti RA - 33 | Rp 625.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1105 | Anti RA - 33 | Rp 625.000 | VIP | Laboratorium Umum (Penelitian) |
| 1106 | Anti RA - 33 | Rp 625.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1107 | Anti RA - 33 | Rp 625.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1108 | Anti RA - 33 | Rp 625.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1109 | Anti MCV | Rp 407.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1110 | Anti MCV | Rp 407.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1111 | Anti MCV | Rp 407.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1112 | Anti MCV | Rp 407.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1113 | Anti MCV | Rp 407.000 | VIP | Laboratorium Umum (Penelitian) |
| 1114 | Anti MCV | Rp 407.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1115 | Anti MCV | Rp 407.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1116 | Anti MCV | Rp 407.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1117 | Anti CCP Antibodi | Rp 1.100.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1118 | Anti CCP Antibodi | Rp 1.100.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1119 | Anti CCP Antibodi | Rp 1.100.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1120 | Anti CCP Antibodi | Rp 1.100.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1121 | Anti CCP Antibodi | Rp 1.100.000 | VIP | Laboratorium Umum (Penelitian) |
| 1122 | Anti CCP Antibodi | Rp 1.100.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1123 | Anti CCP Antibodi | Rp 1.100.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1124 | Anti CCP Antibodi | Rp 1.100.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1125 | Pro - Calcitonin (PCT) | Rp 763.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1126 | ASO/ASTO Kuantitatif/Titer | Rp 422.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1127 | ASO/ASTO Kuantitatif/Titer | Rp 422.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1128 | ASO/ASTO Kuantitatif/Titer | Rp 422.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1129 | ASO/ASTO Kuantitatif/Titer | Rp 422.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1130 | ASO/ASTO Kuantitatif/Titer | Rp 422.000 | VIP | Laboratorium Umum (Penelitian) |
| 1131 | ASO/ASTO Kuantitatif/Titer | Rp 422.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1132 | ASO/ASTO Kuantitatif/Titer | Rp 422.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1133 | ASO/ASTO Kuantitatif/Titer | Rp 422.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1134 | ASO/ASTO | Rp 184.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1135 | ASO/ASTO | Rp 184.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1136 | ASO/ASTO | Rp 184.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1137 | ASO/ASTO | Rp 184.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1138 | ASO/ASTO | Rp 184.000 | VIP | Laboratorium Umum (Penelitian) |
| 1139 | ASO/ASTO | Rp 184.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1140 | ASO/ASTO | Rp 184.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1141 | ASO/ASTO | Rp 184.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1142 | CRP Kuantitatif | Rp 419.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1143 | CRP Kuantitatif | Rp 419.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1144 | CRP Kuantitatif | Rp 419.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1145 | CRP Kuantitatif | Rp 419.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1146 | CRP Kuantitatif | Rp 419.000 | VIP | Laboratorium Umum (Penelitian) |
| 1147 | CRP Kuantitatif | Rp 419.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1148 | CRP Kuantitatif | Rp 419.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1149 | CRP Kuantitatif | Rp 419.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1150 | CRP Kualitatif | Rp 287.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1151 | CRP Kualitatif | Rp 287.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1152 | CRP Kualitatif | Rp 287.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1153 | CRP Kualitatif | Rp 287.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1154 | CRP Kualitatif | Rp 287.000 | VIP | Laboratorium Umum (Penelitian) |
| 1155 | CRP Kualitatif | Rp 287.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1156 | CRP Kualitatif | Rp 287.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1157 | CRP Kualitatif | Rp 287.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1158 | Rhematoid Factor (RF) Kuantitatif | Rp 422.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1159 | Rhematoid Factor (RF) Kualitatif | Rp 196.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1160 | C4 Complemen | Rp 825.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1161 | C4 Complemen | Rp 825.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1162 | C4 Complemen | Rp 825.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1163 | C4 Complemen | Rp 825.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1164 | C4 Complemen | Rp 825.000 | VIP | Laboratorium Umum (Penelitian) |
| 1165 | C4 Complemen | Rp 825.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1166 | C4 Complemen | Rp 825.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1167 | C4 Complemen | Rp 825.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1168 | AMA | Rp 1.273.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1169 | AMA | Rp 1.273.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1170 | AMA | Rp 1.273.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1171 | AMA | Rp 1.273.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1172 | AMA | Rp 1.273.000 | VIP | Laboratorium Umum (Penelitian) |
| 1173 | AMA | Rp 1.273.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1174 | AMA | Rp 1.273.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1175 | AMA | Rp 1.273.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1176 | IgA | Rp 760.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1177 | IgM | Rp 846.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1178 | IgG | Rp 846.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1179 | Anti SARS CoV-2 S-RBD (Kuantitatif) | Rp 263.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1180 | Anti SARS CoV-2 S-RBD (Kuantitatif) | Rp 263.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1181 | Anti SARS CoV-2 S-RBD (Kuantitatif) | Rp 263.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1182 | Anti SARS CoV-2 S-RBD (Kuantitatif) | Rp 263.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1183 | Anti SARS CoV-2 S-RBD (Kuantitatif) | Rp 263.000 | VIP | Laboratorium Umum (Penelitian) |
| 1184 | Anti SARS CoV-2 S-RBD (Kuantitatif) | Rp 263.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1185 | Anti SARS CoV-2 S-RBD (Kuantitatif) | Rp 263.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1186 | Anti SARS CoV-2 S-RBD (Kuantitatif) | Rp 263.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1187 | IgG Anti Measless | Rp 1.662.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1188 | Seramoeba/IDT Titer | Rp 664.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1189 | Seramoeba | Rp 645.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1190 | Helicobacter Pylori Antigen | Rp 622.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1191 | IgG Helicobacter Pylori | Rp 960.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1192 | IgM Helicobacter Pylori | Rp 779.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1193 | Anti M TBC (ICT) | Rp 503.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1194 | Anti M TBC (ICT) | Rp 503.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1195 | Anti M TBC (ICT) | Rp 503.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1196 | Anti M TBC (ICT) | Rp 503.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1197 | Anti M TBC (ICT) | Rp 503.000 | VIP | Laboratorium Umum (Penelitian) |
| 1198 | Anti M TBC (ICT) | Rp 503.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1199 | Anti M TBC (ICT) | Rp 503.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1200 | Anti M TBC (ICT) | Rp 503.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1201 | TB-IGRA | Rp 1.244.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1202 | IgA Anti EBV EA | Rp 1.562.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1203 | IgA Anti EBV VCA | Rp 1.415.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1204 | Alkohol (Air Liur) | Rp 266.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1205 | Alkohol (Air Liur) | Rp 266.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1206 | Alkohol (Air Liur) | Rp 266.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1207 | Alkohol (Air Liur) | Rp 266.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1208 | Alkohol (Air Liur) | Rp 266.000 | VIP | Laboratorium Umum (Penelitian) |
| 1209 | Alkohol (Air Liur) | Rp 266.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1210 | Alkohol (Air Liur) | Rp 266.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1211 | Alkohol (Air Liur) | Rp 266.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1212 | Alkohol | Rp 720.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1213 | Alkohol | Rp 720.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1214 | Alkohol | Rp 720.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1215 | Alkohol | Rp 720.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1216 | Alkohol | Rp 720.000 | VIP | Laboratorium Umum (Penelitian) |
| 1217 | Alkohol | Rp 720.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1218 | Alkohol | Rp 720.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1219 | Alkohol | Rp 720.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1220 | ANA IF | Rp 975.000 | VIP | Laboratorium Umum (Penelitian) |
| 1221 | ANA IF | Rp 975.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1222 | ANA IF | Rp 975.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1223 | ANA IF | Rp 975.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1224 | ANA IF | Rp 975.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1225 | ANA IF | Rp 975.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1226 | ANA IF | Rp 975.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1227 | ANA IF | Rp 975.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1228 | Preparat BTA II | Rp 140.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1229 | Preparat BTA I | Rp 140.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1230 | Preparat BTA serial | Rp 304.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1231 | IgE Total | Rp 613.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1232 | DHEA-S | Rp 1.240.000 | VIP | Laboratorium Umum (Penelitian) |
| 1233 | DHEA-S | Rp 1.240.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1234 | DHEA-S | Rp 1.240.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1235 | DHEA-S | Rp 1.240.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1236 | DHEA-S | Rp 1.240.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1237 | DHEA-S | Rp 1.240.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1238 | DHEA-S | Rp 1.240.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1239 | DHEA-S | Rp 1.240.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1240 | Calcitonin | Rp 2.133.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1241 | Calcitonin | Rp 2.133.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1242 | Calcitonin | Rp 2.133.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1243 | Calcitonin | Rp 2.133.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1244 | Calcitonin | Rp 2.133.000 | VIP | Laboratorium Umum (Penelitian) |
| 1245 | Calcitonin | Rp 2.133.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1246 | Calcitonin | Rp 2.133.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1247 | Calcitonin | Rp 2.133.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1248 | Cortisol | Rp 780.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1249 | Cortisol | Rp 780.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1250 | Cortisol | Rp 780.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1251 | Cortisol | Rp 780.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1252 | Cortisol | Rp 780.000 | VIP | Laboratorium Umum (Penelitian) |
| 1253 | Cortisol | Rp 780.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1254 | Cortisol | Rp 780.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1255 | Cortisol | Rp 780.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1256 | Dehydrotestosteron / DHT | Rp 2.072.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1257 | Dehydrotestosteron / DHT | Rp 2.072.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1258 | Dehydrotestosteron / DHT | Rp 2.072.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1259 | Dehydrotestosteron / DHT | Rp 2.072.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1260 | Dehydrotestosteron / DHT | Rp 2.072.000 | VIP | Laboratorium Umum (Penelitian) |
| 1261 | Dehydrotestosteron / DHT | Rp 2.072.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1262 | Dehydrotestosteron / DHT | Rp 2.072.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1263 | Dehydrotestosteron / DHT | Rp 2.072.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1264 | Free Testosteron | Rp 948.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1265 | Testosteron | Rp 670.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1266 | Anti Ds DNA | Rp 882.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1267 | Anti Ds DNA | Rp 882.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1268 | Anti Ds DNA | Rp 882.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1269 | Anti Ds DNA | Rp 882.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1270 | Anti Ds DNA | Rp 882.000 | VIP | Laboratorium Umum (Penelitian) |
| 1271 | Anti Ds DNA | Rp 882.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1272 | Anti Ds DNA | Rp 882.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1273 | Anti Ds DNA | Rp 882.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1274 | Preparat Jamur | Rp 140.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1275 | Preparat GO | Rp 140.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1276 | Preparat BTA III | Rp 140.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1277 | Preparat BTA | Rp 140.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1278 | Preparat Gram | Rp 140.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1279 | Panel IgE Spesifik 96 Jenis | Rp 2.352.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1280 | Panel IgE Spesifik 54 Jenis | Rp 2.239.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1281 | PAPP-A | Rp 1.020.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1282 | Free Betta HCG | Rp 1.076.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1283 | Betta HCG kuantitatif serum | Rp 845.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1284 | Betta HCG kuantitatif serum | Rp 845.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1285 | Betta HCG kuantitatif serum | Rp 845.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1286 | Betta HCG kuantitatif serum | Rp 845.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1287 | Betta HCG kuantitatif serum | Rp 845.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1288 | Betta HCG kuantitatif serum | Rp 845.000 | VIP | Laboratorium Umum (Penelitian) |
| 1289 | Betta HCG kuantitatif serum | Rp 845.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1290 | Betta HCG kuantitatif serum | Rp 845.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1291 | Progesteron | Rp 755.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1292 | Estradiol | Rp 725.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1293 | Kultur Luka/Ulkus (Vitek) | Rp 853.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1294 | Kultur Cairan Liquor (Vitek) | Rp 856.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1295 | Kultur Cairan Pleura (Vitek) | Rp 836.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1296 | Kultur Usap Rectal (Vitex) | Rp 856.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1297 | Coombs Test Direct | Rp 324.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1298 | Coombs Test Direct | Rp 324.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1299 | Coombs Test Direct | Rp 324.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1300 | Coombs Test Direct | Rp 324.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1301 | Coombs Test Direct | Rp 324.000 | VIP | Laboratorium Umum (Penelitian) |
| 1302 | Coombs Test Direct | Rp 324.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1303 | Coombs Test Direct | Rp 324.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1304 | Coombs Test Direct | Rp 324.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1305 | BCR-ABL Quantitative PCR | Rp 3.097.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1306 | BCR-ABL Quantitative PCR | Rp 3.097.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1307 | BCR-ABL Quantitative PCR | Rp 3.097.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1308 | BCR-ABL Quantitative PCR | Rp 3.097.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1309 | BCR-ABL Quantitative PCR | Rp 3.097.000 | VIP | Laboratorium Umum (Penelitian) |
| 1310 | BCR-ABL Quantitative PCR | Rp 3.097.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1311 | BCR-ABL Quantitative PCR | Rp 3.097.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1312 | BCR-ABL Quantitative PCR | Rp 3.097.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1313 | Kultur Sekret (Vitek) | Rp 808.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1314 | Kultur Gall (Vitek) | Rp 748.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1315 | Kultur Urine (Vitek) | Rp 748.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1316 | Kultur Darah (Vitek) | Rp 838.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1317 | Preparat Stool | Rp 140.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1318 | Preparat Candida | Rp 140.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1319 | Preparat Trichomonas | Rp 140.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1320 | Anti Mulerien Hormon (AMH) | Rp 925.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1321 | Anti Mulerien Hormon (AMH) | Rp 925.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1322 | Anti Mulerien Hormon (AMH) | Rp 925.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1323 | Anti Mulerien Hormon (AMH) | Rp 925.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1324 | Anti Mulerien Hormon (AMH) | Rp 925.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1325 | Anti Mulerien Hormon (AMH) | Rp 925.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1326 | Anti Mulerien Hormon (AMH) | Rp 925.000 | VIP | Laboratorium Umum (Penelitian) |
| 1327 | Anti Mulerien Hormon (AMH) | Rp 925.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1328 | Anti SARS CoV-2 S-RBD (Kuantitatif) Titer | Rp 416.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1329 | Anti SARS CoV-2 S-RBD (Kuantitatif) Titer | Rp 416.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1330 | Anti SARS CoV-2 S-RBD (Kuantitatif) Titer | Rp 416.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1331 | Anti SARS CoV-2 S-RBD (Kuantitatif) Titer | Rp 416.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1332 | Anti SARS CoV-2 S-RBD (Kuantitatif) Titer | Rp 416.000 | VIP | Laboratorium Umum (Penelitian) |
| 1333 | Anti SARS CoV-2 S-RBD (Kuantitatif) Titer | Rp 416.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1334 | Anti SARS CoV-2 S-RBD (Kuantitatif) Titer | Rp 416.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1335 | Anti SARS CoV-2 S-RBD (Kuantitatif) Titer | Rp 416.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1336 | Kultur Usap Telinga (Vitek) | Rp 821.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1337 | Kultur Usap Hidung (Vitek) | Rp 856.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1338 | kultur Usap Tenggorok (Vitek) | Rp 856.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1339 | Intact Parathyroid Hormone / IPTH | Rp 1.230.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1340 | TSH Receptor Antibodies (TRAB) | Rp 695.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1341 | Anti-TPO | Rp 1.250.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1342 | Anti-TPO | Rp 1.250.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1343 | Anti-TPO | Rp 1.250.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1344 | Anti-TPO | Rp 1.250.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1345 | Anti-TPO | Rp 1.250.000 | VIP | Laboratorium Umum (Penelitian) |
| 1346 | Anti-TPO | Rp 1.250.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1347 | Anti-TPO | Rp 1.250.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1348 | Anti-TPO | Rp 1.250.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1349 | Bence Jones Protein | Rp 200.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1350 | Bence Jones Protein | Rp 200.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1351 | Bence Jones Protein | Rp 200.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1352 | Bence Jones Protein | Rp 200.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1353 | Bence Jones Protein | Rp 200.000 | VIP | Laboratorium Umum (Penelitian) |
| 1354 | Bence Jones Protein | Rp 200.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1355 | Bence Jones Protein | Rp 200.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1356 | Bence Jones Protein | Rp 200.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1357 | C3 Complemen | Rp 825.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1358 | C3 Complemen | Rp 825.000 | VIP | Laboratorium Umum (Penelitian) |
| 1359 | C3 Complemen | Rp 825.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1360 | C3 Complemen | Rp 825.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1361 | C3 Complemen | Rp 825.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1362 | C3 Complemen | Rp 825.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1363 | C3 Complemen | Rp 825.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1364 | C3 Complemen | Rp 825.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1365 | Kultur MRSA (Vitek) | Rp 849.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1366 | Kultur Sperma (vitek) | Rp 817.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1367 | Kultur Cairan Asites (Vitek) | Rp 856.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1368 | Kultur Cairan Sendi (Vitek) | Rp 836.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1369 | Kultur Liquor (Vitek) | Rp 821.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1370 | Anti Tyroglobulin | Rp 921.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1371 | Anti Tyroglobulin | Rp 921.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1372 | Anti Tyroglobulin | Rp 921.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1373 | Anti Tyroglobulin | Rp 921.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1374 | Anti Tyroglobulin | Rp 921.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1375 | Anti Tyroglobulin | Rp 921.000 | VIP | Laboratorium Umum (Penelitian) |
| 1376 | Anti Tyroglobulin | Rp 921.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1377 | Anti Tyroglobulin | Rp 921.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1378 | Tyroglobulin | Rp 810.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1379 | T3-Uptake | Rp 1.020.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1380 | FTI | Rp 690.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1381 | T-uptake | Rp 1.020.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1382 | Free T4 Index | Rp 567.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1383 | Free T3 | Rp 635.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1384 | Free T4 | Rp 510.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1385 | TSHs (Neonatus) | Rp 150.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1386 | Klirens Kreatinin (estimasi) | Rp 60.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1387 | Klirens Kreatinin (estimasi) | Rp 60.000 | VIP | Laboratorium Umum (Penelitian) |
| 1388 | Klirens Kreatinin (estimasi) | Rp 60.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1389 | Klirens Kreatinin (estimasi) | Rp 60.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1390 | Klirens Kreatinin (estimasi) | Rp 60.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1391 | Lithium | Rp 140.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1392 | Lithium | Rp 140.000 | VIP | Laboratorium Umum (Penelitian) |
| 1393 | Lithium | Rp 140.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1394 | Lithium | Rp 140.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1395 | Lithium | Rp 140.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1396 | Klirens Kreatinin | Rp 110.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1397 | Klirens Kreatinin | Rp 110.000 | VIP | Laboratorium Umum (Penelitian) |
| 1398 | Klirens Kreatinin | Rp 110.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1399 | Klirens Kreatinin | Rp 110.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1400 | Klirens Kreatinin | Rp 110.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1401 | Bilirubin Indirect | Rp 33.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1402 | Bilirubin Indirect | Rp 33.000 | VIP | Laboratorium Umum (Penelitian) |
| 1403 | Bilirubin Indirect | Rp 33.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1404 | Bilirubin Indirect | Rp 33.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1405 | Bilirubin Indirect | Rp 33.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1406 | Cross match | Rp 175.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1407 | Cross match | Rp 175.000 | VIP | Laboratorium Umum (Penelitian) |
| 1408 | Cross match | Rp 175.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1409 | Cross match | Rp 175.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1410 | Cross match | Rp 175.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1411 | Paket Napza 6 parameter | Rp 220.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1412 | Paket Napza 6 parameter | Rp 220.000 | VIP | Laboratorium Umum (Penelitian) |
| 1413 | Paket Napza 6 parameter | Rp 220.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1414 | Paket Napza 6 parameter | Rp 220.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1415 | Paket Napza 6 parameter | Rp 220.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1416 | Phosphor Anorganik | Rp 168.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1417 | Phosphor Anorganik | Rp 168.000 | VIP | Laboratorium Umum (Penelitian) |
| 1418 | Phosphor Anorganik | Rp 168.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1419 | Phosphor Anorganik | Rp 168.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1420 | Phosphor Anorganik | Rp 168.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1421 | Magnesium | Rp 177.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1422 | Magnesium | Rp 177.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1423 | Magnesium | Rp 177.000 | VIP | Laboratorium Umum (Penelitian) |
| 1424 | Magnesium | Rp 177.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1425 | Magnesium | Rp 177.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1426 | LDH | Rp 203.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1427 | LDH | Rp 203.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1428 | LDH | Rp 203.000 | VIP | Laboratorium Umum (Penelitian) |
| 1429 | LDH | Rp 203.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1430 | LDH | Rp 203.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1431 | Vitamin D | Rp 510.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1432 | Vitamin D | Rp 510.000 | VIP | Laboratorium Umum (Penelitian) |
| 1433 | Vitamin D | Rp 510.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1434 | Vitamin D | Rp 510.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1435 | Vitamin D | Rp 510.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1436 | Troponin I | Rp 446.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1437 | Ca 19-9 | Rp 999.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1438 | Ca 19-9 | Rp 999.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1439 | Ca 19-9 | Rp 999.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1440 | Ca 19-9 | Rp 999.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1441 | Ca 19-9 | Rp 999.000 | VIP | Laboratorium Umum (Penelitian) |
| 1442 | Ca 19-9 | Rp 999.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1443 | Ca 19-9 | Rp 999.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1444 | Ca 19-9 | Rp 999.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1445 | CPK / CK | Rp 320.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1446 | CPK / CK | Rp 320.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1447 | CPK / CK | Rp 320.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1448 | CPK / CK | Rp 320.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1449 | CPK / CK | Rp 320.000 | VIP | Laboratorium Umum (Penelitian) |
| 1450 | CPK / CK | Rp 320.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1451 | CPK / CK | Rp 320.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1452 | CPK / CK | Rp 320.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1453 | ASO/ASTO | Rp 184.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1454 | ASO/ASTO | Rp 184.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1455 | ASO/ASTO | Rp 184.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1456 | ASO/ASTO | Rp 184.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1457 | ASO/ASTO | Rp 184.000 | VIP | Laboratorium Umum (Penelitian) |
| 1458 | ASO/ASTO | Rp 184.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1459 | ASO/ASTO | Rp 184.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1460 | ASO/ASTO | Rp 184.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1461 | Anti HBc | Rp 575.000 | Kelas III | Laboratorium Umum (Penelitian) |
| 1462 | Anti HBc | Rp 575.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1463 | Anti HBc | Rp 575.000 | VIP B | Laboratorium Umum (Penelitian) |
| 1464 | Anti HBc | Rp 575.000 | VVIP | Laboratorium Umum (Penelitian) |
| 1465 | Anti HBc | Rp 575.000 | VIP A | Laboratorium Umum (Penelitian) |
| 1466 | Anti HBc | Rp 575.000 | VIP | Laboratorium Umum (Penelitian) |
| 1467 | Anti HBc | Rp 575.000 | Kelas I | Laboratorium Umum (Penelitian) |
| 1468 | Anti HBc | Rp 575.000 | Kelas II | Laboratorium Umum (Penelitian) |
| 1469 | SMA / ASMA | Rp 1.273.000 | Non Kelas | Laboratorium Umum (Penelitian) |
| 1470 | Jasa rumah sakit (registrasi rawat jalan) | Rp 15.000 | Non Kelas | Laboratorium Umum (Penelitian) |