| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 1261 | Rheuma Factor | Rp80.000 | Laboratorium |
| 1262 | HBsAg ( Kwalitatif ) Rapid | Rp62.000 | Laboratorium |
| 1263 | TPHA | Rp58.000 | Laboratorium |
| 1264 | Widal | Rp68.000 | Laboratorium |
| 1265 | HIV | Rp116.000 | Laboratorium |
| 1266 | Uji Kehamilan ( HCG Test ) | Rp45.000 | Laboratorium |
| 1267 | Anti HBs | Rp132.000 | Laboratorium |
| 1268 | Anti HCV ELISA | Rp210.000 | Laboratorium |
| 1269 | Anti HCV Rapid | Rp110.000 | Laboratorium |
| 1270 | Dengue IgG / IgM | Rp200.000 | Laboratorium |
