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ELEKTROLIT DAN GAS DARAH Natrium (Na) Kalium (K) Chorida (Cl) Calssium Ion Phosfor Magnesium Analisa Gas Darah Calsium Total
Rp 172,000
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VII. SEROLOGI/IMUNOLOGI/PERTANDA TUMOR Widal Rp 49,450 VDRL Kwalitatif Rp 57,500 VDRL Kwantitatif Rp 115,000 TPHA Kwalitatif Rp 66,125 TPHA Kwantitatif Rp 115,000 Ig M / Ig G Anti Texoplasma Rp 345,000 Ig M / Ig G Anti Rubella Rp 230,000 Ig M / Ig G Anti CMV Rp 230,000 Ig M / Ig G Anti Chlamydia Rp 690,000 Ig M + Ig G Anti Dengue Rp 275,000 Ig M HSV II Rp 253,000 Ig G HSV II Rp 253,000 HIV TITER (Metode Elisa) Rp 316,250 Dengue NS I AG Rp 379,500 Ig M Salmonella Rp 192,500 Dengue Duo Rp 440,000 Ig G Anti CMV Rp 253,000 Ig M Anti CMV Rp 302,500 Ig M ACA Rp 440,000 SGOT SGPT Rp 25,760 Rp 25,760
LDH Total Protein Albumin Globulin Gamma GT SPE Cholinesterase HBsAG Anti HBs Anti HBc Anti HBc Ig M Hbe Ag Anti Hbe Ig M Anti HAV Ig G Anti HAV Anti HCV Ig M Anti HCV Alfa Feto Protein HBV DNA PCR (Kwantitatif) HCV RNA PCR (Kwantitatif) IX. HEMATOLOGI KHUSUS Golongan Darah Rhesus Faktor Trombosit Masa Bekuan Remple Beede Masa Pendarahan Retraksi Bekuan Retokulosit Hematokrit Malaria Mikrofilaria Menilai B M P MCV MCH MCHC Comb Test Sperma Analisis Troponin T Troponin T + CKMB XI. Hormon
Rp 55,200 Rp 36,000 Rp 17,250 Rp 17,250 Rp 46,000 Rp 132,000 Rp 88,000 Rp 86,000 Rp 100,000 Rp 198,375 Rp 345,000 Rp 250,000 Rp 250,000 Rp 264,500 Rp 277,750 Rp 231,450 Rp 690,000 Rp 198,500 Rp 2,200,000 Rp 2,200,000
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Rp 10,350 Rp 15,525 Rp 10,580 Rp 7,475 Rp 9,775 Rp 7,475 Rp 7,475 Rp 9,890 Rp 13,800 Rp 14,720 Rp 21,620 Rp 166,750 Rp 23,000 Rp 23,000 Rp 23,000 Rp 25,300 Rp 41,400 Rp 253,000 Rp 368,000
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LH FSH Prolactin Testosteron Estradiol Progesteron Cortisol Beta HCG Serum Beta HCG Urine XIII. Profil Lipid T3 T4 TSH Free T4 Free T3 XIV. Mikro Biologi Kultur Kultur Darah Kultur Urine Kultur Feaces kultur Sputum Kultur PUS Kultur Sekret Kultur Throastswab Kultur BTA Kultur Cairan Otak Sputum BTA Gram Trichomonas Jamur/Spora Gonorrhoe ICT TB XIV. Profil Pankreas Amylase Darah Lipase Darah Amilase Urine Ca IG G Ca 153 PSA PAP SCC
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Rp 231,725 Rp 231,725 Rp 231,725 Rp 231,725 Rp 231,725 Rp 231,725 Rp 231,725 Rp 231,725 Rp 231,725 Rp 26,450 Rp 66,125 Rp 66,125 Rp 66,125 Rp 66,125 Rp 132,250
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XVI. Protein Serum C3+C4 Ig A Ig E Ig G Ig M XVII. Analisa Cairan Cairan Ascites Liquor Cerebrospinal Cairan Pleura Cairan Synovial XVII. Test Narkoba Methamphetomin Opiat THC Cocain
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TARIF PEMERIKSAAN RADIOLOGI No item-item Pemeriksaan BONE (tulang-tulang) 1 Schedel (Tulang Tengkorak) 2 Basic Cranii (Tulang Dasar Tengkorak) 3 Mandibula ( Tulang rongga Bawah) 4 Maxilla 5 SPN (Tulang rongga Muka) 6 Clavicula (Tulang selangka) 7 Scapula (Tulang belikat) 8 Costae (Tulang Tiga) 9 Humerus (tulang Lengan Atas) 10 Antebrachi (Tulang Lengan Bawah) 11 Mastoid (1 Posisi) 12 Manus (Tulang Tangan) 13 Pelvis (Tulang Panggul) 14 Femur (Tulang Paha) 15 Cruris (Tulang Tungkai Bawah) 16 Pedis (Tulang Kaki) Collumna Vertebralis (Tulang Belakang) A. Vertebrae Cervicalis AP + L (Ruas tulang Leher) A. Vertebrae Cervicalis AP + L + OBL (Ruas Tulang leher) Vertebrae Thoracalis (Ruas Tulang Dada) Vertebrae Thoracalis (Ruas Tulang Dada) OBL Vertebrae Lumbalis (Ruas Tulang Belakang) Vertebrae Lumbalis (Ruas Tulang Belakang) OBL Vertebrae Sacralis (Ruas Tulang Bokong) Vertebrae Coccygeus (Ruas Tulang Ekor) Articulatio (Persendian Tulang-Tulang) Articulatio Mandibula (Persendian Tulang rahang) Articulatio Humeri (Persendian Tulang Bahu) Articulatio Cubiti ( Persendian Tulang siku) Articulatio Radiocarpalia ( Persendian Tulang Tangan) Articulatio Coxae (Persendian Tulang Panggul) Articulatio Genu (Persendian Tulang Lutut) Articula Talo-Cruralis/ Unkle Joint Thorax PA/L Thorax PA/ Lateral (Foto Analisa Jantung) Thorax Doorlighting (Pemeriksaan Rongga Dada) (Fluoroscopy dengan TV System) Tanpa Film Tarif Rp 115,000 Rp 115,000 Rp 115,000 Rp 115,000 Rp 115,000 Rp 92,000 Rp 92,000 Rp 92,000 Rp 92,000 Rp 92,000 Rp 115,000 Rp 92,000 Rp 103,500 Rp 103,500 Rp 92,000 Rp 92,000
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Rp 115,000 Rp 92,000 Rp 92,000 Rp 92,000 Rp 103,000 Rp 92,000 Rp 92,000 Rp 120,000 Rp 230,000 Rp 103,500
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Disgestive System (Saluran pencernaan) Oesophagus Double Contras (Saluran Makanan Atas) MDF Double Contras (Lambung dan Usus Halus) Colon In Loop (Usus Besar) Follow Though (Usus Kecil) Appendix (Usus Buntu) Kidneys & Urinaria Tract (Ginjal dan saluran Air Seni) BNO (Perut Polos) BNO / I V P ( Ginjal Dan Air Seni) BNO / I V P ( Ginjal Dan Air Seni) / Contars Non Ionic Cistografi Cistografi + Contras Blass (Kandungan Kemih) Abdomen 2 Posisi AP/Lateral Abdomen 3 Posisi AP/Lateral Pelvimetery (Ukuran Panggul Wanita Hamil) MRI NEVRO Brain Brain+Contras Paranasal Sinus Paranasal Sinus+Contras Orbita Orbita+ Contras Temporal Bone Temporal Bone + Contras MRI SPINE Cervical Cervical+Contras Thoracal Thoracal+Contras Lumbal Lumbal+Contras MRI BODY Extremitas
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