Alamat: Jl. Dewi Sartika 56 Jember/ Selatan Alun - alun Kabupaten Jember Telp. 0331- 485803 Pos. 68137

Senin, 18 Agustus 2014

Retribusi Lab. Medis

DAFTAR RETRIBUSI PEMERIKSAAN LABORATORIUM MEDIS


Sesuai Lampiran Perda :
Nomor         : 11 Tahun 2011


Uraian

HARGA

Hematology Analyzer

Rp.

32,500

Hb

Rp.

17,500

Eryth

Rp.

17,500

LED

Rp.

17,500

Leuco

Rp.

17,500

Diff Count

Rp.

17,500

PCV/Haematocrit

Rp.

17,500

Thrombocyte

Rp.

17,500

Bleeding time

Rp.

15.000

Cloting time

Rp.

15.000

Golongan Darah

Rp.

15.000

WIDAL :

Rp.

25,000

VDRL

Rp.

32,500

HBs Ag (Rapid)

Rp.

32,500

HBs Ag Titer (MEIA)

Rp.

53,750

Anti HBs (MEIA)

Rp.

58,000

Anti HBs Titer

Rp.

80,000

Anti HIV

Rp.

58,500

Anti HCV

Rp.

120,000

Hbe Ag

Rp.

120,000

Anti Hbe

Rp.

145,000

Anti HAV

Rp.

120,000

TPHA

Rp.

40,000

Anti HIV Pack

Rp.

32,500

IgG Toxoplasma

Rp.

65,000

IgM Toxoplasma

Rp.

65,000

TORCH

Rp.

410,000

T3

Rp.

56,000

T4

Rp.

56,000

TSH-s

Rp.

58,250

Free T3

Rp.

80,000

Free T4

Rp.

66,000

MIKROBIOLOGI :

Rp.

 

Sputum Sewaktu

Rp.

18,875

Sputum Pagi

Rp.

18,875

Sputum Sewaktu

Rp.

18,875

GO Preparat

Rp.

18,875

Trichomunas

Rp.

18,875

FAAL HATI :

 

 

Gross Titrasi

 

 

Billirubin Direct

Rp.

20,500

Billirubin Total

 

inklud sda

T.T.T.

Rp.

20,500

S.G.O.T.

Rp.

20,500

S.G.P.T.

Rp.

20,500

Alkali Fosfatase

Rp.

17,000

Total Protein

 

 

Albumine

Rp.

20,500

Globuline

Rp.

20,500

Gamma GT.

Rp.

25,000

FAECES LENGKAP :

Rp.

18,000

URINE LENGKAP :

Rp.

20,000

Billirubin

Rp.

14,000

Urobillinogen

Rp.

14,000

Glukosa / Reduksi

Rp.

14,000

SEDIMEN

Rp.

14,000

Lain-lain / Albumin

Rp.

14,000

TES KEHAMILAN

 

 

Beta hCG Urine Rapid

Rp.

18,000

FAAL GINJAL :

 

 

Creatinin

Rp.

18,875

Ureum

Rp.

18,000

Uric Acid

Rp.

18,875

GULA DARAH :

Rp.

 

Gula Darah Puasa

Rp.

15,000

Gula Darah 2JPP

Rp.

15,000

Gula Darah Acak

Rp.

15,000

HBA 1c

Rp.

 

Gula Darah Acak (Rapid)

Rp.

15,000

PROFIL LEMAK :

Rp.

 

Cholesterol Total

Rp.

18,000

Triglyceride

Rp.

18,000

HDL

Rp.

18,000

LDL

Rp.

18,000

BEBAS NARKOBA :

Rp.

 

Amphetamine

Rp.

26,750

Methamphetamine

Rp.

26,750

Opiate

Rp.

26,750

Marijuana/ Canabis/ Tetrahydrocannabinol (THC)

Rp.

26,750

Cocaine

Rp.

26,750

EKG

Rp.

59,500

 

 

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