IIMIKROBIOLOGI MEDIK
II.1Kultur ( Isolasi & Identifikasi )TARIF
1UrineRp. 150,000
2Sekret Rp. 150,000
3Darah Rp. 165,000
4Pus Rp. 150,000
5Gaal Rp. 165,000
6LCS Rp. 165,000
7Faeces Rp. 143,300
8Jamur ( Kerokan Kulit)Rp. 123,200
9Rectal Swab Kultur per spesies (salmonella/shigella/vibrio )Rp. 170,000
10Corynebacterium diphteri (Swab Tenggorok)Rp. 165,000
11BTA / M.TBC Rp. 140,000
13Specimen lainnyaRp. 150,000
14Identifikasi Per SpeciesRp. 100,000
II.2Uji SensitivitasTARIF
1DST (Sensitivitas MTBC )Rp. 150,000
2Sensitivitas Rp. 150,000
II.3MIKROSKOPIS
PEMERIKSAAN MIKROSKOPISTARIF
1Faeces LengkapRp. 20,000
2Sekret Vagina/UrethraRp. 45,500
3TrichomonasRp. 20,000
4Sel RagiRp. 20,000
5Cat GramRp. 20,000
6Mycobaterium leprae (ZN)Rp. 20,000
7Sputum BTA (ZN)Rp. 20,000
8Corrynebacterium diphteriae (Neisser)Rp. 20,000
9Malaria (Giemsa)Rp. 20,000
10Filaria (Giemsa)Rp. 20,000
11Benzidine TestRp. 20,000
12Specimen lainnyaRp. 20,000
13Pembacaan Kroscek (program Pemerintah)Rp. 4,000
IIIPEMERIKSAAN IMUNOSEROLOGITARIF
1Rheumatoid FactorRp. 43,000
2C. Reactive ProteinRp. 40,000
3ASTORp. 37,500
4WidalRp. 54,000
5VDRLRp. 32,500
6TPHARp. 43,800
7HBs AgRp. 83,300
8Anti HBs AgRp. 93,000
9Anti HBc TotalRp. 155,000
10Anti HbeRp. 177,500
11Anti HAV TotalRp. 192,500
12Anti HIV (3 metode)Rp. 110,000
13VIDAS HIV Duo UTRARp. 127,500
14T-3Rp. 127,500
15T-4Rp. 127,500
16TSH-sRp. 127,500
IVPEMERIKSAAN BIOLOGI MOLEKULERTARIF
1PCR MTBCRp. 595,000
2PCR SalmonellaRp. 595,000
3PCR Flu Burung / Flu BabiRp. 595,000
VRADIOLOGI
ATINDAKAN TANPA KONTRASTARIF
1FOTO THORAX AP/IPARp. 121,000
2FOTO THORAX LATERALRp. 121,000
3FOTO BNO/ABDOMEN APRp. 121,000
4FOTO BNO/ABDOMEN LATERALRp. 121,000
5FOTO WAITER'SRp. 131,500
6FOTO SHEDELL LATERALRp. 131,500
7FOTO COLUMA VERTEBRAE AP Rp. 131,500
8FOTO COLUMA VERTEBRAE LATRp. 131,500
9FOTO AP/LATERAL EXTREMITAS /EXPOSURERp. 104,000
BTINDAKAN DENGAN KONTRASTARIF
1BNO - IVPRp. 570,000
2COLON INLOOPRp. 570,000
3OESOPHAGUS MAAG DUODENUMRp. 570,000
4HISTEROSALPHINGOGRAPHYRp. 570,000
5RPGRp. 570,000
6APGRp. 570,000
7FISTULOGRAPHYRp. 570,000
8MYESLOGRAPHYRp. 570,000
9URETHROCYSTOGRAPHYRp. 570,000
CPEMBACAAN HASIL RONTGENTARIF
1Pembacaan Hasil Rontgen KolektifRp. 32,500
2Pembacaan Hasil Rontgen PersonalRp. 32,500
VIPEMERIKSAAN PATOLOGI KLINIK
AHEMATOLOGITARIF
1Hemoglobin Rp. 18,500
2Hitung jumlah LekositRp. 18,500
3Hitung jenis lekositRp. 18,500
4Laju endap darahRp. 18,500
5Hitung jumlah TrombositRp. 18,500
6HematokritRp. 18,500
7Waktu Perdarahan/ BTRp. 14,000
8Waktu Pembekuan / CTRp. 19,500
9LE - SelRp. 105,000
10Morfologi darah tepiRp. 105,000
11Golongan DarahRp. 25,500
12Hitung jumlah EritrositRp. 23,500
13Hitung jumlah RetikulositRp. 23,500
14Hematologi lengkap (aotumatic hematology Analizer)Rp. 64,500
15Hitung jumlah EosinofilRp. 23,500
16PTT = Partial Tromboplastin TimeRp. 93,500
17APTT = Activated Partial Tromboplastin TimeRp. 77,500
18TIBC = Total Iron Binding CapacityRp. 40,000
19LPB = Limposit Plasma BiruRp. 125,000
20Sl = Serum IronRp. 78,500
BURINALISATARIF
1UL (Dgn Strip) + sed. (Gluk, Prot,bil,urobil,SG,BLD)Rp. 17,500
2Sedimen UrineRp. 12,500
3BD UrineRp.12,500
4Darah SamarRp. 12,500
5Fisik:Vol, Bau, War, KekeruhanRp. 20,000
6Test KehamilanRp. 25,000
7Protein EsbachRp. 30,000
CKIMIA DARAHTARIF
1Glukosa NRp. 26,800
2Glukosa 2 jam PPRp. 26,800
3Glukosa sewaktuRp. 26,800
4UreumRp. 36,300
5CreatininRp. 33,300
6Asam UratRp. 33,400
7SGOTRp. 38,800
8SGPTRp. 38,800
9Bilirubin totalRp. 47,000
10Bilirubin DirectRp. 30,000
11Bilirubin IndirectRp. 30,000
12Protein totalRp. 31,500
13AlbuminRp. 32,700
14GlobulinRp. 32,700
15Alkali PhospataseRp. 40,000
16CholesterolRp. 30,000
17HDL cholesterolRp. 40,000
18LDL cholesterolRp. 40,000
19TrigliseridaRp. 40,000
20Gamma GTRp. 30,000
21Glukosa metode POCTRp. 25,000
22KaliumRp. 58,800
23NatriumRp. 58,800
24CalsiumRp. 58,800
25ChloridaRp. 58,800
26MagnesiumRp. 58,800
27HBAICRp. 150,500
DLAIN LAINTARIF
1Analisa BatuRp. 78,800
2Analisa SpermaRp. 70,000
3Analisa LCSRp. 52,000
4Analisa Cairan Transudat/ EksudatRp. 52,000