| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 1241 | Analisa Pleura/Asites (Hitung jumlah sel.hitung jenis.vivacta) | Rp59.000 | Laboratorium |
| 1242 | Analisa sperma | Rp48.000 | Laboratorium |
| 1243 | Coombs test | Rp150.000 | Laboratorium |
| 1244 | Golongan Darah & Rh | Rp32.000 | Laboratorium |
| 1245 | Cultur + Sensitivity-test Micro Organisme | Rp210.000 | Laboratorium |
| 1246 | Tubex | Rp210.000 | Laboratorium |
| 1247 | Paket pelayanan Darah (BDRS) | Rp500.000 | Laboratorium |
| 1248 | Gambaran Darah Tepi | Rp90.000 | Laboratorium |
| 1249 | Gambaran sumsum tulang | Rp400.000 | Laboratorium |
| 1250 | Pemeriksaan Wash Red Cell/Wash Eritrosit (WRC/WE) | Rp635.000 | Laboratorium |
