Jenis Pemeriksaan dan Tarif Laboratorium

UPTD Laboratorium Kesehatan Daerah Kota Samarinda.

Tags: Beranda Profil

Alfi Haryadi

1 tahun yang lalu

LAMPIRAN SK KEPALA UPTD LABORATORIUM KESEHATAN DAERAH KOTA SAMARINDA
NOMOR: 188/TU.SK./05 /100.02.28
TENTANG BIAYA PEMERIKSAAN LABORATORIUM

No	Jenis Pemeriksaan	Tarif
	HEMATOLOGI
1	Darah Lengkap	Rp 60,000
2	Laju Endap Darah	Rp 25,000
3	Hitung Eosinofil	Rp 20,000
4	Hitung Retikulosit	Rp 20,000
5	Diff Count	Rp 10,000
6	Masa Perdarahan	Rp 15,000
7	Masa Pembekuan	Rp 15,000
8	Morfologi Darah Tepi	Rp 75,000
9	Fibrinogem	Rp 200,000
10	Thrombine Time	Rp 200,000
11	Golongan Darah	Rp 15,000
12	INR	Rp 80,000
13	APTT	Rp 100,000
14	Coombs	Rp 500,000
15	PTT	Rp 100,000
	KIMIA DARAH
1	Glukosa Sewaktu	Rp 23,000
2	Glukosa 2 jam PP	Rp 23,000
3	Glukosa Puasa	Rp 23,000
4	Ureum	Rp 32,000
5	SGOT	Rp 30,000
6	SGPT	Rp 30,000
7	Asam Urat	Rp 32,000
8	Kolestrol Total	Rp 25,000
9	Trigliserida	Rp 32,000
10	HDL Kolestrol	Rp 35,000
11	LDL Kolestrol	Rp 20,000
12	Natrium	Rp 60,000
13	Kalium	Rp 60,000
14	Calsium	Rp 60,000
15	Cloride	Rp 100,000
16	Magnesium	Rp 95,000
17	CK-NAC	Rp 80,000
18	Bilirubin Total	Rp 18,000
19	Bilirubin Direct	Rp 18,000
20	Bilirubin Indirect	Rp 18,000
21	Alkali Phospate	Rp 28,000
22	Gamma GT	Rp 30,000
23	CK-MB	Rp 110,000
24	GTT	Rp 100,000
25	Troponin	Rp 300,000
26	Cholinesterase	Rp 125,000
27	Fe Serum	Rp 75,000
28	Total Protein	Rp 20,000
29	Albumin	Rp 22,000
30	Globulin	Rp 21,000
31	Asam urat Stik	Rp 25,000
32	Kolestrol total stik	Rp 25,000
33	Glukosa Stik	Rp 25,000
34	TIBC	Rp 80,000
35	HBA1C	Rp 150,000
	URINALISA
1	Urine Lengkap	Rp 30,000
2	Tes Kehamilan	Rp 20,000
3	Narkoba 5 Parameter	Rp 170,000
4	Amphetamine	Rp 55,000
5	Metamphetamine	Rp 55,000
6	Morfin	Rp 55,000
7	Benzodiazepine	Rp 55,000
8	Mariyuana	Rp 55,000
9	Cocain	Rp 55,000
	MIKROBIOLOGI
1	KOH	Rp 15,000
2	C. Diphteria stain	Rp 23,000
3	MPN Coliform	Rp 60,000
4	MPN E. Coli (Fecal Coli)	Rp 60,000
5	Angka Kuman (ALT)	Rp 41,000
6	Salmonella	Rp 63,000
7	Shiegella	Rp 63,000
8	E.Coli	Rp 63,000
9	Stapylococcus	Rp 63,000
10	Mikrobiologi Udara	Rp 63,000
11	Uji Sterilitas	Rp 65,000
12	Urine Cultur	Rp 80,000
13	Sekret Cultur	Rp 80,000
14	BTA Cultur	Rp 80,000
15	Darah Cultur	Rp 80,000
16	Pus Cultur	Rp 80,000
17	Gall Cultur	Rp 80,000
18	LCS Cultur	Rp 80,000
19	Feces Cultur	Rp 80,000
20	Media transport (swab + amies Agar)	Rp 27,000
21	Culture C Diphteri	Rp 150,000
22	Stapylococcus Cultur	Rp 87,000
23	Streptococcus Cultur	Rp 87,000
24	Vibrio Cholera	Rp 87,000
25	Legionella	Rp 405,000
26	Koliform	Rp 63,000
27	Kultur Umum	Rp 77,000
28	Pseudomonas Aeruginosa	Rp 63,000
29	Heterotropik Plate Count	Rp 63,000
30	Bacillus cereus	Rp 63,000
	IMUNOLOGI
1	Widal	Rp 40,000
2	Tubex	Rp 110,000
3	ASTO /ASO	Rp 35,000
4	VDRL	Rp 35,000
5	Rematoid Factor	Rp 35,000
6	CRP	Rp 35,000
7	HBs Ag Strips	Rp 36,000
8	HBs Ag	Rp 125,000
9	Anti HBs	Rp 150,000
10	AHBs Strip	Rp 50,000
11	CEA	Rp 200,000
12	AFP	Rp 160,000
13	T3	Rp 175,000
14	T4	Rp 125,000
15	TSH	Rp 135,000
16	Free T3	Rp 275,000
17	Free T4	Rp 205,000
18	Ig E	Rp 173,000
19	Toxo Ig G	Rp 200,000
20	Toxo Ig M	Rp 200,000
21	Rubella IgG	Rp 195,000
22	Rubella IgM	Rp 220,000
23	CMV IgG	Rp 220,000
24	CMV IgM	Rp 250,000
25	HSV IgG	Rp 194,000
26	HSV IgM	Rp 194,000
27	Hb e Ag	Rp 238,000
28	AHBe	Rp 238,000
29	TPSA	Rp 236,000
30	Anti HAV IgM	Rp 236,000
31	AHCP Kualitatif	Rp 87,000
32	AHIV Kualitatif	Rp 90,000
33	Anti TB (ICT)	Rp 125,000
34	Anti Dengue IgG, IgM	Rp 175,000
35	Anti Salmonella IgM	Rp 180,000
36	Alpha Amilase	Rp 160,000
37	ICT Malaria	Rp 170,000
38	Antigen	Rp 100,000
	BIO MOLEKULAR
1	PCR	Rp 300,000
	MIKROSKOPIS
1	Gram	Rp 20,000
2	BTA	Rp 20,000
3	Malaria	Rp 25,000
4	Filaria	Rp 25,000
5	Feces Rutin	Rp 25,000
6	Darah Samar	Rp 65,000
	KIMIA / FISIKA
1	Air Raksa	Rp 120,000
2	Arsen	Rp 63,000
3	Bau	Rp 15,000
4	Besi	Rp 52,000
5	Florida	Rp 32,000
6	Jumlah zat Padat Terlarut	Rp 26,500
7	Kadmium	Rp 70,000
8	Kekeruhan	Rp 17,500
9	Kesadahan	Rp 47,000
10	Klorida	Rp 53,000
11	Kromium Valensi	Rp 54,000
12	Mangan	Rp 52,000
13	Nitrat	Rp 37,000
14	Nitrit	Rp 37,000
15	pH	Rp 20,000
16	Rasa	Rp 14,000
17	Selenium	Rp 63,000
18	Seng	Rp 52,000
19	Sianida	Rp 46,000
20	Sulfat	Rp 51,700
21	Tembaga	Rp 43,000
22	Timbal	Rp 65,000
23	Warna	Rp 14,000
24	Zat Organik	Rp 30,000
	MIKROBIOLOGI AIR
1	MPN Total Coliform	Rp 100,000
2	MPN Fecal Coliform	Rp 101,000
3	MPN E. Coli	Rp 120,000
	MIKROBIOLOGI MAKANAN
1	Angka Kuman E.Coli	Rp 126,000
2	Salmonella	Rp 92,500
3	Shigella	Rp 94,000
4	Staphylococcus	Rp 97,000
5	E.Coli	Rp 99,000
	KIMIA MAKANAN
1	Borax	Rp 55,000
2	Formalin	Rp 105,000
3	Siklamat	Rp 51,000
4	Rhodamin	Rp 40,000
5	Cyanida	Rp 51,000
6	Nitrit	Rp 37,000
7	Lodat	Rp 41,000
8	Peroksida	Rp 55,000
9	Hypoklorit	Rp 41,000
10	Methil Yellow	Rp 31,000
11	Benzoat	Rp 37,000
	SURAT KETERANGAN
12	Surat Keterangan Kehamilan	Rp 35,000
13	Surat Keterangan Kesehatan	Rp 35,000

PEMERINTAH KOTA SAMARINDA

UPTD Laboratorium Kesehatan Daerah Kota Samarinda

Jl. Pelita No.31, Sungai Pinang Dalam, Kec. Sungai Pinang, Kota Samarinda, Kalimantan Timur 75112

Jenis Pemeriksaan dan Tarif Laboratorium

Alfi Haryadi