| Nama Pemeriksaan |
Kelas |
Tarif Radiologi |
| Scapula |
- |
Rp. 200.000,- |
| Lumbal Dinamik 4 Posisi |
- |
Rp. 500.000,- |
| Lumbal 3 Posisi ( AP + Lateral + Oblique ) |
- |
Rp. 500.000,- |
| Lumbal ( AP + Lateral ) |
- |
Rp. 300.000,- |
| Humerus Bilateral ( AP + Lateral ) |
- |
Rp. 400.000,- |
| Humerus ( AP + Lateral ) |
- |
Rp. 200.000,- |
| Hip Joint AP Axial |
- |
Rp. 200.000,- |
| Hip Joint AP |
- |
Rp. 200.000,- |
| Hip Joint Alar / Obturator Bilateral |
- |
Rp. 400.000,- |
| Hip Joint Alar / Obturator |
- |
Rp. 200.000,- |
| Hip Joint |
- |
Rp. 200.000,- |
| Genu Sky Line Bilateral |
- |
Rp. 375.000,- |
| Genu Sky Line |
- |
Rp. 200.000,- |
| Genu Bilateral ( AP + Lateral ) |
- |
Rp. 400.000,- |
| Genu ( AP + Lateral ) |
- |
Rp. 300.000,- |
| Frog Leg Position |
- |
Rp. 200.000,- |
| Foramen Opticum ( Rheese ) |
- |
Rp. 200.000,- |
| Femur Bilateral ( AP + Lateral ) |
- |
Rp. 400.000,- |
| Lumbosacral ( AP + Lateral ) |
- |
Rp. 300.000,- |
| Lumbosacral 3 Posisi ( AP + Lateral + Oblique) |
- |
Rp. 500.000,- |
| Mandibula (AP + Lateral) |
- |
Rp. 300.000,- |
| Sacroiliacal Joint |
- |
Rp. 300.000,- |
| Sacrococcygeus (AP + Lateral) |
- |
Rp. 300.000,- |
| Sacral / Coccygeus |
- |
Rp. 210.000,- |
| Pelvis Oblique |
- |
Rp. 200.000,- |
| Pelvis Axial |
- |
Rp. 200.000,- |
| Pelvis Lateral |
- |
Rp. 200.000,- |
| Pelvis AP |
- |
Rp. 200.000,- |
| Pedis Bilateral (AP + Oblique) |
- |
Rp. 400.000,- |
| Pedis (AP + Oblique) |
- |
Rp. 200.000,- |
| Os Zygomaticum |
- |
Rp. 200.000,- |
| Orbita |
- |
Rp. 200.000,- |
| Nasal bone |
- |
Rp. 135.000,- |
| Mortis View Ankle |
- |
Rp. 300.000,- |
| Maxilla (AP + Lateral) |
- |
Rp. 300.000,- |
| Mastoid / Schuller |
- |
Rp. 300.000,- |
| Manus Bilateral (AP + Lateral) |
- |
Rp. 400.000,- |
| Manus (AP + Lateral) |
- |
Rp. 200.000,- |
| Femur ( AP + Lateral ) |
- |
Rp. 200.000,- |
| Elbow Bilateral ( AP + Lateral ) |
- |
Rp. 400.000,- |
| Elbow ( AP + Lateral ) |
- |
Rp. 200.000,- |
| BONE SURVEY II (BONE SURVEY I + EXTERMITAS ATAS) |
- |
Rp. 1.600.000,- |
| Zygomatic Bone |
- |
Rp. 200.000,- |
| BONE SURVEY I (CRANIUM, CERVICAL, THORACAL, LUMBA) |
- |
Rp. 800.000,- |
| Wrist Bilateral (AP + Lateral) |
- |
Rp. 400.000,- |
| Wrist (AP + Lateral) |
- |
Rp. 200.000,- |
| TMJ Open and Close Mouth |
- |
Rp. 200.000,- |
| Thorax Top Lordotic |
- |
Rp. 150.000,- |
| Thorax RLD |
- |
Rp. 150.000,- |
| Thorax LLD |
- |
Rp. 150.000,- |
| Thorax Lateral |
- |
Rp. 200.000,- |
| Thorax AP |
- |
Rp. 150.000,- |
| Thorax (PA + Lateral) |
- |
Rp. 200.000,- |
| Thorax (PA + Lateral + Oblique) |
- |
Rp. 250.000,- |
| BONE AGE |
- |
Rp. 400.000,- |
| THORACOABDOMINAL (BABYGRAM) |
- |
Rp. 200.000,- |
| ARTIC CUBITI / ELBOW JOINT BILATERAL |
- |
Rp. 375.000,- |
| ARTIC CUBITI / ELBOW JOINT |
- |
Rp. 225.000,- |
| Thorax PA |
- |
Rp. 150.000,- |
| Calceneus |
- |
Rp. 225.000,- |
| CALCANEUS BILATERAL |
- |
Rp. 400.000,- |
| Digiti Pedis Bilateral ( AP + Lateral ) |
- |
Rp. 400.000,- |
| Digiti Pedis ( AP + Lateral ) |
- |
Rp. 200.000,- |
| Digiti Manus ( I/II/II/IV/V) |
- |
Rp. 200.000,- |
| Denta X- Ray |
- |
Rp. 100.000,- |
| Cruris Bilateral ( AP + Lateral ) |
- |
Rp. 400.000,- |
| Cruris ( AP + Lateral ) |
- |
Rp. 200.000,- |
| Cranium PA |
- |
Rp. 200.000,- |
| Cranium AP |
- |
Rp. 200.000,- |
| Cranium( PA + Lateral ) |
- |
Rp. 200.000,- |
| Cranium( AP + Lateral ) |
- |
Rp. 200.000,- |
| Clavicula Bilateral ( AP + Lateral ) |
- |
Rp. 400.000,- |
| Clavicula ( AP + Lateral ) |
- |
Rp. 200.000,- |
| Cervicothoracal ( AP + Lateral ) |
- |
Rp. 200.000,- |
| Cervical AP ( Open / Close Mouth ) |
- |
Rp. 200.000,- |
| Cervical 2 Posisi ( AP + LAT + Oblique ) |
- |
Rp. 200.000,- |
| Cervical 2 Posisi ( AP + LAT ) |
- |
Rp. 200.000,- |
| Cephalometry ( PA + Lateral ) |
- |
Rp. 225.000,- |
| ANTEBRACHII BILATERAL ( AP + LATERAL ) |
- |
Rp. 400.000,- |
| Scapula Bilateral |
- |
Rp. 400.000,- |
| Urologi |
- |
Rp. 800.000,- |
| Scrotum |
- |
Rp. 600.000,- |
| Payudara |
- |
Rp. 500.000,- |
| Muskuloskeletal Sendi |
- |
Rp. 600.000,- |
| Muskuloskeletal |
- |
Rp. 600.000,- |
| Genu |
- |
Rp. 600.000,- |
| USG WHOLE ABDOMEN |
- |
Rp. 1.151.150,- |
| Sialografi |
- |
Rp. 1.178.000,- |
| Maag Doudenum |
- |
Rp. 1.178.000,- |
| Fistulografi |
- |
Rp. 924.000,- |
| Esophagus |
- |
Rp. 1.178.000,- |
| COR analisa dengan Barium |
- |
Rp. 434.000,- |
| Cholangiography (T Tube) |
- |
Rp. 1.178.000,- |
| Pyelography Retrograde |
- |
Rp. 1.194.000,- |
| Testis |
- |
Rp. 600.000,- |
| Thorax |
- |
Rp. 500.000,- |
| Thyroid |
- |
Rp. 500.000,- |
| Whole Abdomen |
- |
Rp. 900.000,- |
| Vasculer DEX / SIN Extremitas Bawah |
- |
Rp. 750.000,- |
| Vasculer DEX / SIN Extremitas Atas |
- |
Rp. 750.000,- |
| Echocardiografi Colour Doppler |
- |
Rp. 686.000,- |
| Echocardiografi BW |
- |
Rp. 686.000,- |
| USG 4 Lumbal Spine Bayi |
- |
Rp. 735.000,- |
| USG 4 Dimensi Lengkap (+CD) |
- |
Rp. 789.000,- |
| USG 4 Dimensi Biasa |
- |
Rp. 513.000,- |
| USG Thyroid Doppler |
- |
Rp. 450.000,- |
| USG Thorax Marker |
- |
Rp. 450.000,- |
| USG Soft Tissue / Superficial |
- |
Rp. 450.000,- |
| USG Doppler Whole Abdomen |
- |
Rp. 450.000,- |
| USG Doppler Mammae |
- |
Rp. 450.000,- |
| USG Doppler Vasculer Extremity Bilateral |
- |
Rp. 450.000,- |
| USG Doppler Vasculer Extremity |
- |
Rp. 450.000,- |
| USG Doppler Abdomen |
- |
Rp. 450.000,- |
| Tractus Urinary |
- |
Rp. 800.000,- |
| Cystography (+BNO) |
- |
Rp. 1.178.000,- |
| Uretrography (+BNO) |
- |
Rp. 924.000,- |
| Usus kecil/ Barium Follow Trough |
- |
Rp. 1.178.000,- |
| Thorax (AP + Lateral + Oblique) |
- |
Rp. 250.000,- |
| Thoracolumbal 3 Posisi (AP + Lateral + Oblique) |
- |
Rp. 500.000,- |
| Thoracolumbal (AP + Lateral) |
- |
Rp. 300.000,- |
| Thoracal AP + Lateral + Oblique |
- |
Rp. 425.000,- |
| Thoracal AP + Lateral |
- |
Rp. 220.000,- |
| Thoracal AP |
- |
Rp. 125.000,- |
| Sternum (AP + Lateral) |
- |
Rp. 200.000,- |
| Sternum AO |
- |
Rp. 150.000,- |
| Sinus Paranasal 3 posisi |
- |
Rp. 225.000,- |
| Sinus Paranasal 2 posisi |
- |
Rp. 200.000,- |
| Shoulder Exo-Endo Rot |
- |
Rp. 400.000,- |
| Shoulder Bilateral Exo-Endo Rot |
- |
Rp. 400.000,- |
| Shoulder Bilateral (AP + Lateral) |
- |
Rp. 400.000,- |
| Shoulder Axial View |
- |
Rp. 200.000,- |
| Shoulder (AP + Lateral) |
- |
Rp. 200.000,- |
| Sella Tursica |
- |
Rp. 200.000,- |
| Scoliosis Progam (5 Posisi) |
- |
Rp. 558.000,- |
| Thorax (AP + Lateral) |
- |
Rp. 200.000,- |
| Appendicogram |
- |
Rp. 1.178.000,- |
| BNO + IVP |
- |
Rp. 600.000,- |
| T-Tube Cholecistografi |
- |
Rp. 1.178.000,- |
| Retrograde Urethrocystography |
- |
Rp. 1.194.000,- |
| Retrograde Pylography |
- |
Rp. 1.178.000,- |
| OMD (Oesofagography Maag Duodenum) dengan Barium |
- |
Rp. 1.178.000,- |
| Oesofagography |
- |
Rp. 1.178.000,- |
| Myelography |
- |
Rp. 1.178.000,- |
| MD ( Maag Duodenum) |
- |
Rp. 1.178.000,- |
| MCU (Micturating Cysto Urethrography) |
- |
Rp. 1.178.000,- |
| IVP (Intra Vena Pyelography) |
- |
Rp. 1.194.000,- |
| HSG ( Histeroealpingography ) |
- |
Rp. 1.178.000,- |
| Galaktugraphy |
- |
Rp. 1.178.000,- |
| Follow Through |
- |
Rp. 1.178.000,- |
| Fistulography |
- |
Rp. 924.000,- |
| Cystography |
- |
Rp. 1.178.000,- |
| Colon in loop dengan Water Soluble |
- |
Rp. 1.426.000,- |
| Colon in loop dengan Barium |
- |
Rp. 1.426.000,- |
| Scoliosis Control (2 Posisi) |
- |
Rp. 371.500,- |
| ANTEBRACHII ( AP + LATERAL ) |
- |
Rp. 225.000,- |
| Shoulder Joint |
- |
Rp. 200.000,- |
| CT Scan Brain Trauma - Non Kontras |
- |
Rp. 1.753.920,- |
| CT Scan Brain - Non Kontras |
- |
Rp. 1.900.080,- |
| ANKLE ( AP + LATERAL ) |
- |
Rp. 200.000,- |
| ABDOMEN POLOS / BNO |
- |
Rp. 200.000,- |
| ABDOMEN 2 POSISI |
- |
Rp. 570.000,- |
| ABDOMEN 3 POSISI |
- |
Rp. 325.000,- |
