Jl. Metro Duta Kav.

UE
Pondok Indah, Jakarta 12310
Indonesia

WA : +62 812 8311 2725

Phone: +62 21 765 7525 Ext. 2267, 2318, 2465, 2468, & 2475
+62 21 750 7169 (Direct)
Email : [email protected]

*Prices are valid thru on January 31st, 2024

Updated on 3rd March, 2023

 B BASIC (FIT)
Essential: Cardiac Assessment:
+ History & Physical Examination by General Practitioner + Resting Electrocardiogram (ECG) & Report by Cardiologist
+ Vital Signs
+ Body Composition Analysis Radiology/Imaging:
+ Basic Eye Examination by Opthalmologist + Chest X-ray & Report by Radiologist
+ Dental Examination by Dentist
+ Medical Report & Review with General Practitioner

Laboratory Tests:
+ Full Blood Profile & ESR
+ Blood Group & Rhesus Status
+ Fasting Glucose & HbA1C – Screening for Diabetes Mellitus
+ Total Cholesterol, Triglycerides, HDL Cholesterol, LDL Cholesterol - Lipid Profile
+ Aspartate Aminotransferase (AST/SGOT), Alanine Aminotransferase
(ALT/SGPT), Gamma-Glutamyltransferase (GGT), Alkaline Phosphatase -
Liver Function Profile
+ Urea & Creatinine - Kidney Function Profile
+ Uric Acid – Screening for Gout
+
+
Surface Antigen & Antibody - Hepatitis B Screening
Urine Examination Rp. 3.250.000
 C COMPREHENSIVE
As B , with the addition of:
Essential:
+ Consultation with Dietician
- No Basic Eye Examination
+ Ankle Brachial Pressure Index (ABPI) - Peripheral Arterial Disease Screening

Laboratory Tests:
+ 25 Hydroxy Vitamin D - Vitamin & Mineral Status
+ Anti HCV - Hepatitis C Screening
+ Carcino Embryonic Antigen (CEA) – Tumour Marker for General Cancer Screening
+ For Females: Thin Prep Test – Screening for Cervical Cancer
& conducted by Obstetrics & Gynaecology Specialist

Cardiac Assesment:
+ Treadmill/Exercise Stress Test & Report by Cardiologist

Radiology/Imaging:
+ Whole Abdomen Ultrasound & Report by Radiologist
Rp. 5.500.000 Rp. 6.100.000
 A ADVANCE
As C , with the addition of: Radiology/Imaging:
+ For Females: Breasts Ultrasound & report by Radiologist
+ Basic Eye Examination by Opthalmologist + Panoramic X-ray & Report by Dentist

Laboratory Tests: Optional:

+ Free T4 & TSH - Thyroid Function Screening
Substitute Breasts Ultrasound with Mammogram
+ Rheumatoid Factor
+ For Males: Prostate Spesific Antigen (PSA) - Tumour Marker
for Prostate Cancer
+ Alpha Feto Protein (AFP) – Tumour Marker for Liver Cancer
+ D-Dimer – Blood Coagulation

Hearing Function Assessment:

Rp. 8.400.000 Rp. 9.400.000

+ Audiometry & Report by ENT Specialist

Lung Function Assessment:

+ Spirometry & Report by Pulmonologist
 E EXECUTIVE
As A , with the addition of:

Laboratory Tests:
+ Calcium & Phosphate - Bone Mineral Status
+ High-sensitivity C-reactive Protein (hs-CRP) & Platelet Aggregation –
Cardiac Risk Assessment
+ Ca 19-9 – Tumour Marker for Pancreatic & Gastrointestinal Cancer
+ For Females: FSH & Estradiol - Hormonal Profile
+ For Females: Tumour Marker Ca 15-3 for Breasts Cancer & Ca 125
for Ovarian Cancer

Radiology/Imaging:
+ Bone Mineral Densitometry – Screening for Osteoporosis &
Report by Medical Rehabilitation Specialist Rp. 10.200.000 Rp. 13.400.000
 P PREMIER
As E , with the addition of:

Essential:
+ Fundus Photography – Ocular Fundus Examination

Cardiac Assesment:
+ Echocardiography – Report by Cardiologist

Radiology/Imaging:
+ MSCT Cardiac with Contrast – Report & Consultation by Cardiologist

Optional:
+ MSCT Cardiac with Contrast can be substituted with MSCT Coronary
Calcium Score Rp. 15.000.000 Rp.17.500.000
 T TITANIUM
As P , with the addition of:

Essential: Optional:
- No Echocardiography MRI & MRA Brain can be substituted with one of the examinations below:
• MRI & MRV Brain
Laboratory Tests: • MRI Cervical Spine
+ Homocysteine & INR / Thrombotest – Cardiac Risk Assessment • MRI Thoracolumbar Spine
+ Urine Albumin Creatinine Ratio • MRI Lumbar Spine
• MRI Knee Joint (Right or Left Knee)
Radiology/Imaging:
+ MRA & MRI Brain 3 Tesla Non Contrast & Report by Radiologist
+ Consultation MRA & MRI Brain with Neurologist

Rp. 20.100.000 Rp. 23.000.000

 T+ TITANIUM PLUS
As T , with the addition of:

Doppler Ultrasound:
+ Transcranial Doppler & Carotid Doppler – can estimate blood flow through the
blood vessels in your head & neck by bouncing high-frequency sound waves off
circulating red blood cells
Rp. 22.260.000 Rp. 25.160.000
COLONOSCOPY SCREENING PACKAGE
Colonoscopy is a procedure that is done to thoroughly examine the lining of the colon and
rectum. It is a long flexible tube that is inserted via the anus and is advanced along the
rectum and colon until it reaches the beginning of the colon.

It is recommended to have a screening at the age of 50 years (Younger if you have any
family history of Colorectal Cancer). It is also used to monitor patients with inflammatory
bowel disease and for follow-up of patients with history of polyp.

Rp. 11.000.000
Terms & Conditions
1. Take one of our minimum packages of Advance to Titanium Plus for colonoscopy
screening package.
2. For screening purposes only.
3. Colonoscopy package are to be carried out as a Daycare procedure under Sedation.
4. This package are applicable for standard procedures without complications.
5. Prices include bowel cleansing laxatives, medical supplies used during the procedure,
medication for sedation & pain, doctor fees (Gastroenterelogist and Anaesthetist), &
Post-procedure consultations with Gastroenterologist.
6. Post-procedure medications, investigation, treatment and outpatient charges
are excluded.
7. Other terms and conditions may apply.
CHILDREN HEALTH PACKAGE
Essential: Hearing Function Assessment:
+ History & Physical Examination by General Practitioner + Audiometry & Report by ENT Specialist
+ Vital Signs
+ Basic Eye Examination by Opthalmologist Cardiac Assessment:
+ ENT Examination by ENT Specialist + Resting Electrocardiogram (ECG) & Report by Cardiologist
+ Dental Examination by Dentist
+ Medical Report & Review with General Practitioner
Radiology/Imaging:
+ Chest X-ray & Report by Radiologist
Laboratory Test: + Panoramic X-ray & Report by Dentist
+ Full Blood Profile & ESR
+ Blood Group & Rhesus Status
+ Peripheral Blood Film (PBF)
+ Fasting Glucose – Screening for Diabetes Mellitus
+ Total Cholesterol, Triglycerides, HDL Cholesterol, LDL Cholesterol -
Lipid Profile
+ Aspartate Aminotransferase (AST/SGOT), Alanine Aminotransferase
(ALT/SGPT), Protein Total & Albumine - Liver Function Profile
+ Urea & Creatinine - Kidney Function Prole
+ Uric Acid – Screening for Gout
+ 25 Hydroxy Vitamin D & Calcium Total - Vitamin & Bone Mineral Status
+
+
Surface Antigen & Antibody - Hepatitis B Screening
Urine Examination Rp. 4.150.000
POST COVID-19 RECOVERY PACKAGE
Intended for those of you who had exposed to Covid-19 and have been cured for more than 4 weeks. From the results of your examination,
we will provide a comprehensive solution that helps you to recover optimally after Covid-19 infection.

Essential: Cardiac Assessment:

+ History & Physical Examination by General Practitioner + Resting Electrocardiogram (ECG) & Report by Cardiologist
+ Vital Signs
+ Medical Report & Review with General Practitioner
+ Consultation with Dietician Radiology/Imaging:
+ Post Examination Consultation with Internist or Pulmonologist + Chest X-ray & Report by Radiologist

Laboratory Test: Hearing Function Assessment:

+ Full Blood Profile & ESR + Audiometry & Report by General Practitioner
+ Fasting Glucose – Screening for Diabetes Mellitus
+ 25 Hydroxy Vitamin D, Vitamin B12 & Electrolyte Panel – Vitamin & Mineral
Status
Optional:
+ Chest X-ray can be upgraded into MSCT Thorax Non Contrast (add Rp. 1.500.000)
+ Aspartate Aminotransferase (AST/SGOT) & Alanine Aminotransferase
(ALT/SGPT) – Liver Function Profile
+ Free T4 & TSH - Thyroid Function Screening
+ High-sensitivity C-reactive Protein (hs-CRP) – Cardiac Risk Assessment
+ D-Dimer – Blood Coagulation
+ Urea & Creatinine - Kidney Function Profile

Rp. 3.100.000
+ Urine Examination
CORONARY RISK ASSESSMENT
Essential: Cardiac Assessment:
+ History & Physical Examination by General Practitioner + Resting Electrocardiogram (ECG) & Report by Cardiologist
+ Vital Signs + Treadmill/Exercise Stress Test & Report by Cardiologist
+ Body Composition Analysis
+ Medical Report & Review with General Practitioner Radiology/Imaging:
+ Consultation with Dietician + Chest X-ray & Report by Radiologist
+ MSCT Cardiac with Contrast - Report & Consultation with Cardiologist
Laboratory Tests:
+ Full Blood Profile & ESR
+ Blood Group & Rhesus Status
+ Fasting Glucose & HbA1C – Screening for Diabetes Mellitus
+ Total Cholesterol, Triglycerides, HDL Cholesterol, LDL Cholesterol - Lipid Profile
+ Aspartate Aminotransferase (AST/SGOT), Alanine Aminotransferase
(ALT/SGPT), Gamma-Glutamyltransferase (GGT), Alkaline Phosphatase -
Liver Function Profile
+ Urea & Creatinine - Kidney Function Profile
+ Uric Acid – Screening for Gout
+

+
Homocysteine, Lipoprotein @, High-sensitivity C-reactive Protein (hs-CRP) &
Platelet Aggregation – Cardiac Risk Assessment
Urine Examination
Rp. 9.100.000
STROKE SCREENING
Essential: Cardiac Assessment:
+ History & Physical Examination by General Practitioner + Resting Electrocardiogram (ECG) and Report by Cardiologist
+ Vital Signs
+ Body Composition Analysis Radiology/Imaging:
+ Medical Report & Review with General Practitioner + Chest X-ray & Report by Radiologist
+ Consultation with Dietician + MRI Brain & MRA Brain Non Contrast - Report by Radiologist
+ Consultation MRI & MRA Brain with Neurologist
Laboratory Tests:
+ Full Blood Profile & ESR Optional:
+ Blood Group & Rhesus Status This package can be upgraded to Advance Stroke Screening by adding:
+ Fasting Glucose & HbA1C – Screening for Diabetes Mellitus + Doppler Ultrasound: Transcranial Doppler & Carotid Doppler – can
+ Total Cholesterol, Triglycerides, HDL Cholesterol, LDL Cholesterol - Lipid Profile estimate blood flow through the blood vessels in your head & neck by
+ Aspartate Aminotransferase (AST/SGOT), Alanine Aminotransferase (ALT/SGPT), bouncing high-frequency sound waves off circulating red blood cells
Gamma-Glutamyltransferase (GGT), Alkaline Phosphatase - Liver Function Profile (add Rp. 2.300.000)
+ Urea & Creatinine - Kidney Function Profile
+ Uric Acid – Screening for Gout
+ Homocysteine, Lipoprotein @, High-sensitivity C-reactive Protein (hs-CRP),

+
Platelet Aggregation, INR/Thrombotest, & Fibrinogen - Stroke Risk
Urine Examination Rp. 9.000.000
HEART & STROKE SCREENING
Essential: Cardiac Assessment:
+ History & Physical Examination by General Practitioner + Resting Electrocardiogram (ECG) & Report by Cardiologist
+ Vital Signs + Treadmill/Exercise Stress Test & Report by Cardiologist
+ Body Composition Analysis
+ Medical Report & Review with General Practitioner Radiology/Imaging:
+ Consultation with Dietician + Chest X-ray & Report by Radiologist
+ MSCT Cardiac with Contrast - Report & Consultation with Cardiologist
Laboratory Tests: + MRI Brain & MRA Brain Non Contrast - Report by Radiologist &
+ Full Blood Profile & ESR Consultation with Neurologist
+ Blood Group & Rhesus Status
+ Fasting Glucose & HbA1C – Screening for Diabetes Mellitus Optional:
+ Total Cholesterol, Triglycerides, HDL Cholesterol, LDL Cholesterol - This package can be upgraded to Advance Heart & Stroke Screening by adding:
Lipid Profile + Doppler Ultrasound: Transcranial Doppler & Carotid Doppler – can
+ Aspartate Aminotransferase (AST/SGOT), Alanine Aminotransferase estimate blood flow through the blood vessels in your head & neck by
(ALT/SGPT), Gamma-Glutamyltransferase (GGT), Alkaline Phosphatase - bouncing high-frequency sound waves off circulating red blood cells
Liver Function Profile (add Rp. 2.300.000)
+ Urea & Creatinine - Kidney Function Profile
+ Homocysteine, Lipoprotein @, High-sensitivity C-reactive Protein (hs-CRP) &
Platelet Aggregation – Cardiac Risk Assessment, INR/Thrombotest, &

+
Fibrinogen - Stroke Risk
Urine Examination Rp. 15.200.000
BASIC PRE MARITAL PACKAGE
Essential:
+ History & Physical Examination by General Practitioner
+ Vital Signs
+ Medical Report & Review with General Practitioner

Laboratory Test:
+ Full Blood Profile & ESR
+ Blood Group & Rhesus Status
+ Peripheral Blood Smear - Screening for blood cell disorders
+ Surface Antigen & Antibody - Hepatitis B Screening
+ Anti HCV - Hepatitis C Screening
+ Anti HIV – HIV test
+ For Females: Anti Toxoplasma IgM & Anti Rubella IgM
+ VDRL & TPHA - Venereal Disease Screening
+ Urine Examination
+ For Males: Sperm Examination

Radiology/Imaging:

Rp. 2.500.000 Rp.3.500.000

+ Chest X-ray & Report by Radiologist
+ For Females: Gynaecology Ultrasound by Radiologist
ADVANCE PRE MARITAL PACKAGE
Essential: Cardiac Assessment:
+ History & Physical Examination by General Practitioner + Resting Electrocardiogram (ECG) and report by Cardiologist
+ Vital Signs
+ Basic Eye Examination by Ophthalmologist Radiology/Imaging:
+ Medical Report & Review with General Practitioner + Chest X-ray & Report by Radiologist
+ For Females: Gynaecology Ultrasound by Radiologist
Laboratory Test:
+ Full Blood Profile & ESR
+ Blood Group & Rhesus Status
+ Peripheral Blood Smear - Screening for blood cell disorders
+ Hb Electrophoresis – Thalassemia screening
+ Fasting Glucose – Screening for Diabetes Mellitus
+ Total Cholesterol, Triglycerides, HDL Cholesterol, LDL Cholesterol -
Lipid Profile
+ Surface Antigen & Antibody - Hepatitis B Screening
+ Anti HCV - Hepatitis C Screening
+ Anti HIV – HIV test
+ For Females: IgG & IgM TORCH Screening
+ For Males: IgM HSV 1 & 2 – Herpes Simplex Screening
+ VDRL & TPHA - Venereal Disease Screening
+ Urine Examination
+ For Males: Sperm Examination

Rp. 5.000.000 Rp.8.250.000

BASIC DIABETIC SCREENING
Essential:
+ History & Physical Examination by General Practitioner
+ Basic Eye Examination by Ophthalmologist
+ Fundus Photography – Ocular Fundus Examination for Diabetic Retinopathy
Screening
+ Medical Report & Review with General Practitioner

Laboratory Tests:
+ Full Blood Profile & ESR
+ Fasting Glucose & HbA1C – Screening for Diabetes Mellitus
+ Total Cholesterol, Triglycerides, HDL Cholesterol, LDL Cholesterol –
Lipid Profile
+ Aspartate Aminotransferase (AST/SGOT), Alanine Aminotransferase
(ALT/SGPT) - Liver Function Profile
+ Urea & Creatinine - Kidney Function Profile
+ Uric Acid – Screening for Gout
+ Urine Examination

Cardiac Assessment:
+ Resting Electrocardiogram (ECG) and report by Cardiologist Rp. 2.000.000
DIABETIC PLATINUM
Essential: Cardiac Assessment:
+ History & Physical Examination by General Practitioner + Resting Electrocardiogram (ECG) and report by Cardiologist
+ Body Composition Analysis + Treadmill/Exercise Stress Test & Report by Cardiologist
+ Basic Eye Examination by Opthalmologist + Echocardiography – Report by Cardiologist
+ Fundus Photography – Ocular Fundus Examination for Diabetic Retinopathy
Screening Radiology/Imaging:
+ Ankle Brachial Pressure Index (ABPI) – Peripheral Arterial Disease (PAD) + Chest X-ray & Report by Radiologist
or Vascular Screening
+ Medical Report & Review with General Practitioner
+ Consultation with Internist
+ Consultation with Dietician

Laboratory Tests:
+ Full Blood Profile & ESR
+ Fasting Glucose & HbA1C – Screening for Diabetes Mellitus (check for 4 times)
+ Total Cholesterol, Triglycerides, HDL Cholesterol, LDL Cholesterol –
Lipid Profile (check for 4 times)
+ Aspartate Aminotransferase (AST/SGOT), Alanine Aminotransferase
(ALT/SGPT) - Liver Function Profile
+ Urea & Creatinine - Kidney Function Profile
+ Uric Acid – Screening for Gout
+ Free T4 & TSH - Thyroid Function Screening
+ Electrolyte: Natrium & Kalium
+ Urine Examination
+ Urine Albumine Creatinine Ratio Rp. 6.500.000
DIABETIC ULTIMATE
Essential: Cardiac Assessment:
+ History & Physical Examination by General Practitioner + Resting Electrocardiogram (ECG) and report by Cardiologist
+ Body Composition Analysis + Treadmill/Exercise Stress Test & Report by Cardiologist
+ Basic Eye Examination by Opthalmologist + Echocardiography – Report by Cardiologist
+ Fundus Photography – Ocular Fundus Examination for Diabetic Retinopathy
Screening Radiology/Imaging:
+ Ankle Brachial Pressure Index (ABPI) – Peripheral Arterial Disease (PAD) + Chest X-ray & Report by Radiologist
or Vascular Screening
+ Medical Report & Review with General Practitioner Doppler Ultrasound:
+ Consultation with Internist + Bilateral Lower Extremity Artery and Vein Doppler & Report by Subspecialist
+ Consultation with Dietician Vascular surgery

Laboratory Tests:
+ Full Blood Profile & ESR
+ Fasting Glucose & HbA1C – Screening for Diabetes Mellitus (check for 4 times)
+ Total Cholesterol, Triglycerides, HDL Cholesterol, LDL Cholesterol –
Lipid Profile (check for 4 times)
+ Aspartate Aminotransferase (AST/SGOT), Alanine Aminotransferase
(ALT/SGPT) - Liver Function Profile
+ Urea & Creatinine - Kidney Function Profile
+ Uric Acid – Screening for Gout
+ Free T4 & TSH - Thyroid Function Screening
+
+
+
Electrolyte: Natrium & Kalium
Urine Examination
Urine Albumine Creatinine Ratio
Rp. 9.000.000
OPTIONAL
(Exclude from package)
Fibroscan Ultrasound - Screening of Liver
Stiffness & Conducted by Internist Rp. 1.200.000