| 1 |
Paket MCU Nuri |
Rp469.000
|
| 2 |
Paket MCU Mambruk |
Rp641.000
|
| 3 |
Paket MCU Kasuari |
Rp1.221.000
|
| 4 |
Administrasi Pasien Baru |
Rp46.800
|
| 5 |
Konsultasi Dokter Umum |
Rp52.000
|
| 6 |
Konsultasi Dokter Spesialis |
Rp122.000
|
| 7 |
USG Transvaginal |
Rp340.000
|
| 8 |
USG 2D |
Rp250.000
|
| 9 |
Ante Natal Care |
Rp52.500
|
| 10 |
Pemeriksaan Kacamata |
Rp150.000
|
| 11 |
Direct Opthalmoscopy |
Rp93.000
|
| 12 |
Pemeriksaan Buta Warna |
Rp99.000
|
| 13 |
Ekstraksi Corpal Cornea |
Rp250.000
|
| 14 |
Pemeriksaan Slit Lamp |
Rp142.500
|
| 15 |
Pemeriksaan Darah Rutin 5 Diff |
Rp53.000
|
| 16 |
Laju Endap Darah |
Rp63.000
|
| 17 |
Malaria |
Rp45.000
|
| 18 |
Tubex |
Rp210.000
|
| 19 |
Dengue IgG IgM |
Rp200.000
|
| 20 |
NS1 |
Rp109.000
|
| 21 |
Widal |
Rp68.000
|
| 22 |
GOT |
Rp40.000
|
| 23 |
GPT |
Rp40.000
|
| 24 |
Cholesterol Total |
Rp37.000
|
| 25 |
Trigliserida |
Rp41.000
|
| 26 |
LDL |
Rp71.000
|
| 27 |
HDL |
Rp72.000
|
| 28 |
Glukosa Puasa/Sewaktu/2JPP |
Rp35.000
|
| 29 |
Asam Urat |
Rp45.000
|
| 30 |
Ureum |
Rp41.000
|
| 31 |
Keratinin |
Rp46.000
|
| 32 |
Protein Total |
Rp37.000
|
| 33 |
Bilirubin Total |
Rp41.000
|
| 34 |
Bilirubin Direk |
Rp41.000
|
| 35 |
Hbsag |
Rp62.000
|
| 36 |
Hcg |
Rp45.000
|
| 37 |
Anti HCV Rapid |
Rp110.000
|
| 38 |
Urinalisis (Urin Lengkap) |
Rp61.000
|
| 39 |
Elektrolit (4 Parameter) |
Rp304.000
|
| 40 |
EKG |
Rp90.000
|
| 41 |
USG Abdomen Atas |
Rp250.000
|
| 42 |
USG Abdomen Bawah |
Rp250.000
|
| 43 |
MRI Nonkontras |
Rp.3.000.000 - 5.000.000
|
| 44 |
Refraktometri |
Rp155.000
|
| 45 |
Holter Monitoring 24 Jam |
Rp516.000
|
| 46 |
Echocardiography TTE Dewasa/Anak |
Rp500.000
|
| 47 |
Treadmill Stress Test |
Rp480.000
|
| 48 |
USG Doppler Vascular Extremitas Inferior |
Rp364.000
|
| 49 |
USG Doppler Vascular Extremitas Superior |
Rp660.000
|
| 50 |
USG Doppler Vascular Carotis ABPM |
Rp300.000
|
| 51 |
Buka Jahitan/Medikasi |
Rp90.000
|
| 52 |
Trepanasi Gigi |
Rp78.000
|
| 53 |
Pembersihan Karang Gigi Perkwadran |
Rp95.000 - Rp380.000
|
| 54 |
Cabut Gigi Susu dengan Chlor Etyl/Topikal anaestesi |
Rp107.500
|
| 55 |
Trepanasi Abses |
Rp305.000
|
| 56 |
Insisi Abses 1 cm Mucosa |
Rp213.500
|
| 57 |
Reposisi Dislokasi Mandibula |
Rp175.000
|
| 58 |
Lepas Jahitan <5 |
Rp45.000
|
| 59 |
Tumpatan Glass Ionomer Cement (GIC) Kecil |
Rp50.000
|
| 60 |
Cetak Akurasi Rendah per rahang (cetak diagnostik/Alginae) |
Rp120.000
|
| 61 |
Tumpatan Glass Ionomer Cement (GIC) Sedang |
Rp52.500
|
| 62 |
Tumpatan Glass Ionomer Cement (GIC) Besar |
Rp60.000
|
| 63 |
Dental Panoramic/OPG |
Rp90.000
|
| 64 |
Chepalometry |
Rp181.000
|
