| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 1251 | Pemeriksaan Trombosit Consentrat (TC) | Rp410.000 | Laboratorium |
| 1252 | Pemeriksaan Fresh Frozen Plasma (FFP) | Rp410.000 | Laboratorium |
| 1253 | PRC Leucodepleced | Rp410.000 | Laboratorium |
| 1254 | Pemeriksaan Whoole Blood (WB) dengan Cross Match | Rp410.000 | Laboratorium |
| 1255 | Pemeriksaan Package Red Cell (PRC) tanpa Cross Match | Rp385.000 | Laboratorium |
| 1256 | Pemeriksaan Whoole Blood (WB) tanpa Cross Match | Rp385.000 | Laboratorium |
| 1257 | BTA Sputum | Rp50.000 | Laboratorium |
| 1258 | VDRL | Rp52.000 | Laboratorium |
| 1259 | ASTO | Rp98.000 | Laboratorium |
| 1260 | CRP | Rp98.000 | Laboratorium |
