| Analisa Batu Empedu | - | Rp. 247.500,- |
| Pemeriksaan BTA 1,2,3 | - | Rp. 255.000,- |
| MTB-TCM | - | |
| Troponin I | - | Rp. 357.500,- |
| Analisa Sperma | - | Rp. 412.500,- |
| Sitologi Cairan Pleura | - | Rp. 605.000,- |
| Glukosa Darah Sewaktu | - | |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| Glukosa Darah Sewaktu | - | Rp. 65.000,- |
| ANA Test | - | Rp. 816.750,- |
| Hematokrit | - | Rp. 60.500,- |
| Hitung Jenis | - | Rp. 71.500,- |
| Pemeriksaan BTA 3 | - | Rp. 93.500,- |
| Pemeriksaan BTA 2 | - | Rp. 93.500,- |
| Rapid Test (SARS-CoV-2) | - | Rp. 88.000,- |
| Swab Test | - | Rp. 300.000,- |
| G6PD Serum | - | Rp. 269.500,- |
| Anti HCV IgM | - | Rp. 1.083.500,- |
| Test Kehamilan | - | Rp. 110.000,- |
| Kultur M. Tuberculosis | - | Rp. 158.400,- |
| ASTO | - | Rp. 55.000,- |
| Rheumatoid Factor (RF) | - | Rp. 297.000,- |
| Pemeriksaan BTA 1 | - | Rp. 93.500,- |
| Darah Lengkap (Hematologi) | - | Rp. 159.500,- |
| Hb Elektroforesa | - | Rp. 412.500,- |
| Gambaran Darah Tepi (Blood Film) Rujukan | - | Rp. 143.000,- |
| Morphine (MOP) | - | Rp. 135.065,- |
| Benzodiazepines (BZO) | - | Rp. 135.065,- |
| Darah Rutin | - | Rp. 121.000,- |
| Darah Rutin 2 | - | Rp. 121.000,- |
| Urine Lengkap | - | Rp. 77.000,- |
| Swab Test Antigen | - | Rp. 90.000,- |
| Analisa Cairan Sendi | - | Rp. 385.000,- |
| Kultur Swab Luka | - | Rp. 319.125,- |
| Resistensi MO | - | Rp. 275.000,- |
| Marijuana (THC) | - | Rp. 135.065,- |
| Methamphetamine (MET) | - | Rp. 135.065,- |
| Kultur Darah | - | Rp. 533.500,- |
| Kultur Urine | - | Rp. 533.500,- |
| Analisa Gas Darah | - | Rp. 643.500,- |
| Analisa Cairan Pleura | - | Rp. 363.000,- |
| TCM BD Max | - | |
| Kultur Kerokan Kulit | - | Rp. 287.500,- |
| Preparat Gram | - | Rp. 20.000,- |
| Cocaine (COC) | - | Rp. 135.065,- |
| Amphetamine (AMP) | - | Rp. 135.065,- |
| Preparat BTA leprae | - | Rp. 103.500,- |
| C4 Komplemen | - | Rp. 649.000,- |
| IgE Rast Kuning Telur | - | Rp. 605.000,- |
| IgE Rast Putih Telur | - | Rp. 605.000,- |
| IgE Rast Lobster | - | Rp. 896.500,- |
| IgE Rast Kerang | - | Rp. 605.000,- |
| Analisa Kromosom | - | Rp. 3.890.700,- |
| Anti CCP IgG | - | Rp. 990.000,- |
| Antibodi Leptospira | - | Rp. 110.000,- |
| Sekret Vagina | - | Rp. 121.000,- |
| Kultur Faeces | - | Rp. 533.500,- |
| IgE Rast Daging Kambing | - | Rp. 896.500,- |
| IgE Rast Daging Ayam | - | Rp. 605.000,- |
| ANA | - | Rp. 649.000,- |
| Anti Ds DNA | - | Rp. 649.000,- |
| ACA IgA | - | Rp. 2.051.500,- |
| PCR TB | - | Rp. 594.000,- |
| PCR Salmonela | - | Rp. 704.000,- |
| IgE Atopy | - | Rp. 1.595.000,- |
| IgE Rast Susu Sapi | - | Rp. 605.000,- |
| IgE Rast Susu Soya | - | Rp. 605.000,- |
| IgE Rast Daging Sapi | - | Rp. 605.000,- |
| Kultur Sputum | - | Rp. 533.500,- |
| Gaal Kultur | - | Rp. 533.500,- |
| Kultur Pus | - | Rp. 528.000,- |
| Coccain | - | Rp. 170.500,- |
| Canabis | - | Rp. 192.500,- |
| Amfetamin | - | Rp. 412.500,- |
| Faeces Rutin | - | Rp. 105.000,- |
| Faeces Analisa | - | Rp. 170.500,- |
| Darah Samar | - | Rp. 126.500,- |
| PPD (Mantoux Test) | - | Rp. 137.500,- |
| Sperma | - | Rp. 269.500,- |
| Washing Sperma | - | Rp. 533.500,- |
| Benzodiazepam | - | Rp. 192.500,- |
| Barbiturat | - | Rp. 176.000,- |
| Resistensi Jamur | - | Rp. 973.500,- |
| Protein Kwantitatif | - | Rp. 214.500,- |
| Natrium Urine | - | Rp. 126.500,- |
| Kalium Urine | - | Rp. 126.500,- |
| Chlorida Urine | - | Rp. 126.500,- |
| Magnesium Urine | - | Rp. 121.000,- |
| Kalsium Urine | - | Rp. 121.000,- |
| Fosfor | - | Rp. 121.000,- |
| Micro Albumin | - | Rp. 302.500,- |
| Analisa Batu Ginjal | - | Rp. 247.500,- |
| Kultur Jamur | - | Rp. 138.000,- |
| FNAC (SETIAP PENAMBAHAN 1 TITIK) | - | Rp. 130.000,- |
| FNAC (1 TITIK) | - | Rp. 1.065.000,- |
| Preparat Jamur | - | Rp. 20.000,- |
| Analisa Cairan Liquor Cerebro Spinalis | - | Rp. 325.000,- |
| Kultur Liquor Cerebro Spinalis | - | Rp. 325.000,- |
| HISTOPATOLOGI (Jaringan Kecil) | - | Rp. 577.500,- |
| HISTOPATOLOGI (Jaringan Sedang) | - | Rp. 797.500,- |
| HISTOPATOLOGI (Jaringan Besar) | - | Rp. 1.017.500,- |
| SITOPALOGI (Paps Smear) | - | Rp. 412.500,- |
| SITOPALOGI (FNAB) | - | Rp. 1.017.500,- |
| SITOPALOGI (Sitologi) | - | Rp. 1.017.500,- |
| SGOT | - | Rp. 93.500,- |
| CHE | - | Rp. 170.500,- |
| GLDH | - | Rp. 715.000,- |
| Glukosa Puasa | - | Rp. 60.500,- |
| Glukosa 2 Jam PP | - | Rp. 60.500,- |
| Glukosa Darah Sewaktu | - | Rp. 60.500,- |
| HBA1C | - | Rp. 280.500,- |
| C-Peptide | - | Rp. 467.500,- |
| Insulin | - | Rp. 561.000,- |
| Insulin Antibody | - | Rp. 1.705.000,- |
| Gamma GT | - | Rp. 126.500,- |
| Elektroforesa Protein | - | Rp. 236.500,- |
| SGPT | - | Rp. 93.500,- |
| Alkali Fostase | - | Rp. 82.500,- |
| Cholinestrase | - | Rp. 132.000,- |
| Bilirubin Total | - | Rp. 99.000,- |
| Bilirubin Direct | - | Rp. 99.000,- |
| Bilirubin Indirect | - | Rp. 99.000,- |
| Albumin | - | Rp. 99.000,- |
| Globulin | - | Rp. 126.500,- |
| Total Protein | - | Rp. 99.000,- |
| Fruktosamin | - | Rp. 577.500,- |
| Ureum | - | Rp. 82.500,- |
| Creatinin | - | Rp. 82.500,- |
| CPK | - | Rp. 280.500,- |
| CK-MB | - | Rp. 324.500,- |
| HBDH | - | Rp. 137.500,- |
| Natrium (Na) | - | Rp. 148.500,- |
| Kalium (K) | - | Rp. 148.500,- |
| Chlorida (Cl) | - | Rp. 148.500,- |
| Magnesium (Mg) | - | Rp. 148.500,- |
| Kalsium (Ca) | - | Rp. 148.500,- |
| Amilase Darah | - | Rp. 357.500,- |
| LDH | - | Rp. 225.500,- |
| APO B | - | Rp. 302.500,- |
| Asam Urat (Uric Acid) | - | Rp. 82.500,- |
| Cholesterol Total | - | Rp. 82.500,- |
| HDL Cholesterol | - | Rp. 88.000,- |
| LDL Cholesterol | - | Rp. 137.500,- |
| LDL Direct | - | Rp. 137.500,- |
| Triglyserida | - | Rp. 88.000,- |
| Total Lipid | - | Rp. 126.500,- |
| LP (a) | - | Rp. 467.500,- |
| APO A1 | - | Rp. 412.500,- |
| Lipase Darah | - | Rp. 357.500,- |
| LAB MCU PAKET A | - | |
| MCV,MCH,MCHC | - | Rp. 60.500,- |
| Golongan Darah | - | Rp. 82.500,- |
| Sel LE | - | Rp. 170.500,- |
| LE Test | - | Rp. 214.500,- |
| G6PD Neonatus | - | Rp. 170.500,- |
| G6PD Ery | - | Rp. 269.500,- |
| Serum Iron (Fe) | - | Rp. 192.500,- |
| TIBC | - | Rp. 302.500,- |
| Tranferin | - | Rp. 396.000,- |
| LED | - | Rp. 60.500,- |
| Trombosit | - | Rp. 60.500,- |
| LAB MCU PAKET BASIC | - | |
| MCU Pegawai RS | - | |
| LAB MCU PAKET B | - | |
| Retikulosit | - | Rp. 99.000,- |
| Hitung Eosinofil | - | Rp. 71.500,- |
| Gambaran Darah Tepi (Blood Film) | - | Rp. 143.000,- |
| Ferritin | - | Rp. 357.500,- |
| Hemoglobin | - | Rp. 60.500,- |
| Leukosit | - | Rp. 60.500,- |
| Vit B12 | - | Rp. 1.072.500,- |
| Eritrosit | - | Rp. 60.500,- |
| MDT | - | Rp. 104.500,- |
| INR | - | Rp. 225.500,- |
| Masa Trombin | - | Rp. 324.500,- |
| AT III | - | Rp. 522.500,- |
| Trombotest Owren | - | Rp. 247.500,- |
| Agregasi Trombosit | - | Rp. 385.000,- |
| Viscositas Darah | - | Rp. 302.500,- |
| Viscositas Plasma | - | Rp. 302.500,- |
| Faktor VIII | - | Rp. 1.150.000,- |
| Faktor IX | - | Rp. 1.150.000,- |
| D-dimer | - | Rp. 522.500,- |
| Fibrinogen | - | Rp. 236.500,- |
| Asam Folat | - | Rp. 1.375.000,- |
| DNA Analisa | - | Rp. 2.145.000,- |
| HB Analisa | - | Rp. 715.000,- |
| CD 4 | - | Rp. 495.000,- |
| CD 8 | - | Rp. 495.000,- |
| Masa Pembekuan (CT) | - | Rp. 60.500,- |
| Masa Perdarahan (BT) | - | Rp. 60.500,- |
| Masa Protrombine (PT) | - | Rp. 181.500,- |
| APTT | - | Rp. 181.500,- |
| Faktor Von Wallerbrand | - | Rp. 935.000,- |
| PTH Intact | - | Rp. 797.500,- |
| PAP | - | Rp. 522.500,- |
| Ca 72-4 | - | Rp. 1.045.000,- |
| ACTH | - | Rp. 2.832.000,- |
| Ca 12-5 | - | Rp. 687.500,- |
| Dengue NS1 Ag | - | Rp. 412.500,- |
| Malaria Antigen | - | Rp. 159.500,- |
| Anti TB IgG | - | Rp. 302.000,- |
| Anti TB IgM | - | Rp. 302.000,- |
| Tubex TF | - | Rp. 302.500,- |
| SCC | - | Rp. 588.500,- |
| Free PSA | - | Rp. 1.072.500,- |
| Tiroxin Binding Globulin | - | Rp. 2.365.000,- |
| Beta HCG | - | Rp. 577.500,- |
| Estradiol | - | Rp. 456.500,- |
| AFP | - | Rp. 357.500,- |
| CEA | - | Rp. 324.500,- |
| NSE | - | Rp. 742.500,- |
| Ca 15-3 | - | Rp. 632.500,- |
| Ca 19-9 | - | Rp. 709.500,- |
| PSA | - | Rp. 698.500,- |
| CRP Kwantitatif | - | Rp. 297.000,- |
| ACA IgG | - | Rp. 412.000,- |
| ACA IgM | - | Rp. 412.500,- |
| Klamidia IgM | - | Rp. 374.000,- |
| RF | - | Rp. 297.000,- |
| Helicobacter IgG | - | Rp. 605.000,- |
| Helicobacter IgM | - | Rp. 682.000,- |
| Anti HIV | - | Rp. 511.500,- |
| Anti HIV Konfirmasi | - | Rp. 588.500,- |
| IgG | - | Rp. 517.000,- |
| IgA | - | Rp. 517.000,- |
| IgM | - | Rp. 490.000,- |
| Klamidia IgG | - | Rp. 374.000,- |
| Mikoplasma IgM | - | Rp. 374.000,- |
| Dengue IgG IgM | - | Rp. 467.500,- |
| TB IgG | - | Rp. 275.000,- |
| VDRL | - | Rp. 126.500,- |
| TPHA | - | Rp. 148.500,- |
| Widal | - | Rp. 132.000,- |
| Anti Salmonela IgM | - | Rp. 247.500,- |
| Procalcitonin | - | Rp. 957.000,- |
| IgE Total | - | Rp. 379.500,- |
| Mikoplasma IgG | - | Rp. 374.000,- |
| C3 Komplemen | - | Rp. 649.000,- |
| Fosfatase Asam | - | Rp. 302.500,- |
| HBeAg | - | Rp. 467.500,- |
| HBV DNA | - | Rp. 3.795.000,- |
| ANTI HVC IgM | - | Rp. 1.083.000,- |
| Anti HAV | - | Rp. 522.500,- |
| Anti HAV IgM | - | Rp. 418.000,- |
| Anti Toxoplasma IgG | - | Rp. 379.500,- |
| Anti Toxoplasma IgM | - | Rp. 379.500,- |
| Anti Rubella IgG | - | Rp. 379.500,- |
| Anti Rubella IgM | - | Rp. 456.500,- |
| Anti Hbe | - | Rp. 742.500,- |
| Anti HBc IgM | - | Rp. 742.500,- |
| Fostase Asam Frostatic | - | Rp. 302.500,- |
| Amonia Darah | - | Rp. 605.000,- |
| Lactat | - | Rp. 385.000,- |
| Calcium Ion | - | Rp. 715.000,- |
| HBsAg Elisa | - | Rp. 135.000,- |
| HBsAg (RPHA) | - | Rp. 181.500,- |
| Anti HBs | - | Rp. 203.000,- |
| Anti HCV | - | Rp. 478.500,- |
| Anti HBc Total | - | Rp. 346.500,- |
| Anti CMV IgG | - | Rp. 401.500,- |
| Anti CMV IgM | - | Rp. 467.500,- |
| Anti HSV 1 IgG | - | Rp. 456.500,- |
| TSH Neonatus | - | Rp. 247.500,- |
| T3 | - | Rp. 357.500,- |
| T4 | - | Rp. 357.500,- |
| FTI | - | Rp. 412.500,- |
| Free T4 | - | Rp. 467.500,- |
| Free T3 | - | Rp. 412.500,- |
| Tiroglobulin | - | Rp. 687.500,- |
| T3 UP TAKE | - | Rp. 522.500,- |
| Growth Hormon | - | Rp. 495.000,- |
| TSHs | - | Rp. 385.000,- |
| Progesteron | - | Rp. 467.500,- |
| Anti HSV 1 IgM | - | Rp. 456.500,- |
| Anti HSV 2 IgG | - | Rp. 456.500,- |
| Anti HSV 2 IgM | - | Rp. 456.500,- |
| Aviditas Anti CMV IgG | - | Rp. 962.500,- |
| Aviditas Toxoplasma IgG | - | Rp. 1.017.500,- |
| LH | - | Rp. 379.500,- |
| FSH | - | Rp. 379.500,- |
| Prolactin | - | Rp. 357.500,- |
| Testosteron | - | Rp. 456.500,- |
| Cortisol | - | Rp. 577.500,- |
