| A. Pemeriksaan Spesimen Klinik | | |
| per-orang/pemeriksaan | 1. Hematologi | Hemoglobin | IDR15,000 |
| per-orang/pemeriksaan | | Leukosit | IDR10,000 |
| per-orang/pemeriksaan | | Trombosit | IDR10,000 |
| per-orang/pemeriksaan | | Eritrosit | IDR10,000 |
| per-orang/pemeriksaan | | Hitung Jenis Leukosit | IDR35,000 |
| per-orang/pemeriksaan | | Retikulosit (Hematologi) | IDR24,000 |
| per-orang/pemeriksaan | | Evaluasi Apus Darah Tepi | IDR10,000 |
| per-orang/pemeriksaan | | Laju Endap darah (LED) | IDR20,000 |
| per-orang/pemeriksaan | | Golongan Darah | IDR15,000 |
| per-orang/pemeriksaan | | Prothombine Time (PT) (hematologi) | IDR75,000 |
| per-orang/pemeriksaan | 2. Faeces | Faeces Lengkap | IDR25,000 |
| per-orang/pemeriksaan | | Tinja Darah Samar/Benzidine Test | IDR24,000 |
| per-orang/pemeriksaan | 3. Kimia Darah | Gula Darah Sewaktu | IDR30,000 |
| per-orang/pemeriksaan | | Ureum | IDR30,000 |
| per-orang/pemeriksaan | | Kreatinin | IDR30,000 |
| per-orang/pemeriksaan | | Serum Glutamat Oxaloasetic Transminase (SGOT) | IDR30,000 |
| per-orang/pemeriksaan | | Serum Glutamat Pyruvat Transminase (SGPT) | IDR30,000 |
| per-orang/pemeriksaan | | Alkali Fosfatase | IDR30,000 |
| per-orang/pemeriksaan | | Kolesterol Total | IDR30,000 |
| per-orang/pemeriksaan | | High Density Lipoprotein | IDR30,000 |
| per-orang/pemeriksaan | | Low Density Lipoprotein | IDR30,000 |
| per-orang/pemeriksaan | | Trigliserida | IDR30,000 |
| per-orang/pemeriksaan | | Asam Urat | IDR30,000 |
| per-orang/pemeriksaan | | Bilirubin Total | IDR30,000 |
| per-orang/pemeriksaan | | Bilirubin Indirect | IDR29,000 |
| per-orang/pemeriksaan | | Asam Urat Urine (Kimia) | IDR50,000 |
| per-orang/pemeriksaan | 4. Imunologi | Tes Kehamilan (HCG) | IDR35,000 |
| per-orang/pemeriksaan | | Anti Dengue IgG/IgM | IDR150,000 |
| per-orang/pemeriksaan | | Hepatitis B (HbsAg) | IDR60,000 |
| per-orang/pemeriksaan | | Anti Leptospira IgM (metode rapid test) | IDR110,000 |
| per-tindakan | 5. Mikrobiologi dan Parasitologi | Malaria (Hematologi)/Apusan Darah Tebal | IDR50,000 |
| per-tindakan | | Pemeriksaan Mikroskopis Dengan Pewarnaan | IDR50,000 |
| per-tindakan | | Pemeriksaan Sediaan Langsung Dengan Pewarnaan Gram | IDR75,000 |
| per-orang/pemeriksaan | 6. Biomolekuler | Bioteknologi terapan PCR dan Elektroforesis | IDR150,000 |
| Per-sampel | | pemeriksaan PCR | IDR250,000 |
| Per-sampel | | Pemeriksaan RT-PCR | IDR300,000 |
| per-orang/pemeriksaan | 7. Pemriksaan NAFZA | Ampetamin | |
| per-orang/pemeriksaan | | Opiat | |
| per-orang/pemeriksaan | | Barbirat | |
| per-orang/pemeriksaan | | Tetra Hidrocanabis | |
| per-orang/pemeriksaan | | Bonzodazepin | |
| | | |
| B. Pengujian Sampel Lingkungan | | |
| 1. Pemeriksaan Uji Fisika | | |
| per-parameter/pemeriksaan | a. Dalam air | Bau | IDR2,000 |
| per-parameter/pemeriksaan | | Kejernihan | IDR2,000 |
| per-parameter/pemeriksaan | | Kekeruhan | IDR10,000 |
| per-parameter/pemeriksaan | | Rasa | IDR2,000 |
| per-parameter/pemeriksaan | | Suhu udara/air | IDR2,000 |
| per-parameter/pemeriksaan | | Warna | IDR7,000 |
| per-parameter/pemeriksaan | b. Getaran | Kebisingan sesaat | IDR15,000 |
| per-parameter/pemeriksaan | | Kelembapan | IDR13,000 |
| per-parameter/pemeriksaan | | Pencahayaan | IDR13,000 |
| per-parameter/pemeriksaan | | Suhu | IDR13,000 |
| per-parameter/pemeriksaan | | Kebisingan dalam ruangan | IDR250,000 |
| per-parameter/pemeriksaan | 2. Pemeriksaan Uji Kimia | | |
| per-parameter/pemeriksaan | a. Dalam air | Aluminium | IDR60,000 |
| per-parameter/pemeriksaan | | Ammonia | IDR9,000 |
| per-parameter/pemeriksaan | | Besi (metode Atomic Absorption Spectrophotometer) | IDR50,000 |
| per-parameter/pemeriksaan | | Derajat Keasaman (pH) | IDR10,000 |
| per-parameter/pemeriksaan | | Fluorida | IDR9,000 |
| per-parameter/pemeriksaan | | Biological Oxygen Demand (BOD) | IDR27,000 |
| per-parameter/pemeriksaan | | Kalsium | IDR7,000 |
| per-parameter/pemeriksaan | | Khlor bebas | IDR7,000 |
| per-parameter/pemeriksaan | | Khlorida | IDR12,000 |
| per-parameter/pemeriksaan | | Khrom Valensi 6 (Cr6+) | IDR20,000 |
| per-parameter/pemeriksaan | | Magnesium | IDR7,000 |
| per-parameter/pemeriksaan | | Mangan (metode Atomic Absorption Spectrophotometer) | IDR50,000 |
| per-parameter/pemeriksaan | | Nitrat (NO3) | IDR9,000 |
| per-parameter/pemeriksaan | | Nitrit (NO2) | IDR9,000 |
| per-parameter/pemeriksaan | | Oksigen Terlarut (DO) | IDR13,000 |
| per-parameter/pemeriksaan | | Salinitas | IDR7,000 |
| per-parameter/pemeriksaan | | Seng (Zn) | IDR50,000 |
| per-parameter/pemeriksaan | b. Dalam Zat Padat/Makanan/Minuman/Sludge | Arsen | IDR115,000 |
| per-parameter/pemeriksaan | | Besi (Fe) | IDR30,000 |
| per-parameter/pemeriksaan | | Kadmium (Cd) | IDR70,000 |
| per-parameter/pemeriksaan | | Borax | IDR32,000 |
| per-parameter/pemeriksaan | | Rhodamin | IDR53,000 |
| per-parameter/pemeriksaan | | Formalin | IDR67,000 |
| per-parameter/pemeriksaan | 3. Pemeriksaan Uji Biologi | | |
| per-parameter/pemeriksaan | a. Dalam air | Angka Kuman | IDR60,000 |
| per-parameter/pemeriksaan | | Coliform | IDR77,000 |
| per-parameter/pemeriksaan | | Eschercia coli | IDR88,000 |
| per-parameter/pemeriksaan | b. Dalam Udara | Angka Kuman | IDR60,000 |
| | | |
| C. Vektor dan Binatang Pembawa Penyakit | | |
| per-parameter/pemeriksaan | 1. Identifikasi | Identifikasi Larva Lalat/Lalat Dewasa | IDR25,000 |
| per-parameter/pemeriksaan | | Identifikasi Larva Nyamuk/Nyamuk Dewasa | IDR25,000 |
| per-parameter/pemeriksaan | | Identifikasi Kecoa | IDR25,000 |
| per-parameter/pemeriksaan | | Identifikasi Pinjal | IDR25,000 |
| per-parameter/pemeriksaan | | Identifikasi Tikus | IDR25,000 |
| per-parameter/pemeriksaan | 2. Pemeriksaan Mikroskopik | Malaria | IDR15,000 |
| per-parameter/pemeriksaan | | Nyamuk (Anopheles sp.) | IDR10,000 |
| per-parameter/pemeriksaan | | Cacing | IDR75,000 |
| per-parameter/pemeriksaan | | Pembedahan Nyamuk | IDR5,000 |
| 3. Uji Insektisida | | |
| Uji Tingkat Laboratorium | | |
| per-pengujian | 1. Bioassay Test | Sampel Koloni dari Laboratorium | IDR90,000 |
| per-pengujian | | sampel Lapangan | IDR130,000 |
| per-pengujian | 2. Susceptibility Test | Sampel Koloni dari Laboratorium | IDR125,000 |
| per-pengujian | | sampel Lapangan | IDR175,000 |
| Uji Untuk Program | | |
| per-pengujian/spesies | 1. Bioassay Test (IRS)/Kelambu | Sampel Koloni dari Laboratorium | IDR125,000 |
| | sampel Lapangan | IDR130,000 |
| per-pengujian/spesies | 2. Bioassay Test (Fogging) | | IDR275,000 |
| per-pengujian/spesies | 3. Bioassay Test (ULV) | | IDR275,000 |
| Insektisida Rumah Tangga (Laboratorium) | | |
| per-pengujian/spesies | Uji Obat Nyamuk Repellent (Laboratorium) | | IDR125,000 |
| | | |
| D. Peningkatan Kapasitas SDM Laboratorium Kesehatan | | |
| 1. Magang 1-3 Hari | | |
| a. Surveilans Epidemiologi | Manajemen data | IDR100,000 |
| | Pemetaan | IDR100,000 |
| 2. Praktik Mahasiswa | Diploma 3 | IDR50,000 |
| | Diploma 4/Strata 1 | IDR80,000 |
| | Strata 2 | IDR140,000 |
| 3. Penelitian | Diploma 3 | IDR80,000 |
| | Diploma 4/Strata 1 | IDR120,000 |
| | Strata 2 | IDR500,000 |
| 4. Penyediaan Hewan Percobaan | | |
| per-ekor | Nyamuk Suseptibel | Perusahaan | IDR2,000 |
| | Peneliti dan Mahasiswa Strata 2/Strata 3 | IDR750 |
| | Mahasiswa Strata 1 | IDR350 |
| per-100 butir | Telur Nyamuk | Perusahaan | IDR1,000 |
| | Peneliti dan Mahasiswa Strata 2/Strata 3 | IDR750 |
| | Mahasiswa Strata 1 | IDR500 |
| per-ekor | Spesimen Awetan | Larva Nyamuk | IDR50,000 |
| | Nyamuk | IDR35,000 |
| | Pinjal | IDR50,000 |
| 5. Jasa Pelatihan | | |
| per-orang/hari | Latihan Kerja | Diploma 3 dan Strata 1 | IDR10,000 |
| | Strata 2 dan Strata 3 | IDR12,000 |
| Wisata Ilmiah Penelitian dan Pengembangan Kesehatan | | |
| Pelatihan entomologi dan parasitologi | Mahasiswa | IDR100,000 |
| | Instansi/Umum | IDR450,000 |
| per-orang | Wisata Ilmiah Dunia vektor dan reservoir | | IDR2,000 |
