| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 1331 | Kreatinin PAP | Rp46.000 | Laboratorium |
| 1332 | CK-MB (activity) | Rp58.000 | Laboratorium |
| 1333 | Analisa Gas Darah dengan laktat | Rp355.000 | Laboratorium |
| 1334 | Cross Match | Rp75.000 | Laboratorium |
| 1335 | Darah Rutin ( 3 diff) | Rp49.000 | Laboratorium |
| 1336 | Darah Rutin ( 5 diff ) | Rp53.000 | Laboratorium |
| 1337 | Urine Rutin | Rp61.000 | Laboratorium |
| 1338 | Urin rutin + sedimen | Rp61.000 | Laboratorium |
| 1339 | Mikroskopik Gram | Rp187.000 | Laboratorium |
| 1340 | Mikroskopik Zn(BTA) | Rp128.000 | Laboratorium |