DAFTAR HARGA 2022

LABORATORIUM KLINIK KIMIA FARMA

HARGA
NO JENIS TEST
KFD
HEMATOLOGI
1 Hematologi Lengkap 150,000
2 Hematologi Rutin 125,000
3 Hemoglobin 95,000
4 LED 67,000
5 Lekosit 82,000
6 Hitung Jenis 80,000
7 Hematokrit 82,000
8 Eritrosit 85,000
9 Trombosit 85,000
10 Indeks Eritrosit 85,000
11 Hitung Eosinofil 115,000
12 Retikulosit 155,000
13 Retikulosit Absolut 155,000
14 Golongan Darah (ABO-Rh) 95,000
15 Coomb's Test (PMI) 890,000
16 G6PD 330,000
17 G6PD Neonatus 95,000
18 Resistensi Osmotik 126,000
19 LE Reaksi 175,000
20 Sel LE 170,000
21 Serum Iron (SI) 230,000
22 TIBC 235,000
23 Indeks Malaria 125,000
24 Ferritin 390,000
25 Transferin 660,000
26 Vitamin B12 1,000,000
27 Asam Folat 1,000,000
28 Elektroforesa HB 620,000
29 Malaria Slide Mikroskopis 150,000
30 ICT Malaria Pf/Pv 440,000
31 Filaria Mikroskopis 150,000
32 Gambaran Darah Tepi 265,000
33 Analisa Hb (HPLC) 705,000
HEMOSTASIS
34 Rumple Leede 35,000
35 Ms Pendarahan 70,000
36 Ms Pembekuan 70,000
37 Ms.Protrombin & INR 320,000
38 Ms Trombin 485,000
39 Ms Tromboplastatin (APTT) 28,000
40 Retraksi Bekuan 230,000
41 Fibrinogen 375,000
42 D-Dimer Kuantitatif 915,000
43 AT III 580,000
44 Agregasi Trombosit (TAT) 530,000
45 Protein S 1,100,000
46 Protein C 1,100,000
47 Viskositas Darah 265,000
48 ACA IgG 990,000
49 ACA IgM 990,000
KIMIA KLINIK
TES FUNGSI HATI
50 Protein Total 110,000
51 Albumin 110,000
3 Prot. Total, Albumin dan Globulin 220,000
4 Protein Elektroforesa 380,000
5 Bilirubin Total 95,000
6 Bilirubin direk 95,000
7 Bilirubin Total Direk,Indirek 185,000
8 SGPT (ALT) 75,000
9 SGOT (AST) 75,000
10 SGOT dan SGPT 130,000
11 Gamma GT (GGT) 140,000
12 Fosfatase Alkali 115,000
13 Cholinesterase 225,000
14 Asam Empedu Puasa 1,150,000
15 ADA Tes 470,000
16 Vitamin D 25OH 505
TES FUNGSI GINJAL
1 Ureum 70,000
2 Creatinin 75,000
3 Asam urat 80,000
4 Creatinin Clearance 190,000
5 Cystatin C 435,000
DIABETES MILITUS
1 Glukosa Puasa 48,000
2 Glukosa 2 Jam PP 48,000
3 Glukosa sewaktu 48,000
4 Tes Toleransi Glukosa 5x 245,000
5 Tes Toleransi Glukosa 3x 160,000
6 Kurva Harian (4x) 210,000
7 HbA1c 210,000
8 Insulin 635,000
PROFIL LEMAK
1 Kolesterol total 71,000
2 Kolesterol HDL 95,000
3 Kolesterol HDL Direk 99,000
4 Kolesterol LDL direk 126,000
5 Small Dense LDL 145,000
6 Trigliserida 75,000
7 Lipid total 150,000
8 Apo A1 430,000
9 Apo B 285,000
10 Lp (a) 525,000
CARDIO MARKER
1 CK 275,000
2 CK - MB 570,000
4 LDH 183,000
5 Troponin I Kuantitatif 915,000
6 Homocysteine 950,000
7 CRP Kuantitatif 275,000
8 CRP Kualitatif 270,000
9 hs CRP 325,000
PANKREAS
1 Amilase Pankreatic 410,000
2 Lipase 335,000
3 Fosfatase Asam 475,000
4 Fosfatase Asam Prostat 535,000
ELEKTROLIT
1 Natrium 145,000
2 Kalium 145,000
3 Chlorida 145,000
4 Paket Na, K, Cl 440,000
5 Calcium Ion 390,000
6 Calcium Total 150,000
7 Magnesium Total 160,000
8 Fosfor Anorganik 145,000
9 Analisa Gas Darah 580,000
10 C-Peptide 600,000
URINALISA
1 Urine Lengkap 77,000
2 Glukosa 46,000
3 Albumin/Globulin 42,000
4 Sedimen 55,000
5 Keton 151,000
6 Protein Urine 24 Jam 247,000
7 Protein Urine Bencejones 175,000
8 Na/K/Cl Urine 440,000
9 Mikro Albumin Kuantitatif 450,000
10 Test Pack 160,000
11 Tes Kehamilan EIA 130,000
NARKOTEST
1 Morfine/Opiat 175,000
2 Amphetamin/Shabu-shabu 175,000
3 Mariyuana/THC 175,000
4 Benzoadiazepin 175,000
5 Cocaine 175,000
6 Methampetamin 175,000
7 Drug 3 Parameter (Amph,Morfin,THC) 525,000
8 Drug 5 Parameter (Amp,Meth, THC,Morfin, Cocaine) 880,000

Drug 6 Parameter (Amp,Meth,Benzo, THC,Morfin,

9 1,055,000
Cocaine)

100,000
10 Alcohol Urine
11 Alcohol Saliva 175,000
12 Alcohol Breath 100,000
FAECES
1 Faeces Rutin 125,000
2 Darah samar 230,000
3 Analisa Faeses Lengkap 400,000
CAIRAN TUBUH
1 Analisa C Otak 650,000
2 Analisa C Pleura 650,000
3 Analisa C Pericard 650,000
4 Analisa C Asites 650,000
5 Analisa C Sendi 450,000
6 Analisa Batu Ginjal 340,000
7 Analisa Batu Empedu 340,000
8 Analisa Sperma 370,000
IMUNOLOGI
HEPATITIS
1 Anti HAV (Ig M) 595,000
2 Anti HAV (Total) 640,000
3 HBsAg (ECLIA) 230,000
4 HBsAg (Kuantitatif) 520,000
5 HBsAg Konfirmasi 1,050,000
6 HBsAg Rapid Test ( Screening ) 170,000
7 Anti HBs 255,000
8 Anti Hbs (Titer) 500,000
9 Anti HBc Total 750,000
10 Anti HBc Ig M 500,000
11 Hbe Ag 600,000
12 Anti HBe 815,000
13 HBV DNA (Kualitatif) 2,310,000
14 HCV RNA (Kualitatif) 3,000,000
15 HBV DNA (Kuantitatif) voucher Heplav & Ricovir/PPHI 1,150,000
16 HBV DNA (Kuantitatif) Regular 2,355,000
17 HBV DNA (Kuantitatif) voucher ZP 1,250,000
18 HCV RNA (Kuantitatif) 3,000,000
19 HCV RNA (kuantitatif) Pharmasolindo/PPHI 1,850,000
20 HCV RNA Genotype 4,600,000
21 Anti HCV total Kuantitatif 585,000
22 Anti HCV total Kualitatif 500,000
IMUNOLOGI LAIN
18 Anti Dengue Ig G/M 660,000
19 Dengue NS1 530,000
20 Anti HIV 550,000
21 HIV-1 RNA PCR 1,800,000
22 Anti HIV (Konfirmasi RSCM) 1,100,000
23 CD4 390,000
24 CD8 330,000
25 Chikungunya IgM 440,000
26 COVID 19 RAPID TEST 650,000
TORCH
1 Anti TOXO Ig G 425,000
2 Anti TOXO Ig M 425,000
3 IgG Toxo Aviditas 600,000
4 Anti Rubella Ig G 450,000
5 Anti Rubella Ig M 575,000
6 IgG Toxo Aviditas 375,000
7 Anti CMV Ig M 585,000
8 IgG CMV Aviditas 610,000
9 Anti HSV I Ig G 505,000
10 Anti HSV I Ig M 585,000
11 Anti HSV II Ig G 485,000
12 Anti HSV II Ig M 485,000
13 Anti Chlamydia Ig G 1,135,000
14 Anti Chlamydia Ig M 1,135,000
15 Ig G 830,000
16 Ig M 830,000
17 Ig A 735,000
18 Komplemen C3 715,000
19 Komplemen C4 715,000
21 ANA IF 890,000
22 Anti ds-DNA 740,000
23 Anti Smoot Muscle Ab (SMA) 265,000
24 ANA Profile 1,415,000
SEROLOGI
1 Widal 260,000
2 Anti Salmonella Typhi IgM / Tubek 435,000
3 TPHA 2,360,000
4 VDRL/RPR 145,000
5 ASTO Semi Kuantitatif 3,600,000
6 ASTO Kualitatif 160,000
7 RF Semi Kuantitatif 360,000
8 RF Kualitatif 180,000
9 IDT/Seramoeba 715,000
10 Anti TB-Ig G 440,000
11 Anti Leptospira Ig G 360,000
12 Helicobacter Pylori Ig G 890,000
13 Helicobacter Pylori Ig M 695,000
14 TB-IGRA 1,250,000
15 Adenosin Deaminase (ADA) 515,000
16 Vitamin D 505,000
HORMON
ENDOKRINOLOGI
1 T3 Total 390,000
2 T4 Total 390,000
3 Free T4 465,000
4 Free T3 565,000
5 TSH Sensitif 375,000
6 TSH Neonatus (kit insert) 195,000
7 T Uptake 870,000
8 Free T4 Index 585,000
9 Cortisol 630,000
10 Growth Hormon Basal 660,000
11 Growth Hormon Exercise 660,000
12 Anti-TPO 1,230,000
13 Anti-Tiroglobulin 580,000
FERTILITAS
1 LH 5,150,000
2 FSH 530,000
3 Prolaktin 475,000
4 Testosteron 580,000
5 Estradiol 620,000
6 Progesteron 650,000
7 B-HCG kuantitatif 755,000
8 AMH 950,000
TUMOR MARKER
1 AFP (Hati) 420,000
2 CEA 450,000
3 Ca 72-4 (Paru-paru) 1,350,000
4 Cyfra 21.1 860,000
5 CA 15-3 (Payudara) 875,000
6 CA 19-9 (Pankreas) 89,000
7 CA 125 (Ovarium) 875,000
8 PSA (Prostat) 565,000
9 Free PSA 1,235,000
10 SCC (Cervix) 800,000
11 NSE 945,000
ALERGI TEST
1 Ig E Total 540,000
2 Ig E Spesifik Debu Rumah
3 Ig E Spesifik Tungau Debu Rumah 845,000
4 Ig E Spesifik Bulu Ayam 845,000
5 Ig E Spesifik Kapuk 845,000
6 Ig E Spesifik Epithel Anjing 910,000
7 Ig E Spesifik Epithel Kucing 910,000
8 Ig E Spesifik Epithel Tikus 905,000
9 IgE Spesifik Kecoa 843,000
10 IgE Spesifik Coklat 845,000
11 Ig E Spesifik Daging Ayam 845,000
12 Ig E Spesifik Daging Sapi 785,000
13 Ig E Spesifik Daging Kambing 785,000
14 Ig E Spesifik Daging Ikan 845,000
15 Ig E Spesifik Jamur Aspergillus 905,000
16 Ig E Spesifik Jamur Penicillin 905,000
17 IgE Spesifik Kacang-kacangan 843,000
18 IgE Spesifik Udang 845,000
19 IgE Spesifik Kepiting 845,000
20 IgE Spesifik Kerang 845,000
21 IgE Spesifik Kuning Telur 845,000
22 IgE Spesifik Putih Telur 845,000
23 IgE Spesifik Susu 845,000
24 IgE Spesifik Gandum 765,000
25 IgE Spesifik Jamur Mucor 765,000
26 IgE Spesifik Kotoran Burung 765,000
27 IgE Atopy (Panel Indonesia) 2,055,000
TEST DRUG MONITORING (TDM)
1 Cyclosporin 1,625,000
2 Teofilin 1,795,000
3 Dilantin/Phenytoin 1,185,000
4 Digoxin 1,230,000
5 Phenobarbital 1,965,000
6 Carbamazepin 1,295,000
MIKROBIOLOGI
1 Pew.Gram 125,000
2 Pew.Neisser 120,000
3 Pew.BTA 120,000
4 Pewarnaan GO 120,000
5 Trichomonas 140,000
6 Candida 120,000
7 Jamur / Spora 160,000
8 Biakan BTA 810,000
KULTUR DAN RESISTENSI
1 Darah (Vitec) 825,000
Darah (manual) 535,000
2 Urine (Vitec) 715,000
Urine (manual) 635,000
3 Sputum (Vitec) 835,000
Sputum (manual) 505,000
4 Hapus Tenggorokan (Vitec) 825,000
Hapus Tenggorokan (manual) 505,000
5 Hapus Luka (Vitec) 715,000
Hapus Luka (manual) 505,000
7 Pus (Vitec) 780,000
Pus (manual) 460,000
8 C. Pleura / C. Pericard (manual) 795,000
C. Pleura / C. Pericard (manual) 460,000
11 Faeses (vitec) 775,000
Faeses (manual) 505,000
12 Gall (Vitec) 685,000
Gall (manual) 515,000
13 Jamur (Vitec) 665,500
Jamur (Manual) 460,000
14 Rectal Swab (Vitec) 825,000
Rectal Swab ( Manual) 505,000
BIOMOLEKULER (PCR)
1 PCR Myco.TB 835,000
2 PCR S.Typhi 850,000
3 PCR Dengue 880,000
4 PCR HPV DNA + genotype ( KF ) 1,100,000
5 HPV Hybrid Capture 550,000
7 COVID RT PCR 1,250,000
8 EGFR Tissue 2,800,000
9 EGFR ctdna 2,800,000
10 Genoscholar 1,100,000
11 NIPT Standard 7,500,000
12 NIPT Premium 8,800,000
13 NIPT Microdelition 10,900,000
14 DNA ku 1 Modul 2,499,000
15 DNA ku 2 Modul 3,299,000
16 DNA ku 3 Modul 4,099,000
17 DNA ku 4 Modul 4,899,000
 SITOLOGI
1 PA Jaringan Kecil 1,185,000
2 PA Jaringan Sedang 1,805,000
3 PA Jaringan Besar 2,090,000
4 Pap's Smear 410,000
5 LBC (thin Prep) 615,000
NON LAB / LAIN - LAIN
1 Thorax PA 255,000
2 EKG 155,000
3 Audiometri 215,000
4 Spirometri 245,000
5 Treadmill 785,000
6 USG Abdomen 660,000
7 Pemeriksaan Fisik 120,000