8/16/2019 Daftar Harga LAB Prolisa.xlsx

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HARGA PAKET

NO PAKET JENIS PEMERIKSAAN HARGA DISC 25 %

1 DIABETES Glukosa Puasa 25,000 6,250

Glukosa Urin Puasa 25,000 6,250

Glukosa 2 Jam PP 25,000 6,250

Glukosa Urin 2 Jam PP 25,000 6,250HbA1C 16,000 !6,500

 To"al 286,000 #1,500

2 $E%A& &ol's"'rol To"al (2,000 ,000

&ol's"'rol $D$ 60,000 15,000

&ol's"'rol HD$ (,000 ),500

 Tri*lis'ri+a (2,000 ,000

 To"al 162,000 !0,500

( U-GSI GI-JA$ Ur'um (2,000 ,000

&r'a"inin (2,000 ,000

Asam Ura" (6,000 ),000

 To"al 100,000 25,000

! U-GSI JA-TU-G A**r'*asi Trombosi" 225,000 56,250

 To"al 225,000 56,250

5 U-GSI HATI Albumin, Globulin, To"al Pro"'in 1(5,000 ((,#50

Bilirubin 5,000 21,250

SG.T (2,000 ,000

SGPT (2,000 ,000

os/a"as' Alkali 5,000 1!,500

 To"al 342,000 5,500

6 HEPATITIS HbsA* 11,500 2),625

An"i Hbs 152,000 (,000

An"i HC To"al 22,000 #0,500

 To"al 552,500 1(,125# HE%AT.$.GI Dara u"in 5#,000 1!,250

57,000 1!,250

.-TGE- Tora3 )0,000 22,500

 To"al 90,000 22,500

Har*a +an +iskon S'4ak"u 4ak"u +aa" b'ruba

7 Puasa minimal 10 12 8am, an9a bol' minum air u"i sa8a:

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HARGA / NET

1,#50

1,#50

1,#50

1,#501(),500

214,500

2!,000

!5,000

2,500

2!,000

121,500

2!,000

2!,000

2#,000

75,000

16,#50

168,750

101,250

6(,#50

2!,000

2!,000

!(,500

256,500

,#5

11!,000

211,500

414,375!2,#50

42,750

6#,500

67,500

8/16/2019 Daftar Harga LAB Prolisa.xlsx

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 JADWA DAN HARGA PEMERIKSAAN

A!ORATORI"M KINIK PROISA JAKARTA

 J#$ !#& P'()* T&+' C5

!-#*' +'#& 02 M-& 2011

N. P-+-&*( ! H

01$ HEMATOOGI

1 H'ma"olo*i u"in Dara EDTA ( ml 5#,0002 H'ma"olo*i $'n*ka Dara EDTA ( ml 62,000

( H'mo*lobin Dara EDTA ( ml 2#,000

! $'kosi" Dara EDTA ( ml 2(,000

5 Hi"un* J'nis Dara EDTA ( ml 2#,000

6 $ED Dara EDTA ( ml 2!,000

# Trombosi" Dara EDTA ( ml 2),000

H'ma"okri" Dara EDTA ( ml 2(,000

) Eri"rosi" Dara EDTA ( ml 2(,000

10 Eosinoil Dara EDTA ( ml (1,000

11 '"ikulosi" Dara EDTA ( ml (,00012 Pak'" Hausan Dara Dara EDTA ( ml 12),000

1( Gol: Dara AB. Dara EDTA ( ml 2),000

1! Gol: Dara 'sus Dara EDTA ( ml 2!,000

15 aal H'mos"asis (1!,000

16 ;ak"u P'n+araan

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02$ "RINAISA

1 Urin $'n*ka Urin S'*ar 15 ml (2,000

2 Pro"'in Urin Urin S'*ar 15 ml 1),000

( Glukosa Urin Urin S'*ar 15 ml 1),000

! Bilirubin Urin Urin S'*ar 15 ml 1),000

5 S'+im'n Urin Urin S'*ar 15 ml 2#,000

6 B'r"a J'nis Urin Urin S'*ar 15 ml 1),000

# %ikroalbumin Urin )1,000

Pro"'in Esba> Urin S'*ar 15 ml (2,000

03$ KEHAMIAN

1 T's k'amilan Urin S'*ar 10 ml 51,000

2 T's Pa>k i+ S'rum 1:0 ml (1),000

06$ EMAK 

1 Col's"'rol To"al S'rum 0:5 ml (2,000

2 Tri*lis'ri+a S'rum 0:5 ml (2,000

( To"al $ii+ S'rum 0:5 ml 5(,000! HD$ Col's"'rol Dir'>" S'rum 0:5 ml (,000

5 $D$ Col's"'rol Dir'>" S'rum 0:5 ml 60,000

6 Col AP. A1 S'rum 0:5 ml 16#,000

# Col AP. B S'rum 0:5 ml 12!,000

$ioro"'in

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N. P-+-&*( ! H

07$ AA JANT"NG

1 CP&?C& S'rum 0:5 ml )!,000

2 C&%B S'rum 0:5 ml 162,000

( $DH S'rum 0:5 ml 6#,000

! Troonin I S'rum 0:5 ml (!2,000

5 Troonin T Dara H'arin ( ml 252,000

6 HsCP S'rum 1 ml 16#,000# Homo>9s"'in S'rum 1 ml !0!,000

1 BU- a"a"an 1= 62,000

1 Glukosa Puasa 25,000

2 Glukosa 2 Jam PP A+a +i >a"a"an 5= 25,000

( GTT < T's Tol'ransi = 6,000

! Glukosa +ara s'4ak"u 25,000

5 HBA1C Dara EDTA ( ml 1!(,000

10$ EEKTROIT

1 -a"rium S'rum 0:5 ml 60,000

2 &alium S'rum 0:5 ml 60,000

( Clori+a S'rum 0:5 ml 60,000

! -a"rium Urin Urin 2! Jam 60,000

5 &alium Urin Urin 2! Jam 60,000

6 Clori+a Urin Urin 2! Jam 60,000

# &alsium S'rum 0:5 ml !,000

Posor Anor*anik S'rum 0:5 ml 51,000

) Cal>ium Ion S'rum 0:5 ml 11),000

10 %a*n'sium S'rum 0:5 ml 51,000

1 Amilas' S'rum 0:5 ml 105,000

2 $ias' S'rum 0:5 ml 11!,000( A>i+ Posa"as' S'rum 0:5 ml 21),000

 JADWA DAN HARGA PEMERIKSAAN

A!ORATORI"M KINIK PROISA JAKARTA

 J#$ !#& P'()* T&+' C5

!-#*' +'#& 02 M-& 2011

N. P-+-&*( ! H

12$ IM"NO SEROOGI

1 HBsA* &uali"a"i/ S'rum 0:5 ml )5,0002 HBsA* &uan"i"a"i/ S'rum 0:5 ml 1)0,000

( An"i HBs S'rum 0:5 ml 110,000

! An"i HBs < Ti"'r = S'rum 0:5 ml 15#,000

5 An"i HB> S'rum 0:5 ml 1)5,000

Plasma -a 2 ml ? S'rum0:5 ml

Plasma -a 2 ml ? S'rum0:5 ml

Plasma -a 2 ml ? S'rum0:5 ml

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6 I*% An"i HB> S'rum 0:5 ml (56,000

# HB'A* S'rum 0:5 ml 2#,000

An"i HB' S'rum 0:5 ml ((#,000

) An"i HA S'rum 0:5 ml 2#,000

10 I*m An"i HA S'rum 0:5 ml 2!(,000

11 An"i HC S'rum 0:5 ml 2#(,000

12 I*G An"i To3olasma S'rum 0:5 ml 1#6,000

1( I*% An"i To3olasma S'rum 0:5 ml 1#6,0001! I*G To3o A@i+i"as S'rum 1 ml !6,000

15 I*G An"i ub'lla S'rum 0:5 ml 1)1,000

16 I*% An"i ub'lla S'rum 0:5 ml 2(),000

1# I*G An"i C% S'rum 0:5 ml 1#),000

1 I*% An"i CH S'rum 0:5 ml ()(,000

1) I*G An"i HS2 S'rum 0:5 ml 1)1,000

20 I*% An"i HS2 S'rum 0:5 ml 1)1,000

21 I*G An"i HS1 S'rum 0:5 ml 16,000

22 I*% An"i HS1 S'rum 0:5 ml 16,000

2( TPHA S'rum 0:5 ml #2,0002! D$ S'rum 0:5 ml !!,000

25 ;i+al S'rum 0:5 ml 6#,000

26 I*% An"i Salmon'lla A>i+ Posa"as' S'rum 1 ml 2(),000

2 AP S'rum 0:5 ml 1)5,000

( CEA S'rum 0:5 ml 11,000

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! Ca125 S'rum 0:5 ml (#6,000

5 PSA To"al S'rum 0:5 ml 252,000

6 Ca 15( S'rum 0:5 ml (!2,000

# Ca 1)) S'rum 0:5 ml ()0,000

SCC S'rum 1 ml ((2,000

1 T( S'rum 0:5 ml 1!#,000

2 T! S'rum 0:5 ml 1!#,000( TSHs S'rum 0:5 ml 156,000

! r'' T( S'rum 0:5 ml 2(0,000

5 r'' T! S'rum 0:5 ml 1)5,000

6 TU"ak' S'rum 0:5 ml 2!!,000

# $H S'rum 0:5 ml 21(,000

SH S'rum 0:5 ml 21(,000

) Prolak"in S'rum 0:5 ml 20(,000

10 T's"os"'ron S'rum 0:5 ml 2(),000

11 Es"ra+iol S'rum 0:5 ml 25!,000

12 Pro*'s"'ron S'rum 0:5 ml 26!,0001( BHCG &uan"i"a"i/ S'rum 0:5 ml 2)2,000

1! Insulin S'rum 1 ml 220,000

15 CP'"i+' S'rum 1 ml 2!!,000

1 I*E To"al S'rum 0:5 ml 205,000

1 Pr'ara" Gram S'suai 'rmin"aan !2,000

2 Pr'ara" BTA Su"um !2,000

( Pr'ara" Go S'kr'" Ur'"ra?@a*ina !2,000

! Pr'ara" Jamur?Sora S'suai 'rmin"aan !2,000

 JADWA DAN HARGA PEMERIKSAAN

A!ORATORI"M KINIK PROISA JAKARTA

 J#$ !#& P'()* T&+' C5

!-#*' +'#& 02 M-& 2011

N. P-+-&*( ! H

17$ K"T"R RESISTENSI

1 &ul"ur Dara Dara 5 ml 215,0002 &ul"ur Gall Dara ( ml 215,000

( &ul"ur 'a>'s 'a>'s 2!(,000

! &ul"ur Pus Pus 2!(,000

5 &ul"ur S'kr'" S'kr'" 2!(,000

6 &ul"ur Su"um Su"um 2!(,000

# &ul"ur Usa T'n**orok Usa T'n**orok 2!(,000

&ul"ur Urin' Urin' Pa*i 215,000

) &ul"ur Cairan Pl'ura Cairan Pl'ura 22(,000

10 &ul"ur Cairan $iuor Cairan $iour 215,000

11 &ul"ur Usa 'k"al Usa 'k"al 22(,00012 &ul"ur Dara

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1#Usa T'n**orok (12,000

1&ul"ur Usa 'k"al i"ra" 5 ml (61,000

! Pro"'in S Dara >i"ra" 5 ml !),000

5 Pro"'in C Dara >i"ra" 5 ml !),000

6 T's Cooms +ir'k F in+ir'k 225,000

# CD! Dara EDTA ( ml 1)5,000

CD!CD Dara EDTA ( ml 2)(,000

) Asam ola" S'rum 1 ml !!),000

1 Al/a HBDH S'rum 1 ml 10#,000

2 G$DH S'rum 1 ml (22,000( C9s"a"in C S'rum 1 ml 2#(,000

! Pro B-P Dara H'arin ( ml !#,000

1 I*% An"i HC S'rum 1 ml ((2,000

2 I*G An"i Clam9+ia S'rum 1 ml !05,000

( I*% An"i Clam9+ia S'rum 1 ml !05,000

! I*G An"i DH S'rum 1 ml 220,000

5 I*% An"i DH S'rum 1 ml 220,000

6 Al/a 1 An"i Trisin S'rum 1 ml 156,000

# I*- H: 9lori S'rum 1 ml ((2,000 An"i HI S'rum 1 ml 2(),000

) ;'s"'rn Blo" 1,02!,000

10 S%A S'rum 1 ml 1(#,000

11 A%A S'rum 1 ml 1(#,000

&ul"ur Usa T'n**orok

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12 A-CA S'rum 1 ml 2!),000

1( I*G %9>olasma S'rum 1 ml #2#,000

1! I*% %9>olasma S'rum 1 ml #2#,000

15 An"i*'n'mia S'rum 1 Urin 15 ml 6(!,000

16 I*G C% A@i+i"as S'rum 1 ml !1,000

1# Pro Cal>i"onin is' S'rum 1 ml 2#(,000

! Para"9roi+ Hormon S'rum 1 ml !2),000

1 I*E A"o9 an* S'rum 1 ml 2#(,000

I*E as" Cokla" S'rum 1 ml 2#(,000) I*E as" Pu"i T'lur S'rum 1 ml 2#(,000

10 I*E as" &unin* T'lur S'rum 1 ml 2#(,000

11 I*E as" D'bu uma S'rum 1 ml 2#(,000

12 I*E as" Tun*au S'rum 1 ml 2#(,000

1( I*E as" Ikan S'rum 1 ml 2#(,000

1! I*E as" &'>oa S'rum 1 ml (0(,000

15 I*E as" Bulu A9am S'rum 1 ml (56,000

16 I*E as" Ei"'l An8in* S'rum 1 ml (12,000

1# I*E as" Ei"'l Tikus S'rum 1 ml (12,000

1 I*E as" Ei"'l &u>in* S'rum 1 ml (12,0001) I*E as" Gan+um S'rum 1 ml (12,000

20 I*E as" As'r*illus S'rum 1 ml (12,000

21 I*E as" 8amu %u>or S'rum 1 ml (12,000

22 I*E as" P'ni>ilin S'rum 1 ml (12,000

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D&( 20% H / N-)

11,!00 !5,60012,!00 !),600

5,!00 21,600

!,600 1,!00

5,!00 21,600

!,00 1),200

5,00 2(,200

!,600 1,!00

!,600 1,!00

6,200 2!,00

#,600 (0,!0025,00 10(,200

5,00 2(,200

!,00 1),200

6(,000 251,200

!,600 1,!00

!,600 1,!00

26,600 106,!00

1,00 #5,200

2,600 11!,!00

26,!00 106,!00

!0,000 160,000

11,200 !!,00

11,200 !!,00

15,000 60,000

22,00 )1,200

(0,!00 121,600

(,000 152,000

!,600 ((,!00

(,000 152,000

),600 (,!00

(!,200 1(6,00

#,600 (0,!00

26,600 106,!00

26,600 106,!00

!(,00 1#5,200

#5,200 (00,00

D&( 20% H / N-)

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6,!00 25,600

(,00 15,200

(,00 15,200

(,00 15,200

5,!00 21,600

(,00 15,200

1,200 #2,00

6,!00 26,500

10,200 !0,00

1!,!00 5#,600

5#,000 22,000

#,600 (0,!00

!,00 1),200

15,200 60,00

6,!00 25,600

#,600 (0,!00

#,600 (0,!00

#,600 (0,!00

6,200 2!,00

6,200 2!,00

10,200 !0,00

,200 (2,00

12,!00 !),600

2!,00 )),200

,600 (!,!00

6,200 2!,00

26,600 106,!00

6(,00 255,200

6,!00 25,600

6,!00 25,600

10,600 !2,!00#,600 (0,!00

12,000 !,000

((,!00 1((,600

2!,00 )),200

2!,00 )),200

)!,00 106,00

1),000 #6,000

(6,000 1!!,000

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D&( 20% H / N-)

1,00 #5,200

((,000 12),600

1(,!00 5(,600

6,!00 2#(,600

50,!00 201,600

((,!00 1((,6000,00 (2(,200

6,!00 25,600

6,!00 25,600

6,!00 2!,00

12,!00 !),600

5,000 20,000

5,000 20,000

1#,200 6,00

5,000 20,000

2,600 11!,!00

12,000 !,000

12,000 !,000

12,000 !,000

12,000 !,000

12,000 !,000

12,000 !,000

),600 (,!00

10,200 !0,00

2(,00 )5,200

10,200 !0,00

21,000 !,000

22,00 )1,200!(,00 1#5,200

D&( 20% H / N-)

1),000 #6,000(,000 152,000

22,000 ,000

(1,!00 125,600

(),000 156,000

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#1,200 2!,00

556,000 222,!00

6#,!00 26),600

55,600 222,!00

!,600 1)!,!00

5!,600 21,!00

(5,200 1!0,00

(5,200 1!0,00)(,600 (#!,!00

(,200 152,00

!#,00 1)1,200

(5,00 1!(,200

#,600 (1!,!00

(,200 152,00

(,200 152,00

(#,200 1!,00

(#,200 1!,00

1!,!00 5#,600,000 (5,200

1(,!00 5(,600

(6,200 1!!,00

12,000 !,000

12,!00 !),600

((,!00 1((,600

12,!00 !),600

!),00 1)),200

5,!00 2((,600

5,!00 2((,6005#,600 2(0,!00

56,600 226,!00

5!,600 21,!00

((,200 1(2,00

66,!00 265,600

50,00 20(,200

5#,000 22,000

52,!00 20),600

!0,000 160,000

61,600 2!6,!00

5),600 2(,!00

#,000 (12,000

#,000 (12,000

D&( 20% H / N-)

!#,00 1)1,200

(),000 156,000

(6,200 1!!,00

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#5,200 (00,00

50,!00 201,600

6,!00 2#(,600

#,000 (12,000

66,!00 265,600

2),!00 11#,600

2),!00 11#,600(1,200 12!,00

!6,000 1!,000

(),000 156,000

!,00 1)5,200

!2,600 1#0,!00

!2,600 1#0,!00

!0,600 162,!00

!#,00 1)1,200

50,00 20(,200

52,00 211,2005,!00 2((,600

!!,000 1#6,000

!,00 1)5,200

!1,000 16!,000

,!00 ((,600

,!00 ((,600

,!00 ((,600

,!00 ((,600

D&( 20% H / N-)

!(,000 1#2,000!(,000 1#2,000

!,600 1)!,!00

!,600 1)!,!00

!,600 1)!,!00

!,600 1)!,!00

!,600 1)!,!00

!(,000 1#2,000

!!,600 1#,!00

!(,000 1#2,000

!!6,000 1#,!0062,!00 2!),600

62,!00 2!),600

62,!00 2!),600

62,!00 2!),600

62,!00 2!),600

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62,!00 2!),600

62,!00 2!),600

62,!00 2!),600

62,!00 2!),600

1(,000 52,0001(,000 52,000

1(,000 52,000

1(,000 52,000

1(,000 52,000

1(,000 52,000

(5,200 1!0,00

(5,200 1!0,00

1),600 #,!00

D&( 20% H / N-)

#2,200 2,00

6#,!00 26),600

#2,200 2,00

)),600 (),!00

)),600 (),!00

!5,000 10,000

(),000 156,000

5,600 2(!,!00

),00 (5),200

21!,!00 5,600

6!,!00 25#,6005!,600 21,!00

)5,600 (2,!00

66,!00 265,600

1,000 (2!,000

1,000 (2!,000

!!,000 1#6,000

!!,000 1#6,000

(1,200 12!,00

66,!00 265,600!#,00 1)1,200

20!,00 1),200

2#,!00 10),600

2#,!00 10),600

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!),00 1)),200

1!5,!00 51,600

1!5,!00 51,600

12#,000 50#,000

)6,200 (!,00

##,200 (0,00

(,200 1,552,00(12,000 1,2!,000

6,!00 2#(,600

6,!00 2#(,600

(,000 ((2,000

10#,!00 !2),600

102,!00 !0),600

#,00 (51,200

D&( 20% H / N-)

!),00 1)),200

5!,600 21,!00

5!,600 21,!00

5,00 (!(,200

1#(,600 6)!,!00

5!,600 21,!00

5!,600 21,!00

5!,600 21,!00

5!,600 21,!00

5!,600 21,!00

5!,600 21,!00

5!,600 21,!005!,600 21,!00

5!,600 21,!00

5!,600 21,!00

5!,600 21,!00

5!,600 21,!00

60,600 2!2,!00

#1,200 2!,00

62,!00 2!),600

62,!00 2!),600

62,!00 2!),60062,!00 2!),600

62,!00 2!),600

62,!00 2!),600

62,!00 2!),600

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 JADWA DAN HARGA PEMERIKSAA

A!ORATORI"M KINIK PROISA JAKA

 J#$ !#& P'()* T&+' C5

!-#*' +'#& 02 M-& 2011

N. P-+-&*( !

01$ HEMATOOGI

1 H'ma"olo*i u"in Dara EDTA ( ml

2 H'ma"olo*i $'n*ka Dara EDTA ( ml

( H'mo*lobin Dara EDTA ( ml

! $'kosi" Dara EDTA ( ml

5 Hi"un* J'nis Dara EDTA ( ml

6 $ED Dara EDTA ( ml

# Trombosi" Dara EDTA ( ml

H'ma"okri" Dara EDTA ( ml

) Eri"rosi" Dara EDTA ( ml

10 Eosinoil Dara EDTA ( ml

11 '"ikulosi" Dara EDTA ( ml

12 Pak'" Hausan Dara Dara EDTA ( ml

1( Gol: Dara AB. Dara EDTA ( ml

1! Gol: Dara 'sus Dara EDTA ( ml

15 aal H'mos"asis

16 ;ak"u P'n+araan

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!-#*' +'#& 02 M-& 2011

N. P-+-&*( !

02$ "RINAISA

1 Urin $'n*ka Urin S'*ar 15 ml

2 Pro"'in Urin Urin S'*ar 15 ml

( Glukosa Urin Urin S'*ar 15 ml

! Bilirubin Urin Urin S'*ar 15 ml

5 S'+im'n Urin Urin S'*ar 15 ml

6 B'r"a J'nis Urin Urin S'*ar 15 ml

# %ikroalbumin Urin Urin a*i 10 ml ? urin 2! 8am

Pro"'in Esba> Urin S'*ar 15 ml

03$ KEHAMIAN

1 Plano T's Urin S'*ar 10 ml

2 T's Pa>k i+ S'rum 1:0 ml

06$ EMAK 1 Col's"'rol To"al S'rum 0:5 ml

2 Tri*lis'ri+a S'rum 0:5 ml

( To"al $ii+ S'rum 0:5 ml

! HD$ Col's"'rol Dir'>" S'rum 0:5 ml

5 $D$ Col's"'rol Dir'>" S'rum 0:5 ml

6 Col AP. A1 S'rum 0:5 ml

# Col AP. B S'rum 0:5 ml

$ioro"'in

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A!ORATORI"M KINIK PROISA JAKA

 J#$ !#& P'()* T&+' C5

!-#*' +'#& 02 M-& 2011

N. P-+-&*( !

07$ AA JANT"NG

1 CP&?C& S'rum 0:5 ml

2 C&%B S'rum 0:5 ml

( $DH S'rum 0:5 ml

! Troonin I S'rum 0:5 ml

5 Troonin T Dara H'arin ( ml

6 HsCP S'rum 1 ml

# Homo>9s"'in S'rum 1 ml

08$ AA GINJA

1 BU- a"a"an 1=

09$ G"A DARAH

1 Glukosa Puasa Plasma -a 2 ml ? S'rum 0:5 ml

2 Glukosa 2 Jam PP A+a +i >a"a"an 5=

( GTT < T's Tol'ransi = Plasma -a 2 ml ? S'rum 0:5 ml

!Glukosa +ara s'4ak"u Plasma -a 2 ml ? S'rum 0:5 ml5 HBA1C Dara EDTA ( ml

10$ EEKTROIT

1 -a"rium S'rum 0:5 ml

2 &alium S'rum 0:5 ml

( Clori+a S'rum 0:5 ml

! -a"rium Urin Urin 2! Jam

5 &alium Urin Urin 2! Jam

6 Clori+a Urin Urin 2! Jam

# &alsium S'rum 0:5 ml

Posor Anor*anik S'rum 0:5 ml) Cal>ium Ion S'rum 0:5 ml

10 %a*n'sium S'rum 0:5 ml

11$ KIMIA AIN

1 Amilas' S'rum 0:5 ml

2 $ias' S'rum 0:5 ml

( A>i+ Posa"as' S'rum 0:5 ml

 JADWA DAN HARGA PEMERIKSAA

A!ORATORI"M KINIK PROISA JAKA

 J#$ !#& P'()* T&+' C5!-#*' +'#& 02 M-& 2011

N. P-+-&*( !

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12$ IM"NO SEROOGI

1 HBsA* &uali"a"i/ S'rum 0:5 ml

2 HBsA* &uan"i"a"i/ S'rum 0:5 ml

( An"i HBs S'rum 0:5 ml

! An"i HBs < Ti"'r = S'rum 0:5 ml

5 An"i HB> S'rum 0:5 ml

6 I*% An"i HB> S'rum 0:5 ml

# HB'A* S'rum 0:5 ml

An"i HB' S'rum 0:5 ml

) An"i HA S'rum 0:5 ml

10 I*m An"i HA S'rum 0:5 ml

11 An"i HC S'rum 0:5 ml

12 I*G An"i To3olasma S'rum 0:5 ml

1( I*% An"i To3olasma S'rum 0:5 ml

1! I*G To3o A@i+i"as S'rum 1 ml

15 I*G An"i ub'lla S'rum 0:5 ml

16 I*% An"i ub'lla S'rum 0:5 ml

1# I*G An"i C% S'rum 0:5 ml

1 I*% An"i CH S'rum 0:5 ml

1) I*G An"i HS2 S'rum 0:5 ml

20 I*% An"i HS2 S'rum 0:5 ml

21 I*G An"i HS1 S'rum 0:5 ml

22 I*% An"i HS1 S'rum 0:5 ml

2( TPHA S'rum 0:5 ml

2! D$ S'rum 0:5 ml

25 ;i+al S'rum 0:5 ml

26 I*% An"i Salmon'lla

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 J#$ !#& P'()* T&+' C5

!-#*' +'#& 02 M-& 2011

N. P-+-&*( !

13$ PETANDA T"MOR

1Pros"a"i> A>i+ Posa"as' S'rum 1 ml

2 AP S'rum 0:5 ml

( CEA S'rum 0:5 ml

! Ca125 S'rum 0:5 ml

5 PSA To"al S'rum 0:5 ml

6 Ca 15( S'rum 0:5 ml

# Ca 1)) S'rum 0:5 ml

SCC S'rum 1 ml

14$ HORMON ENDOKRINOOGI

1 T( S'rum 0:5 ml

2 T! S'rum 0:5 ml

( TSHs S'rum 0:5 ml

! r'' T( S'rum 0:5 ml

5 r'' T! S'rum 0:5 ml

6 TU"ak' S'rum 0:5 ml

# $H S'rum 0:5 ml

SH S'rum 0:5 ml

) Prolak"in S'rum 0:5 ml

10 T's"os"'ron S'rum 0:5 ml

11 Es"ra+iol S'rum 0:5 ml

12 Pro*'s"'ron S'rum 0:5 ml1( BHCG &uan"i"a"i/ S'rum 0:5 ml

1! Insulin S'rum 1 ml

15 CP'"i+' S'rum 1 ml

15$ AERGI

1 I*E To"al S'rum 0:5 ml

16$ PREPARAT DIREK 

1 Pr'ara" Gram S'suai 'rmin"aan

2 Pr'ara" BTA Su"um

( Pr'ara" Go S'kr'" Ur'"ra?@a*ina

! Pr'ara" Jamur?Sora S'suai 'rmin"aan

 JADWA DAN HARGA PEMERIKSAA

A!ORATORI"M KINIK PROISA JAKA

 J#$ !#& P'()* T&+' C5

!-#*' +'#& 02 M-& 2011

N. P-+-&*( !

17$ K"T"R RESISTENSI

1 &ul"ur Dara Dara 5 ml

2 &ul"ur Gall Dara ( ml

( &ul"ur 'a>'s 'a>'s

! &ul"ur Pus Pus

5 &ul"ur S'kr'" S'kr'"

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6 &ul"ur Su"um Su"um

# &ul"ur Usa T'n**orok Usa T'n**orok

&ul"ur Urin' Urin' Pa*i

) &ul"ur Cairan Pl'ura Cairan Pl'ura

10 &ul"ur Cairan $iuor Cairan $iour

11 &ul"ur Usa 'k"al Usa 'k"al

12 &ul"ur Dara i"ra" 5 ml

5 Pro"'in C Dara >i"ra" 5 ml

6 T's Cooms +ir'k F in+ir'k Dara EDTA ( ml +an S'rum 1 ml

# CD! Dara EDTA ( ml

CD!CD Dara EDTA ( ml

) Asam ola" S'rum 1 ml

02$ KIMIA KINIK 1 Al/a HBDH S'rum 1 ml

2 G$DH S'rum 1 ml

( C9s"a"in C S'rum 1 ml

&ul"ur Usa T'n**orok

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! Pro B-P Dara H'arin ( ml

03$ IM"NO SEROOGI

1 I*% An"i HC S'rum 1 ml

2 I*G An"i Clam9+ia S'rum 1 ml

( I*% An"i Clam9+ia S'rum 1 ml

! I*G An"i DH S'rum 1 ml

5 I*% An"i DH S'rum 1 ml

6 Al/a 1 An"i Trisin S'rum 1 ml

# I*- H: 9lori S'rum 1 ml

An"i HI S'rum 1 ml

) ;'s"'rn Blo" Dara b'ku s'*ar olasma S'rum 1 ml

15 An"i*'n'mia S'rum 1 Urin 15 ml

16 I*G C% A@i+i"as S'rum 1 ml

1# Pro Cal>i"onin

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I*E as" Cokla" S'rum 1 ml

) I*E as" Pu"i T'lur S'rum 1 ml

10 I*E as" &unin* T'lur S'rum 1 ml

11 I*E as" D'bu uma S'rum 1 ml

12 I*E as" Tun*au S'rum 1 ml

1( I*E as" Ikan S'rum 1 ml

1! I*E as" &'>oa S'rum 1 ml

15 I*E as" Bulu A9am S'rum 1 ml

16 I*E as" Ei"'l An8in* S'rum 1 ml

1# I*E as" Ei"'l Tikus S'rum 1 ml

1 I*E as" Ei"'l &u>in* S'rum 1 ml

1) I*E as" Gan+um S'rum 1 ml

20 I*E as" As'r*illus S'rum 1 ml

21 I*E as" 8amu %u>or S'rum 1 ml

22 I*E as" P'ni>ilin S'rum 1 ml

HARGA PAKET

NO PAKET JENIS PEMERIKSAAN

1 DIABETES Glukosa Puasa

Glukosa Urin Puasa

Glukosa 2 Jam PP

Glukosa Urin 2 Jam PP

HbA1C

 To"al2 $E%A& &ol's"'rol To"al

&ol's"'rol $D$

&ol's"'rol HD$

 Tri*lis'ri+a

 To"al

( U-GSI GI-JA$ Ur'um

&r'a"inin

Asam Ura"

 To"al

! U-GSI JA-TU-G A**r'*asi Trombosi"

 To"al

5 U-GSI HATI Albumin, Globulin, To"al Pro"'in

Bilirubin

SG.T

SGPT

os/a"as' Alkali

 To"al

6 HEPATITIS HbsA*

An"i Hbs

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An"i HC To"al

 To"al

# HE%AT.$.GI Dara u"in

.-TGE- Tora3

 To"al

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H

(2,000:00

1),000:00

1),000:00

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RTA

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)!,000:00

162,000:00

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)5,000:00

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2(),000:00

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2!(,000:00

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1#6,000:00

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RTA

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(61,000:00 ((#,000:00

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!#,000:00

((2,000:00

!05,000:00

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220,000:00

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2#(,000:00

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HARGA

25,000

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286,000(2,000

60,000

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22,000

552,500

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90,000