Tarip7komponen 2019new

daftartindakan_nama BMHP % ATK & ART%2
ANA
567,000
90.0%
8,190
1.3%
ANF
1,220,400
90.0%
17,628
1.3%
ASTO
21,150
23.5%
1,170
1.3%
ADM CT SCAN
-
(empty)
780
1.3%
Albumin
4,940
5.2%
1,235
1.3%
Alpha-Fetoprotein (AFP)
297,000
90.0%
4,290
1.3%
Amilase Darah
65,000
32.5%
2,600
1.3%
Amilase Urine
263,250
90.0%
3,803
1.3%
Amoxycillin 25 ug
-
(empty)
0
1.3%
Amphetamine
15,210
39.0%
507
1.3%
Ampicillin 5 ug
-
(empty)
0
1.3%
Analisa Batu Empedu
360,000
90.0%
5,200
1.3%
Analisa Batu Ginjal

292,500
90.0%
4,225
1.3%
Analisa Hb (HPLC)
454,500
90.0%
6,565
1.3%
Anca
62,400
20.8%
3,900
1.3%
Angkle Joint AP + Lat CR

47,520
19.8%
3,120
1.3%
Ankle Joint AP + Lateral

24,050
18.5%
1,690
1.3%
Ankle Joint Bilateral

29,600
18.5%
2,080
1.3%
Ankle Joint Bilateral CR

50,490
19.8%
3,315
1.3%
Antebrachii AP + Lat CR
47,520
19.8%
3,120
1.3%
Antebrachii AP + Lateral
24,050
18.5%
1,690
1.3%
Antebrachii Bilateral
29,600
18.5%
2,080
1.3%
Antebrachii Bilateral CR
50,490
19.8%
3,315
1.3%
Anti - Hbs (elisa)

72,875
26.5%
3,575
1.3%
Anti Amoeba
342,000
90.0%
4,940
1.3%
Anti CMV IgG

265,500
90.0%
3,835
1.3%
Anti CMV IgM

274,500
90.0%
3,965
1.3%
Anti ds DNA
458,100
90.0%
6,617
1.3%
Anti H I V
61,050
18.5%
4,290
1.3%
Anti HAV
125,345
26.5%
6,149
1.3%
Anti HAV IgM

94,075
26.5%
4,615
1.3%
Anti HBc
301,500
90.0%
4,355
1.3%
Anti HBcIgM
472,500
90.0%
6,825
1.3%
Anti HBe
508,500
90.0%
7,345
1.3%
Anti HCV
52,925
14.5%
4,745
1.3%
Anti HCV IgM

859,500
90.0%
12,415
1.3%
Anti Leptospira
22,464
20.8%
1,404
1.3%
Anti Rubella IgG

288,000
90.0%
4,160
1.3%
Anti Rubella IgM

346,500
90.0%
5,005
1.3%
Anti Toxoplasma IgG
247,500
90.0%
3,575
1.3%
Anti Toxoplasma IgM

252,000
90.0%
3,640
1.3%
APG
450,000
39.0%
15,015
1.3%
Apo A1
62,400
20.8%
3,900
1.3%
Apo B
41,600
20.8%
2,600
1.3%
APTT
9,100
5.2%
2,275
1.3%
Apus
7,500
7.5%
1,300
1.3%
Asam Urat
2,535
6.5%
507
1.3%
Audiometri
-
(empty)
1,040
1.3%
BSE
550
2.5%
286
1.3%
Basofil
-
(empty)
0
1.3%
BEecf
-
(empty)
0
1.3%
Bence Jones Protein

103,500
90.0%
1,495
1.3%
Benzidin
3,875
2.5%
2,015
1.3%
Benzodiazepine
15,210
39.0%
507
1.3%
Bicarbonat
48,813
12.5%
5,077
1.3%
Bilirubin Direct
4,992
5.2%
1,248
1.3%
Bilirubin Indirect
-
(empty)
0
1.3%
Bilirubin Total
4,992
5.2%
1,248
1.3%
Bj Plasma
1,375
2.5%
715
1.3%
BNO
24,050
18.5%
1,690
1.3%
BNO 2 Posisi
33,670
18.5%
2,366
1.3%
BNO 2 Posisi CR
75,240
19.8%
4,940
1.3%
BNO 3 Posisi
51,245
18.5%
3,601
1.3%
BNO 3 Posisi CR
87,120
19.8%
5,720
1.3%
BNO CR
45,540
19.8%
2,990
1.3%
Bone Survey
3,775
0.5%
9,815
1.3%
CEA
45,600
16.0%
3,705
1.3%
CK
38,480
20.8%
2,405
1.3%
CRP
21,150
23.5%
1,170
1.3%
CA 125 (Ovarium)
540,000
90.0%
7,800
1.3%
CA 15 - 3
544,500
90.0%
7,865
1.3%
CA 19-9 (Pankreas)
553,500
90.0%
7,995
1.3%
CA 72 - 4
738,000
90.0%
10,660
1.3%
Cairan LCS
17,625
7.5%
3,055
1.3%
Cairan Pleura/Ascites
16,500
7.5%
2,860
1.3%
Calcaneus Axcial AP + Lat CR

47,520
19.8%
3,120
1.3%
Calcaneus Axcial Ap+Lat

24,050
18.5%
1,690
1.3%
Calcaneus Axcial Bilateral

29,600
18.5%
2,080
1.3%
Calcaneus Axcial Bilateral CR

50,490
19.8%
3,315
1.3%
Calcium
9,375
12.5%
975
1.3%
Calcium Ion
229,500
90.0%
3,315
1.3%
Calcium Urine
90,000
90.0%
1,300
1.3%
Cannabinoids
15,210
39.0%
507
1.3%
CD - 4
351,000
90.0%
5,070
1.3%
Cefotaxim 30 ug
-
(empty)
0
1.3%
Ceftazidim
-
(empty)
0
1.3%
Ceftazidime 30 ug
-
(empty)
0
1.3%
Cefuroxin
-
(empty)
0
1.3%
Cephalometri
20,350
18.5%
1,430
1.3%
Cephalometri CR
32,670
19.8%
2,145
1.3%
Cervical AP + Lat
25,900
18.5%
1,820
1.3%
Cervical AP + Lat CR
47,520
19.8%
3,120
1.3%
Cervical AP + Lat+Obli
47,175
18.5%
3,315
1.3%
Cervical AP+Lat+Obli CR
75,240
19.8%
4,940
1.3%
Cervical Soft Tissue

25,900
18.5%
1,820
1.3%
Cervical Soft Tissue CR

47,520
19.8%
3,120
1.3%
Chikungunya IgM
84,770
24.5%
4,498
1.3%
Chloramphenicol 30 ug
-
(empty)
0
1.3%
Chlorida
10,500
12.5%
1,092
1.3%
Cholesterol Total
3,375
7.5%
585
1.3%
3,690
8.2%
585
1.3%
Cholinesterase (CHE)
139,500
90.0%
2,015
1.3%
Ciprofloxacin 5 ug
-
(empty)
0
1.3%
CK - MB
82,875
32.5%
3,315
1.3%
CK - NAC
261,000
90.0%
3,770
1.3%
CK MB Massa
369,000
90.0%
5,330
1.3%
Clavicula Kiri / Kanan

24,050
18.5%
1,690
1.3%
Clavicula Kiri atau Kanan CR
47,520
19.8%
3,120
1.3%
Clavicula Perbandingan Kiri & Kanan

29,600
18.5%
2,080
1.3%
Clavicula Perbandingan Kiri / Kanan CR

47,520
19.8%
3,120
1.3%
Clindamicin 2 ul
-
(empty)
0
1.3%
Cloxacillin
-
(empty)
0
1.3%
Cocaine
15,210
39.0%
507
1.3%
Collon In Loop
450,000
39.0%
15,015
1.3%
Compound Sulfanamides
-
(empty)
0
1.3%
Coomb Test
99,840
20.8%
6,240
1.3%
Cross Darah
800
2.5%
416
1.3%
Cruris AP + Lat CR
47,520
19.8%
3,120
1.3%
Cruris AP + Lateral
24,050
18.5%
1,690
1.3%
Cruris Bilateral AP + Lat

33,670
18.5%
2,366
1.3%
Cruris Bilateral CR
50,490
19.8%
3,315
1.3%
CT SCAN Kepala Polos & Bone Window

208,000
20.8%
13,000
1.3%
Ct Scan Kepala Polos & Bone Window 3d

330,720
20.8%
20,670
1.3%
CT-SCAN
197,600
20.8%
12,350
1.3%
CT-SCAN Abdomen Atas

241,280
20.8%
15,080
1.3%
Ct-scan Abdomen Atas 3d

364,000
20.8%
22,750
1.3%
CT-SCAN Abdomen Atas dan Bawah

386,880
20.8%
24,180
1.3%
Ct-scan Abdomen Atas Dan Bawah 3d

509,600
20.8%
31,850
1.3%
CT-SCAN Abdomen Atas Kontras

520,000
20.8%
32,500
1.3%
Ct-scan Abdomen Atas Kontras 3d

642,720
20.8%
40,170
1.3%
CT-SCAN Abdomen Bawah

241,280
20.8%
15,080
1.3%
Ct-scan Abdomen Bawah 3d

364,000
20.8%
22,750
1.3%
CT-SCAN Abdomen Bawah Kontras

520,000
20.8%
32,500
1.3%
Ct-scan Abdomen Bawah Kontras 3d

642,720
20.8%
40,170
1.3%
CT-SCAN Abdomen Kontras Atas & Bawah

671,840
20.8%
41,990
1.3%
Ct-scan Abdomen Kontras Atas & Bawah 3d
794,560
20.8%
49,660
1.3%
CT-SCAN Cervical
249,600
20.8%
15,600
1.3%
Ct-scan Cervical 3d
372,320
20.8%
23,270
1.3%
CT-SCAN Cervical Kontras

459,680
20.8%
28,730
1.3%
Ct-scan Cervical Kontras 3d

582,400
20.8%
36,400
1.3%
Ct-scan Ekstremitas Atas 3d

403,520
20.8%
25,220
1.3%
CT-SCAN Ekstremitas Atas/Bawah

280,800
20.8%
17,550
1.3%
Ct-scan Ekstremitas Bawah

280,800
20.8%
17,550
1.3%
Ct-scan Ekstremitas Bawah 3d

403,520
20.8%
25,220
1.3%
CT-SCAN Kepala Kontras

353,600
20.8%
22,100
1.3%
Ct-scan Kepala Kontras 3d

476,320
20.8%
29,770
1.3%
CT-SCAN Kepala Kontras Tanpa Polos
203,840
20.8%
12,740
1.3%
Ct-scan Kepala Kontras Tanpa Polos 3d

326,560
20.8%
20,410
1.3%
CT-SCAN Kepala Polos

197,600
20.8%
12,350
1.3%
Ct-scan Kepala Polos 3d

320,320
20.8%
20,020
1.3%
CT-SCAN Kontras Tanpa Polos

203,840
20.8%
12,740
1.3%
Ct-scan Kontras Tanpa Polos 3d

326,560
20.8%
20,410
1.3%
CT-SCAN Laring
249,600
20.8%
15,600
1.3%
Ct-scan Laring 3d
372,320
20.8%
23,270
1.3%
CT-SCAN Laring Kontras

459,680
20.8%
28,730
1.3%
Ct-scan Laring Kontras 3d

582,400
20.8%
36,400
1.3%
CT-SCAN Lumbal
364,000
20.8%
22,750
1.3%
Ct-scan Lumbal 3d
486,720
20.8%
30,420
1.3%
CT-SCAN Lumbalsacral
364,000
20.8%
22,750
1.3%
Ct-scan Lumbalsacral 3d
486,720
20.8%
30,420
1.3%
CT-SCAN MANDIBULA
249,600
20.8%
15,600
1.3%
Ct-scan Mandibula 3d
372,320
20.8%
23,270
1.3%
CT-SCAN Mandibula Kontras

459,680
20.8%
28,730
1.3%
Ct-scan Mandibula Kontras 3d
582,400
20.8%
36,400
1.3%
CT-SCAN Mastoid
249,600
20.8%
15,600
1.3%
Ct-scan Mastoid 3d
372,320
20.8%
23,270
1.3%
CT-SCAN Mastoid Kontras

459,680
20.8%
28,730
1.3%
Ct-scan Mastoid Kontras 3d

582,400
20.8%
36,400
1.3%
CT-SCAN Nasofaring Kontras

459,680
20.8%
28,730
1.3%
Ct-scan Nasofaring Kontras 3d

582,400
20.8%
36,400
1.3%
CT-SCAN Nasofaring Polos

249,600
20.8%
15,600
1.3%
Ct-scan Nasofaring Polos 3d

372,320
20.8%
23,270
1.3%
CT-SCAN ORBITA KONTRAS

459,680
20.8%
28,730
1.3%
Ct-scan Orbita Kontras 3d

582,400
20.8%
36,400
1.3%
CT-SCAN ORBITA POLOS

241,280
20.8%
15,080
1.3%
Ct-scan Orbita Polos 3d

364,000
20.8%
22,750
1.3%
CT-SCAN Pelvis
249,600
20.8%
15,600
1.3%
Ct-scan Pelvis 3d
372,320
20.8%
23,270
1.3%
CT-SCAN Sinus
241,280
20.8%
15,080
1.3%
Ct-scan Sinus 3d
364,000
20.8%
22,750
1.3%
CT-SCAN Sinus Kontras
459,680
20.8%
28,730
1.3%
Ct-scan Sinus Kontras 3d

582,400
20.8%
36,400
1.3%
CT-SCAN Thoracal Lumbal

395,200
20.8%
24,700
1.3%
Ct-scan Thoracal Lumbal 3d

517,920
20.8%
32,370
1.3%
CT-SCAN Thoracol
364,000
20.8%
22,750
1.3%
Ct-scan Thoracol 3d
486,720
20.8%
30,420
1.3%
CT-SCAN Thorax Kontras

459,680
20.8%
28,730
1.3%
Ct-scan Thorax Kontras 3d

582,400
20.8%
36,400
1.3%
CT-SCAN Thorax Polos

249,600
20.8%
15,600
1.3%
Ct-scan Thorax Polos 3d

372,320
20.8%
23,270
1.3%
D-dimer
131,040
20.8%
8,190
1.3%
Dengue Ag NS 1 Antigen
129,750
37.5%
4,498
1.3%
Dental
14,800
18.5%
1,040
1.3%
DHF IgG
101,205
58.5%
2,249
1.3%
DHF IgM
101,205
58.5%
2,249
1.3%
Diftel
550
2.5%
286
1.3%
E.K.G.
1,250
2.5%
650
1.3%
Echo Cardiography
13,750
2.5%
7,150
1.3%
Echo Cardiography (pilihan)

22,000
2.5%
11,440
1.3%
Echo Cardiography (sedang)

17,500
2.5%
9,100
1.3%
Elbow Joint (Cubiti) Ap+Lat

24,050
18.5%
1,690
1.3%
Elbow Joint (Cubiti) Ap+Lat CR

47,520
19.8%
3,120
1.3%
Elbow Joint (Cubiti) Bilateral

29,600
18.5%
2,080
1.3%
Elbow Joint (Cubiti) Bilateral CR

50,490
19.8%
3,315
1.3%
Elektroforesis Protein
346,500
90.0%
5,005
1.3%
Eosinofil
1,403
2.8%
663
1.3%
Eritrosit
400
2.5%
208
1.3%
Erytrhromycin 15 ug
-
(empty)
0
1.3%
Expertise
(empty)
(empty)
520
1.3%
Expertise Ct-scan
(empty)
(empty)
2,600
1.3%
FT3
355,500
90.0%
5,135
1.3%
FT4
72,000
22.5%
4,160
1.3%
Faeces Lengkap
975
2.5%
507
1.3%
Femur AP + Lat CR
47,520
19.8%
3,120
1.3%
Femur AP + Lateral
30,525
18.5%
2,145
1.3%
Feritin
229,500
90.0%
3,315
1.3%
Fistulografi
4,775
0.5%
12,415
1.3%
Follow Through
450,000
39.0%
15,015
1.3%
Fosfatase Alkali (AP)

7,500
12.5%
780
1.3%
Fosfatase Asam
292,500
90.0%
4,225
1.3%
Fosfor Anorganik
90,000
90.0%
1,300
1.3%
Fruktosamin
810,000
90.0%
11,700
1.3%
G.T.T
166,500
90.0%
2,405
1.3%
G6P - D
198,000
90.0%
2,860
1.3%
G6PD
267,300
90.0%
3,861
1.3%
G6PD Neonatus
267,300
90.0%
3,861
1.3%
G6P-D Neonatus
198,000
90.0%
2,860
1.3%
Gal Kultur
198,000
90.0%
2,860
1.3%
Gamma - GT
4,920
8.2%
780
1.3%
Gentamycin 10 ug
-
(empty)
0
1.3%
Genu AP + Lat CR
47,520
19.8%
3,120
1.3%
Genu AP + Lateral
24,420
18.5%
1,716
1.3%
Genu Bilateral AP + Lat CR

47,520
19.8%
3,120
1.3%
Genu Bilateral AP + Lateral

30,525
18.5%
2,145
1.3%
GLDH
508,500
90.0%
7,345
1.3%
Globulin
-
(empty)
0
1.3%
Glukosa 2 jam pp
1,430
6.5%
286
1.3%
Glukosa ad random
1,430
6.5%
286
1.3%
Glukosa Cyto
9,316
13.7%
884
1.3%
Glukosa Puasa
1,430
6.5%
286
1.3%
Golongan Darah
640
4.0%
208
1.3%
H PSA
-
(empty)
3,146
1.3%
HB Elektroforesis
472,500
90.0%
6,825
1.3%
HBA1C
15,990
8.2%
2,535
1.3%
HBeAg
391,500
90.0%
5,655
1.3%
HBs Ag (Elisa)
54,325
26.5%
2,665
1.3%
Hbs Ag Strip
12,535
11.5%
1,417
1.3%
HBV DNA
(empty)
(empty)
24,700
1.3%
HCO3
-
(empty)
0
1.3%
HDL-Cholesterol
12,000
7.5%
2,080
1.3%
Hematokrit
400
2.5%
208
1.3%
Hemoglobin
1,092
5.2%
273
1.3%
Hemoglobin Panel Analisa

974,700
90.0%
14,079
1.3%
Hexagon TB
39,025
17.5%
2,899
1.3%
HIP Joint AP + Lat CR

47,520
19.8%
3,120
1.3%
HIP Joint AP+Lateral

24,050
18.5%
1,690
1.3%
Histero Salfingo Graphy (HSG)

450,000
39.0%
15,015
1.3%
Hitung Kuman
-
(empty)
0
1.3%
HIV Konfirmasi
688,500
90.0%
9,945
1.3%
Homocystein
549,000
90.0%
7,930
1.3%
hs- CRP
232,200
90.0%
3,354
1.3%
HSV 1 IgG
409,500
90.0%
5,915
1.3%
HSV 1 IgM
409,500
90.0%
5,915
1.3%
HSV 2 IgG
292,500
90.0%
4,225
1.3%
HSV 2 IgM
292,500
90.0%
4,225
1.3%
Humerus AP + Lat CR
47,520
19.8%
3,120
1.3%
Humerus AP + Lateral
24,420
18.5%
1,716
1.3%
Humerus Bilateral
29,600
18.5%
2,080
1.3%
Humerus Bilateral CR
50,490
19.8%
3,315
1.3%
IgA
441,000
90.0%
6,370
1.3%
IgE
333,000
90.0%
4,810
1.3%
Ige Spesifik Debu

(empty)
(empty)
7,098
1.3%
IgE Total
333,000
90.0%
4,810
1.3%
IgG
441,000
90.0%
6,370
1.3%
Igg Helicobacter Pylori

139,360
20.8%
8,710
1.3%
IgM
441,000
90.0%
6,370
1.3%
Igra
166,400
20.8%
10,400
1.3%
IVP ( Intra Vena Pyelografi )

450,000
39.0%
15,015
1.3%
Kalium
10,500
12.5%
1,092
1.3%
Kalium Urine
90,000
90.0%
1,300
1.3%
Kanamycin 30 ug
-
(empty)
0
1.3%
Kerokan Kulit
2,200
2.2%
1,300
1.3%
Knee Chest
25,900
18.5%
1,820
1.3%
Knee Chest CR
47,520
19.8%
3,120
1.3%
Kreatin Clearance
112,500
90.0%
1,625
1.3%
Kreatinin
2,535
6.5%
507
1.3%
Kultur
279,000
90.0%
4,030
1.3%
Kurva Harian
175,500
90.0%
2,535
1.3%
LDH
109,800
90.0%
1,586
1.3%
LDL-Cholesterol
-
(empty)
0
1.3%
Lekosit
400
2.5%
208
1.3%
Lepra
7,500
7.5%
1,300
1.3%
LE-Test
99,000
90.0%
1,430
1.3%
Levofloxacin 5 ug
-
(empty)
0
1.3%
Lipase
86,125
32.5%
3,445
1.3%
Lipid Total
325,800
90.0%
4,706
1.3%
Lp (a)
342,000
90.0%
4,940
1.3%
Lumbal AP + Lat
29,600
18.5%
2,080
1.3%
Lumbal AP + Lat CR
75,240
19.8%
4,940
1.3%
LumboSacral AP + Lat
29,600
18.5%
2,080
1.3%
LumboSacral AP + Lat CR
75,240
19.8%
4,940
1.3%
LumboSacral AP+Lat+Obli
58,275
18.5%
4,095
1.3%
LumboSacral AP+Lat+Obli CR
87,120
19.8%
5,720
1.3%
Magnesium
13,500
12.5%
1,404
1.3%
Mandibula AP + Eisler
29,600
18.5%
2,080
1.3%
Mandibula AP + Eisler CR
47,520
19.8%
3,120
1.3%
Manus AP + Lateral
20,350
18.5%
1,430
1.3%
Manus AP+Lat CR
47,520
19.8%
3,120
1.3%
Mastoid ( Schullers+Stenvers )
25,900
18.5%
1,820
1.3%
Mastoid (Schuller & Stenvers) CR

47,520
19.8%
3,120
1.3%
MCH
1,584
6.6%
312
1.3%
MCHC
1,584
6.6%
312
1.3%
MCV
1,584
6.6%
312
1.3%
Meropenem 10 ul
-
(empty)
0
1.3%
Metamphetamine
15,210
39.0%
507
1.3%
Mikroalbumin Kuant
121,500
90.0%
1,755
1.3%
Morfologi
2,725
2.5%
1,417
1.3%
Morphine
15,210
39.0%
507
1.3%
Moxifloxacin 5 ul
-
(empty)
0
1.3%
Natrium
10,500
12.5%
1,092
1.3%
Natrium Urine
90,000
90.0%
1,300
1.3%
Netilmycin
-
(empty)
0
1.3%
Oesofagografi
240,240
20.8%
15,015
1.3%
OMD
450,000
39.0%
15,015
1.3%
Os Nasal
20,350
18.5%
1,430
1.3%
Os Nasal CR
35,640
19.8%
2,340
1.3%
Pack hCG Test
12,142
54.4%
1,105
1.3%
Pack hCG ABBOT Test

58,208
54.4%
1,391
1.3%
Paket Gas Darah CG 8+

46,800
5.2%
11,700
1.3%
Paket Hematologi 18 Parameter

5,742
6.6%
1,131
1.3%
Paket Hematologi Lengkap

8,709
10.0%
1,131
1.3%
Paket Hematologi Rutin

(empty)
(empty)
1,131
1.3%
PAKET I HDI
(empty)
(empty)
780
1.3%
PAKET II HDI
(empty)
(empty)
1,560
1.3%
PAKET III HDI

(empty)
(empty)
3,640
1.3%
PAKET IV HDI
(empty)
(empty)
2,340
1.3%
Paket Khusus Askes

46,800
39.0%
1,560
1.3%
Paket MCU Haji 1 (Perempuan)

(empty)
(empty)
1,170
1.3%
4,680
1.3%
Paket MCU Haji 2 (Laki-Laki)

(empty)
(empty)
1,170
1.3%
3,965
1.3%
PAKET V HDI
(empty)
(empty)
1,560
1.3%
PAKET VI HDI
(empty)
(empty)
2,600
1.3%
PAKET VII HDI

(empty)
(empty)
4,004
1.3%
Panoramic CR
32,670
19.8%
2,145
1.3%
PAP SMEAR
10,500
3.5%
3,900
1.3%
Parasit darah : Filaria

40,500
45.0%
1,170
1.3%
Parasit darah : Malaria

40,500
45.0%
1,170
1.3%
Patologi Anatomi Besar

19,600
3.5%
7,280
1.3%
PC02
-
(empty)
0
1.3%
Pedis AP + Lat CR
47,520
19.8%
3,120
1.3%
Pedis AP + Lateral
24,050
18.5%
1,690
1.3%
Pedis Bilateral AP + Lat

29,600
18.5%
2,080
1.3%
Pedis Bilateral CR
50,490
19.8%
3,315
1.3%
Pelvis AP
24,050
18.5%
1,690
1.3%
Pelvis AP + Lat
30,525
18.5%
2,145
1.3%
Pelvis AP + Lat CR
47,520
19.8%
3,120
1.3%
Pelvis AP CR
47,520
19.8%
3,120
1.3%
Pelvis Sonde
(empty)
(empty)
2,340
1.3%
Pelvis Sonde CR
(empty)
(empty)
2,925
1.3%
pH
562,500
90.0%
8,125
1.3%
Pipemidic Acid 20 ug
-
(empty)
0
1.3%
PO2
-
(empty)
0
1.3%
Posfor
23,504
20.8%
1,469
1.3%
Procalcitonin
189,072
20.8%
11,817
1.3%
Prolaktin
320,400
90.0%
4,628
1.3%
Protein (Esbach)
153,000
90.0%
2,210
1.3%
Protein Total
4,940
5.2%
1,235
1.3%
PSA
62,400
16.0%
5,070
1.3%
PT
15,080
5.2%
3,770
1.3%
Rapid - Anti Tb igG

54,250
17.5%
4,030
1.3%
RA-Test
21,150
23.5%
1,170
1.3%
Retikulosit
1,275
2.5%
663
1.3%
Rh. Faktor (Rhesus)

960
4.0%
312
1.3%
SGOT
3,444
8.2%
546
1.3%
SGPT
3,444
8.2%
546
1.3%
Scapula Kiri / Kanan

24,050
18.5%
1,690
1.3%
Scapula Kiri atau Kanan CR

47,520
19.8%
3,120
1.3%
Scapula Perbandingan Kiri & Kanan

25,900
18.5%
1,820
1.3%
Scapula Perbandingan Kiri & Kanan CR

47,520
19.8%
3,120
1.3%
SCC
511,200
90.0%
7,384
1.3%
Schedell AP + Lat
25,900
18.5%
1,820
1.3%
Schedell AP + Lat CR
59,400
19.8%
3,900
1.3%
Secret Luka
7,500
7.5%
1,300
1.3%
Secret Mata
7,500
7.5%
1,300
1.3%
Secret Uretra
7,500
7.5%
1,300
1.3%
Secret Vagina/Servic
7,500
7.5%
1,300
1.3%
Sel LE
2,800
2.5%
1,456
1.3%
Serum Iron
139,500
90.0%
2,015
1.3%
SGOT
3,444
8.2%
546
1.3%
SGPT
3,444
8.2%
546
1.3%
Shoulder Join AP + Lat CR

47,520
19.8%
3,120
1.3%
Shoulder Join Bilateral

29,600
18.5%
2,080
1.3%
Shoulder Join Bilateral CR

50,490
19.8%
3,315
1.3%
Shoulder Joint AP + Lateral

24,050
18.5%
1,690
1.3%
Sky Line Patela AP + Lat CR

47,520
19.8%
3,120
1.3%
Sky Line Patela AP + Lateral

25,900
18.5%
1,820
1.3%
Slide hCG Test

2,700
7.5%
468
1.3%
sO2
-
(empty)
0
1.3%
Sovo hCG Test

12,688
20.8%
793
1.3%
Sperma Analisis
121,500
90.0%
1,755
1.3%
Spirometri
4,000
2.5%
2,080
1.3%
SPN ( Waters + Lat )

25,900
18.5%
1,820
1.3%
SPN (Waters + Lat ) CR

47,520
19.8%
3,120
1.3%
Spot Anti Salmonella Typhi IgM

159,300
90.0%
2,301
1.3%
Sputum
7,500
7.5%
1,300
1.3%
Stick hCG Test

5,000
9.0%
520
1.3%
Streptomycin
-
(empty)
0
1.3%
Sulbennicillin
-
(empty)
0
1.3%
T3
66,548
26.2%
3,302
1.3%
TIBC
135,000
90.0%
1,950
1.3%
TPHA
166,500
90.0%
2,405
1.3%
T S Hs
42,240
16.0%
3,432
1.3%
T.T.T.
-
(empty)
0
1.3%
T3 % Uptake
-
(empty)
0
1.3%
T4 (Thyroxine)
66,548
26.2%
3,302
1.3%
Takata Ara
-
(empty)
0
1.3%
Tazobactam piperacillin 100 ul
-
(empty)
0
1.3%
TCO2
-
(empty)
0
1.3%
Testosteron
(empty)
(empty)
4,745
1.3%
Tetracycline 30 ug
-
(empty)
0
1.3%
Thoracal AP + Lat
29,600
18.5%
2,080
1.3%
Thoracal AP + Lat CR
75,240
19.8%
4,940
1.3%
Thoracal Lumbal AP + Lat

29,600
18.5%
2,080
1.3%
Thoracal Lumbal AP + Lat CR

75,240
19.8%
4,940
1.3%
Thoracal Lumbal AP+Lat+Obli

58,275
18.5%
4,095
1.3%
Thoracal Lumbal AP+Lat+Obli CR

87,120
19.8%
5,720
1.3%
Thorax 3 Posisi
58,275
18.5%
4,095
1.3%
Thorax 3 Posisi CR
78,804
19.8%
5,174
1.3%
Thorax AP + Lat CR
47,520
19.8%
3,120
1.3%
Thorax AP + Lateral
33,300
18.5%
2,340
1.3%
Thorax LLD / RLD

32,375
18.5%
2,275
1.3%
Thorax LLD atau RLD CR

47,520
19.8%
3,120
1.3%
Thorax Photo
19,795
18.5%
1,391
1.3%
Thorax Photo CR
35,640
19.8%
2,340
1.3%
Thorax Top Lordotic CR

32,670
19.8%
2,145
1.3%
Thorax Top Lordotik

20,350
18.5%
1,430
1.3%
Thrombotest Owren
211,500
90.0%
3,055
1.3%
Tiroglobulin
450,000
90.0%
6,500
1.3%
Titer HCG
23,130
9.0%
3,341
1.3%
Titrasi PP Test
-
(empty)
0
1.3%
TMJ
20,350
18.5%
1,430
1.3%
TMJ CR
32,670
19.8%
2,145
1.3%
Total Limposit Absolut

6,996
6.6%
1,378
1.3%
Transferin
71,760
20.8%
4,485
1.3%
Treadmill Test
15,125
2.5%
7,865
1.3%
Triglyseride
2,850
7.5%
494
1.3%
3,116
8.2%
494
1.3%
Trimethropim S 5 ug
-
(empty)
0
1.3%
Trombosit
750
2.5%
390
1.3%
Troponin - I
206,325
31.5%
8,515
1.3%
Tubex Anti Salmonella IgM
109,975
41.5%
3,445
1.3%
Urea Clearance
112,500
90.0%
1,625
1.3%
Urethrocystogram
450,000
39.0%
15,015
1.3%
Urethrocystogram Biopolar
240,240
20.8%
15,015
1.3%
Ureum Darah
2,535
6.5%
507
1.3%
Urine Lengkap
1,794
4.6%
507
1.3%
USG
4,500
1.5%
3,900
1.3%
USG Abdomen
4,500
1.5%
3,900
1.3%
USG Abdomen CYTO

5,100
1.5%
4,420
1.3%
USG Abdomen Plus

5,100
1.5%
4,420
1.3%
Usg Colour Dopler

6,750
1.5%
5,850
1.3%
Usg Colour Dopler 2 Bagian
9,000
1.5%
7,800
1.3%
USG Kandungan
4,500
1.5%
3,900
1.3%
USG KEPALA BAYI

4,500
1.5%
3,900
1.3%
USG Khusus
5,100
1.5%
4,420
1.3%
USG Mamae
4,500
1.5%
3,900
1.3%
USG Testis
4,500
1.5%
3,900
1.3%
USG Thorax
4,500
1.5%
3,900
1.3%
USG Tiroid
4,500
1.5%
3,900
1.3%
USG Transvaginal
6,600
1.5%
5,720
1.3%
VDRL
24,300
27.0%
1,170
1.3%
Vit D-oh3
72,800
20.8%
4,550
1.3%
Waktu Pembekuan
520
2.0%
338
1.3%
Waktu Pendarahan
520
2.0%
338
1.3%
Waters
25,900
18.5%
1,820
1.3%
Waters CR
35,640
19.8%
2,340
1.3%
Widal
8,820
10.5%
1,092
1.3%
Wrist Joint AP + Lateral

20,350
18.5%
1,430
1.3%
Wrist Joint AP+Lat CR
47,520
19.8%
3,120
1.3%
Wrist Joint Bilateral

29,600
18.5%
2,080
1.3%
Wrist Joint Bilateral CR

50,490
19.8%
3,315
1.3%
PATOLOGI ANATOMI kecil

10,150
3.5%
3,770
1.3%
Total Result
%3 REMON JASA SARA(empty)
0.4%
2,500
-
0.2%
2,500
-
2.8%
2,500
10,980
4.2%
2,500
-
2.6%
2,500
14,535
0.8%
2,500
-
1.3%
2,500
30,600
0.9%
2,500
-
#DIV/0!
2,500
-
6.4%
2,500
4,836
#DIV/0!
2,500
-
0.6%
2,500
-
0.8%
2,500
-
0.5%
2,500
-
0.8%
2,500
44,700
1.0%
2,500
34,560
1.9%
2,500
17,550
1.6%
2,500
21,600
1.0%
2,500
36,720
1.0%
2,500
34,560
1.9%
2,500
17,550
1.6%
2,500
21,600
1.0%
2,500
36,720
0.9%
2,500
42,350
0.7%
2,500
-
0.8%
2,500
-
0.8%
2,500
-
0.5%
2,500
-
0.8%
2,500
40,260
0.5%
2,500
72,842
0.7%
2,500
54,670
0.7%
2,500
-
0.5%
2,500
-
0.4%
2,500
-
0.7%
2,500
56,210
0.3%
2,500
-
2.3%
2,500
16,092
0.8%
2,500
-
0.6%
2,500
-
0.9%
2,500
-
0.9%
2,500
-
0.2%
2,500
143,220
0.8%
2,500
44,700
1.3%
2,500
29,800
1.4%
2,500
21,350
2.5%
2,500
13,500
6.4%
2,500
5,967
3.1%
2,500
-
11.4%
2,500
3,344
#DIV/0!
2,500
-
#DIV/0!
2,500
-
2.2%
2,500
-
1.6%
2,500
18,910
6.4%
2,500
4,836
0.6%
2,500
59,747
2.6%
2,500
14,688
#DIV/0!
2,500
-
2.6%
2,500
14,688
4.5%
2,500
6,710
1.9%
2,500
17,550
1.4%
2,500
24,570
0.7%
2,500
54,720
0.9%
2,500
37,395
0.6%
2,500
63,360
1.1%
2,500
33,120
0.3%
2,500
93,620
0.9%
2,500
43,890
1.4%
2,500
27,565
2.8%
2,500
10,980
0.4%
2,500
-
0.4%
2,500
-
0.4%
2,500
-
0.3%
2,500
-
1.1%
2,500
31,725
1.1%
2,500
29,700
1.0%
2,500
34,560
1.9%
2,500
17,550
1.6%
2,500
21,600
1.0%
2,500
36,720
3.3%
2,500
11,475
1.0%
2,500
-
2.5%
2,500
-
6.4%
2,500
4,836
0.6%
2,500
-
#DIV/0!
2,500
-
#DIV/0!
2,500
-
#DIV/0!
2,500
-
#DIV/0!
2,500
-
2.3%
2,500
14,850
1.5%
2,500
23,760
1.8%
2,500
18,900
1.0%
2,500
34,560
1.0%
2,500
34,425
0.7%
2,500
54,720
1.8%
2,500
18,900
1.0%
2,500
34,560
0.7%
2,500
42,212
#DIV/0!
2,500
-
3.0%
2,500
12,852
5.6%
2,500
6,885
5.6%
2,500
6,885
1.6%
2,500
-
#DIV/0!
2,500
-
1.0%
2,500
39,015
0.9%
2,500
-
0.6%
2,500
-
1.9%
2,500
17,550
1.0%
2,500
34,560
1.6%
2,500
21,600
1.0%
2,500
34,560
#DIV/0!
2,500
-
#DIV/0!
2,500
-
6.4%
2,500
4,836
0.2%
2,500
143,220
#DIV/0!
2,500
-
0.5%
2,500
71,520
7.8%
2,500
3,904
1.0%
2,500
34,560
1.9%
2,500
17,550
1.4%
2,500
24,588
1.0%
2,500
36,720
0.3%
2,500
149,000
0.2%
2,500
236,910
0.3%
2,500
141,550
0.2%
2,500
172,840
0.1%
2,500
260,750
0.1%
2,500
277,140
0.1%
2,500
365,050
0.1%
2,500
372,500
0.1%
2,500
460,410
0.2%
2,500
172,840
0.1%
2,500
260,750
0.1%
2,500
372,500
0.1%
2,500
460,410
0.1%
2,500
481,270
0.1%
2,500
569,180
0.2%
2,500
178,800
0.1%
2,500
266,710
0.1%
2,500
329,290
0.1%
2,500
417,200
0.1%
2,500
289,060
0.2%
2,500
201,150
0.2%
2,500
201,150
0.1%
2,500
289,060
0.1%
2,500
253,300
0.1%
2,500
341,210
0.3%
2,500
146,020
0.2%
2,500
233,930
0.3%
2,500
141,550
0.2%
2,500
229,460
0.3%
2,500
146,020
0.2%
2,500
233,930
0.2%
2,500
172,800
0.1%
2,500
266,710
0.1%
2,500
318,240
0.1%
2,500
417,200
0.1%
2,500
260,750
0.1%
2,500
348,660
0.1%
2,500
260,750
0.1%
2,500
348,660
0.2%
2,500
178,800
0.1%
2,500
266,710
0.1%
2,500
329,290
0.1%
2,500
417,200
0.2%
2,500
178,800
0.1%
2,500
266,710
0.1%
2,500
329,290
0.1%
2,500
417,200
0.1%
2,500
329,290
0.1%
2,500
417,200
0.2%
2,500
178,800
0.1%
2,500
266,710
0.1%
2,500
329,290
0.1%
2,500
417,200
0.2%
2,500
172,840
0.1%
2,500
260,750
0.2%
2,500
178,800
0.1%
2,500
266,710
0.2%
2,500
172,840
0.1%
2,500
260,750
0.1%
2,500
329,290
0.1%
2,500
417,200
0.1%
2,500
283,100
0.1%
2,500
371,010
0.1%
2,500
260,750
0.1%
2,500
348,660
0.1%
2,500
329,290
0.1%
2,500
417,200
0.2%
2,500
178,800
0.1%
2,500
266,710
0.4%
2,500
93,870
0.7%
2,500
42,212
3.1%
2,500
10,800
1.4%
2,500
21,106
1.4%
2,500
21,106
11.4%
2,500
3,344
5.0%
2,500
7,650
0.5%
2,500
81,400
0.3%
2,500
130,240
0.4%
2,500
103,600
1.9%
2,500
17,550
1.0%
2,500
34,560
1.6%
2,500
21,600
1.0%
2,500
36,720
0.6%
2,500
-
4.9%
2,500
6,222
15.6%
2,500
2,432
#DIV/0!
2,500
-
6.3%
2,500
(empty)
1.3%
2,500
(empty)
0.6%
2,500
-
0.8%
2,500
49,280
6.4%
2,500
4,758
1.0%
2,500
34,560
1.5%
2,500
22,275
1.0%
2,500
-
0.3%
2,500
118,420
0.2%
2,500
143,220
4.2%
2,500
9,180
0.8%
2,500
-
2.5%
2,500
-
0.3%
2,500
-
1.4%
2,500
-
1.1%
2,500
-
0.8%
2,500
-
0.8%
2,500
-
1.1%
2,500
-
1.1%
2,500
-
4.2%
2,500
9,180
#DIV/0!
2,500
-
1.0%
2,500
34,560
1.9%
2,500
17,820
1.0%
2,500
34,560
1.5%
2,500
22,275
0.4%
2,500
-
#DIV/0!
2,500
-
11.4%
2,500
3,366
11.4%
2,500
3,366
3.7%
2,500
10,336
11.4%
2,500
3,366
15.6%
2,500
1,952
1.0%
2,500
37,026
0.5%
2,500
-
1.3%
2,500
29,835
0.6%
2,500
-
1.2%
2,500
31,570
2.3%
2,500
13,298
0.1%
2,500
(empty)
#DIV/0!
2,500
-
1.6%
2,500
24,480
15.6%
2,500
2,432
11.9%
2,500
3,192
0.2%
2,500
-
1.1%
2,500
27,206
1.0%
2,500
34,560
1.9%
2,500
17,550
0.2%
2,500
143,220
#DIV/0!
2,500
-
0.3%
2,500
-
0.4%
2,500
-
1.0%
2,500
-
0.5%
2,500
-
0.5%
2,500
-
0.8%
2,500
-
0.8%
2,500
-
1.0%
2,500
34,560
1.9%
2,500
17,820
1.6%
2,500
21,600
1.0%
2,500
36,720
0.5%
2,500
-
0.7%
2,500
-
0.5%
2,500
(empty)
0.7%
2,500
-
0.5%
2,500
-
0.4%
2,500
99,830
0.5%
2,500
-
0.3%
2,500
119,200
0.2%
2,500
143,220
3.0%
2,500
12,852
2.5%
2,500
-
#DIV/0!
2,500
-
2.5%
2,500
13,500
1.8%
2,500
18,900
1.0%
2,500
34,560
2.0%
2,500
-
6.4%
2,500
5,967
0.8%
2,500
-
1.3%
2,500
-
2.0%
2,500
-
#DIV/0!
2,500
-
15.6%
2,500
2,432
2.5%
2,500
13,500
2.3%
2,500
-
#DIV/0!
2,500
-
0.9%
2,500
40,545
0.7%
2,500
-
0.7%
2,500
-
1.6%
2,500
21,600
0.7%
2,500
54,720
1.6%
2,500
21,600
0.7%
2,500
54,720
0.8%
2,500
42,525
0.6%
2,500
63,360
2.3%
2,500
16,524
1.6%
2,500
21,600
1.0%
2,500
34,560
2.3%
2,500
14,850
1.0%
2,500
34,560
1.8%
2,500
18,900
1.0%
2,500
34,560
10.4%
2,500
3,648
10.4%
2,500
3,648
10.4%
2,500
3,648
#DIV/0!
2,500
-
6.4%
2,500
4,836
1.9%
2,500
-
2.3%
2,500
13,298
6.4%
2,500
4,836
#DIV/0!
2,500
-
3.0%
2,500
12,852
2.5%
2,500
-
#DIV/0!
2,500
-
0.2%
2,500
172,095
0.2%
2,500
143,220
2.3%
2,500
14,850
1.4%
2,500
25,920
2.9%
2,500
10,370
2.3%
2,500
13,054
0.3%
2,500
136,800
2.9%
2,500
13,224
2.9%
2,500
13,224
2.9%
2,500
-
4.2%
2,500
(empty)
2.1%
2,500
(empty)
0.9%
2,500
(empty)
1.4%
2,500
(empty)
2.1%
2,500
18,360
2.8%
2,500
(empty)
0.7%
2,500
(empty)
2.8%
2,500
(empty)
0.8%
2,500
(empty)
2.1%
2,500
(empty)
1.3%
2,500
(empty)
0.8%
2,500
(empty)
1.5%
2,500
23,760
0.8%
2,500
29,100
2.8%
2,500
10,980
2.8%
2,500
10,980
0.4%
2,500
54,320
#DIV/0!
2,500
-
1.0%
2,500
34,560
1.9%
2,500
17,550
1.6%
2,500
21,600
1.0%
2,500
36,720
1.9%
2,500
17,550
1.5%
2,500
22,275
1.0%
2,500
34,560
1.0%
2,500
34,560
1.4%
2,500
(empty)
1.1%
2,500
(empty)
0.4%
2,500
-
#DIV/0!
2,500
-
#DIV/0!
2,500
-
2.2%
2,500
16,837
0.3%
2,500
135,441
0.7%
2,500
-
1.5%
2,500
-
2.6%
2,500
14,535
0.6%
2,500
60,060
0.9%
2,500
35,380
0.8%
2,500
37,820
2.8%
2,500
10,980
4.9%
2,500
6,222
10.4%
2,500
2,928
6.0%
2,500
6,426
6.0%
2,500
6,426
1.9%
2,500
17,550
1.0%
2,500
34,560
1.8%
2,500
18,900
1.0%
2,500
34,560
0.4%
2,500
-
1.8%
2,500
18,900
0.8%
2,500
43,200
2.5%
2,500
13,500
2.5%
2,500
13,500
2.5%
2,500
13,500
2.5%
2,500
13,500
2.2%
2,500
13,664
1.6%
2,500
-
6.0%
2,500
6,426
6.0%
2,500
6,426
1.0%
2,500
34,560
1.6%
2,500
21,600
1.0%
2,500
36,720
1.9%
2,500
17,550
1.0%
2,500
34,560
1.8%
2,500
18,900
6.9%
2,500
4,392
#DIV/0!
2,500
-
4.1%
2,500
7,442
1.9%
2,500
-
1.6%
2,500
19,520
1.8%
2,500
18,900
1.0%
2,500
34,560
1.4%
2,500
-
2.5%
2,500
13,500
6.3%
2,500
4,880
#DIV/0!
2,500
-
#DIV/0!
2,500
-
1.0%
2,500
39,116
1.7%
2,500
-
1.4%
2,500
-
0.9%
2,500
40,656
#DIV/0!
2,500
-
#DIV/0!
2,500
-
1.0%
2,500
39,116
#DIV/0!
2,500
-
#DIV/0!
2,500
-
#DIV/0!
2,500
-
0.7%
2,500
(empty)
#DIV/0!
2,500
-
1.6%
2,500
21,600
0.7%
2,500
54,720
1.6%
2,500
21,600
0.7%
2,500
54,720
0.8%
2,500
42,525
0.6%
2,500
63,360
0.8%
2,500
42,525
0.6%
2,500
57,312
1.0%
2,500
34,560
1.4%
2,500
24,300
1.4%
2,500
23,625
1.0%
2,500
34,560
2.3%
2,500
14,445
1.4%
2,500
25,920
1.5%
2,500
23,760
2.3%
2,500
14,850
1.1%
2,500
-
0.5%
2,500
-
1.0%
2,500
31,354
#DIV/0!
2,500
-
2.3%
2,500
14,850
1.5%
2,500
23,760
2.4%
2,500
16,112
0.7%
2,500
51,405
0.4%
2,500
92,565
6.6%
2,500
5,814
6.6%
2,500
5,814
#DIV/0!
2,500
-
8.3%
2,500
4,560
0.4%
2,500
100,215
0.9%
2,500
40,810
2.0%
2,500
-
0.2%
2,500
143,220
0.2%
2,500
172,095
6.4%
2,500
5,967
6.4%
2,500
6,201
0.8%
2,500
43,200
0.8%
2,500
43,200
0.7%
2,500
48,960
0.7%
2,500
48,960
0.6%
2,500
64,800
0.4%
2,500
86,400
0.8%
2,500
43,200
0.8%
2,500
43,200
0.7%
2,500
48,960
0.8%
2,500
43,200
0.8%
2,500
43,200
0.8%
2,500
43,200
0.8%
2,500
43,200
0.6%
2,500
63,360
2.8%
2,500
10,980
0.7%
2,500
52,150
9.6%
2,500
3,172
9.6%
2,500
3,172
1.8%
2,500
18,900
1.4%
2,500
25,920
3.0%
2,500
10,248
2.3%
2,500
14,850
1.0%
2,500
34,560
1.6%
2,500
21,600
1.0%
2,500
36,720
0.9%
2,500
28,130
daftartindakan_id daftartindakan_kode
5458 (blank)
5459 (blank)
5460 (blank)
5461 (blank)
5462 FA0
5463 FD0
5464 AA0
5465 AB0
5466 AC0
5467 AD0
5468 AE0
5469 AE1
5470 AF0
5471 AH0
5472 AI0
5473 AJ0
5474 BA0
5475 BB0
5477 CA0
5478 CB0
5479 CC0
5480 CD0
5481 CE0
5482 CF0
5483 CG0
5484 CG1
5485 CG2
5486 CG4
5487 CH0
5488 CI0
5489 CJ0
5490 CK0
5491 CK1
5492 CK2
5493 CL0
5494 CM0
5495 CN0
5496 CO0
5497 CP0
5498 CQ0
5499 CR0
5500 CS0
5501 CS1
5502 CT0
5503 CU0
5504 CV0
5505 CW0
5506 CW1
5507 CX0
5508 CY0
5509 CY5
5511 DA0
5512 DB0
5513 DC0
5514 DD0
5515 DE0
5516 DG0
5517 DH0
5518 DI0
5520 EA0
5521 EB0
5522 EC0
5523 ED0
5524 EE0
5526 FA0
5527 FB0
5528 FC0
5529 FD0
5530 FE0
5531 FE1
5532 FI0
5533 FJ0
5534 FK0
5535 FK1
5536 FL0
5537 FM0
5538 FN0
5539 FO0
5540 FP0
5541 FQ0
5542 FR0
5543 FS0
5544 G10
5545 G20
5546 G30
5547 G40
5548 G50
5549 G60
5550 GA0
5551 GB0
5552 GC0
5553 GD0
5554 GE0
5555 GF0
5556 GH0
5557 GI0
5558 GJ0
5559 GK0
5561 GM0
5562 GN0
5563 GO0
5564 GP0
5565 GQ0
5566 H00
5567 H10
5568 H20
5569 H30
5570 H40
5571 H50
5572 H60
5573 H70
5574 H80
5575 H90
5576 HG0
5577 HH0
5578 HI0
5579 HJ0
5580 HK0
5581 HL0
5582 HM0
5583 HN0
5584 HN1
5585 HO0
5586 HO1
5587 HO2
5588 HO3
5589 HP0
5590 HQ0
5591 HR0
5592 HS0
5593 HT0
5594 HU0
5595 HU1
5596 HU2
5597 HV0
5598 HV1
5599 HW0
5600 HX0
5601 HX1
5602 HX2
5605 IA0
5606 IB0
5607 IC0
5608 ID0
5609 IE0
5610 IF0
5611 IF1
5612 IG0
5613 IH0
5614 II0
5615 JA0
5616 JB0
5617 JC0
5618 JD0
5619 JE0
5620 JF0
5621 JG0
5622 JH0
5623 JI0
5624 JJ0
5625 JK0
5626 JL0
5627 JM0
5628 JN0
5629 JO0
5630 JP0
5631 JR0
5632 JS0
5635 JU0
5636 JU1
5637 JV0
5638 JW0
5640 KA0
5641 KB0
5642 LA0
5643 MA0
5644 MA1
5645 NA2
5646 NA3
5647 NA4
5648 NA5
5649 NA6
5650 NA7
5651 NA8
5652 NB0
5653 NC0
5654 ND0
5655 NE0
5656 NF0
5657 NG0
5658 NH0
5659 NI0
5660 NJ0
5661 NK0
5662 OA0
5663 OB0
5664 OC0
5665 OD0
5666 OE0
5667 OF0
5668 OG0
5669 OH0
5670 OH1
5671 OI0
5672 OJ0
5673 OK0
5674 OL0
5675 PA0
5676 PB0
5677 PC0
5678 PD0
5679 PE0
5680 PF0
5681 PG0
5682 PH0
5683 PI0
5684 PJ0
5685 PK0
5686 PL0
5687 PM0
5688 PN0
5689 PO0
5690 PP0
5691 PQ0
5692 PR0
5693 PS0
5694 PT0
5695 PU0
5696 PV0
5697 PW0
5698 PX0
5703 RA0
5704 RA1
5705 RB0
5706 RB1
5707 RC0
5708 RC1
5709 RC10
5710 RC11
5711 RC2
5712 RC21
5713 RD0
5714 RD1
5715 RE0
5716 RE1
5717 RF0
5718 RF1
5719 RG0
5720 RG1
5721 RH0
5722 RH1
5723 RI0
5724 RI1
5725 RJ 0
5726 RJ0
5727 RJ1
5728 RJ10
5729 RK0
5730 RK1
5731 RL0
5732 RL1
5733 RM0
5734 RM1
5735 RN0
5736 RN1
5737 RO0
5738 RO1
5739 RP0
5740 RP1
5741 RQ0
5742 RR0
5743 RR1
5744 RR10
5745 RR11
5746 RS0
5747 RS1
5748 RT0
5749 RT1
5750 RU0
5751 RU10
5752 RV0
5753 RV1
5754 RV10
5755 RV11
5756 RW0
5757 RW1
5758 RW10
5759 RW11
5760 RW2
5761 RW20
5762 RW3
5763 RW30
5764 RW39
5765 RW4
5766 RW40
5767 RW41
5768 RW5
5769 RW50
5770 RW51
5771 RW52
5772 RW6
5773 RW60
5774 RW61
5775 RW62
5776 RW7
5777 RW71
5778 RW8
5779 RW81
5780 RW9
5781 RW91
5782 RX0
5783 RX02
5784 RX03
5785 RX04
5786 RX05
5787 RX1
5788 RX11
5789 RX2
5790 RX20
5791 RX3
5792 RX30
5793 RX4
5794 RX40
5795 RX5
5796 RX50
5797 RX6
5798 RX60
5799 RX7
5800 RX8
5801 RX9
5802 RZ0
5803 RZ1
5804 RZ2
5805 RZ3
5806 RZ4
5807 RZ5
5809 SA0
5810 SA1
5811 SA10
5812 SA2
5813 SA20
5814 SA21
5815 SA3
5816 SA4
5817 SA5
5818 SA6
5819 SA7
5820 SA8
5821 SA9
5822 SB0
5823 SB1
5824 SB2
5825 SB3
5826 SB4
5827 SB5
5828 SB50
5829 SB6
5830 SB7
5831 SB8
5832 SB80
5833 SB81
5834 SB9
5835 SB90
5836 SC1
5837 SC2
5838 SC3
5839 SC4
5840 SC5
5841 SD0
5842 TA0
5843 TA1
5844 TA2
5845 TA3
5846 TA4
5847 TA5
5848 TA6
5849 TA7
5850 TA8
5851 TA9
5852 TB0
5853 TB1
5854 TB2
5855 TB3
5856 UA0
5857 UB0
5858 VA0
5859 VB0
5860 VC0
5861 VD0
5862 VE0
5863 VF0
5864 TK1
5866 B002
10680 RI2
10681 RI3
10682 RJ1
10683 RJ2
10684 RJ5
10685 RJ6
10686 RK2
10687 RK3
10688 RR1
10689 RR2
10690 RR6
10691 RR7
10692 RS2
10693 RS3
10694 RT2
10695 RT3
10696 SD1
10697 SD1
10698 RL2
10699 RL3
10737 (blank)
10739 CO2
10746 PAKET
10747 PAKET
10748 PAKET
10749 PAKET
10750 Testosteron
10751 PAKET
10752 PAKET
10753 PAKET
10754 PAKET
10755 PAKET
10756 PAKET
10757 PAKET
10848 (blank)
10849 (blank)
10850 (blank)
10851 (blank)
10853 (blank)
10854 (blank)
10856 (blank)
10857 (blank)
10858 (blank)
10859 (blank)
10860 (blank)
10861 (blank)
10862 (blank)
10863 (blank)
10864 (blank)
10865 (blank)
10866 (blank)
10867 (blank)
10868 (blank)
10869 (blank)
10870 (blank)
10871 (blank)
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daftartindakan_nama BMHP % ATK & ART
Paket Hematologi Lengkap 8,709 10.0% 1,131
Paket Hematologi 18 Parameter 5,742 6.6% 1,131
Paket Gas Darah CG 8+ 46,800 5.2% 11,700
Paket Khusus Askes 46,800 39.0% 1,560
Cholesterol Total 3,690 8.2% 585
Triglyseride 3,116 8.2% 494
Urine Lengkap 1,794 4.6% 507
Slide hCG Test 2,700 7.5% 468
Stick hCG Test 5,000 9.0% 520
Sovo hCG Test 12,688 20.8% 793
Pack hCG Test 12,142 54.4% 1,105
Pack hCG ABBOT Test 58,208 54.4% 1,391
Titer HCG 23,130 9.0% 3,341
Protein (Esbach) 153,000 90.0% 2,210
Bence Jones Protein 103,500 90.0% 1,495
Mikroalbumin Kuant 121,500 90.0% 1,755
Faeces Lengkap 975 2.5% 507
Benzidin 3,875 2.5% 2,015
Hemoglobin 1,092 5.2% 273
Lekosit 400 2.5% 208
Diftel 550 2.5% 286
BSE 550 2.5% 286
Eritrosit 400 2.5% 208
Hematokrit 400 2.5% 208
Trombosit 750 2.5% 390
MCV 1,584 6.6% 312
MCH 1,584 6.6% 312
MCHC 1,584 6.6% 312
Retikulosit 1,275 2.5% 663
Eosinofil 1,403 2.8% 663
Waktu Pendarahan 520 2.0% 338
Waktu Pembekuan 520 2.0% 338
PT 15,080 5.2% 3,770
APTT 9,100 5.2% 2,275
Bj Plasma 1,375 2.5% 715
Thrombotest Owren 211,500 90.0% 3,055
Serum Iron 139,500 90.0% 2,015
TIBC 135,000 90.0% 1,950
Morfologi 2,725 2.5% 1,417
Parasit darah : Malaria 40,500 45.0% 1,170
Parasit darah : Filaria 40,500 45.0% 1,170
HB Elektroforesis 472,500 90.0% 6,825
Analisa Hb (HPLC) 454,500 90.0% 6,565
Hemoglobin Panel Analisa 974,700 90.0% 14,079
Golongan Darah 640 4.0% 208
Rh. Faktor (Rhesus) 960 4.0% 312
G6PD 267,300 90.0% 3,861
G6PD Neonatus 267,300 90.0% 3,861
Sel LE 2,800 2.5% 1,456
Cross Darah 800 2.5% 416
Total Limposit Absolut 6,996 6.6% 1,378
Glukosa Puasa 1,430 6.5% 286
Glukosa 2 jam pp 1,430 6.5% 286
Glukosa ad random 1,430 6.5% 286
G.T.T 166,500 90.0% 2,405
Kurva Harian 175,500 90.0% 2,535
Fruktosamin 810,000 90.0% 11,700
HBA1C 15,990 8.2% 2,535
Glukosa Cyto 9,316 13.7% 884
Ureum Darah 2,535 6.5% 507
Urea Clearance 112,500 90.0% 1,625
Kreatinin 2,535 6.5% 507
Kreatin Clearance 112,500 90.0% 1,625
Asam Urat 2,535 6.5% 507
Cholesterol Total 3,375 7.5% 585
HDL-Cholesterol 12,000 7.5% 2,080
LDL-Cholesterol - 0
Triglyseride 2,850 7.5% 494
Lipid Total 325,800 90.0% 4,706
Troponin - I 206,325 31.5% 8,515
LDH 109,800 90.0% 1,586
CK - NAC 261,000 90.0% 3,770
CK - MB 82,875 32.5% 3,315
CK MB Massa 369,000 90.0% 5,330
SGOT 3,444 8.2% 546
SGPT 3,444 8.2% 546
Lp (a) 342,000 90.0% 4,940
E.K.G. 1,250 2.5% 650
Treadmill Test 15,125 2.5% 7,865
Echo Cardiography 13,750 2.5% 7,150
Echo Cardiography (sedang) 17,500 2.5% 9,100
Echo Cardiography (pilihan) 22,000 2.5% 11,440
Protein Total 4,940 5.2% 1,235
Albumin 4,940 5.2% 1,235
Globulin - 0
Elektroforesis Protein 346,500 90.0% 5,005
Bilirubin Total 4,992 5.2% 1,248
Bilirubin Direct 4,992 5.2% 1,248
Bilirubin Indirect - 0
SGOT 3,444 8.2% 546
SGPT 3,444 8.2% 546
Gamma - GT 4,920 8.2% 780
Fosfatase Alkali (AP) 7,500 12.5% 780
Alpha-Fetoprotein (AFP) 297,000 90.0% 4,290
Cholinesterase (CHE) 139,500 90.0% 2,015
IgG 441,000 90.0% 6,370
IgA 441,000 90.0% 6,370
IgM 441,000 90.0% 6,370
T.T.T. - 0
Feritin 229,500 90.0% 3,315
IgE 333,000 90.0% 4,810
Takata Ara - 0
GLDH 508,500 90.0% 7,345
HBs Ag (Elisa) 54,325 26.5% 2,665
Anti - Hbs (elisa) 72,875 26.5% 3,575
HBeAg 391,500 90.0% 5,655
Anti HBe 508,500 90.0% 7,345
Anti HBc 301,500 90.0% 4,355
Anti HBcIgM 472,500 90.0% 6,825
Anti HAV 125,345 26.5% 6,149
Anti HAV IgM 94,075 26.5% 4,615
Anti HCV 52,925 14.5% 4,745
Anti HCV IgM 859,500 90.0% 12,415
ANA 567,000 90.0% 8,190
ANF 1,220,400 90.0% 17,628
CEA 45,600 16.0% 3,705
T3 66,548 26.2% 3,302
T3 % Uptake - 0
T4 (Thyroxine) 66,548 26.2% 3,302
PSA 62,400 16.0% 5,070
T S Hs 42,240 16.0% 3,432
Tiroglobulin 450,000 90.0% 6,500
CA 15 - 3 544,500 90.0% 7,865
CA 19-9 (Pankreas) 553,500 90.0% 7,995
CA 125 (Ovarium) 540,000 90.0% 7,800
CA 72 - 4 738,000 90.0% 10,660
HIV Konfirmasi 688,500 90.0% 9,945
Anti H I V 61,050 18.5% 4,290
FT4 72,000 22.5% 4,160
FT3 355,500 90.0% 5,135
DHF IgG 101,205 58.5% 2,249
DHF IgM 101,205 58.5% 2,249
Dengue Ag NS 1 Antigen 129,750 37.5% 4,498
Chikungunya IgM 84,770 24.5% 4,498
Hexagon TB 39,025 17.5% 2,899
Rapid - Anti Tb igG 54,250 17.5% 4,030
Hbs Ag Strip 12,535 11.5% 1,417
Anti ds DNA 458,100 90.0% 6,617
SCC 511,200 90.0% 7,384
CD - 4 351,000 90.0% 5,070
Calcium 9,375 12.5% 975
Chlorida 10,500 12.5% 1,092
Bicarbonat 48,813 12.5% 5,077
Natrium 10,500 12.5% 1,092
Kalium 10,500 12.5% 1,092
Magnesium 13,500 12.5% 1,404
Calcium Ion 229,500 90.0% 3,315
Calcium Urine 90,000 90.0% 1,300
Natrium Urine 90,000 90.0% 1,300
Kalium Urine 90,000 90.0% 1,300
Widal 8,820 10.5% 1,092
CRP 21,150 23.5% 1,170
RA-Test 21,150 23.5% 1,170
ASTO 21,150 23.5% 1,170
LE-Test 99,000 90.0% 1,430
Homocystein 549,000 90.0% 7,930
VDRL 24,300 27.0% 1,170
Anti Amoeba 342,000 90.0% 4,940
hs- CRP 232,200 90.0% 3,354
TPHA 166,500 90.0% 2,405
HSV 1 IgG 409,500 90.0% 5,915
HSV 1 IgM 409,500 90.0% 5,915
Spot Anti Salmonella Typhi IgM 159,300 90.0% 2,301
Tubex Anti Salmonella IgM 109,975 41.5% 3,445
Anti Toxoplasma IgG 247,500 90.0% 3,575
Anti Toxoplasma IgM 252,000 90.0% 3,640
Anti Rubella IgG 288,000 90.0% 4,160
Anti Rubella IgM 346,500 90.0% 5,005
Anti CMV IgG 265,500 90.0% 3,835
Anti CMV IgM 274,500 90.0% 3,965
HSV 2 IgG 292,500 90.0% 4,225
HSV 2 IgM 292,500 90.0% 4,225
Sperma Analisis 121,500 90.0% 1,755
IgE Total 333,000 90.0% 4,810
Analisa Batu Ginjal 292,500 90.0% 4,225
Analisa Batu Empedu 360,000 90.0% 5,200
Fosfatase Asam 292,500 90.0% 4,225
pH 562,500 90.0% 8,125
PC02 - 0
PO2 - 0
BEecf - 0
HCO3 - 0
TCO2 - 0
sO2 - 0
Amilase Darah 65,000 32.5% 2,600
Amilase Urine 263,250 90.0% 3,803
Lipase 86,125 32.5% 3,445
G6P - D 198,000 90.0% 2,860
G6P-D Neonatus 198,000 90.0% 2,860
Prolaktin 320,400 90.0% 4,628
Fosfor Anorganik 90,000 90.0% 1,300
MCV 1,584 6.6% 312
Spirometri 4,000 2.5% 2,080
Audiometri - 1,040
Kultur 279,000 90.0% 4,030
Hitung Kuman - 0
Gal Kultur 198,000 90.0% 2,860
Secret Vagina/Servic 7,500 7.5% 1,300
Sputum 7,500 7.5% 1,300
Secret Mata 7,500 7.5% 1,300
Secret Uretra 7,500 7.5% 1,300
Secret Luka 7,500 7.5% 1,300
Apus 7,500 7.5% 1,300
Cairan Pleura/Ascites 16,500 7.5% 2,860
Lepra 7,500 7.5% 1,300
Kerokan Kulit 2,200 2.2% 1,300
Cairan LCS 17,625 7.5% 3,055
Trimethropim S 5 ug - 0
Compound Sulfanamides - 0
Erytrhromycin 15 ug - 0
Kanamycin 30 ug - 0
Gentamycin 10 ug - 0
Chloramphenicol 30 ug - 0
Amoxycillin 25 ug - 0
Ceftazidime 30 ug - 0
Ciprofloxacin 5 ug - 0
Levofloxacin 5 ug - 0
Ampicillin 5 ug - 0
Tetracycline 30 ug - 0
Cloxacillin - 0
Cefotaxim 30 ug - 0
Sulbennicillin - 0
Streptomycin - 0
Ceftazidim - 0
Netilmycin - 0
Cefuroxin - 0
Pipemidic Acid 20 ug - 0
Tazobactam piperacillin 100 ul - 0
Clindamicin 2 ul - 0
Meropenem 10 ul - 0
Moxifloxacin 5 ul - 0
Thorax Photo 19,795 18.5% 1,391
Thorax Photo CR 35,640 19.8% 2,340
Thorax AP + Lateral 33,300 18.5% 2,340
Thorax AP + Lat CR 47,520 19.8% 3,120
Thorax LLD / RLD 32,375 18.5% 2,275
Thorax Top Lordotik 20,350 18.5% 1,430
Thorax LLD atau RLD CR 47,520 19.8% 3,120
Thorax Top Lordotic CR 32,670 19.8% 2,145
Thorax 3 Posisi 58,275 18.5% 4,095
Thorax 3 Posisi CR 78,804 19.8% 5,174
BNO 24,050 18.5% 1,690
BNO CR 45,540 19.8% 2,990
BNO 2 Posisi 33,670 18.5% 2,366
BNO 2 Posisi CR 75,240 19.8% 4,940
BNO 3 Posisi 51,245 18.5% 3,601
BNO 3 Posisi CR 87,120 19.8% 5,720
Knee Chest 25,900 18.5% 1,820
Knee Chest CR 47,520 19.8% 3,120
Manus AP + Lateral 20,350 18.5% 1,430
Manus AP+Lat CR 47,520 19.8% 3,120
Wrist Joint AP + Lateral 20,350 18.5% 1,430
Wrist Joint AP+Lat CR 47,520 19.8% 3,120
Antebrachii AP + Lat CR 47,520 19.8% 3,120
Antebrachii AP + Lateral 24,050 18.5% 1,690
Elbow Joint (Cubiti) Ap+Lat 24,050 18.5% 1,690
Elbow Joint (Cubiti) Ap+Lat CR 47,520 19.8% 3,120
Humerus AP + Lateral 24,420 18.5% 1,716
Humerus AP + Lat CR 47,520 19.8% 3,120
Shoulder Joint AP + Lateral 24,050 18.5% 1,690
Shoulder Join AP + Lat CR 47,520 19.8% 3,120
Clavicula Kiri / Kanan 24,050 18.5% 1,690
Clavicula Kiri atau Kanan CR 47,520 19.8% 3,120
Clavicula Perbandingan Kiri & Kanan 29,600 18.5% 2,080
Clavicula Perbandingan Kiri / Kanan CR 47,520 19.8% 3,120
Scapula Kiri / Kanan 24,050 18.5% 1,690
Scapula Kiri atau Kanan CR 47,520 19.8% 3,120
Scapula Perbandingan Kiri & Kanan 25,900 18.5% 1,820
Scapula Perbandingan Kiri & Kanan CR 47,520 19.8% 3,120
APG 450,000 39.0% 15,015
Pedis AP + Lateral 24,050 18.5% 1,690
Calcaneus Axcial Ap+Lat 24,050 18.5% 1,690
Pedis AP + Lat CR 47,520 19.8% 3,120
Calcaneus Axcial AP + Lat CR 47,520 19.8% 3,120
Ankle Joint AP + Lateral 24,050 18.5% 1,690
Angkle Joint AP + Lat CR 47,520 19.8% 3,120
Cruris AP + Lateral 24,050 18.5% 1,690
Cruris AP + Lat CR 47,520 19.8% 3,120
Genu AP + Lateral 24,420 18.5% 1,716
Genu AP + Lat CR 47,520 19.8% 3,120
Genu Bilateral AP + Lateral 30,525 18.5% 2,145
Sky Line Patela AP + Lateral 25,900 18.5% 1,820
Genu Bilateral AP + Lat CR 47,520 19.8% 3,120
Sky Line Patela AP + Lat CR 47,520 19.8% 3,120
HIP Joint AP+Lateral 24,050 18.5% 1,690
Femur AP + Lateral 30,525 18.5% 2,145
HIP Joint AP + Lat CR 47,520 19.8% 3,120
Femur AP + Lat CR 47,520 19.8% 3,120
Pelvis AP 24,050 18.5% 1,690
Pelvis AP CR 47,520 19.8% 3,120
Pelvis AP + Lat 30,525 18.5% 2,145
Pelvis AP + Lat CR 47,520 19.8% 3,120
Schedell AP + Lat CR 59,400 19.8% 3,900
Schedell AP + Lat 25,900 18.5% 1,820
Cephalometri 20,350 18.5% 1,430
Cephalometri CR 32,670 19.8% 2,145
Mastoid ( Schullers+Stenvers ) 25,900 18.5% 1,820
TMJ 20,350 18.5% 1,430
Mastoid (Schuller & Stenvers) CR 47,520 19.8% 3,120
TMJ CR 32,670 19.8% 2,145
Waters 25,900 18.5% 1,820
Os Nasal 20,350 18.5% 1,430
Waters CR 35,640 19.8% 2,340
Os Nasal CR 35,640 19.8% 2,340
SPN ( Waters + Lat ) 25,900 18.5% 1,820
SPN (Waters + Lat ) CR 47,520 19.8% 3,120
Mandibula AP + Eisler 29,600 18.5% 2,080
Mandibula AP + Eisler CR 47,520 19.8% 3,120
Thoracal AP + Lat 29,600 18.5% 2,080
Thoracal AP + Lat CR 75,240 19.8% 4,940
Thoracal Lumbal AP + Lat 29,600 18.5% 2,080
Thoracal Lumbal AP + Lat CR 75,240 19.8% 4,940
Thoracal Lumbal AP+Lat+Obli CR 87,120 19.8% 5,720
Thoracal Lumbal AP+Lat+Obli 58,275 18.5% 4,095
Lumbal AP + Lat CR 75,240 19.8% 4,940
Lumbal AP + Lat 29,600 18.5% 2,080
Panoramic CR 32,670 19.8% 2,145
LumboSacral AP + Lat 29,600 18.5% 2,080
LumboSacral AP + Lat CR 75,240 19.8% 4,940
LumboSacral AP+Lat+Obli 58,275 18.5% 4,095
LumboSacral AP+Lat+Obli CR 87,120 19.8% 5,720
Cervical AP + Lat 25,900 18.5% 1,820
Cervical AP + Lat CR 47,520 19.8% 3,120
Cervical AP + Lat+Obli 47,175 18.5% 3,315
Cervical AP+Lat+Obli CR 75,240 19.8% 4,940
Cervical Soft Tissue 25,900 18.5% 1,820
Cervical Soft Tissue CR 47,520 19.8% 3,120
Dental 14,800 18.5% 1,040
OMD 450,000 39.0% 15,015
Follow Through 450,000 39.0% 15,015
IVP ( Intra Vena Pyelografi ) 450,000 39.0% 15,015
Collon In Loop 450,000 39.0% 15,015
Urethrocystogram 450,000 39.0% 15,015
Fistulografi 4,775 0.5% 12,415
Bone Survey 3,775 0.5% 9,815
Histero Salfingo Graphy (HSG) 450,000 39.0% 15,015
CT-SCAN 197,600 20.8% 12,350
CT-SCAN Kepala Polos 197,600 20.8% 12,350
CT SCAN Kepala Polos & Bone Window 208,000 20.8% 13,000
CT-SCAN Kepala Kontras 353,600 20.8% 22,100
CT-SCAN Kepala Kontras Tanpa Polos 203,840 20.8% 12,740
CT-SCAN Kontras Tanpa Polos 203,840 20.8% 12,740
CT-SCAN Thorax Polos 249,600 20.8% 15,600
CT-SCAN Thorax Kontras 459,680 20.8% 28,730
CT-SCAN Abdomen Bawah 241,280 20.8% 15,080
CT-SCAN Abdomen Atas 241,280 20.8% 15,080
CT-SCAN Abdomen Atas dan Bawah 386,880 20.8% 24,180
CT-SCAN Abdomen Atas Kontras 520,000 20.8% 32,500
CT-SCAN Abdomen Bawah Kontras 520,000 20.8% 32,500
CT-SCAN Abdomen Kontras Atas & Bawah 671,840 20.8% 41,990
CT-SCAN Nasofaring Polos 249,600 20.8% 15,600
CT-SCAN Nasofaring Kontras 459,680 20.8% 28,730
CT-SCAN ORBITA POLOS 241,280 20.8% 15,080
CT-SCAN ORBITA KONTRAS 459,680 20.8% 28,730
CT-SCAN Sinus 241,280 20.8% 15,080
CT-SCAN Sinus Kontras 459,680 20.8% 28,730
CT-SCAN Thoracol 364,000 20.8% 22,750
CT-SCAN Lumbal 364,000 20.8% 22,750
CT-SCAN Lumbalsacral 364,000 20.8% 22,750
CT-SCAN Thoracal Lumbal 395,200 20.8% 24,700
CT-SCAN Pelvis 249,600 20.8% 15,600
CT-SCAN MANDIBULA 249,600 20.8% 15,600
CT-SCAN Mandibula Kontras 459,680 20.8% 28,730
CT-SCAN Mastoid 249,600 20.8% 15,600
CT-SCAN Mastoid Kontras 459,680 20.8% 28,730
CT-SCAN Cervical 249,600 20.8% 15,600
CT-SCAN Cervical Kontras 459,680 20.8% 28,730
CT-SCAN Ekstremitas Atas/Bawah 280,800 20.8% 17,550
ADM CT SCAN - 780
USG Abdomen 4,500 1.5% 3,900
USG Transvaginal 6,600 1.5% 5,720
USG Mamae 4,500 1.5% 3,900
USG Tiroid 4,500 1.5% 3,900
USG Testis 4,500 1.5% 3,900
USG Kandungan 4,500 1.5% 3,900
USG Thorax 4,500 1.5% 3,900
USG 4,500 1.5% 3,900
USG Abdomen Plus 5,100 1.5% 4,420
USG KEPALA BAYI 4,500 1.5% 3,900
USG Abdomen CYTO 5,100 1.5% 4,420
USG Khusus 5,100 1.5% 4,420
Usg Colour Dopler 6,750 1.5% 5,850
Usg Colour Dopler 2 Bagian 9,000 1.5% 7,800
PATOLOGI ANATOMI kecil 10,150 3.5% 3,770
PAP SMEAR 10,500 3.5% 3,900
Metamphetamine 15,210 39.0% 507
Cannabinoids 15,210 39.0% 507
Amphetamine 15,210 39.0% 507
Morphine 15,210 39.0% 507
Benzodiazepine 15,210 39.0% 507
Cocaine 15,210 39.0% 507
Titrasi PP Test - 0
Basofil - 0
Wrist Joint Bilateral 29,600 18.5% 2,080
Wrist Joint Bilateral CR 50,490 19.8% 3,315
Antebrachii Bilateral 29,600 18.5% 2,080
Antebrachii Bilateral CR 50,490 19.8% 3,315
Elbow Joint (Cubiti) Bilateral 29,600 18.5% 2,080
Elbow Joint (Cubiti) Bilateral CR 50,490 19.8% 3,315
Humerus Bilateral 29,600 18.5% 2,080
Humerus Bilateral CR 50,490 19.8% 3,315
Pedis Bilateral AP + Lat 29,600 18.5% 2,080
Pedis Bilateral CR 50,490 19.8% 3,315
Calcaneus Axcial Bilateral 29,600 18.5% 2,080
Calcaneus Axcial Bilateral CR 50,490 19.8% 3,315
Ankle Joint Bilateral 29,600 18.5% 2,080
Ankle Joint Bilateral CR 50,490 19.8% 3,315
Cruris Bilateral AP + Lat 33,670 18.5% 2,366
Cruris Bilateral CR 50,490 19.8% 3,315
CT-SCAN Laring 249,600 20.8% 15,600
CT-SCAN Laring Kontras 459,680 20.8% 28,730
Shoulder Join Bilateral 29,600 18.5% 2,080
Shoulder Join Bilateral CR 50,490 19.8% 3,315
H PSA - 3,146
Paket Hematologi Rutin 1,131
Paket MCU Haji 1 (Perempuan) 4,680
Paket MCU Haji 1 (Perempuan) 1,170
Paket MCU Haji 2 (Laki-Laki) 3,965
Paket MCU Haji 2 (Laki-Laki) 1,170
Testosteron 4,745
PAKET II HDI 1,560
PAKET III HDI 3,640
PAKET IV HDI 2,340
PAKET V HDI 1,560
PAKET VI HDI 2,600
PAKET VII HDI 4,004
PAKET I HDI 780
HBV DNA 24,700
Ige Spesifik Debu 7,098
Pelvis Sonde 2,340
Pelvis Sonde CR 2,925
Expertise Ct-scan 2,600
Expertise 520
Ct-scan Kepala Polos 3d 320,320 20.8% 20,020
Ct Scan Kepala Polos & Bone Window 3d 330,720 20.8% 20,670
Ct-scan Kepala Kontras 3d 476,320 20.8% 29,770
Ct-scan Kepala Kontras Tanpa Polos 3d 326,560 20.8% 20,410
Ct-scan Kontras Tanpa Polos 3d 326,560 20.8% 20,410
Ct-scan Thorax Polos 3d 372,320 20.8% 23,270
Ct-scan Thorax Kontras 3d 582,400 20.8% 36,400
Ct-scan Abdomen Bawah 3d 364,000 20.8% 22,750
Ct-scan Abdomen Atas 3d 364,000 20.8% 22,750
Ct-scan Abdomen Atas Dan Bawah 3d 509,600 20.8% 31,850
Ct-scan Abdomen Atas Kontras 3d 642,720 20.8% 40,170
Ct-scan Abdomen Bawah Kontras 3d 642,720 20.8% 40,170
Ct-scan Nasofaring Polos 3d 372,320 20.8% 23,270
Ct-scan Nasofaring Kontras 3d 582,400 20.8% 36,400
Ct-scan Orbita Polos 3d 364,000 20.8% 22,750
Ct-scan Orbita Kontras 3d 582,400 20.8% 36,400
Ct-scan Sinus 3d 364,000 20.8% 22,750
Ct-scan Thoracol 3d 486,720 20.8% 30,420
Ct-scan Lumbal 3d 486,720 20.8% 30,420
Ct-scan Lumbalsacral 3d 486,720 20.8% 30,420
Ct-scan Thoracal Lumbal 3d 517,920 20.8% 32,370
Ct-scan Pelvis 3d 372,320 20.8% 23,270
Ct-scan Mandibula 3d 372,320 20.8% 23,270
Ct-scan Mandibula Kontras 3d 582,400 20.8% 36,400
Ct-scan Mastoid 3d 372,320 20.8% 23,270
Ct-scan Mastoid Kontras 3d 582,400 20.8% 36,400
Ct-scan Cervical 3d 372,320 20.8% 23,270
Ct-scan Cervical Kontras 3d 582,400 20.8% 36,400
Ct-scan Laring 3d 372,320 20.8% 23,270
Ct-scan Laring Kontras 3d 582,400 20.8% 36,400
Patologi Anatomi Besar 19,600 3.5% 7,280
Ct-scan Abdomen Kontras Atas & Bawah 3d 794,560 20.8% 49,660
Ct-scan Sinus Kontras 3d 582,400 20.8% 36,400
Ct-scan Ekstremitas Atas 3d 403,520 20.8% 25,220
Ct-scan Ekstremitas Bawah 280,800 20.8% 17,550
Ct-scan Ekstremitas Bawah 3d 403,520 20.8% 25,220
D-dimer 131,040 20.8% 8,190
Vit D-oh3 72,800 20.8% 4,550
Anti Leptospira 22,464 20.8% 1,404
Apo A1 62,400 20.8% 3,900
Apo B 41,600 20.8% 2,600
CK 38,480 20.8% 2,405
Coomb Test 99,840 20.8% 6,240
Urethrocystogram Biopolar 240,240 20.8% 15,015
Oesofagografi 240,240 20.8% 15,015
Transferin 71,760 20.8% 4,485
Igra 166,400 20.8% 10,400
Igg Helicobacter Pylori 139,360 20.8% 8,710
Procalcitonin 189,072 20.8% 11,817
Anca 62,400 20.8% 3,900
Posfor 23,504 20.8% 1,469
% REMON % JASA SARANA % PPH 23 %
1.3% 2,500 2.9% 13,224 15.2% 174 0.2%
1.3% 2,500 2.9% 13,224 15.2% 174 0.2%
1.3% 2,500 0.3% 136,800 15.2% 1,800 0.2%
1.3% 2,500 2.1% 18,360 15.3% 240 0.2%
1.3% 2,500 5.6% 6,885 15.3% 90 0.2%
1.3% 2,500 6.6% 5,814 15.3% 76 0.2%
1.3% 2,500 6.4% 6,201 15.9% 78 0.2%
1.3% 2,500 6.9% 4,392 12.2% 72 0.2%
1.3% 2,500 6.3% 4,880 12.2% 80 0.2%
1.3% 2,500 4.1% 7,442 12.2% 122 0.2%
1.3% 2,500 2.9% 10,370 12.2% 170 0.2%
1.3% 2,500 2.3% 13,054 12.2% 214 0.2%
1.3% 2,500 1.0% 31,354 12.2% 514 0.2%
1.3% 2,500 1.5% - 340 0.2%
1.3% 2,500 2.2% - 230 0.2%
1.3% 2,500 1.9% - 270 0.2%
1.3% 2,500 6.4% 4,758 12.2% 78 0.2%
1.3% 2,500 1.6% 18,910 12.2% 310 0.2%
1.3% 2,500 11.9% 3,192 15.2% 42 0.2%
1.3% 2,500 15.6% 2,432 15.2% 32 0.2%
1.3% 2,500 11.4% 3,344 15.2% 44 0.2%
1.3% 2,500 11.4% 3,344 15.2% 44 0.2%
1.3% 2,500 15.6% 2,432 15.2% 32 0.2%
1.3% 2,500 15.6% 2,432 15.2% 32 0.2%
1.3% 2,500 8.3% 4,560 15.2% 60 0.2%
1.3% 2,500 10.4% 3,648 15.2% 48 0.2%
1.3% 2,500 10.4% 3,648 15.2% 48 0.2%
1.3% 2,500 10.4% 3,648 15.2% 48 0.2%
1.3% 2,500 4.9% 6,222 12.2% 102 0.2%
1.3% 2,500 4.9% 6,222 12.2% 102 0.2%
1.3% 2,500 9.6% 3,172 12.2% 52 0.2%
1.3% 2,500 9.6% 3,172 12.2% 52 0.2%
1.3% 2,500 0.9% 35,380 12.2% 580 0.2%
1.3% 2,500 1.4% 21,350 12.2% 350 0.2%
1.3% 2,500 4.5% 6,710 12.2% 110 0.2%
1.3% 2,500 1.1% - 470 0.2%
1.3% 2,500 1.6% - 310 0.2%
1.3% 2,500 1.7% - 300 0.2%
1.3% 2,500 2.3% 13,298 12.2% 218 0.2%
1.3% 2,500 2.8% 10,980 12.2% 180 0.2%
1.3% 2,500 2.8% 10,980 12.2% 180 0.2%
1.3% 2,500 0.5% - 1,050 0.2%
1.3% 2,500 0.5% - 1,010 0.2%
1.3% 2,500 0.2% - 2,166 0.2%
1.3% 2,500 15.6% 1,952 12.2% 32 0.2%
1.3% 2,500 10.4% 2,928 12.2% 48 0.2%
1.3% 2,500 0.8% - 594 0.2%
1.3% 2,500 0.8% - 594 0.2%
1.3% 2,500 2.2% 13,664 12.2% 224 0.2%
1.3% 2,500 7.8% 3,904 12.2% 64 0.2%
1.3% 2,500 2.4% 16,112 15.2% 212 0.2%
1.3% 2,500 11.4% 3,366 15.3% 44 0.2%
1.3% 2,500 11.4% 3,366 15.3% 44 0.2%
1.3% 2,500 11.4% 3,366 15.3% 44 0.2%
1.3% 2,500 1.4% - 370 0.2%
1.3% 2,500 1.3% - 390 0.2%
1.3% 2,500 0.3% - 1,800 0.2%
1.3% 2,500 1.3% 29,835 15.3% 390 0.2%
1.3% 2,500 3.7% 10,336 15.2% 136 0.2%
1.3% 2,500 6.4% 5,967 15.3% 78 0.2%
1.3% 2,500 2.0% - 250 0.2%
1.3% 2,500 6.4% 5,967 15.3% 78 0.2%
1.3% 2,500 2.0% - 250 0.2%
1.3% 2,500 6.4% 5,967 15.3% 78 0.2%
1.3% 2,500 5.6% 6,885 15.3% 90 0.2%
1.3% 2,500 1.6% 24,480 15.3% 320 0.2%
1.3% 2,500 #DIV/0! - - 0.0%
1.3% 2,500 6.6% 5,814 15.3% 76 0.2%
1.3% 2,500 0.7% - 724 0.2%
1.3% 2,500 0.4% 100,215 15.3% 1,310 0.2%
1.3% 2,500 2.0% - 244 0.2%
1.3% 2,500 0.9% - 580 0.2%
1.3% 2,500 1.0% 39,015 15.3% 510 0.2%
1.3% 2,500 0.6% - 820 0.2%
1.3% 2,500 6.0% 6,426 15.3% 84 0.2%
1.3% 2,500 6.0% 6,426 15.3% 84 0.2%
1.3% 2,500 0.7% - 760 0.2%
1.3% 2,500 5.0% 7,650 15.3% 100 0.2%
1.3% 2,500 0.4% 92,565 15.3% 1,210 0.2%
1.3% 2,500 0.5% 81,400 14.8% 1,100 0.2%
1.3% 2,500 0.4% 103,600 14.8% 1,400 0.2%
1.3% 2,500 0.3% 130,240 14.8% 1,760 0.2%
1.3% 2,500 2.6% 14,535 15.3% 190 0.2%
1.3% 2,500 2.6% 14,535 15.3% 190 0.2%
1.3% 2,500 #DIV/0! - 15.3% - 0.2%
1.3% 2,500 0.6% - 770 0.2%
1.3% 2,500 2.6% 14,688 15.3% 192 0.2%
1.3% 2,500 2.6% 14,688 15.3% 192 0.2%
1.3% 2,500 #DIV/0! - -
1.3% 2,500 6.0% 6,426 15.3% 84 0.2%
1.3% 2,500 6.0% 6,426 15.3% 84 0.2%
1.3% 2,500 4.2% 9,180 15.3% 120 0.2%
1.3% 2,500 4.2% 9,180 15.3% 120 0.2%
1.3% 2,500 0.8% - 660 0.2%
1.3% 2,500 1.6% - 310 0.2%
1.3% 2,500 0.5% - 980 0.2%
1.3% 2,500 0.5% - 980 0.2%
1.3% 2,500 0.5% - 980 0.2%
1.3% 2,500 #DIV/0! - -
1.3% 2,500 1.0% - 510 0.2%
1.3% 2,500 0.7% - 740 0.2%
1.3% 2,500 #DIV/0! - -
1.3% 2,500 0.4% - 1,130 0.2%
1.3% 2,500 1.2% 31,570 15.4% 410 0.2%
1.3% 2,500 0.9% 42,350 15.4% 550 0.2%
1.3% 2,500 0.6% - 870 0.2%
1.3% 2,500 0.4% - 1,130 0.2%
1.3% 2,500 0.7% - 670 0.2%
1.3% 2,500 0.5% - 1,050 0.2%
1.3% 2,500 0.5% 72,842 15.4% 946 0.2%
1.3% 2,500 0.7% 54,670 15.4% 710 0.2%
1.3% 2,500 0.7% 56,210 15.4% 730 0.2%
1.3% 2,500 0.3% - 1,910 0.2%
1.3% 2,500 0.4% - 1,260 0.2%
1.3% 2,500 0.2% - 2,712 0.2%
1.3% 2,500 0.9% 43,890 15.4% 570 0.2%
1.3% 2,500 1.0% 39,116 15.4% 508 0.2%
1.3% 2,500 #DIV/0! - -
1.3% 2,500 1.0% 39,116 15.4% 508 0.2%
1.3% 2,500 0.6% 60,060 15.4% 780 0.2%
1.3% 2,500 0.9% 40,656 15.4% 528 0.2%
1.3% 2,500 0.5% - 1,000 0.2%
1.3% 2,500 0.4% - 1,210 0.2%
1.3% 2,500 0.4% - 1,230 0.2%
1.3% 2,500 0.4% - 1,200 0.2%
1.3% 2,500 0.3% - 1,640 0.2%
1.3% 2,500 0.3% - 1,530 0.2%
1.3% 2,500 0.8% 40,260 12.2% 660 0.2%
1.3% 2,500 0.8% 49,280 15.4% 640 0.2%
1.3% 2,500 0.6% - 790 0.2%
1.3% 2,500 1.4% 21,106 12.2% 346 0.2%
1.3% 2,500 1.4% 21,106 12.2% 346 0.2%
1.3% 2,500 0.7% 42,212 12.2% 692 0.2%
1.3% 2,500 0.7% 42,212 12.2% 692 0.2%
1.3% 2,500 1.1% 27,206 12.2% 446 0.2%
1.3% 2,500 0.8% 37,820 12.2% 620 0.2%
1.3% 2,500 2.3% 13,298 12.2% 218 0.2%
1.3% 2,500 0.5% - 1,018 0.2%
1.3% 2,500 0.4% - 1,136 0.2%
1.3% 2,500 0.6% - 780 0.2%
1.3% 2,500 3.3% 11,475 15.3% 150 0.2%
1.3% 2,500 3.0% 12,852 15.3% 168 0.2%
1.3% 2,500 0.6% 59,747 15.3% 781 0.2%
1.3% 2,500 3.0% 12,852 15.3% 168 0.2%
1.3% 2,500 3.0% 12,852 15.3% 168 0.2%
1.3% 2,500 2.3% 16,524 15.3% 216 0.2%
1.3% 2,500 1.0% - 510 0.2%
1.3% 2,500 2.5% - 200 0.2%
1.3% 2,500 2.5% - 200 0.2%
1.3% 2,500 2.5% - 200 0.2%
1.3% 2,500 3.0% 10,248 12.2% 168 0.2%
1.3% 2,500 2.8% 10,980 12.2% 180 0.2%
1.3% 2,500 2.8% 10,980 12.2% 180 0.2%
1.3% 2,500 2.8% 10,980 12.2% 180 0.2%
1.3% 2,500 2.3% - 220 0.2%
1.3% 2,500 0.4% - 1,220 0.2%
1.3% 2,500 2.8% 10,980 12.2% 180 0.2%
1.3% 2,500 0.7% - 760 0.2%
1.3% 2,500 1.0% - 516 0.2%
1.3% 2,500 1.4% - 370 0.2%
1.3% 2,500 0.5% - 910 0.2%
1.3% 2,500 0.5% - 910 0.2%
1.3% 2,500 1.4% - 354 0.2%
1.3% 2,500 0.9% 40,810 15.4% 530 0.2%
1.3% 2,500 0.9% - 550 0.2%
1.3% 2,500 0.9% - 560 0.2%
1.3% 2,500 0.8% - 640 0.2%
1.3% 2,500 0.6% - 770 0.2%
1.3% 2,500 0.8% - 590 0.2%
1.3% 2,500 0.8% - 610 0.2%
1.3% 2,500 0.8% - 650 0.2%
1.3% 2,500 0.8% - 650 0.2%
1.3% 2,500 1.9% - 270 0.2%
1.3% 2,500 0.7% - 740 0.2%
1.3% 2,500 0.8% - 650 0.2%
1.3% 2,500 0.6% - 800 0.2%
1.3% 2,500 0.8% - 650 0.2%
1.3% 2,500 0.4% - 1,250 0.2%
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 1.3% 30,600 15.3% 400 0.2%
1.3% 2,500 0.9% - 585 0.2%
1.3% 2,500 0.9% 40,545 15.3% 530 0.2%
1.3% 2,500 1.1% - 440 0.2%
1.3% 2,500 1.1% - 440 0.2%
1.3% 2,500 0.7% - 712 0.2%
1.3% 2,500 2.5% - 200 0.2%
1.3% 2,500 10.4% 3,648 15.2% 48 0.2%
1.3% 2,500 1.6% 19,520 12.2% 320 0.2%
1.3% 2,500 3.1% - 0.0% -
1.3% 2,500 0.8% - 620 0.2%
1.3% 2,500 #DIV/0! - -
1.3% 2,500 1.1% - 440 0.2%
1.3% 2,500 2.5% 13,500 13.5% 200 0.2%
1.3% 2,500 2.5% 13,500 13.5% 200 0.2%
1.3% 2,500 2.5% 13,500 13.5% 200 0.2%
1.3% 2,500 2.5% 13,500 13.5% 200 0.2%
1.3% 2,500 2.5% 13,500 13.5% 200 0.2%
1.3% 2,500 2.5% 13,500 13.5% 200 0.2%
1.3% 2,500 1.1% 29,700 13.5% 440 0.2%
1.3% 2,500 2.5% 13,500 13.5% 200 0.2%
1.3% 2,500 2.5% 13,500 13.5% 200 0.2%
1.3% 2,500 1.1% 31,725 13.5% 470 0.2%
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 #DIV/0! - -
1.3% 2,500 2.3% 14,445 13.5% 214 0.2%
1.3% 2,500 1.4% 25,920 14.4% 360 0.2%
1.3% 2,500 1.4% 24,300 13.5% 360 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.4% 23,625 13.5% 350 0.2%
1.3% 2,500 2.3% 14,850 13.5% 220 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.5% 23,760 14.4% 330 0.2%
1.3% 2,500 0.8% 42,525 13.5% 630 0.2%
1.3% 2,500 0.6% 57,312 14.4% 796 0.2%
1.3% 2,500 1.9% 17,550 13.5% 260 0.2%
1.3% 2,500 1.1% 33,120 14.4% 460 0.2%
1.3% 2,500 1.4% 24,570 13.5% 364 0.2%
1.3% 2,500 0.7% 54,720 14.4% 760 0.2%
1.3% 2,500 0.9% 37,395 13.5% 554 0.2%
1.3% 2,500 0.6% 63,360 14.4% 880 0.2%
1.3% 2,500 1.8% 18,900 13.5% 280 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 2.3% 14,850 13.5% 220 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 2.3% 14,850 13.5% 220 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.9% 17,550 13.5% 260 0.2%
1.3% 2,500 1.9% 17,550 13.5% 260 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.9% 17,820 13.5% 264 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.9% 17,550 13.5% 260 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.9% 17,550 13.5% 260 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.6% 21,600 13.5% 320 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.9% 17,550 13.5% 260 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.8% 18,900 13.5% 280 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 0.2% 143,220 12.4% 2,310 0.2%
1.3% 2,500 1.9% 17,550 13.5% 260 0.2%
1.3% 2,500 1.9% 17,550 13.5% 260 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.9% 17,550 13.5% 260 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.9% 17,550 13.5% 260 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.9% 17,820 13.5% 264 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.5% 22,275 13.5% 330 0.2%
1.3% 2,500 1.8% 18,900 13.5% 280 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.9% 17,550 13.5% 260 0.2%
1.3% 2,500 1.5% 22,275 13.5% 330 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.9% 17,550 13.5% 260 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.5% 22,275 13.5% 330 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 0.8% 43,200 14.4% 600 0.2%
1.3% 2,500 1.8% 18,900 13.5% 280 0.2%
1.3% 2,500 2.3% 14,850 13.5% 220 0.2%
1.3% 2,500 1.5% 23,760 14.4% 330 0.2%
1.3% 2,500 1.8% 18,900 13.5% 280 0.2%
1.3% 2,500 2.3% 14,850 13.5% 220 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.5% 23,760 14.4% 330 0.2%
1.3% 2,500 1.8% 18,900 13.5% 280 0.2%
1.3% 2,500 2.3% 14,850 13.5% 220 0.2%
1.3% 2,500 1.4% 25,920 14.4% 360 0.2%
1.3% 2,500 1.4% 25,920 14.4% 360 0.2%
1.3% 2,500 1.8% 18,900 13.5% 280 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.6% 21,600 13.5% 320 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.6% 21,600 13.5% 320 0.2%
1.3% 2,500 0.7% 54,720 14.4% 760 0.2%
1.3% 2,500 1.6% 21,600 13.5% 320 0.2%
1.3% 2,500 0.7% 54,720 14.4% 760 0.2%
1.3% 2,500 0.6% 63,360 14.4% 880 0.2%
1.3% 2,500 0.8% 42,525 13.5% 630 0.2%
1.3% 2,500 0.7% 54,720 14.4% 760 0.2%
1.3% 2,500 1.6% 21,600 13.5% 320 0.2%
1.3% 2,500 1.5% 23,760 14.4% 330 0.2%
1.3% 2,500 1.6% 21,600 13.5% 320 0.2%
1.3% 2,500 0.7% 54,720 14.4% 760 0.2%
1.3% 2,500 0.8% 42,525 13.5% 630 0.2%
1.3% 2,500 0.6% 63,360 14.4% 880 0.2%
1.3% 2,500 1.8% 18,900 13.5% 280 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 1.0% 34,425 13.5% 510 0.2%
1.3% 2,500 0.7% 54,720 14.4% 760 0.2%
1.3% 2,500 1.8% 18,900 13.5% 280 0.2%
1.3% 2,500 1.0% 34,560 14.4% 480 0.2%
1.3% 2,500 3.1% 10,800 13.5% 160 0.2%
1.3% 2,500 0.2% 143,220 12.4% 2,310 0.2%
1.3% 2,500 0.2% 143,220 12.4% 2,310 0.2%
1.3% 2,500 0.2% 143,220 12.4% 2,310 0.2%
1.3% 2,500 0.2% 143,220 12.4% 2,310 0.2%
1.3% 2,500 0.2% 143,220 12.4% 2,310 0.2%
1.3% 2,500 0.3% 118,420 12.4% 1,910 0.2%
1.3% 2,500 0.3% 93,620 12.4% 1,510 0.2%
1.3% 2,500 0.2% 143,220 12.4% 2,310 0.2%
1.3% 2,500 0.3% 141,550 14.9% 1,900 0.2%
1.3% 2,500 0.3% 141,550 14.9% 1,900 0.2%
1.3% 2,500 0.3% 149,000 14.9% 2,000 0.2%
1.3% 2,500 0.1% 253,300 14.9% 3,400 0.2%
1.3% 2,500 0.3% 146,020 14.9% 1,960 0.2%
1.3% 2,500 0.3% 146,020 14.9% 1,960 0.2%
1.3% 2,500 0.2% 178,800 14.9% 2,400 0.2%
1.3% 2,500 0.1% 329,290 14.9% 4,420 0.2%
1.3% 2,500 0.2% 172,840 14.9% 2,320 0.2%
1.3% 2,500 0.2% 172,840 14.9% 2,320 0.2%
1.3% 2,500 0.1% 277,140 14.9% 3,720 0.2%
1.3% 2,500 0.1% 372,500 14.9% 5,000 0.2%
1.3% 2,500 0.1% 372,500 14.9% 5,000 0.2%
1.3% 2,500 0.1% 481,270 14.9% 6,460 0.2%
1.3% 2,500 0.2% 178,800 14.9% 2,400 0.2%
1.3% 2,500 0.1% 329,290 14.9% 4,420 0.2%
1.3% 2,500 0.2% 172,840 14.9% 2,320 0.2%
1.3% 2,500 0.1% 329,290 14.9% 4,420 0.2%
1.3% 2,500 0.2% 172,840 14.9% 2,320 0.2%
1.3% 2,500 0.1% 329,290 14.9% 4,420 0.2%
1.3% 2,500 0.1% 260,750 14.9% 3,500 0.2%
1.3% 2,500 0.1% 260,750 14.9% 3,500 0.2%
1.3% 2,500 0.1% 260,750 14.9% 3,500 0.2%
1.3% 2,500 0.1% 283,100 14.9% 3,800 0.2%
1.3% 2,500 0.2% 178,800 14.9% 2,400 0.2%
1.3% 2,500 0.2% 178,800 14.9% 2,400 0.2%
1.3% 2,500 0.1% 329,290 14.9% 4,420 0.2%
1.3% 2,500 0.2% 178,800 14.9% 2,400 0.2%
1.3% 2,500 0.1% 329,290 14.9% 4,420 0.2%
1.3% 2,500 0.2% 178,800 14.9% 2,400 0.2%
1.3% 2,500 0.1% 329,290 14.9% 4,420 0.2%
1.3% 2,500 0.2% 201,150 14.9% 2,700 0.2%
1.3% 2,500 4.2% - -
1.3% 2,500 0.8% 43,200 14.4% 600 0.2%
1.3% 2,500 0.6% 63,360 14.4% 880 0.2%
1.3% 2,500 0.8% 43,200 14.4% 600 0.2%
1.3% 2,500 0.8% 43,200 14.4% 600 0.2%
1.3% 2,500 0.8% 43,200 14.4% 600 0.2%
1.3% 2,500 0.8% 43,200 14.4% 600 0.2%
1.3% 2,500 0.8% 43,200 14.4% 600 0.2%
1.3% 2,500 0.8% 43,200 14.4% 600 0.2%
1.3% 2,500 0.7% 48,960 14.4% 680 0.2%
1.3% 2,500 0.8% 43,200 14.4% 600 0.2%
1.3% 2,500 0.7% 48,960 14.4% 680 0.2%
1.3% 2,500 0.7% 48,960 14.4% 680 0.2%
1.3% 2,500 0.6% 64,800 14.4% 900 0.2%
1.3% 2,500 0.4% 86,400 14.4% 1,200 0.2%
1.3% 2,500 0.9% 28,130 9.7% 580 0.2%
1.3% 2,500 0.8% 29,100 9.7% 600 0.2%
1.3% 2,500 6.4% 4,836 12.4% 78 0.2%
1.3% 2,500 6.4% 4,836 12.4% 78 0.2%
1.3% 2,500 6.4% 4,836 12.4% 78 0.2%
1.3% 2,500 6.4% 4,836 12.4% 78 0.2%
1.3% 2,500 6.4% 4,836 12.4% 78 0.2%
1.3% 2,500 6.4% 4,836 12.4% 78 0.2%
1.3% 2,500 #DIV/0! - 15.3% - 0.2%
1.3% 2,500 #DIV/0! - 15.3% - 0.2%
1.3% 2,500 1.6% 21,600 13.5% 320 0.2%
1.3% 2,500 1.0% 36,720 14.4% 510 0.2%
1.3% 2,500 1.6% 21,600 13.5% 320 0.2%
1.3% 2,500 1.0% 36,720 14.4% 510 0.2%
1.3% 2,500 1.6% 21,600 13.5% 320 0.2%
1.3% 2,500 1.0% 36,720 14.4% 510 0.2%
1.3% 2,500 1.6% 21,600 13.5% 320 0.2%
1.3% 2,500 1.0% 36,720 14.4% 510 0.2%
1.3% 2,500 1.6% 21,600 13.5% 320 0.2%
1.3% 2,500 1.0% 36,720 14.4% 510 0.2%
1.3% 2,500 1.6% 21,600 13.5% 320 0.2%
1.3% 2,500 1.0% 36,720 14.4% 510 0.2%
1.3% 2,500 1.6% 21,600 13.5% 320 0.2%
1.3% 2,500 1.0% 36,720 14.4% 510 0.2%
1.3% 2,500 1.4% 24,588 13.5% 364 0.2%
1.3% 2,500 1.0% 36,720 14.4% 510 0.2%
1.3% 2,500 0.2% 172,800 14.4% 2,400 0.2%
1.3% 2,500 0.1% 318,240 14.4% 4,420 0.2%
1.3% 2,500 1.6% 21,600 13.5% 320 0.2%
1.3% 2,500 1.0% 36,720 14.4% 510 0.2%
1.3% 2,500 1.0% 37,026 15.3% -
1.3% 2,500 2.9% -
1.3% 2,500 0.7%
1.3% 2,500 2.8%
1.3% 2,500 0.8%
1.3% 2,500 2.8%
1.3% 2,500 0.7%
1.3% 2,500 2.1%
1.3% 2,500 0.9%
1.3% 2,500 1.4%
1.3% 2,500 2.1%
1.3% 2,500 1.3%
1.3% 2,500 0.8%
1.3% 2,500 4.2%
1.3% 2,500 0.1%
1.3% 2,500 0.5%
1.3% 2,500 1.4%
1.3% 2,500 1.1%
1.3% 2,500 1.3%
1.3% 2,500 6.3%
1.3% 2,500 0.2% 229,460 14.9% 3,080 0.2%
1.3% 2,500 0.2% 236,910 14.9% 3,180 0.2%
1.3% 2,500 0.1% 341,210 14.9% 4,580 0.2%
1.3% 2,500 0.2% 233,930 14.9% 3,140 0.2%
1.3% 2,500 0.2% 233,930 14.9% 3,140 0.2%
1.3% 2,500 0.1% 266,710 14.9% 3,580 0.2%
1.3% 2,500 0.1% 417,200 14.9% 5,600 0.2%
1.3% 2,500 0.1% 260,750 14.9% 3,500 0.2%
1.3% 2,500 0.1% 260,750 14.9% 3,500 0.2%
1.3% 2,500 0.1% 365,050 14.9% 4,900 0.2%
1.3% 2,500 0.1% 460,410 14.9% 6,180 0.2%
1.3% 2,500 0.1% 460,410 14.9% 6,180 0.2%
1.3% 2,500 0.1% 266,710 14.9% 3,580 0.2%
1.3% 2,500 0.1% 417,200 14.9% 5,600 0.2%
1.3% 2,500 0.1% 260,750 14.9% 3,500 0.2%
1.3% 2,500 0.1% 417,200 14.9% 5,600 0.2%
1.3% 2,500 0.1% 260,750 14.9% 3,500 0.2%
1.3% 2,500 0.1% 348,660 14.9% 4,680 0.2%
1.3% 2,500 0.1% 348,660 14.9% 4,680 0.2%
1.3% 2,500 0.1% 348,660 14.9% 4,680 0.2%
1.3% 2,500 0.1% 371,010 14.9% 4,980 0.2%
1.3% 2,500 0.1% 266,710 14.9% 3,580 0.2%
1.3% 2,500 0.1% 266,710 14.9% 3,580 0.2%
1.3% 2,500 0.1% 417,200 14.9% 5,600 0.2%
1.3% 2,500 0.1% 266,710 14.9% 3,580 0.2%
1.3% 2,500 0.1% 417,200 14.9% 5,600 0.2%
1.3% 2,500 0.1% 266,710 14.9% 3,580 0.2%
1.3% 2,500 0.1% 417,200 14.9% 5,600 0.2%
1.3% 2,500 0.1% 266,710 14.9% 3,580 0.2%
1.3% 2,500 0.1% 417,200 14.9% 5,600 0.2%
1.3% 2,500 0.4% 54,320 9.7% 1,120 0.2%
1.3% 2,500 0.1% 569,180 14.9% 7,640 0.2%
1.3% 2,500 0.1% 417,200 14.9% 5,600 0.2%
1.3% 2,500 0.1% 289,060 14.9% 3,880 0.2%
1.3% 2,500 0.2% 201,150 14.9% 2,700 0.2%
1.3% 2,500 0.1% 289,060 14.9% 3,880 0.2%
1.3% 2,500 0.4% 93,870 14.9% 1,260 0.2%
1.3% 2,500 0.7% 52,150 14.9% 700 0.2%
1.3% 2,500 2.3% 16,092 14.9% 216 0.2%
1.3% 2,500 0.8% 44,700 14.9% 600 0.2%
1.3% 2,500 1.3% 29,800 14.9% 400 0.2%
1.3% 2,500 1.4% 27,565 14.9% 370 0.2%
1.3% 2,500 0.5% 71,520 14.9% 960 0.2%
1.3% 2,500 0.2% 172,095 14.9% 2,310 0.2%
1.3% 2,500 0.2% 172,095 14.9% 2,310 0.2%
1.3% 2,500 0.7% 51,405 14.9% 690 0.2%
1.3% 2,500 0.3% 119,200 14.9% 1,600 0.2%
1.3% 2,500 0.4% 99,830 14.9% 1,340 0.2%
1.3% 2,500 0.3% 135,441 14.9% 1,818 0.2%
1.3% 2,500 0.8% 44,700 14.9% 600 0.2%
1.3% 2,500 2.2% 16,837 14.9% 226 0.2%
JASA PERUJUK % JASA MEDIS % JASA PARAMEDIS
8,526 9.8% 1,305 1.5% -
8,526 9.8% 1,305 1.5% -
88,200 9.8% 13,500 1.5% -
11,760 9.8% - -
4,410 9.8% 675 1.5% -
3,724 9.8% 570 1.5% -
3,822 9.8% 585 1.5% -
3,528 9.8% 540 1.5% -
3,920 9.8% 600 1.5% -
5,978 9.8% 915 1.5% -
8,330 9.8% 1,275 1.5% -
10,486 9.8% 1,605 1.5% -
25,186 9.8% 3,855 1.5% -
16,660 9.8% - -
11,270 9.8% - -
13,230 9.8% - -
3,822 9.8% 585 1.5% -
15,190 9.8% 2,325 1.5% -
2,058 9.8% 315 1.5% -
1,568 9.8% 240 1.5% -
2,156 9.8% 330 1.5% -
2,156 9.8% 330 1.5% -
1,568 9.8% 240 1.5% -
1,568 9.8% 240 1.5% -
2,940 9.8% 450 1.5% -
2,352 9.8% 360 1.5% -
2,352 9.8% 360 1.5% -
2,352 9.8% 360 1.5% -
4,998 9.8% 765 1.5% -
4,998 9.8% 765 1.5% -
2,548 9.8% 390 1.5% -
2,548 9.8% 390 1.5% -
28,420 9.8% 4,350 1.5% -
17,150 9.8% 2,625 1.5% -
5,390 9.8% 825 1.5% -
23,030 9.8% - -
15,190 9.8% - -
14,700 9.8% - -
10,682 9.8% 30,000 27.5% -
8,820 9.8% 1,350 1.5% -
8,820 9.8% 1,350 1.5% -
51,450 9.8% - -
49,490 9.8% - -
106,134 9.8% - -
1,568 9.8% 240 1.5% -
2,352 9.8% 360 1.5% -
29,106 9.8% - -
29,106 9.8% - -
10,976 9.8% 1,680 1.5% -
3,136 9.8% 480 1.5% -
10,388 9.8% 1,590 1.5% -
2,156 9.8% 330 1.5% -
2,156 9.8% 330 1.5% -
2,156 9.8% 330 1.5% -
18,130 9.8% - -
19,110 9.8% - -
88,200 9.8% - -
19,110 9.8% 2,925 1.5% -
6,664 9.8% 1,020 1.5% -
3,822 9.8% 585 1.5% -
12,250 9.8% - -
3,822 9.8% 585 1.5% -
12,250 9.8% - -
3,822 9.8% 585 1.5% -
4,410 9.8% 675 1.5% -
15,680 9.8% 2,400 1.5% -
- - 1.5% -
3,724 9.8% 570 1.5% -
35,476 9.8% - -
64,190 9.8% 9,825 1.5% -
11,956 9.8% - -
28,420 9.8% - -
24,990 9.8% 3,825 1.5% -
40,180 9.8% - -
4,116 9.8% 630 1.5% -
4,116 9.8% 630 1.5% -
37,240 9.8% - -
4,900 9.8% 10,000 20.0% -
59,290 9.8% 110,000 18.2% 25,000
53,900 9.8% 100,000 18.2% 30,000
68,600 9.8% 150,000 21.4% 30,000
86,240 9.8% 200,000 22.7% 30,000
9,310 9.8% 1,425 1.5% -
9,310 9.8% 1,425 1.5% -
- - -
37,730 9.8% - -
9,408 9.8% 1,440 1.5% -
9,408 9.8% 1,440 1.5% -
- - -
4,116 9.8% 630 1.5% -
4,116 9.8% 630 1.5% -
5,880 9.8% 900 1.5% -
5,880 9.8% 900 1.5% -
32,340 9.8% - -
15,190 9.8% - -
48,020 9.8% - -
48,020 9.8% - -
48,020 9.8% - -
- - -
24,990 9.8% - -
36,260 9.8% - -
- - -
55,370 9.8% - -
20,090 9.8% 3,075 1.5% -
26,950 9.8% 4,125 1.5% -
42,630 9.8% - -
55,370 9.8% - -
32,830 9.8% - -
51,450 9.8% - -
46,354 9.8% 7,095 1.5% -
34,790 9.8% 5,325 1.5% -
35,770 9.8% 5,475 1.5% -
93,590 9.8% - -
61,740 9.8% - -
132,888 9.8% - -
27,930 9.8% 4,275 1.5% -
24,892 9.8% 3,810 1.5% -
- - -
24,892 9.8% 3,810 1.5% -
38,220 9.8% 5,850 1.5% -
25,872 9.8% 3,960 1.5% -
49,000 9.8% - -
59,290 9.8% - -
60,270 9.8% - -
58,800 9.8% - -
80,360 9.8% - -
74,970 9.8% - -
32,340 9.8% 4,950 1.5% -
31,360 9.8% 4,800 1.5% -
38,710 9.8% -
16,954 9.8% 2,595 1.5% -
16,954 9.8% 2,595 1.5% -
33,908 9.8% 5,190 1.5% -
33,908 9.8% 5,190 1.5% -
21,854 9.8% 3,345 1.5% -
30,380 9.8% 4,650 1.5% -
10,682 9.8% 1,635 1.5% -
49,882 9.8% -
55,664 9.8% -
38,220 9.8% -
7,350 9.8% 1,125 1.5% -
8,232 9.8% 1,260 1.5% -
38,269 9.8% 5,858 1.5% -
8,232 9.8% 1,260 1.5% -
8,232 9.8% 1,260 1.5% -
10,584 9.8% - -
24,990 9.8% - -
9,800 9.8% - -
9,800 9.8% - -
9,800 9.8% - -
8,232 9.8% 1,260 1.5% -
8,820 9.8% 1,350 1.5% -
8,820 9.8% 1,350 1.5% -
8,820 9.8% 1,350 1.5% -
10,780 9.8% - -
59,780 9.8% - -
8,820 9.8% 1,350 1.5% -
37,240 9.8% - -
25,284 9.8% - -
18,130 9.8% - -
44,590 9.8% - -
44,590 9.8% - -
17,346 9.8% - -
25,970 9.8% - -
26,950 9.8% - -
27,440 9.8% - -
31,360 9.8% - -
37,730 9.8% - -
28,910 9.8% - -
29,890 9.8% - -
31,850 9.8% - -
31,850 9.8% - -
13,230 9.8% - -
36,260 9.8% - -
31,850 9.8% - -
39,200 9.8% - -
31,850 9.8% - -
61,250 9.8% - -
- - -
- - -
- - -
- - -
- - -
- - -
19,600 9.8% 3,000 1.5% -
28,665 9.8% - -
25,970 9.8% 3,975 1.5% -
21,560 9.8% - -
21,560 9.8% - -
34,888 9.8% - -
9,800 9.8% - -
2,352 9.8% 360 1.5% -
15,680 9.8% 30,000 18.8% 6,000
- 60,000 75.0% -
30,380 9.8% - -
- - -
21,560 9.8% - -
9,800 9.8% 1,500 1.5% -
9,800 9.8% 1,500 1.5% -
9,800 9.8% 1,500 1.5% -
9,800 9.8% 1,500 1.5% -
9,800 9.8% 1,500 1.5% -
9,800 9.8% 1,500 1.5% -
21,560 9.8% 3,300 1.5% -
9,800 9.8% 1,500 1.5% -
9,800 9.8% 1,500 1.5% -
23,030 9.8% 3,525 1.5% -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
10,486 9.8% 26,750 25.0% -
17,640 9.8% 45,000 25.0% -
17,640 9.8% 45,000 25.0% -
23,520 9.8% 60,000 25.0% -
17,150 9.8% 43,750 25.0% -
10,780 9.8% 27,500 25.0% -
23,520 9.8% 60,000 25.0% -
16,170 9.8% 41,250 25.0% -
30,870 9.8% 78,750 25.0% -
39,004 9.8% 99,500 25.0% -
12,740 9.8% 32,500 25.0% -
22,540 9.8% 57,500 25.0% -
17,836 9.8% 45,500 25.0% -
37,240 9.8% 95,000 25.0% -
27,146 9.8% 69,250 25.0% -
43,120 9.8% 110,000 25.0% -
13,720 9.8% 35,000 25.0% -
23,520 9.8% 60,000 25.0% -
10,780 9.8% 27,500 25.0% -
23,520 9.8% 60,000 25.0% -
10,780 9.8% 27,500 25.0% -
23,520 9.8% 60,000 25.0% -
23,520 9.8% 60,000 25.0% -
12,740 9.8% 32,500 25.0% -
12,740 9.8% 32,500 25.0% -
23,520 9.8% 60,000 25.0% -
12,936 9.8% 33,000 25.0% -
23,520 9.8% 60,000 25.0% -
12,740 9.8% 32,500 25.0% -
23,520 9.8% 60,000 25.0% -
12,740 9.8% 32,500 25.0% -
23,520 9.8% 60,000 25.0% -
15,680 9.8% 40,000 25.0% -
23,520 9.8% 60,000 25.0% -
12,740 9.8% 32,500 25.0% -
23,520 9.8% 60,000 25.0% -
13,720 9.8% 35,000 25.0% -
23,520 9.8% 60,000 25.0% -
26,565 2.3% 450,000 39.0% 50,000
12,740 9.8% 32,500 25.0% -
12,740 9.8% 32,500 25.0% -
23,520 9.8% 60,000 25.0% -
23,520 9.8% 60,000 25.0% -
12,740 9.8% 32,500 25.0% -
23,520 9.8% 60,000 25.0% -
12,740 9.8% 32,500 25.0% -
23,520 9.8% 60,000 25.0% -
12,936 9.8% 33,000 25.0% -
23,520 9.8% 60,000 25.0% -
16,170 9.8% 41,250 25.0% -
13,720 9.8% 35,000 25.0% -
23,520 9.8% 60,000 25.0% -
23,520 9.8% 60,000 25.0% -
12,740 9.8% 32,500 25.0% -
16,170 9.8% 41,250 25.0% -
23,520 9.8% 60,000 25.0% -
23,520 9.8% 60,000 25.0% -
12,740 9.8% 32,500 25.0% -
23,520 9.8% 60,000 25.0% -
16,170 9.8% 41,250 25.0% -
23,520 9.8% 60,000 25.0% -
29,400 9.8% 75,000 25.0% -
13,720 9.8% 35,000 25.0% -
10,780 9.8% 27,500 25.0% -
16,170 9.8% 41,250 25.0% -
13,720 9.8% 35,000 25.0% -
10,780 9.8% 27,500 25.0% -
23,520 9.8% 60,000 25.0% -
16,170 9.8% 41,250 25.0% -
13,720 9.8% 35,000 25.0% -
10,780 9.8% 27,500 25.0% -
17,640 9.8% 45,000 25.0% -
17,640 9.8% 45,000 25.0% -
13,720 9.8% 35,000 25.0% -
23,520 9.8% 60,000 25.0% -
15,680 9.8% 40,000 25.0% -
23,520 9.8% 60,000 25.0% -
15,680 9.8% 40,000 25.0% -
37,240 9.8% 95,000 25.0% -
15,680 9.8% 40,000 25.0% -
37,240 9.8% 95,000 25.0% -
43,120 9.8% 110,000 25.0% -
30,870 9.8% 78,750 25.0% -
37,240 9.8% 95,000 25.0% -
15,680 9.8% 40,000 25.0% -
16,170 9.8% 41,250 25.0% -
15,680 9.8% 40,000 25.0% -
37,240 9.8% 95,000 25.0% -
30,870 9.8% 78,750 25.0% -
43,120 9.8% 110,000 25.0% -
13,720 9.8% 35,000 25.0% -
23,520 9.8% 60,000 25.0% -
24,990 9.8% 63,750 25.0% -
37,240 9.8% 95,000 25.0% -
13,720 9.8% 35,000 25.0% -
23,520 9.8% 60,000 25.0% -
7,840 9.8% 20,000 25.0% -
26,565 2.3% 450,000 39.0% 50,000
26,565 2.3% 450,000 39.0% 50,000
26,565 2.3% 450,000 39.0% 50,000
26,565 2.3% 450,000 39.0% 50,000
26,565 2.3% 450,000 39.0% 50,000
21,965 2.3% 750,000 78.5% -
17,365 2.3% 550,000 73.3% -
26,565 2.3% 450,000 39.0% 50,000
93,100 9.8% 147,250 15.5% -
93,100 9.8% 147,250 15.5% -
98,000 9.8% 155,000 15.5% -
166,600 9.8% 263,500 15.5% -
96,040 9.8% 151,900 15.5% -
96,040 9.8% 151,900 15.5% -
117,600 9.8% 186,000 15.5% -
216,580 9.8% 342,550 15.5% -
113,680 9.8% 179,800 15.5% -
113,680 9.8% 179,800 15.5% -
182,280 9.8% 288,300 15.5% -
245,000 9.8% 387,500 15.5% -
245,000 9.8% 387,500 15.5% -
316,540 9.8% 500,650 15.5% -
117,600 9.8% 186,000 15.5% -
216,580 9.8% 342,550 15.5% -
113,680 9.8% 179,800 15.5% -
216,580 9.8% 342,550 15.5% -
113,680 9.8% 179,800 15.5% -
216,580 9.8% 342,550 15.5% -
171,500 9.8% 271,250 15.5% -
171,500 9.8% 271,250 15.5% -
171,500 9.8% 271,250 15.5% -
186,200 9.8% 294,500 15.5% -
117,600 9.8% 186,000 15.5% -
117,600 9.8% 186,000 15.5% -
216,580 9.8% 342,550 15.5% -
117,600 9.8% 186,000 15.5% -
216,580 9.8% 342,550 15.5% -
117,600 9.8% 186,000 15.5% -
216,580 9.8% 342,550 15.5% -
132,300 9.8% 209,250 15.5% -
- -
29,400 9.8% 127,500 42.5% 7,500
43,120 9.8% 187,000 42.5% 11,000
29,400 9.8% 127,500 42.5% 7,500
29,400 9.8% 127,500 42.5% 7,500
29,400 9.8% 127,500 42.5% 7,500
29,400 9.8% 127,500 42.5% 7,500
29,400 9.8% 127,500 42.5% 7,500
29,400 9.8% 127,500 42.5% 7,500
33,320 9.8% 144,500 42.5% 8,500
29,400 9.8% 127,500 42.5% 7,500
33,320 9.8% 144,500 42.5% 8,500
33,320 9.8% 144,500 42.5% 8,500
44,100 9.8% 191,250 42.5% 11,250
58,800 9.8% 255,000 42.5% 15,000
6,670 2.3% 200,000 69.0% -
6,900 2.3% 150,000 50.0% 10,000
3,822 9.8% 585 1.5% -
3,822 9.8% 585 1.5% -
3,822 9.8% 585 1.5% -
3,822 9.8% 585 1.5% -
3,822 9.8% 585 1.5% -
3,822 9.8% 585 1.5% -
- 0.0% - 1.5% -
- 0.0% - 1.5% -
15,680 9.8% 40,000 25.0% -
24,990 9.8% 63,750 25.0% -
15,680 9.8% 40,000 25.0% -
24,990 9.8% 63,750 25.0% -
15,680 9.8% 40,000 25.0% -
24,990 9.8% 63,750 25.0% -
15,680 9.8% 40,000 25.0% -
24,990 9.8% 63,750 25.0% -
15,680 9.8% 40,000 25.0% -
24,990 9.8% 63,750 25.0% -
15,680 9.8% 40,000 25.0% -
24,990 9.8% 63,750 25.0% -
15,680 9.8% 40,000 25.0% -
24,990 9.8% 63,750 25.0% -
17,836 9.8% 45,500 25.0% -
24,990 9.8% 63,750 25.0% -
117,600 9.8% 186,000 15.5% -
216,580 9.8% 342,550 15.5% -
15,680 9.8% 40,000 25.0% -
24,990 9.8% 39,525 15.5% -
- 0.0% - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
150,920 9.8% 238,700 15.5% 30,800
155,820 9.8% 246,450 15.5% 31,800
224,420 9.8% 354,950 15.5% 45,800
153,860 9.8% 243,350 15.5% 31,400
153,860 9.8% 243,350 15.5% 31,400
175,420 9.8% 277,450 15.5% 35,800
274,400 9.8% 434,000 15.5% 56,000
171,500 9.8% 271,250 15.5% 35,000
171,500 9.8% 271,250 15.5% 35,000
240,100 9.8% 379,750 15.5% 49,000
302,820 9.8% 478,950 15.5% 61,800
302,820 9.8% 478,950 15.5% 61,800
175,420 9.8% 277,450 15.5% 35,800
274,400 9.8% 434,000 15.5% 56,000
171,500 9.8% 271,250 15.5% 35,000
274,400 9.8% 434,000 15.5% 56,000
171,500 9.8% 271,250 15.5% 35,000
229,320 9.8% 362,700 15.5% 46,800
229,320 9.8% 362,700 15.5% 46,800
229,320 9.8% 362,700 15.5% 46,800
244,020 9.8% 385,950 15.5% 49,800
175,420 9.8% 277,450 15.5% 35,800
175,420 9.8% 277,450 15.5% 35,800
274,400 9.8% 434,000 15.5% 56,000
175,420 9.8% 277,450 15.5% 35,800
274,400 9.8% 434,000 15.5% 56,000
175,420 9.8% 277,450 15.5% 35,800
274,400 9.8% 434,000 15.5% 56,000
175,420 9.8% 277,450 15.5% 35,800
274,400 9.8% 434,000 15.5% 56,000
12,880 2.3% 400,000 71.4% -
374,360 9.8% 592,100 15.5% 76,400
274,400 9.8% 434,000 15.5% 56,000
190,120 9.8% 300,700 15.5% 38,800
132,300 9.8% 209,250 15.5% 27,000
190,120 9.8% 300,700 15.5% 38,800
61,740 9.8% - 15.5% -
34,300 9.8% - 15.5% -
10,584 9.8% - 15.5% -
29,400 9.8% - 15.5% -
19,600 9.8% - 15.5% -
18,130 9.8% - 15.5% -
47,040 9.8% - 15.5% -
113,190 9.8% - 15.5% -
113,190 9.8% - 15.5% -
33,810 9.8% - 15.5% -
78,400 9.8% - 15.5% -
65,660 9.8% - 15.5% -
89,082 9.8% - 15.5% -
29,400 9.8% - 15.5% -
11,074 9.8% - 15.5% -
% ADMINISTRASI % BIAYA SDM %
4,350 5.0% 18,705 21.5%
4,350 5.0% 18,705 21.5%
45,000 5.0% 193,500 21.5%
6,000 5.0% 25,800 21.5%
2,250 5.0% 9,675 21.5%
1,900 5.0% 8,170 21.5%
1,950 5.0% 8,385 21.5%
1,800 5.0% 7,740 21.5%
2,000 5.0% 8,600 21.5%
3,050 5.0% 13,115 21.5%
4,250 5.0% 18,275 21.5%
5,350 5.0% 23,005 21.5%
12,850 5.0% 55,255 21.5%
8,500 5.0% 36,550 21.5%
5,750 5.0% 24,725 21.5%
6,750 5.0% 29,025 21.5%
1,950 5.0% 8,385 21.5%
7,750 5.0% 33,325 21.5%
1,050 5.0% 4,515 21.5%
800 5.0% 3,440 21.5%
1,100 5.0% 4,730 21.5%
1,100 5.0% 4,730 21.5%
800 5.0% 3,440 21.5%
800 5.0% 3,440 21.5%
1,500 5.0% 6,450 21.5%
1,200 5.0% 5,160 21.5%
1,200 5.0% 5,160 21.5%
1,200 5.0% 5,160 21.5%
2,550 5.0% 10,965 21.5%
2,550 5.0% 10,965 21.5%
1,300 5.0% 5,590 21.5%
1,300 5.0% 5,590 21.5%
14,500 5.0% 62,350 21.5%
8,750 5.0% 37,625 21.5%
2,750 5.0% 11,825 21.5%
11,750 5.0% 50,525 21.5%
7,750 5.0% 33,325 21.5%
7,500 5.0% 32,250 21.5%
5,450 5.0% 23,435 21.5%
4,500 5.0% 19,350 21.5%
4,500 5.0% 19,350 21.5%
26,250 5.0% 112,875 21.5%
25,250 5.0% 108,575 21.5%
54,150 5.0% 232,845 21.5%
800 5.0% 3,440 21.5%
1,200 5.0% 5,160 21.5%
14,850 5.0% 63,855 21.5%
14,850 5.0% 63,855 21.5%
5,600 5.0% 24,080 21.5%
1,600 5.0% 6,880 21.5%
5,300 5.0% 22,790 21.5%
1,100 5.0% 4,730 21.5%
1,100 5.0% 4,730 21.5%
1,100 5.0% 4,730 21.5%
9,250 5.0% 39,775 21.5%
9,750 5.0% 41,925 21.5%
45,000 5.0% 193,500 21.5%
9,750 5.0% 41,925 21.5%
3,400 5.0% 14,620 21.5%
1,950 5.0% 8,385 21.5%
6,250 5.0% 26,875 21.5%
1,950 5.0% 8,385 21.5%
6,250 5.0% 26,875 21.5%
1,950 5.0% 8,385 21.5%
2,250 5.0% 9,675 21.5%
8,000 5.0% 34,400 21.5%
0 5.0% 0 21.5%
1,900 5.0% 8,170 21.5%
18,100 5.0% 77,830 21.5%
32,750 5.0% 140,825 21.5%
6,100 5.0% 26,230 21.5%
14,500 5.0% 62,350 21.5%
12,750 5.0% 54,825 21.5%
20,500 5.0% 88,150 21.5%
2,100 5.0% 9,030 21.5%
2,100 5.0% 9,030 21.5%
19,000 5.0% 81,700 21.5%
2,500 5.0% 10,750 21.5%
4.1% 30,250 5.0% 130,075 21.5%
5.5% 27,500 5.0% 118,250 21.5%
4.3% 35,000 5.0% 150,500 21.5%
3.4% 44,000 5.0% 189,200 21.5%
4,750 5.0% 20,425 21.5%
4,750 5.0% 20,425 21.5%
0 5.0% 0 21.5%
19,250 5.0% 82,775 21.5%
4,800 5.0% 20,640 21.5%
4,800 5.0% 20,640 21.5%
0 5.0% 0 21.5%
2,100 5.0% 9,030 21.5%
2,100 5.0% 9,030 21.5%
3,000 5.0% 12,900 21.5%
3,000 5.0% 12,900 21.5%
16,500 5.0% 70,950 21.5%
7,750 5.0% 33,325 21.5%
24,500 5.0% 105,350 21.5%
24,500 5.0% 105,350 21.5%
24,500 5.0% 105,350 21.5%
0 5.0% 0 21.5%
12,750 5.0% 54,825 21.5%
18,500 5.0% 79,550 21.5%
0 5.0% 0 21.5%
28,250 5.0% 121,475 21.5%
10,250 5.0% 44,075 21.5%
13,750 5.0% 59,125 21.5%
21,750 5.0% 93,525 21.5%
28,250 5.0% 121,475 21.5%
16,750 5.0% 72,025 21.5%
26,250 5.0% 112,875 21.5%
23,650 5.0% 101,695 21.5%
17,750 5.0% 76,325 21.5%
18,250 5.0% 78,475 21.5%
47,750 5.0% 205,325 21.5%
31,500 5.0% 135,450 21.5%
67,800 5.0% 291,540 21.5%
14,250 5.0% 61,275 21.5%
12,700 5.0% 54,610 21.5%
0 5.0% 0 21.5%
12,700 5.0% 54,610 21.5%
19,500 5.0% 83,850 21.5%
13,200 5.0% 56,760 21.5%
25,000 5.0% 107,500 21.5%
30,250 5.0% 130,075 21.5%
30,750 5.0% 132,225 21.5%
30,000 5.0% 129,000 21.5%
41,000 5.0% 176,300 21.5%
38,250 5.0% 164,475 21.5%
16,500 5.0% 70,950 21.5%
16,000 5.0% 68,800 21.5%
19,750 5.0% 84,925 21.5%
8,650 5.0% 37,195 21.5%
8,650 5.0% 37,195 21.5%
17,300 5.0% 74,390 21.5%
17,300 5.0% 74,390 21.5%
11,150 5.0% 47,945 21.5%
15,500 5.0% 66,650 21.5%
5,450 5.0% 23,435 21.5%
25,450 5.0% 109,435 21.5%
28,400 5.0% 122,120 21.5%
19,500 5.0% 83,850 21.5%
3,750 5.0% 16,125 21.5%
4,200 5.0% 18,060 21.5%
19,525 5.0% 83,958 21.5%
4,200 5.0% 18,060 21.5%
4,200 5.0% 18,060 21.5%
5,400 5.0% 23,220 21.5%
12,750 5.0% 54,825 21.5%
5,000 5.0% 21,500 21.5%
5,000 5.0% 21,500 21.5%
5,000 5.0% 21,500 21.5%
4,200 5.0% 18,060 21.5%
4,500 5.0% 19,350 21.5%
4,500 5.0% 19,350 21.5%
4,500 5.0% 19,350 21.5%
5,500 5.0% 23,650 21.5%
30,500 5.0% 131,150 21.5%
4,500 5.0% 19,350 21.5%
19,000 5.0% 81,700 21.5%
12,900 5.0% 55,470 21.5%
9,250 5.0% 39,775 21.5%
22,750 5.0% 97,825 21.5%
22,750 5.0% 97,825 21.5%
8,850 5.0% 38,055 21.5%
13,250 5.0% 56,975 21.5%
13,750 5.0% 59,125 21.5%
14,000 5.0% 60,200 21.5%
16,000 5.0% 68,800 21.5%
19,250 5.0% 82,775 21.5%
14,750 5.0% 63,425 21.5%
15,250 5.0% 65,575 21.5%
16,250 5.0% 69,875 21.5%
16,250 5.0% 69,875 21.5%
6,750 5.0% 29,025 21.5%
18,500 5.0% 79,550 21.5%
16,250 5.0% 69,875 21.5%
20,000 5.0% 86,000 21.5%
16,250 5.0% 69,875 21.5%
31,250 5.0% 134,375 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
10,000 5.0% 43,000 21.5%
14,625 5.0% 62,888 21.5%
13,250 5.0% 56,975 21.5%
11,000 5.0% 47,300 21.5%
11,000 5.0% 47,300 21.5%
17,800 5.0% 76,540 21.5%
5,000 5.0% 21,500 21.5%
1,200 5.0% 5,160 21.5%
3.8% 8,000 5.0% 34,400 21.5%
4,000 5.0% 17,200 21.5%
15,500 5.0% 66,650 21.5%
0 5.0% 0 21.5%
11,000 5.0% 47,300 21.5%
5,000 5.0% 21,500 21.5%
5,000 5.0% 21,500 21.5%
5,000 5.0% 21,500 21.5%
5,000 5.0% 21,500 21.5%
5,000 5.0% 21,500 21.5%
5,000 5.0% 21,500 21.5%
11,000 5.0% 47,300 21.5%
5,000 5.0% 21,500 21.5%
5,000 5.0% 21,500 21.5%
11,750 5.0% 50,525 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
5,350 5.0% 23,005 21.5%
9,000 5.0% 38,700 21.5%
9,000 5.0% 38,700 21.5%
12,000 5.0% 51,600 21.5%
8,750 5.0% 37,625 21.5%
5,500 5.0% 23,650 21.5%
12,000 5.0% 51,600 21.5%
8,250 5.0% 35,475 21.5%
15,750 5.0% 67,725 21.5%
19,900 5.0% 85,570 21.5%
6,500 5.0% 27,950 21.5%
11,500 5.0% 49,450 21.5%
9,100 5.0% 39,130 21.5%
19,000 5.0% 81,700 21.5%
13,850 5.0% 59,555 21.5%
22,000 5.0% 94,600 21.5%
7,000 5.0% 30,100 21.5%
12,000 5.0% 51,600 21.5%
5,500 5.0% 23,650 21.5%
12,000 5.0% 51,600 21.5%
5,500 5.0% 23,650 21.5%
12,000 5.0% 51,600 21.5%
12,000 5.0% 51,600 21.5%
6,500 5.0% 27,950 21.5%
6,500 5.0% 27,950 21.5%
12,000 5.0% 51,600 21.5%
6,600 5.0% 28,380 21.5%
12,000 5.0% 51,600 21.5%
6,500 5.0% 27,950 21.5%
12,000 5.0% 51,600 21.5%
6,500 5.0% 27,950 21.5%
12,000 5.0% 51,600 21.5%
8,000 5.0% 34,400 21.5%
12,000 5.0% 51,600 21.5%
6,500 5.0% 27,950 21.5%
12,000 5.0% 51,600 21.5%
7,000 5.0% 30,100 21.5%
12,000 5.0% 51,600 21.5%
4.3% 57,750 5.0% 248,325 21.5%
6,500 5.0% 27,950 21.5%
6,500 5.0% 27,950 21.5%
12,000 5.0% 51,600 21.5%
12,000 5.0% 51,600 21.5%
6,500 5.0% 27,950 21.5%
12,000 5.0% 51,600 21.5%
6,500 5.0% 27,950 21.5%
12,000 5.0% 51,600 21.5%
6,600 5.0% 28,380 21.5%
12,000 5.0% 51,600 21.5%
8,250 5.0% 35,475 21.5%
7,000 5.0% 30,100 21.5%
12,000 5.0% 51,600 21.5%
12,000 5.0% 51,600 21.5%
6,500 5.0% 27,950 21.5%
8,250 5.0% 35,475 21.5%
12,000 5.0% 51,600 21.5%
12,000 5.0% 51,600 21.5%
6,500 5.0% 27,950 21.5%
12,000 5.0% 51,600 21.5%
8,250 5.0% 35,475 21.5%
12,000 5.0% 51,600 21.5%
15,000 5.0% 64,500 21.5%
7,000 5.0% 30,100 21.5%
5,500 5.0% 23,650 21.5%
8,250 5.0% 35,475 21.5%
7,000 5.0% 30,100 21.5%
5,500 5.0% 23,650 21.5%
12,000 5.0% 51,600 21.5%
8,250 5.0% 35,475 21.5%
7,000 5.0% 30,100 21.5%
5,500 5.0% 23,650 21.5%
9,000 5.0% 38,700 21.5%
9,000 5.0% 38,700 21.5%
7,000 5.0% 30,100 21.5%
12,000 5.0% 51,600 21.5%
8,000 5.0% 34,400 21.5%
12,000 5.0% 51,600 21.5%
8,000 5.0% 34,400 21.5%
19,000 5.0% 81,700 21.5%
8,000 5.0% 34,400 21.5%
19,000 5.0% 81,700 21.5%
22,000 5.0% 94,600 21.5%
15,750 5.0% 67,725 21.5%
19,000 5.0% 81,700 21.5%
8,000 5.0% 34,400 21.5%
8,250 5.0% 35,475 21.5%
8,000 5.0% 34,400 21.5%
19,000 5.0% 81,700 21.5%
15,750 5.0% 67,725 21.5%
22,000 5.0% 94,600 21.5%
7,000 5.0% 30,100 21.5%
12,000 5.0% 51,600 21.5%
12,750 5.0% 54,825 21.5%
19,000 5.0% 81,700 21.5%
7,000 5.0% 30,100 21.5%
12,000 5.0% 51,600 21.5%
4,000 5.0% 17,200 21.5%
4.3% 57,750 5.0% 248,325 21.5%
4.3% 57,750 5.0% 248,325 21.5%
4.3% 57,750 5.0% 248,325 21.5%
4.3% 57,750 5.0% 248,325 21.5%
4.3% 57,750 5.0% 248,325 21.5%
47,750 5.0% 205,325 21.5%
37,750 5.0% 162,325 21.5%
4.3% 57,750 5.0% 248,325 21.5%
47,500 5.0% 204,250 21.5%
47,500 5.0% 204,250 21.5%
50,000 5.0% 215,000 21.5%
85,000 5.0% 365,500 21.5%
49,000 5.0% 210,700 21.5%
49,000 5.0% 210,700 21.5%
60,000 5.0% 258,000 21.5%
110,500 5.0% 475,150 21.5%
58,000 5.0% 249,400 21.5%
58,000 5.0% 249,400 21.5%
93,000 5.0% 399,900 21.5%
125,000 5.0% 537,500 21.5%
125,000 5.0% 537,500 21.5%
161,500 5.0% 694,450 21.5%
60,000 5.0% 258,000 21.5%
110,500 5.0% 475,150 21.5%
58,000 5.0% 249,400 21.5%
110,500 5.0% 475,150 21.5%
58,000 5.0% 249,400 21.5%
110,500 5.0% 475,150 21.5%
87,500 5.0% 376,250 21.5%
87,500 5.0% 376,250 21.5%
87,500 5.0% 376,250 21.5%
95,000 5.0% 408,500 21.5%
60,000 5.0% 258,000 21.5%
60,000 5.0% 258,000 21.5%
110,500 5.0% 475,150 21.5%
60,000 5.0% 258,000 21.5%
110,500 5.0% 475,150 21.5%
60,000 5.0% 258,000 21.5%
110,500 5.0% 475,150 21.5%
67,500 5.0% 290,250 21.5%
3,000 5.0% 12,900 21.5%
2.5% 15,000 5.0% 64,500 21.5%
2.5% 22,000 5.0% 94,600 21.5%
2.5% 15,000 5.0% 64,500 21.5%
2.5% 15,000 5.0% 64,500 21.5%
2.5% 15,000 5.0% 64,500 21.5%
2.5% 15,000 5.0% 64,500 21.5%
2.5% 15,000 5.0% 64,500 21.5%
2.5% 15,000 5.0% 64,500 21.5%
2.5% 17,000 5.0% 73,100 21.5%
2.5% 15,000 5.0% 64,500 21.5%
2.5% 17,000 5.0% 73,100 21.5%
2.5% 17,000 5.0% 73,100 21.5%
2.5% 22,500 5.0% 96,750 21.5%
2.5% 30,000 5.0% 129,000 21.5%
14,500 5.0% 62,350 21.5%
3.3% 15,000 5.0% 64,500 21.5%
1,950 5.0% 8,385 21.5%
1,950 5.0% 8,385 21.5%
1,950 5.0% 8,385 21.5%
1,950 5.0% 8,385 21.5%
1,950 5.0% 8,385 21.5%
1,950 5.0% 8,385 21.5%
0 5.0% 0 21.5%
0 5.0% 0 21.5%
8,000 5.0% 34,400 21.5%
12,750 5.0% 54,825 21.5%
8,000 5.0% 34,400 21.5%
12,750 5.0% 54,825 21.5%
8,000 5.0% 34,400 21.5%
12,750 5.0% 54,825 21.5%
8,000 5.0% 34,400 21.5%
12,750 5.0% 54,825 21.5%
8,000 5.0% 34,400 21.5%
12,750 5.0% 54,825 21.5%
8,000 5.0% 34,400 21.5%
12,750 5.0% 54,825 21.5%
8,000 5.0% 34,400 21.5%
12,750 5.0% 54,825 21.5%
9,100 5.0% 39,130 21.5%
12,750 5.0% 54,825 21.5%
60,000 5.0% 258,000 21.5%
110,500 5.0% 475,150 21.5%
8,000 5.0% 34,400 21.5%
12,750 5.0% 54,825 21.5%
12,100 5.0% 52,030 21.5%
4,350 5.0% 18,705 21.5%
18,000 5.0% 77,400 21.5%
4,500 5.0% 19,350 21.5%
15,250 5.0% 65,575 21.5%
4,500 5.0% 19,350 21.5%
18,250 5.0% 78,475 21.5%
6,000 5.0% 25,800 21.5%
14,000 5.0% 60,200 21.5%
9,000 5.0% 38,700 21.5%
6,000 5.0% 25,800 21.5%
10,000 5.0% 43,000 21.5%
15,400 5.0% 66,220 21.5%
3,000 5.0% 12,900 21.5%
95,000 5.0% 408,500 21.5%
27,300 5.0% 117,390 21.5%
9,000 5.0% 38,700 21.5%
11,250 5.0% 48,375 21.5%
10,000 5.0% 43,000 21.5%
2,000 5.0% 8,600 21.5%
2.0% 77,000 5.0% 331,100 21.5%
2.0% 79,500 5.0% 341,850 21.5%
2.0% 114,500 5.0% 492,350 21.5%
2.0% 78,500 5.0% 337,550 21.5%
2.0% 78,500 5.0% 337,550 21.5%
2.0% 89,500 5.0% 384,850 21.5%
2.0% 140,000 5.0% 602,000 21.5%
2.0% 87,500 5.0% 376,250 21.5%
2.0% 87,500 5.0% 376,250 21.5%
2.0% 122,500 5.0% 526,750 21.5%
2.0% 154,500 5.0% 664,350 21.5%
2.0% 154,500 5.0% 664,350 21.5%
2.0% 89,500 5.0% 384,850 21.5%
2.0% 140,000 5.0% 602,000 21.5%
2.0% 87,500 5.0% 376,250 21.5%
2.0% 140,000 5.0% 602,000 21.5%
2.0% 87,500 5.0% 376,250 21.5%
2.0% 117,000 5.0% 503,100 21.5%
2.0% 117,000 5.0% 503,100 21.5%
2.0% 117,000 5.0% 503,100 21.5%
2.0% 124,500 5.0% 535,350 21.5%
2.0% 89,500 5.0% 384,850 21.5%
2.0% 89,500 5.0% 384,850 21.5%
2.0% 140,000 5.0% 602,000 21.5%
2.0% 89,500 5.0% 384,850 21.5%
2.0% 140,000 5.0% 602,000 21.5%
2.0% 89,500 5.0% 384,850 21.5%
2.0% 140,000 5.0% 602,000 21.5%
2.0% 89,500 5.0% 384,850 21.5%
2.0% 140,000 5.0% 602,000 21.5%
28,000 5.0% 120,400 21.5%
2.0% 191,000 5.0% 821,300 21.5%
2.0% 140,000 5.0% 602,000 21.5%
2.0% 97,000 5.0% 417,100 21.5%
2.0% 67,500 5.0% 290,250 21.5%
2.0% 97,000 5.0% 417,100 21.5%
2.0% 31,500 5.0% 135,450 21.5%
2.0% 17,500 5.0% 75,250 21.5%
2.0% 5,400 5.0% 23,220 21.5%
2.0% 15,000 5.0% 64,500 21.5%
2.0% 10,000 5.0% 43,000 21.5%
2.0% 9,250 5.0% 39,775 21.5%
2.0% 24,000 5.0% 103,200 21.5%
2.0% 57,750 5.0% 248,325 21.5%
2.0% 57,750 5.0% 248,325 21.5%
2.0% 17,250 5.0% 74,175 21.5%
2.0% 40,000 5.0% 172,000 21.5%
2.0% 33,500 5.0% 144,050 21.5%
2.0% 45,450 5.0% 195,435 21.5%
2.0% 15,000 5.0% 64,500 21.5%
2.0% 5,650 5.0% 24,295 21.5%
MARGIN % TARIP SEKARANG MARGIN %
28,376 32.62% 87,000 41,376 41.4%
31,343 36.03% 87,000 44,343 44.3%
360,200 40.02% 900,000 (539,800) #DIV/0!
6,980 5.82% 120,000 (113,020) #DIV/0!
14,240 31.64% 45,000 (30,760) #DIV/0!
11,636 30.62% 38,000 (26,364) #DIV/0!
13,178 33.79% 39,000 (25,822) #DIV/0!
12,260 34.06% 36,000 (23,740) #DIV/0!
11,900 29.75% 40,000 (28,100) #DIV/0!
14,397 23.60% 61,000 (46,603) #DIV/0!
26,583 31.27% 85,000 (58,417) #DIV/0!
(8,813) -8.24% 107,000 (115,813) #DIV/0!
99,015 38.53% 257,000 (157,985) #DIV/0!
(49,760) -29.27% 170,000 (219,760) #DIV/0!
(34,470) -29.97% 115,000 (149,470) #DIV/0!
(40,030) -29.65% 135,000 (175,030) #DIV/0!
15,440 39.59% 39,000 (23,560) #DIV/0!
68,800 44.39% 155,000 (86,200) #DIV/0!
5,963 28.40% 21,000 (15,037) #DIV/0!
4,380 27.38% 16,000 (11,620) #DIV/0!
6,960 31.64% 22,000 (15,040) #DIV/0!
6,960 31.64% 22,000 (15,040) #DIV/0!
4,380 27.38% 16,000 (11,620) #DIV/0!
4,380 27.38% 16,000 (11,620) #DIV/0!
10,400 34.67% 30,000 (19,600) #DIV/0!
6,836 28.48% 24,000 (17,164) #DIV/0!
6,836 28.48% 24,000 (17,164) #DIV/0!
6,836 28.48% 24,000 (17,164) #DIV/0!
20,960 41.10% 51,000 (30,040) #DIV/0!
20,833 40.85% 51,000 (30,168) #DIV/0!
9,590 36.88% 26,000 (16,410) #DIV/0!
9,590 36.88% 26,000 (16,410) #DIV/0!
123,070 42.44% 290,000 (166,930) #DIV/0!
73,275 41.87% 175,000 (101,725) #DIV/0!
22,800 41.45% 55,000 (32,200) #DIV/0!
(67,830) -28.86% 235,000 (302,830) #DIV/0!
(45,590) -29.41% 155,000 (200,590) #DIV/0!
(44,200) -29.47% 150,000 (194,200) #DIV/0!
19,275 17.68% 109,000 (89,725) #DIV/0!
650 0.72% 90,000 (89,350) #DIV/0!
650 0.72% 90,000 (89,350) #DIV/0!
(148,450) -28.28% 525,000 (673,450) #DIV/0!
(142,890) -28.30% 505,000 (647,890) #DIV/0!
(303,574) -28.03% 1,083,000 (1,386,574) #DIV/0!
4,620 28.88% 16,000 (11,380) #DIV/0!
8,180 34.08% 24,000 (15,820) #DIV/0!
(85,066) -28.64% 297,000 (382,066) #DIV/0!
(85,066) -28.64% 297,000 (382,066) #DIV/0!
49,020 43.77% 112,000 (62,980) #DIV/0!
12,220 38.19% 32,000 (19,780) #DIV/0!
38,734 36.54% 106,000 (67,266) #DIV/0!
6,058 27.54% 22,000 (15,942) #DIV/0!
6,058 27.54% 22,000 (15,942) #DIV/0!
6,058 27.54% 22,000 (15,942) #DIV/0!
(53,930) -29.15% 185,000 (238,930) #DIV/0!
(56,710) -29.08% 195,000 (251,710) #DIV/0!
(252,700) -28.08% 900,000 (1,152,700) #DIV/0!
70,040 35.92% 195,000 (124,960) #DIV/0!
19,124 28.12% 68,000 (48,876) #DIV/0!
12,671 32.49% 39,000 (26,329) #DIV/0!
(37,250) -29.80% 125,000 (162,250) #DIV/0!
12,671 32.49% 39,000 (26,329) #DIV/0!
(37,250) -29.80% 125,000 (162,250) #DIV/0!
12,671 32.49% 39,000 (26,329) #DIV/0!
14,555 32.34% 45,000 (30,445) #DIV/0!
58,140 36.34% 160,000 (101,860) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
11,902 31.32% 38,000 (26,098) #DIV/0!
(103,136) -28.49% 362,000 (465,136) #DIV/0!
88,545 13.52% 655,000 (566,455) #DIV/0!
(36,416) -29.85% 122,000 (158,416) #DIV/0!
(83,120) -28.66% 290,000 (373,120) #DIV/0!
30,395 11.92% 255,000 (224,605) #DIV/0!
(116,480) -28.41% 410,000 (526,480) #DIV/0!
13,124 31.25% 42,000 (28,876) #DIV/0!
13,124 31.25% 42,000 (28,876) #DIV/0!
(108,140) -28.46% 380,000 (488,140) #DIV/0!
9,700 19.40% 50,000 (40,300) #DIV/0!
131,120 21.67% 605,000 (473,880) #DIV/0!
114,450 20.81% 550,000 (435,550) #DIV/0!
131,800 18.83% 700,000 (568,200) #DIV/0!
162,620 18.48% 880,000 (717,380) #DIV/0!
35,690 37.57% 95,000 (59,310) #DIV/0!
35,690 37.57% 95,000 (59,310) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(109,530) -28.45% 385,000 (494,530) #DIV/0!
36,092 37.60% 96,000 (59,908) #DIV/0!
36,092 37.60% 96,000 (59,908) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
13,124 31.25% 42,000 (28,876) #DIV/0!
13,124 31.25% 42,000 (28,876) #DIV/0!
19,820 33.03% 60,000 (40,180) #DIV/0!
17,240 28.73% 60,000 (42,760) #DIV/0!
(94,240) -28.56% 330,000 (424,240) #DIV/0!
(45,590) -29.41% 155,000 (200,590) #DIV/0!
(138,720) -28.31% 490,000 (628,720) #DIV/0!
(138,720) -28.31% 490,000 (628,720) #DIV/0!
(138,720) -28.31% 490,000 (628,720) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(73,390) -28.78% 255,000 (328,390) #DIV/0!
(105,360) -28.48% 370,000 (475,360) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(159,570) -28.24% 565,000 (724,570) #DIV/0!
36,040 17.58% 205,000 (168,960) #DIV/0!
49,200 17.89% 275,000 (225,800) #DIV/0!
(123,430) -28.37% 435,000 (558,430) #DIV/0!
(159,570) -28.24% 565,000 (724,570) #DIV/0!
(95,630) -28.55% 335,000 (430,630) #DIV/0!
(148,450) -28.28% 525,000 (673,450) #DIV/0!
86,424 18.27% 473,000 (386,576) #DIV/0!
64,240 18.10% 355,000 (290,760) #DIV/0!
109,920 30.12% 365,000 (255,080) #DIV/0!
(267,990) -28.06% 955,000 (1,222,990) #DIV/0!
(177,640) -28.20% 630,000 (807,640) #DIV/0!
(379,468) -27.98% 1,356,000 (1,735,468) #DIV/0!
81,005 28.42% 285,000 (203,995) #DIV/0!
46,014 18.12% 254,000 (207,986) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
46,014 18.12% 254,000 (207,986) #DIV/0!
111,770 28.66% 390,000 (278,230) #DIV/0!
74,852 28.35% 264,000 (189,148) #DIV/0!
(141,500) -28.30% 500,000 (641,500) #DIV/0!
(170,690) -28.21% 605,000 (775,690) #DIV/0!
(173,470) -28.21% 615,000 (788,470) #DIV/0!
(169,300) -28.22% 600,000 (769,300) #DIV/0!
(230,460) -28.10% 820,000 (1,050,460) #DIV/0!
(215,170) -28.13% 765,000 (980,170) #DIV/0!
96,500 29.24% 330,000 (233,500) #DIV/0!
70,460 22.02% 320,000 (249,540) #DIV/0!
(112,310) -28.43% 395,000 (507,310) #DIV/0!
(19,800) -11.45% 173,000 (192,800) #DIV/0!
(19,800) -11.45% 173,000 (192,800) #DIV/0!
35,560 10.28% 346,000 (310,440) #DIV/0!
80,540 23.28% 346,000 (265,460) #DIV/0!
66,630 29.88% 223,000 (156,370) #DIV/0!
93,600 30.19% 310,000 (216,400) #DIV/0!
37,830 34.71% 109,000 (71,170) #DIV/0!
(144,002) -28.29% 509,000 (653,002) #DIV/0!
(160,404) -28.24% 568,000 (728,404) #DIV/0!
(110,920) -28.44% 390,000 (500,920) #DIV/0!
22,175 29.57% 75,000 (52,825) #DIV/0!
25,136 29.92% 84,000 (58,864) #DIV/0!
125,975 32.26% 390,500 (264,526) #DIV/0!
25,136 29.92% 84,000 (58,864) #DIV/0!
25,136 29.92% 84,000 (58,864) #DIV/0!
34,652 32.09% 108,000 (73,348) #DIV/0!
(73,390) -28.78% 255,000 (328,390) #DIV/0!
(30,300) -30.30% 100,000 (130,300) #DIV/0!
(30,300) -30.30% 100,000 (130,300) #DIV/0!
(30,300) -30.30% 100,000 (130,300) #DIV/0!
29,420 35.02% 84,000 (54,580) #DIV/0!
20,000 22.22% 90,000 (70,000) #DIV/0!
20,000 22.22% 90,000 (70,000) #DIV/0!
20,000 22.22% 90,000 (70,000) #DIV/0!
(33,080) -30.07% 110,000 (143,080) #DIV/0!
(172,080) -28.21% 610,000 (782,080) #DIV/0!
16,850 18.72% 90,000 (73,150) #DIV/0!
(108,140) -28.46% 380,000 (488,140) #DIV/0!
(74,224) -28.77% 258,000 (332,224) #DIV/0!
(53,930) -29.15% 185,000 (238,930) #DIV/0!
(128,990) -28.35% 455,000 (583,990) #DIV/0!
(128,990) -28.35% 455,000 (583,990) #DIV/0!
(51,706) -29.21% 177,000 (228,706) #DIV/0!
11,545 4.36% 265,000 (253,455) #DIV/0!
(78,950) -28.71% 275,000 (353,950) #DIV/0!
(80,340) -28.69% 280,000 (360,340) #DIV/0!
(91,460) -28.58% 320,000 (411,460) #DIV/0!
(109,530) -28.45% 385,000 (494,530) #DIV/0!
(84,510) -28.65% 295,000 (379,510) #DIV/0!
(87,290) -28.62% 305,000 (392,290) #DIV/0!
(92,850) -28.57% 325,000 (417,850) #DIV/0!
(92,850) -28.57% 325,000 (417,850) #DIV/0!
(40,030) -29.65% 135,000 (175,030) #DIV/0!
(105,360) -28.48% 370,000 (475,360) #DIV/0!
(92,850) -28.57% 325,000 (417,850) #DIV/0!
(113,700) -28.43% 400,000 (513,700) #DIV/0!
(92,850) -28.57% 325,000 (417,850) #DIV/0!
(176,250) -28.20% 625,000 (801,250) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
23,300 11.65% 200,000 (176,700) #DIV/0!
(83,815) -28.65% 292,500 (376,315) #DIV/0!
31,685 11.96% 265,000 (233,315) #DIV/0!
(63,660) -28.94% 220,000 (283,660) #DIV/0!
(63,660) -28.94% 220,000 (283,660) #DIV/0!
(101,468) -28.50% 356,000 (457,468) #DIV/0!
(30,300) -30.30% 100,000 (130,300) #DIV/0!
6,836 28.48% 24,000 (17,164) #DIV/0!
37,500 23.44% 160,000 (122,500) #DIV/0!
(4,740) -5.93% 80,000 (84,740) #DIV/0!
(88,680) -28.61% 310,000 (398,680) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(63,660) -28.94% 220,000 (283,660) #DIV/0!
37,200 37.20% 100,000 (62,800) #DIV/0!
37,200 37.20% 100,000 (62,800) #DIV/0!
37,200 37.20% 100,000 (62,800) #DIV/0!
37,200 37.20% 100,000 (62,800) #DIV/0!
37,200 37.20% 100,000 (62,800) #DIV/0!
37,200 37.20% 100,000 (62,800) #DIV/0!
84,840 38.56% 220,000 (135,160) #DIV/0!
37,200 37.20% 100,000 (62,800) #DIV/0!
42,500 42.50% 100,000 (57,500) #DIV/0!
90,795 38.64% 235,000 (144,205) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
3,064 2.86% 107,000 (103,936) #DIV/0!
2,900 1.61% 180,000 (177,100) #DIV/0!
6,860 3.81% 180,000 (173,140) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
6,600 3.77% 175,000 (168,400) #DIV/0!
3,220 2.93% 110,000 (106,780) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
2,450 1.48% 165,000 (162,550) #DIV/0!
13,880 4.41% 315,000 (301,120) #DIV/0!
9,440 2.37% 398,000 (388,560) #DIV/0!
4,260 3.28% 130,000 (125,740) #DIV/0!
4,400 1.91% 230,000 (225,600) #DIV/0!
6,964 3.83% 182,000 (175,036) #DIV/0!
8,900 2.34% 380,000 (371,100) #DIV/0!
11,904 4.30% 277,000 (265,096) #DIV/0!
10,700 2.43% 440,000 (429,300) #DIV/0!
4,780 3.41% 140,000 (135,220) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
3,220 2.93% 110,000 (106,780) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
3,220 2.93% 110,000 (106,780) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
4,260 3.28% 130,000 (125,740) #DIV/0!
4,260 3.28% 130,000 (125,740) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
4,364 3.31% 132,000 (127,636) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
4,260 3.28% 130,000 (125,740) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
4,260 3.28% 130,000 (125,740) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
5,820 3.64% 160,000 (154,180) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
4,260 3.28% 130,000 (125,740) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
4,780 3.41% 140,000 (135,220) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
(290,684) -25.17% 1,155,000 (1,445,684) #DIV/0!
4,260 3.28% 130,000 (125,740) #DIV/0!
4,260 3.28% 130,000 (125,740) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
4,260 3.28% 130,000 (125,740) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
4,260 3.28% 130,000 (125,740) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
4,364 3.31% 132,000 (127,636) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
6,080 3.68% 165,000 (158,920) #DIV/0!
4,780 3.41% 140,000 (135,220) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
4,260 3.28% 130,000 (125,740) #DIV/0!
6,080 3.68% 165,000 (158,920) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
4,260 3.28% 130,000 (125,740) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
6,080 3.68% 165,000 (158,920) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
6,500 2.17% 300,000 (293,500) #DIV/0!
4,780 3.41% 140,000 (135,220) #DIV/0!
3,220 2.93% 110,000 (106,780) #DIV/0!
2,450 1.48% 165,000 (162,550) #DIV/0!
4,780 3.41% 140,000 (135,220) #DIV/0!
3,220 2.93% 110,000 (106,780) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
2,450 1.48% 165,000 (162,550) #DIV/0!
4,780 3.41% 140,000 (135,220) #DIV/0!
3,220 2.93% 110,000 (106,780) #DIV/0!
2,900 1.61% 180,000 (177,100) #DIV/0!
2,900 1.61% 180,000 (177,100) #DIV/0!
4,780 3.41% 140,000 (135,220) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
5,820 3.64% 160,000 (154,180) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
5,820 3.64% 160,000 (154,180) #DIV/0!
8,900 2.34% 380,000 (371,100) #DIV/0!
5,820 3.64% 160,000 (154,180) #DIV/0!
8,900 2.34% 380,000 (371,100) #DIV/0!
10,700 2.43% 440,000 (429,300) #DIV/0!
13,880 4.41% 315,000 (301,120) #DIV/0!
8,900 2.34% 380,000 (371,100) #DIV/0!
5,820 3.64% 160,000 (154,180) #DIV/0!
2,450 1.48% 165,000 (162,550) #DIV/0!
5,820 3.64% 160,000 (154,180) #DIV/0!
8,900 2.34% 380,000 (371,100) #DIV/0!
13,880 4.41% 315,000 (301,120) #DIV/0!
10,700 2.43% 440,000 (429,300) #DIV/0!
4,780 3.41% 140,000 (135,220) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
10,760 4.22% 255,000 (244,240) #DIV/0!
8,900 2.34% 380,000 (371,100) #DIV/0!
4,780 3.41% 140,000 (135,220) #DIV/0!
4,700 1.96% 240,000 (235,300) #DIV/0!
1,660 2.08% 80,000 (78,340) #DIV/0!
(290,684) -25.17% 1,155,000 (1,445,684) #DIV/0!
(290,684) -25.17% 1,155,000 (1,445,684) #DIV/0!
(290,684) -25.17% 1,155,000 (1,445,684) #DIV/0!
(290,684) -25.17% 1,155,000 (1,445,684) #DIV/0!
(290,684) -25.17% 1,155,000 (1,445,684) #DIV/0!
(210,060) -22.00% 955,000 (1,165,060) #DIV/0!
(123,660) -16.38% 755,000 (878,660) #DIV/0!
(290,684) -25.17% 1,155,000 (1,445,684) #DIV/0!
102,000 10.74% 950,000 (848,000) #DIV/0!
102,000 10.74% 950,000 (848,000) #DIV/0!
107,500 10.75% 1,000,000 (892,500) #DIV/0!
184,500 10.85% 1,700,000 (1,515,500) #DIV/0!
105,300 10.74% 980,000 (874,700) #DIV/0!
105,300 10.74% 980,000 (874,700) #DIV/0!
129,500 10.79% 1,200,000 (1,070,500) #DIV/0!
240,600 10.89% 2,210,000 (1,969,400) #DIV/0!
125,100 10.78% 1,160,000 (1,034,900) #DIV/0!
125,100 10.78% 1,160,000 (1,034,900) #DIV/0!
202,100 10.87% 1,860,000 (1,657,900) #DIV/0!
272,500 10.90% 2,500,000 (2,227,500) #DIV/0!
272,500 10.90% 2,500,000 (2,227,500) #DIV/0!
352,800 10.92% 3,230,000 (2,877,200) #DIV/0!
129,500 10.79% 1,200,000 (1,070,500) #DIV/0!
240,600 10.89% 2,210,000 (1,969,400) #DIV/0!
125,100 10.78% 1,160,000 (1,034,900) #DIV/0!
240,600 10.89% 2,210,000 (1,969,400) #DIV/0!
125,100 10.78% 1,160,000 (1,034,900) #DIV/0!
240,600 10.89% 2,210,000 (1,969,400) #DIV/0!
190,000 10.86% 1,750,000 (1,560,000) #DIV/0!
190,000 10.86% 1,750,000 (1,560,000) #DIV/0!
190,000 10.86% 1,750,000 (1,560,000) #DIV/0!
206,500 10.87% 1,900,000 (1,693,500) #DIV/0!
129,500 10.79% 1,200,000 (1,070,500) #DIV/0!
129,500 10.79% 1,200,000 (1,070,500) #DIV/0!
240,600 10.89% 2,210,000 (1,969,400) #DIV/0!
129,500 10.79% 1,200,000 (1,070,500) #DIV/0!
240,600 10.89% 2,210,000 (1,969,400) #DIV/0!
129,500 10.79% 1,200,000 (1,070,500) #DIV/0!
240,600 10.89% 2,210,000 (1,969,400) #DIV/0!
146,000 10.81% 1,350,000 (1,204,000) #DIV/0!
40,820 68.03% 60,000 (19,180) #DIV/0!
1,400 0.47% 300,000 (298,600) #DIV/0!
3,220 0.73% 440,000 (436,780) #DIV/0!
1,400 0.47% 300,000 (298,600) #DIV/0!
1,400 0.47% 300,000 (298,600) #DIV/0!
1,400 0.47% 300,000 (298,600) #DIV/0!
1,400 0.47% 300,000 (298,600) #DIV/0!
1,400 0.47% 300,000 (298,600) #DIV/0!
1,400 0.47% 300,000 (298,600) #DIV/0!
1,920 0.56% 340,000 (338,080) #DIV/0!
1,400 0.47% 300,000 (298,600) #DIV/0!
1,920 0.56% 340,000 (338,080) #DIV/0!
1,920 0.56% 340,000 (338,080) #DIV/0!
3,350 0.74% 450,000 (446,650) #DIV/0!
5,300 0.88% 600,000 (594,700) #DIV/0!
(38,650) -13.33% 290,000 (328,650) #DIV/0!
7,000 2.33% 300,000 (293,000) #DIV/0!
1,127 2.89% 39,000 (37,873) #DIV/0!
1,127 2.89% 39,000 (37,873) #DIV/0!
1,127 2.89% 39,000 (37,873) #DIV/0!
1,127 2.89% 39,000 (37,873) #DIV/0!
1,127 2.89% 39,000 (37,873) #DIV/0!
1,127 2.89% 39,000 (37,873) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
(2,500) #DIV/0! - (2,500) #DIV/0!
5,820 3.64% 160,000 (154,180) #DIV/0!
5,150 2.02% 255,000 (249,850) #DIV/0!
5,820 3.64% 160,000 (154,180) #DIV/0!
5,150 2.02% 255,000 (249,850) #DIV/0!
5,820 3.64% 160,000 (154,180) #DIV/0!
5,150 2.02% 255,000 (249,850) #DIV/0!
5,820 3.64% 160,000 (154,180) #DIV/0!
5,150 2.02% 255,000 (249,850) #DIV/0!
5,820 3.64% 160,000 (154,180) #DIV/0!
5,150 2.02% 255,000 (249,850) #DIV/0!
5,820 3.64% 160,000 (154,180) #DIV/0!
5,150 2.02% 255,000 (249,850) #DIV/0!
5,820 3.64% 160,000 (154,180) #DIV/0!
5,150 2.02% 255,000 (249,850) #DIV/0!
6,946 3.82% 182,000 (175,054) #DIV/0!
5,150 2.02% 255,000 (249,850) #DIV/0!
135,500 11.29% 1,200,000 (1,064,500) #DIV/0!
251,650 11.39% 2,210,000 (1,958,350) #DIV/0!
5,820 3.64% 160,000 (154,180) #DIV/0!
29,375 11.52% 255,000 (225,625) #DIV/0!
135,198 55.87% 242,000 (106,802) #DIV/0!
60,314 69.33% 87,000 (26,686) #DIV/0!
257,420 71.51% 360,000 (102,580) #DIV/0!
62,480 69.42% 90,000 (27,520) #DIV/0!
217,710 71.38% 305,000 (87,290) #DIV/0!
62,480 69.42% 90,000 (27,520) #DIV/0!
261,030 71.52% 365,000 (103,970) #DIV/0!
84,140 70.12% 120,000 (35,860) #DIV/0!
199,660 71.31% 280,000 (80,340) #DIV/0!
127,460 70.81% 180,000 (52,540) #DIV/0!
84,140 70.12% 120,000 (35,860) #DIV/0!
141,900 70.95% 200,000 (58,100) #DIV/0!
219,876 71.39% 308,000 (88,124) #DIV/0!
40,820 68.03% 60,000 (19,180) #DIV/0!
1,369,300 72.07% 1,900,000 (530,700) #DIV/0!
391,712 71.74% 546,000 (154,288) #DIV/0!
127,460 70.81% 180,000 (52,540) #DIV/0!
159,950 71.09% 225,000 (65,050) #DIV/0!
141,900 70.95% 200,000 (58,100) #DIV/0!
26,380 65.95% 40,000 (13,620) #DIV/0!
136,100 8.84% 1,540,000 (1,403,900) #DIV/0!
140,600 8.84% 1,590,000 (1,449,400) #DIV/0!
203,600 8.89% 2,290,000 (2,086,400) #DIV/0!
138,800 8.84% 1,570,000 (1,431,200) #DIV/0!
138,800 8.84% 1,570,000 (1,431,200) #DIV/0!
158,600 8.86% 1,790,000 (1,631,400) #DIV/0!
249,500 8.91% 2,800,000 (2,550,500) #DIV/0!
155,000 8.86% 1,750,000 (1,595,000) #DIV/0!
155,000 8.86% 1,750,000 (1,595,000) #DIV/0!
218,000 8.90% 2,450,000 (2,232,000) #DIV/0!
275,600 8.92% 3,090,000 (2,814,400) #DIV/0!
275,600 8.92% 3,090,000 (2,814,400) #DIV/0!
158,600 8.86% 1,790,000 (1,631,400) #DIV/0!
249,500 8.91% 2,800,000 (2,550,500) #DIV/0!
155,000 8.86% 1,750,000 (1,595,000) #DIV/0!
249,500 8.91% 2,800,000 (2,550,500) #DIV/0!
155,000 8.86% 1,750,000 (1,595,000) #DIV/0!
208,100 8.89% 2,340,000 (2,131,900) #DIV/0!
208,100 8.89% 2,340,000 (2,131,900) #DIV/0!
208,100 8.89% 2,340,000 (2,131,900) #DIV/0!
221,600 8.90% 2,490,000 (2,268,400) #DIV/0!
158,600 8.86% 1,790,000 (1,631,400) #DIV/0!
158,600 8.86% 1,790,000 (1,631,400) #DIV/0!
249,500 8.91% 2,800,000 (2,550,500) #DIV/0!
158,600 8.86% 1,790,000 (1,631,400) #DIV/0!
249,500 8.91% 2,800,000 (2,550,500) #DIV/0!
158,600 8.86% 1,790,000 (1,631,400) #DIV/0!
249,500 8.91% 2,800,000 (2,550,500) #DIV/0!
158,600 8.86% 1,790,000 (1,631,400) #DIV/0!
249,500 8.91% 2,800,000 (2,550,500) #DIV/0!
(86,100) -15.38% 560,000 (646,100) #DIV/0!
341,300 8.93% 3,820,000 (3,478,700) #DIV/0!
249,500 8.91% 2,800,000 (2,550,500) #DIV/0!
172,100 8.87% 1,940,000 (1,767,900) #DIV/0!
119,000 8.81% 1,350,000 (1,231,000) #DIV/0!
172,100 8.87% 1,940,000 (1,767,900) #DIV/0!
164,450 26.10% 630,000 (465,550) #DIV/0!
90,250 25.79% 350,000 (259,750) #DIV/0!
26,120 24.19% 108,000 (81,880) #DIV/0!
77,000 25.67% 300,000 (223,000) #DIV/0!
50,500 25.25% 200,000 (149,500) #DIV/0!
46,525 25.15% 185,000 (138,475) #DIV/0!
124,700 25.98% 480,000 (355,300) #DIV/0!
303,575 26.28% 1,155,000 (851,425) #DIV/0!
303,575 26.28% 1,155,000 (851,425) #DIV/0!
88,925 25.78% 345,000 (256,075) #DIV/0!
209,500 26.19% 800,000 (590,500) #DIV/0!
175,050 26.13% 670,000 (494,950) #DIV/0!
238,385 26.22% 909,000 (670,615) #DIV/0!
77,000 25.67% 300,000 (223,000) #DIV/0!
27,445 24.29% 113,000 (85,555) #DIV/0!
Tarip Baru
100,000 14.9%
100,000 14.9%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
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-100.0%
-100.0%
-100.0%
-100.0%
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-100.0%
-100.0%
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-100.0%
-100.0%
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-100.0%
-100.0%
-100.0%
-100.0%
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-100.0%
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-100.0%
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-100.0%
-100.0%
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-100.0%
-100.0%
-100.0%
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-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
#DIV/0!
-100.0%
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-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
#DIV/0!
-100.0%
-100.0%
-100.0%
#DIV/0!
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
#DIV/0!
-100.0%
-100.0%
#DIV/0!
-100.0%
-100.0%
-100.0%
-100.0%
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-100.0%
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-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
#DIV/0!
-100.0%
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-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
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-100.0%
-100.0%
-100.0%
-100.0%
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-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
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-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
#DIV/0!
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
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-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
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-100.0%
-100.0%
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-100.0%
-100.0%
-100.0%
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-100.0%
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-100.0%
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-100.0%
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-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
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-100.0%
-100.0%
-100.0%
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-100.0%
-100.0%
-100.0%
-100.0%
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-100.0%
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-100.0%
-100.0%
-100.0%
-100.0%
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-100.0%
-100.0%
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-100.0%
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-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
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-100.0%
-100.0%
-100.0%
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-100.0%
-100.0%
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-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
-100.0%
#DIV/0!
#DIV/0!
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daftartindakan_id daftartindakan_kode
27 (blank)
28 (blank)
29 (blank)
30 (blank)
31 FA0
32 FD0
5464 AA0
5465 AB0
5466 AC0
5467 AD0
5468 AE0
5469 AE1
5470 AF0
5471 AH0
5472 AI0
5473 AJ0
5474 BA0
5475 BB0
5477 CA0
5478 CB0
5479 CC0
5480 CD0
5481 CE0
5482 CF0
5483 CG0
5484 CG1
5485 CG2
5486 CG4
5487 CH0
5488 CI0
5489 CJ0
5490 CK0
5491 CK1
5492 CK2
5493 CL0
5494 CM0
5495 CN0
5496 CO0
5497 CP0
5498 CQ0
5499 CR0
5500 CS0
5501 CS1
5502 CT0
5503 CU0
5504 CV0
5505 CW0
5506 CW1
5507 CX0
5508 CY0
5509 CY5
5511 DA0
5512 DB0
5513 DC0
5514 DD0
5515 DE0
5516 DG0
5517 DH0
5518 DI0
5520 EA0
5521 EB0
5522 EC0
5523 ED0
5524 EE0
5526 FA0
5527 FB0
5528 FC0
5529 FD0
5530 FE0
5531 FE1
5532 FI0
5533 FJ0
5534 FK0
5535 FK1
5536 FL0
5537 FM0
5538 FN0
5539 FO0
5540 FP0
5541 FQ0
5542 FR0
5543 FS0
5544 G10
5545 G20
5546 G30
5547 G40
5548 G50
5549 G60
5550 GA0
5551 GB0
5552 GC0
5553 GD0
5554 GE0
5555 GF0
5556 GH0
5557 GI0
5558 GJ0
5559 GK0
5561 GM0
5562 GN0
5563 GO0
5564 GP0
5565 GQ0
5566 H00
5567 H10
5568 H20
5569 H30
5570 H40
5571 H50
5572 H60
5573 H70
5574 H80
5575 H90
5576 HG0
5577 HH0
5578 HI0
5579 HJ0
5580 HK0
5581 HL0
5582 HM0
5583 HN0
5584 HN1
5585 HO0
5586 HO1
5587 HO2
5588 HO3
5589 HP0
5590 HQ0
5591 HR0
5592 HS0
5593 HT0
5594 HU0
5595 HU1
5596 HU2
5597 HV0
5598 HV1
5599 HW0
5600 HX0
5601 HX1
5602 HX2
5605 IA0
5606 IB0
5607 IC0
5608 ID0
5609 IE0
5610 IF0
5611 IF1
5612 IG0
5613 IH0
5614 II0
5615 JA0
5616 JB0
5617 JC0
5618 JD0
5619 JE0
5620 JF0
5621 JG0
5622 JH0
5623 JI0
5624 JJ0
5625 JK0
5626 JL0
5627 JM0
5628 JN0
5629 JO0
5630 JP0
5631 JR0
5632 JS0
5635 JU0
5636 JU1
5637 JV0
5638 JW0
5640 KA0
5641 KB0
5642 LA0
5643 MA0
5644 MA1
5645 NA2
5646 NA3
5647 NA4
5648 NA5
5649 NA6
5650 NA7
5651 NA8
5652 NB0
5653 NC0
5654 ND0
5655 NE0
5656 NF0
5657 NG0
5658 NH0
5659 NI0
5660 NJ0
5661 NK0
5662 OA0
5663 OB0
5664 OC0
5665 OD0
5666 OE0
5667 OF0
5668 OG0
5669 OH0
5670 OH1
5671 OI0
5672 OJ0
5673 OK0
5674 OL0
5675 PA0
5676 PB0
5677 PC0
5678 PD0
5679 PE0
5680 PF0
5681 PG0
5682 PH0
5683 PI0
5684 PJ0
5685 PK0
5686 PL0
5687 PM0
5688 PN0
5689 PO0
5690 PP0
5691 PQ0
5692 PR0
5693 PS0
5694 PT0
5695 PU0
5696 PV0
5697 PW0
5698 PX0
5703 RA0
5704 RA1
5705 RB0
5706 RB1
5707 RC0
5708 RC1
5709 RC10
5710 RC11
5711 RC2
5712 RC21
5713 RD0
5714 RD1
5715 RE0
5716 RE1
5717 RF0
5718 RF1
5719 RG0
5720 RG1
5721 RH0
5722 RH1
5723 RI0
5724 RI1
5725 RJ 0
5726 RJ0
5727 RJ1
5728 RJ10
5729 RK0
5730 RK1
5731 RL0
5732 RL1
5733 RM0
5734 RM1
5735 RN0
5736 RN1
5737 RO0
5738 RO1
5739 RP0
5740 RP1
5741 RQ0
5742 RR0
5743 RR1
5744 RR10
5745 RR11
5746 RS0
5747 RS1
5748 RT0
5749 RT1
5750 RU0
5751 RU10
5752 RV0
5753 RV1
5754 RV10
5755 RV11
5756 RW0
5757 RW1
5758 RW10
5759 RW11
5760 RW2
5761 RW20
5762 RW3
5763 RW30
5764 RW39
5765 RW4
5766 RW40
5767 RW41
5768 RW5
5769 RW50
5770 RW51
5771 RW52
5772 RW6
5773 RW60
5774 RW61
5775 RW62
5776 RW7
5777 RW71
5778 RW8
5779 RW81
5780 RW9
5781 RW91
5782 RX0
5783 RX02
5784 RX03
5785 RX04
5786 RX05
5787 RX1
5788 RX11
5789 RX2
5790 RX20
5791 RX3
5792 RX30
5793 RX4
5794 RX40
5795 RX5
5796 RX50
5797 RX6
5798 RX60
5799 RX7
5800 RX8
5801 RX9
5802 RZ0
5803 RZ1
5804 RZ2
5805 RZ3
5806 RZ4
5807 RZ5
5809 SA0
5810 SA1
5811 SA10
5812 SA2
5813 SA20
5814 SA21
5815 SA3
5816 SA4
5817 SA5
5818 SA6
5819 SA7
5820 SA8
5821 SA9
5822 SB0
5823 SB1
5824 SB2
5825 SB3
5826 SB4
5827 SB5
5828 SB50
5829 SB6
5830 SB7
5831 SB8
5832 SB80
5833 SB81
5834 SB9
5835 SB90
5836 SC1
5837 SC2
5838 SC3
5839 SC4
5840 SC5
5841 SD0
5842 TA0
5843 TA1
5844 TA2
5845 TA3
5846 TA4
5847 TA5
5848 TA6
5849 TA7
5850 TA8
5851 TA9
5852 TB0
5853 TB1
5854 TB2
5855 TB3
5856 UA0
5857 UB0
5858 VA0
5859 VB0
5860 VC0
5861 VD0
5862 VE0
5863 VF0
5864 TK1
5866 B002
10680 RI2
10681 RI3
10682 RJ1
10683 RJ2
10684 RJ5
10685 RJ6
10686 RK2
10687 RK3
10688 RR1
10689 RR2
10690 RR6
10691 RR7
10692 RS2
10693 RS3
10694 RT2
10695 RT3
10696 SD1
10697 SD1
10698 RL2
10699 RL3
10737 (blank)
10739 CO2
10746 PAKET
10747 PAKET
10748 PAKET
10749 PAKET
10750 Testosteron
10751 PAKET
10752 PAKET
10753 PAKET
10754 PAKET
10755 PAKET
10756 PAKET
10757 PAKET
10848 (blank)
10849 (blank)
10850 (blank)
10851 (blank)
10853 (blank)
10854 (blank)
10856 (blank)
10857 (blank)
10858 (blank)
10859 (blank)
10860 (blank)
10861 (blank)
10862 (blank)
10863 (blank)
10864 (blank)
10865 (blank)
10866 (blank)
10867 (blank)
10868 (blank)
10869 (blank)
10870 (blank)
10871 (blank)
10872 (blank)
10873 (blank)
10874 (blank)
10875 (blank)
10876 (blank)
10877 (blank)
10878 (blank)
10879 (blank)
10880 (blank)
10881 (blank)
10882 (blank)
10883 (blank)
10884 (blank)
10885 (blank)
10886 (blank)
10887 (blank)
10888 SB50
10889 (blank)
10890 (blank)
10891 (blank)
10892 C00
10893 (blank)
10894 (blank)
11016 (blank)
11017 (blank)
11018 (blank)
11020 (blank)
11021 RZ2
11022 (blank)
11023 GN1
11027 (blank)
11029 (blank)
11030 (blank)
11032 CH001
11033 (blank)
daftartindakan_nama BHAP JASA SARANA RS
Paket Hematologi Lengkap 4 13 28 54 153 4 13 28 54
Paket Hematologi 18 Parameter 4 13 28 54 153 4 13 28 54
Paket Gas Darah CG 8+ 4 13 28 54 153 4 13 28 54
Paket Khusus Askes 4 13 28 54 153 4 13 28 54
Cholesterol Total 4 13 28 54 153 4 13 28 54
Triglyseride 4 13 28 54 153 4 13 28 54
Urine Lengkap 4 13 28 54 153 4 13 28 54
Slide hCG Test 4 13 28 54 153 4 13 28 54
Stick hCG Test 4 13 28 54 153 4 13 28 54
Sovo hCG Test 4 13 28 54 153 4 13 28 54
Pack hCG Test 4 13 28 54 153 4 13 28 54
Pack hCG ABBOT Test 4 13 28 54 153 4 13 28 54
Titer HCG 4 13 28 54 153 4 13 28 54
Protein (Esbach) 4 13 28 54 153 4 13 28 54
Bence Jones Protein 4 13 28 54 153 4 13 28 54
Mikroalbumin Kuant 4 13 28 54 153 4 13 28 54
Faeces Lengkap 4 13 28 54 153 4 13 28 54
Benzidin 4 13 28 54 153 4 13 28 54
Hemoglobin 4 13 28 54 153 4 13 28 54
Lekosit 4 13 28 54 153 4 13 28 54
Diftel 4 13 28 54 153 4 13 28 54
BSE 4 13 28 54 153 4 13 28 54
Eritrosit 4 13 28 54 153 4 13 28 54
Hematokrit 4 13 28 54 153 4 13 28 54
Trombosit 4 13 28 54 153 4 13 28 54
MCV 4 13 28 54 153 4 13 28 54
MCH 4 13 28 54 153 4 13 28 54
MCHC 4 13 28 54 153 4 13 28 54
Retikulosit 4 13 28 54 153 4 13 28 54
Eosinofil 4 13 28 54 153 4 13 28 54
Waktu Pendarahan 4 13 28 54 153 4 13 28 54
Waktu Pembekuan 4 13 28 54 153 4 13 28 54
PT 4 13 28 54 153 4 13 28 54
APTT 4 13 28 54 153 4 13 28 54
Bj Plasma 4 13 28 54 153 4 13 28 54
Thrombotest Owren 4 13 28 54 153 4 13 28 54
Serum Iron 4 13 28 54 153 4 13 28 54
TIBC 4 13 28 54 153 4 13 28 54
Morfologi 4 13 28 54 153 4 13 28 54
Parasit darah : Malaria 4 13 28 54 153 4 13 28 54
Parasit darah : Filaria 4 13 28 54 153 4 13 28 54
HB Elektroforesis 4 13 28 54 153 4 13 28 54
Analisa Hb (HPLC) 4 13 28 54 153 4 13 28 54
Hemoglobin Panel Analisa 4 13 28 54 153 4 13 28 54
Golongan Darah 4 13 28 54 153 4 13 28 54
Rh. Faktor (Rhesus) 4 13 28 54 153 4 13 28 54
G6PD 4 13 28 54 153 4 13 28 54
G6PD Neonatus 4 13 28 54 153 4 13 28 54
Sel LE 4 13 28 54 153 4 13 28 54
Cross Darah 4 13 28 54 153 4 13 28 54
Total Limposit Absolut 4 13 28 54 153 4 13 28 54
Glukosa Puasa 4 13 28 54 153 4 13 28 54
Glukosa 2 jam pp 4 13 28 54 153 4 13 28 54
Glukosa ad random 4 13 28 54 153 4 13 28 54
G.T.T 4 13 28 54 153 4 13 28 54
Kurva Harian 4 13 28 54 153 4 13 28 54
Fruktosamin 4 13 28 54 153 4 13 28 54
HBA1C 4 13 28 54 153 4 13 28 54
Glukosa Cyto 4 13 28 54 153 4 13 28 54
Ureum Darah 4 13 28 54 153 4 13 28 54
Urea Clearance 4 13 28 54 153 4 13 28 54
Kreatinin 4 13 28 54 153 4 13 28 54
Kreatin Clearance 4 13 28 54 153 4 13 28 54
Asam Urat 4 13 28 54 153 4 13 28 54
Cholesterol Total 4 13 28 54 153 4 13 28 54
HDL-Cholesterol 4 13 28 54 153 4 13 28 54
LDL-Cholesterol 4 13 28 54 153 4 13 28 54
Triglyseride 4 13 28 54 153 4 13 28 54
Lipid Total 4 13 28 54 153 4 13 28 54
Troponin - I 4 13 28 54 153 4 13 28 54
LDH 4 13 28 54 153 4 13 28 54
CK - NAC 4 13 28 54 153 4 13 28 54
CK - MB 4 13 28 54 153 4 13 28 54
CK MB Massa 4 13 28 54 153 4 13 28 54
SGOT 4 13 28 54 153 4 13 28 54
SGPT 4 13 28 54 153 4 13 28 54
Lp (a) 4 13 28 54 153 4 13 28 54
E.K.G. 4 13 28 54 153 4 13 28 54
Treadmill Test 4 13 28 54 153 4 13 28 54
Echo Cardiography 4 13 28 54 153 4 13 28 54
Echo Cardiography (sedang) 4 13 28 54 153 4 13 28 54
Echo Cardiography (pilihan) 4 13 28 54 153 4 13 28 54
Protein Total 4 13 28 54 153 4 13 28 54
Albumin 4 13 28 54 153 4 13 28 54
Globulin 4 13 28 54 153 4 13 28 54
Elektroforesis Protein 4 13 28 54 153 4 13 28 54
Bilirubin Total 4 13 28 54 153 4 13 28 54
Bilirubin Direct 4 13 28 54 153 4 13 28 54
Bilirubin Indirect 4 13 28 54 153 4 13 28 54
SGOT 4 13 28 54 153 4 13 28 54
SGPT 4 13 28 54 153 4 13 28 54
Gamma - GT 4 13 28 54 153 4 13 28 54
Fosfatase Alkali (AP) 4 13 28 54 153 4 13 28 54
Alpha-Fetoprotein (AFP) 4 13 28 54 153 4 13 28 54
Cholinesterase (CHE) 4 13 28 54 153 4 13 28 54
IgG 4 13 28 54 153 4 13 28 54
IgA 4 13 28 54 153 4 13 28 54
IgM 4 13 28 54 153 4 13 28 54
T.T.T. 4 13 28 54 153 4 13 28 54
Feritin 4 13 28 54 153 4 13 28 54
IgE 4 13 28 54 153 4 13 28 54
Takata Ara 4 13 28 54 153 4 13 28 54
GLDH 4 13 28 54 153 4 13 28 54
HBs Ag (Elisa) 4 13 28 54 153 4 13 28 54
Anti - Hbs (elisa) 4 13 28 54 153 4 13 28 54
HBeAg 4 13 28 54 153 4 13 28 54
Anti HBe 4 13 28 54 153 4 13 28 54
Anti HBc 4 13 28 54 153 4 13 28 54
Anti HBcIgM 4 13 28 54 153 4 13 28 54
Anti HAV 4 13 28 54 153 4 13 28 54
Anti HAV IgM 4 13 28 54 153 4 13 28 54
Anti HCV 4 13 28 54 153 4 13 28 54
Anti HCV IgM 4 13 28 54 153 4 13 28 54
ANA 4 13 28 54 153 4 13 28 54
ANF 4 13 28 54 153 4 13 28 54
CEA 4 13 28 54 153 4 13 28 54
T3 4 13 28 54 153 4 13 28 54
T3 % Uptake 4 13 28 54 153 4 13 28 54
T4 (Thyroxine) 4 13 28 54 153 4 13 28 54
PSA 4 13 28 54 153 4 13 28 54
T S Hs 4 13 28 54 153 4 13 28 54
Tiroglobulin 4 13 28 54 153 4 13 28 54
CA 15 - 3 4 13 28 54 153 4 13 28 54
CA 19-9 (Pankreas) 4 13 28 54 153 4 13 28 54
CA 125 (Ovarium) 4 13 28 54 153 4 13 28 54
CA 72 - 4 4 13 28 54 153 4 13 28 54
HIV Konfirmasi 4 13 28 54 153 4 13 28 54
Anti H I V 4 13 28 54 153 4 13 28 54
FT4 4 13 28 54 153 4 13 28 54
FT3 4 13 28 54 153 4 13 28 54
DHF IgG 4 13 28 54 153 4 13 28 54
DHF IgM 4 13 28 54 153 4 13 28 54
Dengue Ag NS 1 Antigen 4 13 28 54 153 4 13 28 54
Chikungunya IgM 4 13 28 54 153 4 13 28 54
Hexagon TB 4 13 28 54 153 4 13 28 54
Rapid - Anti Tb igG 4 13 28 54 153 4 13 28 54
Hbs Ag Strip 4 13 28 54 153 4 13 28 54
Anti ds DNA 4 13 28 54 153 4 13 28 54
SCC 4 13 28 54 153 4 13 28 54
CD - 4 4 13 28 54 153 4 13 28 54
Calcium 4 13 28 54 153 4 13 28 54
Chlorida 4 13 28 54 153 4 13 28 54
Bicarbonat 4 13 28 54 153 4 13 28 54
Natrium 4 13 28 54 153 4 13 28 54
Kalium 4 13 28 54 153 4 13 28 54
Magnesium 4 13 28 54 153 4 13 28 54
Calcium Ion 4 13 28 54 153 4 13 28 54
Calcium Urine 4 13 28 54 153 4 13 28 54
Natrium Urine 4 13 28 54 153 4 13 28 54
Kalium Urine 4 13 28 54 153 4 13 28 54
Widal 4 13 28 54 153 4 13 28 54
CRP 4 13 28 54 153 4 13 28 54
RA-Test 4 13 28 54 153 4 13 28 54
ASTO 4 13 28 54 153 4 13 28 54
LE-Test 4 13 28 54 153 4 13 28 54
Homocystein 4 13 28 54 153 4 13 28 54
VDRL 4 13 28 54 153 4 13 28 54
Anti Amoeba 4 13 28 54 153 4 13 28 54
hs- CRP 4 13 28 54 153 4 13 28 54
TPHA 4 13 28 54 153 4 13 28 54
HSV 1 IgG 4 13 28 54 153 4 13 28 54
HSV 1 IgM 4 13 28 54 153 4 13 28 54
Spot Anti Salmonella Typhi IgM 4 13 28 54 153 4 13 28 54
Tubex Anti Salmonella IgM 4 13 28 54 153 4 13 28 54
Anti Toxoplasma IgG 4 13 28 54 153 4 13 28 54
Anti Toxoplasma IgM 4 13 28 54 153 4 13 28 54
Anti Rubella IgG 4 13 28 54 153 4 13 28 54
Anti Rubella IgM 4 13 28 54 153 4 13 28 54
Anti CMV IgG 4 13 28 54 153 4 13 28 54
Anti CMV IgM 4 13 28 54 153 4 13 28 54
HSV 2 IgG 4 13 28 54 153 4 13 28 54
HSV 2 IgM 4 13 28 54 153 4 13 28 54
Sperma Analisis 4 13 28 54 153 4 13 28 54
IgE Total 4 13 28 54 153 4 13 28 54
Analisa Batu Ginjal 4 13 28 54 153 4 13 28 54
Analisa Batu Empedu 4 13 28 54 153 4 13 28 54
Fosfatase Asam 4 13 28 54 153 4 13 28 54
pH 4 13 28 54 153 4 13 28 54
PC02 4 13 28 54 153 4 13 28 54
PO2 4 13 28 54 153 4 13 28 54
BEecf 4 13 28 54 153 4 13 28 54
HCO3 4 13 28 54 153 4 13 28 54
TCO2 4 13 28 54 153 4 13 28 54
sO2 4 13 28 54 153 4 13 28 54
Amilase Darah 4 13 28 54 153 4 13 28 54
Amilase Urine 4 13 28 54 153 4 13 28 54
Lipase 4 13 28 54 153 4 13 28 54
G6P - D 4 13 28 54 153 4 13 28 54
G6P-D Neonatus 4 13 28 54 153 4 13 28 54
Prolaktin 4 13 28 54 153 4 13 28 54
Fosfor Anorganik 4 13 28 54 153 4 13 28 54
MCV 4 13 28 54 153 4 13 28 54
Spirometri 4 13 28 54 153 4 13 28 54
Audiometri 4 13 28 54 153 4 13 28 54
Kultur 4 13 28 54 153 4 13 28 54
Hitung Kuman 4 13 28 54 153 4 13 28 54
Gal Kultur 4 13 28 54 153 4 13 28 54
Secret Vagina/Servic 4 13 28 54 153 4 13 28 54
Sputum 4 13 28 54 153 4 13 28 54
Secret Mata 4 13 28 54 153 4 13 28 54
Secret Uretra 4 13 28 54 153 4 13 28 54
Secret Luka 4 13 28 54 153 4 13 28 54
Apus 4 13 28 54 153 4 13 28 54
Cairan Pleura/Ascites 4 13 28 54 153 4 13 28 54
Lepra 4 13 28 54 153 4 13 28 54
Kerokan Kulit 4 13 28 54 153 4 13 28 54
Cairan LCS 4 13 28 54 153 4 13 28 54
Trimethropim S 5 ug 4 13 28 54 153 4 13 28 54
Compound Sulfanamides 4 13 28 54 153 4 13 28 54
Erytrhromycin 15 ug 4 13 28 54 153 4 13 28 54
Kanamycin 30 ug 4 13 28 54 153 4 13 28 54
Gentamycin 10 ug 4 13 28 54 153 4 13 28 54
Chloramphenicol 30 ug 4 13 28 54 153 4 13 28 54
Amoxycillin 25 ug 4 13 28 54 153 4 13 28 54
Ceftazidime 30 ug 4 13 28 54 153 4 13 28 54
Ciprofloxacin 5 ug 4 13 28 54 153 4 13 28 54
Levofloxacin 5 ug 4 13 28 54 153 4 13 28 54
Ampicillin 5 ug 4 13 28 54 153 4 13 28 54
Tetracycline 30 ug 4 13 28 54 153 4 13 28 54
Cloxacillin 4 13 28 54 153 4 13 28 54
Cefotaxim 30 ug 4 13 28 54 153 4 13 28 54
Sulbennicillin 4 13 28 54 153 4 13 28 54
Streptomycin 4 13 28 54 153 4 13 28 54
Ceftazidim 4 13 28 54 153 4 13 28 54
Netilmycin 4 13 28 54 153 4 13 28 54
Cefuroxin 4 13 28 54 153 4 13 28 54
Pipemidic Acid 20 ug 4 13 28 54 153 4 13 28 54
Tazobactam piperacillin 100 ul 4 13 28 54 153 4 13 28 54
Clindamicin 2 ul 4 13 28 54 153 4 13 28 54
Meropenem 10 ul 4 13 28 54 153 4 13 28 54
Moxifloxacin 5 ul 4 13 28 54 153 4 13 28 54
Thorax Photo 4 13 28 54 153 4 13 28 54
Thorax Photo CR 4 13 28 54 153 4 13 28 54
Thorax AP + Lateral 4 13 28 54 153 4 13 28 54
Thorax AP + Lat CR 4 13 28 54 153 4 13 28 54
Thorax LLD / RLD 4 13 28 54 153 4 13 28 54
Thorax Top Lordotik 4 13 28 54 153 4 13 28 54
Thorax LLD atau RLD CR 4 13 28 54 153 4 13 28 54
Thorax Top Lordotic CR 4 13 28 54 153 4 13 28 54
Thorax 3 Posisi 4 13 28 54 153 4 13 28 54
Thorax 3 Posisi CR 4 13 28 54 153 4 13 28 54
BNO 4 13 28 54 153 4 13 28 54
BNO CR 4 13 28 54 153 4 13 28 54
BNO 2 Posisi 4 13 28 54 153 4 13 28 54
BNO 2 Posisi CR 4 13 28 54 153 4 13 28 54
BNO 3 Posisi 4 13 28 54 153 4 13 28 54
BNO 3 Posisi CR 4 13 28 54 153 4 13 28 54
Knee Chest 4 13 28 54 153 4 13 28 54
Knee Chest CR 4 13 28 54 153 4 13 28 54
Manus AP + Lateral 4 13 28 54 153 4 13 28 54
Manus AP+Lat CR 4 13 28 54 153 4 13 28 54
Wrist Joint AP + Lateral 4 13 28 54 153 4 13 28 54
Wrist Joint AP+Lat CR 4 13 28 54 153 4 13 28 54
Antebrachii AP + Lat CR 4 13 28 54 153 4 13 28 54
Antebrachii AP + Lateral 4 13 28 54 153 4 13 28 54
Elbow Joint (Cubiti) Ap+Lat 4 13 28 54 153 4 13 28 54
Elbow Joint (Cubiti) Ap+Lat CR 4 13 28 54 153 4 13 28 54
Humerus AP + Lateral 4 13 28 54 153 4 13 28 54
Humerus AP + Lat CR 4 13 28 54 153 4 13 28 54
Shoulder Joint AP + Lateral 4 13 28 54 153 4 13 28 54
Shoulder Join AP + Lat CR 4 13 28 54 153 4 13 28 54
Clavicula Kiri / Kanan 4 13 28 54 153 4 13 28 54
Clavicula Kiri atau Kanan CR 4 13 28 54 153 4 13 28 54
Clavicula Perbandingan Kiri & Kanan 4 13 28 54 153 4 13 28 54
Clavicula Perbandingan Kiri / Kanan CR 4 13 28 54 153 4 13 28 54
Scapula Kiri / Kanan 4 13 28 54 153 4 13 28 54
Scapula Kiri atau Kanan CR 4 13 28 54 153 4 13 28 54
Scapula Perbandingan Kiri & Kanan 4 13 28 54 153 4 13 28 54
Scapula Perbandingan Kiri & Kanan CR 4 13 28 54 153 4 13 28 54
APG 4 13 28 54 153 4 13 28 54
Pedis AP + Lateral 4 13 28 54 153 4 13 28 54
Calcaneus Axcial Ap+Lat 4 13 28 54 153 4 13 28 54
Pedis AP + Lat CR 4 13 28 54 153 4 13 28 54
Calcaneus Axcial AP + Lat CR 4 13 28 54 153 4 13 28 54
Ankle Joint AP + Lateral 4 13 28 54 153 4 13 28 54
Angkle Joint AP + Lat CR 4 13 28 54 153 4 13 28 54
Cruris AP + Lateral 4 13 28 54 153 4 13 28 54
Cruris AP + Lat CR 4 13 28 54 153 4 13 28 54
Genu AP + Lateral 4 13 28 54 153 4 13 28 54
Genu AP + Lat CR 4 13 28 54 153 4 13 28 54
Genu Bilateral AP + Lateral 4 13 28 54 153 4 13 28 54
Sky Line Patela AP + Lateral 4 13 28 54 153 4 13 28 54
Genu Bilateral AP + Lat CR 4 13 28 54 153 4 13 28 54
Sky Line Patela AP + Lat CR 4 13 28 54 153 4 13 28 54
HIP Joint AP+Lateral 4 13 28 54 153 4 13 28 54
Femur AP + Lateral 4 13 28 54 153 4 13 28 54
HIP Joint AP + Lat CR 4 13 28 54 153 4 13 28 54
Femur AP + Lat CR 4 13 28 54 153 4 13 28 54
Pelvis AP 4 13 28 54 153 4 13 28 54
Pelvis AP CR 4 13 28 54 153 4 13 28 54
Pelvis AP + Lat 4 13 28 54 153 4 13 28 54
Pelvis AP + Lat CR 4 13 28 54 153 4 13 28 54
Schedell AP + Lat CR 4 13 28 54 153 4 13 28 54
Schedell AP + Lat 4 13 28 54 153 4 13 28 54
Cephalometri 4 13 28 54 153 4 13 28 54
Cephalometri CR 4 13 28 54 153 4 13 28 54
Mastoid ( Schullers+Stenvers ) 4 13 28 54 153 4 13 28 54
TMJ 4 13 28 54 153 4 13 28 54
Mastoid (Schuller & Stenvers) CR 4 13 28 54 153 4 13 28 54
TMJ CR 4 13 28 54 153 4 13 28 54
Waters 4 13 28 54 153 4 13 28 54
Os Nasal 4 13 28 54 153 4 13 28 54
Waters CR 4 13 28 54 153 4 13 28 54
Os Nasal CR 4 13 28 54 153 4 13 28 54
SPN ( Waters + Lat ) 4 13 28 54 153 4 13 28 54
SPN (Waters + Lat ) CR 4 13 28 54 153 4 13 28 54
Mandibula AP + Eisler 4 13 28 54 153 4 13 28 54
Mandibula AP + Eisler CR 4 13 28 54 153 4 13 28 54
Thoracal AP + Lat 4 13 28 54 153 4 13 28 54
Thoracal AP + Lat CR 4 13 28 54 153 4 13 28 54
Thoracal Lumbal AP + Lat 4 13 28 54 153 4 13 28 54
Thoracal Lumbal AP + Lat CR 4 13 28 54 153 4 13 28 54
Thoracal Lumbal AP+Lat+Obli CR 4 13 28 54 153 4 13 28 54
Thoracal Lumbal AP+Lat+Obli 4 13 28 54 153 4 13 28 54
Lumbal AP + Lat CR 4 13 28 54 153 4 13 28 54
Lumbal AP + Lat 4 13 28 54 153 4 13 28 54
Panoramic CR 4 13 28 54 153 4 13 28 54
LumboSacral AP + Lat 4 13 28 54 153 4 13 28 54
LumboSacral AP + Lat CR 4 13 28 54 153 4 13 28 54
LumboSacral AP+Lat+Obli 4 13 28 54 153 4 13 28 54
LumboSacral AP+Lat+Obli CR 4 13 28 54 153 4 13 28 54
Cervical AP + Lat 4 13 28 54 153 4 13 28 54
Cervical AP + Lat CR 4 13 28 54 153 4 13 28 54
Cervical AP + Lat+Obli 4 13 28 54 153 4 13 28 54
Cervical AP+Lat+Obli CR 4 13 28 54 153 4 13 28 54
Cervical Soft Tissue 4 13 28 54 153 4 13 28 54
Cervical Soft Tissue CR 4 13 28 54 153 4 13 28 54
Dental 4 13 28 54 153 4 13 28 54
OMD 4 13 28 54 153 4 13 28 54
Follow Through 4 13 28 54 153 4 13 28 54
IVP ( Intra Vena Pyelografi ) 4 13 28 54 153 4 13 28 54
Collon In Loop 4 13 28 54 153 4 13 28 54
Urethrocystogram 4 13 28 54 153 4 13 28 54
Fistulografi 4 13 28 54 153 4 13 28 54
Bone Survey 4 13 28 54 153 4 13 28 54
Histero Salfingo Graphy (HSG) 4 13 28 54 153 4 13 28 54
CT-SCAN 4 13 28 54 153 4 13 28 54
CT-SCAN Kepala Polos 4 13 28 54 153 4 13 28 54
CT SCAN Kepala Polos & Bone Window 4 13 28 54 153 4 13 28 54
CT-SCAN Kepala Kontras 4 13 28 54 153 4 13 28 54
CT-SCAN Kepala Kontras Tanpa Polos 4 13 28 54 153 4 13 28 54
CT-SCAN Kontras Tanpa Polos 4 13 28 54 153 4 13 28 54
CT-SCAN Thorax Polos 4 13 28 54 153 4 13 28 54
CT-SCAN Thorax Kontras 4 13 28 54 153 4 13 28 54
CT-SCAN Abdomen Bawah 4 13 28 54 153 4 13 28 54
CT-SCAN Abdomen Atas 4 13 28 54 153 4 13 28 54
CT-SCAN Abdomen Atas dan Bawah 4 13 28 54 153 4 13 28 54
CT-SCAN Abdomen Atas Kontras 4 13 28 54 153 4 13 28 54
CT-SCAN Abdomen Bawah Kontras 4 13 28 54 153 4 13 28 54
CT-SCAN Abdomen Kontras Atas & Bawah 4 13 28 54 153 4 13 28 54
CT-SCAN Nasofaring Polos 4 13 28 54 153 4 13 28 54
CT-SCAN Nasofaring Kontras 4 13 28 54 153 4 13 28 54
CT-SCAN ORBITA POLOS 4 13 28 54 153 4 13 28 54
CT-SCAN ORBITA KONTRAS 4 13 28 54 153 4 13 28 54
CT-SCAN Sinus 4 13 28 54 153 4 13 28 54
CT-SCAN Sinus Kontras 4 13 28 54 153 4 13 28 54
CT-SCAN Thoracol 4 13 28 54 153 4 13 28 54
CT-SCAN Lumbal 4 13 28 54 153 4 13 28 54
CT-SCAN Lumbalsacral 4 13 28 54 153 4 13 28 54
CT-SCAN Thoracal Lumbal 4 13 28 54 153 4 13 28 54
CT-SCAN Pelvis 4 13 28 54 153 4 13 28 54
CT-SCAN MANDIBULA 4 13 28 54 153 4 13 28 54
CT-SCAN Mandibula Kontras 4 13 28 54 153 4 13 28 54
CT-SCAN Mastoid 4 13 28 54 153 4 13 28 54
CT-SCAN Mastoid Kontras 4 13 28 54 153 4 13 28 54
CT-SCAN Cervical 4 13 28 54 153 4 13 28 54
CT-SCAN Cervical Kontras 4 13 28 54 153 4 13 28 54
CT-SCAN Ekstremitas Atas/Bawah 4 13 28 54 153 4 13 28 54
ADM CT SCAN 4 13 28 54 153 4 13 28 54
USG Abdomen 4 13 28 54 153 4 13 28 54
USG Transvaginal 4 13 28 54 153 4 13 28 54
USG Mamae 4 13 28 54 153 4 13 28 54
USG Tiroid 4 13 28 54 153 4 13 28 54
USG Testis 4 13 28 54 153 4 13 28 54
USG Kandungan 4 13 28 54 153 4 13 28 54
USG Thorax 4 13 28 54 153 4 13 28 54
USG 4 13 28 54 153 4 13 28 54
USG Abdomen Plus 4 13 28 54 153 4 13 28 54
USG KEPALA BAYI 4 13 28 54 153 4 13 28 54
USG Abdomen CYTO 4 13 28 54 153 4 13 28 54
USG Khusus 4 13 28 54 153 4 13 28 54
Usg Colour Dopler 4 13 28 54 153 4 13 28 54
Usg Colour Dopler 2 Bagian 4 13 28 54 153 4 13 28 54
PATOLOGI ANATOMI 4 13 28 54 153 4 13 28 54
PAP SMEAR 4 13 28 54 153 4 13 28 54
Metamphetamine 4 13 28 54 153 4 13 28 54
Cannabinoids 4 13 28 54 153 4 13 28 54
Amphetamine 4 13 28 54 153 4 13 28 54
Morphine 4 13 28 54 153 4 13 28 54
Benzodiazepine 4 13 28 54 153 4 13 28 54
Cocaine 4 13 28 54 153 4 13 28 54
Titrasi PP Test 4 13 28 54 153 4 13 28 54
Basofil 4 13 28 54 153 4 13 28 54
Wrist Joint Bilateral 4 13 28 54 153 4 13 28 54
Wrist Joint Bilateral CR 4 13 28 54 153 4 13 28 54
Antebrachii Bilateral 4 13 28 54 153 4 13 28 54
Antebrachii Bilateral CR 4 13 28 54 153 4 13 28 54
Elbow Joint (Cubiti) Bilateral 4 13 28 54 153 4 13 28 54
Elbow Joint (Cubiti) Bilateral CR 4 13 28 54 153 4 13 28 54
Humerus Bilateral 4 13 28 54 153 4 13 28 54
Humerus Bilateral CR 4 13 28 54 153 4 13 28 54
Pedis Bilateral AP + Lat 4 13 28 54 153 4 13 28 54
Pedis Bilateral CR 4 13 28 54 153 4 13 28 54
Calcaneus Axcial Bilateral 4 13 28 54 153 4 13 28 54
Calcaneus Axcial Bilateral CR 4 13 28 54 153 4 13 28 54
Ankle Joint Bilateral 4 13 28 54 153 4 13 28 54
Ankle Joint Bilateral CR 4 13 28 54 153 4 13 28 54
Cruris Bilateral AP + Lat 4 13 28 54 153 4 13 28 54
Cruris Bilateral CR 4 13 28 54 153 4 13 28 54
CT-SCAN Laring 4 13 28 54 153 4 13 28 54
CT-SCAN Laring Kontras 4 13 28 54 153 4 13 28 54
Shoulder Join Bilateral 4 13 28 54 153 4 13 28 54
Shoulder Join Bilateral CR 4 13 28 54 153 4 13 28 54
H PSA 4 13 28 54 153 4 13 28 54
Paket Hematologi Rutin 4 13 28 54 153 4 13 28 54
Paket MCU Haji 1 (Perempuan) 4 13 28 54 153 4 13 28 54
Paket MCU Haji 1 (Perempuan) 4 13 28 54 153 4 13 28 54
Paket MCU Haji 2 (Laki-Laki) 4 13 28 54 153 4 13 28 54
Paket MCU Haji 2 (Laki-Laki) 4 13 28 54 153 4 13 28 54
Testosteron 4 13 28 54 153 4 13 28 54
PAKET II HDI 4 13 28 54 153 4 13 28 54
PAKET III HDI 4 13 28 54 153 4 13 28 54
PAKET IV HDI 4 13 28 54 153 4 13 28 54
PAKET V HDI 4 13 28 54 153 4 13 28 54
PAKET VI HDI 4 13 28 54 153 4 13 28 54
PAKET VII HDI 4 13 28 54 153 4 13 28 54
PAKET I HDI 4 13 28 54 153 4 13 28 54
HBV DNA 4 13 28 54 153 4 13 28 54
Ige Spesifik Debu 4 13 28 54 153 4 13 28 54
Pelvis Sonde 4 13 28 54 153 4 13 28 54
Pelvis Sonde CR 4 13 28 54 153 4 13 28 54
Expertise Ct-scan 4 13 28 54 153 4 13 28 54
Expertise 4 13 28 54 153 4 13 28 54
Ct-scan Kepala Polos 3d 4 13 28 54 153 4 13 28 54
Ct Scan Kepala Polos & Bone Window 3d 4 13 28 54 153 4 13 28 54
Ct-scan Kepala Kontras 3d 4 13 28 54 153 4 13 28 54
Ct-scan Kepala Kontras Tanpa Polos 3d 4 13 28 54 153 4 13 28 54
Ct-scan Kontras Tanpa Polos 3d 4 13 28 54 153 4 13 28 54
Ct-scan Thorax Polos 3d 4 13 28 54 153 4 13 28 54
Ct-scan Thorax Kontras 3d 4 13 28 54 153 4 13 28 54
Ct-scan Abdomen Bawah 3d 4 13 28 54 153 4 13 28 54
Ct-scan Abdomen Atas 3d 4 13 28 54 153 4 13 28 54
Ct-scan Abdomen Atas Dan Bawah 3d 4 13 28 54 153 4 13 28 54
Ct-scan Abdomen Atas Kontras 3d 4 13 28 54 153 4 13 28 54
Ct-scan Abdomen Bawah Kontras 3d 4 13 28 54 153 4 13 28 54
Ct-scan Nasofaring Polos 3d 4 13 28 54 153 4 13 28 54
Ct-scan Nasofaring Kontras 3d 4 13 28 54 153 4 13 28 54
Ct-scan Orbita Polos 3d 4 13 28 54 153 4 13 28 54
Ct-scan Orbita Kontras 3d 4 13 28 54 153 4 13 28 54
Ct-scan Sinus 3d 4 13 28 54 153 4 13 28 54
Ct-scan Thoracol 3d 4 13 28 54 153 4 13 28 54
Ct-scan Lumbal 3d 4 13 28 54 153 4 13 28 54
Ct-scan Lumbalsacral 3d 4 13 28 54 153 4 13 28 54
Ct-scan Thoracal Lumbal 3d 4 13 28 54 153 4 13 28 54
Ct-scan Pelvis 3d 4 13 28 54 153 4 13 28 54
Ct-scan Mandibula 3d 4 13 28 54 153 4 13 28 54
Ct-scan Mandibula Kontras 3d 4 13 28 54 153 4 13 28 54
Ct-scan Mastoid 3d 4 13 28 54 153 4 13 28 54
Ct-scan Mastoid Kontras 3d 4 13 28 54 153 4 13 28 54
Ct-scan Cervical 3d 4 13 28 54 153 4 13 28 54
Ct-scan Cervical Kontras 3d 4 13 28 54 153 4 13 28 54
Ct-scan Laring 3d 4 13 28 54 153 4 13 28 54
Ct-scan Laring Kontras 3d 4 13 28 54 153 4 13 28 54
Patologi Anatomi Besar 4 13 28 54 153 4 13 28 54
Ct-scan Abdomen Kontras Atas & Bawah 3d 4 13 28 54 153 4 13 28 54
Ct-scan Sinus Kontras 3d 4 13 28 54 153 4 13 28 54
Ct-scan Ekstremitas Atas 3d 4 13 28 54 153 4 13 28 54
Ct-scan Ekstremitas Bawah 4 13 28 54 153 4 13 28 54
Ct-scan Ekstremitas Bawah 3d 4 13 28 54 153 4 13 28 54
D-dimer 4 13 28 54 153 4 13 28 54
Vit D-oh3 4 13 28 54 153 4 13 28 54
Anti Leptospira 4 13 28 54 153 4 13 28 54
Apo A1 4 13 28 54 153 4 13 28 54
Apo B 4 13 28 54 153 4 13 28 54
CK 4 13 28 54 153 4 13 28 54
Coomb Test 4 13 28 54 153 4 13 28 54
Urethrocystogram Biopolar 4 13 28 54 153 4 13 28 54
Oesofagografi 4 13 28 54 153 4 13 28 54
Transferin 4 13 28 54 153 4 13 28 54
Igra 4 13 28 54 153 4 13 28 54
Igg Helicobacter Pylori 4 13 28 54 153 4 13 28 54
Procalcitonin 4 13 28 54 153 4 13 28 54
Anca 4 13 28 54 153 4 13 28 54
Posfor 4 13 28 54 153 4 13 28 54
ARANA RS JASA SARANA NRS PPH 23 JASA MEDIS
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
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154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
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154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
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154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
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154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
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154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
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154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
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154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
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154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
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154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
154 4 13 28 54 154 4 13 28 54 154 4 13 28 54 155
JASA PARAMEDIS
4 13 28 54 156
4 13 28 54 156
4 13 28 54 156
4 13 28 54 156
4 13 28 54 156
4 13 28 54 156
4 13 28 54 156
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Row LabelsRow Labels
ANA ANA
4950
625050
0
0
0
0
630000
ANF ANF
4950
1351050
0
0
0
0
1356000
ASTO ASTO
24610
56390
180
8820
0
0
90000
ADM CT SCADM CT SCAN
60000
0
0
0
0
0
60000
Albumin Albumin
47039
38461
190
9310
0
0
95000
Alpha-FetoAlpha-Fetoprotein (AFP)
4950
325050
0
0
0
0
330000
Amilase DaAmilase Darah
61667
118333
400
19600
0
0
200000
Amilase UrAmilase Urine
4950
287550
0
0
0
0
292500
AmoxycillinAmoxycillin 25 ug
0
0
0
0
0
0
0
AmphetamAmphetamine
22793
12307
78
3822
0
0
39000
Ampicillin Ampicillin 5 ug
0
0
0
0
0
0
0
Analisa Ba Analisa Batu Empedu
0
0
0
0
0
0
400000
Analisa BatAnalisa Batu Ginjal
0
0
0
0
0
0
325000
Analisa HbAnalisa Hb (HPLC)
4950
500050
0
0
0
0
505000
Anca Anca
0
300000
0
0
0
0
300000
Angkle JoinAngkle Joint AP + Lat CR
138180
17820
480
23520
0
60000
240000
Ankle JointAnkle Joint AP + Lateral
47100
37400
260
12740
0
32500
130000
Ankle JointAnkle Joint Bilateral
85380
58620
320
15680
0
0
160000
Ankle JointAnkle Joint Bilateral CR
138180
91320
510
24990
0
0
255000
AntebrachiiAntebrachii AP + Lat CR
138180
17820
480
23520
0
60000
240000
AntebrachiiAntebrachii AP + Lateral
47100
37400
260
12740
0
32500
130000
AntebrachiiAntebrachii Bilateral
85380
58620
320
15680
0
0
160000
AntebrachiiAntebrachii Bilateral CR
138180
91320
510
24990
0
0
255000
Anti - Hbs (Anti - Hbs (elisa)
126303
121197
550
26950
0
0
275000
Anti AmoeAnti Amoeba
4950
375050
0
0
0
0
380000
Anti CMV IAnti CMV IgG
180555
84945
590
28910
0
0
295000
Anti CMV Anti CMV IgM
139987
134513
610
29890
0
0
305000
Anti ds DNAnti ds DNA
4950
504050
0
0
0
0
509000
Anti H I V Anti H I V
156000
141000
660
32340
0
0
330000
Anti HAV Anti HAV
4950
468050
0
0
0
0
473000
Anti HAV I Anti HAV IgM
201543
117957
710
34790
0
0
355000
Anti HBc Anti HBc
4950
330050
0
0
0
0
335000
Anti HBcIg Anti HBcIgM
4950
520050
0
0
0
0
525000
Anti HBe Anti HBe
4950
560050
0
0
0
0
565000
Anti HCV Anti HCV
201000
127500
730
35770
0
0
365000
Anti HCV I Anti HCV IgM
4950
950050
0
0
0
0
955000
Anti LeptosAnti Leptospira
4950
103050
0
0
0
0
108000
Anti RubellAnti Rubella IgG
134718
153282
640
31360
0
0
320000
Anti Rubel Anti Rubella IgM
180555
165945
770
37730
0
0
385000
Anti ToxopAnti Toxoplasma IgG
189622
57878
550
26950
0
0
275000
Anti ToxopAnti Toxoplasma IgM
173140
78860
560
27440
0
0
280000
APG APG
28620
738130
490
24010
0
263750
1055000
Apo A1 Apo A1
0
300000
0
0
0
0
300000
Apo B Apo B
0
200000
0
0
0
0
200000
APTT APTT
8713
166287
0
0
0
0
175000
Apus Apus
21473
68527
200
9800
0
0
100000
Asam UratAsam Urat
10352
24748
78
3822
0
0
39000
AudiometriAudiometri
0
7000
160
7840
5000
60000
80000
BSE BSE
13993
5807
44
2156
0
0
22000
Basofil Basofil
0
0
0
0
0
0
0
BEecf BEecf
0
0
0
0
0
0
0
Bence JoneBence Jones Protein
4950
110050
0
0
0
0
115000
Benzidin Benzidin
4950
150050
0
0
0
0
155000
BenzodiazeBenzodiazepine
22793
12307
78
3822
0
0
39000
BicarbonatBicarbonat
4950
385550
0
0
0
0
390500
Bilirubin DiBilirubin Direct
27110
59290
192
9408
0
0
96000
Bilirubin InBilirubin Indirect
0
0
0
0
0
0
0
Bilirubin ToBilirubin Total
27109
59291
192
9408
0
0
96000
Bj Plasma Bj Plasma
12952
36548
110
5390
0
0
55000
BNO BNO
47100
37400
260
12740
0
32500
130000
BNO 2 PosiBNO 2 Posisi
85380
32920
364
17836
0
45500
182000
BNO 2 PosiBNO 2 Posisi CR
190980
56020
760
37240
0
95000
380000
BNO 3 PosiBNO 3 Posisi
123660
56390
554
27146
0
69250
277000
BNO 3 PosiBNO 3 Posisi CR
190980
95020
880
43120
0
110000
440000
BNO CR BNO CR
60300
89200
460
22540
0
57500
230000
Bone SurveBone Survey
28620
151880
490
24010
0
550000
755000
CEA CEA
107044
149456
570
27930
0
0
285000
CK CK
0
185000
0
0
0
0
185000
CRP CRP
22437
58563
180
8820
0
0
90000
CA 125 (OvCA 125 (Ovarium)
4950
595050
0
0
0
0
600000
CA 15 - 3 CA 15 - 3
4950
600050
0
0
0
0
605000
CA 19-9 (P CA 19-9 (Pankreas)
4950
610050
0
0
0
0
615000
CA 72 - 4 CA 72 - 4
4950
815050
0
0
0
0
820000
Cairan LCS Cairan LCS
109473
102027
470
23030
0
0
235000
Cairan PleuCairan Pleura/Ascites
109473
88527
440
21560
0
0
220000
Calcaneus ACalcaneus Axcial AP + Lat CR
138180
17820
480
23520
0
60000
240000
Calcaneus Calcaneus Axcial Ap+Lat
47100
37400
260
12740
0
32500
130000
Calcaneus ACalcaneus Axcial Bilateral
85380
58620
320
15680
0
0
160000
Calcaneus ACalcaneus Axcial Bilateral CR
138180
91320
510
24990
0
0
255000
Calcium Calcium
16936
50564
150
7350
0
0
75000
Calcium Io Calcium Ion
4950
250050
0
0
0
0
255000
Calcium UrCalcium Urine
4950
95050
0
0
0
0
100000
CannabinoiCannabinoids
22793
12307
78
3822
0
0
39000
CD - 4 CD - 4
4950
385050
0
0
0
0
390000
Cefotaxim Cefotaxim 30 ug
0
0
0
0
0
0
0
CeftazidimCeftazidim
0
0
0
0
0
0
0
CeftazidimeCeftazidime 30 ug
0
0
0
0
0
0
0
Cefuroxin Cefuroxin
0
0
0
0
0
0
0
Cephalomet Cephalometri
47100
24400
220
10780
0
27500
110000
Cephalomet Cephalometri CR
44460
62790
330
16170
0
41250
165000
Cervical APCervical AP + Lat
47100
43900
280
13720
0
35000
140000
Cervical APCervical AP + Lat CR
138180
17820
480
23520
0
60000
240000
Cervical APCervical AP + Lat+Obli
123660
42090
510
24990
0
63750
255000
Cervical A Cervical AP+Lat+Obli CR
190980
56020
760
37240
0
95000
380000
Cervical SoCervical Soft Tissue
47100
43900
280
13720
0
35000
140000
Cervical SoCervical Soft Tissue CR
138180
17820
480
23520
0
60000
240000
ChikungunChikungunya IgM
113906
197494
692
33908
0
0
346000
ChlorampheChloramphenicol 30 ug
0
0
0
0
0
0
0
Chlorida Chlorida
22023
53577
168
8232
0
0
84000
CholesterolCholesterol Total
14454
26046
90
4410
0
0
45000
CholinesteCholinesterase (CHE)
4950
150050
0
0
0
0
155000
CiprofloxacCiprofloxacin 5 ug
0
0
0
0
0
0
0
CK - MB CK - MB
190000
39500
510
24990
0
0
255000
CK - NAC CK - NAC
4950
285050
0
0
0
0
290000
CK MB MasCK MB Massa
195165
214835
0
0
0
0
410000
Clavicula KClavicula Kiri / Kanan
47100
37400
260
12740
0
32500
130000
Clavicula KClavicula Kiri atau Kanan CR
138180
17820
480
23520
0
60000
240000
Clavicula Clavicula Perbandingan Kiri & Kanan
85380
18620
320
15680
0
40000
160000
Clavicula PClavicula Perbandingan Kiri / Kanan CR
138180
17820
480
23520
0
60000
240000
ClindamicinClindamicin 2 ul
0
0
0
0
0
0
0
Cloxacillin Cloxacillin
0
0
0
0
0
0
0
Cocaine Cocaine
22793
12307
78
3822
0
0
39000
Collon In L Collon In Loop
28620
151880
490
24010
0
950000
1155000
CompoundCompound Sulfanamides
0
0
0
0
0
0
0
Coomb TesCoomb Test
0
480000
0
0
0
0
480000
Cross DaraCross Darah
7283
21517
64
3136
0
0
32000
Cruris AP +Cruris AP + Lat CR
138180
17820
480
23520
0
60000
240000
Cruris AP +Cruris AP + Lateral
47100
37400
260
12740
0
32500
130000
Cruris BilatCruris Bilateral AP + Lat
85380
78420
364
17836
0
0
182000
Cruris Bila Cruris Bilateral CR
138180
91320
510
24990
0
0
255000
CT SCAN KeCT SCAN Kepala Polos & Bone Window
191555
533445
2000
98000
20000
155000
1000000
Ct Scan Ke Ct Scan Kepala Polos & Bone Window 3d
373555
779195
3180
155820
31800
246450
1590000
CT-SCAN CT-SCAN
100555
588195
1900
93100
19000
147250
950000
CT-SCAN ACT-SCAN Abdomen Atas
191555
649445
2320
113680
23200
179800
1160000
Ct-scan AbCt-scan Abdomen Atas 3d
373555
895195
3500
171500
35000
271250
1750000
CT-SCAN ACT-SCAN Abdomen Atas dan Bawah
373555
974945
3720
182280
37200
288300
1860000
Ct-scan AbCt-scan Abdomen Atas Dan Bawah 3d
737555
1038695
4900
240100
49000
379750
2450000
CT-SCAN ACT-SCAN Abdomen Atas Kontras
1140555
671945
5000
245000
50000
387500
2500000
Ct-scan AbCt-scan Abdomen Atas Kontras 3d
1504555
735695
6180
302820
61800
478950
3090000
CT-SCAN ACT-SCAN Abdomen Bawah
191555
649445
2320
113680
23200
179800
1160000
Ct-scan A Ct-scan Abdomen Bawah 3d
373555
895195
3500
171500
35000
271250
1750000
CT-SCAN ACT-SCAN Abdomen Bawah Kontras
1140555
671945
5000
245000
50000
387500
2500000
Ct-scan AbCt-scan Abdomen Bawah Kontras 3d
1504555
735695
6180
302820
61800
478950
3090000
CT-SCAN ACT-SCAN Abdomen Kontras Atas & Bawah
1504555
837195
6460
316540
64600
500650
3230000
Ct-scan AbCt-scan Abdomen Kontras Atas & Bawah 3d
1686555
1082945
7640
374360
76400
592100
3820000
CT-SCAN CeCT-SCAN Cervical
100555
769445
2400
117600
24000
186000
1200000
Ct-scan CerCt-scan Cervical 3d
191555
1106195
3580
175420
35800
277450
1790000
CT-SCAN CeCT-SCAN Cervical Kontras
575055
1027195
4420
216580
44200
342550
2210000
Ct-scan CerCt-scan Cervical Kontras 3d
757055
1272945
5600
274400
56000
434000
2800000
Ct-scan EksCt-scan Ekstremitas Atas 3d
373555
1032945
3880
190120
38800
300700
1940000
CT-SCAN EkCT-SCAN Ekstremitas Atas/Bawah
191555
787195
2700
132300
27000
209250
1350000
Ct-scan Ek Ct-scan Ekstremitas Bawah
191555
787195
2700
132300
27000
209250
1350000
Ct-scan Ek Ct-scan Ekstremitas Bawah 3d
373555
1032945
3880
190120
38800
300700
1940000
CT-SCAN KeCT-SCAN Kepala Kontras
575055
657615
3230
166600
34000
263500
1700000
Ct-scan Ke Ct-scan Kepala Kontras 3d
757055
903765
4010
224420
45800
354950
2290000
CT-SCAN KeCT-SCAN Kepala Kontras Tanpa Polos
484055
226585
1820
96040
19600
151900
980000
Ct-scan Ke Ct-scan Kepala Kontras Tanpa Polos 3d
575055
562325
4010
153860
31400
243350
1570000
CT-SCAN KeCT-SCAN Kepala Polos
100555
588195
1900
93100
19000
147250
950000
Ct-scan Ke Ct-scan Kepala Polos 3d
191555
924945
3080
150920
30800
238700
1540000
CT-SCAN KoCT-SCAN Kontras Tanpa Polos
484055
226585
1820
96040
19600
151900
980000
Ct-scan Ko Ct-scan Kontras Tanpa Polos 3d
575055
563195
3140
153860
31400
243350
1570000
CT-SCAN LaCT-SCAN Laring
100555
979445
2400
117600
0
0
1200000
Ct-scan LarCt-scan Laring 3d
191555
1106195
3580
175420
35800
277450
1790000
CT-SCAN LaCT-SCAN Laring Kontras
575055
1413945
4420
216580
0
0
2210000
Ct-scan LarCt-scan Laring Kontras 3d
757055
1272945
5600
274400
56000
434000
2800000
CT-SCAN L CT-SCAN Lumbal
191555
1077195
3500
171500
35000
271250
1750000
Ct-scan Lu Ct-scan Lumbal 3d
373555
1322945
4680
229320
46800
362700
2340000
CT-SCAN LuCT-SCAN Lumbalsacral
373555
895195
3500
171500
35000
271250
1750000
Ct-scan Lu Ct-scan Lumbalsacral 3d
737555
958945
4680
229320
46800
362700
2340000
CT-SCAN CT-SCAN MANDIBULA
191555
678445
2400
117600
24000
186000
1200000
Ct-scan MaCt-scan Mandibula 3d
373555
924195
3580
175420
35800
277450
1790000
CT-SCAN Ma CT-SCAN Mandibula Kontras
757055
845195
4420
216580
44200
342550
2210000
Ct-scan MaCt-scan Mandibula Kontras 3d
1121055
908945
5600
274400
56000
434000
2800000
CT-SCAN MCT-SCAN Mastoid
100555
769445
2400
117600
24000
186000
1200000
Ct-scan MaCt-scan Mastoid 3d
191555
1106195
3580
175420
35800
277450
1790000
CT-SCAN MaCT-SCAN Mastoid Kontras
575055
1027195
4420
216580
44200
342550
2210000
Ct-scan MaCt-scan Mastoid Kontras 3d
757055
1272945
5600
274400
56000
434000
2800000
CT-SCAN NaCT-SCAN Nasofaring Kontras
575055
1027195
4420
216580
44200
342550
2210000
Ct-scan NaCt-scan Nasofaring Kontras 3d
757055
1272945
5600
274400
56000
434000
2800000
CT-SCAN Na CT-SCAN Nasofaring Polos
100555
769445
2400
117600
24000
186000
1200000
Ct-scan NaCt-scan Nasofaring Polos 3d
191555
1106195
3580
175420
35800
277450
1790000
CT-SCAN OCT-SCAN ORBITA KONTRAS
575055
1027195
4420
216580
44200
342550
2210000
Ct-scan OrbCt-scan Orbita Kontras 3d
757055
1272945
5600
274400
56000
434000
2800000
CT-SCAN OCT-SCAN ORBITA POLOS
100555
740445
2320
113680
23200
179800
1160000
Ct-scan OrbCt-scan Orbita Polos 3d
191555
1077195
3500
171500
35000
271250
1750000
CT-SCAN PeCT-SCAN Pelvis
191555
678445
2400
117600
24000
186000
1200000
Ct-scan PelCt-scan Pelvis 3d
373555
924195
3580
175420
35800
277450
1790000
CT-SCAN SiCT-SCAN Sinus
100555
740445
2320
113680
23200
179800
1160000
Ct-scan SinCt-scan Sinus 3d
191555
1077195
3500
171500
35000
271250
1750000
CT-SCAN SiCT-SCAN Sinus Kontras
575055
1027195
4420
216580
44200
342550
2210000
Ct-scan SinCt-scan Sinus Kontras 3d
757055
1272945
5600
274400
56000
434000
2800000
CT-SCAN ThCT-SCAN Thoracal Lumbal
373555
1003945
3800
186200
38000
294500
1900000
Ct-scan Th Ct-scan Thoracal Lumbal 3d
737555
1067695
4980
244020
49800
385950
2490000
CT-SCAN ThCT-SCAN Thoracol
373555
895195
3500
171500
35000
271250
1750000
Ct-scan Th Ct-scan Thoracol 3d
737555
958945
4680
229320
46800
362700
2340000
CT-SCAN ThCT-SCAN Thorax Kontras
1140555
461695
4420
216580
44200
342550
2210000
Ct-scan Th Ct-scan Thorax Kontras 3d
1504555
525445
5600
274400
56000
434000
2800000
CT-SCAN ThCT-SCAN Thorax Polos
191555
678445
2400
117600
24000
186000
1200000
Ct-scan Th Ct-scan Thorax Polos 3d
373555
924195
3580
175420
35800
277450
1790000
D-dimer D-dimer
0
630000
0
0
0
0
630000
Dengue AgDengue Ag NS 1 Antigen
179433
131967
692
33908
0
0
346000
Dental Dental
28620
23380
160
7840
0
20000
80000
DHF IgG DHF IgG
72579
83121
346
16954
0
0
173000
DHF IgM DHF IgM
72579
83121
346
16954
0
0
173000
Diftel Diftel
10693
9107
44
2156
0
0
22000
E.K.G. E.K.G.
11200
23800
100
4900
0
10000
50000
Echo CardiEcho Cardiography
109033
260967
1100
53900
25000
100000
550000
Echo CardioEcho Cardiography (pilihan)
109033
452967
1760
86240
30000
200000
880000
Echo CardiEcho Cardiography (sedang)
109033
340967
1400
68600
30000
150000
700000
Elbow JointElbow Joint (Cubiti) Ap+Lat
47100
37400
260
12740
0
32500
130000
Elbow JointElbow Joint (Cubiti) Ap+Lat CR
138180
17820
480
23520
0
60000
240000
Elbow JointElbow Joint (Cubiti) Bilateral
47100
96900
320
15680
0
0
160000
Elbow JointElbow Joint (Cubiti) Bilateral CR
138180
91320
510
24990
0
0
255000
ElektroforeElektroforesis Protein
4950
380050
0
0
0
0
385000
Eosinofil Eosinofil
16413
29487
102
4998
0
0
51000
Eritrosit Eritrosit
10693
3707
32
1568
0
0
16000
ErytrhromycErytrhromycin 15 ug
0
0
0
0
0
0
0
Expertise Expertise
7350
32650
0
0
0
0
40000
Expertise CExpertise Ct-scan
9555
190445
0
0
0
0
200000
FT3 FT3
4950
390050
0
0
0
0
395000
FT4 FT4
4950
315050
0
0
0
0
320000
Faeces LenFaeces Lengkap
13683
21417
78
3822
0
0
39000
Femur AP +Femur AP + Lat CR
138180
17820
480
23520
0
60000
240000
Femur AP +Femur AP + Lateral
85380
21870
330
16170
0
41250
165000
Feritin Feritin
4950
250050
0
0
0
0
255000
FistulografiFistulografi
28620
151880
490
24010
0
750000
955000
Follow ThrFollow Through
28620
151880
490
24010
0
750000
955000
Fosfatase AFosfatase Alkali (AP)
20750
33250
120
5880
0
0
60000
Fosfatase Fosfatase Asam
4950
320050
0
0
0
0
325000
Fosfor AnoFosfor Anorganik
6721
83279
200
9800
0
0
100000
FruktosamiFruktosamin
4950
895050
0
0
0
0
900000
G.T.T G.T.T
4950
180050
0
0
0
0
185000
G6P - D G6P - D
4950
215050
0
0
0
0
220000
G6PD G6PD
4950
292050
0
0
0
0
297000
G6PD NeonG6PD Neonatus
4950
292050
0
0
0
0
297000
G6P-D NeoG6P-D Neonatus
4950
215050
0
0
0
0
220000
Gal Kultur Gal Kultur
109473
88527
440
21560
0
0
220000
Gamma - GGamma - GT
16443
37557
120
5880
0
0
60000
Gentamycin Gentamycin 10 ug
0
0
0
0
0
0
0
Genu AP + Genu AP + Lat CR
138180
17820
480
23520
0
60000
240000
Genu AP + Genu AP + Lateral
47100
38700
264
12936
0
33000
132000
Genu BilateGenu Bilateral AP + Lat CR
138180
17820
480
23520
0
60000
240000
Genu BilateGenu Bilateral AP + Lateral
85380
21870
330
16170
0
41250
165000
GLDH GLDH
4950
560050
0
0
0
0
565000
Globulin Globulin
0
0
0
0
0
0
0
Glukosa 2 Glukosa 2 jam pp
9875
9925
44
2156
0
0
22000
Glukosa adGlukosa ad random
9875
9925
44
2156
0
0
22000
Glukosa CyGlukosa Cyto
12893
48307
136
6664
0
0
68000
Glukosa PuGlukosa Puasa
9875
9925
44
2156
0
0
22000
Golongan Golongan Darah
10308
4092
32
1568
0
0
16000
H PSA H PSA
7393
234607
0
0
0
0
242000
HB ElektrofHB Elektroforesis
4950
520050
0
0
0
0
525000
HBA1C HBA1C
138293
37207
390
19110
0
0
195000
HBeAg HBeAg
4950
430050
0
0
0
0
435000
HBs Ag (EliHBs Ag (Elisa)
86990
97510
410
20090
0
0
205000
Hbs Ag StriHbs Ag Strip
19361
78739
218
10682
0
0
109000
HBV DNA HBV DNA
7393
1892607
0
0
0
0
1900000
HCO3 HCO3
0
0
0
0
0
0
0
HDL-CholesHDL-Cholesterol
18049
125951
320
15680
0
0
160000
HematokritHematokrit
10693
3707
32
1568
0
0
16000
HemoglobiHemoglobin
10693
8207
42
2058
0
0
21000
HemoglobinHemoglobin Panel Analisa
4950
1078050
0
0
0
0
1083000
Hexagon THexagon TB
62371
138329
446
21854
0
0
223000
HIP Joint AHIP Joint AP + Lat CR
138180
17820
480
23520
0
60000
240000
HIP Joint AHIP Joint AP+Lateral
47100
37400
260
12740
0
32500
130000
Histero SalHistero Salfingo Graphy (HSG)
28620
151880
490
24010
0
850000
1055000
Hitung Ku Hitung Kuman
0
0
0
0
0
0
0
HIV Konfir HIV Konfirmasi
4950
760050
0
0
0
0
765000
HomocysteHomocystein
4950
605050
0
0
0
0
610000
hs- CRP hs- CRP
4950
253050
0
0
0
0
258000
HSV 1 IgG HSV 1 IgG
4950
450050
0
0
0
0
455000
HSV 1 IgM HSV 1 IgM
4950
450050
0
0
0
0
455000
HSV 2 IgG HSV 2 IgG
4950
320050
0
0
0
0
325000
HSV 2 IgM HSV 2 IgM
4950
320050
0
0
0
0
325000
Humerus AP
Humerus AP + Lat CR
138180
17820
480
23520
0
60000
240000
Humerus AP
Humerus AP + Lateral
47100
38700
264
12936
0
33000
132000
Humerus BiHumerus Bilateral
85380
58620
320
15680
0
0
160000
Humerus BiHumerus Bilateral CR
138180
91320
510
24990
0
0
255000
IgA IgA
4950
485050
0
0
0
0
490000
IgE IgE
4950
365050
0
0
0
0
370000
Ige Spesifi Ige Spesifik Debu
7393
484007
1092
53508
0
0
546000
IgE Total IgE Total
4950
365050
0
0
0
0
370000
IgG IgG
4950
485050
0
0
0
0
490000
Igg HelicobIgg Helicobacter Pylori
0
670000
0
0
0
0
670000
IgM IgM
4950
485050
0
0
0
0
490000
Igra Igra
0
800000
0
0
0
0
800000
IVP ( Intra IVP ( Intra Vena Pyelografi )
28620
151880
490
24010
0
950000
1155000
Kalium Kalium
22023
53577
168
8232
0
0
84000
Kalium Uri Kalium Urine
4950
95050
0
0
0
0
100000
KanamycinKanamycin 30 ug
0
0
0
0
0
0
0
Kerokan KulKerokan Kulit
21473
68527
200
9800
0
0
100000
Knee ChestKnee Chest
47100
43900
280
13720
0
35000
140000
Knee ChestKnee Chest CR
138180
17820
480
23520
0
60000
240000
Kreatin Cl Kreatin Clearance
4950
120050
0
0
0
0
125000
Kreatinin Kreatinin
12660
22440
78
3822
0
0
39000
Kultur Kultur
119373
159627
620
30380
0
0
310000
Kurva Hari Kurva Harian
4950
190050
0
0
0
0
195000
LDH LDH
4950
117050
0
0
0
0
122000
LDL-CholesLDL-Cholesterol
0
0
0
0
0
0
0
Lekosit Lekosit
10693
3707
32
1568
0
0
16000
Lepra Lepra
21473
68527
200
9800
0
0
100000
LE-Test LE-Test
4950
105050
0
0
0
0
110000
LevofloxaciLevofloxacin 5 ug
0
0
0
0
0
0
0
Lipase Lipase
61667
176833
530
25970
0
0
265000
Lipid Total Lipid Total
4950
357050
0
0
0
0
362000
Lp (a) Lp (a)
4950
375050
0
0
0
0
380000
Lumbal AP Lumbal AP + Lat
85380
18620
320
15680
0
40000
160000
Lumbal AP Lumbal AP + Lat CR
190980
56020
760
37240
0
95000
380000
LumboSacra
LumboSacral AP + Lat
85380
18620
320
15680
0
40000
160000
LumboSacra
LumboSacral AP + Lat CR
190980
56020
760
37240
0
95000
380000
LumboSacra
LumboSacral AP+Lat+Obli
123660
81090
630
30870
0
78750
315000
LumboSacra
LumboSacral AP+Lat+Obli CR
190980
95020
880
43120
0
110000
440000
Magnesiu Magnesium
4950
103050
0
0
0
0
108000
MandibulaMandibula AP + Eisler
47100
56900
320
15680
0
40000
160000
MandibulaMandibula AP + Eisler CR
138180
17820
480
23520
0
60000
240000
Manus AP +Manus AP + Lateral
47100
24400
220
10780
0
27500
110000
Manus AP+Manus AP+Lat CR
44460
111540
480
23520
0
60000
240000
Mastoid ( SMastoid ( Schullers+Stenvers )
47100
43900
280
13720
0
35000
140000
Mastoid (ScMastoid (Schuller & Stenvers) CR
138180
17820
480
23520
0
60000
240000
MCH MCH
10693
10907
48
2352
0
0
24000
MCHC MCHC
10693
10907
48
2352
0
0
24000
MCV MCV
10693
10907
48
2352
0
0
24000
MeropenemMeropenem 10 ul
0
0
0
0
0
0
0
MetampheMetamphetamine
22793
12307
78
3822
0
0
39000
Mikroalbum
Mikroalbumin Kuant
4950
130050
0
0
0
0
135000
Morfologi Morfologi
7283
90817
218
10682
0
0
109000
Morphine Morphine
22793
12307
78
3822
0
0
39000
MoxifloxaciMoxifloxacin 5 ul
0
0
0
0
0
0
0
Natrium Natrium
22023
53577
168
8232
0
0
84000
Natrium UrNatrium Urine
4950
95050
0
0
0
0
100000
NetilmycinNetilmycin
0
0
0
0
0
0
0
OesofagogrOesofagografi
28620
1101880
490
24010
0
0
1155000
OMD OMD
28620
151880
490
24010
0
750000
955000
Os Nasal Os Nasal
47100
24400
220
10780
0
27500
110000
Os Nasal C Os Nasal CR
44460
72540
360
17640
0
45000
180000
Pack hCG Pack hCG Test
40480
36020
170
8330
0
0
85000
Pack hCG APack hCG ABBOT Test
51159
45141
214
10486
0
0
107000
Paket Gas Paket Gas Darah CG 8+
374022
435978
1800
88200
0
0
900000
Paket HemaPaket Hematologi 18 Parameter
28149
50151
174
8526
0
0
87000
Paket HemaPaket Hematologi Lengkap
28149
50151
174
8526
0
0
87000
Paket HemaPaket Hematologi Rutin
6721
71579
174
8526
0
0
87000
PAKET I HDPAKET I HDI
24590
35410
0
0
0
0
60000
PAKET II H PAKET II HDI
35740
84260
0
0
0
0
120000
PAKET III HPAKET III HDI
42191
237809
0
0
0
0
280000
PAKET IV HPAKET IV HDI
63240
116760
0
0
0
0
180000
Paket KhusPaket Khusus Askes
92420
15580
0
12000
0
0
120000
Paket MCUPaket MCU Haji 1 (Perempuan)
39250
41750
0
9000
0
0
90000
100783
223217
0
36000
0
0
360000
Paket MCUPaket
H MCU Haji 2 (Laki-Laki)
39250
41750
0
9000
0
0
90000
85800
188700
0
30500
0
0
305000
PAKET V HDPAKET V HDI
39740
80260
0
0
0
0
120000
PAKET VI HPAKET VI HDI
53220
146780
0
0
0
0
200000
PAKET VII PAKET VII HDI
155117
152883
0
0
0
0
308000
PanoramicPanoramic CR
44460
62790
330
16170
0
41250
165000
PAP SMEA PAP SMEAR
26950
-56950
300
14700
15000
150000
150000
Parasit daraParasit darah : Filaria
46787
34213
180
8820
0
0
90000
Parasit darParasit darah : Malaria
46787
34213
180
8820
0
0
90000
PATOLOGI PATOLOGI ANATOMI
17500
43500
580
28420
0
200000
290000
Patologi A Patologi Anatomi Besar
173000
-69000
1120
54880
0
400000
560000
PC02 PC02
0
0
0
0
0
0
0
Pedis AP + Pedis AP + Lat CR
138180
17820
480
23520
0
60000
240000
Pedis AP + Pedis AP + Lateral
47100
37400
260
12740
0
32500
130000
Pedis Bilat Pedis Bilateral AP + Lat
85380
58620
320
15680
0
0
160000
Pedis Bilat Pedis Bilateral CR
138180
91320
510
24990
0
0
255000
Pelvis AP Pelvis AP
47100
37400
260
12740
0
32500
130000
Pelvis AP +Pelvis AP + Lat
85380
21870
330
16170
0
41250
165000
Pelvis AP +Pelvis AP + Lat CR
138180
17820
480
23520
0
60000
240000
Pelvis AP CPelvis AP CR
138180
17820
480
23520
0
60000
240000
Pelvis SondPelvis Sonde
104800
57200
0
18000
0
0
180000
Pelvis Son Pelvis Sonde CR
93800
108700
0
22500
0
0
225000
pH pH
264022
298478
1250
61250
0
0
625000
Pipemidic APipemidic Acid 20 ug
0
0
0
0
0
0
0
PO2 PO2
0
0
0
0
0
0
0
Posfor Posfor
0
113000
0
0
0
0
113000
ProcalcitonProcalcitonin
0
909000
0
0
0
0
909000
Prolaktin Prolaktin
4950
351050
0
0
0
0
356000
Protein (EsProtein (Esbach)
4950
165050
0
0
0
0
170000
Protein TotProtein Total
47039
38461
190
9310
0
0
95000
PSA PSA
4950
385050
0
0
0
0
390000
PT PT
8713
281287
0
0
0
0
290000
Rapid - AntRapid - Anti Tb igG
4950
305050
0
0
0
0
310000
RA-Test RA-Test
21138
59862
180
8820
0
0
90000
RetikulositRetikulosit
16413
29487
102
4998
0
0
51000
Rh. Faktor Rh. Faktor (Rhesus)
16521
5079
48
2352
0
0
24000
SGOT SGOT
22655
15145
84
4116
0
0
42000
SGPT SGPT
22655
15145
84
4116
0
0
42000
Scapula KirScapula Kiri / Kanan
47100
37400
260
12740
0
32500
130000
Scapula KirScapula Kiri atau Kanan CR
138180
17820
480
23520
0
60000
240000
Scapula PeScapula Perbandingan Kiri & Kanan
47100
43900
280
13720
0
35000
140000
Scapula PeScapula Perbandingan Kiri & Kanan CR
138180
17820
480
23520
0
60000
240000
SCC SCC
4950
563050
0
0
0
0
568000
Schedell APSchedell AP + Lat
47100
43900
280
13720
0
35000
140000
Schedell APSchedell AP + Lat CR
380
194620
600
29400
0
75000
300000
Secret Luk Secret Luka
21473
68527
200
9800
0
0
100000
Secret MatSecret Mata
21473
68527
200
9800
0
0
100000
Secret UreSecret Uretra
21473
68527
200
9800
0
0
100000
Secret VagiSecret Vagina/Servic
21473
68527
200
9800
0
0
100000
Sel LE Sel LE
4950
107050
0
0
0
0
112000
Serum IronSerum Iron
5633
149367
0
0
0
0
155000
SGOT SGOT
22655
15145
84
4116
0
0
42000
SGPT SGPT
22655
15145
84
4116
0
0
42000
Shoulder JoShoulder Join AP + Lat CR
138180
17820
480
23520
0
60000
240000
Shoulder JoShoulder Join Bilateral
85380
58620
320
15680
0
0
160000
Shoulder JoShoulder Join Bilateral CR
139680
90330
0
24990
0
0
255000
Shoulder JoShoulder Joint AP + Lateral
47100
37400
260
12740
0
32500
130000
Sky Line PaSky Line Patela AP + Lat CR
138180
17820
480
23520
0
60000
240000
Sky Line PaSky Line Patela AP + Lateral
47100
43900
280
13720
0
35000
140000
Slide hCG TSlide hCG Test
10523
21877
72
3528
0
0
36000
sO2 sO2
0
0
0
0
0
0
0
Sovo hCG Sovo hCG Test
24621
30279
122
5978
0
0
61000
Sperma Ana Sperma Analisis
41273
80227
270
13230
0
0
135000
SpirometriSpirometri
46773
97227
320
15680
0
0
160000
SPN ( WaterSPN ( Waters + Lat )
47100
43900
280
13720
0
35000
140000
SPN (WatersSPN (Waters + Lat ) CR
138180
17820
480
23520
0
60000
240000
Spot Anti SSpot Anti Salmonella Typhi IgM
134405
24895
0
17700
0
0
177000
Sputum Sputum
21473
68527
200
9800
0
0
100000
Stick hCG TStick hCG Test
12952
23048
80
3920
0
0
40000
StreptomycStreptomycin
0
0
0
0
0
0
0
SulbennicilSulbennicillin
0
0
0
0
0
0
0
T3 T3
93039
135561
508
24892
0
0
254000
TIBC TIBC
5633
144367
0
0
0
0
150000
TPHA TPHA
4950
180050
0
0
0
0
185000
T S Hs T S Hs
88331
149269
528
25872
0
0
264000
T.T.T. T.T.T.
0
0
0
0
0
0
0
T3 % UptakT3 % Uptake
0
0
0
0
0
0
0
T4 (ThyroxiT4 (Thyroxine)
83282
145318
508
24892
0
0
254000
Takata AraTakata Ara
0
0
0
0
0
0
0
Tazobactam Tazobactam piperacillin 100 ul
0
0
0
0
0
0
0
TCO2 TCO2
0
0
0
0
0
0
0
TestosteroTestosteron
7393
321107
730
35770
0
0
365000
TetracyclinTetracycline 30 ug
0
0
0
0
0
0
0
Thoracal APThoracal AP + Lat
85380
18620
320
15680
0
40000
160000
Thoracal APThoracal AP + Lat CR
190980
56020
760
37240
0
95000
380000
Thoracal L Thoracal Lumbal AP + Lat
85380
18620
320
15680
0
40000
160000
Thoracal L Thoracal Lumbal AP + Lat CR
190980
56020
760
37240
0
95000
380000
Thoracal L Thoracal Lumbal AP+Lat+Obli
123660
81090
630
30870
0
78750
315000
Thoracal L Thoracal Lumbal AP+Lat+Obli CR
190980
95020
880
43120
0
110000
440000
Thorax 3 PoThorax 3 Posisi
123660
81090
630
30870
0
78750
315000
Thorax 3 PoThorax 3 Posisi CR
190980
67720
796
39004
0
99500
398000
Thorax AP Thorax AP + Lat CR
138180
17820
480
23520
0
60000
240000
Thorax AP +Thorax AP + Lateral
85380
31620
360
17640
0
45000
180000
Thorax LLDThorax LLD / RLD
85380
28370
350
17150
0
43750
175000
Thorax LLDThorax LLD atau RLD CR
138180
17820
480
23520
0
60000
240000
Thorax PhoThorax Photo
47100
22450
214
10486
0
26750
107000
Thorax PhoThorax Photo CR
44460
72540
360
17640
0
45000
180000
Thorax TopThorax Top Lordotic CR
44460
62790
330
16170
0
41250
165000
Thorax TopThorax Top Lordotik
47100
24400
220
10780
0
27500
110000
ThromboteThrombotest Owren
5633
229367
0
0
0
0
235000
TiroglobuliTiroglobulin
4950
495050
0
0
0
0
500000
Titer HCG Titer HCG
73745
157555
514
25186
0
0
257000
Titrasi PP TTitrasi PP Test
0
0
0
0
0
0
0
TMJ TMJ
47100
24400
220
10780
0
27500
110000
TMJ CR TMJ CR
44460
62790
330
16170
0
41250
165000
Total LimpoTotal Limposit Absolut
12233
83167
212
10388
0
0
106000
Transferin Transferin
4950
340050
0
0
0
0
345000
Treadmill TTreadmill Test
350000
54500
1210
59290
30000
110000
605000
Triglyserid Triglyseride
21069
13131
76
3724
0
0
38000
21070
13130
76
3724
0
0
38000
TrimethropiTrimethropim S 5 ug
0
0
0
0
0
0
0
Trombosit Trombosit
10693
16307
60
2940
0
0
30000
Troponin - Troponin - I
4950
650050
0
0
0
0
655000
Tubex AntiTubex Anti Salmonella IgM
140239
98261
530
25970
0
0
265000
Urea ClearUrea Clearance
4950
120050
0
0
0
0
125000
Urethrocy Urethrocystogram
28620
151880
490
24010
0
950000
1155000
UrethrocysUrethrocystogram Biopolar
28620
1101880
490
24010
0
0
1155000
Ureum DarUreum Darah
17951
17149
78
3822
0
0
39000
Urine LengUrine Lengkap
14783
23479
78
660
0
0
39000
USG USG
37350
105150
600
29400
0
127500
300000
USG Abdo USG Abdomen
37350
105150
600
29400
0
127500
300000
USG Abdom USG Abdomen CYTO
37350
124150
680
33320
0
144500
340000
USG Abdom USG Abdomen Plus
37350
124150
680
33320
0
144500
340000
Usg ColourUsg Colour Dopler
37350
176400
900
44100
0
191250
450000
Usg ColourUsg Colour Dopler 2 Bagian
37350
247650
1200
58800
0
255000
600000
USG KanduUSG Kandungan
37350
105150
600
29400
0
127500
300000
USG KEPALUSG KEPALA BAYI
37350
105150
600
29400
0
127500
300000
USG KhusuUSG Khusus
37350
124150
680
33320
0
144500
340000
USG MamaUSG Mamae
37350
105150
600
29400
0
127500
300000
USG TestisUSG Testis
37350
105150
600
29400
0
127500
300000
USG ThoraUSG Thorax
37350
105150
600
29400
0
127500
300000
USG TiroidUSG Tiroid
37350
105150
600
29400
0
127500
300000
USG TransvUSG Transvaginal
93350
115650
880
43120
0
187000
440000
VDRL VDRL
33986
47014
180
8820
0
0
90000
Vit D-oh3 Vit D-oh3
0
350000
0
0
0
0
350000
Waktu PemWaktu Pembekuan
10363
13037
52
2548
0
0
26000
Waktu PenWaktu Pendarahan
10363
13037
52
2548
0
0
26000
Waters Waters
47100
43900
280
13720
0
35000
140000
Waters CR Waters CR
44460
72540
360
17640
0
45000
180000
Widal Widal
28073
47527
168
8232
0
0
84000
Wrist JointWrist Joint AP + Lateral
47100
24400
220
10780
0
27500
110000
Wrist JointWrist Joint AP+Lat CR
138180
17820
480
23520
0
60000
240000
Wrist Joint Wrist Joint Bilateral
85380
58620
320
15680
0
0
160000
Wrist JointWrist Joint Bilateral CR
138180
91320
510
24990
0
0
255000
Grand TotaGrand Total
Row Labels
HG0 5576 A N A BHAP
HG0 5576 A N A JASA SARANA
HG0 5576 A N A PPH 23
HG0 5576 A N A JASA PERUJUK
HG0 5576 A N A JASA MEDIS
HG0 5576 A N A JASA PARAMEDIS
HG0 5576 A N A Total Tarif
HH0 5577 A N F BHAP
HH0 5577 A N F JASA SARANA
HH0 5577 A N F PPH 23
HH0 5577 A N F JASA PERUJUK
HH0 5577 A N F JASA MEDIS
HH0 5577 A N F JASA PARAMEDIS
HH0 5577 A N F Total Tarif
JD0 5618 A S T O BHAP
JD0 5618 A S T O JASA SARANA
JD0 5618 A S T O PPH 23
JD0 5618 A S T O JASA PERUJUK
JD0 5618 A S T O JASA MEDIS
JD0 5618 A S T O JASA PARAMEDIS
JD0 5618 A S T O Total Tarif
SD0 5841 ADM CT SCAN BHAP
SD0 5841 ADM CT SCAN JASA SARANA
SD0 5841 ADM CT SCAN PPH 23
SD0 5841 ADM CT SCAN JASA PERUJUK
SD0 5841 ADM CT SCAN JASA MEDIS
SD0 5841 ADM CT SCAN JASA PARAMEDIS
SD0 5841 ADM CT SCAN Total Tarif
G20 5545 Albumin BHAP
G20 5545 Albumin JASA SARANA
G20 5545 Albumin PPH 23
G20 5545 Albumin JASA PERUJUK
G20 5545 Albumin JASA MEDIS
G20 5545 Albumin JASA PARAMEDIS
G20 5545 Albumin Total Tarif
GF0 5555 Alpha-Fetoprotein (AFP) BHAP
GF0 5555 Alpha-Fetoprotein (AFP) JASA SARANA
GF0 5555 Alpha-Fetoprotein (AFP) PPH 23
GF0 5555 Alpha-Fetoprotein (AFP) JASA PERUJUK
GF0 5555 Alpha-Fetoprotein (AFP) JASA MEDIS
GF0 5555 Alpha-Fetoprotein (AFP) JASA PARAMEDIS
GF0 5555 Alpha-Fetoprotein (AFP) Total Tarif
NB0 5652 Amilase Darah BHAP
NB0 5652 Amilase Darah JASA SARANA
NB0 5652 Amilase Darah PPH 23
NB0 5652 Amilase Darah JASA PERUJUK
NB0 5652 Amilase Darah JASA MEDIS
NB0 5652 Amilase Darah JASA PARAMEDIS
NB0 5652 Amilase Darah Total Tarif
NC0 5653 Amilase Urine BHAP
NC0 5653 Amilase Urine JASA SARANA
NC0 5653 Amilase Urine PPH 23
NC0 5653 Amilase Urine JASA PERUJUK
NC0 5653 Amilase Urine JASA MEDIS
NC0 5653 Amilase Urine JASA PARAMEDIS
NC0 5653 Amilase Urine Total Tarif
PG0 5681 Amoxycillin 25 ug BHAP
PG0 5681 Amoxycillin 25 ug JASA SARANA
PG0 5681 Amoxycillin 25 ug PPH 23
PG0 5681 Amoxycillin 25 ug JASA PERUJUK
PG0 5681 Amoxycillin 25 ug JASA MEDIS
PG0 5681 Amoxycillin 25 ug JASA PARAMEDIS
PG0 5681 Amoxycillin 25 ug Total Tarif
VC0 5860 Amphetamine BHAP
VC0 5860 Amphetamine JASA SARANA
VC0 5860 Amphetamine PPH 23
VC0 5860 Amphetamine JASA PERUJUK
VC0 5860 Amphetamine JASA MEDIS
VC0 5860 Amphetamine JASA PARAMEDIS
VC0 5860 Amphetamine Total Tarif
PK0 5685 Ampicillin 5 ug BHAP
PK0 5685 Ampicillin 5 ug JASA SARANA
PK0 5685 Ampicillin 5 ug PPH 23
PK0 5685 Ampicillin 5 ug JASA PERUJUK
PK0 5685 Ampicillin 5 ug JASA MEDIS
PK0 5685 Ampicillin 5 ug JASA PARAMEDIS
PK0 5685 Ampicillin 5 ug Total Tarif
MA0 5643 Analisa Batu Empedu BHAP
MA0 5643 Analisa Batu Empedu JASA SARANA
MA0 5643 Analisa Batu Empedu PPH 23
MA0 5643 Analisa Batu Empedu JASA PERUJUK
MA0 5643 Analisa Batu Empedu JASA MEDIS
MA0 5643 Analisa Batu Empedu JASA PARAMEDIS
MA0 5643 Analisa Batu Empedu Total Tarif
LA0 5642 Analisa Batu Ginjal BHAP
LA0 5642 Analisa Batu Ginjal JASA SARANA
LA0 5642 Analisa Batu Ginjal PPH 23
LA0 5642 Analisa Batu Ginjal JASA PERUJUK
LA0 5642 Analisa Batu Ginjal JASA MEDIS
LA0 5642 Analisa Batu Ginjal JASA PARAMEDIS
LA0 5642 Analisa Batu Ginjal Total Tarif
CS1 5501 Analisa Hb (HPLC) BHAP
CS1 5501 Analisa Hb (HPLC) JASA SARANA
CS1 5501 Analisa Hb (HPLC) PPH 23
CS1 5501 Analisa Hb (HPLC) JASA PERUJUK
CS1 5501 Analisa Hb (HPLC) JASA MEDIS
CS1 5501 Analisa Hb (HPLC) JASA PARAMEDIS
CS1 5501 Analisa Hb (HPLC) Total Tarif
CH001 11032 Anca BHAP
CH001 11032 Anca JASA SARANA
CH001 11032 Anca PPH 23
CH001 11032 Anca JASA PERUJUK
CH001 11032 Anca JASA MEDIS
CH001 11032 Anca JASA PARAMEDIS
CH001 11032 Anca Total Tarif
RS1 5747 Angkle Joint AP + Lat CR BHAP
RS1 5747 Angkle Joint AP + Lat CR JASA SARANA
RS1 5747 Angkle Joint AP + Lat CR PPH 23
RS1 5747 Angkle Joint AP + Lat CR JASA PERUJUK
RS1 5747 Angkle Joint AP + Lat CR JASA MEDIS
RS1 5747 Angkle Joint AP + Lat CR JASA PARAMEDIS
RS1 5747 Angkle Joint AP + Lat CR Total Tarif
RS0 5746 Ankle Joint AP + Lateral BHAP
RS0 5746 Ankle Joint AP + Lateral JASA SARANA
RS0 5746 Ankle Joint AP + Lateral PPH 23
RS0 5746 Ankle Joint AP + Lateral JASA PERUJUK
RS0 5746 Ankle Joint AP + Lateral JASA MEDIS
RS0 5746 Ankle Joint AP + Lateral JASA PARAMEDIS
RS0 5746 Ankle Joint AP + Lateral Total Tarif
RS2 10692 Ankle Joint Bilateral BHAP
RS2 10692 Ankle Joint Bilateral JASA SARANA
RS2 10692 Ankle Joint Bilateral PPH 23
RS2 10692 Ankle Joint Bilateral JASA PERUJUK
RS2 10692 Ankle Joint Bilateral JASA MEDIS
RS2 10692 Ankle Joint Bilateral JASA PARAMEDIS
RS2 10692 Ankle Joint Bilateral Total Tarif
RS3 10693 Ankle Joint Bilateral CR BHAP
RS3 10693 Ankle Joint Bilateral CR JASA SARANA
RS3 10693 Ankle Joint Bilateral CR PPH 23
RS3 10693 Ankle Joint Bilateral CR JASA PERUJUK
RS3 10693 Ankle Joint Bilateral CR JASA MEDIS
RS3 10693 Ankle Joint Bilateral CR JASA PARAMEDIS
RS3 10693 Ankle Joint Bilateral CR Total Tarif
RJ 0 5725 Antebrachii AP + Lat CR BHAP
RJ 0 5725 Antebrachii AP + Lat CR JASA SARANA
RJ 0 5725 Antebrachii AP + Lat CR PPH 23
RJ 0 5725 Antebrachii AP + Lat CR JASA PERUJUK
RJ 0 5725 Antebrachii AP + Lat CR JASA MEDIS
RJ 0 5725 Antebrachii AP + Lat CR JASA PARAMEDIS
RJ 0 5725 Antebrachii AP + Lat CR Total Tarif
RJ0 5726 Antebrachii AP + Lateral BHAP
RJ0 5726 Antebrachii AP + Lateral JASA SARANA
RJ0 5726 Antebrachii AP + Lateral PPH 23
RJ0 5726 Antebrachii AP + Lateral JASA PERUJUK
RJ0 5726 Antebrachii AP + Lateral JASA MEDIS
RJ0 5726 Antebrachii AP + Lateral JASA PARAMEDIS
RJ0 5726 Antebrachii AP + Lateral Total Tarif
RJ1 10682 Antebrachii Bilateral BHAP
RJ1 10682 Antebrachii Bilateral JASA SARANA
RJ1 10682 Antebrachii Bilateral PPH 23
RJ1 10682 Antebrachii Bilateral JASA PERUJUK
RJ1 10682 Antebrachii Bilateral JASA MEDIS
RJ1 10682 Antebrachii Bilateral JASA PARAMEDIS
RJ1 10682 Antebrachii Bilateral Total Tarif
RJ2 10683 Antebrachii Bilateral CR BHAP
RJ2 10683 Antebrachii Bilateral CR JASA SARANA
RJ2 10683 Antebrachii Bilateral CR PPH 23
RJ2 10683 Antebrachii Bilateral CR JASA PERUJUK
RJ2 10683 Antebrachii Bilateral CR JASA MEDIS
RJ2 10683 Antebrachii Bilateral CR JASA PARAMEDIS
RJ2 10683 Antebrachii Bilateral CR Total Tarif
H10 5567 Anti - Hbs (elisa) BHAP
H10 5567 Anti - Hbs (elisa) JASA SARANA
H10 5567 Anti - Hbs (elisa) PPH 23
H10 5567 Anti - Hbs (elisa) JASA PERUJUK
H10 5567 Anti - Hbs (elisa) JASA MEDIS
H10 5567 Anti - Hbs (elisa) JASA PARAMEDIS
H10 5567 Anti - Hbs (elisa) Total Tarif
JH0 5622 Anti Amoeba BHAP
JH0 5622 Anti Amoeba JASA SARANA
JH0 5622 Anti Amoeba PPH 23
JH0 5622 Anti Amoeba JASA PERUJUK
JH0 5622 Anti Amoeba JASA MEDIS
JH0 5622 Anti Amoeba JASA PARAMEDIS
JH0 5622 Anti Amoeba Total Tarif
JU0 5635 Anti CMV IgG BHAP
JU0 5635 Anti CMV IgG JASA SARANA
JU0 5635 Anti CMV IgG PPH 23
JU0 5635 Anti CMV IgG JASA PERUJUK
JU0 5635 Anti CMV IgG JASA MEDIS
JU0 5635 Anti CMV IgG JASA PARAMEDIS
JU0 5635 Anti CMV IgG Total Tarif
JU1 5636 Anti CMV IgM BHAP
JU1 5636 Anti CMV IgM JASA SARANA
JU1 5636 Anti CMV IgM PPH 23
JU1 5636 Anti CMV IgM JASA PERUJUK
JU1 5636 Anti CMV IgM JASA MEDIS
JU1 5636 Anti CMV IgM JASA PARAMEDIS
JU1 5636 Anti CMV IgM Total Tarif
HX0 5600 Anti ds DNA BHAP
HX0 5600 Anti ds DNA JASA SARANA
HX0 5600 Anti ds DNA PPH 23
HX0 5600 Anti ds DNA JASA PERUJUK
HX0 5600 Anti ds DNA JASA MEDIS
HX0 5600 Anti ds DNA JASA PARAMEDIS
HX0 5600 Anti ds DNA Total Tarif
HQ0 5590 Anti H I V BHAP
HQ0 5590 Anti H I V JASA SARANA
HQ0 5590 Anti H I V PPH 23
HQ0 5590 Anti H I V JASA PERUJUK
HQ0 5590 Anti H I V JASA MEDIS
HQ0 5590 Anti H I V JASA PARAMEDIS
HQ0 5590 Anti H I V Total Tarif
H60 5572 Anti HAV BHAP
H60 5572 Anti HAV JASA SARANA
H60 5572 Anti HAV PPH 23
H60 5572 Anti HAV JASA PERUJUK
H60 5572 Anti HAV JASA MEDIS
H60 5572 Anti HAV JASA PARAMEDIS
H60 5572 Anti HAV Total Tarif
H70 5573 Anti HAV IgM BHAP
H70 5573 Anti HAV IgM JASA SARANA
H70 5573 Anti HAV IgM PPH 23
H70 5573 Anti HAV IgM JASA PERUJUK
H70 5573 Anti HAV IgM JASA MEDIS
H70 5573 Anti HAV IgM JASA PARAMEDIS
H70 5573 Anti HAV IgM Total Tarif
H40 5570 Anti HBc BHAP
H40 5570 Anti HBc JASA SARANA
H40 5570 Anti HBc PPH 23
H40 5570 Anti HBc JASA PERUJUK
H40 5570 Anti HBc JASA MEDIS
H40 5570 Anti HBc JASA PARAMEDIS
H40 5570 Anti HBc Total Tarif
H50 5571 Anti HBcIgM BHAP
H50 5571 Anti HBcIgM JASA SARANA
H50 5571 Anti HBcIgM PPH 23
H50 5571 Anti HBcIgM JASA PERUJUK
H50 5571 Anti HBcIgM JASA MEDIS
H50 5571 Anti HBcIgM JASA PARAMEDIS
H50 5571 Anti HBcIgM Total Tarif
H30 5569 Anti HBe BHAP
H30 5569 Anti HBe JASA SARANA
H30 5569 Anti HBe PPH 23
H30 5569 Anti HBe JASA PERUJUK
H30 5569 Anti HBe JASA MEDIS
H30 5569 Anti HBe JASA PARAMEDIS
H30 5569 Anti HBe Total Tarif
H80 5574 Anti HCV BHAP
H80 5574 Anti HCV JASA SARANA
H80 5574 Anti HCV PPH 23
H80 5574 Anti HCV JASA PERUJUK
H80 5574 Anti HCV JASA MEDIS
H80 5574 Anti HCV JASA PARAMEDIS
H80 5574 Anti HCV Total Tarif
H90 5575 Anti HCV IgM BHAP
H90 5575 Anti HCV IgM JASA SARANA
H90 5575 Anti HCV IgM PPH 23
H90 5575 Anti HCV IgM JASA PERUJUK
H90 5575 Anti HCV IgM JASA MEDIS
H90 5575 Anti HCV IgM JASA PARAMEDIS
H90 5575 Anti HCV IgM Total Tarif
(blank) 10894 Anti Leptospira BHAP
(blank) 10894 Anti Leptospira JASA SARANA
(blank) 10894 Anti Leptospira PPH 23
(blank) 10894 Anti Leptospira JASA PERUJUK
(blank) 10894 Anti Leptospira JASA MEDIS
(blank) 10894 Anti Leptospira JASA PARAMEDIS
(blank) 10894 Anti Leptospira Total Tarif
JR0 5631 Anti Rubella IgG BHAP
JR0 5631 Anti Rubella IgG JASA SARANA
JR0 5631 Anti Rubella IgG PPH 23
JR0 5631 Anti Rubella IgG JASA PERUJUK
JR0 5631 Anti Rubella IgG JASA MEDIS
JR0 5631 Anti Rubella IgG JASA PARAMEDIS
JR0 5631 Anti Rubella IgG Total Tarif
JS0 5632 Anti Rubella IgM BHAP
JS0 5632 Anti Rubella IgM JASA SARANA
JS0 5632 Anti Rubella IgM PPH 23
JS0 5632 Anti Rubella IgM JASA PERUJUK
JS0 5632 Anti Rubella IgM JASA MEDIS
JS0 5632 Anti Rubella IgM JASA PARAMEDIS
JS0 5632 Anti Rubella IgM Total Tarif
JO0 5629 Anti Toxoplasma IgG BHAP
JO0 5629 Anti Toxoplasma IgG JASA SARANA
JO0 5629 Anti Toxoplasma IgG PPH 23
JO0 5629 Anti Toxoplasma IgG JASA PERUJUK
JO0 5629 Anti Toxoplasma IgG JASA MEDIS
JO0 5629 Anti Toxoplasma IgG JASA PARAMEDIS
JO0 5629 Anti Toxoplasma IgG Total Tarif
JP0 5630 Anti Toxoplasma IgM BHAP
JP0 5630 Anti Toxoplasma IgM JASA SARANA
JP0 5630 Anti Toxoplasma IgM PPH 23
JP0 5630 Anti Toxoplasma IgM JASA PERUJUK
JP0 5630 Anti Toxoplasma IgM JASA MEDIS
JP0 5630 Anti Toxoplasma IgM JASA PARAMEDIS
JP0 5630 Anti Toxoplasma IgM Total Tarif
RQ0 5741 APG BHAP
RQ0 5741 APG JASA SARANA
RQ0 5741 APG PPH 23
RQ0 5741 APG JASA PERUJUK
RQ0 5741 APG JASA MEDIS
RQ0 5741 APG JASA PARAMEDIS
RQ0 5741 APG Total Tarif
(blank) 11016 Apo A1 BHAP
(blank) 11016 Apo A1 JASA SARANA
(blank) 11016 Apo A1 PPH 23
(blank) 11016 Apo A1 JASA PERUJUK
(blank) 11016 Apo A1 JASA MEDIS
(blank) 11016 Apo A1 JASA PARAMEDIS
(blank) 11016 Apo A1 Total Tarif
(blank) 11017 Apo B BHAP
(blank) 11017 Apo B JASA SARANA
(blank) 11017 Apo B PPH 23
(blank) 11017 Apo B JASA PERUJUK
(blank) 11017 Apo B JASA MEDIS
(blank) 11017 Apo B JASA PARAMEDIS
(blank) 11017 Apo B Total Tarif
CK2 5492 APTT BHAP
CK2 5492 APTT JASA SARANA
CK2 5492 APTT PPH 23
CK2 5492 APTT JASA PERUJUK
CK2 5492 APTT JASA MEDIS
CK2 5492 APTT JASA PARAMEDIS
CK2 5492 APTT Total Tarif
OH1 5670 Apus BHAP
OH1 5670 Apus JASA SARANA
OH1 5670 Apus PPH 23
OH1 5670 Apus JASA PERUJUK
OH1 5670 Apus JASA MEDIS
OH1 5670 Apus JASA PARAMEDIS
OH1 5670 Apus Total Tarif
EE0 5524 Asam Urat BHAP
EE0 5524 Asam Urat JASA SARANA
EE0 5524 Asam Urat PPH 23
EE0 5524 Asam Urat JASA PERUJUK
EE0 5524 Asam Urat JASA MEDIS
EE0 5524 Asam Urat JASA PARAMEDIS
EE0 5524 Asam Urat Total Tarif
NK0 5661 Audiometri BHAP
NK0 5661 Audiometri JASA SARANA
NK0 5661 Audiometri PPH 23
NK0 5661 Audiometri JASA PERUJUK
NK0 5661 Audiometri JASA MEDIS
NK0 5661 Audiometri JASA PARAMEDIS
NK0 5661 Audiometri Total Tarif
CD0 5480 B S E BHAP
CD0 5480 B S E JASA SARANA
CD0 5480 B S E PPH 23
CD0 5480 B S E JASA PERUJUK
CD0 5480 B S E JASA MEDIS
CD0 5480 B S E JASA PARAMEDIS
CD0 5480 B S E Total Tarif
B002 5866 Basofil BHAP
B002 5866 Basofil JASA SARANA
B002 5866 Basofil PPH 23
B002 5866 Basofil JASA PERUJUK
B002 5866 Basofil JASA MEDIS
B002 5866 Basofil JASA PARAMEDIS
B002 5866 Basofil Total Tarif
NA5 5648 BEecf BHAP
NA5 5648 BEecf JASA SARANA
NA5 5648 BEecf PPH 23
NA5 5648 BEecf JASA PERUJUK
NA5 5648 BEecf JASA MEDIS
NA5 5648 BEecf JASA PARAMEDIS
NA5 5648 BEecf Total Tarif
AI0 5472 Bence Jones Protein BHAP
AI0 5472 Bence Jones Protein JASA SARANA
AI0 5472 Bence Jones Protein PPH 23
AI0 5472 Bence Jones Protein JASA PERUJUK
AI0 5472 Bence Jones Protein JASA MEDIS
AI0 5472 Bence Jones Protein JASA PARAMEDIS
AI0 5472 Bence Jones Protein Total Tarif
BB0 5475 Benzidin BHAP
BB0 5475 Benzidin JASA SARANA
BB0 5475 Benzidin PPH 23
BB0 5475 Benzidin JASA PERUJUK
BB0 5475 Benzidin JASA MEDIS
BB0 5475 Benzidin JASA PARAMEDIS
BB0 5475 Benzidin Total Tarif
VE0 5862 Benzodiazepine BHAP
VE0 5862 Benzodiazepine JASA SARANA
VE0 5862 Benzodiazepine PPH 23
VE0 5862 Benzodiazepine JASA PERUJUK
VE0 5862 Benzodiazepine JASA MEDIS
VE0 5862 Benzodiazepine JASA PARAMEDIS
VE0 5862 Benzodiazepine Total Tarif
IC0 5607 Bicarbonat BHAP
IC0 5607 Bicarbonat JASA SARANA
IC0 5607 Bicarbonat PPH 23
IC0 5607 Bicarbonat JASA PERUJUK
IC0 5607 Bicarbonat JASA MEDIS
IC0 5607 Bicarbonat JASA PARAMEDIS
IC0 5607 Bicarbonat Total Tarif
G60 5549 Bilirubin Direct BHAP
G60 5549 Bilirubin Direct JASA SARANA
G60 5549 Bilirubin Direct PPH 23
G60 5549 Bilirubin Direct JASA PERUJUK
G60 5549 Bilirubin Direct JASA MEDIS
G60 5549 Bilirubin Direct JASA PARAMEDIS
G60 5549 Bilirubin Direct Total Tarif
GA0 5550 Bilirubin Indirect BHAP
GA0 5550 Bilirubin Indirect JASA SARANA
GA0 5550 Bilirubin Indirect PPH 23
GA0 5550 Bilirubin Indirect JASA PERUJUK
GA0 5550 Bilirubin Indirect JASA MEDIS
GA0 5550 Bilirubin Indirect JASA PARAMEDIS
GA0 5550 Bilirubin Indirect Total Tarif
G50 5548 Bilirubin Total BHAP
G50 5548 Bilirubin Total JASA SARANA
G50 5548 Bilirubin Total PPH 23
G50 5548 Bilirubin Total JASA PERUJUK
G50 5548 Bilirubin Total JASA MEDIS
G50 5548 Bilirubin Total JASA PARAMEDIS
G50 5548 Bilirubin Total Total Tarif
CL0 5493 Bj Plasma BHAP
CL0 5493 Bj Plasma JASA SARANA
CL0 5493 Bj Plasma PPH 23
CL0 5493 Bj Plasma JASA PERUJUK
CL0 5493 Bj Plasma JASA MEDIS
CL0 5493 Bj Plasma JASA PARAMEDIS
CL0 5493 Bj Plasma Total Tarif
RD0 5713 BNO BHAP
RD0 5713 BNO JASA SARANA
RD0 5713 BNO PPH 23
RD0 5713 BNO JASA PERUJUK
RD0 5713 BNO JASA MEDIS
RD0 5713 BNO JASA PARAMEDIS
RD0 5713 BNO Total Tarif
RE0 5715 BNO 2 Posisi BHAP
RE0 5715 BNO 2 Posisi JASA SARANA
RE0 5715 BNO 2 Posisi PPH 23
RE0 5715 BNO 2 Posisi JASA PERUJUK
RE0 5715 BNO 2 Posisi JASA MEDIS
RE0 5715 BNO 2 Posisi JASA PARAMEDIS
RE0 5715 BNO 2 Posisi Total Tarif
RE1 5716 BNO 2 Posisi CR BHAP
RE1 5716 BNO 2 Posisi CR JASA SARANA
RE1 5716 BNO 2 Posisi CR PPH 23
RE1 5716 BNO 2 Posisi CR JASA PERUJUK
RE1 5716 BNO 2 Posisi CR JASA MEDIS
RE1 5716 BNO 2 Posisi CR JASA PARAMEDIS
RE1 5716 BNO 2 Posisi CR Total Tarif
RF0 5717 BNO 3 Posisi BHAP
RF0 5717 BNO 3 Posisi JASA SARANA
RF0 5717 BNO 3 Posisi PPH 23
RF0 5717 BNO 3 Posisi JASA PERUJUK
RF0 5717 BNO 3 Posisi JASA MEDIS
RF0 5717 BNO 3 Posisi JASA PARAMEDIS
RF0 5717 BNO 3 Posisi Total Tarif
RF1 5718 BNO 3 Posisi CR BHAP
RF1 5718 BNO 3 Posisi CR JASA SARANA
RF1 5718 BNO 3 Posisi CR PPH 23
RF1 5718 BNO 3 Posisi CR JASA PERUJUK
RF1 5718 BNO 3 Posisi CR JASA MEDIS
RF1 5718 BNO 3 Posisi CR JASA PARAMEDIS
RF1 5718 BNO 3 Posisi CR Total Tarif
RD1 5714 BNO CR BHAP
RD1 5714 BNO CR JASA SARANA
RD1 5714 BNO CR PPH 23
RD1 5714 BNO CR JASA PERUJUK
RD1 5714 BNO CR JASA MEDIS
RD1 5714 BNO CR JASA PARAMEDIS
RD1 5714 BNO CR Total Tarif
RZ4 5806 Bone Survey BHAP
RZ4 5806 Bone Survey JASA SARANA
RZ4 5806 Bone Survey PPH 23
RZ4 5806 Bone Survey JASA PERUJUK
RZ4 5806 Bone Survey JASA MEDIS
RZ4 5806 Bone Survey JASA PARAMEDIS
RZ4 5806 Bone Survey Total Tarif
HI0 5578 C E A BHAP
HI0 5578 C E A JASA SARANA
HI0 5578 C E A PPH 23
HI0 5578 C E A JASA PERUJUK
HI0 5578 C E A JASA MEDIS
HI0 5578 C E A JASA PARAMEDIS
HI0 5578 C E A Total Tarif
(blank) 11018 C K BHAP
(blank) 11018 C K JASA SARANA
(blank) 11018 C K PPH 23
(blank) 11018 C K JASA PERUJUK
(blank) 11018 C K JASA MEDIS
(blank) 11018 C K JASA PARAMEDIS
(blank) 11018 C K Total Tarif
JB0 5616 C R P BHAP
JB0 5616 C R P JASA SARANA
JB0 5616 C R P PPH 23
JB0 5616 C R P JASA PERUJUK
JB0 5616 C R P JASA MEDIS
JB0 5616 C R P JASA PARAMEDIS
JB0 5616 C R P Total Tarif
HO2 5587 CA 125 (Ovarium) BHAP
HO2 5587 CA 125 (Ovarium) JASA SARANA
HO2 5587 CA 125 (Ovarium) PPH 23
HO2 5587 CA 125 (Ovarium) JASA PERUJUK
HO2 5587 CA 125 (Ovarium) JASA MEDIS
HO2 5587 CA 125 (Ovarium) JASA PARAMEDIS
HO2 5587 CA 125 (Ovarium) Total Tarif
HO0 5585 CA 15 - 3 BHAP
HO0 5585 CA 15 - 3 JASA SARANA
HO0 5585 CA 15 - 3 PPH 23
HO0 5585 CA 15 - 3 JASA PERUJUK
HO0 5585 CA 15 - 3 JASA MEDIS
HO0 5585 CA 15 - 3 JASA PARAMEDIS
HO0 5585 CA 15 - 3 Total Tarif
HO1 5586 CA 19-9 (Pankreas) BHAP
HO1 5586 CA 19-9 (Pankreas) JASA SARANA
HO1 5586 CA 19-9 (Pankreas) PPH 23
HO1 5586 CA 19-9 (Pankreas) JASA PERUJUK
HO1 5586 CA 19-9 (Pankreas) JASA MEDIS
HO1 5586 CA 19-9 (Pankreas) JASA PARAMEDIS
HO1 5586 CA 19-9 (Pankreas) Total Tarif
HO3 5588 CA 72 - 4 BHAP
HO3 5588 CA 72 - 4 JASA SARANA
HO3 5588 CA 72 - 4 PPH 23
HO3 5588 CA 72 - 4 JASA PERUJUK
HO3 5588 CA 72 - 4 JASA MEDIS
HO3 5588 CA 72 - 4 JASA PARAMEDIS
HO3 5588 CA 72 - 4 Total Tarif
OL0 5674 Cairan LCS BHAP
OL0 5674 Cairan LCS JASA SARANA
OL0 5674 Cairan LCS PPH 23
OL0 5674 Cairan LCS JASA PERUJUK
OL0 5674 Cairan LCS JASA MEDIS
OL0 5674 Cairan LCS JASA PARAMEDIS
OL0 5674 Cairan LCS Total Tarif
OI0 5671 Cairan Pleura/Ascites BHAP
OI0 5671 Cairan Pleura/Ascites JASA SARANA
OI0 5671 Cairan Pleura/Ascites PPH 23
OI0 5671 Cairan Pleura/Ascites JASA PERUJUK
OI0 5671 Cairan Pleura/Ascites JASA MEDIS
OI0 5671 Cairan Pleura/Ascites JASA PARAMEDIS
OI0 5671 Cairan Pleura/Ascites Total Tarif
RR11 5745 Calcaneus Axcial AP + Lat BHAP
RR11 5745 Calcaneus Axcial AP + Lat JASA SARANA
RR11 5745 Calcaneus Axcial AP + Lat PPH 23
RR11 5745 Calcaneus Axcial AP + Lat JASA PERUJUK
RR11 5745 Calcaneus Axcial AP + Lat JASA MEDIS
RR11 5745 Calcaneus Axcial AP + Lat JASA PARAMEDIS
RR11 5745 Calcaneus Axcial AP + Lat Total Tarif
RR1 5743 Calcaneus Axcial Ap+Lat BHAP
RR1 5743 Calcaneus Axcial Ap+Lat JASA SARANA
RR1 5743 Calcaneus Axcial Ap+Lat PPH 23
RR1 5743 Calcaneus Axcial Ap+Lat JASA PERUJUK
RR1 5743 Calcaneus Axcial Ap+Lat JASA MEDIS
RR1 5743 Calcaneus Axcial Ap+Lat JASA PARAMEDIS
RR1 5743 Calcaneus Axcial Ap+Lat Total Tarif
RR6 10690 Calcaneus Axcial Bilateral BHAP
RR6 10690 Calcaneus Axcial Bilateral JASA SARANA
RR6 10690 Calcaneus Axcial Bilateral PPH 23
RR6 10690 Calcaneus Axcial Bilateral JASA PERUJUK
RR6 10690 Calcaneus Axcial Bilateral JASA MEDIS
RR6 10690 Calcaneus Axcial Bilateral JASA PARAMEDIS
RR6 10690 Calcaneus Axcial Bilateral Total Tarif
RR7 10691 Calcaneus Axcial Bilateral BHAP
RR7 10691 Calcaneus Axcial Bilateral JASA SARANA
RR7 10691 Calcaneus Axcial Bilateral PPH 23
RR7 10691 Calcaneus Axcial Bilateral JASA PERUJUK
RR7 10691 Calcaneus Axcial Bilateral JASA MEDIS
RR7 10691 Calcaneus Axcial Bilateral JASA PARAMEDIS
RR7 10691 Calcaneus Axcial Bilateral Total Tarif
IA0 5605 Calcium BHAP
IA0 5605 Calcium JASA SARANA
IA0 5605 Calcium PPH 23
IA0 5605 Calcium JASA PERUJUK
IA0 5605 Calcium JASA MEDIS
IA0 5605 Calcium JASA PARAMEDIS
IA0 5605 Calcium Total Tarif
IF1 5611 Calcium Ion BHAP
IF1 5611 Calcium Ion JASA SARANA
IF1 5611 Calcium Ion PPH 23
IF1 5611 Calcium Ion JASA PERUJUK
IF1 5611 Calcium Ion JASA MEDIS
IF1 5611 Calcium Ion JASA PARAMEDIS
IF1 5611 Calcium Ion Total Tarif
IG0 5612 Calcium Urine BHAP
IG0 5612 Calcium Urine JASA SARANA
IG0 5612 Calcium Urine PPH 23
IG0 5612 Calcium Urine JASA PERUJUK
IG0 5612 Calcium Urine JASA MEDIS
IG0 5612 Calcium Urine JASA PARAMEDIS
IG0 5612 Calcium Urine Total Tarif
VB0 5859 Cannabinoids BHAP
VB0 5859 Cannabinoids JASA SARANA
VB0 5859 Cannabinoids PPH 23
VB0 5859 Cannabinoids JASA PERUJUK
VB0 5859 Cannabinoids JASA MEDIS
VB0 5859 Cannabinoids JASA PARAMEDIS
VB0 5859 Cannabinoids Total Tarif
HX2 5602 CD - 4 BHAP
HX2 5602 CD - 4 JASA SARANA
HX2 5602 CD - 4 PPH 23
HX2 5602 CD - 4 JASA PERUJUK
HX2 5602 CD - 4 JASA MEDIS
HX2 5602 CD - 4 JASA PARAMEDIS
HX2 5602 CD - 4 Total Tarif
PN0 5688 Cefotaxim 30 ug BHAP
PN0 5688 Cefotaxim 30 ug JASA SARANA
PN0 5688 Cefotaxim 30 ug PPH 23
PN0 5688 Cefotaxim 30 ug JASA PERUJUK
PN0 5688 Cefotaxim 30 ug JASA MEDIS
PN0 5688 Cefotaxim 30 ug JASA PARAMEDIS
PN0 5688 Cefotaxim 30 ug Total Tarif
PQ0 5691 Ceftazidim BHAP
PQ0 5691 Ceftazidim JASA SARANA
PQ0 5691 Ceftazidim PPH 23
PQ0 5691 Ceftazidim JASA PERUJUK
PQ0 5691 Ceftazidim JASA MEDIS
PQ0 5691 Ceftazidim JASA PARAMEDIS
PQ0 5691 Ceftazidim Total Tarif
PH0 5682 Ceftazidime 30 ug BHAP
PH0 5682 Ceftazidime 30 ug JASA SARANA
PH0 5682 Ceftazidime 30 ug PPH 23
PH0 5682 Ceftazidime 30 ug JASA PERUJUK
PH0 5682 Ceftazidime 30 ug JASA MEDIS
PH0 5682 Ceftazidime 30 ug JASA PARAMEDIS
PH0 5682 Ceftazidime 30 ug Total Tarif
PS0 5693 Cefuroxin BHAP
PS0 5693 Cefuroxin JASA SARANA
PS0 5693 Cefuroxin PPH 23
PS0 5693 Cefuroxin JASA PERUJUK
PS0 5693 Cefuroxin JASA MEDIS
PS0 5693 Cefuroxin JASA PARAMEDIS
PS0 5693 Cefuroxin Total Tarif
RW40 5766 Cephalometri BHAP
RW40 5766 Cephalometri JASA SARANA
RW40 5766 Cephalometri PPH 23
RW40 5766 Cephalometri JASA PERUJUK
RW40 5766 Cephalometri JASA MEDIS
RW40 5766 Cephalometri JASA PARAMEDIS
RW40 5766 Cephalometri Total Tarif
RW41 5767 Cephalometri CR BHAP
RW41 5767 Cephalometri CR JASA SARANA
RW41 5767 Cephalometri CR PPH 23
RW41 5767 Cephalometri CR JASA PERUJUK
RW41 5767 Cephalometri CR JASA MEDIS
RW41 5767 Cephalometri CR JASA PARAMEDIS
RW41 5767 Cephalometri CR Total Tarif
RX4 5793 Cervical AP + Lat BHAP
RX4 5793 Cervical AP + Lat JASA SARANA
RX4 5793 Cervical AP + Lat PPH 23
RX4 5793 Cervical AP + Lat JASA PERUJUK
RX4 5793 Cervical AP + Lat JASA MEDIS
RX4 5793 Cervical AP + Lat JASA PARAMEDIS
RX4 5793 Cervical AP + Lat Total Tarif
RX40 5794 Cervical AP + Lat CR BHAP
RX40 5794 Cervical AP + Lat CR JASA SARANA
RX40 5794 Cervical AP + Lat CR PPH 23
RX40 5794 Cervical AP + Lat CR JASA PERUJUK
RX40 5794 Cervical AP + Lat CR JASA MEDIS
RX40 5794 Cervical AP + Lat CR JASA PARAMEDIS
RX40 5794 Cervical AP + Lat CR Total Tarif
RX5 5795 Cervical AP + Lat+Obli BHAP
RX5 5795 Cervical AP + Lat+Obli JASA SARANA
RX5 5795 Cervical AP + Lat+Obli PPH 23
RX5 5795 Cervical AP + Lat+Obli JASA PERUJUK
RX5 5795 Cervical AP + Lat+Obli JASA MEDIS
RX5 5795 Cervical AP + Lat+Obli JASA PARAMEDIS
RX5 5795 Cervical AP + Lat+Obli Total Tarif
RX50 5796 Cervical AP+Lat+Obli CR BHAP
RX50 5796 Cervical AP+Lat+Obli CR JASA SARANA
RX50 5796 Cervical AP+Lat+Obli CR PPH 23
RX50 5796 Cervical AP+Lat+Obli CR JASA PERUJUK
RX50 5796 Cervical AP+Lat+Obli CR JASA MEDIS
RX50 5796 Cervical AP+Lat+Obli CR JASA PARAMEDIS
RX50 5796 Cervical AP+Lat+Obli CR Total Tarif
RX6 5797 Cervical Soft Tissue BHAP
RX6 5797 Cervical Soft Tissue JASA SARANA
RX6 5797 Cervical Soft Tissue PPH 23
RX6 5797 Cervical Soft Tissue JASA PERUJUK
RX6 5797 Cervical Soft Tissue JASA MEDIS
RX6 5797 Cervical Soft Tissue JASA PARAMEDIS
RX6 5797 Cervical Soft Tissue Total Tarif
RX60 5798 Cervical Soft Tissue CR BHAP
RX60 5798 Cervical Soft Tissue CR JASA SARANA
RX60 5798 Cervical Soft Tissue CR PPH 23
RX60 5798 Cervical Soft Tissue CR JASA PERUJUK
RX60 5798 Cervical Soft Tissue CR JASA MEDIS
RX60 5798 Cervical Soft Tissue CR JASA PARAMEDIS
RX60 5798 Cervical Soft Tissue CR Total Tarif
HU2 5596 Chikungunya IgM BHAP
HU2 5596 Chikungunya IgM JASA SARANA
HU2 5596 Chikungunya IgM PPH 23
HU2 5596 Chikungunya IgM JASA PERUJUK
HU2 5596 Chikungunya IgM JASA MEDIS
HU2 5596 Chikungunya IgM JASA PARAMEDIS
HU2 5596 Chikungunya IgM Total Tarif
PF0 5680 Chloramphenicol 30 ug BHAP
PF0 5680 Chloramphenicol 30 ug JASA SARANA
PF0 5680 Chloramphenicol 30 ug PPH 23
PF0 5680 Chloramphenicol 30 ug JASA PERUJUK
PF0 5680 Chloramphenicol 30 ug JASA MEDIS
PF0 5680 Chloramphenicol 30 ug JASA PARAMEDIS
PF0 5680 Chloramphenicol 30 ug Total Tarif
IB0 5606 Chlorida BHAP
IB0 5606 Chlorida JASA SARANA
IB0 5606 Chlorida PPH 23
IB0 5606 Chlorida JASA PERUJUK
IB0 5606 Chlorida JASA MEDIS
IB0 5606 Chlorida JASA PARAMEDIS
IB0 5606 Chlorida Total Tarif
FA0 5526 Cholesterol Total BHAP
FA0 5526 Cholesterol Total JASA SARANA
FA0 5526 Cholesterol Total PPH 23
FA0 5526 Cholesterol Total JASA PERUJUK
FA0 5526 Cholesterol Total JASA MEDIS
FA0 5526 Cholesterol Total JASA PARAMEDIS
FA0 5526 Cholesterol Total Total Tarif
GH0 5556 Cholinesterase (CHE) BHAP
GH0 5556 Cholinesterase (CHE) JASA SARANA
GH0 5556 Cholinesterase (CHE) PPH 23
GH0 5556 Cholinesterase (CHE) JASA PERUJUK
GH0 5556 Cholinesterase (CHE) JASA MEDIS
GH0 5556 Cholinesterase (CHE) JASA PARAMEDIS
GH0 5556 Cholinesterase (CHE) Total Tarif
PI0 5683 Ciprofloxacin 5 ug BHAP
PI0 5683 Ciprofloxacin 5 ug JASA SARANA
PI0 5683 Ciprofloxacin 5 ug PPH 23
PI0 5683 Ciprofloxacin 5 ug JASA PERUJUK
PI0 5683 Ciprofloxacin 5 ug JASA MEDIS
PI0 5683 Ciprofloxacin 5 ug JASA PARAMEDIS
PI0 5683 Ciprofloxacin 5 ug Total Tarif
FK0 5534 CK - MB BHAP
FK0 5534 CK - MB JASA SARANA
FK0 5534 CK - MB PPH 23
FK0 5534 CK - MB JASA PERUJUK
FK0 5534 CK - MB JASA MEDIS
FK0 5534 CK - MB JASA PARAMEDIS
FK0 5534 CK - MB Total Tarif
FJ0 5533 CK - NAC BHAP
FJ0 5533 CK - NAC JASA SARANA
FJ0 5533 CK - NAC PPH 23
FJ0 5533 CK - NAC JASA PERUJUK
FJ0 5533 CK - NAC JASA MEDIS
FJ0 5533 CK - NAC JASA PARAMEDIS
FJ0 5533 CK - NAC Total Tarif
FK1 5535 CK MB Massa BHAP
FK1 5535 CK MB Massa JASA SARANA
FK1 5535 CK MB Massa PPH 23
FK1 5535 CK MB Massa JASA PERUJUK
FK1 5535 CK MB Massa JASA MEDIS
FK1 5535 CK MB Massa JASA PARAMEDIS
FK1 5535 CK MB Massa Total Tarif
RM0 5733 Clavicula Kiri / Kanan BHAP
RM0 5733 Clavicula Kiri / Kanan JASA SARANA
RM0 5733 Clavicula Kiri / Kanan PPH 23
RM0 5733 Clavicula Kiri / Kanan JASA PERUJUK
RM0 5733 Clavicula Kiri / Kanan JASA MEDIS
RM0 5733 Clavicula Kiri / Kanan JASA PARAMEDIS
RM0 5733 Clavicula Kiri / Kanan Total Tarif
RM1 5734 Clavicula Kiri atau Kanan C BHAP
RM1 5734 Clavicula Kiri atau Kanan C JASA SARANA
RM1 5734 Clavicula Kiri atau Kanan C PPH 23
RM1 5734 Clavicula Kiri atau Kanan C JASA PERUJUK
RM1 5734 Clavicula Kiri atau Kanan C JASA MEDIS
RM1 5734 Clavicula Kiri atau Kanan C JASA PARAMEDIS
RM1 5734 Clavicula Kiri atau Kanan C Total Tarif
RN0 5735 Clavicula Perbandingan Kir BHAP
RN0 5735 Clavicula Perbandingan Kir JASA SARANA
RN0 5735 Clavicula Perbandingan Kir PPH 23
RN0 5735 Clavicula Perbandingan Kir JASA PERUJUK
RN0 5735 Clavicula Perbandingan Kir JASA MEDIS
RN0 5735 Clavicula Perbandingan Kir JASA PARAMEDIS
RN0 5735 Clavicula Perbandingan Kir Total Tarif
RN1 5734 Clavicula Perbandingan KiriBHAP
RN1 5734 Clavicula Perbandingan KiriJASA SARANA
RN1 5734 Clavicula Perbandingan KiriPPH 23
RN1 5734 Clavicula Perbandingan KiriJASA PERUJUK
RN1 5734 Clavicula Perbandingan KiriJASA MEDIS
RN1 5734 Clavicula Perbandingan KiriJASA PARAMEDIS
RN1 5734 Clavicula Perbandingan KiriTotal Tarif
PV0 5696 Clindamicin 2 ul BHAP
PV0 5696 Clindamicin 2 ul JASA SARANA
PV0 5696 Clindamicin 2 ul PPH 23
PV0 5696 Clindamicin 2 ul JASA PERUJUK
PV0 5696 Clindamicin 2 ul JASA MEDIS
PV0 5696 Clindamicin 2 ul JASA PARAMEDIS
PV0 5696 Clindamicin 2 ul Total Tarif
PM0 5687 Cloxacillin BHAP
PM0 5687 Cloxacillin JASA SARANA
PM0 5687 Cloxacillin PPH 23
PM0 5687 Cloxacillin JASA PERUJUK
PM0 5687 Cloxacillin JASA MEDIS
PM0 5687 Cloxacillin JASA PARAMEDIS
PM0 5687 Cloxacillin Total Tarif
VF0 5863 Cocaine BHAP
VF0 5863 Cocaine JASA SARANA
VF0 5863 Cocaine PPH 23
VF0 5863 Cocaine JASA PERUJUK
VF0 5863 Cocaine JASA MEDIS
VF0 5863 Cocaine JASA PARAMEDIS
VF0 5863 Cocaine Total Tarif
RZ1 5803 Collon In Loop BHAP
RZ1 5803 Collon In Loop JASA SARANA
RZ1 5803 Collon In Loop PPH 23
RZ1 5803 Collon In Loop JASA PERUJUK
RZ1 5803 Collon In Loop JASA MEDIS
RZ1 5803 Collon In Loop JASA PARAMEDIS
RZ1 5803 Collon In Loop Total Tarif
PB0 5676 Compound Sulfanamides BHAP
PB0 5676 Compound Sulfanamides JASA SARANA
PB0 5676 Compound Sulfanamides PPH 23
PB0 5676 Compound Sulfanamides JASA PERUJUK
PB0 5676 Compound Sulfanamides JASA MEDIS
PB0 5676 Compound Sulfanamides JASA PARAMEDIS
PB0 5676 Compound Sulfanamides Total Tarif
(blank) 11020 Coomb Test BHAP
(blank) 11020 Coomb Test JASA SARANA
(blank) 11020 Coomb Test PPH 23
(blank) 11020 Coomb Test JASA PERUJUK
(blank) 11020 Coomb Test JASA MEDIS
(blank) 11020 Coomb Test JASA PARAMEDIS
(blank) 11020 Coomb Test Total Tarif
CY0 5508 Cross Darah BHAP
CY0 5508 Cross Darah JASA SARANA
CY0 5508 Cross Darah PPH 23
CY0 5508 Cross Darah JASA PERUJUK
CY0 5508 Cross Darah JASA MEDIS
CY0 5508 Cross Darah JASA PARAMEDIS
CY0 5508 Cross Darah Total Tarif
RT1 5749 Cruris AP + Lat CR BHAP
RT1 5749 Cruris AP + Lat CR JASA SARANA
RT1 5749 Cruris AP + Lat CR PPH 23
RT1 5749 Cruris AP + Lat CR JASA PERUJUK
RT1 5749 Cruris AP + Lat CR JASA MEDIS
RT1 5749 Cruris AP + Lat CR JASA PARAMEDIS
RT1 5749 Cruris AP + Lat CR Total Tarif
RT0 5748 Cruris AP + Lateral BHAP
RT0 5748 Cruris AP + Lateral JASA SARANA
RT0 5748 Cruris AP + Lateral PPH 23
RT0 5748 Cruris AP + Lateral JASA PERUJUK
RT0 5748 Cruris AP + Lateral JASA MEDIS
RT0 5748 Cruris AP + Lateral JASA PARAMEDIS
RT0 5748 Cruris AP + Lateral Total Tarif
RT2 10694 Cruris Bilateral AP + Lat BHAP
RT2 10694 Cruris Bilateral AP + Lat JASA SARANA
RT2 10694 Cruris Bilateral AP + Lat PPH 23
RT2 10694 Cruris Bilateral AP + Lat JASA PERUJUK
RT2 10694 Cruris Bilateral AP + Lat JASA MEDIS
RT2 10694 Cruris Bilateral AP + Lat JASA PARAMEDIS
RT2 10694 Cruris Bilateral AP + Lat Total Tarif
RT3 10695 Cruris Bilateral CR BHAP
RT3 10695 Cruris Bilateral CR JASA SARANA
RT3 10695 Cruris Bilateral CR PPH 23
RT3 10695 Cruris Bilateral CR JASA PERUJUK
RT3 10695 Cruris Bilateral CR JASA MEDIS
RT3 10695 Cruris Bilateral CR JASA PARAMEDIS
RT3 10695 Cruris Bilateral CR Total Tarif
SA10 5811 CT SCAN Kepala Polos & B BHAP
SA10 5811 CT SCAN Kepala Polos & B JASA SARANA
SA10 5811 CT SCAN Kepala Polos & B PPH 23
SA10 5811 CT SCAN Kepala Polos & B JASA PERUJUK
SA10 5811 CT SCAN Kepala Polos & B JASA MEDIS
SA10 5811 CT SCAN Kepala Polos & B JASA PARAMEDIS
SA10 5811 CT SCAN Kepala Polos & B Total Tarif
(blank) 10857 Ct Scan Kepala Polos & Bo BHAP
(blank) 10857 Ct Scan Kepala Polos & Bo JASA SARANA
(blank) 10857 Ct Scan Kepala Polos & Bo PPH 23
(blank) 10857 Ct Scan Kepala Polos & Bo JASA PERUJUK
(blank) 10857 Ct Scan Kepala Polos & Bo JASA MEDIS
(blank) 10857 Ct Scan Kepala Polos & Bo JASA PARAMEDIS
(blank) 10857 Ct Scan Kepala Polos & Bo Total Tarif
SA0 5809 CT-SCAN BHAP
SA0 5809 CT-SCAN JASA SARANA
SA0 5809 CT-SCAN PPH 23
SA0 5809 CT-SCAN JASA PERUJUK
SA0 5809 CT-SCAN JASA MEDIS
SA0 5809 CT-SCAN JASA PARAMEDIS
SA0 5809 CT-SCAN Total Tarif
SA6 5818 CT-SCAN Abdomen Atas BHAP
SA6 5818 CT-SCAN Abdomen Atas JASA SARANA
SA6 5818 CT-SCAN Abdomen Atas PPH 23
SA6 5818 CT-SCAN Abdomen Atas JASA PERUJUK
SA6 5818 CT-SCAN Abdomen Atas JASA MEDIS
SA6 5818 CT-SCAN Abdomen Atas JASA PARAMEDIS
SA6 5818 CT-SCAN Abdomen Atas Total Tarif
(blank) 10864 Ct-scan Abdomen Atas 3d BHAP
(blank) 10864 Ct-scan Abdomen Atas 3d JASA SARANA
(blank) 10864 Ct-scan Abdomen Atas 3d PPH 23
(blank) 10864 Ct-scan Abdomen Atas 3d JASA PERUJUK
(blank) 10864 Ct-scan Abdomen Atas 3d JASA MEDIS
(blank) 10864 Ct-scan Abdomen Atas 3d JASA PARAMEDIS
(blank) 10864 Ct-scan Abdomen Atas 3d Total Tarif
SA7 5819 CT-SCAN Abdomen Atas daBHAP
SA7 5819 CT-SCAN Abdomen Atas daJASA SARANA
SA7 5819 CT-SCAN Abdomen Atas daPPH 23
SA7 5819 CT-SCAN Abdomen Atas daJASA PERUJUK
SA7 5819 CT-SCAN Abdomen Atas daJASA MEDIS
SA7 5819 CT-SCAN Abdomen Atas daJASA PARAMEDIS
SA7 5819 CT-SCAN Abdomen Atas daTotal Tarif
(blank) 10865 Ct-scan Abdomen Atas DanBHAP
(blank) 10865 Ct-scan Abdomen Atas DanJASA SARANA
(blank) 10865 Ct-scan Abdomen Atas DanPPH 23
(blank) 10865 Ct-scan Abdomen Atas DanJASA PERUJUK
(blank) 10865 Ct-scan Abdomen Atas DanJASA MEDIS
(blank) 10865 Ct-scan Abdomen Atas DanJASA PARAMEDIS
(blank) 10865 Ct-scan Abdomen Atas DanTotal Tarif
SA8 5820 CT-SCAN Abdomen Atas Kon BHAP
SA8 5820 CT-SCAN Abdomen Atas Kon JASA SARANA
SA8 5820 CT-SCAN Abdomen Atas Kon PPH 23
SA8 5820 CT-SCAN Abdomen Atas Kon JASA PERUJUK
SA8 5820 CT-SCAN Abdomen Atas Kon JASA MEDIS
SA8 5820 CT-SCAN Abdomen Atas Kon JASA PARAMEDIS
SA8 5820 CT-SCAN Abdomen Atas Kon Total Tarif
(blank) 10866 Ct-scan Abdomen Atas KontBHAP
(blank) 10866 Ct-scan Abdomen Atas KontJASA SARANA
(blank) 10866 Ct-scan Abdomen Atas KontPPH 23
(blank) 10866 Ct-scan Abdomen Atas KontJASA PERUJUK
(blank) 10866 Ct-scan Abdomen Atas KontJASA MEDIS
(blank) 10866 Ct-scan Abdomen Atas KontJASA PARAMEDIS
(blank) 10866 Ct-scan Abdomen Atas KontTotal Tarif
SA5 5817 CT-SCAN Abdomen Bawah BHAP
SA5 5817 CT-SCAN Abdomen Bawah JASA SARANA
SA5 5817 CT-SCAN Abdomen Bawah PPH 23
SA5 5817 CT-SCAN Abdomen Bawah JASA PERUJUK
SA5 5817 CT-SCAN Abdomen Bawah JASA MEDIS
SA5 5817 CT-SCAN Abdomen Bawah JASA PARAMEDIS
SA5 5817 CT-SCAN Abdomen Bawah Total Tarif
(blank) 10863 Ct-scan Abdomen Bawah 3 BHAP
(blank) 10863 Ct-scan Abdomen Bawah 3 JASA SARANA
(blank) 10863 Ct-scan Abdomen Bawah 3 PPH 23
(blank) 10863 Ct-scan Abdomen Bawah 3 JASA PERUJUK
(blank) 10863 Ct-scan Abdomen Bawah 3 JASA MEDIS
(blank) 10863 Ct-scan Abdomen Bawah 3 JASA PARAMEDIS
(blank) 10863 Ct-scan Abdomen Bawah 3 Total Tarif
SA9 5821 CT-SCAN Abdomen Bawah KBHAP
SA9 5821 CT-SCAN Abdomen Bawah KJASA SARANA
SA9 5821 CT-SCAN Abdomen Bawah KPPH 23
SA9 5821 CT-SCAN Abdomen Bawah KJASA PERUJUK
SA9 5821 CT-SCAN Abdomen Bawah KJASA MEDIS
SA9 5821 CT-SCAN Abdomen Bawah KJASA PARAMEDIS
SA9 5821 CT-SCAN Abdomen Bawah KTotal Tarif
(blank) 10867 Ct-scan Abdomen Bawah KoBHAP
(blank) 10867 Ct-scan Abdomen Bawah KoJASA SARANA
(blank) 10867 Ct-scan Abdomen Bawah KoPPH 23
(blank) 10867 Ct-scan Abdomen Bawah KoJASA PERUJUK
(blank) 10867 Ct-scan Abdomen Bawah KoJASA MEDIS
(blank) 10867 Ct-scan Abdomen Bawah KoJASA PARAMEDIS
(blank) 10867 Ct-scan Abdomen Bawah KoTotal Tarif
SB0 5822 CT-SCAN Abdomen KontrasBHAP
SB0 5822 CT-SCAN Abdomen KontrasJASA SARANA
SB0 5822 CT-SCAN Abdomen KontrasPPH 23
SB0 5822 CT-SCAN Abdomen KontrasJASA PERUJUK
SB0 5822 CT-SCAN Abdomen KontrasJASA MEDIS
SB0 5822 CT-SCAN Abdomen KontrasJASA PARAMEDIS
SB0 5822 CT-SCAN Abdomen KontrasTotal Tarif
(blank) 10887 Ct-scan Abdomen Kontras BHAP
(blank) 10887 Ct-scan Abdomen Kontras JASA SARANA
(blank) 10887 Ct-scan Abdomen Kontras PPH 23
(blank) 10887 Ct-scan Abdomen Kontras JASA PERUJUK
(blank) 10887 Ct-scan Abdomen Kontras JASA MEDIS
(blank) 10887 Ct-scan Abdomen Kontras JASA PARAMEDIS
(blank) 10887 Ct-scan Abdomen Kontras Total Tarif
SC3 5838 CT-SCAN Cervical BHAP
SC3 5838 CT-SCAN Cervical JASA SARANA
SC3 5838 CT-SCAN Cervical PPH 23
SC3 5838 CT-SCAN Cervical JASA PERUJUK
SC3 5838 CT-SCAN Cervical JASA MEDIS
SC3 5838 CT-SCAN Cervical JASA PARAMEDIS
SC3 5838 CT-SCAN Cervical Total Tarif
(blank) 10882 Ct-scan Cervical 3d BHAP
(blank) 10882 Ct-scan Cervical 3d JASA SARANA
(blank) 10882 Ct-scan Cervical 3d PPH 23
(blank) 10882 Ct-scan Cervical 3d JASA PERUJUK
(blank) 10882 Ct-scan Cervical 3d JASA MEDIS
(blank) 10882 Ct-scan Cervical 3d JASA PARAMEDIS
(blank) 10882 Ct-scan Cervical 3d Total Tarif
SC4 5839 CT-SCAN Cervical Kontras BHAP
SC4 5839 CT-SCAN Cervical Kontras JASA SARANA
SC4 5839 CT-SCAN Cervical Kontras PPH 23
SC4 5839 CT-SCAN Cervical Kontras JASA PERUJUK
SC4 5839 CT-SCAN Cervical Kontras JASA MEDIS
SC4 5839 CT-SCAN Cervical Kontras JASA PARAMEDIS
SC4 5839 CT-SCAN Cervical Kontras Total Tarif
(blank) 10883 Ct-scan Cervical Kontras 3dBHAP
(blank) 10883 Ct-scan Cervical Kontras 3dJASA SARANA
(blank) 10883 Ct-scan Cervical Kontras 3dPPH 23
(blank) 10883 Ct-scan Cervical Kontras 3dJASA PERUJUK
(blank) 10883 Ct-scan Cervical Kontras 3dJASA MEDIS
(blank) 10883 Ct-scan Cervical Kontras 3dJASA PARAMEDIS
(blank) 10883 Ct-scan Cervical Kontras 3dTotal Tarif
(blank) 10889 Ct-scan Ekstremitas Atas 3 BHAP
(blank) 10889 Ct-scan Ekstremitas Atas 3 JASA SARANA
(blank) 10889 Ct-scan Ekstremitas Atas 3 PPH 23
(blank) 10889 Ct-scan Ekstremitas Atas 3 JASA PERUJUK
(blank) 10889 Ct-scan Ekstremitas Atas 3 JASA MEDIS
(blank) 10889 Ct-scan Ekstremitas Atas 3 JASA PARAMEDIS
(blank) 10889 Ct-scan Ekstremitas Atas 3 Total Tarif
SC5 5840 CT-SCAN Ekstremitas Atas BHAP
SC5 5840 CT-SCAN Ekstremitas Atas JASA SARANA
SC5 5840 CT-SCAN Ekstremitas Atas PPH 23
SC5 5840 CT-SCAN Ekstremitas Atas JASA PERUJUK
SC5 5840 CT-SCAN Ekstremitas Atas JASA MEDIS
SC5 5840 CT-SCAN Ekstremitas Atas JASA PARAMEDIS
SC5 5840 CT-SCAN Ekstremitas Atas Total Tarif
(blank) 10890 Ct-scan Ekstremitas BawahBHAP
(blank) 10890 Ct-scan Ekstremitas BawahJASA SARANA
(blank) 10890 Ct-scan Ekstremitas BawahPPH 23
(blank) 10890 Ct-scan Ekstremitas BawahJASA PERUJUK
(blank) 10890 Ct-scan Ekstremitas BawahJASA MEDIS
(blank) 10890 Ct-scan Ekstremitas BawahJASA PARAMEDIS
(blank) 10890 Ct-scan Ekstremitas BawahTotal Tarif
(blank) 10891 Ct-scan Ekstremitas BawahBHAP
(blank) 10891 Ct-scan Ekstremitas BawahJASA SARANA
(blank) 10891 Ct-scan Ekstremitas BawahPPH 23
(blank) 10891 Ct-scan Ekstremitas BawahJASA PERUJUK
(blank) 10891 Ct-scan Ekstremitas BawahJASA MEDIS
(blank) 10891 Ct-scan Ekstremitas BawahJASA PARAMEDIS
(blank) 10891 Ct-scan Ekstremitas BawahTotal Tarif
SA2 5812 CT-SCAN Kepala Kontras BHAP
SA2 5812 CT-SCAN Kepala Kontras JASA SARANA
SA2 5812 CT-SCAN Kepala Kontras PPH 23
SA2 5812 CT-SCAN Kepala Kontras JASA PERUJUK
SA2 5812 CT-SCAN Kepala Kontras JASA MEDIS
SA2 5812 CT-SCAN Kepala Kontras JASA PARAMEDIS
SA2 5812 CT-SCAN Kepala Kontras Total Tarif
(blank) 10858 Ct-scan Kepala Kontras 3d BHAP
(blank) 10858 Ct-scan Kepala Kontras 3d JASA SARANA
(blank) 10858 Ct-scan Kepala Kontras 3d PPH 23
(blank) 10858 Ct-scan Kepala Kontras 3d JASA PERUJUK
(blank) 10858 Ct-scan Kepala Kontras 3d JASA MEDIS
(blank) 10858 Ct-scan Kepala Kontras 3d JASA PARAMEDIS
(blank) 10858 Ct-scan Kepala Kontras 3d Total Tarif
SA20 5813 CT-SCAN Kepala Kontras TaBHAP
SA20 5813 CT-SCAN Kepala Kontras TaJASA SARANA
SA20 5813 CT-SCAN Kepala Kontras TaPPH 23
SA20 5813 CT-SCAN Kepala Kontras TaJASA PERUJUK
SA20 5813 CT-SCAN Kepala Kontras TaJASA MEDIS
SA20 5813 CT-SCAN Kepala Kontras TaJASA PARAMEDIS
SA20 5813 CT-SCAN Kepala Kontras TaTotal Tarif
(blank) 10859 Ct-scan Kepala Kontras TanBHAP
(blank) 10859 Ct-scan Kepala Kontras TanJASA SARANA
(blank) 10859 Ct-scan Kepala Kontras TanPPH 23
(blank) 10859 Ct-scan Kepala Kontras TanJASA PERUJUK
(blank) 10859 Ct-scan Kepala Kontras TanJASA MEDIS
(blank) 10859 Ct-scan Kepala Kontras TanJASA PARAMEDIS
(blank) 10859 Ct-scan Kepala Kontras TanTotal Tarif
SA1 5810 CT-SCAN Kepala Polos BHAP
SA1 5810 CT-SCAN Kepala Polos JASA SARANA
SA1 5810 CT-SCAN Kepala Polos PPH 23
SA1 5810 CT-SCAN Kepala Polos JASA PERUJUK
SA1 5810 CT-SCAN Kepala Polos JASA MEDIS
SA1 5810 CT-SCAN Kepala Polos JASA PARAMEDIS
SA1 5810 CT-SCAN Kepala Polos Total Tarif
(blank) 10856 Ct-scan Kepala Polos 3d BHAP
(blank) 10856 Ct-scan Kepala Polos 3d JASA SARANA
(blank) 10856 Ct-scan Kepala Polos 3d PPH 23
(blank) 10856 Ct-scan Kepala Polos 3d JASA PERUJUK
(blank) 10856 Ct-scan Kepala Polos 3d JASA MEDIS
(blank) 10856 Ct-scan Kepala Polos 3d JASA PARAMEDIS
(blank) 10856 Ct-scan Kepala Polos 3d Total Tarif
SA21 5814 CT-SCAN Kontras Tanpa PolBHAP
SA21 5814 CT-SCAN Kontras Tanpa PolJASA SARANA
SA21 5814 CT-SCAN Kontras Tanpa PolPPH 23
SA21 5814 CT-SCAN Kontras Tanpa PolJASA PERUJUK
SA21 5814 CT-SCAN Kontras Tanpa PolJASA MEDIS
SA21 5814 CT-SCAN Kontras Tanpa PolJASA PARAMEDIS
SA21 5814 CT-SCAN Kontras Tanpa PolTotal Tarif
(blank) 10860 Ct-scan Kontras Tanpa PoloBHAP
(blank) 10860 Ct-scan Kontras Tanpa PoloJASA SARANA
(blank) 10860 Ct-scan Kontras Tanpa PoloPPH 23
(blank) 10860 Ct-scan Kontras Tanpa PoloJASA PERUJUK
(blank) 10860 Ct-scan Kontras Tanpa PoloJASA MEDIS
(blank) 10860 Ct-scan Kontras Tanpa PoloJASA PARAMEDIS
(blank) 10860 Ct-scan Kontras Tanpa PoloTotal Tarif
SD1 10696 CT-SCAN Laring BHAP
SD1 10696 CT-SCAN Laring JASA SARANA
SD1 10696 CT-SCAN Laring PPH 23
SD1 10696 CT-SCAN Laring JASA PERUJUK
SD1 10696 CT-SCAN Laring JASA MEDIS
SD1 10696 CT-SCAN Laring JASA PARAMEDIS
SD1 10696 CT-SCAN Laring Total Tarif
(blank) 10884 Ct-scan Laring 3d BHAP
(blank) 10884 Ct-scan Laring 3d JASA SARANA
(blank) 10884 Ct-scan Laring 3d PPH 23
(blank) 10884 Ct-scan Laring 3d JASA PERUJUK
(blank) 10884 Ct-scan Laring 3d JASA MEDIS
(blank) 10884 Ct-scan Laring 3d JASA PARAMEDIS
(blank) 10884 Ct-scan Laring 3d Total Tarif
SD1 10697 CT-SCAN Laring Kontras BHAP
SD1 10697 CT-SCAN Laring Kontras JASA SARANA
SD1 10697 CT-SCAN Laring Kontras PPH 23
SD1 10697 CT-SCAN Laring Kontras JASA PERUJUK
SD1 10697 CT-SCAN Laring Kontras JASA MEDIS
SD1 10697 CT-SCAN Laring Kontras JASA PARAMEDIS
SD1 10697 CT-SCAN Laring Kontras Total Tarif
(blank) 10885 Ct-scan Laring Kontras 3d BHAP
(blank) 10885 Ct-scan Laring Kontras 3d JASA SARANA
(blank) 10885 Ct-scan Laring Kontras 3d PPH 23
(blank) 10885 Ct-scan Laring Kontras 3d JASA PERUJUK
(blank) 10885 Ct-scan Laring Kontras 3d JASA MEDIS
(blank) 10885 Ct-scan Laring Kontras 3d JASA PARAMEDIS
(blank) 10885 Ct-scan Laring Kontras 3d Total Tarif
SB7 5830 CT-SCAN Lumbal BHAP
SB7 5830 CT-SCAN Lumbal JASA SARANA
SB7 5830 CT-SCAN Lumbal PPH 23
SB7 5830 CT-SCAN Lumbal JASA PERUJUK
SB7 5830 CT-SCAN Lumbal JASA MEDIS
SB7 5830 CT-SCAN Lumbal JASA PARAMEDIS
SB7 5830 CT-SCAN Lumbal Total Tarif
(blank) 10874 Ct-scan Lumbal 3d BHAP
(blank) 10874 Ct-scan Lumbal 3d JASA SARANA
(blank) 10874 Ct-scan Lumbal 3d PPH 23
(blank) 10874 Ct-scan Lumbal 3d JASA PERUJUK
(blank) 10874 Ct-scan Lumbal 3d JASA MEDIS
(blank) 10874 Ct-scan Lumbal 3d JASA PARAMEDIS
(blank) 10874 Ct-scan Lumbal 3d Total Tarif
SB8 5831 CT-SCAN Lumbalsacral BHAP
SB8 5831 CT-SCAN Lumbalsacral JASA SARANA
SB8 5831 CT-SCAN Lumbalsacral PPH 23
SB8 5831 CT-SCAN Lumbalsacral JASA PERUJUK
SB8 5831 CT-SCAN Lumbalsacral JASA MEDIS
SB8 5831 CT-SCAN Lumbalsacral JASA PARAMEDIS
SB8 5831 CT-SCAN Lumbalsacral Total Tarif
(blank) 10875 Ct-scan Lumbalsacral 3d BHAP
(blank) 10875 Ct-scan Lumbalsacral 3d JASA SARANA
(blank) 10875 Ct-scan Lumbalsacral 3d PPH 23
(blank) 10875 Ct-scan Lumbalsacral 3d JASA PERUJUK
(blank) 10875 Ct-scan Lumbalsacral 3d JASA MEDIS
(blank) 10875 Ct-scan Lumbalsacral 3d JASA PARAMEDIS
(blank) 10875 Ct-scan Lumbalsacral 3d Total Tarif
SB9 5834 CT-SCAN MANDIBULA BHAP
SB9 5834 CT-SCAN MANDIBULA JASA SARANA
SB9 5834 CT-SCAN MANDIBULA PPH 23
SB9 5834 CT-SCAN MANDIBULA JASA PERUJUK
SB9 5834 CT-SCAN MANDIBULA JASA MEDIS
SB9 5834 CT-SCAN MANDIBULA JASA PARAMEDIS
SB9 5834 CT-SCAN MANDIBULA Total Tarif
(blank) 10878 Ct-scan Mandibula 3d BHAP
(blank) 10878 Ct-scan Mandibula 3d JASA SARANA
(blank) 10878 Ct-scan Mandibula 3d PPH 23
(blank) 10878 Ct-scan Mandibula 3d JASA PERUJUK
(blank) 10878 Ct-scan Mandibula 3d JASA MEDIS
(blank) 10878 Ct-scan Mandibula 3d JASA PARAMEDIS
(blank) 10878 Ct-scan Mandibula 3d Total Tarif
SB90 5835 CT-SCAN Mandibula KontraBHAP
SB90 5835 CT-SCAN Mandibula KontraJASA SARANA
SB90 5835 CT-SCAN Mandibula KontraPPH 23
SB90 5835 CT-SCAN Mandibula KontraJASA PERUJUK
SB90 5835 CT-SCAN Mandibula KontraJASA MEDIS
SB90 5835 CT-SCAN Mandibula KontraJASA PARAMEDIS
SB90 5835 CT-SCAN Mandibula KontraTotal Tarif
(blank) 10879 Ct-scan Mandibula KontrasBHAP
(blank) 10879 Ct-scan Mandibula KontrasJASA SARANA
(blank) 10879 Ct-scan Mandibula KontrasPPH 23
(blank) 10879 Ct-scan Mandibula KontrasJASA PERUJUK
(blank) 10879 Ct-scan Mandibula KontrasJASA MEDIS
(blank) 10879 Ct-scan Mandibula KontrasJASA PARAMEDIS
(blank) 10879 Ct-scan Mandibula KontrasTotal Tarif
SC1 5836 CT-SCAN Mastoid BHAP
SC1 5836 CT-SCAN Mastoid JASA SARANA
SC1 5836 CT-SCAN Mastoid PPH 23
SC1 5836 CT-SCAN Mastoid JASA PERUJUK
SC1 5836 CT-SCAN Mastoid JASA MEDIS
SC1 5836 CT-SCAN Mastoid JASA PARAMEDIS
SC1 5836 CT-SCAN Mastoid Total Tarif
(blank) 10880 Ct-scan Mastoid 3d BHAP
(blank) 10880 Ct-scan Mastoid 3d JASA SARANA
(blank) 10880 Ct-scan Mastoid 3d PPH 23
(blank) 10880 Ct-scan Mastoid 3d JASA PERUJUK
(blank) 10880 Ct-scan Mastoid 3d JASA MEDIS
(blank) 10880 Ct-scan Mastoid 3d JASA PARAMEDIS
(blank) 10880 Ct-scan Mastoid 3d Total Tarif
SC2 5837 CT-SCAN Mastoid Kontras BHAP
SC2 5837 CT-SCAN Mastoid Kontras JASA SARANA
SC2 5837 CT-SCAN Mastoid Kontras PPH 23
SC2 5837 CT-SCAN Mastoid Kontras JASA PERUJUK
SC2 5837 CT-SCAN Mastoid Kontras JASA MEDIS
SC2 5837 CT-SCAN Mastoid Kontras JASA PARAMEDIS
SC2 5837 CT-SCAN Mastoid Kontras Total Tarif
(blank) 10881 Ct-scan Mastoid Kontras 3dBHAP
(blank) 10881 Ct-scan Mastoid Kontras 3dJASA SARANA
(blank) 10881 Ct-scan Mastoid Kontras 3dPPH 23
(blank) 10881 Ct-scan Mastoid Kontras 3dJASA PERUJUK
(blank) 10881 Ct-scan Mastoid Kontras 3dJASA MEDIS
(blank) 10881 Ct-scan Mastoid Kontras 3dJASA PARAMEDIS
(blank) 10881 Ct-scan Mastoid Kontras 3dTotal Tarif
SB2 5824 CT-SCAN Nasofaring KontraBHAP
SB2 5824 CT-SCAN Nasofaring KontraJASA SARANA
SB2 5824 CT-SCAN Nasofaring KontraPPH 23
SB2 5824 CT-SCAN Nasofaring KontraJASA PERUJUK
SB2 5824 CT-SCAN Nasofaring KontraJASA MEDIS
SB2 5824 CT-SCAN Nasofaring KontraJASA PARAMEDIS
SB2 5824 CT-SCAN Nasofaring KontraTotal Tarif
(blank) 10869 Ct-scan Nasofaring KontrasBHAP
(blank) 10869 Ct-scan Nasofaring KontrasJASA SARANA
(blank) 10869 Ct-scan Nasofaring KontrasPPH 23
(blank) 10869 Ct-scan Nasofaring KontrasJASA PERUJUK
(blank) 10869 Ct-scan Nasofaring KontrasJASA MEDIS
(blank) 10869 Ct-scan Nasofaring KontrasJASA PARAMEDIS
(blank) 10869 Ct-scan Nasofaring KontrasTotal Tarif
SB1 5823 CT-SCAN Nasofaring Polos BHAP
SB1 5823 CT-SCAN Nasofaring Polos JASA SARANA
SB1 5823 CT-SCAN Nasofaring Polos PPH 23
SB1 5823 CT-SCAN Nasofaring Polos JASA PERUJUK
SB1 5823 CT-SCAN Nasofaring Polos JASA MEDIS
SB1 5823 CT-SCAN Nasofaring Polos JASA PARAMEDIS
SB1 5823 CT-SCAN Nasofaring Polos Total Tarif
(blank) 10868 Ct-scan Nasofaring Polos 3 BHAP
(blank) 10868 Ct-scan Nasofaring Polos 3 JASA SARANA
(blank) 10868 Ct-scan Nasofaring Polos 3 PPH 23
(blank) 10868 Ct-scan Nasofaring Polos 3 JASA PERUJUK
(blank) 10868 Ct-scan Nasofaring Polos 3 JASA MEDIS
(blank) 10868 Ct-scan Nasofaring Polos 3 JASA PARAMEDIS
(blank) 10868 Ct-scan Nasofaring Polos 3 Total Tarif
SB4 5826 CT-SCAN ORBITA KONTRASBHAP
SB4 5826 CT-SCAN ORBITA KONTRASJASA SARANA
SB4 5826 CT-SCAN ORBITA KONTRASPPH 23
SB4 5826 CT-SCAN ORBITA KONTRASJASA PERUJUK
SB4 5826 CT-SCAN ORBITA KONTRASJASA MEDIS
SB4 5826 CT-SCAN ORBITA KONTRASJASA PARAMEDIS
SB4 5826 CT-SCAN ORBITA KONTRASTotal Tarif
(blank) 10871 Ct-scan Orbita Kontras 3d BHAP
(blank) 10871 Ct-scan Orbita Kontras 3d JASA SARANA
(blank) 10871 Ct-scan Orbita Kontras 3d PPH 23
(blank) 10871 Ct-scan Orbita Kontras 3d JASA PERUJUK
(blank) 10871 Ct-scan Orbita Kontras 3d JASA MEDIS
(blank) 10871 Ct-scan Orbita Kontras 3d JASA PARAMEDIS
(blank) 10871 Ct-scan Orbita Kontras 3d Total Tarif
SB3 5825 CT-SCAN ORBITA POLOS BHAP
SB3 5825 CT-SCAN ORBITA POLOS JASA SARANA
SB3 5825 CT-SCAN ORBITA POLOS PPH 23
SB3 5825 CT-SCAN ORBITA POLOS JASA PERUJUK
SB3 5825 CT-SCAN ORBITA POLOS JASA MEDIS
SB3 5825 CT-SCAN ORBITA POLOS JASA PARAMEDIS
SB3 5825 CT-SCAN ORBITA POLOS Total Tarif
(blank) 10870 Ct-scan Orbita Polos 3d BHAP
(blank) 10870 Ct-scan Orbita Polos 3d JASA SARANA
(blank) 10870 Ct-scan Orbita Polos 3d PPH 23
(blank) 10870 Ct-scan Orbita Polos 3d JASA PERUJUK
(blank) 10870 Ct-scan Orbita Polos 3d JASA MEDIS
(blank) 10870 Ct-scan Orbita Polos 3d JASA PARAMEDIS
(blank) 10870 Ct-scan Orbita Polos 3d Total Tarif
SB81 5833 CT-SCAN Pelvis BHAP
SB81 5833 CT-SCAN Pelvis JASA SARANA
SB81 5833 CT-SCAN Pelvis PPH 23
SB81 5833 CT-SCAN Pelvis JASA PERUJUK
SB81 5833 CT-SCAN Pelvis JASA MEDIS
SB81 5833 CT-SCAN Pelvis JASA PARAMEDIS
SB81 5833 CT-SCAN Pelvis Total Tarif
(blank) 10877 Ct-scan Pelvis 3d BHAP
(blank) 10877 Ct-scan Pelvis 3d JASA SARANA
(blank) 10877 Ct-scan Pelvis 3d PPH 23
(blank) 10877 Ct-scan Pelvis 3d JASA PERUJUK
(blank) 10877 Ct-scan Pelvis 3d JASA MEDIS
(blank) 10877 Ct-scan Pelvis 3d JASA PARAMEDIS
(blank) 10877 Ct-scan Pelvis 3d Total Tarif
SB5 5827 CT-SCAN Sinus BHAP
SB5 5827 CT-SCAN Sinus JASA SARANA
SB5 5827 CT-SCAN Sinus PPH 23
SB5 5827 CT-SCAN Sinus JASA PERUJUK
SB5 5827 CT-SCAN Sinus JASA MEDIS
SB5 5827 CT-SCAN Sinus JASA PARAMEDIS
SB5 5827 CT-SCAN Sinus Total Tarif
(blank) 10872 Ct-scan Sinus 3d BHAP
(blank) 10872 Ct-scan Sinus 3d JASA SARANA
(blank) 10872 Ct-scan Sinus 3d PPH 23
(blank) 10872 Ct-scan Sinus 3d JASA PERUJUK
(blank) 10872 Ct-scan Sinus 3d JASA MEDIS
(blank) 10872 Ct-scan Sinus 3d JASA PARAMEDIS
(blank) 10872 Ct-scan Sinus 3d Total Tarif
SB50 5828 CT-SCAN Sinus Kontras BHAP
SB50 5828 CT-SCAN Sinus Kontras JASA SARANA
SB50 5828 CT-SCAN Sinus Kontras PPH 23
SB50 5828 CT-SCAN Sinus Kontras JASA PERUJUK
SB50 5828 CT-SCAN Sinus Kontras JASA MEDIS
SB50 5828 CT-SCAN Sinus Kontras JASA PARAMEDIS
SB50 5828 CT-SCAN Sinus Kontras Total Tarif
SB50 10888 Ct-scan Sinus Kontras 3d BHAP
SB50 10888 Ct-scan Sinus Kontras 3d JASA SARANA
SB50 10888 Ct-scan Sinus Kontras 3d PPH 23
SB50 10888 Ct-scan Sinus Kontras 3d JASA PERUJUK
SB50 10888 Ct-scan Sinus Kontras 3d JASA MEDIS
SB50 10888 Ct-scan Sinus Kontras 3d JASA PARAMEDIS
SB50 10888 Ct-scan Sinus Kontras 3d Total Tarif
SB80 5832 CT-SCAN Thoracal Lumbal BHAP
SB80 5832 CT-SCAN Thoracal Lumbal JASA SARANA
SB80 5832 CT-SCAN Thoracal Lumbal PPH 23
SB80 5832 CT-SCAN Thoracal Lumbal JASA PERUJUK
SB80 5832 CT-SCAN Thoracal Lumbal JASA MEDIS
SB80 5832 CT-SCAN Thoracal Lumbal JASA PARAMEDIS
SB80 5832 CT-SCAN Thoracal Lumbal Total Tarif
(blank) 10876 Ct-scan Thoracal Lumbal 3dBHAP
(blank) 10876 Ct-scan Thoracal Lumbal 3dJASA SARANA
(blank) 10876 Ct-scan Thoracal Lumbal 3dPPH 23
(blank) 10876 Ct-scan Thoracal Lumbal 3dJASA PERUJUK
(blank) 10876 Ct-scan Thoracal Lumbal 3dJASA MEDIS
(blank) 10876 Ct-scan Thoracal Lumbal 3dJASA PARAMEDIS
(blank) 10876 Ct-scan Thoracal Lumbal 3dTotal Tarif
SB6 5829 CT-SCAN Thoracol BHAP
SB6 5829 CT-SCAN Thoracol JASA SARANA
SB6 5829 CT-SCAN Thoracol PPH 23
SB6 5829 CT-SCAN Thoracol JASA PERUJUK
SB6 5829 CT-SCAN Thoracol JASA MEDIS
SB6 5829 CT-SCAN Thoracol JASA PARAMEDIS
SB6 5829 CT-SCAN Thoracol Total Tarif
(blank) 10873 Ct-scan Thoracol 3d BHAP
(blank) 10873 Ct-scan Thoracol 3d JASA SARANA
(blank) 10873 Ct-scan Thoracol 3d PPH 23
(blank) 10873 Ct-scan Thoracol 3d JASA PERUJUK
(blank) 10873 Ct-scan Thoracol 3d JASA MEDIS
(blank) 10873 Ct-scan Thoracol 3d JASA PARAMEDIS
(blank) 10873 Ct-scan Thoracol 3d Total Tarif
SA4 5816 CT-SCAN Thorax Kontras BHAP
SA4 5816 CT-SCAN Thorax Kontras JASA SARANA
SA4 5816 CT-SCAN Thorax Kontras PPH 23
SA4 5816 CT-SCAN Thorax Kontras JASA PERUJUK
SA4 5816 CT-SCAN Thorax Kontras JASA MEDIS
SA4 5816 CT-SCAN Thorax Kontras JASA PARAMEDIS
SA4 5816 CT-SCAN Thorax Kontras Total Tarif
(blank) 10862 Ct-scan Thorax Kontras 3d BHAP
(blank) 10862 Ct-scan Thorax Kontras 3d JASA SARANA
(blank) 10862 Ct-scan Thorax Kontras 3d PPH 23
(blank) 10862 Ct-scan Thorax Kontras 3d JASA PERUJUK
(blank) 10862 Ct-scan Thorax Kontras 3d JASA MEDIS
(blank) 10862 Ct-scan Thorax Kontras 3d JASA PARAMEDIS
(blank) 10862 Ct-scan Thorax Kontras 3d Total Tarif
SA3 5815 CT-SCAN Thorax Polos BHAP
SA3 5815 CT-SCAN Thorax Polos JASA SARANA
SA3 5815 CT-SCAN Thorax Polos PPH 23
SA3 5815 CT-SCAN Thorax Polos JASA PERUJUK
SA3 5815 CT-SCAN Thorax Polos JASA MEDIS
SA3 5815 CT-SCAN Thorax Polos JASA PARAMEDIS
SA3 5815 CT-SCAN Thorax Polos Total Tarif
(blank) 10861 Ct-scan Thorax Polos 3d BHAP
(blank) 10861 Ct-scan Thorax Polos 3d JASA SARANA
(blank) 10861 Ct-scan Thorax Polos 3d PPH 23
(blank) 10861 Ct-scan Thorax Polos 3d JASA PERUJUK
(blank) 10861 Ct-scan Thorax Polos 3d JASA MEDIS
(blank) 10861 Ct-scan Thorax Polos 3d JASA PARAMEDIS
(blank) 10861 Ct-scan Thorax Polos 3d Total Tarif
C00 10892 D-dimer BHAP
C00 10892 D-dimer JASA SARANA
C00 10892 D-dimer PPH 23
C00 10892 D-dimer JASA PERUJUK
C00 10892 D-dimer JASA MEDIS
C00 10892 D-dimer JASA PARAMEDIS
C00 10892 D-dimer Total Tarif
HU1 5595 Dengue Ag NS 1 Antigen BHAP
HU1 5595 Dengue Ag NS 1 Antigen JASA SARANA
HU1 5595 Dengue Ag NS 1 Antigen PPH 23
HU1 5595 Dengue Ag NS 1 Antigen JASA PERUJUK
HU1 5595 Dengue Ag NS 1 Antigen JASA MEDIS
HU1 5595 Dengue Ag NS 1 Antigen JASA PARAMEDIS
HU1 5595 Dengue Ag NS 1 Antigen Total Tarif
RX7 5799 Dental BHAP
RX7 5799 Dental JASA SARANA
RX7 5799 Dental PPH 23
RX7 5799 Dental JASA PERUJUK
RX7 5799 Dental JASA MEDIS
RX7 5799 Dental JASA PARAMEDIS
RX7 5799 Dental Total Tarif
HT0 5593 DHF IgG BHAP
HT0 5593 DHF IgG JASA SARANA
HT0 5593 DHF IgG PPH 23
HT0 5593 DHF IgG JASA PERUJUK
HT0 5593 DHF IgG JASA MEDIS
HT0 5593 DHF IgG JASA PARAMEDIS
HT0 5593 DHF IgG Total Tarif
HU0 5594 DHF IgM BHAP
HU0 5594 DHF IgM JASA SARANA
HU0 5594 DHF IgM PPH 23
HU0 5594 DHF IgM JASA PERUJUK
HU0 5594 DHF IgM JASA MEDIS
HU0 5594 DHF IgM JASA PARAMEDIS
HU0 5594 DHF IgM Total Tarif
CC0 5479 Diftel BHAP
CC0 5479 Diftel JASA SARANA
CC0 5479 Diftel PPH 23
CC0 5479 Diftel JASA PERUJUK
CC0 5479 Diftel JASA MEDIS
CC0 5479 Diftel JASA PARAMEDIS
CC0 5479 Diftel Total Tarif
FO0 5539 E.K.G. BHAP
FO0 5539 E.K.G. JASA SARANA
FO0 5539 E.K.G. PPH 23
FO0 5539 E.K.G. JASA PERUJUK
FO0 5539 E.K.G. JASA MEDIS
FO0 5539 E.K.G. JASA PARAMEDIS
FO0 5539 E.K.G. Total Tarif
FQ0 5541 Echo Cardiography BHAP
FQ0 5541 Echo Cardiography JASA SARANA
FQ0 5541 Echo Cardiography PPH 23
FQ0 5541 Echo Cardiography JASA PERUJUK
FQ0 5541 Echo Cardiography JASA MEDIS
FQ0 5541 Echo Cardiography JASA PARAMEDIS
FQ0 5541 Echo Cardiography Total Tarif
FS0 5543 Echo Cardiography (pilihan)BHAP
FS0 5543 Echo Cardiography (pilihan)JASA SARANA
FS0 5543 Echo Cardiography (pilihan)PPH 23
FS0 5543 Echo Cardiography (pilihan)JASA PERUJUK
FS0 5543 Echo Cardiography (pilihan)JASA MEDIS
FS0 5543 Echo Cardiography (pilihan)JASA PARAMEDIS
FS0 5543 Echo Cardiography (pilihan)Total Tarif
FR0 5542 Echo Cardiography (sedangBHAP
FR0 5542 Echo Cardiography (sedangJASA SARANA
FR0 5542 Echo Cardiography (sedangPPH 23
FR0 5542 Echo Cardiography (sedangJASA PERUJUK
FR0 5542 Echo Cardiography (sedangJASA MEDIS
FR0 5542 Echo Cardiography (sedangJASA PARAMEDIS
FR0 5542 Echo Cardiography (sedangTotal Tarif
RJ1 5727 Elbow Joint (Cubiti) Ap+Lat BHAP
RJ1 5727 Elbow Joint (Cubiti) Ap+Lat JASA SARANA
RJ1 5727 Elbow Joint (Cubiti) Ap+Lat PPH 23
RJ1 5727 Elbow Joint (Cubiti) Ap+Lat JASA PERUJUK
RJ1 5727 Elbow Joint (Cubiti) Ap+Lat JASA MEDIS
RJ1 5727 Elbow Joint (Cubiti) Ap+Lat JASA PARAMEDIS
RJ1 5727 Elbow Joint (Cubiti) Ap+Lat Total Tarif
RJ10 5728 Elbow Joint (Cubiti) Ap+Lat BHAP
RJ10 5728 Elbow Joint (Cubiti) Ap+Lat JASA SARANA
RJ10 5728 Elbow Joint (Cubiti) Ap+Lat PPH 23
RJ10 5728 Elbow Joint (Cubiti) Ap+Lat JASA PERUJUK
RJ10 5728 Elbow Joint (Cubiti) Ap+Lat JASA MEDIS
RJ10 5728 Elbow Joint (Cubiti) Ap+Lat JASA PARAMEDIS
RJ10 5728 Elbow Joint (Cubiti) Ap+Lat Total Tarif
RJ5 10684 Elbow Joint (Cubiti) BilateraBHAP
RJ5 10684 Elbow Joint (Cubiti) BilateraJASA SARANA
RJ5 10684 Elbow Joint (Cubiti) BilateraPPH 23
RJ5 10684 Elbow Joint (Cubiti) BilateraJASA PERUJUK
RJ5 10684 Elbow Joint (Cubiti) BilateraJASA MEDIS
RJ5 10684 Elbow Joint (Cubiti) BilateraJASA PARAMEDIS
RJ5 10684 Elbow Joint (Cubiti) BilateraTotal Tarif
RJ6 10685 Elbow Joint (Cubiti) BilateraBHAP
RJ6 10685 Elbow Joint (Cubiti) BilateraJASA SARANA
RJ6 10685 Elbow Joint (Cubiti) BilateraPPH 23
RJ6 10685 Elbow Joint (Cubiti) BilateraJASA PERUJUK
RJ6 10685 Elbow Joint (Cubiti) BilateraJASA MEDIS
RJ6 10685 Elbow Joint (Cubiti) BilateraJASA PARAMEDIS
RJ6 10685 Elbow Joint (Cubiti) BilateraTotal Tarif
G40 5547 Elektroforesis Protein BHAP
G40 5547 Elektroforesis Protein JASA SARANA
G40 5547 Elektroforesis Protein PPH 23
G40 5547 Elektroforesis Protein JASA PERUJUK
G40 5547 Elektroforesis Protein JASA MEDIS
G40 5547 Elektroforesis Protein JASA PARAMEDIS
G40 5547 Elektroforesis Protein Total Tarif
CI0 5488 Eosinofil BHAP
CI0 5488 Eosinofil JASA SARANA
CI0 5488 Eosinofil PPH 23
CI0 5488 Eosinofil JASA PERUJUK
CI0 5488 Eosinofil JASA MEDIS
CI0 5488 Eosinofil JASA PARAMEDIS
CI0 5488 Eosinofil Total Tarif
CE0 5481 Eritrosit BHAP
CE0 5481 Eritrosit JASA SARANA
CE0 5481 Eritrosit PPH 23
CE0 5481 Eritrosit JASA PERUJUK
CE0 5481 Eritrosit JASA MEDIS
CE0 5481 Eritrosit JASA PARAMEDIS
CE0 5481 Eritrosit Total Tarif
PC0 5677 Erytrhromycin 15 ug BHAP
PC0 5677 Erytrhromycin 15 ug JASA SARANA
PC0 5677 Erytrhromycin 15 ug PPH 23
PC0 5677 Erytrhromycin 15 ug JASA PERUJUK
PC0 5677 Erytrhromycin 15 ug JASA MEDIS
PC0 5677 Erytrhromycin 15 ug JASA PARAMEDIS
PC0 5677 Erytrhromycin 15 ug Total Tarif
(blank) 10854 Expertise BHAP
(blank) 10854 Expertise JASA SARANA
(blank) 10854 Expertise PPH 23
(blank) 10854 Expertise JASA PERUJUK
(blank) 10854 Expertise JASA MEDIS
(blank) 10854 Expertise JASA PARAMEDIS
(blank) 10854 Expertise Total Tarif
(blank) 10853 Expertise Ct-scan BHAP
(blank) 10853 Expertise Ct-scan JASA SARANA
(blank) 10853 Expertise Ct-scan PPH 23
(blank) 10853 Expertise Ct-scan JASA PERUJUK
(blank) 10853 Expertise Ct-scan JASA MEDIS
(blank) 10853 Expertise Ct-scan JASA PARAMEDIS
(blank) 10853 Expertise Ct-scan Total Tarif
HS0 5592 F T 3 BHAP
HS0 5592 F T 3 JASA SARANA
HS0 5592 F T 3 PPH 23
HS0 5592 F T 3 JASA PERUJUK
HS0 5592 F T 3 JASA MEDIS
HS0 5592 F T 3 JASA PARAMEDIS
HS0 5592 F T 3 Total Tarif
HR0 5591 F T 4 BHAP
HR0 5591 F T 4 JASA SARANA
HR0 5591 F T 4 PPH 23
HR0 5591 F T 4 JASA PERUJUK
HR0 5591 F T 4 JASA MEDIS
HR0 5591 F T 4 JASA PARAMEDIS
HR0 5591 F T 4 Total Tarif
BA0 5474 Faeces Lengkap BHAP
BA0 5474 Faeces Lengkap JASA SARANA
BA0 5474 Faeces Lengkap PPH 23
BA0 5474 Faeces Lengkap JASA PERUJUK
BA0 5474 Faeces Lengkap JASA MEDIS
BA0 5474 Faeces Lengkap JASA PARAMEDIS
BA0 5474 Faeces Lengkap Total Tarif
RW11 5759 Femur AP + Lat CR BHAP
RW11 5759 Femur AP + Lat CR JASA SARANA
RW11 5759 Femur AP + Lat CR PPH 23
RW11 5759 Femur AP + Lat CR JASA PERUJUK
RW11 5759 Femur AP + Lat CR JASA MEDIS
RW11 5759 Femur AP + Lat CR JASA PARAMEDIS
RW11 5759 Femur AP + Lat CR Total Tarif
RW1 5757 Femur AP + Lateral BHAP
RW1 5757 Femur AP + Lateral JASA SARANA
RW1 5757 Femur AP + Lateral PPH 23
RW1 5757 Femur AP + Lateral JASA PERUJUK
RW1 5757 Femur AP + Lateral JASA MEDIS
RW1 5757 Femur AP + Lateral JASA PARAMEDIS
RW1 5757 Femur AP + Lateral Total Tarif
GN0 5562 Feritin BHAP
GN0 5562 Feritin JASA SARANA
GN0 5562 Feritin PPH 23
GN0 5562 Feritin JASA PERUJUK
GN0 5562 Feritin JASA MEDIS
GN0 5562 Feritin JASA PARAMEDIS
GN0 5562 Feritin Total Tarif
RZ3 5805 Fistulografi BHAP
RZ3 5805 Fistulografi JASA SARANA
RZ3 5805 Fistulografi PPH 23
RZ3 5805 Fistulografi JASA PERUJUK
RZ3 5805 Fistulografi JASA MEDIS
RZ3 5805 Fistulografi JASA PARAMEDIS
RZ3 5805 Fistulografi Total Tarif
RX9 5801 Follow Through BHAP
RX9 5801 Follow Through JASA SARANA
RX9 5801 Follow Through PPH 23
RX9 5801 Follow Through JASA PERUJUK
RX9 5801 Follow Through JASA MEDIS
RX9 5801 Follow Through JASA PARAMEDIS
RX9 5801 Follow Through Total Tarif
GE0 5554 Fosfatase Alkali (AP) BHAP
GE0 5554 Fosfatase Alkali (AP) JASA SARANA
GE0 5554 Fosfatase Alkali (AP) PPH 23
GE0 5554 Fosfatase Alkali (AP) JASA PERUJUK
GE0 5554 Fosfatase Alkali (AP) JASA MEDIS
GE0 5554 Fosfatase Alkali (AP) JASA PARAMEDIS
GE0 5554 Fosfatase Alkali (AP) Total Tarif
MA1 5644 Fosfatase Asam BHAP
MA1 5644 Fosfatase Asam JASA SARANA
MA1 5644 Fosfatase Asam PPH 23
MA1 5644 Fosfatase Asam JASA PERUJUK
MA1 5644 Fosfatase Asam JASA MEDIS
MA1 5644 Fosfatase Asam JASA PARAMEDIS
MA1 5644 Fosfatase Asam Total Tarif
NH0 5658 Fosfor Anorganik BHAP
NH0 5658 Fosfor Anorganik JASA SARANA
NH0 5658 Fosfor Anorganik PPH 23
NH0 5658 Fosfor Anorganik JASA PERUJUK
NH0 5658 Fosfor Anorganik JASA MEDIS
NH0 5658 Fosfor Anorganik JASA PARAMEDIS
NH0 5658 Fosfor Anorganik Total Tarif
DG0 5516 Fruktosamin BHAP
DG0 5516 Fruktosamin JASA SARANA
DG0 5516 Fruktosamin PPH 23
DG0 5516 Fruktosamin JASA PERUJUK
DG0 5516 Fruktosamin JASA MEDIS
DG0 5516 Fruktosamin JASA PARAMEDIS
DG0 5516 Fruktosamin Total Tarif
DD0 5514 G.T.T BHAP
DD0 5514 G.T.T JASA SARANA
DD0 5514 G.T.T PPH 23
DD0 5514 G.T.T JASA PERUJUK
DD0 5514 G.T.T JASA MEDIS
DD0 5514 G.T.T JASA PARAMEDIS
DD0 5514 G.T.T Total Tarif
NE0 5655 G6P - D BHAP
NE0 5655 G6P - D JASA SARANA
NE0 5655 G6P - D PPH 23
NE0 5655 G6P - D JASA PERUJUK
NE0 5655 G6P - D JASA MEDIS
NE0 5655 G6P - D JASA PARAMEDIS
NE0 5655 G6P - D Total Tarif
CW0 5505 G6PD BHAP
CW0 5505 G6PD JASA SARANA
CW0 5505 G6PD PPH 23
CW0 5505 G6PD JASA PERUJUK
CW0 5505 G6PD JASA MEDIS
CW0 5505 G6PD JASA PARAMEDIS
CW0 5505 G6PD Total Tarif
CW1 5506 G6PD Neonatus BHAP
CW1 5506 G6PD Neonatus JASA SARANA
CW1 5506 G6PD Neonatus PPH 23
CW1 5506 G6PD Neonatus JASA PERUJUK
CW1 5506 G6PD Neonatus JASA MEDIS
CW1 5506 G6PD Neonatus JASA PARAMEDIS
CW1 5506 G6PD Neonatus Total Tarif
NF0 5655 G6P-D Neonatus BHAP
NF0 5655 G6P-D Neonatus JASA SARANA
NF0 5655 G6P-D Neonatus PPH 23
NF0 5655 G6P-D Neonatus JASA PERUJUK
NF0 5655 G6P-D Neonatus JASA MEDIS
NF0 5655 G6P-D Neonatus JASA PARAMEDIS
NF0 5655 G6P-D Neonatus Total Tarif
OC0 5664 Gal Kultur BHAP
OC0 5664 Gal Kultur JASA SARANA
OC0 5664 Gal Kultur PPH 23
OC0 5664 Gal Kultur JASA PERUJUK
OC0 5664 Gal Kultur JASA MEDIS
OC0 5664 Gal Kultur JASA PARAMEDIS
OC0 5664 Gal Kultur Total Tarif
GD0 5553 Gamma - GT BHAP
GD0 5553 Gamma - GT JASA SARANA
GD0 5553 Gamma - GT PPH 23
GD0 5553 Gamma - GT JASA PERUJUK
GD0 5553 Gamma - GT JASA MEDIS
GD0 5553 Gamma - GT JASA PARAMEDIS
GD0 5553 Gamma - GT Total Tarif
PE0 5679 Gentamycin 10 ug BHAP
PE0 5679 Gentamycin 10 ug JASA SARANA
PE0 5679 Gentamycin 10 ug PPH 23
PE0 5679 Gentamycin 10 ug JASA PERUJUK
PE0 5679 Gentamycin 10 ug JASA MEDIS
PE0 5679 Gentamycin 10 ug JASA PARAMEDIS
PE0 5679 Gentamycin 10 ug Total Tarif
RU10 5751 Genu AP + Lat CR BHAP
RU10 5751 Genu AP + Lat CR JASA SARANA
RU10 5751 Genu AP + Lat CR PPH 23
RU10 5751 Genu AP + Lat CR JASA PERUJUK
RU10 5751 Genu AP + Lat CR JASA MEDIS
RU10 5751 Genu AP + Lat CR JASA PARAMEDIS
RU10 5751 Genu AP + Lat CR Total Tarif
RU0 5750 Genu AP + Lateral BHAP
RU0 5750 Genu AP + Lateral JASA SARANA
RU0 5750 Genu AP + Lateral PPH 23
RU0 5750 Genu AP + Lateral JASA PERUJUK
RU0 5750 Genu AP + Lateral JASA MEDIS
RU0 5750 Genu AP + Lateral JASA PARAMEDIS
RU0 5750 Genu AP + Lateral Total Tarif
RV10 5754 Genu Bilateral AP + Lat CR BHAP
RV10 5754 Genu Bilateral AP + Lat CR JASA SARANA
RV10 5754 Genu Bilateral AP + Lat CR PPH 23
RV10 5754 Genu Bilateral AP + Lat CR JASA PERUJUK
RV10 5754 Genu Bilateral AP + Lat CR JASA MEDIS
RV10 5754 Genu Bilateral AP + Lat CR JASA PARAMEDIS
RV10 5754 Genu Bilateral AP + Lat CR Total Tarif
RV0 5752 Genu Bilateral AP + Lateral BHAP
RV0 5752 Genu Bilateral AP + Lateral JASA SARANA
RV0 5752 Genu Bilateral AP + Lateral PPH 23
RV0 5752 Genu Bilateral AP + Lateral JASA PERUJUK
RV0 5752 Genu Bilateral AP + Lateral JASA MEDIS
RV0 5752 Genu Bilateral AP + Lateral JASA PARAMEDIS
RV0 5752 Genu Bilateral AP + Lateral Total Tarif
GQ0 5565 GLDH BHAP
GQ0 5565 GLDH JASA SARANA
GQ0 5565 GLDH PPH 23
GQ0 5565 GLDH JASA PERUJUK
GQ0 5565 GLDH JASA MEDIS
GQ0 5565 GLDH JASA PARAMEDIS
GQ0 5565 GLDH Total Tarif
G30 5546 Globulin BHAP
G30 5546 Globulin JASA SARANA
G30 5546 Globulin PPH 23
G30 5546 Globulin JASA PERUJUK
G30 5546 Globulin JASA MEDIS
G30 5546 Globulin JASA PARAMEDIS
G30 5546 Globulin Total Tarif
DB0 5512 Glukosa 2 jam pp BHAP
DB0 5512 Glukosa 2 jam pp JASA SARANA
DB0 5512 Glukosa 2 jam pp PPH 23
DB0 5512 Glukosa 2 jam pp JASA PERUJUK
DB0 5512 Glukosa 2 jam pp JASA MEDIS
DB0 5512 Glukosa 2 jam pp JASA PARAMEDIS
DB0 5512 Glukosa 2 jam pp Total Tarif
DC0 5513 Glukosa ad random BHAP
DC0 5513 Glukosa ad random JASA SARANA
DC0 5513 Glukosa ad random PPH 23
DC0 5513 Glukosa ad random JASA PERUJUK
DC0 5513 Glukosa ad random JASA MEDIS
DC0 5513 Glukosa ad random JASA PARAMEDIS
DC0 5513 Glukosa ad random Total Tarif
DI0 5518 Glukosa Cyto BHAP
DI0 5518 Glukosa Cyto JASA SARANA
DI0 5518 Glukosa Cyto PPH 23
DI0 5518 Glukosa Cyto JASA PERUJUK
DI0 5518 Glukosa Cyto JASA MEDIS
DI0 5518 Glukosa Cyto JASA PARAMEDIS
DI0 5518 Glukosa Cyto Total Tarif
DA0 5511 Glukosa Puasa BHAP
DA0 5511 Glukosa Puasa JASA SARANA
DA0 5511 Glukosa Puasa PPH 23
DA0 5511 Glukosa Puasa JASA PERUJUK
DA0 5511 Glukosa Puasa JASA MEDIS
DA0 5511 Glukosa Puasa JASA PARAMEDIS
DA0 5511 Glukosa Puasa Total Tarif
CU0 5503 Golongan Darah BHAP
CU0 5503 Golongan Darah JASA SARANA
CU0 5503 Golongan Darah PPH 23
CU0 5503 Golongan Darah JASA PERUJUK
CU0 5503 Golongan Darah JASA MEDIS
CU0 5503 Golongan Darah JASA PARAMEDIS
CU0 5503 Golongan Darah Total Tarif
(blank) 10737 H PSA BHAP
(blank) 10737 H PSA JASA SARANA
(blank) 10737 H PSA PPH 23
(blank) 10737 H PSA JASA PERUJUK
(blank) 10737 H PSA JASA MEDIS
(blank) 10737 H PSA JASA PARAMEDIS
(blank) 10737 H PSA Total Tarif
CS0 5500 HB Elektroforesis BHAP
CS0 5500 HB Elektroforesis JASA SARANA
CS0 5500 HB Elektroforesis PPH 23
CS0 5500 HB Elektroforesis JASA PERUJUK
CS0 5500 HB Elektroforesis JASA MEDIS
CS0 5500 HB Elektroforesis JASA PARAMEDIS
CS0 5500 HB Elektroforesis Total Tarif
DH0 5517 HBA1C BHAP
DH0 5517 HBA1C JASA SARANA
DH0 5517 HBA1C PPH 23
DH0 5517 HBA1C JASA PERUJUK
DH0 5517 HBA1C JASA MEDIS
DH0 5517 HBA1C JASA PARAMEDIS
DH0 5517 HBA1C Total Tarif
H20 5568 HBeAg BHAP
H20 5568 HBeAg JASA SARANA
H20 5568 HBeAg PPH 23
H20 5568 HBeAg JASA PERUJUK
H20 5568 HBeAg JASA MEDIS
H20 5568 HBeAg JASA PARAMEDIS
H20 5568 HBeAg Total Tarif
H00 5566 HBs Ag (Elisa) BHAP
H00 5566 HBs Ag (Elisa) JASA SARANA
H00 5566 HBs Ag (Elisa) PPH 23
H00 5566 HBs Ag (Elisa) JASA PERUJUK
H00 5566 HBs Ag (Elisa) JASA MEDIS
H00 5566 HBs Ag (Elisa) JASA PARAMEDIS
H00 5566 HBs Ag (Elisa) Total Tarif
HW0 5599 Hbs Ag Strip BHAP
HW0 5599 Hbs Ag Strip JASA SARANA
HW0 5599 Hbs Ag Strip PPH 23
HW0 5599 Hbs Ag Strip JASA PERUJUK
HW0 5599 Hbs Ag Strip JASA MEDIS
HW0 5599 Hbs Ag Strip JASA PARAMEDIS
HW0 5599 Hbs Ag Strip Total Tarif
(blank) 10848 HBV DNA BHAP
(blank) 10848 HBV DNA JASA SARANA
(blank) 10848 HBV DNA PPH 23
(blank) 10848 HBV DNA JASA PERUJUK
(blank) 10848 HBV DNA JASA MEDIS
(blank) 10848 HBV DNA JASA PARAMEDIS
(blank) 10848 HBV DNA Total Tarif
NA6 5649 HCO3 BHAP
NA6 5649 HCO3 JASA SARANA
NA6 5649 HCO3 PPH 23
NA6 5649 HCO3 JASA PERUJUK
NA6 5649 HCO3 JASA MEDIS
NA6 5649 HCO3 JASA PARAMEDIS
NA6 5649 HCO3 Total Tarif
FB0 5527 HDL-Cholesterol BHAP
FB0 5527 HDL-Cholesterol JASA SARANA
FB0 5527 HDL-Cholesterol PPH 23
FB0 5527 HDL-Cholesterol JASA PERUJUK
FB0 5527 HDL-Cholesterol JASA MEDIS
FB0 5527 HDL-Cholesterol JASA PARAMEDIS
FB0 5527 HDL-Cholesterol Total Tarif
CF0 5482 Hematokrit BHAP
CF0 5482 Hematokrit JASA SARANA
CF0 5482 Hematokrit PPH 23
CF0 5482 Hematokrit JASA PERUJUK
CF0 5482 Hematokrit JASA MEDIS
CF0 5482 Hematokrit JASA PARAMEDIS
CF0 5482 Hematokrit Total Tarif
CA0 5477 Hemoglobin BHAP
CA0 5477 Hemoglobin JASA SARANA
CA0 5477 Hemoglobin PPH 23
CA0 5477 Hemoglobin JASA PERUJUK
CA0 5477 Hemoglobin JASA MEDIS
CA0 5477 Hemoglobin JASA PARAMEDIS
CA0 5477 Hemoglobin Total Tarif
CT0 5502 Hemoglobin Panel Analisa BHAP
CT0 5502 Hemoglobin Panel Analisa JASA SARANA
CT0 5502 Hemoglobin Panel Analisa PPH 23
CT0 5502 Hemoglobin Panel Analisa JASA PERUJUK
CT0 5502 Hemoglobin Panel Analisa JASA MEDIS
CT0 5502 Hemoglobin Panel Analisa JASA PARAMEDIS
CT0 5502 Hemoglobin Panel Analisa Total Tarif
HV0 5597 Hexagon TB BHAP
HV0 5597 Hexagon TB JASA SARANA
HV0 5597 Hexagon TB PPH 23
HV0 5597 Hexagon TB JASA PERUJUK
HV0 5597 Hexagon TB JASA MEDIS
HV0 5597 Hexagon TB JASA PARAMEDIS
HV0 5597 Hexagon TB Total Tarif
RW10 5758 HIP Joint AP + Lat CR BHAP
RW10 5758 HIP Joint AP + Lat CR JASA SARANA
RW10 5758 HIP Joint AP + Lat CR PPH 23
RW10 5758 HIP Joint AP + Lat CR JASA PERUJUK
RW10 5758 HIP Joint AP + Lat CR JASA MEDIS
RW10 5758 HIP Joint AP + Lat CR JASA PARAMEDIS
RW10 5758 HIP Joint AP + Lat CR Total Tarif
RW0 5756 HIP Joint AP+Lateral BHAP
RW0 5756 HIP Joint AP+Lateral JASA SARANA
RW0 5756 HIP Joint AP+Lateral PPH 23
RW0 5756 HIP Joint AP+Lateral JASA PERUJUK
RW0 5756 HIP Joint AP+Lateral JASA MEDIS
RW0 5756 HIP Joint AP+Lateral JASA PARAMEDIS
RW0 5756 HIP Joint AP+Lateral Total Tarif
RZ5 5807 Histero Salfingo Graphy (H BHAP
RZ5 5807 Histero Salfingo Graphy (H JASA SARANA
RZ5 5807 Histero Salfingo Graphy (H PPH 23
RZ5 5807 Histero Salfingo Graphy (H JASA PERUJUK
RZ5 5807 Histero Salfingo Graphy (H JASA MEDIS
RZ5 5807 Histero Salfingo Graphy (H JASA PARAMEDIS
RZ5 5807 Histero Salfingo Graphy (H Total Tarif
OB0 5663 Hitung Kuman BHAP
OB0 5663 Hitung Kuman JASA SARANA
OB0 5663 Hitung Kuman PPH 23
OB0 5663 Hitung Kuman JASA PERUJUK
OB0 5663 Hitung Kuman JASA MEDIS
OB0 5663 Hitung Kuman JASA PARAMEDIS
OB0 5663 Hitung Kuman Total Tarif
HP0 5589 HIV Konfirmasi BHAP
HP0 5589 HIV Konfirmasi JASA SARANA
HP0 5589 HIV Konfirmasi PPH 23
HP0 5589 HIV Konfirmasi JASA PERUJUK
HP0 5589 HIV Konfirmasi JASA MEDIS
HP0 5589 HIV Konfirmasi JASA PARAMEDIS
HP0 5589 HIV Konfirmasi Total Tarif
JF0 5620 Homocystein BHAP
JF0 5620 Homocystein JASA SARANA
JF0 5620 Homocystein PPH 23
JF0 5620 Homocystein JASA PERUJUK
JF0 5620 Homocystein JASA MEDIS
JF0 5620 Homocystein JASA PARAMEDIS
JF0 5620 Homocystein Total Tarif
JI0 5623 hs- CRP BHAP
JI0 5623 hs- CRP JASA SARANA
JI0 5623 hs- CRP PPH 23
JI0 5623 hs- CRP JASA PERUJUK
JI0 5623 hs- CRP JASA MEDIS
JI0 5623 hs- CRP JASA PARAMEDIS
JI0 5623 hs- CRP Total Tarif
JK0 5625 HSV 1 IgG BHAP
JK0 5625 HSV 1 IgG JASA SARANA
JK0 5625 HSV 1 IgG PPH 23
JK0 5625 HSV 1 IgG JASA PERUJUK
JK0 5625 HSV 1 IgG JASA MEDIS
JK0 5625 HSV 1 IgG JASA PARAMEDIS
JK0 5625 HSV 1 IgG Total Tarif
JL0 5626 HSV 1 IgM BHAP
JL0 5626 HSV 1 IgM JASA SARANA
JL0 5626 HSV 1 IgM PPH 23
JL0 5626 HSV 1 IgM JASA PERUJUK
JL0 5626 HSV 1 IgM JASA MEDIS
JL0 5626 HSV 1 IgM JASA PARAMEDIS
JL0 5626 HSV 1 IgM Total Tarif
JV0 5637 HSV 2 IgG BHAP
JV0 5637 HSV 2 IgG JASA SARANA
JV0 5637 HSV 2 IgG PPH 23
JV0 5637 HSV 2 IgG JASA PERUJUK
JV0 5637 HSV 2 IgG JASA MEDIS
JV0 5637 HSV 2 IgG JASA PARAMEDIS
JV0 5637 HSV 2 IgG Total Tarif
JW0 5638 HSV 2 IgM BHAP
JW0 5638 HSV 2 IgM JASA SARANA
JW0 5638 HSV 2 IgM PPH 23
JW0 5638 HSV 2 IgM JASA PERUJUK
JW0 5638 HSV 2 IgM JASA MEDIS
JW0 5638 HSV 2 IgM JASA PARAMEDIS
JW0 5638 HSV 2 IgM Total Tarif
RK1 5730 Humerus AP + Lat CR BHAP
RK1 5730 Humerus AP + Lat CR JASA SARANA
RK1 5730 Humerus AP + Lat CR PPH 23
RK1 5730 Humerus AP + Lat CR JASA PERUJUK
RK1 5730 Humerus AP + Lat CR JASA MEDIS
RK1 5730 Humerus AP + Lat CR JASA PARAMEDIS
RK1 5730 Humerus AP + Lat CR Total Tarif
RK0 5729 Humerus AP + Lateral BHAP
RK0 5729 Humerus AP + Lateral JASA SARANA
RK0 5729 Humerus AP + Lateral PPH 23
RK0 5729 Humerus AP + Lateral JASA PERUJUK
RK0 5729 Humerus AP + Lateral JASA MEDIS
RK0 5729 Humerus AP + Lateral JASA PARAMEDIS
RK0 5729 Humerus AP + Lateral Total Tarif
RK2 10686 Humerus Bilateral BHAP
RK2 10686 Humerus Bilateral JASA SARANA
RK2 10686 Humerus Bilateral PPH 23
RK2 10686 Humerus Bilateral JASA PERUJUK
RK2 10686 Humerus Bilateral JASA MEDIS
RK2 10686 Humerus Bilateral JASA PARAMEDIS
RK2 10686 Humerus Bilateral Total Tarif
RK3 10687 Humerus Bilateral CR BHAP
RK3 10687 Humerus Bilateral CR JASA SARANA
RK3 10687 Humerus Bilateral CR PPH 23
RK3 10687 Humerus Bilateral CR JASA PERUJUK
RK3 10687 Humerus Bilateral CR JASA MEDIS
RK3 10687 Humerus Bilateral CR JASA PARAMEDIS
RK3 10687 Humerus Bilateral CR Total Tarif
GJ0 5558 IgA BHAP
GJ0 5558 IgA JASA SARANA
GJ0 5558 IgA PPH 23
GJ0 5558 IgA JASA PERUJUK
GJ0 5558 IgA JASA MEDIS
GJ0 5558 IgA JASA PARAMEDIS
GJ0 5558 IgA Total Tarif
GO0 5563 IgE BHAP
GO0 5563 IgE JASA SARANA
GO0 5563 IgE PPH 23
GO0 5563 IgE JASA PERUJUK
GO0 5563 IgE JASA MEDIS
GO0 5563 IgE JASA PARAMEDIS
GO0 5563 IgE Total Tarif
(blank) 10849 Ige Spesifik Debu BHAP
(blank) 10849 Ige Spesifik Debu JASA SARANA
(blank) 10849 Ige Spesifik Debu PPH 23
(blank) 10849 Ige Spesifik Debu JASA PERUJUK
(blank) 10849 Ige Spesifik Debu JASA MEDIS
(blank) 10849 Ige Spesifik Debu JASA PARAMEDIS
(blank) 10849 Ige Spesifik Debu Total Tarif
KB0 5641 IgE Total BHAP
KB0 5641 IgE Total JASA SARANA
KB0 5641 IgE Total PPH 23
KB0 5641 IgE Total JASA PERUJUK
KB0 5641 IgE Total JASA MEDIS
KB0 5641 IgE Total JASA PARAMEDIS
KB0 5641 IgE Total Total Tarif
GI0 5557 IgG BHAP
GI0 5557 IgG JASA SARANA
GI0 5557 IgG PPH 23
GI0 5557 IgG JASA PERUJUK
GI0 5557 IgG JASA MEDIS
GI0 5557 IgG JASA PARAMEDIS
GI0 5557 IgG Total Tarif
(blank) 11029 Igg Helicobacter Pylori BHAP
(blank) 11029 Igg Helicobacter Pylori JASA SARANA
(blank) 11029 Igg Helicobacter Pylori PPH 23
(blank) 11029 Igg Helicobacter Pylori JASA PERUJUK
(blank) 11029 Igg Helicobacter Pylori JASA MEDIS
(blank) 11029 Igg Helicobacter Pylori JASA PARAMEDIS
(blank) 11029 Igg Helicobacter Pylori Total Tarif
GK0 5559 IgM BHAP
GK0 5559 IgM JASA SARANA
GK0 5559 IgM PPH 23
GK0 5559 IgM JASA PERUJUK
GK0 5559 IgM JASA MEDIS
GK0 5559 IgM JASA PARAMEDIS
GK0 5559 IgM Total Tarif
(blank) 11027 Igra BHAP
(blank) 11027 Igra JASA SARANA
(blank) 11027 Igra PPH 23
(blank) 11027 Igra JASA PERUJUK
(blank) 11027 Igra JASA MEDIS
(blank) 11027 Igra JASA PARAMEDIS
(blank) 11027 Igra Total Tarif
RZ0 5802 IVP ( Intra Vena Pyelografi )BHAP
RZ0 5802 IVP ( Intra Vena Pyelografi )JASA SARANA
RZ0 5802 IVP ( Intra Vena Pyelografi )PPH 23
RZ0 5802 IVP ( Intra Vena Pyelografi )JASA PERUJUK
RZ0 5802 IVP ( Intra Vena Pyelografi )JASA MEDIS
RZ0 5802 IVP ( Intra Vena Pyelografi )JASA PARAMEDIS
RZ0 5802 IVP ( Intra Vena Pyelografi )Total Tarif
IE0 5609 Kalium BHAP
IE0 5609 Kalium JASA SARANA
IE0 5609 Kalium PPH 23
IE0 5609 Kalium JASA PERUJUK
IE0 5609 Kalium JASA MEDIS
IE0 5609 Kalium JASA PARAMEDIS
IE0 5609 Kalium Total Tarif
II0 5614 Kalium Urine BHAP
II0 5614 Kalium Urine JASA SARANA
II0 5614 Kalium Urine PPH 23
II0 5614 Kalium Urine JASA PERUJUK
II0 5614 Kalium Urine JASA MEDIS
II0 5614 Kalium Urine JASA PARAMEDIS
II0 5614 Kalium Urine Total Tarif
PD0 5678 Kanamycin 30 ug BHAP
PD0 5678 Kanamycin 30 ug JASA SARANA
PD0 5678 Kanamycin 30 ug PPH 23
PD0 5678 Kanamycin 30 ug JASA PERUJUK
PD0 5678 Kanamycin 30 ug JASA MEDIS
PD0 5678 Kanamycin 30 ug JASA PARAMEDIS
PD0 5678 Kanamycin 30 ug Total Tarif
OK0 5673 Kerokan Kulit BHAP
OK0 5673 Kerokan Kulit JASA SARANA
OK0 5673 Kerokan Kulit PPH 23
OK0 5673 Kerokan Kulit JASA PERUJUK
OK0 5673 Kerokan Kulit JASA MEDIS
OK0 5673 Kerokan Kulit JASA PARAMEDIS
OK0 5673 Kerokan Kulit Total Tarif
RG0 5719 Knee Chest BHAP
RG0 5719 Knee Chest JASA SARANA
RG0 5719 Knee Chest PPH 23
RG0 5719 Knee Chest JASA PERUJUK
RG0 5719 Knee Chest JASA MEDIS
RG0 5719 Knee Chest JASA PARAMEDIS
RG0 5719 Knee Chest Total Tarif
RG1 5720 Knee Chest CR BHAP
RG1 5720 Knee Chest CR JASA SARANA
RG1 5720 Knee Chest CR PPH 23
RG1 5720 Knee Chest CR JASA PERUJUK
RG1 5720 Knee Chest CR JASA MEDIS
RG1 5720 Knee Chest CR JASA PARAMEDIS
RG1 5720 Knee Chest CR Total Tarif
ED0 5523 Kreatin Clearance BHAP
ED0 5523 Kreatin Clearance JASA SARANA
ED0 5523 Kreatin Clearance PPH 23
ED0 5523 Kreatin Clearance JASA PERUJUK
ED0 5523 Kreatin Clearance JASA MEDIS
ED0 5523 Kreatin Clearance JASA PARAMEDIS
ED0 5523 Kreatin Clearance Total Tarif
EC0 5522 Kreatinin BHAP
EC0 5522 Kreatinin JASA SARANA
EC0 5522 Kreatinin PPH 23
EC0 5522 Kreatinin JASA PERUJUK
EC0 5522 Kreatinin JASA MEDIS
EC0 5522 Kreatinin JASA PARAMEDIS
EC0 5522 Kreatinin Total Tarif
OA0 5662 Kultur BHAP
OA0 5662 Kultur JASA SARANA
OA0 5662 Kultur PPH 23
OA0 5662 Kultur JASA PERUJUK
OA0 5662 Kultur JASA MEDIS
OA0 5662 Kultur JASA PARAMEDIS
OA0 5662 Kultur Total Tarif
DE0 5515 Kurva Harian BHAP
DE0 5515 Kurva Harian JASA SARANA
DE0 5515 Kurva Harian PPH 23
DE0 5515 Kurva Harian JASA PERUJUK
DE0 5515 Kurva Harian JASA MEDIS
DE0 5515 Kurva Harian JASA PARAMEDIS
DE0 5515 Kurva Harian Total Tarif
FI0 5532 L D H BHAP
FI0 5532 L D H JASA SARANA
FI0 5532 L D H PPH 23
FI0 5532 L D H JASA PERUJUK
FI0 5532 L D H JASA MEDIS
FI0 5532 L D H JASA PARAMEDIS
FI0 5532 L D H Total Tarif
FC0 5528 LDL-Cholesterol BHAP
FC0 5528 LDL-Cholesterol JASA SARANA
FC0 5528 LDL-Cholesterol PPH 23
FC0 5528 LDL-Cholesterol JASA PERUJUK
FC0 5528 LDL-Cholesterol JASA MEDIS
FC0 5528 LDL-Cholesterol JASA PARAMEDIS
FC0 5528 LDL-Cholesterol Total Tarif
CB0 5478 Lekosit BHAP
CB0 5478 Lekosit JASA SARANA
CB0 5478 Lekosit PPH 23
CB0 5478 Lekosit JASA PERUJUK
CB0 5478 Lekosit JASA MEDIS
CB0 5478 Lekosit JASA PARAMEDIS
CB0 5478 Lekosit Total Tarif
OJ0 5672 Lepra BHAP
OJ0 5672 Lepra JASA SARANA
OJ0 5672 Lepra PPH 23
OJ0 5672 Lepra JASA PERUJUK
OJ0 5672 Lepra JASA MEDIS
OJ0 5672 Lepra JASA PARAMEDIS
OJ0 5672 Lepra Total Tarif
JE0 5528 LE-Test BHAP
JE0 5528 LE-Test JASA SARANA
JE0 5528 LE-Test PPH 23
JE0 5528 LE-Test JASA PERUJUK
JE0 5528 LE-Test JASA MEDIS
JE0 5528 LE-Test JASA PARAMEDIS
JE0 5528 LE-Test Total Tarif
PJ0 5684 Levofloxacin 5 ug BHAP
PJ0 5684 Levofloxacin 5 ug JASA SARANA
PJ0 5684 Levofloxacin 5 ug PPH 23
PJ0 5684 Levofloxacin 5 ug JASA PERUJUK
PJ0 5684 Levofloxacin 5 ug JASA MEDIS
PJ0 5684 Levofloxacin 5 ug JASA PARAMEDIS
PJ0 5684 Levofloxacin 5 ug Total Tarif
ND0 5654 Lipase BHAP
ND0 5654 Lipase JASA SARANA
ND0 5654 Lipase PPH 23
ND0 5654 Lipase JASA PERUJUK
ND0 5654 Lipase JASA MEDIS
ND0 5654 Lipase JASA PARAMEDIS
ND0 5654 Lipase Total Tarif
FE0 5530 Lipid Total BHAP
FE0 5530 Lipid Total JASA SARANA
FE0 5530 Lipid Total PPH 23
FE0 5530 Lipid Total JASA PERUJUK
FE0 5530 Lipid Total JASA MEDIS
FE0 5530 Lipid Total JASA PARAMEDIS
FE0 5530 Lipid Total Total Tarif
FN0 5538 Lp (a) BHAP
FN0 5538 Lp (a) JASA SARANA
FN0 5538 Lp (a) PPH 23
FN0 5538 Lp (a) JASA PERUJUK
FN0 5538 Lp (a) JASA MEDIS
FN0 5538 Lp (a) JASA PARAMEDIS
FN0 5538 Lp (a) Total Tarif
RX1 5787 Lumbal AP + Lat BHAP
RX1 5787 Lumbal AP + Lat JASA SARANA
RX1 5787 Lumbal AP + Lat PPH 23
RX1 5787 Lumbal AP + Lat JASA PERUJUK
RX1 5787 Lumbal AP + Lat JASA MEDIS
RX1 5787 Lumbal AP + Lat JASA PARAMEDIS
RX1 5787 Lumbal AP + Lat Total Tarif
RX05 5786 Lumbal AP + Lat CR BHAP
RX05 5786 Lumbal AP + Lat CR JASA SARANA
RX05 5786 Lumbal AP + Lat CR PPH 23
RX05 5786 Lumbal AP + Lat CR JASA PERUJUK
RX05 5786 Lumbal AP + Lat CR JASA MEDIS
RX05 5786 Lumbal AP + Lat CR JASA PARAMEDIS
RX05 5786 Lumbal AP + Lat CR Total Tarif
RX2 5789 LumboSacral AP + Lat BHAP
RX2 5789 LumboSacral AP + Lat JASA SARANA
RX2 5789 LumboSacral AP + Lat PPH 23
RX2 5789 LumboSacral AP + Lat JASA PERUJUK
RX2 5789 LumboSacral AP + Lat JASA MEDIS
RX2 5789 LumboSacral AP + Lat JASA PARAMEDIS
RX2 5789 LumboSacral AP + Lat Total Tarif
RX20 5790 LumboSacral AP + Lat CR BHAP
RX20 5790 LumboSacral AP + Lat CR JASA SARANA
RX20 5790 LumboSacral AP + Lat CR PPH 23
RX20 5790 LumboSacral AP + Lat CR JASA PERUJUK
RX20 5790 LumboSacral AP + Lat CR JASA MEDIS
RX20 5790 LumboSacral AP + Lat CR JASA PARAMEDIS
RX20 5790 LumboSacral AP + Lat CR Total Tarif
RX3 5791 LumboSacral AP+Lat+Obli BHAP
RX3 5791 LumboSacral AP+Lat+Obli JASA SARANA
RX3 5791 LumboSacral AP+Lat+Obli PPH 23
RX3 5791 LumboSacral AP+Lat+Obli JASA PERUJUK
RX3 5791 LumboSacral AP+Lat+Obli JASA MEDIS
RX3 5791 LumboSacral AP+Lat+Obli JASA PARAMEDIS
RX3 5791 LumboSacral AP+Lat+Obli Total Tarif
RX30 5792 LumboSacral AP+Lat+Obli CBHAP
RX30 5792 LumboSacral AP+Lat+Obli CJASA SARANA
RX30 5792 LumboSacral AP+Lat+Obli CPPH 23
RX30 5792 LumboSacral AP+Lat+Obli CJASA PERUJUK
RX30 5792 LumboSacral AP+Lat+Obli CJASA MEDIS
RX30 5792 LumboSacral AP+Lat+Obli CJASA PARAMEDIS
RX30 5792 LumboSacral AP+Lat+Obli CTotal Tarif
IF0 5610 Magnesium BHAP
IF0 5610 Magnesium JASA SARANA
IF0 5610 Magnesium PPH 23
IF0 5610 Magnesium JASA PERUJUK
IF0 5610 Magnesium JASA MEDIS
IF0 5610 Magnesium JASA PARAMEDIS
IF0 5610 Magnesium Total Tarif
RW8 5778 Mandibula AP + Eisler BHAP
RW8 5778 Mandibula AP + Eisler JASA SARANA
RW8 5778 Mandibula AP + Eisler PPH 23
RW8 5778 Mandibula AP + Eisler JASA PERUJUK
RW8 5778 Mandibula AP + Eisler JASA MEDIS
RW8 5778 Mandibula AP + Eisler JASA PARAMEDIS
RW8 5778 Mandibula AP + Eisler Total Tarif
RW81 5779 Mandibula AP + Eisler CR BHAP
RW81 5779 Mandibula AP + Eisler CR JASA SARANA
RW81 5779 Mandibula AP + Eisler CR PPH 23
RW81 5779 Mandibula AP + Eisler CR JASA PERUJUK
RW81 5779 Mandibula AP + Eisler CR JASA MEDIS
RW81 5779 Mandibula AP + Eisler CR JASA PARAMEDIS
RW81 5779 Mandibula AP + Eisler CR Total Tarif
RH0 5721 Manus AP + Lateral BHAP
RH0 5721 Manus AP + Lateral JASA SARANA
RH0 5721 Manus AP + Lateral PPH 23
RH0 5721 Manus AP + Lateral JASA PERUJUK
RH0 5721 Manus AP + Lateral JASA MEDIS
RH0 5721 Manus AP + Lateral JASA PARAMEDIS
RH0 5721 Manus AP + Lateral Total Tarif
RH1 5722 Manus AP+Lat CR BHAP
RH1 5722 Manus AP+Lat CR JASA SARANA
RH1 5722 Manus AP+Lat CR PPH 23
RH1 5722 Manus AP+Lat CR JASA PERUJUK
RH1 5722 Manus AP+Lat CR JASA MEDIS
RH1 5722 Manus AP+Lat CR JASA PARAMEDIS
RH1 5722 Manus AP+Lat CR Total Tarif
RW5 5768 Mastoid ( Schullers+StenverBHAP
RW5 5768 Mastoid ( Schullers+StenverJASA SARANA
RW5 5768 Mastoid ( Schullers+StenverPPH 23
RW5 5768 Mastoid ( Schullers+StenverJASA PERUJUK
RW5 5768 Mastoid ( Schullers+StenverJASA MEDIS
RW5 5768 Mastoid ( Schullers+StenverJASA PARAMEDIS
RW5 5768 Mastoid ( Schullers+StenverTotal Tarif
RW51 5770 Mastoid (Schuller & StenveBHAP
RW51 5770 Mastoid (Schuller & StenveJASA SARANA
RW51 5770 Mastoid (Schuller & StenvePPH 23
RW51 5770 Mastoid (Schuller & StenveJASA PERUJUK
RW51 5770 Mastoid (Schuller & StenveJASA MEDIS
RW51 5770 Mastoid (Schuller & StenveJASA PARAMEDIS
RW51 5770 Mastoid (Schuller & StenveTotal Tarif
CG2 5485 MCH BHAP
CG2 5485 MCH JASA SARANA
CG2 5485 MCH PPH 23
CG2 5485 MCH JASA PERUJUK
CG2 5485 MCH JASA MEDIS
CG2 5485 MCH JASA PARAMEDIS
CG2 5485 MCH Total Tarif
CG4 5486 MCHC BHAP
CG4 5486 MCHC JASA SARANA
CG4 5486 MCHC PPH 23
CG4 5486 MCHC JASA PERUJUK
CG4 5486 MCHC JASA MEDIS
CG4 5486 MCHC JASA PARAMEDIS
CG4 5486 MCHC Total Tarif
NI0 5659 MCV BHAP
NI0 5659 MCV JASA SARANA
NI0 5659 MCV PPH 23
NI0 5659 MCV JASA PERUJUK
NI0 5659 MCV JASA MEDIS
NI0 5659 MCV JASA PARAMEDIS
NI0 5659 MCV Total Tarif
PW0 5697 Meropenem 10 ul BHAP
PW0 5697 Meropenem 10 ul JASA SARANA
PW0 5697 Meropenem 10 ul PPH 23
PW0 5697 Meropenem 10 ul JASA PERUJUK
PW0 5697 Meropenem 10 ul JASA MEDIS
PW0 5697 Meropenem 10 ul JASA PARAMEDIS
PW0 5697 Meropenem 10 ul Total Tarif
VA0 5858 Metamphetamine BHAP
VA0 5858 Metamphetamine JASA SARANA
VA0 5858 Metamphetamine PPH 23
VA0 5858 Metamphetamine JASA PERUJUK
VA0 5858 Metamphetamine JASA MEDIS
VA0 5858 Metamphetamine JASA PARAMEDIS
VA0 5858 Metamphetamine Total Tarif
AJ0 5473 Mikroalbumin Kuant BHAP
AJ0 5473 Mikroalbumin Kuant JASA SARANA
AJ0 5473 Mikroalbumin Kuant PPH 23
AJ0 5473 Mikroalbumin Kuant JASA PERUJUK
AJ0 5473 Mikroalbumin Kuant JASA MEDIS
AJ0 5473 Mikroalbumin Kuant JASA PARAMEDIS
AJ0 5473 Mikroalbumin Kuant Total Tarif
CP0 5497 Morfologi BHAP
CP0 5497 Morfologi JASA SARANA
CP0 5497 Morfologi PPH 23
CP0 5497 Morfologi JASA PERUJUK
CP0 5497 Morfologi JASA MEDIS
CP0 5497 Morfologi JASA PARAMEDIS
CP0 5497 Morfologi Total Tarif
VD0 5861 Morphine BHAP
VD0 5861 Morphine JASA SARANA
VD0 5861 Morphine PPH 23
VD0 5861 Morphine JASA PERUJUK
VD0 5861 Morphine JASA MEDIS
VD0 5861 Morphine JASA PARAMEDIS
VD0 5861 Morphine Total Tarif
PX0 5698 Moxifloxacin 5 ul BHAP
PX0 5698 Moxifloxacin 5 ul JASA SARANA
PX0 5698 Moxifloxacin 5 ul PPH 23
PX0 5698 Moxifloxacin 5 ul JASA PERUJUK
PX0 5698 Moxifloxacin 5 ul JASA MEDIS
PX0 5698 Moxifloxacin 5 ul JASA PARAMEDIS
PX0 5698 Moxifloxacin 5 ul Total Tarif
ID0 5608 Natrium BHAP
ID0 5608 Natrium JASA SARANA
ID0 5608 Natrium PPH 23
ID0 5608 Natrium JASA PERUJUK
ID0 5608 Natrium JASA MEDIS
ID0 5608 Natrium JASA PARAMEDIS
ID0 5608 Natrium Total Tarif
IH0 5613 Natrium Urine BHAP
IH0 5613 Natrium Urine JASA SARANA
IH0 5613 Natrium Urine PPH 23
IH0 5613 Natrium Urine JASA PERUJUK
IH0 5613 Natrium Urine JASA MEDIS
IH0 5613 Natrium Urine JASA PARAMEDIS
IH0 5613 Natrium Urine Total Tarif
PR0 5692 Netilmycin BHAP
PR0 5692 Netilmycin JASA SARANA
PR0 5692 Netilmycin PPH 23
PR0 5692 Netilmycin JASA PERUJUK
PR0 5692 Netilmycin JASA MEDIS
PR0 5692 Netilmycin JASA PARAMEDIS
PR0 5692 Netilmycin Total Tarif
(blank) 11022 Oesofagografi BHAP
(blank) 11022 Oesofagografi JASA SARANA
(blank) 11022 Oesofagografi PPH 23
(blank) 11022 Oesofagografi JASA PERUJUK
(blank) 11022 Oesofagografi JASA MEDIS
(blank) 11022 Oesofagografi JASA PARAMEDIS
(blank) 11022 Oesofagografi Total Tarif
RX8 5800 OMD BHAP
RX8 5800 OMD JASA SARANA
RX8 5800 OMD PPH 23
RX8 5800 OMD JASA PERUJUK
RX8 5800 OMD JASA MEDIS
RX8 5800 OMD JASA PARAMEDIS
RX8 5800 OMD Total Tarif
RW60 5773 Os Nasal BHAP
RW60 5773 Os Nasal JASA SARANA
RW60 5773 Os Nasal PPH 23
RW60 5773 Os Nasal JASA PERUJUK
RW60 5773 Os Nasal JASA MEDIS
RW60 5773 Os Nasal JASA PARAMEDIS
RW60 5773 Os Nasal Total Tarif
RW62 5775 Os Nasal CR BHAP
RW62 5775 Os Nasal CR JASA SARANA
RW62 5775 Os Nasal CR PPH 23
RW62 5775 Os Nasal CR JASA PERUJUK
RW62 5775 Os Nasal CR JASA MEDIS
RW62 5775 Os Nasal CR JASA PARAMEDIS
RW62 5775 Os Nasal CR Total Tarif
AE0 5468 Pack hCG Test BHAP
AE0 5468 Pack hCG Test JASA SARANA
AE0 5468 Pack hCG Test PPH 23
AE0 5468 Pack hCG Test JASA PERUJUK
AE0 5468 Pack hCG Test JASA MEDIS
AE0 5468 Pack hCG Test JASA PARAMEDIS
AE0 5468 Pack hCG Test Total Tarif
AE1 5469 Pack hCG ABBOT Test BHAP
AE1 5469 Pack hCG ABBOT Test JASA SARANA
AE1 5469 Pack hCG ABBOT Test PPH 23
AE1 5469 Pack hCG ABBOT Test JASA PERUJUK
AE1 5469 Pack hCG ABBOT Test JASA MEDIS
AE1 5469 Pack hCG ABBOT Test JASA PARAMEDIS
AE1 5469 Pack hCG ABBOT Test Total Tarif
(blank) 29 Paket Gas Darah CG 8+ BHAP
(blank) 29 Paket Gas Darah CG 8+ JASA SARANA
(blank) 29 Paket Gas Darah CG 8+ PPH 23
(blank) 29 Paket Gas Darah CG 8+ JASA PERUJUK
(blank) 29 Paket Gas Darah CG 8+ JASA MEDIS
(blank) 29 Paket Gas Darah CG 8+ JASA PARAMEDIS
(blank) 29 Paket Gas Darah CG 8+ Total Tarif
(blank) 28 Paket Hematologi 18 ParamBHAP
(blank) 28 Paket Hematologi 18 ParamJASA SARANA
(blank) 28 Paket Hematologi 18 ParamPPH 23
(blank) 28 Paket Hematologi 18 ParamJASA PERUJUK
(blank) 28 Paket Hematologi 18 ParamJASA MEDIS
(blank) 28 Paket Hematologi 18 ParamJASA PARAMEDIS
(blank) 28 Paket Hematologi 18 ParamTotal Tarif
(blank) 27 Paket Hematologi Lengkap BHAP
(blank) 27 Paket Hematologi Lengkap JASA SARANA
(blank) 27 Paket Hematologi Lengkap PPH 23
(blank) 27 Paket Hematologi Lengkap JASA PERUJUK
(blank) 27 Paket Hematologi Lengkap JASA MEDIS
(blank) 27 Paket Hematologi Lengkap JASA PARAMEDIS
(blank) 27 Paket Hematologi Lengkap Total Tarif
CO2 10739 Paket Hematologi Rutin BHAP
CO2 10739 Paket Hematologi Rutin JASA SARANA
CO2 10739 Paket Hematologi Rutin PPH 23
CO2 10739 Paket Hematologi Rutin JASA PERUJUK
CO2 10739 Paket Hematologi Rutin JASA MEDIS
CO2 10739 Paket Hematologi Rutin JASA PARAMEDIS
CO2 10739 Paket Hematologi Rutin Total Tarif
PAKET 10757 PAKET I HDI BHAP
PAKET 10757 PAKET I HDI JASA SARANA
PAKET 10757 PAKET I HDI PPH 23
PAKET 10757 PAKET I HDI JASA PERUJUK
PAKET 10757 PAKET I HDI JASA MEDIS
PAKET 10757 PAKET I HDI JASA PARAMEDIS
PAKET 10757 PAKET I HDI Total Tarif
PAKET 10751 PAKET II HDI BHAP
PAKET 10751 PAKET II HDI JASA SARANA
PAKET 10751 PAKET II HDI PPH 23
PAKET 10751 PAKET II HDI JASA PERUJUK
PAKET 10751 PAKET II HDI JASA MEDIS
PAKET 10751 PAKET II HDI JASA PARAMEDIS
PAKET 10751 PAKET II HDI Total Tarif
PAKET 10752 PAKET III HDI BHAP
PAKET 10752 PAKET III HDI JASA SARANA
PAKET 10752 PAKET III HDI PPH 23
PAKET 10752 PAKET III HDI JASA PERUJUK
PAKET 10752 PAKET III HDI JASA MEDIS
PAKET 10752 PAKET III HDI JASA PARAMEDIS
PAKET 10752 PAKET III HDI Total Tarif
PAKET 10753 PAKET IV HDI BHAP
PAKET 10753 PAKET IV HDI JASA SARANA
PAKET 10753 PAKET IV HDI PPH 23
PAKET 10753 PAKET IV HDI JASA PERUJUK
PAKET 10753 PAKET IV HDI JASA MEDIS
PAKET 10753 PAKET IV HDI JASA PARAMEDIS
PAKET 10753 PAKET IV HDI Total Tarif
(blank) 30 Paket Khusus Askes BHAP
(blank) 30 Paket Khusus Askes JASA SARANA
(blank) 30 Paket Khusus Askes PPH 23
(blank) 30 Paket Khusus Askes JASA PERUJUK
(blank) 30 Paket Khusus Askes JASA MEDIS
(blank) 30 Paket Khusus Askes JASA PARAMEDIS
(blank) 30 Paket Khusus Askes Total Tarif
PAKET 10747 Paket MCU Haji 1 (PerempuBHAP
PAKET 10747 Paket MCU Haji 1 (PerempuJASA SARANA
PAKET 10747 Paket MCU Haji 1 (PerempuPPH 23
PAKET 10747 Paket MCU Haji 1 (PerempuJASA PERUJUK
PAKET 10747 Paket MCU Haji 1 (PerempuJASA MEDIS
PAKET 10747 Paket MCU Haji 1 (PerempuJASA PARAMEDIS
PAKET 10747 Paket MCU Haji 1 (PerempuTotal Tarif
PAKET 10747 Paket MCU Haji 1 (PerempuBHAP
PAKET 10747 Paket MCU Haji 1 (PerempuJASA SARANA
PAKET 10747 Paket MCU Haji 1 (PerempuPPH 23
PAKET 10747 Paket MCU Haji 1 (PerempuJASA PERUJUK
PAKET 10747 Paket MCU Haji 1 (PerempuJASA MEDIS
PAKET 10747 Paket MCU Haji 1 (PerempuJASA PARAMEDIS
PAKET 10747 Paket MCU Haji 1 (PerempuTotal Tarif
PAKET 10749 Paket MCU Haji 2 (Laki-LakiBHAP
PAKET 10749 Paket MCU Haji 2 (Laki-LakiJASA SARANA
PAKET 10749 Paket MCU Haji 2 (Laki-LakiPPH 23
PAKET 10749 Paket MCU Haji 2 (Laki-LakiJASA PERUJUK
PAKET 10749 Paket MCU Haji 2 (Laki-LakiJASA MEDIS
PAKET 10749 Paket MCU Haji 2 (Laki-LakiJASA PARAMEDIS
PAKET 10749 Paket MCU Haji 2 (Laki-LakiTotal Tarif
PAKET 10749 Paket MCU Haji 2 (Laki-LakiBHAP
PAKET 10749 Paket MCU Haji 2 (Laki-LakiJASA SARANA
PAKET 10749 Paket MCU Haji 2 (Laki-LakiPPH 23
PAKET 10749 Paket MCU Haji 2 (Laki-LakiJASA PERUJUK
PAKET 10749 Paket MCU Haji 2 (Laki-LakiJASA MEDIS
PAKET 10749 Paket MCU Haji 2 (Laki-LakiJASA PARAMEDIS
PAKET 10749 Paket MCU Haji 2 (Laki-LakiTotal Tarif
PAKET 10754 PAKET V HDI BHAP
PAKET 10754 PAKET V HDI JASA SARANA
PAKET 10754 PAKET V HDI PPH 23
PAKET 10754 PAKET V HDI JASA PERUJUK
PAKET 10754 PAKET V HDI JASA MEDIS
PAKET 10754 PAKET V HDI JASA PARAMEDIS
PAKET 10754 PAKET V HDI Total Tarif
PAKET 10755 PAKET VI HDI BHAP
PAKET 10755 PAKET VI HDI JASA SARANA
PAKET 10755 PAKET VI HDI PPH 23
PAKET 10755 PAKET VI HDI JASA PERUJUK
PAKET 10755 PAKET VI HDI JASA MEDIS
PAKET 10755 PAKET VI HDI JASA PARAMEDIS
PAKET 10755 PAKET VI HDI Total Tarif
PAKET 10756 PAKET VII HDI BHAP
PAKET 10756 PAKET VII HDI JASA SARANA
PAKET 10756 PAKET VII HDI PPH 23
PAKET 10756 PAKET VII HDI JASA PERUJUK
PAKET 10756 PAKET VII HDI JASA MEDIS
PAKET 10756 PAKET VII HDI JASA PARAMEDIS
PAKET 10756 PAKET VII HDI Total Tarif
RX11 5788 Panoramic CR BHAP
RX11 5788 Panoramic CR JASA SARANA
RX11 5788 Panoramic CR PPH 23
RX11 5788 Panoramic CR JASA PERUJUK
RX11 5788 Panoramic CR JASA MEDIS
RX11 5788 Panoramic CR JASA PARAMEDIS
RX11 5788 Panoramic CR Total Tarif
UB0 5857 PAP SMEAR BHAP
UB0 5857 PAP SMEAR JASA SARANA
UB0 5857 PAP SMEAR PPH 23
UB0 5857 PAP SMEAR JASA PERUJUK
UB0 5857 PAP SMEAR JASA MEDIS
UB0 5857 PAP SMEAR JASA PARAMEDIS
UB0 5857 PAP SMEAR Total Tarif
CR0 5499 Parasit darah : Filaria BHAP
CR0 5499 Parasit darah : Filaria JASA SARANA
CR0 5499 Parasit darah : Filaria PPH 23
CR0 5499 Parasit darah : Filaria JASA PERUJUK
CR0 5499 Parasit darah : Filaria JASA MEDIS
CR0 5499 Parasit darah : Filaria JASA PARAMEDIS
CR0 5499 Parasit darah : Filaria Total Tarif
CQ0 5498 Parasit darah : Malaria BHAP
CQ0 5498 Parasit darah : Malaria JASA SARANA
CQ0 5498 Parasit darah : Malaria PPH 23
CQ0 5498 Parasit darah : Malaria JASA PERUJUK
CQ0 5498 Parasit darah : Malaria JASA MEDIS
CQ0 5498 Parasit darah : Malaria JASA PARAMEDIS
CQ0 5498 Parasit darah : Malaria Total Tarif
UA0 5856 PATOLOGI ANATOMI BHAP
UA0 5856 PATOLOGI ANATOMI JASA SARANA
UA0 5856 PATOLOGI ANATOMI PPH 23
UA0 5856 PATOLOGI ANATOMI JASA PERUJUK
UA0 5856 PATOLOGI ANATOMI JASA MEDIS
UA0 5856 PATOLOGI ANATOMI JASA PARAMEDIS
UA0 5856 PATOLOGI ANATOMI Total Tarif
(blank) 10886 Patologi Anatomi Besar BHAP
(blank) 10886 Patologi Anatomi Besar JASA SARANA
(blank) 10886 Patologi Anatomi Besar PPH 23
(blank) 10886 Patologi Anatomi Besar JASA PERUJUK
(blank) 10886 Patologi Anatomi Besar JASA MEDIS
(blank) 10886 Patologi Anatomi Besar JASA PARAMEDIS
(blank) 10886 Patologi Anatomi Besar Total Tarif
NA3 5646 PC02 BHAP
NA3 5646 PC02 JASA SARANA
NA3 5646 PC02 PPH 23
NA3 5646 PC02 JASA PERUJUK
NA3 5646 PC02 JASA MEDIS
NA3 5646 PC02 JASA PARAMEDIS
NA3 5646 PC02 Total Tarif
RR10 5744 Pedis AP + Lat CR BHAP
RR10 5744 Pedis AP + Lat CR JASA SARANA
RR10 5744 Pedis AP + Lat CR PPH 23
RR10 5744 Pedis AP + Lat CR JASA PERUJUK
RR10 5744 Pedis AP + Lat CR JASA MEDIS
RR10 5744 Pedis AP + Lat CR JASA PARAMEDIS
RR10 5744 Pedis AP + Lat CR Total Tarif
RR0 5742 Pedis AP + Lateral BHAP
RR0 5742 Pedis AP + Lateral JASA SARANA
RR0 5742 Pedis AP + Lateral PPH 23
RR0 5742 Pedis AP + Lateral JASA PERUJUK
RR0 5742 Pedis AP + Lateral JASA MEDIS
RR0 5742 Pedis AP + Lateral JASA PARAMEDIS
RR0 5742 Pedis AP + Lateral Total Tarif
RR1 10688 Pedis Bilateral AP + Lat BHAP
RR1 10688 Pedis Bilateral AP + Lat JASA SARANA
RR1 10688 Pedis Bilateral AP + Lat PPH 23
RR1 10688 Pedis Bilateral AP + Lat JASA PERUJUK
RR1 10688 Pedis Bilateral AP + Lat JASA MEDIS
RR1 10688 Pedis Bilateral AP + Lat JASA PARAMEDIS
RR1 10688 Pedis Bilateral AP + Lat Total Tarif
RR2 10689 Pedis Bilateral CR BHAP
RR2 10689 Pedis Bilateral CR JASA SARANA
RR2 10689 Pedis Bilateral CR PPH 23
RR2 10689 Pedis Bilateral CR JASA PERUJUK
RR2 10689 Pedis Bilateral CR JASA MEDIS
RR2 10689 Pedis Bilateral CR JASA PARAMEDIS
RR2 10689 Pedis Bilateral CR Total Tarif
RW2 5760 Pelvis AP BHAP
RW2 5760 Pelvis AP JASA SARANA
RW2 5760 Pelvis AP PPH 23
RW2 5760 Pelvis AP JASA PERUJUK
RW2 5760 Pelvis AP JASA MEDIS
RW2 5760 Pelvis AP JASA PARAMEDIS
RW2 5760 Pelvis AP Total Tarif
RW3 5762 Pelvis AP + Lat BHAP
RW3 5762 Pelvis AP + Lat JASA SARANA
RW3 5762 Pelvis AP + Lat PPH 23
RW3 5762 Pelvis AP + Lat JASA PERUJUK
RW3 5762 Pelvis AP + Lat JASA MEDIS
RW3 5762 Pelvis AP + Lat JASA PARAMEDIS
RW3 5762 Pelvis AP + Lat Total Tarif
RW30 5763 Pelvis AP + Lat CR BHAP
RW30 5763 Pelvis AP + Lat CR JASA SARANA
RW30 5763 Pelvis AP + Lat CR PPH 23
RW30 5763 Pelvis AP + Lat CR JASA PERUJUK
RW30 5763 Pelvis AP + Lat CR JASA MEDIS
RW30 5763 Pelvis AP + Lat CR JASA PARAMEDIS
RW30 5763 Pelvis AP + Lat CR Total Tarif
RW20 5761 Pelvis AP CR BHAP
RW20 5761 Pelvis AP CR JASA SARANA
RW20 5761 Pelvis AP CR PPH 23
RW20 5761 Pelvis AP CR JASA PERUJUK
RW20 5761 Pelvis AP CR JASA MEDIS
RW20 5761 Pelvis AP CR JASA PARAMEDIS
RW20 5761 Pelvis AP CR Total Tarif
(blank) 10850 Pelvis Sonde BHAP
(blank) 10850 Pelvis Sonde JASA SARANA
(blank) 10850 Pelvis Sonde PPH 23
(blank) 10850 Pelvis Sonde JASA PERUJUK
(blank) 10850 Pelvis Sonde JASA MEDIS
(blank) 10850 Pelvis Sonde JASA PARAMEDIS
(blank) 10850 Pelvis Sonde Total Tarif
(blank) 10851 Pelvis Sonde CR BHAP
(blank) 10851 Pelvis Sonde CR JASA SARANA
(blank) 10851 Pelvis Sonde CR PPH 23
(blank) 10851 Pelvis Sonde CR JASA PERUJUK
(blank) 10851 Pelvis Sonde CR JASA MEDIS
(blank) 10851 Pelvis Sonde CR JASA PARAMEDIS
(blank) 10851 Pelvis Sonde CR Total Tarif
NA2 5645 pH BHAP
NA2 5645 pH JASA SARANA
NA2 5645 pH PPH 23
NA2 5645 pH JASA PERUJUK
NA2 5645 pH JASA MEDIS
NA2 5645 pH JASA PARAMEDIS
NA2 5645 pH Total Tarif
PT0 5694 Pipemidic Acid 20 ug BHAP
PT0 5694 Pipemidic Acid 20 ug JASA SARANA
PT0 5694 Pipemidic Acid 20 ug PPH 23
PT0 5694 Pipemidic Acid 20 ug JASA PERUJUK
PT0 5694 Pipemidic Acid 20 ug JASA MEDIS
PT0 5694 Pipemidic Acid 20 ug JASA PARAMEDIS
PT0 5694 Pipemidic Acid 20 ug Total Tarif
NA4 5647 PO2 BHAP
NA4 5647 PO2 JASA SARANA
NA4 5647 PO2 PPH 23
NA4 5647 PO2 JASA PERUJUK
NA4 5647 PO2 JASA MEDIS
NA4 5647 PO2 JASA PARAMEDIS
NA4 5647 PO2 Total Tarif
(blank) 11033 Posfor BHAP
(blank) 11033 Posfor JASA SARANA
(blank) 11033 Posfor PPH 23
(blank) 11033 Posfor JASA PERUJUK
(blank) 11033 Posfor JASA MEDIS
(blank) 11033 Posfor JASA PARAMEDIS
(blank) 11033 Posfor Total Tarif
(blank) 11030 Procalcitonin BHAP
(blank) 11030 Procalcitonin JASA SARANA
(blank) 11030 Procalcitonin PPH 23
(blank) 11030 Procalcitonin JASA PERUJUK
(blank) 11030 Procalcitonin JASA MEDIS
(blank) 11030 Procalcitonin JASA PARAMEDIS
(blank) 11030 Procalcitonin Total Tarif
NG0 5657 Prolaktin BHAP
NG0 5657 Prolaktin JASA SARANA
NG0 5657 Prolaktin PPH 23
NG0 5657 Prolaktin JASA PERUJUK
NG0 5657 Prolaktin JASA MEDIS
NG0 5657 Prolaktin JASA PARAMEDIS
NG0 5657 Prolaktin Total Tarif
AH0 5471 Protein (Esbach) BHAP
AH0 5471 Protein (Esbach) JASA SARANA
AH0 5471 Protein (Esbach) PPH 23
AH0 5471 Protein (Esbach) JASA PERUJUK
AH0 5471 Protein (Esbach) JASA MEDIS
AH0 5471 Protein (Esbach) JASA PARAMEDIS
AH0 5471 Protein (Esbach) Total Tarif
G10 5544 Protein Total BHAP
G10 5544 Protein Total JASA SARANA
G10 5544 Protein Total PPH 23
G10 5544 Protein Total JASA PERUJUK
G10 5544 Protein Total JASA MEDIS
G10 5544 Protein Total JASA PARAMEDIS
G10 5544 Protein Total Total Tarif
HM0 5582 PSA BHAP
HM0 5582 PSA JASA SARANA
HM0 5582 PSA PPH 23
HM0 5582 PSA JASA PERUJUK
HM0 5582 PSA JASA MEDIS
HM0 5582 PSA JASA PARAMEDIS
HM0 5582 PSA Total Tarif
CK1 5491 PT BHAP
CK1 5491 PT JASA SARANA
CK1 5491 PT PPH 23
CK1 5491 PT JASA PERUJUK
CK1 5491 PT JASA MEDIS
CK1 5491 PT JASA PARAMEDIS
CK1 5491 PT Total Tarif
HV1 5617 Rapid - Anti Tb igG BHAP
HV1 5617 Rapid - Anti Tb igG JASA SARANA
HV1 5617 Rapid - Anti Tb igG PPH 23
HV1 5617 Rapid - Anti Tb igG JASA PERUJUK
HV1 5617 Rapid - Anti Tb igG JASA MEDIS
HV1 5617 Rapid - Anti Tb igG JASA PARAMEDIS
HV1 5617 Rapid - Anti Tb igG Total Tarif
JC0 5617 RA-Test BHAP
JC0 5617 RA-Test JASA SARANA
JC0 5617 RA-Test PPH 23
JC0 5617 RA-Test JASA PERUJUK
JC0 5617 RA-Test JASA MEDIS
JC0 5617 RA-Test JASA PARAMEDIS
JC0 5617 RA-Test Total Tarif
CH0 5487 Retikulosit BHAP
CH0 5487 Retikulosit JASA SARANA
CH0 5487 Retikulosit PPH 23
CH0 5487 Retikulosit JASA PERUJUK
CH0 5487 Retikulosit JASA MEDIS
CH0 5487 Retikulosit JASA PARAMEDIS
CH0 5487 Retikulosit Total Tarif
CV0 5504 Rh. Faktor (Rhesus) BHAP
CV0 5504 Rh. Faktor (Rhesus) JASA SARANA
CV0 5504 Rh. Faktor (Rhesus) PPH 23
CV0 5504 Rh. Faktor (Rhesus) JASA PERUJUK
CV0 5504 Rh. Faktor (Rhesus) JASA MEDIS
CV0 5504 Rh. Faktor (Rhesus) JASA PARAMEDIS
CV0 5504 Rh. Faktor (Rhesus) Total Tarif
GB0 5551 S G O T BHAP
GB0 5551 S G O T JASA SARANA
GB0 5551 S G O T PPH 23
GB0 5551 S G O T JASA PERUJUK
GB0 5551 S G O T JASA MEDIS
GB0 5551 S G O T JASA PARAMEDIS
GB0 5551 S G O T Total Tarif
GC0 5552 S G P T BHAP
GC0 5552 S G P T JASA SARANA
GC0 5552 S G P T PPH 23
GC0 5552 S G P T JASA PERUJUK
GC0 5552 S G P T JASA MEDIS
GC0 5552 S G P T JASA PARAMEDIS
GC0 5552 S G P T Total Tarif
RO0 5737 Scapula Kiri / Kanan BHAP
RO0 5737 Scapula Kiri / Kanan JASA SARANA
RO0 5737 Scapula Kiri / Kanan PPH 23
RO0 5737 Scapula Kiri / Kanan JASA PERUJUK
RO0 5737 Scapula Kiri / Kanan JASA MEDIS
RO0 5737 Scapula Kiri / Kanan JASA PARAMEDIS
RO0 5737 Scapula Kiri / Kanan Total Tarif
RO1 5738 Scapula Kiri atau Kanan CR BHAP
RO1 5738 Scapula Kiri atau Kanan CR JASA SARANA
RO1 5738 Scapula Kiri atau Kanan CR PPH 23
RO1 5738 Scapula Kiri atau Kanan CR JASA PERUJUK
RO1 5738 Scapula Kiri atau Kanan CR JASA MEDIS
RO1 5738 Scapula Kiri atau Kanan CR JASA PARAMEDIS
RO1 5738 Scapula Kiri atau Kanan CR Total Tarif
RP0 5739 Scapula Perbandingan Kiri BHAP
RP0 5739 Scapula Perbandingan Kiri JASA SARANA
RP0 5739 Scapula Perbandingan Kiri PPH 23
RP0 5739 Scapula Perbandingan Kiri JASA PERUJUK
RP0 5739 Scapula Perbandingan Kiri JASA MEDIS
RP0 5739 Scapula Perbandingan Kiri JASA PARAMEDIS
RP0 5739 Scapula Perbandingan Kiri Total Tarif
RP1 5740 Scapula Perbandingan Kiri BHAP
RP1 5740 Scapula Perbandingan Kiri JASA SARANA
RP1 5740 Scapula Perbandingan Kiri PPH 23
RP1 5740 Scapula Perbandingan Kiri JASA PERUJUK
RP1 5740 Scapula Perbandingan Kiri JASA MEDIS
RP1 5740 Scapula Perbandingan Kiri JASA PARAMEDIS
RP1 5740 Scapula Perbandingan Kiri Total Tarif
HX1 5601 SCC BHAP
HX1 5601 SCC JASA SARANA
HX1 5601 SCC PPH 23
HX1 5601 SCC JASA PERUJUK
HX1 5601 SCC JASA MEDIS
HX1 5601 SCC JASA PARAMEDIS
HX1 5601 SCC Total Tarif
RW4 5765 Schedell AP + Lat BHAP
RW4 5765 Schedell AP + Lat JASA SARANA
RW4 5765 Schedell AP + Lat PPH 23
RW4 5765 Schedell AP + Lat JASA PERUJUK
RW4 5765 Schedell AP + Lat JASA MEDIS
RW4 5765 Schedell AP + Lat JASA PARAMEDIS
RW4 5765 Schedell AP + Lat Total Tarif
RW39 5764 Schedell AP + Lat CR BHAP
RW39 5764 Schedell AP + Lat CR JASA SARANA
RW39 5764 Schedell AP + Lat CR PPH 23
RW39 5764 Schedell AP + Lat CR JASA PERUJUK
RW39 5764 Schedell AP + Lat CR JASA MEDIS
RW39 5764 Schedell AP + Lat CR JASA PARAMEDIS
RW39 5764 Schedell AP + Lat CR Total Tarif
OH0 5669 Secret Luka BHAP
OH0 5669 Secret Luka JASA SARANA
OH0 5669 Secret Luka PPH 23
OH0 5669 Secret Luka JASA PERUJUK
OH0 5669 Secret Luka JASA MEDIS
OH0 5669 Secret Luka JASA PARAMEDIS
OH0 5669 Secret Luka Total Tarif
OF0 5667 Secret Mata BHAP
OF0 5667 Secret Mata JASA SARANA
OF0 5667 Secret Mata PPH 23
OF0 5667 Secret Mata JASA PERUJUK
OF0 5667 Secret Mata JASA MEDIS
OF0 5667 Secret Mata JASA PARAMEDIS
OF0 5667 Secret Mata Total Tarif
OG0 5668 Secret Uretra BHAP
OG0 5668 Secret Uretra JASA SARANA
OG0 5668 Secret Uretra PPH 23
OG0 5668 Secret Uretra JASA PERUJUK
OG0 5668 Secret Uretra JASA MEDIS
OG0 5668 Secret Uretra JASA PARAMEDIS
OG0 5668 Secret Uretra Total Tarif
OD0 5665 Secret Vagina/Servic BHAP
OD0 5665 Secret Vagina/Servic JASA SARANA
OD0 5665 Secret Vagina/Servic PPH 23
OD0 5665 Secret Vagina/Servic JASA PERUJUK
OD0 5665 Secret Vagina/Servic JASA MEDIS
OD0 5665 Secret Vagina/Servic JASA PARAMEDIS
OD0 5665 Secret Vagina/Servic Total Tarif
CX0 5507 Sel LE BHAP
CX0 5507 Sel LE JASA SARANA
CX0 5507 Sel LE PPH 23
CX0 5507 Sel LE JASA PERUJUK
CX0 5507 Sel LE JASA MEDIS
CX0 5507 Sel LE JASA PARAMEDIS
CX0 5507 Sel LE Total Tarif
CN0 5495 Serum Iron BHAP
CN0 5495 Serum Iron JASA SARANA
CN0 5495 Serum Iron PPH 23
CN0 5495 Serum Iron JASA PERUJUK
CN0 5495 Serum Iron JASA MEDIS
CN0 5495 Serum Iron JASA PARAMEDIS
CN0 5495 Serum Iron Total Tarif
FL0 5536 SGOT BHAP
FL0 5536 SGOT JASA SARANA
FL0 5536 SGOT PPH 23
FL0 5536 SGOT JASA PERUJUK
FL0 5536 SGOT JASA MEDIS
FL0 5536 SGOT JASA PARAMEDIS
FL0 5536 SGOT Total Tarif
FM0 5537 SGPT BHAP
FM0 5537 SGPT JASA SARANA
FM0 5537 SGPT PPH 23
FM0 5537 SGPT JASA PERUJUK
FM0 5537 SGPT JASA MEDIS
FM0 5537 SGPT JASA PARAMEDIS
FM0 5537 SGPT Total Tarif
RL1 5732 Shoulder Join AP + Lat CR BHAP
RL1 5732 Shoulder Join AP + Lat CR JASA SARANA
RL1 5732 Shoulder Join AP + Lat CR PPH 23
RL1 5732 Shoulder Join AP + Lat CR JASA PERUJUK
RL1 5732 Shoulder Join AP + Lat CR JASA MEDIS
RL1 5732 Shoulder Join AP + Lat CR JASA PARAMEDIS
RL1 5732 Shoulder Join AP + Lat CR Total Tarif
RL2 10698 Shoulder Join Bilateral BHAP
RL2 10698 Shoulder Join Bilateral JASA SARANA
RL2 10698 Shoulder Join Bilateral PPH 23
RL2 10698 Shoulder Join Bilateral JASA PERUJUK
RL2 10698 Shoulder Join Bilateral JASA MEDIS
RL2 10698 Shoulder Join Bilateral JASA PARAMEDIS
RL2 10698 Shoulder Join Bilateral Total Tarif
RL3 10699 Shoulder Join Bilateral CR BHAP
RL3 10699 Shoulder Join Bilateral CR JASA SARANA
RL3 10699 Shoulder Join Bilateral CR PPH 23
RL3 10699 Shoulder Join Bilateral CR JASA PERUJUK
RL3 10699 Shoulder Join Bilateral CR JASA MEDIS
RL3 10699 Shoulder Join Bilateral CR JASA PARAMEDIS
RL3 10699 Shoulder Join Bilateral CR Total Tarif
RL0 5731 Shoulder Joint AP + Lateral BHAP
RL0 5731 Shoulder Joint AP + Lateral JASA SARANA
RL0 5731 Shoulder Joint AP + Lateral PPH 23
RL0 5731 Shoulder Joint AP + Lateral JASA PERUJUK
RL0 5731 Shoulder Joint AP + Lateral JASA MEDIS
RL0 5731 Shoulder Joint AP + Lateral JASA PARAMEDIS
RL0 5731 Shoulder Joint AP + Lateral Total Tarif
RV11 5755 Sky Line Patela AP + Lat CRBHAP
RV11 5755 Sky Line Patela AP + Lat CRJASA SARANA
RV11 5755 Sky Line Patela AP + Lat CRPPH 23
RV11 5755 Sky Line Patela AP + Lat CRJASA PERUJUK
RV11 5755 Sky Line Patela AP + Lat CRJASA MEDIS
RV11 5755 Sky Line Patela AP + Lat CRJASA PARAMEDIS
RV11 5755 Sky Line Patela AP + Lat CRTotal Tarif
RV1 5753 Sky Line Patela AP + LateralBHAP
RV1 5753 Sky Line Patela AP + LateralJASA SARANA
RV1 5753 Sky Line Patela AP + LateralPPH 23
RV1 5753 Sky Line Patela AP + LateralJASA PERUJUK
RV1 5753 Sky Line Patela AP + LateralJASA MEDIS
RV1 5753 Sky Line Patela AP + LateralJASA PARAMEDIS
RV1 5753 Sky Line Patela AP + LateralTotal Tarif
AB0 5465 Slide hCG Test BHAP
AB0 5465 Slide hCG Test JASA SARANA
AB0 5465 Slide hCG Test PPH 23
AB0 5465 Slide hCG Test JASA PERUJUK
AB0 5465 Slide hCG Test JASA MEDIS
AB0 5465 Slide hCG Test JASA PARAMEDIS
AB0 5465 Slide hCG Test Total Tarif
NA8 5651 sO2 BHAP
NA8 5651 sO2 JASA SARANA
NA8 5651 sO2 PPH 23
NA8 5651 sO2 JASA PERUJUK
NA8 5651 sO2 JASA MEDIS
NA8 5651 sO2 JASA PARAMEDIS
NA8 5651 sO2 Total Tarif
AD0 5467 Sovo hCG Test BHAP
AD0 5467 Sovo hCG Test JASA SARANA
AD0 5467 Sovo hCG Test PPH 23
AD0 5467 Sovo hCG Test JASA PERUJUK
AD0 5467 Sovo hCG Test JASA MEDIS
AD0 5467 Sovo hCG Test JASA PARAMEDIS
AD0 5467 Sovo hCG Test Total Tarif
KA0 5640 Sperma Analisis BHAP
KA0 5640 Sperma Analisis JASA SARANA
KA0 5640 Sperma Analisis PPH 23
KA0 5640 Sperma Analisis JASA PERUJUK
KA0 5640 Sperma Analisis JASA MEDIS
KA0 5640 Sperma Analisis JASA PARAMEDIS
KA0 5640 Sperma Analisis Total Tarif
NJ0 5660 Spirometri BHAP
NJ0 5660 Spirometri JASA SARANA
NJ0 5660 Spirometri PPH 23
NJ0 5660 Spirometri JASA PERUJUK
NJ0 5660 Spirometri JASA MEDIS
NJ0 5660 Spirometri JASA PARAMEDIS
NJ0 5660 Spirometri Total Tarif
RW7 5776 SPN ( Waters + Lat ) BHAP
RW7 5776 SPN ( Waters + Lat ) JASA SARANA
RW7 5776 SPN ( Waters + Lat ) PPH 23
RW7 5776 SPN ( Waters + Lat ) JASA PERUJUK
RW7 5776 SPN ( Waters + Lat ) JASA MEDIS
RW7 5776 SPN ( Waters + Lat ) JASA PARAMEDIS
RW7 5776 SPN ( Waters + Lat ) Total Tarif
RW71 5777 SPN (Waters + Lat ) CR BHAP
RW71 5777 SPN (Waters + Lat ) CR JASA SARANA
RW71 5777 SPN (Waters + Lat ) CR PPH 23
RW71 5777 SPN (Waters + Lat ) CR JASA PERUJUK
RW71 5777 SPN (Waters + Lat ) CR JASA MEDIS
RW71 5777 SPN (Waters + Lat ) CR JASA PARAMEDIS
RW71 5777 SPN (Waters + Lat ) CR Total Tarif
JM0 5627 Spot Anti Salmonella Typhi BHAP
JM0 5627 Spot Anti Salmonella Typhi JASA SARANA
JM0 5627 Spot Anti Salmonella Typhi PPH 23
JM0 5627 Spot Anti Salmonella Typhi JASA PERUJUK
JM0 5627 Spot Anti Salmonella Typhi JASA MEDIS
JM0 5627 Spot Anti Salmonella Typhi JASA PARAMEDIS
JM0 5627 Spot Anti Salmonella Typhi Total Tarif
OE0 5666 Sputum BHAP
OE0 5666 Sputum JASA SARANA
OE0 5666 Sputum PPH 23
OE0 5666 Sputum JASA PERUJUK
OE0 5666 Sputum JASA MEDIS
OE0 5666 Sputum JASA PARAMEDIS
OE0 5666 Sputum Total Tarif
AC0 5466 Stick hCG Test BHAP
AC0 5466 Stick hCG Test JASA SARANA
AC0 5466 Stick hCG Test PPH 23
AC0 5466 Stick hCG Test JASA PERUJUK
AC0 5466 Stick hCG Test JASA MEDIS
AC0 5466 Stick hCG Test JASA PARAMEDIS
AC0 5466 Stick hCG Test Total Tarif
PP0 5690 Streptomycin BHAP
PP0 5690 Streptomycin JASA SARANA
PP0 5690 Streptomycin PPH 23
PP0 5690 Streptomycin JASA PERUJUK
PP0 5690 Streptomycin JASA MEDIS
PP0 5690 Streptomycin JASA PARAMEDIS
PP0 5690 Streptomycin Total Tarif
PO0 5689 Sulbennicillin BHAP
PO0 5689 Sulbennicillin JASA SARANA
PO0 5689 Sulbennicillin PPH 23
PO0 5689 Sulbennicillin JASA PERUJUK
PO0 5689 Sulbennicillin JASA MEDIS
PO0 5689 Sulbennicillin JASA PARAMEDIS
PO0 5689 Sulbennicillin Total Tarif
HJ0 5579 T 3 BHAP
HJ0 5579 T 3 JASA SARANA
HJ0 5579 T 3 PPH 23
HJ0 5579 T 3 JASA PERUJUK
HJ0 5579 T 3 JASA MEDIS
HJ0 5579 T 3 JASA PARAMEDIS
HJ0 5579 T 3 Total Tarif
CO0 5496 T I B C BHAP
CO0 5496 T I B C JASA SARANA
CO0 5496 T I B C PPH 23
CO0 5496 T I B C JASA PERUJUK
CO0 5496 T I B C JASA MEDIS
CO0 5496 T I B C JASA PARAMEDIS
CO0 5496 T I B C Total Tarif
JJ0 5624 T P H A BHAP
JJ0 5624 T P H A JASA SARANA
JJ0 5624 T P H A PPH 23
JJ0 5624 T P H A JASA PERUJUK
JJ0 5624 T P H A JASA MEDIS
JJ0 5624 T P H A JASA PARAMEDIS
JJ0 5624 T P H A Total Tarif
HN0 5583 T S Hs BHAP
HN0 5583 T S Hs JASA SARANA
HN0 5583 T S Hs PPH 23
HN0 5583 T S Hs JASA PERUJUK
HN0 5583 T S Hs JASA MEDIS
HN0 5583 T S Hs JASA PARAMEDIS
HN0 5583 T S Hs Total Tarif
GM0 5561 T.T.T. BHAP
GM0 5561 T.T.T. JASA SARANA
GM0 5561 T.T.T. PPH 23
GM0 5561 T.T.T. JASA PERUJUK
GM0 5561 T.T.T. JASA MEDIS
GM0 5561 T.T.T. JASA PARAMEDIS
GM0 5561 T.T.T. Total Tarif
HK0 5580 T3 % Uptake BHAP
HK0 5580 T3 % Uptake JASA SARANA
HK0 5580 T3 % Uptake PPH 23
HK0 5580 T3 % Uptake JASA PERUJUK
HK0 5580 T3 % Uptake JASA MEDIS
HK0 5580 T3 % Uptake JASA PARAMEDIS
HK0 5580 T3 % Uptake Total Tarif
HL0 5581 T4 (Thyroxine) BHAP
HL0 5581 T4 (Thyroxine) JASA SARANA
HL0 5581 T4 (Thyroxine) PPH 23
HL0 5581 T4 (Thyroxine) JASA PERUJUK
HL0 5581 T4 (Thyroxine) JASA MEDIS
HL0 5581 T4 (Thyroxine) JASA PARAMEDIS
HL0 5581 T4 (Thyroxine) Total Tarif
GP0 5564 Takata Ara BHAP
GP0 5564 Takata Ara JASA SARANA
GP0 5564 Takata Ara PPH 23
GP0 5564 Takata Ara JASA PERUJUK
GP0 5564 Takata Ara JASA MEDIS
GP0 5564 Takata Ara JASA PARAMEDIS
GP0 5564 Takata Ara Total Tarif
PU0 5695 Tazobactam piperacillin 10BHAP
PU0 5695 Tazobactam piperacillin 10JASA SARANA
PU0 5695 Tazobactam piperacillin 10PPH 23
PU0 5695 Tazobactam piperacillin 10JASA PERUJUK
PU0 5695 Tazobactam piperacillin 10JASA MEDIS
PU0 5695 Tazobactam piperacillin 10JASA PARAMEDIS
PU0 5695 Tazobactam piperacillin 10Total Tarif
NA7 5650 TCO2 BHAP
NA7 5650 TCO2 JASA SARANA
NA7 5650 TCO2 PPH 23
NA7 5650 TCO2 JASA PERUJUK
NA7 5650 TCO2 JASA MEDIS
NA7 5650 TCO2 JASA PARAMEDIS
NA7 5650 TCO2 Total Tarif
Testostero 10750 Testosteron BHAP
Testostero 10750 Testosteron JASA SARANA
Testostero 10750 Testosteron PPH 23
Testostero 10750 Testosteron JASA PERUJUK
Testostero 10750 Testosteron JASA MEDIS
Testostero 10750 Testosteron JASA PARAMEDIS
Testostero 10750 Testosteron Total Tarif
PL0 5686 Tetracycline 30 ug BHAP
PL0 5686 Tetracycline 30 ug JASA SARANA
PL0 5686 Tetracycline 30 ug PPH 23
PL0 5686 Tetracycline 30 ug JASA PERUJUK
PL0 5686 Tetracycline 30 ug JASA MEDIS
PL0 5686 Tetracycline 30 ug JASA PARAMEDIS
PL0 5686 Tetracycline 30 ug Total Tarif
RW9 5780 Thoracal AP + Lat BHAP
RW9 5780 Thoracal AP + Lat JASA SARANA
RW9 5780 Thoracal AP + Lat PPH 23
RW9 5780 Thoracal AP + Lat JASA PERUJUK
RW9 5780 Thoracal AP + Lat JASA MEDIS
RW9 5780 Thoracal AP + Lat JASA PARAMEDIS
RW9 5780 Thoracal AP + Lat Total Tarif
RW91 5781 Thoracal AP + Lat CR BHAP
RW91 5781 Thoracal AP + Lat CR JASA SARANA
RW91 5781 Thoracal AP + Lat CR PPH 23
RW91 5781 Thoracal AP + Lat CR JASA PERUJUK
RW91 5781 Thoracal AP + Lat CR JASA MEDIS
RW91 5781 Thoracal AP + Lat CR JASA PARAMEDIS
RW91 5781 Thoracal AP + Lat CR Total Tarif
RX0 5782 Thoracal Lumbal AP + Lat BHAP
RX0 5782 Thoracal Lumbal AP + Lat JASA SARANA
RX0 5782 Thoracal Lumbal AP + Lat PPH 23
RX0 5782 Thoracal Lumbal AP + Lat JASA PERUJUK
RX0 5782 Thoracal Lumbal AP + Lat JASA MEDIS
RX0 5782 Thoracal Lumbal AP + Lat JASA PARAMEDIS
RX0 5782 Thoracal Lumbal AP + Lat Total Tarif
RX02 5783 Thoracal Lumbal AP + Lat CBHAP
RX02 5783 Thoracal Lumbal AP + Lat CJASA SARANA
RX02 5783 Thoracal Lumbal AP + Lat CPPH 23
RX02 5783 Thoracal Lumbal AP + Lat CJASA PERUJUK
RX02 5783 Thoracal Lumbal AP + Lat CJASA MEDIS
RX02 5783 Thoracal Lumbal AP + Lat CJASA PARAMEDIS
RX02 5783 Thoracal Lumbal AP + Lat CTotal Tarif
RX04 5785 Thoracal Lumbal AP+Lat+ObBHAP
RX04 5785 Thoracal Lumbal AP+Lat+ObJASA SARANA
RX04 5785 Thoracal Lumbal AP+Lat+ObPPH 23
RX04 5785 Thoracal Lumbal AP+Lat+ObJASA PERUJUK
RX04 5785 Thoracal Lumbal AP+Lat+ObJASA MEDIS
RX04 5785 Thoracal Lumbal AP+Lat+ObJASA PARAMEDIS
RX04 5785 Thoracal Lumbal AP+Lat+ObTotal Tarif
RX03 5784 Thoracal Lumbal AP+Lat+ObBHAP
RX03 5784 Thoracal Lumbal AP+Lat+ObJASA SARANA
RX03 5784 Thoracal Lumbal AP+Lat+ObPPH 23
RX03 5784 Thoracal Lumbal AP+Lat+ObJASA PERUJUK
RX03 5784 Thoracal Lumbal AP+Lat+ObJASA MEDIS
RX03 5784 Thoracal Lumbal AP+Lat+ObJASA PARAMEDIS
RX03 5784 Thoracal Lumbal AP+Lat+ObTotal Tarif
RC2 5711 Thorax 3 Posisi BHAP
RC2 5711 Thorax 3 Posisi JASA SARANA
RC2 5711 Thorax 3 Posisi PPH 23
RC2 5711 Thorax 3 Posisi JASA PERUJUK
RC2 5711 Thorax 3 Posisi JASA MEDIS
RC2 5711 Thorax 3 Posisi JASA PARAMEDIS
RC2 5711 Thorax 3 Posisi Total Tarif
RC21 5712 Thorax 3 Posisi CR BHAP
RC21 5712 Thorax 3 Posisi CR JASA SARANA
RC21 5712 Thorax 3 Posisi CR PPH 23
RC21 5712 Thorax 3 Posisi CR JASA PERUJUK
RC21 5712 Thorax 3 Posisi CR JASA MEDIS
RC21 5712 Thorax 3 Posisi CR JASA PARAMEDIS
RC21 5712 Thorax 3 Posisi CR Total Tarif
RB1 5706 Thorax AP + Lat CR BHAP
RB1 5706 Thorax AP + Lat CR JASA SARANA
RB1 5706 Thorax AP + Lat CR PPH 23
RB1 5706 Thorax AP + Lat CR JASA PERUJUK
RB1 5706 Thorax AP + Lat CR JASA MEDIS
RB1 5706 Thorax AP + Lat CR JASA PARAMEDIS
RB1 5706 Thorax AP + Lat CR Total Tarif
RB0 5705 Thorax AP + Lateral BHAP
RB0 5705 Thorax AP + Lateral JASA SARANA
RB0 5705 Thorax AP + Lateral PPH 23
RB0 5705 Thorax AP + Lateral JASA PERUJUK
RB0 5705 Thorax AP + Lateral JASA MEDIS
RB0 5705 Thorax AP + Lateral JASA PARAMEDIS
RB0 5705 Thorax AP + Lateral Total Tarif
RC0 5707 Thorax LLD / RLD BHAP
RC0 5707 Thorax LLD / RLD JASA SARANA
RC0 5707 Thorax LLD / RLD PPH 23
RC0 5707 Thorax LLD / RLD JASA PERUJUK
RC0 5707 Thorax LLD / RLD JASA MEDIS
RC0 5707 Thorax LLD / RLD JASA PARAMEDIS
RC0 5707 Thorax LLD / RLD Total Tarif
RC10 5709 Thorax LLD atau RLD CR BHAP
RC10 5709 Thorax LLD atau RLD CR JASA SARANA
RC10 5709 Thorax LLD atau RLD CR PPH 23
RC10 5709 Thorax LLD atau RLD CR JASA PERUJUK
RC10 5709 Thorax LLD atau RLD CR JASA MEDIS
RC10 5709 Thorax LLD atau RLD CR JASA PARAMEDIS
RC10 5709 Thorax LLD atau RLD CR Total Tarif
RA0 5703 Thorax Photo BHAP
RA0 5703 Thorax Photo JASA SARANA
RA0 5703 Thorax Photo PPH 23
RA0 5703 Thorax Photo JASA PERUJUK
RA0 5703 Thorax Photo JASA MEDIS
RA0 5703 Thorax Photo JASA PARAMEDIS
RA0 5703 Thorax Photo Total Tarif
RA1 5704 Thorax Photo CR BHAP
RA1 5704 Thorax Photo CR JASA SARANA
RA1 5704 Thorax Photo CR PPH 23
RA1 5704 Thorax Photo CR JASA PERUJUK
RA1 5704 Thorax Photo CR JASA MEDIS
RA1 5704 Thorax Photo CR JASA PARAMEDIS
RA1 5704 Thorax Photo CR Total Tarif
RC11 5710 Thorax Top Lordotic CR BHAP
RC11 5710 Thorax Top Lordotic CR JASA SARANA
RC11 5710 Thorax Top Lordotic CR PPH 23
RC11 5710 Thorax Top Lordotic CR JASA PERUJUK
RC11 5710 Thorax Top Lordotic CR JASA MEDIS
RC11 5710 Thorax Top Lordotic CR JASA PARAMEDIS
RC11 5710 Thorax Top Lordotic CR Total Tarif
RC1 5708 Thorax Top Lordotik BHAP
RC1 5708 Thorax Top Lordotik JASA SARANA
RC1 5708 Thorax Top Lordotik PPH 23
RC1 5708 Thorax Top Lordotik JASA PERUJUK
RC1 5708 Thorax Top Lordotik JASA MEDIS
RC1 5708 Thorax Top Lordotik JASA PARAMEDIS
RC1 5708 Thorax Top Lordotik Total Tarif
CM0 5494 Thrombotest Owren BHAP
CM0 5494 Thrombotest Owren JASA SARANA
CM0 5494 Thrombotest Owren PPH 23
CM0 5494 Thrombotest Owren JASA PERUJUK
CM0 5494 Thrombotest Owren JASA MEDIS
CM0 5494 Thrombotest Owren JASA PARAMEDIS
CM0 5494 Thrombotest Owren Total Tarif
HN1 5584 Tiroglobulin BHAP
HN1 5584 Tiroglobulin JASA SARANA
HN1 5584 Tiroglobulin PPH 23
HN1 5584 Tiroglobulin JASA PERUJUK
HN1 5584 Tiroglobulin JASA MEDIS
HN1 5584 Tiroglobulin JASA PARAMEDIS
HN1 5584 Tiroglobulin Total Tarif
AF0 5470 Titer HCG BHAP
AF0 5470 Titer HCG JASA SARANA
AF0 5470 Titer HCG PPH 23
AF0 5470 Titer HCG JASA PERUJUK
AF0 5470 Titer HCG JASA MEDIS
AF0 5470 Titer HCG JASA PARAMEDIS
AF0 5470 Titer HCG Total Tarif
TK1 5864 Titrasi PP Test BHAP
TK1 5864 Titrasi PP Test JASA SARANA
TK1 5864 Titrasi PP Test PPH 23
TK1 5864 Titrasi PP Test JASA PERUJUK
TK1 5864 Titrasi PP Test JASA MEDIS
TK1 5864 Titrasi PP Test JASA PARAMEDIS
TK1 5864 Titrasi PP Test Total Tarif
RW50 5769 TMJ BHAP
RW50 5769 TMJ JASA SARANA
RW50 5769 TMJ PPH 23
RW50 5769 TMJ JASA PERUJUK
RW50 5769 TMJ JASA MEDIS
RW50 5769 TMJ JASA PARAMEDIS
RW50 5769 TMJ Total Tarif
RW52 5771 TMJ CR BHAP
RW52 5771 TMJ CR JASA SARANA
RW52 5771 TMJ CR PPH 23
RW52 5771 TMJ CR JASA PERUJUK
RW52 5771 TMJ CR JASA MEDIS
RW52 5771 TMJ CR JASA PARAMEDIS
RW52 5771 TMJ CR Total Tarif
CY5 5509 Total Limposit Absolut BHAP
CY5 5509 Total Limposit Absolut JASA SARANA
CY5 5509 Total Limposit Absolut PPH 23
CY5 5509 Total Limposit Absolut JASA PERUJUK
CY5 5509 Total Limposit Absolut JASA MEDIS
CY5 5509 Total Limposit Absolut JASA PARAMEDIS
CY5 5509 Total Limposit Absolut Total Tarif
GN1 11023 Transferin BHAP
GN1 11023 Transferin JASA SARANA
GN1 11023 Transferin PPH 23
GN1 11023 Transferin JASA PERUJUK
GN1 11023 Transferin JASA MEDIS
GN1 11023 Transferin JASA PARAMEDIS
GN1 11023 Transferin Total Tarif
FP0 5540 Treadmill Test BHAP
FP0 5540 Treadmill Test JASA SARANA
FP0 5540 Treadmill Test PPH 23
FP0 5540 Treadmill Test JASA PERUJUK
FP0 5540 Treadmill Test JASA MEDIS
FP0 5540 Treadmill Test JASA PARAMEDIS
FP0 5540 Treadmill Test Total Tarif
FD0 5529 Triglyseride BHAP
FD0 5529 Triglyseride JASA SARANA
FD0 5529 Triglyseride PPH 23
FD0 5529 Triglyseride JASA PERUJUK
FD0 5529 Triglyseride JASA MEDIS
FD0 5529 Triglyseride JASA PARAMEDIS
FD0 5529 Triglyseride Total Tarif
FD0 5529 Triglyseride BHAP
FD0 5529 Triglyseride JASA SARANA
FD0 5529 Triglyseride PPH 23
FD0 5529 Triglyseride JASA PERUJUK
FD0 5529 Triglyseride JASA MEDIS
FD0 5529 Triglyseride JASA PARAMEDIS
FD0 5529 Triglyseride Total Tarif
PA0 5675 Trimethropim S 5 ug BHAP
PA0 5675 Trimethropim S 5 ug JASA SARANA
PA0 5675 Trimethropim S 5 ug PPH 23
PA0 5675 Trimethropim S 5 ug JASA PERUJUK
PA0 5675 Trimethropim S 5 ug JASA MEDIS
PA0 5675 Trimethropim S 5 ug JASA PARAMEDIS
PA0 5675 Trimethropim S 5 ug Total Tarif
CG0 5483 Trombosit BHAP
CG0 5483 Trombosit JASA SARANA
CG0 5483 Trombosit PPH 23
CG0 5483 Trombosit JASA PERUJUK
CG0 5483 Trombosit JASA MEDIS
CG0 5483 Trombosit JASA PARAMEDIS
CG0 5483 Trombosit Total Tarif
FE1 5531 Troponin - I BHAP
FE1 5531 Troponin - I JASA SARANA
FE1 5531 Troponin - I PPH 23
FE1 5531 Troponin - I JASA PERUJUK
FE1 5531 Troponin - I JASA MEDIS
FE1 5531 Troponin - I JASA PARAMEDIS
FE1 5531 Troponin - I Total Tarif
JN0 5628 Tubex Anti Salmonella IgM BHAP
JN0 5628 Tubex Anti Salmonella IgM JASA SARANA
JN0 5628 Tubex Anti Salmonella IgM PPH 23
JN0 5628 Tubex Anti Salmonella IgM JASA PERUJUK
JN0 5628 Tubex Anti Salmonella IgM JASA MEDIS
JN0 5628 Tubex Anti Salmonella IgM JASA PARAMEDIS
JN0 5628 Tubex Anti Salmonella IgM Total Tarif
EB0 5521 Urea Clearance BHAP
EB0 5521 Urea Clearance JASA SARANA
EB0 5521 Urea Clearance PPH 23
EB0 5521 Urea Clearance JASA PERUJUK
EB0 5521 Urea Clearance JASA MEDIS
EB0 5521 Urea Clearance JASA PARAMEDIS
EB0 5521 Urea Clearance Total Tarif
RZ2 5804 Urethrocystogram BHAP
RZ2 5804 Urethrocystogram JASA SARANA
RZ2 5804 Urethrocystogram PPH 23
RZ2 5804 Urethrocystogram JASA PERUJUK
RZ2 5804 Urethrocystogram JASA MEDIS
RZ2 5804 Urethrocystogram JASA PARAMEDIS
RZ2 5804 Urethrocystogram Total Tarif
RZ2 11021 Urethrocystogram BiopolarBHAP
RZ2 11021 Urethrocystogram BiopolarJASA SARANA
RZ2 11021 Urethrocystogram BiopolarPPH 23
RZ2 11021 Urethrocystogram BiopolarJASA PERUJUK
RZ2 11021 Urethrocystogram BiopolarJASA MEDIS
RZ2 11021 Urethrocystogram BiopolarJASA PARAMEDIS
RZ2 11021 Urethrocystogram BiopolarTotal Tarif
EA0 5520 Ureum Darah BHAP
EA0 5520 Ureum Darah JASA SARANA
EA0 5520 Ureum Darah PPH 23
EA0 5520 Ureum Darah JASA PERUJUK
EA0 5520 Ureum Darah JASA MEDIS
EA0 5520 Ureum Darah JASA PARAMEDIS
EA0 5520 Ureum Darah Total Tarif
AA0 5464 Urine Lengkap BHAP
AA0 5464 Urine Lengkap JASA SARANA
AA0 5464 Urine Lengkap PPH 23
AA0 5464 Urine Lengkap JASA PERUJUK
AA0 5464 Urine Lengkap JASA MEDIS
AA0 5464 Urine Lengkap JASA PARAMEDIS
AA0 5464 Urine Lengkap Total Tarif
TA7 5849 USG BHAP
TA7 5849 USG JASA SARANA
TA7 5849 USG PPH 23
TA7 5849 USG JASA PERUJUK
TA7 5849 USG JASA MEDIS
TA7 5849 USG JASA PARAMEDIS
TA7 5849 USG Total Tarif
TA0 5842 USG Abdomen BHAP
TA0 5842 USG Abdomen JASA SARANA
TA0 5842 USG Abdomen PPH 23
TA0 5842 USG Abdomen JASA PERUJUK
TA0 5842 USG Abdomen JASA MEDIS
TA0 5842 USG Abdomen JASA PARAMEDIS
TA0 5842 USG Abdomen Total Tarif
TB0 5852 USG Abdomen CYTO BHAP
TB0 5852 USG Abdomen CYTO JASA SARANA
TB0 5852 USG Abdomen CYTO PPH 23
TB0 5852 USG Abdomen CYTO JASA PERUJUK
TB0 5852 USG Abdomen CYTO JASA MEDIS
TB0 5852 USG Abdomen CYTO JASA PARAMEDIS
TB0 5852 USG Abdomen CYTO Total Tarif
TA8 5850 USG Abdomen Plus BHAP
TA8 5850 USG Abdomen Plus JASA SARANA
TA8 5850 USG Abdomen Plus PPH 23
TA8 5850 USG Abdomen Plus JASA PERUJUK
TA8 5850 USG Abdomen Plus JASA MEDIS
TA8 5850 USG Abdomen Plus JASA PARAMEDIS
TA8 5850 USG Abdomen Plus Total Tarif
TB2 5854 Usg Colour Dopler BHAP
TB2 5854 Usg Colour Dopler JASA SARANA
TB2 5854 Usg Colour Dopler PPH 23
TB2 5854 Usg Colour Dopler JASA PERUJUK
TB2 5854 Usg Colour Dopler JASA MEDIS
TB2 5854 Usg Colour Dopler JASA PARAMEDIS
TB2 5854 Usg Colour Dopler Total Tarif
TB3 5855 Usg Colour Dopler 2 BagianBHAP
TB3 5855 Usg Colour Dopler 2 BagianJASA SARANA
TB3 5855 Usg Colour Dopler 2 BagianPPH 23
TB3 5855 Usg Colour Dopler 2 BagianJASA PERUJUK
TB3 5855 Usg Colour Dopler 2 BagianJASA MEDIS
TB3 5855 Usg Colour Dopler 2 BagianJASA PARAMEDIS
TB3 5855 Usg Colour Dopler 2 BagianTotal Tarif
TA5 5847 USG Kandungan BHAP
TA5 5847 USG Kandungan JASA SARANA
TA5 5847 USG Kandungan PPH 23
TA5 5847 USG Kandungan JASA PERUJUK
TA5 5847 USG Kandungan JASA MEDIS
TA5 5847 USG Kandungan JASA PARAMEDIS
TA5 5847 USG Kandungan Total Tarif
TA9 5851 USG KEPALA BAYI BHAP
TA9 5851 USG KEPALA BAYI JASA SARANA
TA9 5851 USG KEPALA BAYI PPH 23
TA9 5851 USG KEPALA BAYI JASA PERUJUK
TA9 5851 USG KEPALA BAYI JASA MEDIS
TA9 5851 USG KEPALA BAYI JASA PARAMEDIS
TA9 5851 USG KEPALA BAYI Total Tarif
TB1 5853 USG Khusus BHAP
TB1 5853 USG Khusus JASA SARANA
TB1 5853 USG Khusus PPH 23
TB1 5853 USG Khusus JASA PERUJUK
TB1 5853 USG Khusus JASA MEDIS
TB1 5853 USG Khusus JASA PARAMEDIS
TB1 5853 USG Khusus Total Tarif
TA2 5844 USG Mamae BHAP
TA2 5844 USG Mamae JASA SARANA
TA2 5844 USG Mamae PPH 23
TA2 5844 USG Mamae JASA PERUJUK
TA2 5844 USG Mamae JASA MEDIS
TA2 5844 USG Mamae JASA PARAMEDIS
TA2 5844 USG Mamae Total Tarif
TA4 5846 USG Testis BHAP
TA4 5846 USG Testis JASA SARANA
TA4 5846 USG Testis PPH 23
TA4 5846 USG Testis JASA PERUJUK
TA4 5846 USG Testis JASA MEDIS
TA4 5846 USG Testis JASA PARAMEDIS
TA4 5846 USG Testis Total Tarif
TA6 5848 USG Thorax BHAP
TA6 5848 USG Thorax JASA SARANA
TA6 5848 USG Thorax PPH 23
TA6 5848 USG Thorax JASA PERUJUK
TA6 5848 USG Thorax JASA MEDIS
TA6 5848 USG Thorax JASA PARAMEDIS
TA6 5848 USG Thorax Total Tarif
TA3 5845 USG Tiroid BHAP
TA3 5845 USG Tiroid JASA SARANA
TA3 5845 USG Tiroid PPH 23
TA3 5845 USG Tiroid JASA PERUJUK
TA3 5845 USG Tiroid JASA MEDIS
TA3 5845 USG Tiroid JASA PARAMEDIS
TA3 5845 USG Tiroid Total Tarif
TA1 5843 USG Transvaginal BHAP
TA1 5843 USG Transvaginal JASA SARANA
TA1 5843 USG Transvaginal PPH 23
TA1 5843 USG Transvaginal JASA PERUJUK
TA1 5843 USG Transvaginal JASA MEDIS
TA1 5843 USG Transvaginal JASA PARAMEDIS
TA1 5843 USG Transvaginal Total Tarif
JG0 5621 V D R L BHAP
JG0 5621 V D R L JASA SARANA
JG0 5621 V D R L PPH 23
JG0 5621 V D R L JASA PERUJUK
JG0 5621 V D R L JASA MEDIS
JG0 5621 V D R L JASA PARAMEDIS
JG0 5621 V D R L Total Tarif
(blank) 10893 Vit D-oh3 BHAP
(blank) 10893 Vit D-oh3 JASA SARANA
(blank) 10893 Vit D-oh3 PPH 23
(blank) 10893 Vit D-oh3 JASA PERUJUK
(blank) 10893 Vit D-oh3 JASA MEDIS
(blank) 10893 Vit D-oh3 JASA PARAMEDIS
(blank) 10893 Vit D-oh3 Total Tarif
CK0 5490 Waktu Pembekuan BHAP
CK0 5490 Waktu Pembekuan JASA SARANA
CK0 5490 Waktu Pembekuan PPH 23
CK0 5490 Waktu Pembekuan JASA PERUJUK
CK0 5490 Waktu Pembekuan JASA MEDIS
CK0 5490 Waktu Pembekuan JASA PARAMEDIS
CK0 5490 Waktu Pembekuan Total Tarif
CJ0 5489 Waktu Pendarahan BHAP
CJ0 5489 Waktu Pendarahan JASA SARANA
CJ0 5489 Waktu Pendarahan PPH 23
CJ0 5489 Waktu Pendarahan JASA PERUJUK
CJ0 5489 Waktu Pendarahan JASA MEDIS
CJ0 5489 Waktu Pendarahan JASA PARAMEDIS
CJ0 5489 Waktu Pendarahan Total Tarif
RW6 5772 Waters BHAP
RW6 5772 Waters JASA SARANA
RW6 5772 Waters PPH 23
RW6 5772 Waters JASA PERUJUK
RW6 5772 Waters JASA MEDIS
RW6 5772 Waters JASA PARAMEDIS
RW6 5772 Waters Total Tarif
RW61 5774 Waters CR BHAP
RW61 5774 Waters CR JASA SARANA
RW61 5774 Waters CR PPH 23
RW61 5774 Waters CR JASA PERUJUK
RW61 5774 Waters CR JASA MEDIS
RW61 5774 Waters CR JASA PARAMEDIS
RW61 5774 Waters CR Total Tarif
JA0 5615 Widal BHAP
JA0 5615 Widal JASA SARANA
JA0 5615 Widal PPH 23
JA0 5615 Widal JASA PERUJUK
JA0 5615 Widal JASA MEDIS
JA0 5615 Widal JASA PARAMEDIS
JA0 5615 Widal Total Tarif
RI0 5723 Wrist Joint AP + Lateral BHAP
RI0 5723 Wrist Joint AP + Lateral JASA SARANA
RI0 5723 Wrist Joint AP + Lateral PPH 23
RI0 5723 Wrist Joint AP + Lateral JASA PERUJUK
RI0 5723 Wrist Joint AP + Lateral JASA MEDIS
RI0 5723 Wrist Joint AP + Lateral JASA PARAMEDIS
RI0 5723 Wrist Joint AP + Lateral Total Tarif
RI1 5724 Wrist Joint AP+Lat CR BHAP
RI1 5724 Wrist Joint AP+Lat CR JASA SARANA
RI1 5724 Wrist Joint AP+Lat CR PPH 23
RI1 5724 Wrist Joint AP+Lat CR JASA PERUJUK
RI1 5724 Wrist Joint AP+Lat CR JASA MEDIS
RI1 5724 Wrist Joint AP+Lat CR JASA PARAMEDIS
RI1 5724 Wrist Joint AP+Lat CR Total Tarif
RI2 10680 Wrist Joint Bilateral BHAP
RI2 10680 Wrist Joint Bilateral JASA SARANA
RI2 10680 Wrist Joint Bilateral PPH 23
RI2 10680 Wrist Joint Bilateral JASA PERUJUK
RI2 10680 Wrist Joint Bilateral JASA MEDIS
RI2 10680 Wrist Joint Bilateral JASA PARAMEDIS
RI2 10680 Wrist Joint Bilateral Total Tarif
RI3 10681 Wrist Joint Bilateral CR BHAP
RI3 10681 Wrist Joint Bilateral CR JASA SARANA
RI3 10681 Wrist Joint Bilateral CR PPH 23
RI3 10681 Wrist Joint Bilateral CR JASA PERUJUK
RI3 10681 Wrist Joint Bilateral CR JASA MEDIS
RI3 10681 Wrist Joint Bilateral CR JASA PARAMEDIS
RI3 10681 Wrist Joint Bilateral CR Total Tarif
Row Labels
4,950
625,050
-
-
-
-
630,000
4,950
1,351,050
-
-
-
-
1,356,000
24,610
56,390
180
8,820
-
-
90,000
60,000
-
-
-
-
-
60,000
47,039
38,461
190
9,310
-
-
95,000
4,950
325,050
-
-
-
-
330,000
61,667
118,333
400
19,600
-
-
200,000
4,950
287,550
-
-
-
-
292,500
-
-
-
-
-
-
-
22,793
12,307
78
3,822
-
-
39,000
-
-
-
-
-
-
-
-
-
-
-
-
-
400,000
-
-
-
-
-
-
325,000
4,950
500,050
-
-
-
-
505,000
-
300,000
-
-
-
-
300,000
138,180
17,820
480
23,520
-
60,000
240,000
47,100
37,400
260
12,740
-
32,500
130,000
85,380
58,620
320
15,680
-
-
160,000
138,180
91,320
510
24,990
-
-
255,000
138,180
17,820
480
23,520
-
60,000
240,000
47,100
37,400
260
12,740
-
32,500
130,000
85,380
58,620
320
15,680
-
-
160,000
138,180
91,320
510
24,990
-
-
255,000
126,303
121,197
550
26,950
-
-
275,000
4,950
375,050
-
-
-
-
380,000
180,555
84,945
590
28,910
-
-
295,000
139,987
134,513
610
29,890
-
-
305,000
4,950
504,050
-
-
-
-
509,000
156,000
141,000
660
32,340
-
-
330,000
4,950
468,050
-
-
-
-
473,000
201,543
117,957
710
34,790
-
-
355,000
4,950
330,050
-
-
-
-
335,000
4,950
520,050
-
-
-
-
525,000
4,950
560,050
-
-
-
-
565,000
201,000
127,500
730
35,770
-
-
365,000
4,950
950,050
-
-
-
-
955,000
4,950
103,050
-
-
-
-
108,000
134,718
153,282
640
31,360
-
-
320,000
180,555
165,945
770
37,730
-
-
385,000
189,622
57,878
550
26,950
-
-
275,000
173,140
78,860
560
27,440
-
-
280,000
28,620
738,130
490
24,010
-
263,750
1,055,000
-
300,000
-
-
-
-
300,000
-
200,000
-
-
-
-
200,000
8,713
166,287
-
-
-
-
175,000
21,473
68,527
200
9,800
-
-
100,000
10,352
24,748
78
3,822
-
-
39,000
-
7,000
160
7,840
5,000
60,000
80,000
13,993
5,807
44
2,156
-
-
22,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
4,950
110,050
-
-
-
-
115,000
4,950
150,050
-
-
-
-
155,000
22,793
12,307
78
3,822
-
-
39,000
4,950
385,550
-
-
-
-
390,500
27,110
59,290
192
9,408
-
-
96,000
-
-
-
-
-
-
-
27,109
59,291
192
9,408
-
-
96,000
12,952
36,548
110
5,390
-
-
55,000
47,100
37,400
260
12,740
-
32,500
130,000
85,380
32,920
364
17,836
-
45,500
182,000
190,980
56,020
760
37,240
-
95,000
380,000
123,660
56,390
554
27,146
-
69,250
277,000
190,980
95,020
880
43,120
-
110,000
440,000
60,300
89,200
460
22,540
-
57,500
230,000
28,620
151,880
490
24,010
-
550,000
755,000
107,044
149,456
570
27,930
-
-
285,000
-
185,000
-
-
-
-
185,000
22,437
58,563
180
8,820
-
-
90,000
4,950
595,050
-
-
-
-
600,000
4,950
600,050
-
-
-
-
605,000
4,950
610,050
-
-
-
-
615,000
4,950
815,050
-
-
-
-
820,000
109,473
102,027
470
23,030
-
-
235,000
109,473
88,527
440
21,560
-
-
220,000
138,180
17,820
480
23,520
-
60,000
240,000
47,100
37,400
260
12,740
-
32,500
130,000
85,380
58,620
320
15,680
-
-
160,000
138,180
91,320
510
24,990
-
-
255,000
16,936
50,564
150
7,350
-
-
75,000
4,950
250,050
-
-
-
-
255,000
4,950
95,050
-
-
-
-
100,000
22,793
12,307
78
3,822
-
-
39,000
4,950
385,050
-
-
-
-
390,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
47,100
24,400
220
10,780
-
27,500
110,000
44,460
62,790
330
16,170
-
41,250
165,000
47,100
43,900
280
13,720
-
35,000
140,000
138,180
17,820
480
23,520
-
60,000
240,000
123,660
42,090
510
24,990
-
63,750
255,000
190,980
56,020
760
37,240
-
95,000
380,000
47,100
43,900
280
13,720
-
35,000
140,000
138,180
17,820
480
23,520
-
60,000
240,000
113,906
197,494
692
33,908
-
-
346,000
-
-
-
-
-
-
-
22,023
53,577
168
8,232
-
-
84,000
14,454
26,046
90
4,410
-
-
45,000
4,950
150,050
-
-
-
-
155,000
-
-
-
-
-
-
-
190,000
39,500
510
24,990
-
-
255,000
4,950
285,050
-
-
-
-
290,000
195,165
214,835
-
-
-
-
410,000
47,100
37,400
260
12,740
-
32,500
130,000
138,180
17,820
480
23,520
-
60,000
240,000
85,380
18,620
320
15,680
-
40,000
160,000
138,180
17,820
480
23,520
-
60,000
240,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
22,793
12,307
78
3,822
-
-
39,000
28,620
151,880
490
24,010
-
950,000
1,155,000
-
-
-
-
-
-
-
-
480,000
-
-
-
-
480,000
7,283
21,517
64
3,136
-
-
32,000
138,180
17,820
480
23,520
-
60,000
240,000
47,100
37,400
260
12,740
-
32,500
130,000
85,380
78,420
364
17,836
-
-
182,000
138,180
91,320
510
24,990
-
-
255,000
191,555
533,445
2,000
98,000
20,000
155,000
1,000,000
373,555
779,195
3,180
155,820
31,800
246,450
1,590,000
100,555
588,195
1,900
93,100
19,000
147,250
950,000
191,555
649,445
2,320
113,680
23,200
179,800
1,160,000
373,555
895,195
3,500
171,500
35,000
271,250
1,750,000
373,555
974,945
3,720
182,280
37,200
288,300
1,860,000
737,555
1,038,695
4,900
240,100
49,000
379,750
2,450,000
1,140,555
671,945
5,000
245,000
50,000
387,500
2,500,000
1,504,555
735,695
6,180
302,820
61,800
478,950
3,090,000
191,555
649,445
2,320
113,680
23,200
179,800
1,160,000
373,555
895,195
3,500
171,500
35,000
271,250
1,750,000
1,140,555
671,945
5,000
245,000
50,000
387,500
2,500,000
1,504,555
735,695
6,180
302,820
61,800
478,950
3,090,000
1,504,555
837,195
6,460
316,540
64,600
500,650
3,230,000
1,686,555
1,082,945
7,640
374,360
76,400
592,100
3,820,000
100,555
769,445
2,400
117,600
24,000
186,000
1,200,000
191,555
1,106,195
3,580
175,420
35,800
277,450
1,790,000
575,055
1,027,195
4,420
216,580
44,200
342,550
2,210,000
757,055
1,272,945
5,600
274,400
56,000
434,000
2,800,000
373,555
1,032,945
3,880
190,120
38,800
300,700
1,940,000
191,555
787,195
2,700
132,300
27,000
209,250
1,350,000
191,555
787,195
2,700
132,300
27,000
209,250
1,350,000
373,555
1,032,945
3,880
190,120
38,800
300,700
1,940,000
575,055
657,615
3,230
166,600
34,000
263,500
1,700,000
757,055
903,765
4,010
224,420
45,800
354,950
2,290,000
484,055
226,585
1,820
96,040
19,600
151,900
980,000
575,055
562,325
4,010
153,860
31,400
243,350
1,570,000
100,555
588,195
1,900
93,100
19,000
147,250
950,000
191,555
924,945
3,080
150,920
30,800
238,700
1,540,000
484,055
226,585
1,820
96,040
19,600
151,900
980,000
575,055
563,195
3,140
153,860
31,400
243,350
1,570,000
100,555
979,445
2,400
117,600
-
-
1,200,000
191,555
1,106,195
3,580
175,420
35,800
277,450
1,790,000
575,055
1,413,945
4,420
216,580
-
-
2,210,000
757,055
1,272,945
5,600
274,400
56,000
434,000
2,800,000
191,555
1,077,195
3,500
171,500
35,000
271,250
1,750,000
373,555
1,322,945
4,680
229,320
46,800
362,700
2,340,000
373,555
895,195
3,500
171,500
35,000
271,250
1,750,000
737,555
958,945
4,680
229,320
46,800
362,700
2,340,000
191,555
678,445
2,400
117,600
24,000
186,000
1,200,000
373,555
924,195
3,580
175,420
35,800
277,450
1,790,000
757,055
845,195
4,420
216,580
44,200
342,550
2,210,000
1,121,055
908,945
5,600
274,400
56,000
434,000
2,800,000
100,555
769,445
2,400
117,600
24,000
186,000
1,200,000
191,555
1,106,195
3,580
175,420
35,800
277,450
1,790,000
575,055
1,027,195
4,420
216,580
44,200
342,550
2,210,000
757,055
1,272,945
5,600
274,400
56,000
434,000
2,800,000
575,055
1,027,195
4,420
216,580
44,200
342,550
2,210,000
757,055
1,272,945
5,600
274,400
56,000
434,000
2,800,000
100,555
769,445
2,400
117,600
24,000
186,000
1,200,000
191,555
1,106,195
3,580
175,420
35,800
277,450
1,790,000
575,055
1,027,195
4,420
216,580
44,200
342,550
2,210,000
757,055
1,272,945
5,600
274,400
56,000
434,000
2,800,000
100,555
740,445
2,320
113,680
23,200
179,800
1,160,000
191,555
1,077,195
3,500
171,500
35,000
271,250
1,750,000
191,555
678,445
2,400
117,600
24,000
186,000
1,200,000
373,555
924,195
3,580
175,420
35,800
277,450
1,790,000
100,555
740,445
2,320
113,680
23,200
179,800
1,160,000
191,555
1,077,195
3,500
171,500
35,000
271,250
1,750,000
575,055
1,027,195
4,420
216,580
44,200
342,550
2,210,000
757,055
1,272,945
5,600
274,400
56,000
434,000
2,800,000
373,555
1,003,945
3,800
186,200
38,000
294,500
1,900,000
737,555
1,067,695
4,980
244,020
49,800
385,950
2,490,000
373,555
895,195
3,500
171,500
35,000
271,250
1,750,000
737,555
958,945
4,680
229,320
46,800
362,700
2,340,000
1,140,555
461,695
4,420
216,580
44,200
342,550
2,210,000
1,504,555
525,445
5,600
274,400
56,000
434,000
2,800,000
191,555
678,445
2,400
117,600
24,000
186,000
1,200,000
373,555
924,195
3,580
175,420
35,800
277,450
1,790,000
-
630,000
-
-
-
-
630,000
179,433
131,967
692
33,908
-
-
346,000
28,620
23,380
160
7,840
-
20,000
80,000
72,579
83,121
346
16,954
-
-
173,000
72,579
83,121
346
16,954
-
-
173,000
10,693
9,107
44
2,156
-
-
22,000
11,200
23,800
100
4,900
-
10,000
50,000
109,033
260,967
1,100
53,900
25,000
100,000
550,000
109,033
452,967
1,760
86,240
30,000
200,000
880,000
109,033
340,967
1,400
68,600
30,000
150,000
700,000
47,100
37,400
260
12,740
-
32,500
130,000
138,180
17,820
480
23,520
-
60,000
240,000
47,100
96,900
320
15,680
-
-
160,000
138,180
91,320
510
24,990
-
-
255,000
4,950
380,050
-
-
-
-
385,000
16,413
29,487
102
4,998
-
-
51,000
10,693
3,707
32
1,568
-
-
16,000
-
-
-
-
-
-
-
7,350
32,650
-
-
-
-
40,000
9,555
190,445
-
-
-
-
200,000
4,950
390,050
-
-
-
-
395,000
4,950
315,050
-
-
-
-
320,000
13,683
21,417
78
3,822
-
-
39,000
138,180
17,820
480
23,520
-
60,000
240,000
85,380
21,870
330
16,170
-
41,250
165,000
4,950
250,050
-
-
-
-
255,000
28,620
151,880
490
24,010
-
750,000
955,000
28,620
151,880
490
24,010
-
750,000
955,000
20,750
33,250
120
5,880
-
-
60,000
4,950
320,050
-
-
-
-
325,000
6,721
83,279
200
9,800
-
-
100,000
4,950
895,050
-
-
-
-
900,000
4,950
180,050
-
-
-
-
185,000
4,950
215,050
-
-
-
-
220,000
4,950
292,050
-
-
-
-
297,000
4,950
292,050
-
-
-
-
297,000
4,950
215,050
-
-
-
-
220,000
109,473
88,527
440
21,560
-
-
220,000
16,443
37,557
120
5,880
-
-
60,000
-
-
-
-
-
-
-
138,180
17,820
480
23,520
-
60,000
240,000
47,100
38,700
264
12,936
-
33,000
132,000
138,180
17,820
480
23,520
-
60,000
240,000
85,380
21,870
330
16,170
-
41,250
165,000
4,950
560,050
-
-
-
-
565,000
-
-
-
-
-
-
-
9,875
9,925
44
2,156
-
-
22,000
9,875
9,925
44
2,156
-
-
22,000
12,893
48,307
136
6,664
-
-
68,000
9,875
9,925
44
2,156
-
-
22,000
10,308
4,092
32
1,568
-
-
16,000
7,393
234,607
-
-
-
-
242,000
4,950
520,050
-
-
-
-
525,000
138,293
37,207
390
19,110
-
-
195,000
4,950
430,050
-
-
-
-
435,000
86,990
97,510
410
20,090
-
-
205,000
19,361
78,739
218
10,682
-
-
109,000
7,393
1,892,607
-
-
-
-
1,900,000
-
-
-
-
-
-
-
18,049
125,951
320
15,680
-
-
160,000
10,693
3,707
32
1,568
-
-
16,000
10,693
8,207
42
2,058
-
-
21,000
4,950
1,078,050
-
-
-
-
1,083,000
62,371
138,329
446
21,854
-
-
223,000
138,180
17,820
480
23,520
-
60,000
240,000
47,100
37,400
260
12,740
-
32,500
130,000
28,620
151,880
490
24,010
-
850,000
1,055,000
-
-
-
-
-
-
-
4,950
760,050
-
-
-
-
765,000
4,950
605,050
-
-
-
-
610,000
4,950
253,050
-
-
-
-
258,000
4,950
450,050
-
-
-
-
455,000
4,950
450,050
-
-
-
-
455,000
4,950
320,050
-
-
-
-
325,000
4,950
320,050
-
-
-
-
325,000
138,180
17,820
480
23,520
-
60,000
240,000
47,100
38,700
264
12,936
-
33,000
132,000
85,380
58,620
320
15,680
-
-
160,000
138,180
91,320
510
24,990
-
-
255,000
4,950
485,050
-
-
-
-
490,000
4,950
365,050
-
-
-
-
370,000
7,393
484,007
1,092
53,508
-
-
546,000
4,950
365,050
-
-
-
-
370,000
4,950
485,050
-
-
-
-
490,000
-
670,000
-
-
-
-
670,000
4,950
485,050
-
-
-
-
490,000
-
800,000
-
-
-
-
800,000
28,620
151,880
490
24,010
-
950,000
1,155,000
22,023
53,577
168
8,232
-
-
84,000
4,950
95,050
-
-
-
-
100,000
-
-
-
-
-
-
-
21,473
68,527
200
9,800
-
-
100,000
47,100
43,900
280
13,720
-
35,000
140,000
138,180
17,820
480
23,520
-
60,000
240,000
4,950
120,050
-
-
-
-
125,000
12,660
22,440
78
3,822
-
-
39,000
119,373
159,627
620
30,380
-
-
310,000
4,950
190,050
-
-
-
-
195,000
4,950
117,050
-
-
-
-
122,000
-
-
-
-
-
-
-
10,693
3,707
32
1,568
-
-
16,000
21,473
68,527
200
9,800
-
-
100,000
4,950
105,050
-
-
-
-
110,000
-
-
-
-
-
-
-
61,667
176,833
530
25,970
-
-
265,000
4,950
357,050
-
-
-
-
362,000
4,950
375,050
-
-
-
-
380,000
85,380
18,620
320
15,680
-
40,000
160,000
190,980
56,020
760
37,240
-
95,000
380,000
85,380
18,620
320
15,680
-
40,000
160,000
190,980
56,020
760
37,240
-
95,000
380,000
123,660
81,090
630
30,870
-
78,750
315,000
190,980
95,020
880
43,120
-
110,000
440,000
4,950
103,050
-
-
-
-
108,000
47,100
56,900
320
15,680
-
40,000
160,000
138,180
17,820
480
23,520
-
60,000
240,000
47,100
24,400
220
10,780
-
27,500
110,000
44,460
111,540
480
23,520
-
60,000
240,000
47,100
43,900
280
13,720
-
35,000
140,000
138,180
17,820
480
23,520
-
60,000
240,000
10,693
10,907
48
2,352
-
-
24,000
10,693
10,907
48
2,352
-
-
24,000
10,693
10,907
48
2,352
-
-
24,000
-
-
-
-
-
-
-
22,793
12,307
78
3,822
-
-
39,000
4,950
130,050
-
-
-
-
135,000
7,283
90,817
218
10,682
-
-
109,000
22,793
12,307
78
3,822
-
-
39,000
-
-
-
-
-
-
-
22,023
53,577
168
8,232
-
-
84,000
4,950
95,050
-
-
-
-
100,000
-
-
-
-
-
-
-
28,620
1,101,880
490
24,010
-
-
1,155,000
28,620
151,880
490
24,010
-
750,000
955,000
47,100
24,400
220
10,780
-
27,500
110,000
44,460
72,540
360
17,640
-
45,000
180,000
40,480
36,020
170
8,330
-
-
85,000
51,159
45,141
214
10,486
-
-
107,000
374,022
435,978
1,800
88,200
-
-
900,000
28,149
50,151
174
8,526
-
-
87,000
28,149
50,151
174
8,526
-
-
87,000
6,721
71,579
174
8,526
-
-
87,000
24,590
35,410
-
-
-
-
60,000
35,740
84,260
-
-
-
-
120,000
42,191
237,809
-
-
-
-
280,000
63,240
116,760
-
-
-
-
180,000
92,420
15,580
-
12,000
-
-
120,000
39,250
41,750
-
9,000
-
-
90,000
100,783
223,217
-
36,000
-
-
360,000
39,250
41,750
-
9,000
-
-
90,000
85,800
188,700
-
30,500
-
-
305,000
39,740
80,260
-
-
-
-
120,000
53,220
146,780
-
-
-
-
200,000
155,117
152,883
-
-
-
-
308,000
44,460
62,790
330
16,170
-
41,250
165,000
26,950
(56,950)
300
14,700
15,000
150,000
150,000
46,787
34,213
180
8,820
-
-
90,000
46,787
34,213
180
8,820
-
-
90,000
17,500
43,500
580
28,420
-
200,000
290,000
173,000
(69,000)
1,120
54,880
-
400,000
560,000
-
-
-
-
-
-
-
138,180
17,820
480
23,520
-
60,000
240,000
47,100
37,400
260
12,740
-
32,500
130,000
85,380
58,620
320
15,680
-
-
160,000
138,180
91,320
510
24,990
-
-
255,000
47,100
37,400
260
12,740
-
32,500
130,000
85,380
21,870
330
16,170
-
41,250
165,000
138,180
17,820
480
23,520
-
60,000
240,000
138,180
17,820
480
23,520
-
60,000
240,000
104,800
57,200
-
18,000
-
-
180,000
93,800
108,700
-
22,500
-
-
225,000
264,022
298,478
1,250
61,250
-
-
625,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
113,000
-
-
-
-
113,000
-
909,000
-
-
-
-
909,000
4,950
351,050
-
-
-
-
356,000
4,950
165,050
-
-
-
-
170,000
47,039
38,461
190
9,310
-
-
95,000
4,950
385,050
-
-
-
-
390,000
8,713
281,287
-
-
-
-
290,000
4,950
305,050
-
-
-
-
310,000
21,138
59,862
180
8,820
-
-
90,000
16,413
29,487
102
4,998
-
-
51,000
16,521
5,079
48
2,352
-
-
24,000
22,655
15,145
84
4,116
-
-
42,000
22,655
15,145
84
4,116
-
-
42,000
47,100
37,400
260
12,740
-
32,500
130,000
138,180
17,820
480
23,520
-
60,000
240,000
47,100
43,900
280
13,720
-
35,000
140,000
138,180
17,820
480
23,520
-
60,000
240,000
4,950
563,050
-
-
-
-
568,000
47,100
43,900
280
13,720
-
35,000
140,000
380
194,620
600
29,400
-
75,000
300,000
21,473
68,527
200
9,800
-
-
100,000
21,473
68,527
200
9,800
-
-
100,000
21,473
68,527
200
9,800
-
-
100,000
21,473
68,527
200
9,800
-
-
100,000
4,950
107,050
-
-
-
-
112,000
5,633
149,367
-
-
-
-
155,000
22,655
15,145
84
4,116
-
-
42,000
22,655
15,145
84
4,116
-
-
42,000
138,180
17,820
480
23,520
-
60,000
240,000
85,380
58,620
320
15,680
-
-
160,000
139,680
90,330
-
24,990
-
-
255,000
47,100
37,400
260
12,740
-
32,500
130,000
138,180
17,820
480
23,520
-
60,000
240,000
47,100
43,900
280
13,720
-
35,000
140,000
10,523
21,877
72
3,528
-
-
36,000
-
-
-
-
-
-
-
24,621
30,279
122
5,978
-
-
61,000
41,273
80,227
270
13,230
-
-
135,000
46,773
97,227
320
15,680
-
-
160,000
47,100
43,900
280
13,720
-
35,000
140,000
138,180
17,820
480
23,520
-
60,000
240,000
134,405
24,895
-
17,700
-
-
177,000
21,473
68,527
200
9,800
-
-
100,000
12,952
23,048
80
3,920
-
-
40,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
93,039
135,561
508
24,892
-
-
254,000
5,633
144,367
-
-
-
-
150,000
4,950
180,050
-
-
-
-
185,000
88,331
149,269
528
25,872
-
-
264,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
83,282
145,318
508
24,892
-
-
254,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
7,393
321,107
730
35,770
-
-
365,000
-
-
-
-
-
-
-
85,380
18,620
320
15,680
-
40,000
160,000
190,980
56,020
760
37,240
-
95,000
380,000
85,380
18,620
320
15,680
-
40,000
160,000
190,980
56,020
760
37,240
-
95,000
380,000
123,660
81,090
630
30,870
-
78,750
315,000
190,980
95,020
880
43,120
-
110,000
440,000
123,660
81,090
630
30,870
-
78,750
315,000
190,980
67,720
796
39,004
-
99,500
398,000
138,180
17,820
480
23,520
-
60,000
240,000
85,380
31,620
360
17,640
-
45,000
180,000
85,380
28,370
350
17,150
-
43,750
175,000
138,180
17,820
480
23,520
-
60,000
240,000
47,100
22,450
214
10,486
-
26,750
107,000
44,460
72,540
360
17,640
-
45,000
180,000
44,460
62,790
330
16,170
-
41,250
165,000
47,100
24,400
220
10,780
-
27,500
110,000
5,633
229,367
-
-
-
-
235,000
4,950
495,050
-
-
-
-
500,000
73,745
157,555
514
25,186
-
-
257,000
-
-
-
-
-
-
-
47,100
24,400
220
10,780
-
27,500
110,000
44,460
62,790
330
16,170
-
41,250
165,000
12,233
83,167
212
10,388
-
-
106,000
4,950
340,050
-
-
-
-
345,000
350,000
54,500
1,210
59,290
30,000
110,000
605,000
21,069
13,131
76
3,724
-
-
38,000
21,070
13,130
76
3,724
-
-
38,000
-
-
-
-
-
-
-
10,693
16,307
60
2,940
-
-
30,000
4,950
650,050
-
-
-
-
655,000
140,239
98,261
530
25,970
-
-
265,000
4,950
120,050
-
-
-
-
125,000
28,620
151,880
490
24,010
-
950,000
1,155,000
28,620
1,101,880
490
24,010
-
-
1,155,000
17,951
17,149
78
3,822
-
-
39,000
14,783
23,479
78
660
-
-
39,000
37,350
105,150
600
29,400
-
127,500
300,000
37,350
105,150
600
29,400
-
127,500
300,000
37,350
124,150
680
33,320
-
144,500
340,000
37,350
124,150
680
33,320
-
144,500
340,000
37,350
176,400
900
44,100
-
191,250
450,000
37,350
247,650
1,200
58,800
-
255,000
600,000
37,350
105,150
600
29,400
-
127,500
300,000
37,350
105,150
600
29,400
-
127,500
300,000
37,350
124,150
680
33,320
-
144,500
340,000
37,350
105,150
600
29,400
-
127,500
300,000
37,350
105,150
600
29,400
-
127,500
300,000
37,350
105,150
600
29,400
-
127,500
300,000
37,350
105,150
600
29,400
-
127,500
300,000
93,350
115,650
880
43,120
-
187,000
440,000
33,986
47,014
180
8,820
-
-
90,000
-
350,000
-
-
-
-
350,000
10,363
13,037
52
2,548
-
-
26,000
10,363
13,037
52
2,548
-
-
26,000
47,100
43,900
280
13,720
-
35,000
140,000
44,460
72,540
360
17,640
-
45,000
180,000
28,073
47,527
168
8,232
-
-
84,000
47,100
24,400
220
10,780
-
27,500
110,000
138,180
17,820
480
23,520
-
60,000
240,000
85,380
58,620
320
15,680
-
-
160,000
138,180
91,320
510
24,990
-
-
255,000
daftartindakan_nama daftartindakan_id
ANA 5576
ANF 5577
ASTO 5618
ADM CT SCAN 5841
Albumin 5545
Alpha-Fetoprotein (AFP) 5555
Amilase Darah 5652
Amilase Urine 5653
Amoxycillin 25 ug 5681
Amphetamine 5860
Ampicillin 5 ug 5685
Analisa Batu Empedu 5643
Analisa Batu Ginjal 5642
Analisa Hb (HPLC) 5501
Anca 11032
Angkle Joint AP + Lat CR 5747
Ankle Joint AP + Lateral 5746
Ankle Joint Bilateral 10692
Ankle Joint Bilateral CR 10693
Antebrachii AP + Lat CR 5725
Antebrachii AP + Lateral 5726
Antebrachii Bilateral 10682
Antebrachii Bilateral CR 10683
Anti - Hbs (elisa) 5567
Anti Amoeba 5622
Anti CMV IgG 5635
Anti CMV IgM 5636
Anti ds DNA 5600
Anti H I V 5590
Anti HAV 5572
Anti HAV IgM 5573
Anti HBc 5570
Anti HBcIgM 5571
Anti HBe 5569
Anti HCV 5574
Anti HCV IgM 5575
Anti Leptospira 10894
Anti Rubella IgG 5631
Anti Rubella IgM 5632
Anti Toxoplasma IgG 5629
Anti Toxoplasma IgM 5630
APG 5741
Apo A1 11016
Apo B 11017
APTT 5492
Apus 5670
Asam Urat 5524
Audiometri 5661
BSE 5480
Basofil 5866
BEecf 5648
Bence Jones Protein 5472
Benzidin 5475
Benzodiazepine 5862
Bicarbonat 5607
Bilirubin Direct 5549
Bilirubin Indirect 5550
Bilirubin Total 5548
Bj Plasma 5493
BNO 5713
BNO 2 Posisi 5715
BNO 2 Posisi CR 5716
BNO 3 Posisi 5717
BNO 3 Posisi CR 5718
BNO CR 5714
Bone Survey 5806
CEA 5578
CK 11018
CRP 5616
CA 125 (Ovarium) 5587
CA 15 - 3 5585
CA 19-9 (Pankreas) 5586
CA 72 - 4 5588
Cairan LCS 5674
Cairan Pleura/Ascites 5671
Calcaneus Axcial AP + Lat CR 5745
Calcaneus Axcial Ap+Lat 5743
Calcaneus Axcial Bilateral 10690
Calcaneus Axcial Bilateral CR 10691
Calcium 5605
Calcium Ion 5611
Calcium Urine 5612
Cannabinoids 5859
CD - 4 5602
Cefotaxim 30 ug 5688
Ceftazidim 5691
Ceftazidime 30 ug 5682
Cefuroxin 5693
Cephalometri 5766
Cephalometri CR 5767
Cervical AP + Lat 5793
Cervical AP + Lat CR 5794
Cervical AP + Lat+Obli 5795
Cervical AP+Lat+Obli CR 5796
Cervical Soft Tissue 5797
Cervical Soft Tissue CR 5798
Chikungunya IgM 5596
Chloramphenicol 30 ug 5680
Chlorida 5606
Cholesterol Total 31
Cholesterol Total 5526
Cholinesterase (CHE) 5556
Ciprofloxacin 5 ug 5683
CK - MB 5534
CK - NAC 5533
CK MB Massa 5535
Clavicula Kiri / Kanan 5733
Clavicula Kiri atau Kanan CR 5734
Clavicula Perbandingan Kiri & Kanan 5735
Clavicula Perbandingan Kiri / Kanan CR 5736
Clindamicin 2 ul 5696
Cloxacillin 5687
Cocaine 5863
Collon In Loop 5803
Compound Sulfanamides 5676
Coomb Test 11020
Cross Darah 5508
Cruris AP + Lat CR 5749
Cruris AP + Lateral 5748
Cruris Bilateral AP + Lat 10694
Cruris Bilateral CR 10695
CT SCAN Kepala Polos & Bone Window 5811
Ct Scan Kepala Polos & Bone Window 3d 10857
CT-SCAN 5809
CT-SCAN Abdomen Atas 5818
Ct-scan Abdomen Atas 3d 10864
CT-SCAN Abdomen Atas dan Bawah 5819
Ct-scan Abdomen Atas Dan Bawah 3d 10865
CT-SCAN Abdomen Atas Kontras 5820
Ct-scan Abdomen Atas Kontras 3d 10866
CT-SCAN Abdomen Bawah 5817
Ct-scan Abdomen Bawah 3d 10863
CT-SCAN Abdomen Bawah Kontras 5821
Ct-scan Abdomen Bawah Kontras 3d 10867
CT-SCAN Abdomen Kontras Atas & Bawah 5822
Ct-scan Abdomen Kontras Atas & Bawah 3d 10887
CT-SCAN Cervical 5838
Ct-scan Cervical 3d 10882
CT-SCAN Cervical Kontras 5839
Ct-scan Cervical Kontras 3d 10883
Ct-scan Ekstremitas Atas 3d 10889
CT-SCAN Ekstremitas Atas/Bawah 5840
Ct-scan Ekstremitas Bawah 10890
Ct-scan Ekstremitas Bawah 3d 10891
CT-SCAN Kepala Kontras 5812
Ct-scan Kepala Kontras 3d 10858
CT-SCAN Kepala Kontras Tanpa Polos 5813
Ct-scan Kepala Kontras Tanpa Polos 3d 10859
CT-SCAN Kepala Polos 5810
Ct-scan Kepala Polos 3d 10856
CT-SCAN Kontras Tanpa Polos 5814
Ct-scan Kontras Tanpa Polos 3d 10860
CT-SCAN Laring 10696
Ct-scan Laring 3d 10884
CT-SCAN Laring Kontras 10697
Ct-scan Laring Kontras 3d 10885
CT-SCAN Lumbal 5830
Ct-scan Lumbal 3d 10874
CT-SCAN Lumbalsacral 5831
Ct-scan Lumbalsacral 3d 10875
CT-SCAN MANDIBULA 5834
Ct-scan Mandibula 3d 10878
CT-SCAN Mandibula Kontras 5835
Ct-scan Mandibula Kontras 3d 10879
CT-SCAN Mastoid 5836
Ct-scan Mastoid 3d 10880
CT-SCAN Mastoid Kontras 5837
Ct-scan Mastoid Kontras 3d 10881
CT-SCAN Nasofaring Kontras 5824
Ct-scan Nasofaring Kontras 3d 10869
CT-SCAN Nasofaring Polos 5823
Ct-scan Nasofaring Polos 3d 10868
CT-SCAN ORBITA KONTRAS 5826
Ct-scan Orbita Kontras 3d 10871
CT-SCAN ORBITA POLOS 5825
Ct-scan Orbita Polos 3d 10870
CT-SCAN Pelvis 5833
Ct-scan Pelvis 3d 10877
CT-SCAN Sinus 5827
Ct-scan Sinus 3d 10872
CT-SCAN Sinus Kontras 5828
Ct-scan Sinus Kontras 3d 10888
CT-SCAN Thoracal Lumbal 5832
Ct-scan Thoracal Lumbal 3d 10876
CT-SCAN Thoracol 5829
Ct-scan Thoracol 3d 10873
CT-SCAN Thorax Kontras 5816
Ct-scan Thorax Kontras 3d 10862
CT-SCAN Thorax Polos 5815
Ct-scan Thorax Polos 3d 10861
D-dimer 10892
Dengue Ag NS 1 Antigen 5595
Dental 5799
DHF IgG 5593
DHF IgM 5594
Diftel 5479
E.K.G. 5539
Echo Cardiography 5541
Echo Cardiography (pilihan) 5543
Echo Cardiography (sedang) 5542
Elbow Joint (Cubiti) Ap+Lat 5727
Elbow Joint (Cubiti) Ap+Lat CR 5728
Elbow Joint (Cubiti) Bilateral 10684
Elbow Joint (Cubiti) Bilateral CR 10685
Elektroforesis Protein 5547
Eosinofil 5488
Eritrosit 5481
Erytrhromycin 15 ug 5677
Expertise 10854
Expertise Ct-scan 10853
FT3 5592
FT4 5591
Faeces Lengkap 5474
Femur AP + Lat CR 5759
Femur AP + Lateral 5757
Feritin 5562
Fistulografi 5805
Follow Through 5801
Fosfatase Alkali (AP) 5554
Fosfatase Asam 5644
Fosfor Anorganik 5658
Fruktosamin 5516
G.T.T 5514
G6P - D 5655
G6PD 5505
G6PD Neonatus 5506
G6P-D Neonatus 5656
Gal Kultur 5664
Gamma - GT 5553
Gentamycin 10 ug 5679
Genu AP + Lat CR 5751
Genu AP + Lateral 5750
Genu Bilateral AP + Lat CR 5754
Genu Bilateral AP + Lateral 5752
GLDH 5565
Globulin 5546
Glukosa 2 jam pp 5512
Glukosa ad random 5513
Glukosa Cyto 5518
Glukosa Puasa 5511
Golongan Darah 5503
H PSA 10737
HB Elektroforesis 5500
HBA1C 5517
HBeAg 5568
HBs Ag (Elisa) 5566
Hbs Ag Strip 5599
HBV DNA 10848
HCO3 5649
HDL-Cholesterol 5527
Hematokrit 5482
Hemoglobin 5477
Hemoglobin Panel Analisa 5502
Hexagon TB 5597
HIP Joint AP + Lat CR 5758
HIP Joint AP+Lateral 5756
Histero Salfingo Graphy (HSG) 5807
Hitung Kuman 5663
HIV Konfirmasi 5589
Homocystein 5620
hs- CRP 5623
HSV 1 IgG 5625
HSV 1 IgM 5626
HSV 2 IgG 5637
HSV 2 IgM 5638
Humerus AP + Lat CR 5730
Humerus AP + Lateral 5729
Humerus Bilateral 10686
Humerus Bilateral CR 10687
IgA 5558
IgE 5563
Ige Spesifik Debu 10849
IgE Total 5641
IgG 5557
Igg Helicobacter Pylori 11029
IgM 5559
Igra 11027
IVP ( Intra Vena Pyelografi ) 5802
Kalium 5609
Kalium Urine 5614
Kanamycin 30 ug 5678
Kerokan Kulit 5673
Knee Chest 5719
Knee Chest CR 5720
Kreatin Clearance 5523
Kreatinin 5522
Kultur 5662
Kurva Harian 5515
LDH 5532
LDL-Cholesterol 5528
Lekosit 5478
Lepra 5672
LE-Test 5619
Levofloxacin 5 ug 5684
Lipase 5654
Lipid Total 5530
Lp (a) 5538
Lumbal AP + Lat 5787
Lumbal AP + Lat CR 5786
LumboSacral AP + Lat 5789
LumboSacral AP + Lat CR 5790
LumboSacral AP+Lat+Obli 5791
LumboSacral AP+Lat+Obli CR 5792
Magnesium 5610
Mandibula AP + Eisler 5778
Mandibula AP + Eisler CR 5779
Manus AP + Lateral 5721
Manus AP+Lat CR 5722
Mastoid ( Schullers+Stenvers ) 5768
Mastoid (Schuller & Stenvers) CR 5770
MCH 5485
MCHC 5486
MCV 5484
MCV 5659
Meropenem 10 ul 5697
Metamphetamine 5858
Mikroalbumin Kuant 5473
Morfologi 5497
Morphine 5861
Moxifloxacin 5 ul 5698
Natrium 5608
Natrium Urine 5613
Netilmycin 5692
Oesofagografi 11022
OMD 5800
Os Nasal 5773
Os Nasal CR 5775
Pack hCG Test 5468
Pack hCG ABBOT Test 5469
Paket Gas Darah CG 8+ 29
Paket Hematologi 18 Parameter 28
Paket Hematologi Lengkap 27
Paket Hematologi Rutin 10739
PAKET I HDI 10757
PAKET II HDI 10751
PAKET III HDI 10752
PAKET IV HDI 10753
Paket Khusus Askes 30
Paket MCU Haji 1 (Perempuan) 10746
Paket MCU Haji 1 (Perempuan) 10747
Paket MCU Haji 2 (Laki-Laki) 10748
Paket MCU Haji 2 (Laki-Laki) 10749
PAKET V HDI 10754
PAKET VI HDI 10755
PAKET VII HDI 10756
Panoramic CR 5788
PAP SMEAR 5857
Parasit darah : Filaria 5499
Parasit darah : Malaria 5498
PATOLOGI ANATOMI 5856
Patologi Anatomi Besar 10886
PC02 5646
Pedis AP + Lat CR 5744
Pedis AP + Lateral 5742
Pedis Bilateral AP + Lat 10688
Pedis Bilateral CR 10689
Pelvis AP 5760
Pelvis AP + Lat 5762
Pelvis AP + Lat CR 5763
Pelvis AP CR 5761
Pelvis Sonde 10850
Pelvis Sonde CR 10851
pH 5645
Pipemidic Acid 20 ug 5694
PO2 5647
Posfor 11033
Procalcitonin 11030
Prolaktin 5657
Protein (Esbach) 5471
Protein Total 5544
PSA 5582
PT 5491
Rapid - Anti Tb igG 5598
RA-Test 5617
Retikulosit 5487
Rh. Faktor (Rhesus) 5504
SGOT 5551
SGPT 5552
Scapula Kiri / Kanan 5737
Scapula Kiri atau Kanan CR 5738
Scapula Perbandingan Kiri & Kanan 5739
Scapula Perbandingan Kiri & Kanan CR 5740
SCC 5601
Schedell AP + Lat 5765
Schedell AP + Lat CR 5764
Secret Luka 5669
Secret Mata 5667
Secret Uretra 5668
Secret Vagina/Servic 5665
Sel LE 5507
Serum Iron 5495
SGOT 5536
SGPT 5537
Shoulder Join AP + Lat CR 5732
Shoulder Join Bilateral 10698
Shoulder Join Bilateral CR 10699
Shoulder Joint AP + Lateral 5731
Sky Line Patela AP + Lat CR 5755
Sky Line Patela AP + Lateral 5753
Slide hCG Test 5465
sO2 5651
Sovo hCG Test 5467
Sperma Analisis 5640
Spirometri 5660
SPN ( Waters + Lat ) 5776
SPN (Waters + Lat ) CR 5777
Spot Anti Salmonella Typhi IgM 5627
Sputum 5666
Stick hCG Test 5466
Streptomycin 5690
Sulbennicillin 5689
T3 5579
TIBC 5496
TPHA 5624
T S Hs 5583
T.T.T. 5561
T3 % Uptake 5580
T4 (Thyroxine) 5581
Takata Ara 5564
Tazobactam piperacillin 100 ul 5695
TCO2 5650
Testosteron 10750
Tetracycline 30 ug 5686
Thoracal AP + Lat 5780
Thoracal AP + Lat CR 5781
Thoracal Lumbal AP + Lat 5782
Thoracal Lumbal AP + Lat CR 5783
Thoracal Lumbal AP+Lat+Obli 5785
Thoracal Lumbal AP+Lat+Obli CR 5784
Thorax 3 Posisi 5711
Thorax 3 Posisi CR 5712
Thorax AP + Lat CR 5706
Thorax AP + Lateral 5705
Thorax LLD / RLD 5707
Thorax LLD atau RLD CR 5709
Thorax Photo 5703
Thorax Photo CR 5704
Thorax Top Lordotic CR 5710
Thorax Top Lordotik 5708
Thrombotest Owren 5494
Tiroglobulin 5584
Titer HCG 5470
Titrasi PP Test 5864
TMJ 5769
TMJ CR 5771
Total Limposit Absolut 5509
Transferin 11023
Treadmill Test 5540
Triglyseride 32
Triglyseride 5529
Trimethropim S 5 ug 5675
Trombosit 5483
Troponin - I 5531
Tubex Anti Salmonella IgM 5628
Urea Clearance 5521
Urethrocystogram 5804
Urethrocystogram Biopolar 11021
Ureum Darah 5520
Urine Lengkap 5464
USG 5849
USG Abdomen 5842
USG Abdomen CYTO 5852
USG Abdomen Plus 5850
Usg Colour Dopler 5854
Usg Colour Dopler 2 Bagian 5855
USG Kandungan 5847
USG KEPALA BAYI 5851
USG Khusus 5853
USG Mamae 5844
USG Testis 5846
USG Thorax 5848
USG Tiroid 5845
USG Transvaginal 5843
VDRL 5621
Vit D-oh3 10893
Waktu Pembekuan 5490
Waktu Pendarahan 5489
Waters 5772
Waters CR 5774
Widal 5615
Wrist Joint AP + Lateral 5723
Wrist Joint AP+Lat CR 5724
Wrist Joint Bilateral 10680
Wrist Joint Bilateral CR 10681
daftartindakan_kode BHAP JASA SARANA PPH 23 JASA PERUJUK JASA MEDIS
HG0 4,950 625,050 - - -
HH0 4,950 1,351,050 - - -
JD0 24,610 56,390 180 8,820 -
SD0 60,000 - - - -
G20 47,039 38,461 190 9,310 -
GF0 4,950 325,050 - - -
NB0 61,667 118,333 400 19,600 -
NC0 4,950 287,550 - - -
PG0 - - - - -
VC0 22,793 12,307 78 3,822 -
PK0 - - - - -
MA0 - - - - -
LA0 - - - - -
CS1 4,950 500,050 - - -
CH001 - 300,000 - - -
RS1 138,180 17,820 480 23,520 60,000
RS0 47,100 37,400 260 12,740 32,500
RS2 85,380 58,620 320 15,680 -
RS3 138,180 91,320 510 24,990 -
RJ 0 138,180 17,820 480 23,520 60,000
RJ0 47,100 37,400 260 12,740 32,500
RJ1 85,380 58,620 320 15,680 -
RJ2 138,180 91,320 510 24,990 -
H10 126,303 121,197 550 26,950 -
JH0 4,950 375,050 - - -
JU0 180,555 84,945 590 28,910 -
JU1 139,987 134,513 610 29,890 -
HX0 4,950 504,050 - - -
HQ0 156,000 141,000 660 32,340 -
H60 4,950 468,050 - - -
H70 201,543 117,957 710 34,790 -
H40 4,950 330,050 - - -
H50 4,950 520,050 - - -
H30 4,950 560,050 - - -
H80 201,000 127,500 730 35,770 -
H90 4,950 950,050 - - -
(blank) 4,950 103,050 - - -
JR0 134,718 153,282 640 31,360 -
JS0 180,555 165,945 770 37,730 -
JO0 189,622 57,878 550 26,950 -
JP0 173,140 78,860 560 27,440 -
RQ0 28,620 738,130 490 24,010 263,750
(blank) - 300,000 - - -
(blank) - 200,000 - - -
CK2 8,713 166,287 - - -
OH1 21,473 68,527 200 9,800 -
EE0 10,352 24,748 78 3,822 -
NK0 - 7,000 160 7,840 60,000
CD0 13,993 5,807 44 2,156 -
B002 - - - - -
NA5 - - - - -
AI0 4,950 110,050 - - -
BB0 4,950 150,050 - - -
VE0 22,793 12,307 78 3,822 -
IC0 4,950 385,550 - - -
G60 27,110 59,290 192 9,408 -
GA0 - - - - -
G50 27,109 59,291 192 9,408 -
CL0 12,952 36,548 110 5,390 -
RD0 47,100 37,400 260 12,740 32,500
RE0 85,380 32,920 364 17,836 45,500
RE1 190,980 56,020 760 37,240 95,000
RF0 123,660 56,390 554 27,146 69,250
RF1 190,980 95,020 880 43,120 110,000
RD1 60,300 89,200 460 22,540 57,500
RZ4 28,620 151,880 490 24,010 550,000
HI0 107,044 149,456 570 27,930 -
(blank) - 185,000 - - -
JB0 22,437 58,563 180 8,820 -
HO2 4,950 595,050 - - -
HO0 4,950 600,050 - - -
HO1 4,950 610,050 - - -
HO3 4,950 815,050 - - -
OL0 109,473 102,027 470 23,030 -
OI0 109,473 88,527 440 21,560 -
RR11 138,180 17,820 480 23,520 60,000
RR1 47,100 37,400 260 12,740 32,500
RR6 85,380 58,620 320 15,680 -
RR7 138,180 91,320 510 24,990 -
IA0 16,936 50,564 150 7,350 -
IF1 4,950 250,050 - - -
IG0 4,950 95,050 - - -
VB0 22,793 12,307 78 3,822 -
HX2 4,950 385,050 - - -
PN0 - - - - -
PQ0 - - - - -
PH0 - - - - -
PS0 - - - - -
RW40 47,100 24,400 220 10,780 27,500
RW41 44,460 62,790 330 16,170 41,250
RX4 47,100 43,900 280 13,720 35,000
RX40 138,180 17,820 480 23,520 60,000
RX5 123,660 42,090 510 24,990 63,750
RX50 190,980 56,020 760 37,240 95,000
RX6 47,100 43,900 280 13,720 35,000
RX60 138,180 17,820 480 23,520 60,000
HU2 113,906 197,494 692 33,908 -
PF0 - - - - -
IB0 22,023 53,577 168 8,232 -
FA0 14,454 26,046 90 4,410 -
FA0 14,454 26,046 90 4,410 -
GH0 4,950 150,050 - - -
PI0 - - - - -
FK0 190,000 39,500 510 24,990 -
FJ0 4,950 285,050 - - -
FK1 195,165 214,835 - - -
RM0 47,100 37,400 260 12,740 32,500
RM1 138,180 17,820 480 23,520 60,000
RN0 85,380 18,620 320 15,680 40,000
RN1 138,180 17,820 480 23,520 60,000
PV0 - - - - -
PM0 - - - - -
VF0 22,793 12,307 78 3,822 -
RZ1 28,620 151,880 490 24,010 950,000
PB0 - - - - -
(blank) - 480,000 - - -
CY0 7,283 21,517 64 3,136 -
RT1 138,180 17,820 480 23,520 60,000
RT0 47,100 37,400 260 12,740 32,500
RT2 85,380 78,420 364 17,836 -
RT3 138,180 91,320 510 24,990 -
SA10 191,555 533,445 2,000 98,000 155,000
(blank) 373,555 779,195 3,180 155,820 246,450
SA0 100,555 588,195 1,900 93,100 147,250
SA6 191,555 649,445 2,320 113,680 179,800
(blank) 373,555 895,195 3,500 171,500 271,250
SA7 373,555 974,945 3,720 182,280 288,300
(blank) 737,555 1,038,695 4,900 240,100 379,750
SA8 1,140,555 671,945 5,000 245,000 387,500
(blank) 1,504,555 735,695 6,180 302,820 478,950
SA5 191,555 649,445 2,320 113,680 179,800
(blank) 373,555 895,195 3,500 171,500 271,250
SA9 1,140,555 671,945 5,000 245,000 387,500
(blank) 1,504,555 735,695 6,180 302,820 478,950
SB0 1,504,555 837,195 6,460 316,540 500,650
(blank) 1,686,555 1,082,945 7,640 374,360 592,100
SC3 100,555 769,445 2,400 117,600 186,000
(blank) 191,555 1,106,195 3,580 175,420 277,450
SC4 575,055 1,027,195 4,420 216,580 342,550
(blank) 757,055 1,272,945 5,600 274,400 434,000
(blank) 373,555 1,032,945 3,880 190,120 300,700
SC5 191,555 787,195 2,700 132,300 209,250
(blank) 191,555 787,195 2,700 132,300 209,250
(blank) 373,555 1,032,945 3,880 190,120 300,700
SA2 575,055 657,615 3,230 166,600 263,500
(blank) 757,055 903,765 4,010 224,420 354,950
SA20 484,055 226,585 1,820 96,040 151,900
(blank) 575,055 562,325 4,010 153,860 243,350
SA1 100,555 588,195 1,900 93,100 147,250
(blank) 191,555 924,945 3,080 150,920 238,700
SA21 484,055 226,585 1,820 96,040 151,900
(blank) 575,055 563,195 3,140 153,860 243,350
SD1 100,555 979,445 2,400 117,600 -
(blank) 191,555 1,106,195 3,580 175,420 277,450
SD1 575,055 1,413,945 4,420 216,580 -
(blank) 757,055 1,272,945 5,600 274,400 434,000
SB7 191,555 1,077,195 3,500 171,500 271,250
(blank) 373,555 1,322,945 4,680 229,320 362,700
SB8 373,555 895,195 3,500 171,500 271,250
(blank) 737,555 958,945 4,680 229,320 362,700
SB9 191,555 678,445 2,400 117,600 186,000
(blank) 373,555 924,195 3,580 175,420 277,450
SB90 757,055 845,195 4,420 216,580 342,550
(blank) 1,121,055 908,945 5,600 274,400 434,000
SC1 100,555 769,445 2,400 117,600 186,000
(blank) 191,555 1,106,195 3,580 175,420 277,450
SC2 575,055 1,027,195 4,420 216,580 342,550
(blank) 757,055 1,272,945 5,600 274,400 434,000
SB2 575,055 1,027,195 4,420 216,580 342,550
(blank) 757,055 1,272,945 5,600 274,400 434,000
SB1 100,555 769,445 2,400 117,600 186,000
(blank) 191,555 1,106,195 3,580 175,420 277,450
SB4 575,055 1,027,195 4,420 216,580 342,550
(blank) 757,055 1,272,945 5,600 274,400 434,000
SB3 100,555 740,445 2,320 113,680 179,800
(blank) 191,555 1,077,195 3,500 171,500 271,250
SB81 191,555 678,445 2,400 117,600 186,000
(blank) 373,555 924,195 3,580 175,420 277,450
SB5 100,555 740,445 2,320 113,680 179,800
(blank) 191,555 1,077,195 3,500 171,500 271,250
SB50 575,055 1,027,195 4,420 216,580 342,550
SB50 757,055 1,272,945 5,600 274,400 434,000
SB80 373,555 1,003,945 3,800 186,200 294,500
(blank) 737,555 1,067,695 4,980 244,020 385,950
SB6 373,555 895,195 3,500 171,500 271,250
(blank) 737,555 958,945 4,680 229,320 362,700
SA4 1,140,555 461,695 4,420 216,580 342,550
(blank) 1,504,555 525,445 5,600 274,400 434,000
SA3 191,555 678,445 2,400 117,600 186,000
(blank) 373,555 924,195 3,580 175,420 277,450
C00 - 630,000 - - -
HU1 179,433 131,967 692 33,908 -
RX7 28,620 23,380 160 7,840 20,000
HT0 72,579 83,121 346 16,954 -
HU0 72,579 83,121 346 16,954 -
CC0 10,693 9,107 44 2,156 -
FO0 11,200 23,800 100 4,900 10,000
FQ0 109,033 260,967 1,100 53,900 100,000
FS0 109,033 452,967 1,760 86,240 200,000
FR0 109,033 340,967 1,400 68,600 150,000
RJ1 47,100 37,400 260 12,740 32,500
RJ10 138,180 17,820 480 23,520 60,000
RJ5 47,100 96,900 320 15,680 -
RJ6 138,180 91,320 510 24,990 -
G40 4,950 380,050 - - -
CI0 16,413 29,487 102 4,998 -
CE0 10,693 3,707 32 1,568 -
PC0 - - - - -
(blank) 7,350 32,650 - - -
(blank) 9,555 190,445 - - -
HS0 4,950 390,050 - - -
HR0 4,950 315,050 - - -
BA0 13,683 21,417 78 3,822 -
RW11 138,180 17,820 480 23,520 60,000
RW1 85,380 21,870 330 16,170 41,250
GN0 4,950 250,050 - - -
RZ3 28,620 151,880 490 24,010 750,000
RX9 28,620 151,880 490 24,010 750,000
GE0 20,750 33,250 120 5,880 -
MA1 4,950 320,050 - - -
NH0 6,721 83,279 200 9,800 -
DG0 4,950 895,050 - - -
DD0 4,950 180,050 - - -
NE0 4,950 215,050 - - -
CW0 4,950 292,050 - - -
CW1 4,950 292,050 - - -
NF0 4,950 215,050 - - -
OC0 109,473 88,527 440 21,560 -
GD0 16,443 37,557 120 5,880 -
PE0 - - - - -
RU10 138,180 17,820 480 23,520 60,000
RU0 47,100 38,700 264 12,936 33,000
RV10 138,180 17,820 480 23,520 60,000
RV0 85,380 21,870 330 16,170 41,250
GQ0 4,950 560,050 - - -
G30 - - - - -
DB0 9,875 9,925 44 2,156 -
DC0 9,875 9,925 44 2,156 -
DI0 12,893 48,307 136 6,664 -
DA0 9,875 9,925 44 2,156 -
CU0 10,308 4,092 32 1,568 -
(blank) 7,393 234,607 - - -
CS0 4,950 520,050 - - -
DH0 138,293 37,207 390 19,110 -
H20 4,950 430,050 - - -
H00 86,990 97,510 410 20,090 -
HW0 19,361 78,739 218 10,682 -
(blank) 7,393 1,892,607 - - -
NA6 - - - - -
FB0 18,049 125,951 320 15,680 -
CF0 10,693 3,707 32 1,568 -
CA0 10,693 8,207 42 2,058 -
CT0 4,950 1,078,050 - - -
HV0 62,371 138,329 446 21,854 -
RW10 138,180 17,820 480 23,520 60,000
RW0 47,100 37,400 260 12,740 32,500
RZ5 28,620 151,880 490 24,010 850,000
OB0 - - - - -
HP0 4,950 760,050 - - -
JF0 4,950 605,050 - - -
JI0 4,950 253,050 - - -
JK0 4,950 450,050 - - -
JL0 4,950 450,050 - - -
JV0 4,950 320,050 - - -
JW0 4,950 320,050 - - -
RK1 138,180 17,820 480 23,520 60,000
RK0 47,100 38,700 264 12,936 33,000
RK2 85,380 58,620 320 15,680 -
RK3 138,180 91,320 510 24,990 -
GJ0 4,950 485,050 - - -
GO0 4,950 365,050 - - -
(blank) 7,393 484,007 1,092 53,508 -
KB0 4,950 365,050 - - -
GI0 4,950 485,050 - - -
(blank) - 670,000 - - -
GK0 4,950 485,050 - - -
(blank) - 800,000 - - -
RZ0 28,620 151,880 490 24,010 950,000
IE0 22,023 53,577 168 8,232 -
II0 4,950 95,050 - - -
PD0 - - - - -
OK0 21,473 68,527 200 9,800 -
RG0 47,100 43,900 280 13,720 35,000
RG1 138,180 17,820 480 23,520 60,000
ED0 4,950 120,050 - - -
EC0 12,660 22,440 78 3,822 -
OA0 119,373 159,627 620 30,380 -
DE0 4,950 190,050 - - -
FI0 4,950 117,050 - - -
FC0 - - - - -
CB0 10,693 3,707 32 1,568 -
OJ0 21,473 68,527 200 9,800 -
JE0 4,950 105,050 - - -
PJ0 - - - - -
ND0 61,667 176,833 530 25,970 -
FE0 4,950 357,050 - - -
FN0 4,950 375,050 - - -
RX1 85,380 18,620 320 15,680 40,000
RX05 190,980 56,020 760 37,240 95,000
RX2 85,380 18,620 320 15,680 40,000
RX20 190,980 56,020 760 37,240 95,000
RX3 123,660 81,090 630 30,870 78,750
RX30 190,980 95,020 880 43,120 110,000
IF0 4,950 103,050 - - -
RW8 47,100 56,900 320 15,680 40,000
RW81 138,180 17,820 480 23,520 60,000
RH0 47,100 24,400 220 10,780 27,500
RH1 44,460 111,540 480 23,520 60,000
RW5 47,100 43,900 280 13,720 35,000
RW51 138,180 17,820 480 23,520 60,000
CG2 10,693 10,907 48 2,352 -
CG4 10,693 10,907 48 2,352 -
CG1 10,693 10,907 48 2,352 -
NI0 10,693 10,907 48 2,352 -
PW0 - - - - -
VA0 22,793 12,307 78 3,822 -
AJ0 4,950 130,050 - - -
CP0 7,283 90,817 218 10,682 -
VD0 22,793 12,307 78 3,822 -
PX0 - - - - -
ID0 22,023 53,577 168 8,232 -
IH0 4,950 95,050 - - -
PR0 - - - - -
(blank) 28,620 1,101,880 490 24,010 -
RX8 28,620 151,880 490 24,010 750,000
RW60 47,100 24,400 220 10,780 27,500
RW62 44,460 72,540 360 17,640 45,000
AE0 40,480 36,020 170 8,330 -
AE1 51,159 45,141 214 10,486 -
(blank) 374,022 435,978 1,800 88,200 -
(blank) 28,149 50,151 174 8,526 -
(blank) 28,149 50,151 174 8,526 -
CO2 6,721 71,579 174 8,526 -
PAKET 24,590 35,410 - - -
PAKET 35,740 84,260 - - -
PAKET 42,191 237,809 - - -
PAKET 63,240 116,760 - - -
(blank) 92,420 15,580 - 12,000 -
PAKET 100,783 223,217 - 36,000 -
PAKET 39,250 41,750 - 9,000 -
PAKET 85,800 188,700 - 30,500 -
PAKET 39,250 41,750 - 9,000 -
PAKET 39,740 80,260 - - -
PAKET 53,220 146,780 - - -
PAKET 155,117 152,883 - - -
RX11 44,460 62,790 330 16,170 41,250
UB0 26,950 (56,950) 300 14,700 150,000
CR0 46,787 34,213 180 8,820 -
CQ0 46,787 34,213 180 8,820 -
UA0 17,500 43,500 580 28,420 200,000
(blank) 173,000 (69,000) 1,120 54,880 400,000
NA3 - - - - -
RR10 138,180 17,820 480 23,520 60,000
RR0 47,100 37,400 260 12,740 32,500
RR1 85,380 58,620 320 15,680 -
RR2 138,180 91,320 510 24,990 -
RW2 47,100 37,400 260 12,740 32,500
RW3 85,380 21,870 330 16,170 41,250
RW30 138,180 17,820 480 23,520 60,000
RW20 138,180 17,820 480 23,520 60,000
(blank) 104,800 57,200 - 18,000 -
(blank) 93,800 108,700 - 22,500 -
NA2 264,022 298,478 1,250 61,250 -
PT0 - - - - -
NA4 - - - - -
(blank) - 113,000 - - -
(blank) - 909,000 - - -
NG0 4,950 351,050 - - -
AH0 4,950 165,050 - - -
G10 47,039 38,461 190 9,310 -
HM0 4,950 385,050 - - -
CK1 8,713 281,287 - - -
HV1 4,950 305,050 - - -
JC0 21,138 59,862 180 8,820 -
CH0 16,413 29,487 102 4,998 -
CV0 16,521 5,079 48 2,352 -
GB0 22,655 15,145 84 4,116 -
GC0 22,655 15,145 84 4,116 -
RO0 47,100 37,400 260 12,740 32,500
RO1 138,180 17,820 480 23,520 60,000
RP0 47,100 43,900 280 13,720 35,000
RP1 138,180 17,820 480 23,520 60,000
HX1 4,950 563,050 - - -
RW4 47,100 43,900 280 13,720 35,000
RW39 380 194,620 600 29,400 75,000
OH0 21,473 68,527 200 9,800 -
OF0 21,473 68,527 200 9,800 -
OG0 21,473 68,527 200 9,800 -
OD0 21,473 68,527 200 9,800 -
CX0 4,950 107,050 - - -
CN0 5,633 149,367 - - -
FL0 22,655 15,145 84 4,116 -
FM0 22,655 15,145 84 4,116 -
RL1 138,180 17,820 480 23,520 60,000
RL2 85,380 58,620 320 15,680 -
RL3 139,680 90,330 - 24,990 -
RL0 47,100 37,400 260 12,740 32,500
RV11 138,180 17,820 480 23,520 60,000
RV1 47,100 43,900 280 13,720 35,000
AB0 10,523 21,877 72 3,528 -
NA8 - - - - -
AD0 24,621 30,279 122 5,978 -
KA0 41,273 80,227 270 13,230 -
NJ0 46,773 97,227 320 15,680 -
RW7 47,100 43,900 280 13,720 35,000
RW71 138,180 17,820 480 23,520 60,000
JM0 134,405 24,895 - 17,700 -
OE0 21,473 68,527 200 9,800 -
AC0 12,952 23,048 80 3,920 -
PP0 - - - - -
PO0 - - - - -
HJ0 93,039 135,561 508 24,892 -
CO0 5,633 144,367 - - -
JJ0 4,950 180,050 - - -
HN0 88,331 149,269 528 25,872 -
GM0 - - - - -
HK0 - - - - -
HL0 83,282 145,318 508 24,892 -
GP0 - - - - -
PU0 - - - - -
NA7 - - - - -
Testosteron 7,393 321,107 730 35,770 -
PL0 - - - - -
RW9 85,380 18,620 320 15,680 40,000
RW91 190,980 56,020 760 37,240 95,000
RX0 85,380 18,620 320 15,680 40,000
RX02 190,980 56,020 760 37,240 95,000
RX04 123,660 81,090 630 30,870 78,750
RX03 190,980 95,020 880 43,120 110,000
RC2 123,660 81,090 630 30,870 78,750
RC21 190,980 67,720 796 39,004 99,500
RB1 138,180 17,820 480 23,520 60,000
RB0 85,380 31,620 360 17,640 45,000
RC0 85,380 28,370 350 17,150 43,750
RC10 138,180 17,820 480 23,520 60,000
RA0 47,100 22,450 214 10,486 26,750
RA1 44,460 72,540 360 17,640 45,000
RC11 44,460 62,790 330 16,170 41,250
RC1 47,100 24,400 220 10,780 27,500
CM0 5,633 229,367 - - -
HN1 4,950 495,050 - - -
AF0 73,745 157,555 514 25,186 -
TK1 - - - - -
RW50 47,100 24,400 220 10,780 27,500
RW52 44,460 62,790 330 16,170 41,250
CY5 12,233 83,167 212 10,388 -
GN1 4,950 340,050 - - -
FP0 350,000 54,500 1,210 59,290 110,000
FD0 21,070 13,130 76 3,724 -
FD0 21,069 13,131 76 3,724 -
PA0 - - - - -
CG0 10,693 16,307 60 2,940 -
FE1 4,950 650,050 - - -
JN0 140,239 98,261 530 25,970 -
EB0 4,950 120,050 - - -
RZ2 28,620 151,880 490 24,010 950,000
RZ2 28,620 1,101,880 490 24,010 -
EA0 17,951 17,149 78 3,822 -
AA0 14,783 23,479 78 660 -
TA7 37,350 105,150 600 29,400 127,500
TA0 37,350 105,150 600 29,400 127,500
TB0 37,350 124,150 680 33,320 144,500
TA8 37,350 124,150 680 33,320 144,500
TB2 37,350 176,400 900 44,100 191,250
TB3 37,350 247,650 1,200 58,800 255,000
TA5 37,350 105,150 600 29,400 127,500
TA9 37,350 105,150 600 29,400 127,500
TB1 37,350 124,150 680 33,320 144,500
TA2 37,350 105,150 600 29,400 127,500
TA4 37,350 105,150 600 29,400 127,500
TA6 37,350 105,150 600 29,400 127,500
TA3 37,350 105,150 600 29,400 127,500
TA1 93,350 115,650 880 43,120 187,000
JG0 33,986 47,014 180 8,820 -
(blank) - 350,000 - - -
CK0 10,363 13,037 52 2,548 -
CJ0 10,363 13,037 52 2,548 -
RW6 47,100 43,900 280 13,720 35,000
RW61 44,460 72,540 360 17,640 45,000
JA0 28,073 47,527 168 8,232 -
RI0 47,100 24,400 220 10,780 27,500
RI1 138,180 17,820 480 23,520 60,000
RI2 85,380 58,620 320 15,680 -
RI3 138,180 91,320 510 24,990 -
JASA PARAMEDIS Total Tarif
- 630,000
- 1,356,000
- 90,000
- 60,000
- 95,000
- 330,000
- 200,000
- 292,500
- -
- 39,000
- -
- 400,000
- 325,000
- 505,000
- 300,000
- 240,000
- 130,000
- 160,000
- 255,000
- 240,000
- 130,000
- 160,000
- 255,000
- 275,000
- 380,000
- 295,000
- 305,000
- 509,000
- 330,000
- 473,000
- 355,000
- 335,000
- 525,000
- 565,000
- 365,000
- 955,000
- 108,000
- 320,000
- 385,000
- 275,000
- 280,000
- 1,055,000
- 300,000
- 200,000
- 175,000
- 100,000
- 39,000
5,000 80,000
- 22,000
- -
- -
- 115,000
- 155,000
- 39,000
- 390,500
- 96,000
- -
- 96,000
- 55,000
- 130,000
- 182,000
- 380,000
- 277,000
- 440,000
- 230,000
- 755,000
- 285,000
- 185,000
- 90,000
- 600,000
- 605,000
- 615,000
- 820,000
- 235,000
- 220,000
- 240,000
- 130,000
- 160,000
- 255,000
- 75,000
- 255,000
- 100,000
- 39,000
- 390,000
- -
- -
- -
- -
- 110,000
- 165,000
- 140,000
- 240,000
- 255,000
- 380,000
- 140,000
- 240,000
- 346,000
- -
- 84,000
- 45,000
- 45,000
- 155,000
- -
- 255,000
- 290,000
- 410,000
- 130,000
- 240,000
- 160,000
- 240,000
- -
- -
- 39,000
- 1,155,000
- -
- 480,000
- 32,000
- 240,000
- 130,000
- 182,000
- 255,000
20,000 1,000,000
31,800 1,590,000
19,000 950,000
23,200 1,160,000
35,000 1,750,000
37,200 1,860,000
49,000 2,450,000
50,000 2,500,000
61,800 3,090,000
23,200 1,160,000
35,000 1,750,000
50,000 2,500,000
61,800 3,090,000
64,600 3,230,000
76,400 3,820,000
24,000 1,200,000
35,800 1,790,000
44,200 2,210,000
56,000 2,800,000
38,800 1,940,000
27,000 1,350,000
27,000 1,350,000
38,800 1,940,000
34,000 1,700,000
45,800 2,290,000
19,600 980,000
31,400 1,570,000
19,000 950,000
30,800 1,540,000
19,600 980,000
31,400 1,570,000
- 1,200,000
35,800 1,790,000
- 2,210,000
56,000 2,800,000
35,000 1,750,000
46,800 2,340,000
35,000 1,750,000
46,800 2,340,000
24,000 1,200,000
35,800 1,790,000
44,200 2,210,000
56,000 2,800,000
24,000 1,200,000
35,800 1,790,000
44,200 2,210,000
56,000 2,800,000
44,200 2,210,000
56,000 2,800,000
24,000 1,200,000
35,800 1,790,000
44,200 2,210,000
56,000 2,800,000
23,200 1,160,000
35,000 1,750,000
24,000 1,200,000
35,800 1,790,000
23,200 1,160,000
35,000 1,750,000
44,200 2,210,000
56,000 2,800,000
38,000 1,900,000
49,800 2,490,000
35,000 1,750,000
46,800 2,340,000
44,200 2,210,000
56,000 2,800,000
24,000 1,200,000
35,800 1,790,000
- 630,000
- 346,000
- 80,000
- 173,000
- 173,000
- 22,000
- 50,000
25,000 550,000
30,000 880,000
30,000 700,000
- 130,000
- 240,000
- 160,000
- 255,000
- 385,000
- 51,000
- 16,000
- -
- 40,000
- 200,000
- 395,000
- 320,000
- 39,000
- 240,000
- 165,000
- 255,000
- 955,000
- 955,000
- 60,000
- 325,000
- 100,000
- 900,000
- 185,000
- 220,000
- 297,000
- 297,000
- 220,000
- 220,000
- 60,000
- -
- 240,000
- 132,000
- 240,000
- 165,000
- 565,000
- -
- 22,000
- 22,000
- 68,000
- 22,000
- 16,000
- 242,000
- 525,000
- 195,000
- 435,000
- 205,000
- 109,000
- 1,900,000
- -
- 160,000
- 16,000
- 21,000
- 1,083,000
- 223,000
- 240,000
- 130,000
- 1,055,000
- -
- 765,000
- 610,000
- 258,000
- 455,000
- 455,000
- 325,000
- 325,000
- 240,000
- 132,000
- 160,000
- 255,000
- 490,000
- 370,000
- 546,000
- 370,000
- 490,000
- 670,000
- 490,000
- 800,000
- 1,155,000
- 84,000
- 100,000
- -
- 100,000
- 140,000
- 240,000
- 125,000
- 39,000
- 310,000
- 195,000
- 122,000
- -
- 16,000
- 100,000
- 110,000
- -
- 265,000
- 362,000
- 380,000
- 160,000
- 380,000
- 160,000
- 380,000
- 315,000
- 440,000
- 108,000
- 160,000
- 240,000
- 110,000
- 240,000
- 140,000
- 240,000
- 24,000
- 24,000
- 24,000
- 24,000
- -
- 39,000
- 135,000
- 109,000
- 39,000
- -
- 84,000
- 100,000
- -
- 1,155,000
- 955,000
- 110,000
- 180,000
- 85,000
- 107,000
- 900,000
- 87,000
- 87,000
- 87,000
- 60,000
- 120,000
- 280,000
- 180,000
- 120,000
- 360,000
- 90,000
- 305,000
- 90,000
- 120,000
- 200,000
- 308,000
- 165,000
15,000 150,000
- 90,000
- 90,000
- 290,000
- 560,000
- -
- 240,000
- 130,000
- 160,000
- 255,000
- 130,000
- 165,000
- 240,000
- 240,000
- 180,000
- 225,000
- 625,000
- -
- -
- 113,000
- 909,000
- 356,000
- 170,000
- 95,000
- 390,000
- 290,000
- 310,000
- 90,000
- 51,000
- 24,000
- 42,000
- 42,000
- 130,000
- 240,000
- 140,000
- 240,000
- 568,000
- 140,000
- 300,000
- 100,000
- 100,000
- 100,000
- 100,000
- 112,000
- 155,000
- 42,000
- 42,000
- 240,000
- 160,000
- 255,000
- 130,000
- 240,000
- 140,000
- 36,000
- -
- 61,000
- 135,000
- 160,000
- 140,000
- 240,000
- 177,000
- 100,000
- 40,000
- -
- -
- 254,000
- 150,000
- 185,000
- 264,000
- -
- -
- 254,000
- -
- -
- -
- 365,000
- -
- 160,000
- 380,000
- 160,000
- 380,000
- 315,000
- 440,000
- 315,000
- 398,000
- 240,000
- 180,000
- 175,000
- 240,000
- 107,000
- 180,000
- 165,000
- 110,000
- 235,000
- 500,000
- 257,000
- -
- 110,000
- 165,000
- 106,000
- 345,000
30,000 605,000
- 38,000
- 38,000
- -
- 30,000
- 655,000
- 265,000
- 125,000
- 1,155,000
- 1,155,000
- 39,000
- 39,000
- 300,000
- 300,000
- 340,000
- 340,000
- 450,000
- 600,000
- 300,000
- 300,000
- 340,000
- 300,000
- 300,000
- 300,000
- 300,000
- 440,000
- 90,000
- 350,000
- 26,000
- 26,000
- 140,000
- 180,000
- 84,000
- 110,000
- 240,000
- 160,000
- 255,000
BMHP
TARIP
JENIS TARIP TARIP RS
TARIP LAMA KIMIA TARIP BARU
PEMERIKSAAN PRODIA TMC (2018) BAHAN BAKU
FARMA
Hemoglobin 21,000 81,000 35,000 60,000 4,800

Leukosit 16,000 25,000 15,000 20,000 1,600
Diftcount 22,000 30,000 20,000 25,000 2,000
Laju Endap Darah 22,000 56,000 35,000 30,000 2,400
Erithrosit 16,000 25,000 15,000 20,000 1,600
Hematokrit 16,000 25,000 15,000 20,000 1,600
Thrombosit 30,000 50,000 30,000 35,000 2,800
MCV 24,000 30,000 25,000 25,000 2,000
MCH 24,000 30,000 25,000 25,000 2,000
Retikulosit 51,000 131,000 70,000 60,000 6,360
Waktu Pendarahan 26,000 68,000 25,000 25,000 3,625
Waktu Pembekuan 26,000 68,000 25,000 25,000 225
PT 290,000 309,000 275,000 309,000 24,720
APTT 175,000 359,000 150,000 359,000 8,257
Serum Iron 155,000 203,000 155,000 155,000 37,975
TIBC 150,000 180,000 155,000 180,000 7,560
Morpologi 109,000 223,000 195,000 200,000 18,250
Parasit darah (Malari 90,000 125,000 100,000 100,000 0
Golongan Darah 16,000 30,000 15,000 15,000 0
Rh Faktor (Rhesus) 24,000 50,000 20,000 25,000 0
Cross Darah 32,000 0 0 35,000 0
Glukosa puasa 22,000 39,000 28,000 25,000 0
Glukosa 2 jam PP 22,000 39,000 28,000 25,000 0
Glukosa ad random 22,000 39,000 28,000 25,000 0
HBA1C 195,000 81,000 190,000 195,000 0
Glukosa cyto 68,000 0 - 70,000 0
Ureum 39,000 64,000 45,000 45,000 0
Kreatinin 39,000 65,000 45,000 45,000 0
Asam Urat 39,000 69,000 40,000 40,000 0
Cholesterol total 45,000 60,000 40,000 45,000 0
HDL-Cholesterol 160,000 80,000 70,000 80,000 0
LDL- Cholesterol (PA 0 123,000 80,000 170,000 0
Triglyserida 38,000 65,000 40,000 45,000 0
Troponin-I 655,000 772,000 600,000 700,000 0
LDH 122,000 153,000 130,000 130,000 0
CK-MB 255,000 480,000 300,000 300,000 0
CK-MB (Massa) 410,000 480,000 0 480,000 0
SGOT 42,000 64,000 45,000 45,000 0
SGPT 42,000 64,000 45,000 45,000 0
EKG 50,000 133,000 80,000 70,000 0
Treadmill test 605,000 0 525,000 605,000 0
Echo Cardiography 550,000 0 - 575,000 0
Protein Total 0 92,000 65,000 55,000 0
Albumin 95,000 93,000 65,000 55,000 0
Globulin (Paket) 0 185,000 130,000 110,000 0
Bilirubin Total 80,000 55,000 50,000 0
Bilirubin Direct 96,000 80,000 55,000 50,000 0
Bilirubin Indirect 0 160,000 110,000 100,000 0
SGOT 42,000 81,000 45,000 45,000 0
SGPT 42,000 64,000 45,000 45,000 0
Gamma-GT 60,000 116,000 80,000 70,000 0
Fosfatase Alkali (AP) 60,000 97,000 60,000 65,000 0
Alpha-Fetoprotein (A 330,000 384,000 330,000 384,000 0
HBsAg (Elisa) 205,000 441,000 422,500 350,000 0
HBsAg Konfirmasi 986,000 986,000 0
Anti-Hbs (Elisa) 275,000 215,000 195,000 275,000 0
HBeAg 435,000 539,000 425,000 440,000 0
Anti HAV 473,000 538,000 450,000 475,000 0
Anti HAV IgM 355,000 500,000 400,000 370,000 0
Anti HCV 365,000 506,000 420,000 380,000 0
Anti HCV IgM 955,000 0 0 975,000 0
ANA 630,000 759,000 650,000 650,000 0
CEA 285,000 369,000 310,000 300,000 0
T3 254,000 327,000 252,000 260,000 0
T4 (Thyroxin) 254,000 327,000 252,000 260,000 0
PSA 390,000 476,000 405,000 400,000 0
TSHs 264,000 296,000 253,000 265,000 0
CA 15-3 605,000 738,000 605,000 738,000 0
CA 19-9 (Pankreas) 615,000 751,000 640,000 751,000 0
CA 125 (Ovarium) 600,000 810,000 610,000 610,000 0
Anti HIV 330,000 465,000 330,000 340,000 0
FT 4 320,000 375,000 322,000 330,000 0
FT 3 395,000 481,000 400,000 481,000 0
DHF IgG 173,000 278,000 175,000 175,000 0
DHF IgM 173,000 278,000 175,000 175,000 0
Dengue Ag NS 1 Anti 346,000 445,000 360,000 350,000 0
Hexagon TB 223,000 300,000 250,000 225,000 0
Rapid-Anti Tb IgG 310,000 267,000 320,000 0
HBsAg (Strip) 109,000 189,000 123,500 120,000 0
Anti ds DNA 509,000 530,000 530,000 0
Calcium 75,000 126,000 90,000 90,000 0
Chlorida 84,000 141,000 90,000 90,000 0
Natrium 84,000 141,000 90,000 90,000 0
Kalium 84,000 141,000 90,000 90,000 0
Natrium Urine 100,000 141,000 103,000 141,000 0
Kalium Urine 100,000 141,000 103,000 141,000 0
Widal 84,000 198,000 90,000 90,000 0
CRP 90,000 229,000 175,000 125,000 0
RA-Test 90,000 145,000 110,000 100,000 0
ASTO 90,000 81,000 115,000 115,000 0
VDRL 90,000 124,000 75,000 100,000 0
Anti Amoeba 380,000 453,000 420,000 453,000 0
Tubex Anti Salmonell 265,000 350,000 250,000 275,000 0
Anti Toxoplasma IgG 275,000 351,000 275,000 275,000 0
Anti Toxoplasma IgM 280,000 351,000 275,000 275,000 0
Anti Rubella IgG 320,000 380,000 315,000 320,000 0
Anti Rubella IgM 385,000 480,000 385,000 385,000 0
Anti CMV IgG 295,000 362,000 295,000 300,000 0
Anti CMV IgM 305,000 495,000 385,000 375,000 0
Sperma Analisis 135,000 424,000 205,000 175,000 0
Analisis Batu Ginjal 325,000 284,000 308,000 325,000 0
Amilase Darah 200,000 378,000 250,000 250,000 0
Lipase 265,000 268,000 200,000 200,000 0
Kultur 310,000 444,000 450,000 450,000 0
Sputum 100,000 101,000 110,000 100,000 0
Secret Mata 100,000 101,000 55,000 100,000 0
Apus 100,000 101,000 55,000 100,000 0
Cairan Pleura / Ascit 220,000 517,000 430,000 400,000 0
Kerokan Kulit 100,000 111,000 55,000 100,000 0
Cairan LCS 235,000 500,000 430,000 400,000 0
Thorax Photo 107,000 100,000 110,000 0
Thorax Photo CR 180,000 189,000 187,000 180,000 0
Thorak AP + Lat CR 240,000 250,000 0
Thorak LLD atau RLD 240,000 250,000 0
BNO 130,000 150,000 0
BNO CR 230,000 193,000 230,000 0
BNO 2 Posisi 182,000 273,000 250,000 0
BNO 2 Posisi CR 380,000 390,000 0
BNO 3 Posisi CR 440,000 450,000 0
Manus AP + Lat CR 240,000 250,000 0
Wrist Joint AP + Lat 240,000 250,000 0
Antebrachi AP + Lat 240,000 250,000 0
Elbow Joint (Cubiti) 240,000 250,000 0
Antebrachii Bilateral 255,000 275,000 0
Humerus AP + Latera 132,000 264,000 250,000 0
Humerus AP + Lat C 240,000 250,000 0
Shoulder Join AP + L 240,000 250,000 0
Calvicula Kiri atau K 240,000 250,000 0
APG 1,055,000 1,300,000 0
Pedis AP + Lat CR 240,000 250,000 0
Calcaneus Axcial AP 240,000 250,000 0
Angkle Joint AP + La 240,000 250,000 0
Cruris AP + Lat CR 240,000 250,000 0
Genu AP + Lat CR 240,000 250,000 0
Genu Bilateral AP + 240,000 250,000 0
HIP Joint AP + Lat CR 240,000 250,000 0
Femur AP + Lat CR 240,000 250,000 0
Pelvis AP CR 240,000 250,000 0
Pelvis AP + Lat 165,000 175,000 0
Pelvis AP + Lat CR 240,000 250,000 0
Schedell AP + Lat CR 300,000 320,000 0
Mastoid (Schuller & 240,000 250,000 0
Waters CR 180,000 200,000 0
SPN ( Waters & Lat ) 240,000 250,000 0
Thoracal AP + Lat CR 380,000 400,000 0
Thoracal Lumbal AP 380,000 400,000 0
Thoracal Lumbal AP + 440,000 450,000 0
Lumbal AP + Lat CR 380,000 400,000 0
Panoramic CR 165,000 175,000 0
LumboSacral AP + La 160,000 175,000 0
LumboSacral AP + La 380,000 400,000 0
Lumbosacral AP + Lat 440,000 460,000 0
Cervical AP + Lat CR 240,000 260,000 0
Cervical AP + Lat + O 380,000 400,000 0
Cervical Soft Tissue 140,000 160,000 0
Cervical Soft Tissue 240,000 260,000 0
Dental 80,000 90,000 0
OMD 955,000 1,300,000 0
IVP ( Intra Vena Pyel 1,155,000 1,300,000 0
Collon in Loop 1,155,000 1,300,000 0
Histero Salfingo Gra 1,055,000 1,300,000 0
CT-SCAN Kepala Polo 950,000 957,500 1,000,000 0
CT-SCAN Kepala Pol 1,000,000 1,050,000 0
CT-SCAN Kepala Kont 1,700,000 1,633,500 1,715,000 0
CT-SCAN Kepala Kont 980,000 1,000,000 0
CT-SCAN Thorax polo 1,200,000 1,512,500 1,250,000 0
CT-SCAN Thorax Kont 2,210,000 3,146,000 2,250,000 0
CT-SCAN Abdomen A 1,160,000 1,512,500 1,200,000 0
CT-SCAN Abdomen At 1,860,000 1,573,000 1,875,000 0
CT-SCAN Abdomen Ko 3,230,000 3,267,000 3,250,000 0
CT-SCAN Nasofaring 1,200,000 1,089,000 1,215,000 0
CT-SCAN Cervical 1,200,000 1,089,000 1,215,000 0
USG Abdomen 300,000 525,000 320,000 0
USG Mamae 300,000 320,000 0
USG Tiroid 300,000 320,000 0
USG Testis 300,000 320,000 0
USG Thorax 300,000 320,000 0
USG Kepala Bayi 300,000 320,000 0
USG Khusus 340,000 360,000 0
Usg Colour Dopler 450,000 470,000 0
Usg Colour Dopler 2 600,000 620,000 0
Testosteron 365,000 415,000 380,000 0
PATOLOGI ANATOMI 290,000 385,000 310,000 0
PATOLOGI ANATOMI BESAR 0
PAP SMEAR 300,000 200,000 300,000 0
Metamphetamine 39,000 130,000 85,000 60,000 0
Cannabinoids 39,000 130,000 85,000 60,000 0
Amphetamine 39,000 130,000 85,000 60,000 0
Morphine 39,000 130,000 85,000 60,000 0
Benzodiazepine 39,000 130,000 85,000 60,000 0
Cocaine 39,000 130,000 85,000 60,000 0
Paket Hematologi Le 87,000 126,000 115,000 110,000 0
Paket Hematologi Rut 87,000 106,000 90,000 98,000 0
Audiometri 80,000 0 130,000 90,000 0
Spirometri 143,000 0 130,000 145,000 0
D-Dimer 796,000 796,000 0
AT III 526,000 526,000 0
Ferritin 305,000 305,000 0
Transferin 415,000 415,000 0
BMHP SARANA
BIAYA BIAYA
BIAYA ATK PROMOSI & BIAYA
ALKES BMHP KSO REMON ADMINIS
& ART IKLAN TETAP
(reveral) TRASI
1,206 6,681 780 2,500 3,000 600 0

2,227 260 2,500 1,000 200 0
1,975 325 2,500 1,250 250 0
2,370 390 2,500 1,500 300 0
2,227 260 2,500 1,000 200 0
2,227 260 2,500 1,000 200 0
3,897 455 2,500 1,750 350 0
2,784 325 2,500 1,250 250 0
2,784 325 2,500 1,250 250 0
4,740 780 2,500 3,000 600 0
600 325 2,500 1,250 250 0
600 325 2,500 1,250 250 0
7,416 278,100 4,017 3,090
8,616 323,100 4,667 3,590
17,259 2,015 2,500 7,750 1,550 0
4,320 162,000 2,340 1,800
15,800 2,600 2,500 10,000 2,000 0
7,900 1,300 3,000 5,000 1,000 0
1,185 195 3,000 750 150 0
1,975 325 3,000 1,250 250 0
840 455 3,000 1,750 350 0
2,784 325 3,000 1,250 250 0
2,784 325 3,000 1,250 250 0
2,784 325 3,000 1,250 250 0
21,713 2,535 3,000 9,750 1,950 0
7,795 910 3,000 3,500 700 0
5,011 585 3,000 2,250 450 0
5,011 585 3,000 2,250 450 0
4,454 520 3,000 2,000 400 0
5,011 585 3,000 2,250 450 0
8,908 1,040 3,000 4,000 800 0
18,930 2,210 8,500 1,700 0
5,011 585 3,000 2,250 450 0
77,945 9,100 3,000 35,000 7,000 0
14,476 1,690 3,000 6,500 1,300 0
33,405 3,900 3,000 15,000 3,000 0
11,520 432,000 6,240 4,800
5,011 585 3,000 2,250 450 0
5,011 585 3,000 2,250 450 0
7,795 910 3,000 3,500 700 0
67,367 7,865 3,000 30,250 6,050 0
64,026 7,475 3,000 28,750 5,750 0
6,124 715 2,750 550 0
6,124 715 3,000 2,750 550 0
12,249 1,430 5,500 1,100 0
5,568 650 2,500 500 0
5,568 650 3,000 2,500 500 0
11,135 1,300 3,000 5,000 1,000 0
5,011 585 3,000 2,250 450 0
5,011 585 3,000 2,250 450 0
7,795 910 3,000 3,500 700 0
7,238 845 3,000 3,250 650 0
9,216 345,600 4,992 3,840
38,973 4,550 3,000 17,500 3,500 0
23,664 887,400 12,818 9,860
6,600 193,500 3,575 2,750
10,560 382,500 5,720 4,400
52,891 6,175 3,000 23,750 4,750 0
41,200 4,810 3,000 18,500 3,700 0
42,313 4,940 3,000 19,000 3,800 0
108,566 12,675 3,000 48,750 9,750 0
15,600 585,000 8,450 6,500
33,405 3,900 3,000 15,000 3,000 0
28,951 3,380 3,000 13,000 2,600 0
28,951 3,380 3,000 13,000 2,600 0
44,540 5,200 3,000 20,000 4,000 0
29,508 3,445 3,000 13,250 2,650 0
19,188 544,500 9,594 7,380
19,526 576,000 9,763 7,510
15,860 549,000 7,930 6,100
37,859 4,420 3,000 17,000 3,400 0
36,746 4,290 3,000 16,500 3,300 0
11,544 360,000 6,253 4,810
19,486 2,275 3,000 8,750 1,750 0
19,486 2,275 3,000 8,750 1,750 0
38,973 4,550 3,000 17,500 3,500 0
25,054 2,925 3,000 11,250 2,250 0
35,632 4,160 3,000 16,000 3,200 0
13,362 1,560 3,000 6,000 1,200 0
12,720 477,000 6,890 5,300
10,022 1,170 3,000 4,500 900 0
10,022 1,170 3,000 4,500 900 0
10,022 1,170 3,000 4,500 900 0
10,022 1,170 3,000 4,500 900 0
3,384 92,700 1,833 1,410
3,384 92,700 1,833 1,410
10,022 1,170 3,000 4,500 900 0
13,919 1,625 3,000 6,250 1,250 0
11,135 1,300 3,000 5,000 1,000 0
12,805 1,495 3,000 5,750 1,150 0
11,135 1,300 3,000 5,000 1,000 0
10,872 378,000 5,889 4,530
30,621 3,575 3,000 13,750 2,750 0
30,621 3,575 3,000 13,750 2,750 0
30,621 3,575 3,000 13,750 0 0
35,632 4,160 3,000 16,000 0 0
42,870 5,005 3,000 19,250 0 0
33,405 3,900 3,000 15,000 0 0
41,756 4,875 3,000 18,750 225,000,000 0
19,486 2,275 3,000 8,750 35,000,000 0
7,800 277,200 4,225 81,250,000
27,838 3,250 3,000 12,500 75,000,000 0
22,270 2,600 3,000 10,000 40,000,000 0
50,108 5,850 3,000 22,500 90,000,000 0
11,135 1,300 3,000 5,000 35,000,000 0
11,135 1,300 3,000 5,000 25,000,000 0
11,135 1,300 3,000 5,000 25,000,000 0
44,540 5,200 3,000 20,000 240,000,000 0
11,135 1,300 3,000 5,000 25,000,000 0
44,540 5,200 3,000 20,000 100,000,000 0
33,950 3,000 5,500 339,900,000 0
54,600 3,000 9,000 646,200,000 0
75,250 3,000 12,500 387,500,000 0
75,250 3,000 12,500 450,000,000 0
45,750 3,000 7,500 300,000,000 0
69,350 3,000 11,500 230,000,000 0
75,250 3,000 12,500 37,500,000 0
116,550 3,000 19,500 97,500,000 0
134,250 3,000 22,500 157,500,000 0
75,250 3,000 12,500 62,500,000 0
75,250 3,000 12,500 62,500,000 0
75,250 3,000 12,500 62,500,000 0
75,250 3,000 12,500 487,500,000 0
82,625 3,000 13,750 192,500,000 0
75,250 3,000 12,500 112,500,000 0
75,250 3,000 12,500 112,500,000 0
75,250 3,000 12,500 100,000,000 0
75,250 3,000 12,500 112,500,000 0
385,000 3,000 65,000 1,040,000,000 0
75,250 3,000 12,500 425,000,000 0
75,250 3,000 12,500 112,500,000 0
75,250 3,000 12,500 1,750,000,000 0
75,250 3,000 12,500 325,000,000 0
75,250 3,000 12,500 750,000,000 0
75,250 3,000 12,500 1,200,000,000 0
75,250 3,000 12,500 112,500,000 0
75,250 3,000 12,500 112,500,000 0
75,250 3,000 12,500 175,000,000 0
53,125 3,000 8,750 1,058,750,000 0
75,250 3,000 12,500 1,437,500,000 0
95,900 3,000 16,000 176,000,000 0
75,250 3,000 12,500 137,500,000 0
60,500 3,000 10,000 220,000,000 0
75,250 3,000 12,500 125,000,000 0
119,500 3,000 20,000 200,000,000 0
119,500 3,000 20,000 400,000,000 0
134,250 3,000 22,500 202,500,000 0
119,500 3,000 20,000 180,000,000 0
53,125 3,000 8,750 122,500,000 0
53,125 3,000 8,750 113,750,000 0
119,500 3,000 20,000 1,536,000,000 0
137,200 3,000 23,000 1,610,000,000 0
78,200 3,000 13,000 2,563,600,000 0
119,500 3,000 20,000 1,100,000,000 0
48,700 3,000 8,000 704,000,000 0
78,200 3,000 13,000 1,235,000,000 0
28,050 3,000 4,500 333,000,000 0
385,000 3,000 65,000 4,940,000,000 0
385,000 3,000 65,000 12,675,000,000 0
385,000 3,000 65,000 8,450,000,000 0
385,000 3,000 65,000 3,900,000,000 0
296,500 3,000 50,000 2,600,000,000 0
311,250 3,000 52,500 2,730,000,000 0
507,425 3,000 85,750 6,860,000,000 0
296,500 3,000 50,000 2,650,000,000 0
370,250 3,000 62,500 9,225,000,000 0
665,250 3,000 112,500 16,897,500,000 0
355,500 3,000 60,000 7,320,000,000 0
554,625 3,000 93,750 6,375,000,000 0
960,250 3,000 162,500 10,725,000,000 0
359,925 3,000 60,750 5,844,150,000 0
359,925 3,000 60,750 2,126,250,000 0
95,900 3,000 16,000 560,000,000 0
95,900 3,000 16,000 1,120,000,000 0
95,900 3,000 16,000 720,000,000 0
95,900 3,000 16,000 1,024,000,000 0
95,900 3,000 16,000 384,000,000 0
95,900 3,000 16,000 1,696,000,000 0
107,700 3,000 18,000 324,000,000 0
140,150 3,000 23,500 423,000,000 0
184,400 3,000 31,000 558,000,000 0
113,600 3,000 19,000 342,000,000 0
350,427 4,030 3,000 15,500 437,100,000 0
0 0
182,040 3,900 3,000 15,000 270,000,000 0
19,200 780 3,000 3,000 75,000,000 0
19,200 780 3,000 3,000 60,000,000 0
19,200 780 3,000 3,000 69,000,000 0
19,200 780 3,000 3,000 60,000,000 0
19,200 780 3,000 3,000 271,800,000 0
19,200 780 3,000 3,000 165,000,000 0
33,950 1,430 3,000 5,500 302,500,000 0
30,410 1,274 3,000 4,900 0 0
28,050 1,170 3,000 4,500 0 0
44,275 1,885 3,000 0 0
19,104 716,400 10,348 0
12,624 473,400 6,838 ###
7,320 274,500 3,965 ###
9,960 373,500 5,395 ###
JASA MEDIS DAN PARAMEDIS
JASA PJ LAB JASA TINDAKAN / PROFIT

JASA RUJUKAN OPERATOR
INTERPRETASI
1,500 6,000 40,319

500 2,000 11,773
625 2,500 16,150
750 3,000 19,880
500 2,000 11,773
500 2,000 11,773
875 3,500 22,478
625 2,500 15,341
625 2,500 15,341
1,500 6,000 42,260
625 2,500 17,525
625 2,500 17,525
19,467
22,617
3,875 15,500 108,116
11,340
5,000 20,000 60,000 86,700
2,500 10,000 71,600
375 1,500 8,190
625 2,500 15,650
875 3,500 25,035
625 2,500 14,841
625 2,500 14,841
625 2,500 14,841
4,875 19,500 136,162
1,750 7,000 46,956
1,125 4,500 29,114
1,125 4,500 29,114
1,000 4,000 25,546
1,125 4,500 29,114
2,000 8,000 54,092
4,250 138,321
1,125 4,500 29,114
17,500 70,000 496,555
3,250 13,000 89,775
7,500 30,000 211,095
30,240
1,125 4,500 29,114
1,125 4,500 29,114
1,750 7,000 46,956
15,125 60,500 428,758
14,375 57,500 407,349
1,375 5,500 39,251
1,375 5,500 36,251
2,750 11,000 78,502
1,250 40,683
1,250 5,000 32,683
2,500 10,000 68,365
1,125 4,500 29,114
1,125 4,500 29,114
1,750 7,000 46,956
1,625 6,500 43,387
24,192
8,750 35,000 246,778
74,936
74,900
46,940
11,875 47,500 335,984
9,250 37,000 261,051
9,500 38,000 268,187
24,375 97,500 692,809
49,400
7,500 30,000 211,095
6,500 26,000 182,549
6,500 26,000 182,549
10,000 40,000 282,460
6,625 26,500 186,117
174,312
155,474
45,140
8,500 34,000 239,641
8,250 33,000 232,505
109,456
4,375 17,500 121,889
4,375 17,500 121,889
8,750 35,000 246,778
5,625 22,500 157,571
8,000 32,000 225,368
3,000 12,000 82,638
40,280
2,250 9,000 61,229
2,250 9,000 61,229
2,250 9,000 61,229
2,250 9,000 61,229
44,916
44,916
2,250 9,000 61,229
3,125 12,500 86,206
2,500 10,000 68,365
2,875 11,500 79,070
2,500 10,000 68,365
64,128
6,875 27,500 193,254
6,875 27,500 193,254
6,875 27,500 193,254
8,000 32,000 225,368
9,625 38,500 271,755
7,500 30,000 211,095
9,375 37,500 264,619
4,375 17,500 121,889
40,000
6,250 25,000 175,413
5,000 20,000 139,730
11,250 45,000 318,143
2,500 10,000 68,365
2,500 10,000 68,365
2,500 10,000 68,365
10,000 40,000 282,460
2,500 10,000 68,365
10,000 40,000 282,460
0 11,000 28,050 28,500
0 18,000 45,900 49,500
0 25,000 63,750 70,500
25,000 63,750 70,500
15,000 38,250 40,500
23,000 58,650 64,500
25,000 63,750 70,500
39,000 99,450 112,500
45,000 114,750 130,500
25,000 63,750 70,500
25,000 63,750 70,500
25,000 63,750 70,500
25,000 63,750 70,500
27,500 70,125 78,000
25,000 63,750 70,500
25,000 63,750 70,500
25,000 63,750 70,500
25,000 63,750 70,500
130,000 331,500 385,500
25,000 63,750 70,500
25,000 63,750 70,500
25,000 63,750 70,500
25,000 63,750 70,500
25,000 63,750 70,500
25,000 63,750 70,500
25,000 63,750 70,500
25,000 63,750 70,500
25,000 63,750 70,500
17,500 44,625 48,000
25,000 63,750 70,500
32,000 81,600 91,500
25,000 63,750 70,500
20,000 51,000 55,500
25,000 63,750 70,500
40,000 102,000 115,500
40,000 102,000 115,500
45,000 114,750 130,500
40,000 102,000 115,500
17,500 44,625 48,000
17,500 44,625 48,000
40,000 102,000 115,500
46,000 117,300 133,500
26,000 66,300 73,500
40,000 102,000 115,500
16,000 40,800 43,500
26,000 66,300 73,500
9,000 22,950 22,500
130,000 721,500 -4,500
130,000 721,500 -4,500
130,000 721,500 -4,500
130,000 721,500 -4,500
100,000 155,000 395,500
105,000 162,750 415,500
171,500 265,825 681,500
100,000 155,000 395,500
125,000 193,750 495,500
225,000 348,750 895,500
120,000 186,000 475,500
187,500 290,625 745,500
325,000 503,750 1,295,500
121,500 188,325 481,500
121,500 188,325 481,500
32,000 145,600 27,500
32,000 145,600 27,500
32,000 145,600 27,500
32,000 145,600 27,500
32,000 145,600 27,500
32,000 145,600 27,500
36,000 163,800 31,500
47,000 213,850 42,500
62,000 282,100 57,500
38,000 96,900 109,500
4,650 31,000 79,050 176,800
4,500 30,000 76,500 171,000

900 6,000 27,900
900 6,000 27,900
900 6,000 27,900
900 6,000 27,900
900 6,000 27,900
900 6,000 27,900
1,650 11,000 54,900
1,470 9,800 48,420
1,350 9,000 44,100
2,175 14,500 81,050
60,496
39,976
23,180
31,540
MARGIN
67.2%
58.9%
64.6%
66.3%
58.9%
58.9%
64.2%
61.4%
61.4%
70.4%
70.1%
70.1%
6.3%
6.3%
69.8%
6.3%
43.4%
71.6%
54.6%
62.6%
71.5%
59.4%
59.4%
59.4%
69.8%
67.1%
64.7%
64.7%
63.9%
64.7%
67.6%
64.7%
70.9%
69.1%
70.4%
6.3%
64.7%
64.7%
67.1%
70.9%
70.8%
65.9%
65.4%
68.4%
64.7%
64.7%
67.1%
66.7%
6.3%
70.5%
7.6%
27.2%
10.7%
70.7%
70.6%
70.6%
71.1%
7.6%
70.4%
70.2%
70.2%
70.6%
70.2%
23.6%
20.7%
7.4%
70.5%
70.5%
22.8%
69.7%
69.7%
70.5%
70.0%
70.4%
68.9%
7.6%
68.0%
68.0%
68.0%
68.0%
31.9%
31.9%
68.0%
69.0%
68.4%
68.8%
68.4%
14.2%
70.3%
70.3%
70.3%
70.4%
70.6%
70.4%
70.6%
69.7%
12.3%
70.2%
69.9%
70.7%
68.4%
68.4%
68.4%
70.6%
68.4%
70.6%
25.9%
27.5%
28.2%
28.2%
27.0%
28.0%
28.2%
28.8%
29.0%
28.2%
28.2%
28.2%
28.2%
28.4%
28.2%
28.2%
28.2%
28.2%
29.7%
28.2%
28.2%
28.2%
28.2%
28.2%
28.2%
28.2%
28.2%
28.2%
27.4%
28.2%
28.6%
28.2%
27.8%
28.2%
28.9%
28.9%
29.0%
28.9%
27.4%
27.4%
28.9%
29.0%
28.3%
28.9%
27.2%
28.3%
25.0%
-0.3%
-0.3%
-0.3%
-0.3%
39.6%
39.6%
39.7%
39.6%
39.6%
39.8%
39.6%
39.8%
39.9%
39.6%
39.6%
8.6%
8.6%
8.6%
8.6%
8.6%
8.6%
8.8%
9.0%
9.3%
28.8%
57.0%
57.0%
46.5%
46.5%
46.5%
46.5%
46.5%
46.5%
49.9%
49.4%
49.0%
55.9%
7.6%
7.6%
7.6%
7.6%
HARGA
NAMA BARANG BAHAN PEMBANTU KEMASAN SATUAN (per
satuan)
Botol Faces Alkes 1 pcs 5,040
Aquabidestilata 500 ml Alkes 1 btl 20,570
Aqua DM Brataco Alkes 1 ltr 3,750
Autoclick lancet homcare Alkes 100 pcs 30,600
Autoclick RRC Alkes 1 pcs 3,500
Cuvette Kenza 240 TX Alkes 1 pcs 8,663,600
Bilik Hitung Improved neubaeur Alkes 1 pcs 400,000
Botol 50 ml Alkes 1 pcs 850
Cool Brush Alkes 1 pcs 75,000
Control xs Alkes (pak) 1 pcs 314
Deck Glass 18x18 Assitten Alkes (pcs) 1 pcs 3,000
Disp 1 Terumo Alkes (pcs) 100 pcs 250,000
Disp 3 Terumo Alkes (pcs) 100 pcs 250,000
Disp 5 Terumo Alkes 100 pcs 300,000
Kertas EKG Cardio Care 210x295x100 Alkes 1 roll 209,000
Kertas EKG Cardio 210 x 30m x 16mm Alkes 1 roll 202,600
Kertas saring Alkes 1 pack 21,500
Kertas tredmil Alkes 1 Pack 1,188,000
Kertas glossy 230gr Alkes 1 rim 50,000
Leucoplast 1621 (1/2x5)BSN Alkes 1 roll 6,619
Leucoplast 1625 (3x5) 7,4x4,5 Alkes 1 roll 37,735
Leucoplast sedang Alkes 1 roll 6,138
Lancet Homecare Autoclix Alkes 1 pcs 306
Lampu BS 300/380 Alkes 1 pcs 2,800,000
Lampu Kenza 240TX Alkes 1 pcs 5,775,000
Lampu LED 6.5 W philips Alkes 1 pcs 30,000
Masker Box mask Alkes 100 pcs 16,500
Micropipet 1000 ul socorex Alkes 1 pcs 3,026,362
Micropipet5-50 ul socorex Alkes 1 pcs 4,540,000
Micropipet 25ul socorex Alkes 1 pcs 3,026,362
Meditol Alkes 100 ml 43,186
Alkohol 96% BRATCO Alkes 100 ml 48,000
Needle 22G Alkes 100 pcs 42,000
Objek Glass RRC CB Alkes 100 pcs 16,200
Ok Plast Alkes 100 pcs 18,480
Ose Lokal Alkes 1 pcs 8,500
optical viber Alkes 1 pcs 8,291,250
parafilm 4 in x 125 FT Alkes 1 pcs 254
Pastik / Tisue alkohol METZ Alkes 100 pcs 25,410
pincet anatomis fortuna Alkes 1 pcs 221,670
Pincet anatomis yamaco Alkes 1 pcs 13,750
pipet erithrocyt assisten Alkes 1 pcs 53,000
Pipet leucoyt assisten Alkes 1 pcs 53,000
Pipet wastergreen assisten Alkes 1 pcs 31,500
Pot urine 50 Lokal/Pot Obat 50 cc Alkes 100 pcs 130,500
Pot urine ulir 75 ml Alkes 100 pcs 315,000
Pot urine putih dahak plastik lokal Alkes (box) 100 pcs 315,000
Sarung Tangan Non Steril S Ansel Alkes (box) 100 pcs 62,500
Sarung Tangan Non Steril XS Ansel Alkes (box) 100 pcs 62,500
Sarung Tangan Non Steril M Ansel Alkes (box) 100 pcs 62,500
Sarung Tangan Non Steril XS Serenty Alkes (box) 100 pcs 62,500
Sarung Tangan L Sensi Alkes (box) 100 pcs 62,500
Sarung Tangan S sensi Alkes 100 pcs 62,500
Sampel cup Alkes 100 pcs 165,000
Sampel cup Kenza 240 TX Alkes 100 pcs 1,031
Softcux @200 Alkes 1 box 206,250
Sikat Tabung Kecil Lokal Alkes 1 pcs 4,500
Skintact Clot 0 50mm/Dewasa Alkes 1 pcs 4,070
Snelle Card Lokal Alkes 1 pcs 15,000
Gagang tabung Lokal Alkes 1 pcs 2,500
Rak Micropipet Alkes 1 pcs 850,000
Reaktion tube Alkes 1 pcs 250,000
Jelly EKG 220ML Panasonic Alkes 1 btl 27,500
Tabung Gula Alkes 1 pcs 550
Tabung LED Alkes 1 pcs 56,000
Tensi Digital 7130 omron Alkes 1 pcs 550,000
Torniquet fujito Alkes 1 pcs 20,000
Torniquet zetpull Alkes 1 pcs 161,000
Thermarol Kecil 57x 30 Alkes 1 roll 19,250
Thermal Paper 110x30 Thermol Alkes 1 roll 60,000
Thermal Paper 80mm thermol Alkes 1 roll 17,500
Thermometer Digital Kulkas Alkes 1 pcs 130,000
Thermometer Digital Ruangan Alkes 1 pcs 425,000
Tip Kuning Alkes 100 pcs 16,500
Tip Putih Alkes 100 pcs 16,500
Tip Biru Alkes 100 pcs 16,500
Vacum EDTA Alkes 100 pcs 263,000
Vacum Kimia Alkes 100 pcs 256,400
Vacum Citrat Alkes 100 pcs 332,500
TOTAL BIAYA ALKES
ALKES REAL
TOTAL PENDAPATAN
rataan satuan biaya
HARGA
satuan)
HARGA
satuan)
Amplop Cabinet Lab BK ATK & Percetakan 1 box 34,000
Amplop Kecil Polos ATK & Percetakan 1 box 8,000
Batu Baterai AAA/ Panasonic ATK & Percetakan 1 pcs 2,500
Batu Baterey AAA Alkaline ATK & Percetakan 1 pcs 6,000
Batu Baterey AA Alkaline ATK & Percetakan 1 pcs 6,000
Batu Baterey Besar ABC ATK & Percetakan 1 pcs 8,500
Batu Baterey Besar Panasonic ATK & Percetakan 1 pcs 6,000
Binder Klip 107 Kenko ATK & Percetakan 1 pcs 3,000
Binder klip 155 Joyko ATK & Percetakan 1 pcs 7,000
Binder klip 260 Kenko ATK & Percetakan 1 pcs 18,000
Box Fale / Sysbox ATK & Percetakan 1 pcs 30,000
Box multi estimal ATK & Percetakan 1 pcs 87,500
Buku Ekspedisi Mirage ATK & Percetakan 1 pcs 7,500
Buku Folio ATK & Percetakan 1 pcs 12,500
Buku Quarto 100 lbr ATK & Percetakan 1 pcs 7,500

Buku Tipis ATK & Percetakan 1 pcs 2,000
Busines File ATK & Percetakan 1 pcs 3,000
Clear Holder 20 ATK & Percetakan 1 pcs 15,000
Dispenser selotip ATK & Percetakan 1 pcs 25,000
Double Tape Spoon Hansa ATK & Percetakan 1 pcs 10,000
Gunting type 848 jk Seiko ATK & Percetakan 1 pcs 12,500
Gunting type CR-650 Seiko ATK & Percetakan 1 pcs 6,250
Hekter Kecil ATK & Percetakan 1 pcs 40,000
Hekter Kanggoro ATK & Percetakan 1 pcs 65,000
Isi Heckter Kecil Etona ATK & Percetakan 1 pcs 1,250
Isi Kater Besar Combo ATK & Percetakan 1 pcs 2,750
Isi Kater Kecil ATK & Percetakan 1 pcs 1,667
Kalkulator sedang type CT-555N ATK & Percetakan 1 pcs 110,000
Kater Kecil ATK & Percetakan 1 pcs 5,000
Kater Besar L500 JK Joyko ATK & Percetakan 1 pcs 13,333
Kertas F4 : 2 ATK & Percetakan 1 pcs 42,000
Kertas F4 : 3 ATK & Percetakan 1 pcs 42,000
Kertas HVS A4 70 ATK & Percetakan 1 pcs 36,000
Kertas HVS F4 70 ATK & Percetakan 1 pcs 42,000
Kertas Photo A4 @20 LBR 230gram ATK & Percetakan 1 pcs 20,000
Klip Kecil ATK & Percetakan 1 pcs 2,000
Klip Besar ATK & Percetakan 1 pcs 4,000
Label 103 ATK & Percetakan 1 pcs 4,500
Lakban Bening Kenko ATK & Percetakan 1 pcs 10,000
Lem Cair Bolpoint Joyko ATK & Percetakan 1 pcs 5,000
Odner Besar Benex ATK & Percetakan 1 pcs 15,000
Pen Stand JK 150 ATK & Percetakan 1 pcs 6,250
Penggaris Pelastik ATK & Percetakan 1 pcs 1,167
Penggaris Besi 30cm ATK & Percetakan 1 pcs 4,000
Penghapus ATK & Percetakan 1 pcs 1,667
Penghapus Boxy ATK & Percetakan 1 pcs 10,000
Pensil 2B ATK & Percetakan 1 pcs 3,167
Serutan Pensil Meja ATK & Percetakan 1 pcs 65,000
Selotif Daimura ATK & Percetakan 1 pcs 4,000
Spidol Besar Marker Biru ATK & Percetakan 1 pcs 5,417
Spidol Besar Marker Hitam ATK & Percetakan 1 pcs 5,417
Spidol Besar Marker Merah ATK & Percetakan 1 pcs 5,417
Spidol Besar WB Hitam ATK & Percetakan 1 pcs 6,250
Spidol Kecil Hijau ATK & Percetakan 1 pcs 6,250
Stabilo Kuning keko ATK & Percetakan 1 pcs 8,500
Tinta Canon 100 ML ATK & Percetakan 1 pcs 30,000
Tinta Hitam L110 ATK & Percetakan 1 pcs 90,000
Tinta Stap Flast Hijau ATK & Percetakan 1 pcs 35,000
Tinta Warna L110 ATK & Percetakan 1 pcs 90,000
Tinta Yellow L110 ATK & Percetakan 1 pcs 90,000
Tinta Cian L110 ATK & Percetakan 1 pcs 90,000
Tinta Merah L110 ATK & Percetakan 1 pcs 90,000
Amplop rontgen Besar ATK & Percetakan 1 pcs 4,936
Amplop Rontgen Kecil ATK & Percetakan 1 pcs 3,637
Developer ATK & Percetakan 1 gln 613,500
Fixer ATK & Percetakan 1 gln 477,000
Map USG #693 ATK & Percetakan 1 pcs 2,035
Map Tempel USG ATK & Percetakan 1 pcs 2,035

Baterai Alkaline A2 ATK & Percetakan 1 pcs 2,630
Baterai Alkaline A3 ATK & Percetakan 1 pcs 2,630
Plastik Dollar 12x25 ATK & Percetakan 1 pcs 3,000
Logbook konven ATK & Percetakan 1 pcs 30,310
Log Book CT ATK & Percetakan 1 pcs 30,310
Logbook CR ATK & Percetakan 1 pcs 30,310

Logbook USG ATK & Percetakan 1 pcs 30,310
Tissue Towel ATK & Percetakan 1 Pcs 2,650
Stiker Label ATK & Percetakan 1 Pcs 7,334
Jelly USG ATK & Percetakan 1 gln 40,000
SISA TAHUN LALU PENGADAAN PERSEDIAAN
JUMLAH
HARGA HARGA HARGA
JML JML
(Rp) (Rp) (Rp)
(pcs)
0 0 1604 1,604 8,084,160 1,604 8,084,160
0 0 24 24 493,680 24 493,680
0 0 2780 2,780 10,425,000 2,780 10,425,000
0 0 54 5,400 1,652,400 5,400 1,652,400
0 0 402 402 1,407,000 402 1,407,000
0 0 2 2 17,327,200 2 17,327,200
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 78 78 24,492 78 24,492
0 0 24,000 24,000 72,000,000 24,000 72,000,000
0 0 278 27,800 69,500,000 27,800 69,500,000
0 0 250 25,000 62,500,000 25,000 62,500,000
0 0 27 2,700 8,100,000 2,700 8,100,000
0 0 0 0 0 0 0
0 0 1 1 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 30 30 198,570 30 198,570
0 0 10 10 377,350 10 377,350
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 2 2 6,052,724 2 6,052,724
0 0 20 2,000 863,720 2,000 863,720
0 0 150 15,000 7,200,000 15,000 7,200,000
0 0 6 600 252,000 600 252,000
0 0 90 9,000 1,458,000 9,000 1,458,000
0 0 16 1,600 295,680 1,600 295,680
0 0 0 0 0 0 0
0 0 1 1 8,291,250 1 8,291,250
0 0 983 983 249,780 983 249,780
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 800 800 25,200,000 800 25,200,000
0 0 82 8,200 10,701,000 8,200 10,701,000
0 0 9 900 2,835,000 900 2,835,000
0 0 5 500 1,575,000 500 1,575,000
0 0 13 1,300 812,500 1,300 812,500
0 0 0 0 0 0 0
0 0 1 100 62,500 100 62,500
0 0 0 0 0 0 0
0 0 5 500 312,500 500 312,500
0 0 4 400 250,000 400 250,000
0 0 10 1,000 1,650,000 1,000 1,650,000
0 0 20 2,000 20,625 2,000 20,625
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 7 7 192,500 7 192,500
0 0 10 10 5,500 10 5,500
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 5 5 100,000 5 100,000
0 0 0 0 0 0 0
0 0 15 15 288,750 15 288,750
0 0 0 0 0 0 0
0 0 12 12 210,000 12 210,000
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 1 100 16,500 100 16,500
0 0 5 500 82,500 500 82,500
0 0 500 50,000 8,250,000 50,000 8,250,000
0 0 400 40,000 105,200,000 40,000 105,200,000
0 0 600 60,000 153,840,000 60,000 153,840,000
0 0 0 0 0 0 0
SISA TAHUN LALU PENGADAAN PERSEDIAAN

JUMLAH
HARGA HARGA HARGA
JML JML
(Rp) (Rp) (Rp)
(pcs)
0 0 0 0 0 0 0
0 0 5 5 40,000 5 40,000
0 0 24 0 0 0 0
0 0 98 24 144,000 24 144,000
0 0 8 98 588,000 98 588,000
0 0 2 8 68,000 8 68,000
0 0 34 2 12,000 2 12,000
0 0 13 34 102,000 34 102,000
0 0 3 13 91,000 13 91,000
0 0 54 3 54,000 3 54,000
0 0 0 12 360,000 12 360,000
0 0 43 0 0 0 0
0 0 30 25 187,500 25 187,500
0 0 0 30 375,000 30 375,000
0 0 30 72 540,000 72 540,000
0 0 192 30 60,000 30 60,000
0 0 16 192 576,000 192 576,000
0 0 4 16 240,000 16 240,000
0 0 1 4 80,000 4 80,000
0 0 0 1 30,000 1 30,000
0 0 1 0 0 0 0
0 0 10 1 10,000 1 10,000
0 0 0 6 75,000 6 75,000
0 0 2 0 0 0 0
0 0 162 2 80,000 2 80,000
0 0 2 2 130,000 2 130,000
0 0 0 162 202,500 162 202,500
0 0 4 0 0 0 0
0 0 1 4 6,668 4 6,668
0 0 0 1 110,000 1 110,000
0 0 0 0 0 0 0
0 0 1 1 13,333 1 13,333
0 0 17 17 714,000 17 714,000
0 0 0 0 0 0 0
0 0 134 48 1,728,000 48 1,728,000
0 0 0 134 5,628,000 134 5,628,000
0 0 20 0 0 0 0
0 0 20 20 40,000 20 40,000
0 0 0 0 0 0 0
0 0 11 11 49,500 11 49,500
0 0 14 14 140,000 14 140,000
0 0 1 1 5,000 1 5,000
0 0 0 0 0 0 0
0 0 2 2 12,500 2 12,500
0 0 0 0 0 0 0
0 0 3 3 12,000 3 12,000
0 0 0 0 0 0 0
0 0 16 16 160,000 16 160,000
0 0 243 243 769,581 243 769,581
0 0 0 0 0 0 0
0 0 11 11 44,000 11 44,000
0 0 7 7 37,919 7 37,919
0 0 41 41 222,097 41 222,097
0 0 2 2 10,834 2 10,834
0 0 2 2 12,500 2 12,500
0 0 0 0 0 0 0
0 0 1 1 8,500 1 8,500
0 0 4 4 120,000 4 120,000
0 0 38 38 3,420,000 38 3,420,000
0 0 7 7 245,000 7 245,000
0 0 3 3 270,000 3 270,000
0 0 8 8 720,000 8 720,000
0 0 4 4 360,000 4 360,000
0 0 4 4 360,000 4 360,000
0 0 4758 4,758 23,485,488 4,758 23,485,488
0 0 3300 3,300 12,002,100 3,300 12,002,100
0 0 10 10 6,135,000 10 6,135,000
0 0 8 8 3,816,000 8 3,816,000
0 0 3200 3,200 6,512,000 3,200 6,512,000
0 0 3100 3,100 6,308,500 3,100 6,308,500

0 0 2 2 5,260 2 5,260
0 0 2 2 5,260 2 5,260
0 0 12 12 36,000 12 36,000
0 0 4 4 121,240 4 121,240
0 0 4 4 121,240 4 121,240
0 0 4 4 121,240 4 121,240
0 0 4 4 121,240 4 121,240
0 0 630 630 1,669,500 630 1,669,500
0 0 9500 9,500 69,673,000 9,500 69,673,000
0 0 15 15 600,000 15 600,000
PEMAKAIAN SISA TAHUN INI
HARGA JENIS PEMERIKSAAN
HARGA
JML JML
(Rp)
(Rp)
1,604 8,084,160 0 0 Hemoglobin
24 493,680 0 0 Lekosit
2,780 10,425,000 0 0 Diftel
5,400 1,652,400 0 0 BSE
402 1,407,000 0 0 Eritrosit
2 17,327,200 0 0 Trombosit
0 0 0 0 MCV
0 0 0 0 MCH
0 0 0 0 MCHC
78 24,492 0 0 Retikulosit*
24,000 72,000,000 0 0 Eosinofil
27,800 69,500,000 0 0 Waktu Pendarahan
25,000 62,500,000 0 0 Waktu Pembekuan
2,700 8,100,000 0 0 PT
0 0 0 0 APTT
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
30 198,570 0 0
10 377,350 0 0
Paket Hematologi
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 Morfologi
0 0 0 0 Parasit darah : Malaria
0 0 0 0 Parasit darah : Filaria
0 0 0 0 Golongan Darah A,B
2 6,052,724 0 0 Cross Darah
2,000 863,720 0 0 Golongan Darah D (Rh-Factor)
15,000 7,200,000 0 0 RATAAN BIAYA PER TES
600 252,000 0 0
9,000 1,458,000 0 0 TOTAL PEMERIKSAAN
1,600 295,680 0 0 TOTAL PENDAPATAN
0 0 0 0 TOTAL PENYUSUTAN
1 8,291,250 0 0
983 249,780 0 0
0 0 0 0 Glukosa puasa
0 0 0 0 Glukosa 2 jam PP
0 0 0 0 Glukosa ad random
0 0 0 0
0 0 0 0
HBA1C
800 25,200,000 0 0
8,200 10,701,000 0 0 Glukosa cyto
900 2,835,000 0 0 Ureum Darah
500 1,575,000 0 0
1,300 812,500 0 0 Kreatinin
0 0 0 0 Asam Urat
100 62,500 0 0 Cholesterol
0 0 0 0 (Chol. HDL)
500 312,500 0 0 HDL-Cholesterol
400 250,000 0 0 Triglyserida
1,000 1,650,000 0 0 (Tg. HDL)
2,000 20,625 0 0 Troponin-I
0 0 0 0 CK-MB
0 0 0 0
0 0 0 0 Amilase
0 0 0 0 Lipase
0 0 0 0 Protein total
0 0 0 0 Albumin
0 0 0 0 Bilirubin Direct
7 192,500 0 0 SGOT
10 5,500 0 0 SGPT
0 0 0 0 Gamma-GT
0 0 0 0 Fosfatase Alkali (AP)
5 100,000 0 0 Calcium
0 0 0 0 Chlorida
15 288,750 0 0 Natrium
0 0 0 0 Kalium
12 210,000 0 0 TOTAL BIAYA (HPP)
0 0 0 0
0 0 0 0 TOTAL PEMERIKSAAN
100 16,500 0 0 TOTAL PENDAPATAN
500 82,500 0 0 TOTAL PENYUSUTAN
50,000 8,250,000 0 0
40,000 105,200,000 0 0
60,000 153,840,000 0 0 HBsAg (Elisa)
0 0 0 0 Anti HAV
434,517,881 Anti HCV
Anti HCV IgM
21,626,094,577 CEA
2.01%
Alpha-Fetoprotein
PEMAKAIAN SISA TAHUN INI T3
HARGA
HARGA
JML JML T4
(Rp)
(Rp)
0 0 0 0 FT4
5 40,000 0 0 TSHs
0 0 0 0 Anti HIV
24 144,000 0 0 DHF IgG
98 588,000 0 0 DHF IgM
8 68,000 0 0 Dengue Ag NS 1 Antigen
2 12,000 0 0 Hexagon TB
34 102,000 0 0 Rapid-Anti TB IgG
13 91,000 0 0 HBsAg (Strip)
3 54,000 0 0 Widal
12 360,000 0 0 C-Reactive Protein
0 0 0 0 RA-Test
25 187,500 0 0 ASTO
30 375,000 0 0 VDRL
Tubex Anti Salmonella IgM
72 540,000 0 0 RATAAN UNIT BIAYA
30 60,000 0 0
192 576,000 0 0 TOTAL PEMERIKSAAN
4 80,000 0 0
1 30,000 0 0
0 0 0 0 Sputum
1 10,000 0 0 Secret Luka
6 75,000 0 0 Secret Mata
0 0 0 0 Secret Uretra
2 80,000 0 0 Apus
2 130,000 0 0 Cairan LCS
162 202,500 0 0
Kerokan Kulit
0 0 0 0
4 6,668 0 0 RATAAN BIAYA / TES
0 0 0 0 TOTAL PENDAPATAN
17 714,000 0 0
0 0 0 0 Antrebrachii AP + LAT CR
48 1,728,000 0 0 BNO
134 5,628,000 0 0 BNO 3 Posisi
0 0 0 0 Clavicula Kiri atau Kanan CR
20 40,000 0 0 Calcaneus Axcial AP + LAT CR
0 0 0 0 Cruris AP+LAT CR
11 49,500 0 0 Dental
14 140,000 0 0 Elbow Joint (Cubiti) Ap+Lat C
1 5,000 0 0 Genu AP + Lat CR
0 0 0 0 Genu Bilateral AP + Lat CR
2 12,500 0 0 HIP Joint AP LAT + CR
0 0 0 0 Lumbal AP + Lat CR
3 12,000 0 0 LumboSacral AP + Lat
0 0 0 0 LumboSacral AP + Lat CR
16 160,000 0 0 Mandibula AP + Eisler CR
243 769,581 0 0 Manus AP+Lat CR
0 0 0 0 Mastoid (Schuller & Stenvers)
11 44,000 0 0 Panoramic CR
7 37,919 0 0 Pedis AP + Lat CR
41 222,097 0 0 Pedis Bilateral CR
2 10,834 0 0 Pelvis AP + Lat CR
2 12,500 0 0 Pelvis AP CR
0 0 0 0 Schedell AP + Lat CR
1 8,500 0 0 Sky line patela AP + LAT CR
4 120,000 0 0 Shoulder joint AP + LAT CR
38 3,420,000 0 0 SPN (Water Lat CR)
7 245,000 0 0 Thoracal AP + Lat CR
3 270,000 0 0 Thoracal Lumbal AP + Lat CR
8 720,000 0 0 Thoracal Lumbal AP+Lat+Obli
4 360,000 0 0 Thorax AP + Lat CR
4 360,000 0 0 Thorax AP + Lateral
4,758 23,485,488 0 0 Thorax LLD atau RLD CR
3,300 12,002,100 0 0 Thorax Photo
10 6,135,000 0 0 Thorax Photo CR
8 3,816,000 0 0 Thorax Top Lordotic CR
3,200 6,512,000 0 0 Waters CR
Wrist Joint AP+Lat CR
3,100 6,308,500 0 0 RATAAN BIAYA/TES
2 5,260 0 0
12 36,000 0 0 TOTAL PENDAPATAN
4 121,240 0 0 CT SCAN Kepala Polos
Ct Scan Kepala Polos & Bone
4 121,240 0 0 CT-SCAN kepala polos kontras
4 121,240 0 0 CT-SCAN Abdomen Atas Kontr
630 1,669,500 0 0 CT-SCAN Abdomen Bawah Kon
9,500 69,673,000 0 0 CT-SCAN Abdomen Kontras At
15 600,000 0 0 CT-SCAN Nasofaring Polos
RATAAN BIAYA/ TES
TOTAL PEMERIKSAAN
BIAYA BAHAN BAKU SISA BULAN LALU PENGADAAN BULAN
BAHAN BAKU Kemasan SATUAN (per Jml HARGA JUMLAH
kafasitas) (ml) (Rp) (ml)
R/Hemoglobin 500 ml 120,000 0 0 0.0
Turk 50 ml 75,000 0 0 0.0
Giemsa 100 ml 676,350 0 0 9.0
NaCl st reagen 200 ml 110,000 0 0 25.0
Rees ecker 500 ml 121,500 0 0 0.0
Rees ecker 100 ml 121,500 0 0 0.0
- 0 ml 0 0 0 0.0
- 0 ml 0 0 0 0.0
- 0 ml 0 0 0 0.0
Lar.NMB retikulosit 100 ml 994,500 0 0 2.0
Eosinofil 2% 100 ml 382,500 0 0 1.0
- 0 ml 0 0 0 0.0
- 0 ml 0 0 0 0.0
- 0 ml 0 0 0 0.0
- 0 ml 0 0 0 0.0
cell cleaner m53 1,000 ml 880,000 0 0 10.0
diluentm53 20,000 ml 1,408,000 0 0 93.0
diluent st20 20,000 ml 1,388,021 0 0 34.0
LH-lyse m53 500 ml 1,540,000 0 0 70.0
lyseleo I 500 ml 1,645,600 0 0 10.0
lyseleo II 200 ml 1,408,000 0 0 13.0
lyser wh500 500 ml 925,348 0 0 50.0
lyser ds 42ml 42 ml 0 0 0 0.0
lyser ds 5L 5,000 ml 0 0 0 0.0
lyser hgb 500ml 500 ml 925,348 0 0 20.0
Control r&d CBC ST-Plu 100 ml 979,000 0 0 10.0
Giemsa 100 ml 676,350 0 0 6.0

uji malaria card 10 pcs 393,250 0 0 4.0
uji filaria card 0 pcs 0 0 0 0.0
50 ml 83,500 0 0 40.0
R/ Goldar A,B fortres
50 ml 83,500 0 0 40.0
R/ Goldar D 50 ml 88,500 0 0 50.0
R/ Glukosa (2X200ML) 400 ml 754,215 0 0 23

R/ Glukosa (2X200ML) 400 ml 754,215 0 0 23
R/HBA1C HEMOCUE 200 ml 1,354,400 0 0 0

HBA1C Catride25 25 pcs 3,386,000 0 0 25
Glukotest 25 pcs 180,000 0 0 244
R/ Urea UV10x100ml 1,000 ml 593,839 0 0 6
R/ Urea UV8x30ml 240 ml 1,425,229 0 0 12
R/ Kreatinin2x125 400 ml 871,613 0 0 13
R/ Asam Urat2x100 200 ml 1,100,096 0 0 14
R/ Cholesterol2x100 200 ml 1,111,275 0 0 14
R/ HDL-Cholesterol 80 ml 815,701 0 0 31
R/ Triglyserida2x100ml 200 ml 1,580,579 0 0 10
Troponin-I chroma25 25 pcs 4,975,000 0 0 13

CK-MB19x2.5ml randok 47.5 ml 0 0 0 0
CK-MB10x3ml biolabo 30 ml 2,342,010 0 0 16
R/ Amilase 20x3ml 60 ml 3,111,323 0 0 3
R/ Lipase (3x10ml) biol 30 ml 6,348,766 0 0 3
R/protein tot.200ml 200 ml 1,557,889 0 0 3
R/ Albumin2x200 400 ml 2,245,815 0 0 2
R/ Bilirubin Direct2x200 400 ml 1,175,543 0 0 5
R/ SGOT8x30ml 240 ml 1,676,565 0 0 20
R/ SGPT8x30ml 240 ml 1,676,565 0 0 21
R/ Gamma-GT 100 ml 1,779,278 0 0 1
R/ Fosfatase Alkali 8x30 240 ml 1,962,015 0 0 1
R/ Calcium 250 ml 1,433,355 0 0 10
R/ Chlorida 250 ml 2,420,000 0 0 6
R/ Natrium 250 ml 2,420,000 0 0 23
R/ Kalium 250 ml 2,420,000 0 0 23
HBsAg ultra 250 ml 1,320,000 0 0 6

HAV IgG IgM 30 pcs 3,049,200 0 0 5
HCV SD30'S 50 pcs 1,391,500 0 0 7
HCV IgM 1 pcs 42,001 0 0 10
CEA i-chroma25 96 pcs 4,950,000 0 0 2
AFP I-Chroma 250 ml 3,660,000 0 0 1

T3 60 pcs 3,943,830 0 0 4
T4 (Thyroxin)/60 0 0 5
60 pcs 3,929,200
FT4Vidas 250 ml 3,960,000 0 0 1
TSH vidas 250 ml 3,080,000 0 0 2
HIV sd30' 30 pcs 1,753,400 0 0 10
DHF IgG IgM dalf25 1 pcs 99,000 0 0 600
Dengue Ag NS 1 Antigen 1 pcs 128,700 0 0 125

Hexagon TB 1 pcs 50,491 0 0 65
tb IgG dalf25 25 PCS 1,262,275 0 0 6
HBsAg (Strip) 1 pcs 11,701 0 0 600
Antigen Widal H-O 50 ml 720,000 0 0 14
CRP dalf40 40 pcs 806,850 0 0 10
RA-dalf 50 ml 806,850 0 0 1
ASTO 40 pcs 915,750 0 0 2
V D R L strip AIM20 1 pcs 23,375 0 0 220
Tubex Anti Salmonella I 1 pcs 50,491 0 0 2,010
Prep. BTA 1500 ml 1,176,000 0 0 1
Prep. GRAM 2000 ml 1,250,000 0 0 1
0
NONNE 100 ml 319,000 0 0 1
NaCl 0.9% 100 ml 84,000 0 0 1
KOH 10% 100 ml 100,000 0 0 1
0
0
0
0
0
24x30 1 pcs 19,470 0 0 93
30x40 1 pcs 16,082 0 0 165
30x40 1 pcs 16,082 0 0 86
24x30 1 pcs 10,655 0 0 17
24x30 1 pcs 10,655 0 0 21
35x43 1 pcs 34,540 0 0 123
35x43 1 pcs 34,540 0 0 14
24x30 1 pcs 10,655 0 0 50
24x30 1 pcs 10,665 0 0 190
35x43 1 pcs 34,540 0 0 70
24x30 1 pcs 10,665 0 0 15
35x43 1 pcs 34,540 0 0 37
35x43 1 pcs 34,540 0 0 133
35x43 1 pcs 34,540 0 0 702
24x30 1 pcs 10,665 0 0 1
24x30 1 pcs 10,665 0 0 119
24x30 1 pcs 10,665 0 0 8
24x30 1 pcs 10,665 0 39
24x30 1 pcs 10,665 0 0 142
24x30 1 pcs 10,665 0 0 3
24x30 1 pcs 10,665 0 0 47
24x30 1 pcs 10,665 0 0 124
24x30 1 pcs 10,665 0 0 291
24x30 1 pcs 10,665 0 18
24x30 1 pcs 10,665 0 57
24x30 1 pcs 10,665 0 17
35x43 1 pcs 34,540 0 65
35x43 1 pcs 34,540 0 0 135
35x43 1 pcs 34,540 0 0 20
35x43 1 pcs 34,540 0 0 104
35x35 1 pcs 17,146 0 0 25
35x43 1 pcs 34,540 0 0 2
35x35 1 pcs 17,146 0 0 8,098
24x30 1 pcs 10,665 0 0 6,771
24x30 1 pcs 10,665 0 0 3
24x30 1 pcs 10,665 0 0 337
24x30 1 pcs 10,665 0 0 84
35x43 1 pcs 34,540 0 0

35x43 1 pcs 34,540 0 0
35x43 1 pcs 34,540 0 0
35x43 1 pcs 34,540 0 0
35x43 1 pcs 34,540 0 0
35x43 1 pcs 34,540 0 0
35x43 1 pcs 34,540 0 0
PENGADAAN BULAN INI PERSEDIAAN PEMAKAIAN SISA BULAN INI
JUMLAH HARGA JUMLAH HARGA JML HARGA HARGA
JML
(ml) (Rp) (ml) (Rp) (ml) (Rp) (Rp)
0 0 0 0 0 0 0
0 0 0 0 0 0 0
900 6,087,150 900 6,087,150 825 5,579,888 75 507,263
5,000 2,750,000 5,000 2,750,000 5,000 2,750,000 0 0
0 0 0 0 00 0 0
0 0 0 0 00 0 0
0 0 0 0 00 0 0
0 0 0 0 00 0 0
0 0 0 0 00 0 0
200 1,989,000 200 1,989,000 200 1,989,000 0 0
100 382,500 100 382,500 20 76,500 80 306,000
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
10,000 8,800,000 10,000 8,800,000 10,000 8,800,000 0 0
### 130,944,000 1,860,000 130,944,000 ### 130,240,000 10,000 704,000
680,000 47,192,714 680,000 47,192,714 675,000 46,845,709 5,000 347,005
35,000 107,800,000 35,000 107,800,000 35,000 107,800,000 0 0
5,000 16,456,000 5,000 16,456,000 5,000 16,456,000 0 0
2,600 18,304,000 2,600 18,304,000 2,500 17,600,000 100 704,000
25,000 46,267,400 25,000 46,267,400 25,000 46,267,400 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
10,000 18,506,960 10,000 18,506,960 10,000 18,506,960 0 0
1,000 9,790,000 1,000 9,790,000 1,000 9,790,000 0 0
600 4,058,100 600 4,058,100 550 3,719,925 50 338,175

40 1,573,000 40 1,573,000 35 1,376,375 5 196,625
0 0 0 0 0 0 0 0
2,000 3,340,000 2,000 3,340,000 2,000 3,340,000 0 0
2,000 3,340,000 2,000 3,340,000 2,000 3,340,000 0 0
2,500 4,425,000 2,500 4,425,000 2,500 4,425,000 0 0
432,005,824
9,200 17,346,945 9,200 17,346,945 8,970 16,912,989 230 433,956

9,200 17,346,945 9,200 17,346,945 8,970 16,912,989 230 433,956
0 0 0 0 0 0 0 0
625 84,650,000 625 84,650,000 615 83,295,600 10 1,354,400
6,100 43,920,000 6,100 43,920,000 6,074 43,732,800 26 187,200
6,000 3,563,034 6,000 3,563,034 5,458 3,241,411 542 321,623
2,880 17,102,748 2,880 17,102,748 2,700 16,033,826 180 1,068,922
5,200 11,330,969 5,200 11,330,969 4,988 10,869,014 212 461,955
2,800 15,401,344 2,800 15,401,344 2,525 13,887,612 275 1,513,732
2,800 15,557,850 2,800 15,557,850 2,700 15,002,213 100 555,638
2,480 25,286,731 2,480 25,286,731 2,450 24,980,843 30 305,888
2,000 15,805,790 2,000 15,805,790 1,900 15,015,501 100 790,290
325 64,675,000 325 64,675,000 312 62,088,000 13 2,587,000

0.0 0 0.0 0 0 0.0 0
480
480 37,472,160 480 37,472,160 0 0 0
180 9,333,969 180 9,333,969 130 6,741,200 50 2,592,769
90 19,046,298 90 19,046,298 85 17,988,170 5 1,058,128
600 4,673,667 600 4,673,667 600 4,673,667 0 0
800 4,491,630 800 4,491,630 620 3,481,013 180 1,010,617
2,000 5,877,715 2,000 5,877,715 1,750 5,143,001 250 734,714
4,800 33,531,300 4,800 33,531,300 4,700 32,832,731 100 698,569
5,040 35,207,865 5,040 35,207,865 4,900 34,229,869 140 977,996
100 1,779,278 100 1,779,278 90 1,601,350 10 177,928
240 1,962,015 240 1,962,015 50 408,753 190 1,553,262
2,500 14,333,550 2,500 14,333,550 2,400 13,760,208 100 573,342
1,500 14,520,000 1,500 14,520,000 1,400 13,552,000 100 968,000
5,750 55,660,000 5,750 55,660,000 5,750 55,660,000 0 0
5,750 55,660,000 5,750 55,660,000 5,700 55,176,000 50 484,000
608,189,858
1,500 7,920,000 1,500 7,920,000 1,450 7,656,000 50 264,000

150 15,246,000 150 15,246,000 135 13,721,400 15 1,524,600
350 9,740,500 350 9,740,500 320 8,905,600 30 834,900
10 420,010 10 420,010 9 378,009 1 42,001
192 9,900,000 192 9,900,000 115 5,929,688 77 3,970,313
250 3,660,000 250 3,660,000 60 878,400 190 2,781,600

240 15,775,320 240 15,775,320 197 12,948,909 43 2,826,412
300 19,646,000 300 19,646,000 17,353,967 35 2,292,033
265
250 3,960,000 250 3,960,000 180 2,851,200 70 1,108,800
500 6,160,000 500 6,160,000 360 4,435,200 140 1,724,800
300 17,534,000 300 17,534,000 290 16,949,533 10 584,467
600 59,400,000 600 59,400,000 595 58,905,000 5 495,000
125 16,087,500 125 16,087,500 125 16,087,500 0 0

65 3,281,915 65 3,281,915 65 3,281,915 0 0
150 7,573,650 135 6,816,285 133 6,715,303 2 100,982
600 7,020,600 600 7,020,600 581 6,798,281 19 222,319
700 10,080,000 700 10,080,000 85 1,224,000 615 8,856,000
400 8,068,500 400 8,068,500 390 7,866,788 10 201,713
50 806,850 50 806,850 30 484,110 20 322,740
80 1,831,500 80 1,831,500 71 1,625,456 9 206,044
220 5,142,500 220 5,142,500 78 1,823,250 142 3,319,250
2,010 101,486,910 2,010 101,486,910 2,008 101,385,928 2 100,982
330,741,755
1,500 1,176,000 1,500 1,176,000 660 517,440 840 658,560

4 2,500
2,000 1,250,000 2,000 1,250,000 4 2,500
1,996 1,247,500
8 5,000
24 15,000
100 319,000 100 319,000 10 31,900 90 287,100
100 84,000 100 84,000 5 4,200 95 79,800
100 100,000 100 100,000 5 5,000 95 95,000
93 1,810,710 93 1,810,710 93 1,810,710 0 0

165 2,653,530 165 2,653,530 165 2,653,530 0 0
86 1,383,052 86 1,383,052 86 1,383,052 0 0
17 181,135 17 181,135 17 181,135 0 0
21 223,755 21 223,755 21 223,755 0 0
123 4,248,420 123 4,248,420 123 4,248,420 0 0
14 483,560 14 483,560 14 483,560 0 0
50 532,750 50 532,750 50 532,750 0 0
190 2,026,350 190 2,026,350 190 2,026,350 0 0
70 2,417,800 70 2,417,800 70 2,417,800 0 0
15 159,975 15 159,975 15 159,975 0 0
37 1,277,980 37 1,277,980 37 1,277,980 0 0
133 4,593,820 133 4,593,820 133 4,593,820 0 0
702 24,247,080 702 24,247,080 702 24,247,080 0 0
1 10,665 1 10,665 1 10,665 0 0
119 1,269,135 119 1,269,135 119 1,269,135 0 0
8 85,320 8 85,320 8 85,320 0 0
39 39
142 1,514,430 142 1,514,430 142 1,514,430 0 0
3 31,995 3 31,995 3 31,995 0 0
47 501,255 47 501,255 47 501,255 0 0
124 1,322,460 124 1,322,460 124 1,322,460 0 0
291 3,103,515 291 3,103,515 291 3,103,515 0 0
18 18
57 57
17 17
65 65
135 4,662,900 135 4,662,900 135 4,662,900 0 0
20 690,800 20 690,800 20 690,800 0 0
104 3,592,160 104 3,592,160 104 3,592,160 0 0
25 428,650 25 428,650 25 428,650 0 0
2 69,080 2 69,080 2 69,080 0 0
8,098 138,848,308 8,098 138,848,308 8,098 138,848,308 0 0
6,771 72,212,715 6,771 72,212,715 6,771 72,212,715 0 0
3 31,995 3 31,995 3 31,995 0 0
337 3,594,105 337 3,594,105 337 3,594,105 0 0
84 895,860 84 895,860 84 895,860 0 0
279,105,265
897 30,982,380 897 30,982,380 897 30,982,380 0 0

174 6,009,960 174 6,009,960 174 6,009,960 0 0
16 552,640 16 552,640 16 552,640 0 0
9 310,860 9 310,860 9 310,860 0 0
2 69,080 2 69,080 2 69,080 0 0
15 518,100 15 518,100 15 518,100 0 0
2 69,080 2 69,080 2 69,080 0 0
38,512,100
BIAYA REAGEN
JUMLAH REAKSI
TARIF OMSET
PEMERIKSAAN (%) per test (dalam ml)
46,284 21,000 971,964,000 0.0% 0 10.00

42,911 16,000 686,576,000 0.0% 0 0.20
2,051 16,000 32,816,000 16.9% 2,705 0.40
6,352 22,000 139,744,000 1.9% 413 0.75
836 22,000 18,392,000 0.0% 0 1.30
43,672 30,000 1,310,160,000 0.0% 0 0.50
509 24,000 12,216,000 0.0% 0 0.00
506 24,000 12,144,000 0.0% 0 0.00
506 24,000 12,144,000 0.0% 0 0.00
188 175,000 32,900,000 5.7% 9,945 1.00
18 109,000 1,962,000 3.5% 3,825 1.00
1810 90,000 162,900,000 0.0% 0 0.00
1811 16,000 28,976,000 0.0% 0 0.00
78 24,000 1,872,000 0.0% 0 0.15
79 11,000 869,000 0.0% 0
0.2% 152
2.6% 2,243
0.9% 807
2.1% 1,856
0.3% 283
46,284 87,000 4,026,708,000 0.3% 303 45.00
0.9% 797
0.0% 0
0.0% 0
0.4% 319
0.2% 169
8.0% 6,927
1,007 109,000 109,763,000 3.1% 3,382 0.50
34 90,000 3,060,000 43.7% 39,325 1.00
0 90,000 0 0.0% 0 0.00
835 0.50
3,647 16,000 58,352,000 5.2%
835 0.50
4,431 24,000 106,344,000 3.7% 885 0.50
5.4%
67,790
4,706,266,000
19,933 22,000 438,526,000 3.9% 848 0.45

19,933 22,000 438,526,000 3.9% 848 0.45
4.9% 9,481 0.40

610 195,000 118,950,000
69.5% 135,440 1.00
6,074 68,000 413,032,000 10.6% 7,200 1.00
13,646 39,000 532,194,000 3.2% 1,262 0.40
12,470 39,000 486,330,000 2.2% 872 0.40

6,312 39,000 246,168,000 5.6% 2,200 0.40
6,202 45,000 279,090,000 4.9% 2,223 0.40
6,019 160,000 963,040,000 2.5% 4,079 0.40
4,683 38,000 177,954,000 8.3% 3,161 0.40
310 655,000 203,050,000 30.4% 199,000 1.00
862 255,000 219,810,000 9.7% 24,653 0.50
315 200,000 63,000,000 10.4% 20,742 0.40

264 265,000 69,960,000 24.0% 63,488 0.30
1,074 95,000 102,030,000 4.1% 3,895 0.50
1,074 95,000 102,030,000 3.0% 2,807 0.50
3,384 96,000 324,864,000 1.5% 1,469 0.50
11,383 42,000 478,086,000 6.7% 2,794 0.40
11,514 42,000 483,588,000 6.7% 2,794 0.40
208 60,000 12,480,000 11.9% 7,117 0.40
123 60,000 7,380,000 5.5% 3,270 0.40
3,257 75,000 244,275,000 5.4% 4,013 0.70
1,550 84,000 130,200,000 9.2% 7,744 0.80
6,825 84,000 573,300,000 9.2% 7,744 0.80
6,803 84,000 571,452,000 9.2% 7,744 0.80
10.6%
124,895
6,669,337,000
1,396 195,000 272,220,000 2.7% 5,280 1.00

133 473,000 62,909,000 21.5% 101,640 1.00
304 355,000 107,920,000 7.8% 27,830 1.00
9 955,000 8,595,000 4.4% 42,001 1.00
111 285,000 31,635,000 18.1% 51,563 1.00
64 330,000 21,120,000 3.5% 11,712 0.80

192 254,000 48,768,000 25.9% 65,731 1.00
262 66,548,000 25.8% 65,487 1.00
254,000
327 320,000 104,640,000 2.5% 7,920 0.50
620 264,000 163,680,000 2.3% 6,160 0.50
284 330,000 93,720,000 17.7% 58,447 1.00
173,000
593 205,178,000 14.3% 49,500 1.00
173,000
121 346,000 41,866,000 37.2% 128,700 1.00
63 223,000 14,049,000 22.6% 50,491 1.00
131 310,000 40,610,000 16.3% 50,491 1.00
581 109,000 63,329,000 10.7% 11,701 1.00
417 84,000 35,028,000 3.4% 2,880 0.20
389 90,000 35,010,000 22.4% 20,171 1.00
144 90,000 12,960,000 3.6% 3,227 0.20
71 90,000 6,390,000 25.4% 22,894 1.00
78 90,000 7,020,000 26.0% 23,375 1.00
2008 265,000 532,120,000 19.1% 50,491 1.00
14.5%
8,298
438 100,000 43,800,000 1.2% 1,176 1.50

2 100,000 200,000 1.3% 1,250 2.00
2 100,000 200,000 1.3% 1,250 2.00
4 100,000 400,000 1.3% 1,250 2.00
12 100,000 1,200,000 1.3% 1,250 2.00
6 235,000 1,410,000 2.0% 4,785 1.50
126
38 100,000 3,800,000 0.2% 0.15
150
0.9%
502
51,010,000
93 240,000 22,320,000 8.1% 19,470 1

165 130,000 21,450,000 12.4% 16,082 1
86 277,000 23,822,000 5.8% 16,082 1
17 240,000 4,080,000 4.4% 10,655 1
21 240,000 5,040,000 4.4% 10,655 1
123 240,000 29,520,000 14.4% 34,540 1
14 280,000 3,920,000 12.3% 34,540 1
50 240,000 12,000,000 4.4% 10,655 1
190 240,000 45,600,000 4.4% 10,665 1
70 240,000 16,800,000 14.4% 34,540 1
15 240,000 3,600,000 4.4% 10,665 1
37 380,000 14,060,000 9.1% 34,540 1
133 160,000 21,280,000 21.6% 34,540 1
702 380,000 266,760,000 9.1% 34,540 1
1 240,000 240,000 4.4% 10,665 1
119 240,000 28,560,000 4.4% 10,665 1
8 240,000 1,920,000 4.4% 10,665 1
39 165,000 6,435,000 6.5% 10,665 1
142 240,000 34,080,000 4.4% 10,665 1
3 255,000 765,000 4.2% 10,665 1
47 240,000 11,280,000 4.4% 10,665 1
124 240,000 29,760,000 4.4% 10,665 1
291 300,000 87,300,000 3.6% 10,665 1
18 240,000 4,320,000 4.4% 10,665 1
57 240,000 13,680,000 4.4% 10,665 1
17 240,000 4,080,000 4.4% 10,665 1
65 380,000 24,700,000 9.1% 34,540 1
135 380,000 51,300,000 9.1% 34,540 1
20 440,000 8,800,000 7.9% 34,540 1
104 240,000 24,960,000 14.4% 34,540 1
25 180,000 4,500,000 9.5% 17,146 1
2 240,000 480,000 14.4% 34,540 1
8,098 107,000 866,486,000 16.0% 17,146 1
6,771 180,000 1,218,780,000 5.9% 10,665 1
3 165,000 495,000 6.5% 10,665 1
337 180,000 60,660,000 5.9% 10,665 1
84 240,000 20,160,000 4.4% 10,665 1
8.0%
16,509
2,503,501,000
897 950,000 852,150,000 3.6% 34,540 1

174 1,000,000 174,000,000 3.5% 34,540 1
16 1,700,000 27,200,000 2.0% 34,540 1
9 2,500,000 22,500,000 1.4% 34,540 1
2 2,500,000 5,000,000 1.4% 34,540 1
15 3,230,000 48,450,000 1.1% 34,540 1
2 1,200,000 2,400,000 2.9% 34,540 1
2.3%
1,115
JML
PENYUSUTAN
SEHARUSNYA
0 0.0%
0 0.0%
2,063 0.6%
6,667 4.7%
0 0.0%
0 0.0%
0 0.0%
0 0.0%
0 0.0%
200 6.0%
20 10.0%
0 0.0%
0 0.0%
0 0.0%
0 0.0%
58,078 20.3%
1,100 8.5%
35 2.9%
0 0.0%
4,000 8.8%
4,000 8.8%
5,000 11.4%
5.5%
19,933 0.0%
19,933 0.0%
0 0.0%
615 0.8%
6,074 0.0%
20,396 33.1%
12,470 0.0%
6,312 0.0%
6,750 8.1%
6,125 1.7%
4,750 1.4%
312 0.6%
960 10.2%
325 3.1%
283 6.8%
1,200 10.5%
1,240 13.4%
3,500 3.3%
11,750 3.1%
12,250 6.0%
225 7.6%
125 1.6%
3,429 5.0%
1,750 11.4%
7,188 5.0%
7,125 4.5%
6.0%
1,450 3.7%
135 1.5%
320 5.0%
9 0.0%
115 3.5%
75 14.7%
197 2.5%
265 1.1%
360 9.2%
720 13.9%
290 2.1%
595 0.3%
125 3.2%
65 3.1%
133 1.5%
581 0.0%
425 1.9%
390 0.3%
150 4.0%
71 0.0%
78 0.0%
2,008 0.0%
3.1%
440 0.5%
2 0.0%
2 0.0%
4 0.0%
12 0.0%
7 10.0%
38 0.9%
1.3%
93 0%
165 0%
86 0%
17 0%
21 0%
123 0%
14 0%
50 0%
190 0%
70 0%
15 0%
37 0%
133 0%
702 0%
1 0%
119 0%
8 0%
39 0%
142 0%
3 0%
47 0%
124 0%
291 0%
18 0%
57 0%
17 0%
65 0%
135 0%
20 0%
104 0%
25 0%
2 0%
8,098 0%
6,771 0%
3 0%
337 0%
84 0%
897 0
174 0
16 0
9 0
2 0
15 0
2 0
daftartindakan_id
daftartindakan_kode daftartindakan_nama BMHP % ATK & ART
5458 (blank) Paket Hematologi Lengkap 8,709 10.0% 1,131
5459 (blank) Paket Hematologi 18 Parameter 5,742 6.6% 1,131
5464 AA0 Urine Lengkap 1,794 4.6% 507
5466 AC0 Stick hCG Test 5,000 9.0% 520
5467 AD0 Sovo hCG Test 12,688 20.8% 793
5468 AE0 Pack hCG Test 12,142 20.8% 1,105
5469 AE1 Pack hCG ABBOT Test 22,256 20.8% 1,391
5470 AF0 Titer HCG 23,130 9.0% 3,341
5474 BA0 Faeces Lengkap 975 2.5% 507
5475 BB0 Benzidin 3,875 2.5% 2,015
5477 CA0 Hemoglobin 1,092 5.2% 273
5478 CB0 Lekosit 400 2.5% 208
5479 CC0 Diftel 550 2.5% 286
5480 CD0 BSE 550 2.5% 286
5481 CE0 Eritrosit 400 2.5% 208
5482 CF0 Hematokrit 400 2.5% 208
5483 CG0 Trombosit 750 2.5% 390
5484 CG1 MCV 1,584 6.6% 312
5485 CG2 MCH 1,584 6.6% 312
5486 CG4 MCHC 1,584 6.6% 312
5487 CH0 Retikulosit 1,275 2.5% 663
5488 CI0 Eosinofil 1,403 2.8% 663
5489 CJ0 Waktu Pendarahan 520 2.0% 338
5490 CK0 Waktu Pembekuan 520 2.0% 338
5491 CK1 PT 15,080 5.2% 3,770
5492 CK2 APTT 9,100 5.2% 2,275
5493 CL0 Bj Plasma 1,375 2.5% 715
5497 CP0 Morfologi 2,725 2.5% 1,417
5498 CQ0 Parasit darah : Malaria 31,500 35.0% 1,170
5499 CR0 Parasit darah : Filaria 31,500 35.0% 1,170
5503 CU0 Golongan Darah 640 4.0% 208
5504 CV0 Rh. Faktor (Rhesus) 960 4.0% 312
5507 CX0 Sel LE 2,800 2.5% 1,456
5508 CY0 Cross Darah 800 2.5% 416
5509 CY5 Total Limposit Absolut 6,996 6.6% 1,378
5511 DA0 Glukosa Puasa 1,430 6.5% 286
5512 DB0 Glukosa 2 jam pp 1,430 6.5% 286
5513 DC0 Glukosa ad random 1,430 6.5% 286
5517 DH0 HBA1C 15,990 8.2% 2,535
5518 DI0 Glukosa Cyto 9,316 13.7% 884
5520 EA0 Ureum Darah 2,535 6.5% 507
5522 EC0 Kreatinin 2,535 6.5% 507
5524 EE0 Asam Urat 2,535 6.5% 507
5526 FA0 Cholesterol Total 3,375 7.5% 585
5527 FB0 HDL-Cholesterol 12,000 7.5% 2,080
5528 FC0 LDL-Cholesterol - 0
5529 FD0 Triglyseride 2,850 7.5% 494
5531 FE1 Troponin - I 206,325 31.5% 8,515
5534 FK0 CK - MB 82,875 32.5% 3,315
5536 FL0 SGOT 3,444 8.2% 546
5537 FM0 SGPT 3,444 8.2% 546
5539 FO0 E.K.G. 1,250 2.5% 650
5540 FP0 Treadmill Test 15,125 2.5% 7,865
5541 FQ0 Echo Cardiography 13,750 2.5% 7,150
5542 FR0 Echo Cardiography (sedang) 17,500 2.5% 9,100
5543 FS0 Echo Cardiography (pilihan) 22,000 2.5% 11,440
5544 G10 Protein Total 4,940 5.2% 1,235
5545 G20 Albumin 4,940 5.2% 1,235
5546 G30 Globulin - 0
5548 G50 Bilirubin Total 4,992 5.2% 1,248
5549 G60 Bilirubin Direct 4,992 5.2% 1,248
5550 GA0 Bilirubin Indirect - 0
5551 GB0 SGOT 3,444 8.2% 546
5552 GC0 SGPT 3,444 8.2% 546
5553 GD0 Gamma - GT 4,920 8.2% 780
5554 GE0 Fosfatase Alkali (AP) 7,500 12.5% 780
5561 GM0 T.T.T. - 0
5566 H00 HBs Ag (Elisa) 54,325 26.5% 2,665
5567 H10 Anti - Hbs (elisa) 72,875 26.5% 3,575
5572 H60 Anti HAV 125,345 26.5% 6,149
5573 H70 Anti HAV IgM 94,075 26.5% 4,615
5574 H80 Anti HCV 52,925 14.5% 4,745
5578 HI0 CEA 45,600 16.0% 3,705
5579 HJ0 T3 66,548 26.2% 3,302
5580 HK0 T3 % Uptake - 0
5581 HL0 T4 (Thyroxine) 66,548 26.2% 3,302
5582 HM0 PSA 62,400 16.0% 5,070
5583 HN0 T S Hs 42,240 16.0% 3,432
5590 HQ0 Anti H I V 61,050 18.5% 4,290
5591 HR0 FT4 72,000 22.5% 4,160
5593 HT0 DHF IgG 66,605 38.5% 2,249
5594 HU0 DHF IgM 66,605 38.5% 2,249
5595 HU1 Dengue Ag NS 1 Antigen 112,450 32.5% 4,498
5596 HU2 Chikungunya IgM 84,770 24.5% 4,498
5597 HV0 Hexagon TB 39,025 17.5% 2,899
5598 HV1 Rapid - Anti Tb igG 54,250 17.5% 4,030
5599 HW0 Hbs Ag Strip 12,535 11.5% 1,417
5605 IA0 Calcium 9,375 12.5% 975
5606 IB0 Chlorida 10,500 12.5% 1,092
5607 IC0 Bicarbonat 48,813 12.5% 5,077
5608 ID0 Natrium 10,500 12.5% 1,092
5609 IE0 Kalium 10,500 12.5% 1,092
5610 IF0 Magnesium 13,500 12.5% 1,404
5615 JA0 Widal 8,820 10.5% 1,092
5616 JB0 CRP 21,150 23.5% 1,170
5617 JC0 RA-Test 21,150 23.5% 1,170
5618 JD0 ASTO 21,150 23.5% 1,170
5621 JG0 VDRL 24,300 27.0% 1,170
5628 JN0 Tubex Anti Salmonella IgM 109,975 41.5% 3,445
5652 NB0 Amilase Darah 65,000 32.5% 2,600
5654 ND0 Lipase 86,125 32.5% 3,445
5660 NJ0 Spirometri 4,000 2.5% 2,080
5661 NK0 Audiometri - 1,040
5663 OB0 Hitung Kuman - 0
5665 OD0 Secret Vagina/Servic 7,500 7.5% 1,300
5666 OE0 Sputum 7,500 7.5% 1,300
5667 OF0 Secret Mata 7,500 7.5% 1,300
5668 OG0 Secret Uretra 7,500 7.5% 1,300
5669 OH0 Secret Luka 7,500 7.5% 1,300
5670 OH1 Apus 7,500 7.5% 1,300
5671 OI0 Cairan Pleura/Ascites 16,500 7.5% 2,860
5672 OJ0 Lepra 7,500 7.5% 1,300
5673 OK0 Kerokan Kulit 2,200 2.2% 1,300
5674 OL0 Cairan LCS 17,625 7.5% 3,055
5703 RA0 Thorax Photo 19,795 18.5% 1,391
5705 RB0 Thorax AP + Lateral 33,300 18.5% 2,340
5707 RC0 Thorax LLD / RLD 32,375 18.5% 2,275
5708 RC1 Thorax Top Lordotik 20,350 18.5% 1,430
5711 RC2 Thorax 3 Posisi 58,275 18.5% 4,095
5713 RD0 BNO 24,050 18.5% 1,690
5715 RE0 BNO 2 Posisi 33,670 18.5% 2,366
5717 RF0 BNO 3 Posisi 51,245 18.5% 3,601
5721 RH0 Manus AP + Lateral 20,350 18.5% 1,430
5723 RI0 Wrist Joint AP + Lateral 20,350 18.5% 1,430
5726 RJ0 Antebrachii AP + Lateral 24,050 18.5% 1,690
5727 RJ1 Elbow Joint (Cubiti) Ap+Lat 24,050 18.5% 1,690
5729 RK0 Humerus AP + Lateral 24,420 18.5% 1,716
5731 RL0 Shoulder Joint AP + Lateral 24,050 18.5% 1,690
5733 RM0 Clavicula Kiri / Kanan 24,050 18.5% 1,690
5735 RN0 Clavicula Perbandingan Kiri & Kanan 29,600 18.5% 2,080
5736 RN1 Clavicula Perbandingan Kiri / Kanan CR 47,520 19.8% 3,120
5787 RX1 Lumbal AP + Lat 29,600 18.5% 2,080
5789 RX2 LumboSacral AP + Lat 29,600 18.5% 2,080
5791 RX3 LumboSacral AP+Lat+Obli 58,275 18.5% 4,095
5793 RX4 Cervical AP + Lat 25,900 18.5% 1,820
5795 RX5 Cervical AP + Lat+Obli 47,175 18.5% 3,315
5857 UB0 PAP SMEAR 10,500 3.5% 3,900
5858 VA0 Metamphetamine 15,210 39.0% 507
5859 VB0 Cannabinoids 15,210 39.0% 507
5860 VC0 Amphetamine 15,210 39.0% 507
5861 VD0 Morphine 15,210 39.0% 507
5862 VE0 Benzodiazepine 15,210 39.0% 507
5863 VF0 Cocaine 15,210 39.0% 507
10751 PAKET PAKET II HDI 1,560
10752 PAKET PAKET III HDI 3,640
10753 PAKET PAKET IV HDI 2,340
10754 PAKET PAKET V HDI 1,560
10755 PAKET PAKET VI HDI 2,600
10756 PAKET PAKET VII HDI 4,004
10757 PAKET PAKET I HDI 780
10893 (blank) Vit D-oh3 72,800 20.8% 4,550
% REMON % JASA SARANA % PPH 23 % JASA PERUJUK
1.3% 2,500 2.9% 13,224 15.2% 174 0.2% 8,526
1.3% 2,500 2.9% 13,224 15.2% 174 0.2% 8,526
1.3% 2,500 6.4% 6,201 15.9% 78 0.2% 3,822
1.3% 2,500 6.3% 4,880 12.2% 80 0.2% 3,920
1.3% 2,500 4.1% 7,442 12.2% 122 0.2% 5,978
1.3% 2,500 2.9% 10,370 12.2% 170 0.2% 8,330
1.3% 2,500 2.3% 13,054 12.2% 214 0.2% 10,486
1.3% 2,500 1.0% 31,354 12.2% 514 0.2% 25,186
1.3% 2,500 6.4% 4,758 12.2% 78 0.2% 3,822
1.3% 2,500 1.6% 18,910 12.2% 310 0.2% 15,190
1.3% 2,500 11.9% 3,192 15.2% 42 0.2% 2,058
1.3% 2,500 15.6% 2,432 15.2% 32 0.2% 1,568
1.3% 2,500 11.4% 3,344 15.2% 44 0.2% 2,156
1.3% 2,500 11.4% 3,344 15.2% 44 0.2% 2,156
1.3% 2,500 15.6% 2,432 15.2% 32 0.2% 1,568
1.3% 2,500 15.6% 2,432 15.2% 32 0.2% 1,568
1.3% 2,500 8.3% 4,560 15.2% 60 0.2% 2,940
1.3% 2,500 10.4% 3,648 15.2% 48 0.2% 2,352
1.3% 2,500 10.4% 3,648 15.2% 48 0.2% 2,352
1.3% 2,500 10.4% 3,648 15.2% 48 0.2% 2,352
1.3% 2,500 4.9% 6,222 12.2% 102 0.2% 4,998
1.3% 2,500 4.9% 6,222 12.2% 102 0.2% 4,998
1.3% 2,500 9.6% 3,172 12.2% 52 0.2% 2,548
1.3% 2,500 9.6% 3,172 12.2% 52 0.2% 2,548
1.3% 2,500 0.9% 35,380 12.2% 580 0.2% 28,420
1.3% 2,500 1.4% 21,350 12.2% 350 0.2% 17,150
1.3% 2,500 4.5% 6,710 12.2% 110 0.2% 5,390
1.3% 2,500 2.3% 13,298 12.2% 218 0.2% 10,682
1.3% 2,500 2.8% 10,980 12.2% 180 0.2% 8,820
1.3% 2,500 2.8% 10,980 12.2% 180 0.2% 8,820
1.3% 2,500 15.6% 1,952 12.2% 32 0.2% 1,568
1.3% 2,500 10.4% 2,928 12.2% 48 0.2% 2,352
1.3% 2,500 2.2% 13,664 12.2% 224 0.2% 10,976
1.3% 2,500 7.8% 3,904 12.2% 64 0.2% 3,136
1.3% 2,500 2.4% 16,112 15.2% 212 0.2% 10,388
1.3% 2,500 11.4% 3,366 15.3% 44 0.2% 2,156
1.3% 2,500 11.4% 3,366 15.3% 44 0.2% 2,156
1.3% 2,500 11.4% 3,366 15.3% 44 0.2% 2,156
1.3% 2,500 1.3% 29,835 15.3% 390 0.2% 19,110
1.3% 2,500 3.7% 10,336 15.2% 136 0.2% 6,664
1.3% 2,500 6.4% 5,967 15.3% 78 0.2% 3,822
1.3% 2,500 6.4% 5,967 15.3% 78 0.2% 3,822
1.3% 2,500 6.4% 5,967 15.3% 78 0.2% 3,822
1.3% 2,500 5.6% 6,885 15.3% 90 0.2% 4,410
1.3% 2,500 1.6% 24,480 15.3% 320 0.2% 15,680
1.3% 2,500 #DIV/0! - - 0.0% -
1.3% 2,500 6.6% 5,814 15.3% 76 0.2% 3,724
1.3% 2,500 0.4% 100,215 15.3% 1,310 0.2% 64,190
1.3% 2,500 1.0% 39,015 15.3% 510 0.2% 24,990
1.3% 2,500 6.0% 6,426 15.3% 84 0.2% 4,116
1.3% 2,500 6.0% 6,426 15.3% 84 0.2% 4,116
1.3% 2,500 5.0% 7,650 15.3% 100 0.2% 4,900
1.3% 2,500 0.4% 92,565 15.3% 1,210 0.2% 59,290
1.3% 2,500 0.5% 81,400 14.8% 1,100 0.2% 53,900
1.3% 2,500 0.4% 103,600 14.8% 1,400 0.2% 68,600
1.3% 2,500 0.3% 130,240 14.8% 1,760 0.2% 86,240
1.3% 2,500 2.6% 14,535 15.3% 190 0.2% 9,310
1.3% 2,500 2.6% 14,535 15.3% 190 0.2% 9,310
1.3% 2,500 #DIV/0! - 15.3% - 0.2% -
1.3% 2,500 2.6% 14,688 15.3% 192 0.2% 9,408
1.3% 2,500 2.6% 14,688 15.3% 192 0.2% 9,408
1.3% 2,500 #DIV/0! - - -
1.3% 2,500 6.0% 6,426 15.3% 84 0.2% 4,116
1.3% 2,500 6.0% 6,426 15.3% 84 0.2% 4,116
1.3% 2,500 4.2% 9,180 15.3% 120 0.2% 5,880
1.3% 2,500 4.2% 9,180 15.3% 120 0.2% 5,880
1.3% 2,500 #DIV/0! - - -
1.3% 2,500 1.2% 31,570 15.4% 410 0.2% 20,090
1.3% 2,500 0.9% 42,350 15.4% 550 0.2% 26,950
1.3% 2,500 0.5% 72,842 15.4% 946 0.2% 46,354
1.3% 2,500 0.7% 54,670 15.4% 710 0.2% 34,790
1.3% 2,500 0.7% 56,210 15.4% 730 0.2% 35,770
1.3% 2,500 0.9% 43,890 15.4% 570 0.2% 27,930
1.3% 2,500 1.0% 39,116 15.4% 508 0.2% 24,892
1.3% 2,500 #DIV/0! - - -
1.3% 2,500 1.0% 39,116 15.4% 508 0.2% 24,892
1.3% 2,500 0.6% 60,060 15.4% 780 0.2% 38,220
1.3% 2,500 0.9% 40,656 15.4% 528 0.2% 25,872
1.3% 2,500 0.8% 40,260 12.2% 660 0.2% 32,340
1.3% 2,500 0.8% 49,280 15.4% 640 0.2% 31,360
1.3% 2,500 1.4% 21,106 12.2% 346 0.2% 16,954
1.3% 2,500 1.4% 21,106 12.2% 346 0.2% 16,954
1.3% 2,500 0.7% 42,212 12.2% 692 0.2% 33,908
1.3% 2,500 0.7% 42,212 12.2% 692 0.2% 33,908
1.3% 2,500 1.1% 27,206 12.2% 446 0.2% 21,854
1.3% 2,500 0.8% 37,820 12.2% 620 0.2% 30,380
1.3% 2,500 2.3% 13,298 12.2% 218 0.2% 10,682
1.3% 2,500 3.3% 11,475 15.3% 150 0.2% 7,350
1.3% 2,500 3.0% 12,852 15.3% 168 0.2% 8,232
1.3% 2,500 0.6% 59,747 15.3% 781 0.2% 38,269
1.3% 2,500 3.0% 12,852 15.3% 168 0.2% 8,232
1.3% 2,500 3.0% 12,852 15.3% 168 0.2% 8,232
1.3% 2,500 2.3% 16,524 15.3% 216 0.2% 10,584
1.3% 2,500 3.0% 10,248 12.2% 168 0.2% 8,232
1.3% 2,500 2.8% 10,980 12.2% 180 0.2% 8,820
1.3% 2,500 2.8% 10,980 12.2% 180 0.2% 8,820
1.3% 2,500 2.8% 10,980 12.2% 180 0.2% 8,820
1.3% 2,500 2.8% 10,980 12.2% 180 0.2% 8,820
1.3% 2,500 0.9% 40,810 15.4% 530 0.2% 25,970
1.3% 2,500 1.3% 30,600 15.3% 400 0.2% 19,600
1.3% 2,500 0.9% 40,545 15.3% 530 0.2% 25,970
1.3% 2,500 1.6% 19,520 12.2% 320 0.2% 15,680
1.3% 2,500 3.1% - 0.0% - -
1.3% 2,500 #DIV/0! - - -
1.3% 2,500 2.5% 13,500 13.5% 200 0.2% 9,800
1.3% 2,500 2.5% 13,500 13.5% 200 0.2% 9,800
1.3% 2,500 2.5% 13,500 13.5% 200 0.2% 9,800
1.3% 2,500 2.5% 13,500 13.5% 200 0.2% 9,800
1.3% 2,500 2.5% 13,500 13.5% 200 0.2% 9,800
1.3% 2,500 2.5% 13,500 13.5% 200 0.2% 9,800
1.3% 2,500 1.1% 29,700 13.5% 440 0.2% 21,560
1.3% 2,500 2.5% 13,500 13.5% 200 0.2% 9,800
1.3% 2,500 2.5% 13,500 13.5% 200 0.2% 9,800
1.3% 2,500 1.1% 31,725 13.5% 470 0.2% 23,030
1.3% 2,500 2.3% 14,445 13.5% 214 0.2% 10,486
1.3% 2,500 1.4% 24,300 13.5% 360 0.2% 17,640
1.3% 2,500 1.4% 23,625 13.5% 350 0.2% 17,150
1.3% 2,500 2.3% 14,850 13.5% 220 0.2% 10,780
1.3% 2,500 0.8% 42,525 13.5% 630 0.2% 30,870
1.3% 2,500 1.9% 17,550 13.5% 260 0.2% 12,740
1.3% 2,500 1.4% 24,570 13.5% 364 0.2% 17,836
1.3% 2,500 0.9% 37,395 13.5% 554 0.2% 27,146
1.3% 2,500 2.3% 14,850 13.5% 220 0.2% 10,780
1.3% 2,500 2.3% 14,850 13.5% 220 0.2% 10,780
1.3% 2,500 1.9% 17,550 13.5% 260 0.2% 12,740
1.3% 2,500 1.9% 17,550 13.5% 260 0.2% 12,740
1.3% 2,500 1.9% 17,820 13.5% 264 0.2% 12,936
1.3% 2,500 1.9% 17,550 13.5% 260 0.2% 12,740
1.3% 2,500 1.9% 17,550 13.5% 260 0.2% 12,740
1.3% 2,500 1.6% 21,600 13.5% 320 0.2% 15,680
1.3% 2,500 1.0% 34,560 14.4% 480 0.2% 23,520
1.3% 2,500 1.6% 21,600 13.5% 320 0.2% 15,680
1.3% 2,500 1.6% 21,600 13.5% 320 0.2% 15,680
1.3% 2,500 0.8% 42,525 13.5% 630 0.2% 30,870
1.3% 2,500 1.8% 18,900 13.5% 280 0.2% 13,720
1.3% 2,500 1.0% 34,425 13.5% 510 0.2% 24,990
1.3% 2,500 0.8% 29,100 9.7% 600 0.2% 6,900
1.3% 2,500 6.4% 4,836 12.4% 78 0.2% 3,822
1.3% 2,500 6.4% 4,836 12.4% 78 0.2% 3,822
1.3% 2,500 6.4% 4,836 12.4% 78 0.2% 3,822
1.3% 2,500 6.4% 4,836 12.4% 78 0.2% 3,822
1.3% 2,500 6.4% 4,836 12.4% 78 0.2% 3,822
1.3% 2,500 6.4% 4,836 12.4% 78 0.2% 3,822
1.3% 2,500 2.1% -
1.3% 2,500 0.9% -
1.3% 2,500 1.4% -
1.3% 2,500 2.1% -
1.3% 2,500 1.3% -
1.3% 2,500 0.8% -
1.3% 2,500 4.2% -
1.3% 2,500 0.7% 52,150 14.9% 700 0.2% 34,300
% JASA MEDIS % JASA PARAMEDIS % ADMINISTRASI %
9.8% 1,305 1.5% - 4,350 5.0%
9.8% 1,305 1.5% - 4,350 5.0%
9.8% 585 1.5% - 1,950 5.0%
9.8% 600 1.5% - 2,000 5.0%
9.8% 915 1.5% - 3,050 5.0%
9.8% 1,275 1.5% - 4,250 5.0%
9.8% 1,605 1.5% - 5,350 5.0%
9.8% 3,855 1.5% - 12,850 5.0%
9.8% 585 1.5% - 1,950 5.0%
9.8% 2,325 1.5% - 7,750 5.0%
9.8% 315 1.5% - 1,050 5.0%
9.8% 240 1.5% - 800 5.0%
9.8% 330 1.5% - 1,100 5.0%
9.8% 330 1.5% - 1,100 5.0%
9.8% 240 1.5% - 800 5.0%
9.8% 240 1.5% - 800 5.0%
9.8% 450 1.5% - 1,500 5.0%
9.8% 360 1.5% - 1,200 5.0%
9.8% 360 1.5% - 1,200 5.0%
9.8% 360 1.5% - 1,200 5.0%
9.8% 765 1.5% - 2,550 5.0%
9.8% 765 1.5% - 2,550 5.0%
9.8% 390 1.5% - 1,300 5.0%
9.8% 390 1.5% - 1,300 5.0%
9.8% 4,350 1.5% - 14,500 5.0%
9.8% 2,625 1.5% - 8,750 5.0%
9.8% 825 1.5% - 2,750 5.0%
9.8% 30,000 27.5% - 5,450 5.0%
9.8% 1,350 1.5% - 4,500 5.0%
9.8% 1,350 1.5% - 4,500 5.0%
9.8% 240 1.5% - 800 5.0%
9.8% 360 1.5% - 1,200 5.0%
9.8% 1,680 1.5% - 5,600 5.0%
9.8% 480 1.5% - 1,600 5.0%
9.8% 1,590 1.5% - 5,300 5.0%
9.8% 330 1.5% - 1,100 5.0%
9.8% 330 1.5% - 1,100 5.0%
9.8% 330 1.5% - 1,100 5.0%
9.8% 2,925 1.5% - 9,750 5.0%
9.8% 1,020 1.5% - 3,400 5.0%
9.8% 585 1.5% - 1,950 5.0%
9.8% 585 1.5% - 1,950 5.0%
9.8% 585 1.5% - 1,950 5.0%
9.8% 675 1.5% - 2,250 5.0%
9.8% 2,400 1.5% - 8,000 5.0%
- 1.5% - 0 5.0%
9.8% 570 1.5% - 1,900 5.0%
9.8% 9,825 1.5% - 32,750 5.0%
9.8% 3,825 1.5% - 12,750 5.0%
9.8% 630 1.5% - 2,100 5.0%
9.8% 630 1.5% - 2,100 5.0%
9.8% 10,000 20.0% - 2,500 5.0%
9.8% 110,000 18.2% 25,000 4.1% 30,250 5.0%
9.8% 100,000 18.2% 30,000 5.5% 27,500 5.0%
9.8% 150,000 21.4% 30,000 4.3% 35,000 5.0%
9.8% 200,000 22.7% 30,000 3.4% 44,000 5.0%
9.8% 1,425 1.5% - 4,750 5.0%
9.8% 1,425 1.5% - 4,750 5.0%
- - 0 5.0%
9.8% 1,440 1.5% - 4,800 5.0%
9.8% 1,440 1.5% - 4,800 5.0%
- - 0 5.0%
9.8% 630 1.5% - 2,100 5.0%
9.8% 630 1.5% - 2,100 5.0%
9.8% 900 1.5% - 3,000 5.0%
9.8% 900 1.5% - 3,000 5.0%
- - 0 5.0%
9.8% 3,075 1.5% - 10,250 5.0%
9.8% 4,125 1.5% - 13,750 5.0%
9.8% 7,095 1.5% - 23,650 5.0%
9.8% 5,325 1.5% - 17,750 5.0%
9.8% 5,475 1.5% - 18,250 5.0%
9.8% 4,275 1.5% - 14,250 5.0%
9.8% 3,810 1.5% - 12,700 5.0%
- - 0 5.0%
9.8% 3,810 1.5% - 12,700 5.0%
9.8% 5,850 1.5% - 19,500 5.0%
9.8% 3,960 1.5% - 13,200 5.0%
9.8% 4,950 1.5% - 16,500 5.0%
9.8% 4,800 1.5% - 16,000 5.0%
9.8% 2,595 1.5% - 8,650 5.0%
9.8% 2,595 1.5% - 8,650 5.0%
9.8% 5,190 1.5% - 17,300 5.0%
9.8% 5,190 1.5% - 17,300 5.0%
9.8% 3,345 1.5% - 11,150 5.0%
9.8% 4,650 1.5% - 15,500 5.0%
9.8% 1,635 1.5% - 5,450 5.0%
9.8% 1,125 1.5% - 3,750 5.0%
9.8% 1,260 1.5% - 4,200 5.0%
9.8% 5,858 1.5% - 19,525 5.0%
9.8% 1,260 1.5% - 4,200 5.0%
9.8% 1,260 1.5% - 4,200 5.0%
9.8% - - 5,400 5.0%
9.8% 1,260 1.5% - 4,200 5.0%
9.8% 1,350 1.5% - 4,500 5.0%
9.8% 1,350 1.5% - 4,500 5.0%
9.8% 1,350 1.5% - 4,500 5.0%
9.8% 1,350 1.5% - 4,500 5.0%
9.8% - - 13,250 5.0%
9.8% 3,000 1.5% - 10,000 5.0%
9.8% 3,975 1.5% - 13,250 5.0%
9.8% 30,000 18.8% 6,000 3.8% 8,000 5.0%
60,000 75.0% - 4,000 5.0%
- - 0 5.0%
9.8% 1,500 1.5% - 5,000 5.0%
9.8% 1,500 1.5% - 5,000 5.0%
9.8% 1,500 1.5% - 5,000 5.0%
9.8% 1,500 1.5% - 5,000 5.0%
9.8% 1,500 1.5% - 5,000 5.0%
9.8% 1,500 1.5% - 5,000 5.0%
9.8% 3,300 1.5% - 11,000 5.0%
9.8% 1,500 1.5% - 5,000 5.0%
9.8% 1,500 1.5% - 5,000 5.0%
9.8% 3,525 1.5% - 11,750 5.0%
9.8% 26,750 25.0% - 5,350 5.0%
9.8% 45,000 25.0% - 9,000 5.0%
9.8% 43,750 25.0% - 8,750 5.0%
9.8% 27,500 25.0% - 5,500 5.0%
9.8% 78,750 25.0% - 15,750 5.0%
9.8% 32,500 25.0% - 6,500 5.0%
9.8% 45,500 25.0% - 9,100 5.0%
9.8% 69,250 25.0% - 13,850 5.0%
9.8% 27,500 25.0% - 5,500 5.0%
9.8% 27,500 25.0% - 5,500 5.0%
9.8% 32,500 25.0% - 6,500 5.0%
9.8% 32,500 25.0% - 6,500 5.0%
9.8% 33,000 25.0% - 6,600 5.0%
9.8% 32,500 25.0% - 6,500 5.0%
9.8% 32,500 25.0% - 6,500 5.0%
9.8% 40,000 25.0% - 8,000 5.0%
9.8% 60,000 25.0% - 12,000 5.0%
9.8% 40,000 25.0% - 8,000 5.0%
9.8% 40,000 25.0% - 8,000 5.0%
9.8% 78,750 25.0% - 15,750 5.0%
9.8% 35,000 25.0% - 7,000 5.0%
9.8% 63,750 25.0% - 12,750 5.0%
2.3% 150,000 50.0% 10,000 3.3% 15,000 5.0%
9.8% 585 1.5% - 1,950 5.0%
9.8% 585 1.5% - 1,950 5.0%
9.8% 585 1.5% - 1,950 5.0%
9.8% 585 1.5% - 1,950 5.0%
9.8% 585 1.5% - 1,950 5.0%
9.8% 585 1.5% - 1,950 5.0%
- - 6,000 5.0%
- - 14,000 5.0%
- - 9,000 5.0%
- - 6,000 5.0%
- - 10,000 5.0%
- - 15,400 5.0%
- - 3,000 5.0%
9.8% - 15.5% - 2.0% 17,500 5.0%
BIAYA SDM % MARGIN % TARIP SEKARANG MARGIN
18,705 21.5% 28,376 32.62% 87,000 41,376
18,705 21.5% 31,343 36.03% 87,000 44,343
8,385 21.5% 13,178 33.79% 39,000 16,178
8,600 21.5% 11,900 29.75% 40,000 16,900
13,115 21.5% 14,397 23.60% 61,000 18,397
18,275 21.5% 26,583 31.27% 85,000 36,583
23,005 21.5% 27,139 25.36% 107,000 40,139
55,255 21.5% 99,015 38.53% 257,000 112,015
8,385 21.5% 15,440 39.59% 39,000 18,440
33,325 21.5% 68,800 44.39% 155,000 83,800
4,515 21.5% 5,963 28.40% 21,000 44,963
3,440 21.5% 4,380 27.38% 16,000 8,380
4,730 21.5% 6,960 31.64% 22,000 9,960
4,730 21.5% 6,960 31.64% 22,000 9,960
3,440 21.5% 4,380 27.38% 16,000 8,380
3,440 21.5% 4,380 27.38% 16,000 8,380
6,450 21.5% 10,400 34.67% 30,000 15,400
5,160 21.5% 6,836 28.48% 24,000 12,836
5,160 21.5% 6,836 28.48% 24,000 12,836
5,160 21.5% 6,836 28.48% 24,000 12,836
10,965 21.5% 20,960 41.10% 51,000 24,960
10,965 21.5% 20,833 40.85% 51,000 24,833
5,590 21.5% 9,590 36.88% 26,000 13,590
5,590 21.5% 9,590 36.88% 26,000 13,590
62,350 21.5% 123,070 42.44% 290,000 133,070
37,625 21.5% 73,275 41.87% 175,000 198,275
11,825 21.5% 22,800 41.45% 55,000 27,800
23,435 21.5% 19,275 17.68% 109,000 60,275
19,350 21.5% 9,650 10.72% 90,000 19,650
19,350 21.5% 9,650 10.72% 90,000 19,650
3,440 21.5% 4,620 28.88% 16,000 3,620
5,160 21.5% 8,180 34.08% 24,000 9,180
24,080 21.5% 49,020 43.77% 112,000 57,020
6,880 21.5% 12,220 38.19% 32,000 15,220
22,790 21.5% 38,734 36.54% 106,000 52,734
4,730 21.5% 6,058 27.54% 22,000 14,058
4,730 21.5% 6,058 27.54% 22,000 14,058
4,730 21.5% 6,058 27.54% 22,000 14,058
41,925 21.5% 70,040 35.92% 195,000 75,040
14,620 21.5% 19,124 28.12% 68,000 21,124
8,385 21.5% 12,671 32.49% 39,000 18,671
8,385 21.5% 12,671 32.49% 39,000 18,671
8,385 21.5% 12,671 32.49% 39,000 18,671
9,675 21.5% 14,555 32.34% 45,000 19,555
34,400 21.5% 58,140 36.34% 160,000 (21,860)
0 21.5% (2,500) #DIV/0! - -
8,170 21.5% 11,902 31.32% 38,000 18,902
140,825 21.5% 88,545 13.52% 655,000 108,545
54,825 21.5% 30,395 11.92% 255,000 50,395
9,030 21.5% 13,124 31.25% 42,000 16,124
9,030 21.5% 13,124 31.25% 42,000 16,124
10,750 21.5% 9,700 19.40% 50,000 34,700
130,075 21.5% 131,120 21.67% 605,000 136,120
118,250 21.5% 114,450 20.81% 550,000 164,450
150,500 21.5% 131,800 18.83% 700,000 181,800
189,200 21.5% 162,620 18.48% 880,000 182,620
20,425 21.5% 35,690 37.57% 95,000 (9,310)
20,425 21.5% 35,690 37.57% 95,000 (9,310)
0 21.5% (2,500) #DIV/0! - -
20,640 21.5% 36,092 37.60% 96,000 92
20,640 21.5% 36,092 37.60% 96,000 92
0 21.5% (2,500) #DIV/0! - #VALUE!
9,030 21.5% 13,124 31.25% 42,000 16,124
9,030 21.5% 13,124 31.25% 42,000 16,124
12,900 21.5% 19,820 33.03% 60,000 29,820
12,900 21.5% 17,240 28.73% 60,000 27,240
0 21.5% (2,500) #DIV/0! - -
44,075 21.5% 36,040 17.58% 205,000 46,040
59,125 21.5% 49,200 17.89% 275,000 59,200
101,695 21.5% 86,424 18.27% 473,000 88,424
76,325 21.5% 64,240 18.10% 355,000 74,240
78,475 21.5% 109,920 30.12% 365,000 119,920
61,275 21.5% 81,005 28.42% 285,000 96,005
54,610 21.5% 46,014 18.12% 254,000 67,014
0 21.5% (2,500) #DIV/0! - -
54,610 21.5% 46,014 18.12% 254,000 67,014
83,850 21.5% 111,770 28.66% 390,000 121,770
56,760 21.5% 74,852 28.35% 264,000 85,852
70,950 21.5% 96,500 29.24% 330,000 116,500
68,800 21.5% 70,460 22.02% 320,000 100,460
37,195 21.5% 14,800 8.55% 173,000 41,800
37,195 21.5% 14,800 8.55% 173,000 41,800
74,390 21.5% 52,860 15.28% 346,000 81,860
74,390 21.5% 80,540 23.28% 346,000 109,540
47,945 21.5% 66,630 29.88% 223,000 93,630
66,650 21.5% 93,600 30.19% 310,000 133,600
23,435 21.5% 37,830 34.71% 109,000 38,830
16,125 21.5% 22,175 29.57% 75,000 27,175
18,060 21.5% 25,136 29.92% 84,000 31,136
83,958 21.5% 125,975 32.26% 390,500 135,475
18,060 21.5% 25,136 29.92% 84,000 31,136
18,060 21.5% 25,136 29.92% 84,000 31,136
23,220 21.5% 34,652 32.09% 108,000 36,652
18,060 21.5% 29,420 35.02% 84,000 35,420
19,350 21.5% 20,000 22.22% 90,000 30,000
19,350 21.5% 20,000 22.22% 90,000 30,000
19,350 21.5% 20,000 22.22% 90,000 30,000
19,350 21.5% 16,850 18.72% 90,000 26,850
56,975 21.5% 11,545 4.36% 265,000 46,545
43,000 21.5% 23,300 11.65% 200,000 73,300
56,975 21.5% 31,685 11.96% 265,000 41,685
34,400 21.5% 37,500 23.44% 160,000 52,500
17,200 21.5% (4,740) -5.93% 80,000 15,260
0 21.5% (2,500) #DIV/0! - -
21,500 21.5% 37,200 37.20% 100,000 47,200
21,500 21.5% 37,200 37.20% 100,000 47,200
21,500 21.5% 37,200 37.20% 100,000 47,200
21,500 21.5% 37,200 37.20% 100,000 47,200
21,500 21.5% 37,200 37.20% 100,000 47,200
21,500 21.5% 37,200 37.20% 100,000 47,200
47,300 21.5% 84,840 38.56% 220,000 94,840
21,500 21.5% 37,200 37.20% 100,000 47,200
21,500 21.5% 42,500 42.50% 100,000 52,500
50,525 21.5% 90,795 38.64% 235,000 105,795
23,005 21.5% 3,064 2.86% 107,000 16,064
38,700 21.5% 6,860 3.81% 180,000 26,860
37,625 21.5% 6,600 3.77% 175,000 31,600
23,650 21.5% 3,220 2.93% 110,000 13,220
67,725 21.5% 13,880 4.41% 315,000 23,880
27,950 21.5% 4,260 3.28% 130,000 24,260
39,130 21.5% 6,964 3.83% 182,000 24,964
59,555 21.5% 11,904 4.30% 277,000 24,904
23,650 21.5% 3,220 2.93% 110,000 13,220
23,650 21.5% 3,220 2.93% 110,000 13,220
27,950 21.5% 4,260 3.28% 130,000 24,260
27,950 21.5% 4,260 3.28% 130,000 24,260
28,380 21.5% 4,364 3.31% 132,000 22,364
27,950 21.5% 4,260 3.28% 130,000 24,260
27,950 21.5% 4,260 3.28% 130,000 24,260
34,400 21.5% 5,820 3.64% 160,000 15,820
51,600 21.5% 4,700 1.96% 240,000 14,700
34,400 21.5% 5,820 3.64% 160,000 35,820
34,400 21.5% 5,820 3.64% 160,000 35,820
67,725 21.5% 13,880 4.41% 315,000 48,880
30,100 21.5% 4,780 3.41% 140,000 39,780
54,825 21.5% 10,760 4.22% 255,000 30,760
64,500 21.5% 7,000 2.33% 300,000 57,000
8,385 21.5% 1,127 2.89% 39,000 7,127
8,385 21.5% 1,127 2.89% 39,000 7,127
8,385 21.5% 1,127 2.89% 39,000 7,127
8,385 21.5% 1,127 2.89% 39,000 7,127
8,385 21.5% 1,127 2.89% 39,000 7,127
8,385 21.5% 1,127 2.89% 39,000 7,127
25,800 21.5% 84,140 70.12% 120,000 84,140
60,200 21.5% 199,660 71.31% 280,000 199,660
38,700 21.5% 127,460 70.81% 180,000 127,460
25,800 21.5% 84,140 70.12% 120,000 84,140
43,000 21.5% 141,900 70.95% 200,000 141,900
66,220 21.5% 219,876 71.39% 308,000 219,876
12,900 21.5% 40,820 68.03% 60,000 40,820
75,250 21.5% 90,250 25.79% 350,000 90,250
Tarip Baru
%
41.4% 100,000 14.9%
44.3% 100,000 14.9%
38.5% 42,000 7.7%
37.6% 45,000 12.5%
28.3% 65,000 6.6%
38.5% 95,000 11.8%
33.4% 120,000 12.1%
41.5% 270,000 5.1%
43.9% 42,000 7.7%
49.3% 170,000 9.7%
74.9% 60,000 185.7%
41.9% 20,000 25.0%
39.8% 25,000 13.6%
39.8% 25,000 13.6%
41.9% 20,000 25.0%
41.9% 20,000 25.0%
44.0% 35,000 16.7%
42.8% 30,000 25.0%
42.8% 30,000 25.0%
42.8% 30,000 25.0%
45.4% 55,000 7.8%
45.2% 55,000 7.8%
45.3% 30,000 15.4%
45.3% 30,000 15.4%
44.4% 300,000 3.4%
66.1% 300,000 71.4%
46.3% 60,000 9.1%
40.2% 150,000 37.6%
19.7% 100,000 11.1%
19.7% 100,000 11.1%
24.1% 15,000 -6.3%
36.7% 25,000 4.2%
47.5% 120,000 7.1%
43.5% 35,000 9.4%
43.9% 120,000 13.2%
46.9% 30,000 36.4%
46.9% 30,000 36.4%
46.9% 30,000 36.4%
37.5% 200,000 2.6%
30.2% 70,000 2.9%
41.5% 45,000 15.4%
41.5% 45,000 15.4%
41.5% 45,000 15.4%

39.1% 50,000 11.1% 77,000
-27.3% 80,000 -50.0% 83000
- - -
42.0% 45,000 18.4%
16.1% 675,000 3.1%
18.3% 275,000 7.8%
35.8% 45,000 7.1%
35.8% 45,000 7.1%
46.3% 75,000 50.0%
22.3% 610,000 0.8%
27.4% 600,000 9.1%
24.2% 750,000 7.1%
20.3% 900,000 2.3%
-18.6% 50,000 -47.4%
-18.6% 50,000 -47.4%
- - -
0.2% 60,000 -37.5%
0.2% 60,000 -37.5%
#VALUE! - #VALUE!
35.8% 45,000 7.1%
35.8% 45,000 7.1%
42.6% 70,000 16.7%
38.9% 70,000 16.7%
- - -
21.4% 215,000 4.9%
20.8% 285,000 3.6%
18.6% 475,000 0.4%
20.3% 365,000 2.8%
32.0% 375,000 2.7%
32.0% 300,000 5.3%
24.4% 275,000 8.3%
- - -
24.4% 275,000 8.3%
30.4% 400,000 2.6%
31.2% 275,000 4.2%
33.3% 350,000 6.1%
28.7% 350,000 9.4%
20.9% 200,000 15.6%
20.9% 200,000 15.6%
21.8% 375,000 8.4%
29.2% 375,000 8.4%
37.5% 250,000 12.1%
38.2% 350,000 12.9%
35.3% 110,000 0.9%
34.0% 80,000 6.7%

34.6% 90,000 7.1%
33.9% 400,000 2.4%
34.6% 90,000 7.1%
34.6% 90,000 7.1%
33.3% 110,000 1.9%
39.4% 90,000 7.1%
30.0% 100,000 11.1%
30.0% 100,000 11.1%
30.0% 100,000 11.1%
26.9% 100,000 11.1%
15.5% 300,000 13.2%
29.3% 250,000 25.0%
15.2% 275,000 3.8%
30.0% 175,000 9.4%
15.3% 100,000 25.0%
- - -
42.9% 110,000 10.0%
42.9% 110,000 10.0%
42.9% 110,000 10.0%
42.9% 110,000 10.0%
42.9% 110,000 10.0%
42.9% 110,000 10.0%
41.2% 230,000 4.5%
42.9% 110,000 10.0%
47.7% 110,000 10.0%
42.3% 250,000 6.4%
13.4% 120,000 12.1%
13.4% 200,000 11.1%
15.8% 200,000 14.3%
11.0% 120,000 9.1%
7.3% 325,000 3.2%
16.2% 150,000 15.4%
12.5% 200,000 9.9%
8.6% 290,000 4.7%
11.0% 120,000 9.1%
11.0% 120,000 9.1%
16.2% 150,000 15.4%
16.2% 150,000 15.4%
14.9% 150,000 13.6%
16.2% 150,000 15.4%
16.2% 150,000 15.4%
9.3% 170,000 6.3%
5.9% 250,000 4.2%
18.9% 190,000 18.8%
18.9% 190,000 18.8%

14.0% 350,000 11.1%
22.7% 175,000 25.0%
11.2% 275,000 7.8%
16.3% 350,000 16.7%
15.8% 45,000 15.4%
15.8% 45,000 15.4%
15.8% 45,000 15.4%
15.8% 45,000 15.4%
15.8% 45,000 15.4%
15.8% 45,000 15.4%
70.1% 120,000 0.0%
71.3% 280,000 0.0%
70.8% 180,000 0.0%
70.1% 120,000 0.0%
71.0% 200,000 0.0%
71.4% 308,000 0.0%
68.0% 60,000 0.0%
25.8% 350,000 0.0%

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daftartindakan_nama BMHP % ATK & ART%2

Analisa Batu Ginjal

Angkle Joint AP + Lat CR

Ankle Joint AP + Lateral

Ankle Joint Bilateral

Ankle Joint Bilateral CR

Anti - Hbs (elisa)

Anti CMV IgG

Anti CMV IgM

Anti HAV IgM

Anti HCV IgM

Anti Rubella IgG

Anti Rubella IgM

Anti Toxoplasma IgM

Bence Jones Protein

Calcaneus Axcial AP + Lat CR

Calcaneus Axcial Ap+Lat

Calcaneus Axcial Bilateral

Calcaneus Axcial Bilateral CR

Cervical Soft Tissue

Cervical Soft Tissue CR

Clavicula Kiri / Kanan

Clavicula Perbandingan Kiri & Kanan

Clavicula Perbandingan Kiri / Kanan CR

Cruris Bilateral AP + Lat

CT SCAN Kepala Polos & Bone Window

Ct Scan Kepala Polos & Bone Window 3d

CT-SCAN Abdomen Atas

Ct-scan Abdomen Atas 3d

CT-SCAN Abdomen Atas dan Bawah

Ct-scan Abdomen Atas Dan Bawah 3d

CT-SCAN Abdomen Atas Kontras

Ct-scan Abdomen Atas Kontras 3d

CT-SCAN Abdomen Bawah

Ct-scan Abdomen Bawah 3d

CT-SCAN Abdomen Bawah Kontras

Ct-scan Abdomen Bawah Kontras 3d

CT-SCAN Abdomen Kontras Atas & Bawah

CT-SCAN Cervical Kontras

Ct-scan Cervical Kontras 3d

Ct-scan Ekstremitas Atas 3d

CT-SCAN Ekstremitas Atas/Bawah

Ct-scan Ekstremitas Bawah

Ct-scan Ekstremitas Bawah 3d

CT-SCAN Kepala Kontras

Ct-scan Kepala Kontras 3d

Ct-scan Kepala Kontras Tanpa Polos 3d

CT-SCAN Kepala Polos

Ct-scan Kepala Polos 3d

CT-SCAN Kontras Tanpa Polos

Ct-scan Kontras Tanpa Polos 3d

CT-SCAN Laring Kontras

Ct-scan Laring Kontras 3d

CT-SCAN Mandibula Kontras

CT-SCAN Mastoid Kontras

Ct-scan Mastoid Kontras 3d

CT-SCAN Nasofaring Kontras

Ct-scan Nasofaring Kontras 3d