Kode Jenis

Nama Perawatan/Pemeriksaan Bagian RS BHP Tarif Perujuk

Perawatan

LAB01 Darah Rutin /Lengkap 28,450 66,550

LAB02 HB 13,600 9,400
LAB03 Malaria 22,000 44,000
LAB04 Retikulosit 17,000 25,000
LAB05 Crossmathcing 14,000 14,000
LAB06 Golda 14,000 14,000
LAB07 Gambaran Darah Tepi 34,000 88,000
LAB08 Masa Perdarahan 13,600 9,400
LAB09 Masa Pembekuan 13,600 9,400
LAB10 D. Dimer 800 431,200
LAB11 SGOT 17,000 23,000
LAB12 SGPT 18,500 30,500
LAB13 Bilirubin Total + Direct 15,500 17,500
LAB14 Acid Posphatase 17,400 27,600
LAB15 Alk Posphatase 17,400 27,600
LAB16 Protein Total 19,600 35,400
LAB17 Albumin 21,650 42,350
LAB18 Uric Acid 19,200 30,800
LAB19 AFP 62,100 196,900
LAB20 SPE 45,700 135,300
LAB21 BUN 20,400 36,600
LAB22 Ureum 18,500 31,500
LAB23 Creatinin 17,400 27,600
LAB24 Gula darah N 16,500 21,500
LAB25 Gula darah PP 16,500 21,500
LAB26 HBAIC 51,700 157,300
LAB27 LDH 26,200 60,800
LAB28 Cholesterol Tot 20,400 36,600
LAB29 HDL Cholesterol 24,000 52,000
LAB30 LDL Cholesterol 33,000 84,000
LAB31 Triglycerida 19,500 35,500
LAB32 Natrium 27,650 64,350
LAB33 Kalium 27,650 64,350
LAB34 Elektrolit (Na, K, Cl) 57,500 181,500
LAB35 AGDA 88,800 299,200
LAB36 HbsAg 31,000 79,000
LAB37 Anti HbsAg 40,500 115,500
LAB38 VDRL 22,900 45,100
LAB39 Widal 22,050 42,950
LAB40 RF (R faktor) 27,300 62,700
LAB41 Asto 26,750 63,250
LAB42 CRP 35,500 93,500
LAB43 HIV - 242,000
LAB44 Anti Dengue Igg & Igm 500 302,500
LAB45 Anti HCV - 275,000
LAB46 Anti Hav 800 277,200
LAB47 anti CCP - 390,000
LAB48 IgE Total 65,350 210,650
LAB49 T3 49,750 151,250
LAB50 T4 49,750 151,250
LAB51 TSH 52,750 162,250
LAB52 Ig6 Anti TB 54,000 165,000
LAB53 HCG 79,500 263,500
LAB54 Sputum BTA 19,100 33,900
LAB55 Sensitivity Test 17,450 27,550
LAB56 Diptheri 22,100 42,900
LAB57 Micro Filaria 22,000 44,000
LAB58 Fungus (Jamur) 16,200 20,800
LAB59 Scret Vagina 15,700 19,300
LAB60 GO (Gram) 22,100 42,900
LAB61 Pengecetan Gram 18,000 27,000
LAB62 Esbach 15,200 17,800
LAB63 Analisa Batu Ginjal 44,500 128,500
LAB64 Kultur BTA 68,000 220,000
LAB65 Pregnostikcon 18,500 28,500
LAB66 Sperma Analisa 39,000 110,000
LAB67 Urine rutin 19,550 32,450
LAB68 Sedimen Urine 12,100 6,900
LAB69 Protein Urine 24 jam 900 193,100
LAB70 Faeces Rutin 16,600 21,400
LAB71 Amoeba 13,750 11,250
LAB72 Cysten 13,750 11,250
LAB73 Telor Cacing 13,750 11,250
LAB74 Pencernaan Vertering 13,800 10,200
LAB75 Benzidine 650 86,350
 Penanggung
Tarif Tindakan dokter Tarif Tindakan Petugas KSO Manajemen Total Bayar
Jawab

95,000 -
23,000
66,000
42,000
28,000
28,000
122,000
23,000
23,000
432,000
40,000
49,000
33,000
45,000
45,000
55,000
64,000
50,000
259,000
181,000
57,000
50,000
45,000
38,000
38,000
209,000
87,000
57,000
76,000
117,000
55,000
92,000
92,000
239,000
388,000
110,000
156,000
68,000
65,000
90,000
 90,000
129,000
242,000
303,000
275,000
278,000
390,000
276,000
201,000
201,000
215,000
219,000
343,000
53,000
45,000
65,000
66,000
37,000
35,000
65,000
45,000
33,000
173,000
288,000
47,000
149,000
52,000
19,000
194,000
38,000
25,000
25,000
25,000
24,000
87,000
Status (tidak
Kelas
usah diisi)

0 Non Kelas