b.Prothesa Penuh 1 Rahang (14 Gigi) 2,000,000 1,000,000 700,000 300,000 15 15 Bagian Hukum Setda Kab. Banjar | http://hukum.banjarkab.go.id/ http://jdih.banjarkab.go.id/ 6 Curatase Per Regio 150,000 30,000 100,000 20,000 7 Gingivectomy per Regio 100,000 25,000 50,000 25,000 8 Up Hetting 30,000 5,000 20,000 5,000 9 Enukleasi Pulpa Poliep 60,000 5,000 50,000 5,000 XI PEMERIKSAAN LABORATO RIUM A PEMERIKSAAN KIMIA TERBA TAS 1 Fisika a Bau 5,000 500 3,500 1,000 b Rasa 5,000 500 3,500 1,000 c Suhu 5,000 500 3,500 1,000 d Warna 5,000 500 3,500 1,000 e TDS / Zat Padat Terlarut 25,000 2,500 17,500 5,000 f Kekeruhan / turbidity 10,000 1,000 7,000 2,000 g TSS 25,000 3,000 17,000 5,000 2 Kimia a Fe / Besi 28,500 2,850 19,950 5,700 b Mn / Mangan 21,000 2,000 14,000 5,000 c H 7,500 750 5,250 1,500 d CaCO3 / Kesadahan 69,500 6,950 48,650 13,900 e BOD 49,000 4,900 34,300 9,800 f COD 49,000 4,900 34,300 9,800 g NO2 / Nitrit 42,000 4,200 29,400 8,400 h NO3 / Nitrat 30,000 3,000 21,000 6,000 i C l- / SisaChlor 27,000 2,700 18,900 5,400 j Hg / Air Raksa 97,750 10,000 68,200 19,550 k Cl2 / Chlorine 27,000 2,700 18,900 5,400 l As / Arsen 65,000 6,500 45,500 13,000 m Zn / Seng 65,000 6,500 45,500 13,000 o Cd / Kadmium 75,000 7,500 52,500 15,000 v H2S / Sulfida 40,000 4,000 28,000 8,000 q SO4 / Sulfat 35,000 3,500 24,500 7,000 r NH3-N / Amoniak 25,000 2,500 17,500 5,000 s N / Nitrogen sebagai N 25,000 2,500 17,500 5,000 t PO4 / Phospat 80,000 8,000 56,000 16,000 u Se / Selenium 75,000 7,500 52,500 15,000 v Minyak Lemak 40,000 4,000 28,000 8,000 3 Kimia Makanan a Sakarin 60,000 6,000 42,000 12,000 b Boraks 60,000 6,000 42,000 12,000 c Formalin 60,000 6,000 42,000 12,000 d Rhodamin B 60,000 6,000 42,000 12,000 e Methanil Yellow 60,000 6,000 42,000 12,000 f Siklamat 60,000 6,000 42,000 12,000 g Nitrit 60,000 6,000 42,000 12,000 B MIKROBIOLOGI 1 Bidang Mikrobiologi a Angka Kuman 20,000 2,000 14,000 4,000 16 16 Bagian Hukum Setda Kab. Banjar | http://hukum.banjarkab.go.id/ http://jdih.banjarkab.go.id/ b MPN Coliform 50,000 5,000 35,000 10,000 c MPN Coli Tinja 25,000 2,500 17,500 5,000 d Telur Cacing 7,500 750 5,250 1,500 e E.Coli 40,000 4,000 28,000 8,000 f Salmonella 40,000 4,000 28,000 8,000 g Shigella 40,000 4,000 28,000 8,000 h Vibro Cholera 40,000 4,000 28,000 8,000 i Stapylococcus 40,000 4,000 28,000 8,000 j Stretococcus 40,000 4,000 28,000 8,000 k Jamur / yeast biakan 60,000 28,200 24,000 7,800 l BTA per slide 40,000 16,200 16,000 7,800 m P.Gram 30,000 10,200 12,000 7,800 2 Parasitologi a Malaria Mikroskopis 25,000 7,200 10,000 7,800 b Mikrofilaria Mikroskopis 25,000 7,200 10,000 7,800 c Jamur 25,000 7,200 10,000 7,800 3 IMUNOLOGI / SEROLOGI a Widal test 40,000 16,200 16,000 7,800 b Hepatitis B Aglutinasi (HBs-Ag) 50,000 22,200 20,000 7,800 c Hepatitis B Antibodi (HBs- AB) 50,000 22,200 20,000 7,800 d HCV 50,000 22,200 20,000 7,800 e VDRL (Sfilis) 50,000 22,200 20,000 7,800 f HIV 100,000 52,200 40,000 7,800 g Rheumatoid Faktor (RAF) 40,000 16,200 16,000 7,800 h Asto 50,000 22,200 20,000 7,800 i DHF (IgG, IgM) 150,000 82,200 60,000 7,800 C PATOLOGI 1 Hematologi a Hematologi Analizer 60,000 28,200 24,000 7,800 b Hemoglobin (Hb) 15,000 1,200 6,000 7,800 c Hitung Jumlah Leukosit 15,000 1,200 6,000 7,800 d Hitung Jumlah Erytrosit 15,000 1,200 6,000 7,800 e Hitung Jumlah Trombosit 15,000 1,200 6,000 7,800 f Hematokrit 15,000 1,200 6,000 7,800 g CT (waktu pendarahan) 15,000 1,200 6,000 7,800 h BT (waktu pembekuan) 15,000 1,200 6,000 7,800 i LED 15,000 1,200 6,000 7,800 j Diffcount 15,000 1,200 6,000 7,800 2 Kimia Klinik a Karbohidrat Glukosa sewaktu 25,000 7,200 10,000 7,800 Glukosa puasa 25,000 7,200 10,000 7,800 Glukosa ( 2 jam PP ) 25,000 7,200 10,000 7,800 HbA1C 190,000 122,200 60,000 7,800 b Lemak Kolesterol Total 25,000 7,200 10,000 7,800 Trigleserida 30,000 10,200 12,000 7,800 17 17 Bagian Hukum Setda Kab. Banjar | http://hukum.banjarkab.go.id/ http://jdih.banjarkab.go.id/ HDL Cholesterol 30,000 10,200 12,000 7,800 LDL Cholesterol 30,000 10,200 12,000 7,800 c Fungsi Liver Total Protein 25,000 7,200 10,000 7,800 Albumin 25,000 7,200 10,000 7,800 Globulin 25,000 7,200 10,000 7,800 Bilirubin Total 30,000 10,200 12,000 7,800 Bilirubin Direk 30,000 10,200 12,000 7,800 SGOT / AST 25,000 7,200 10,000 7,800 SGPT / ALT 25,000 7,200 10,000 7,800 Alkali Phosphatase / AP 25,000 7,200 10,000 7,800 Gamma GT / GGT 30,000 10,200 12,000 7,800 d Fungsi Ginjal Ureum 25,000 7,200 10,000 7,800 Kreatinin 25,000 7,200 10,000 7,800 AsamUrat 25,000 7,200 10,000 7,800 e Fungsi Jantung GLDH 75,000 37,200 30,000 7,800 CK-MB 75,000 37,200 30,000 7,800 CK-NAC 75,000 37,200 30,000 7,800 CPK / CK 75,000 37,200 30,000 7,800 f Paparan Pestisida Cholinesterase 20,000 2,000 14,000 4,000 g Pemeriksaan Tanah Telur Cacing 7,500 1,500 3,000 3,000 h Elektrolit Natrium (Na) 50,000 22,200 20,000 7,800 Kalium (K) 50,000 22,200 20,000 7,800 Clorida (Cl) 50,000 22,200 20,000 7,800 CAlsium (Ca) 50,000 22,200 20,000 7,800 Magnesium (Mg) 50,000 22,200 20,000 7,800 Phospor (P) 50,000 22,200 20,000 7,800 Besi (Fe) 50,000 22,200 20,000 7,800 i Urinalisa Test Kehamilan 25,000 7,200 10,000 7,800 Urine Lengkap 35,000 13,200 14,000 7,800 XII JASA PELAYANAN / KESEHATAN MASYARAKAT 1 Kunjungan / KunjunganRumah 1 Home Service 50,000 5,000 40,000 5,000 2 Bantuan Tim Kesehatan (Per 8 Jam)