Pricing · Bali, Indonesia
How much does a blood test cost in Bali?
Quick answer
How much does a FORM blood test cost in Bali?
FORM blood test panels in Bali start at Rp 3,299,000 (~$206) for the Essential panel of 21 biomarkers and run to Rp 31,350,000 for the Ultra panel of 68 biomarkers. Every price includes a certified nurse home draw in Bali, an expert-reviewed PDF report, and an itemised receipt with ICD-10 codes for insurance. Results take 7–14 days.
- Currency:
- IDR (Rp)
- Results:
- 7–14 days
- Home draw:
- Included
Panel prices
| Panel | Price (IDR) | Approx. USD | Biomarkers | Built for |
|---|---|---|---|---|
| Essential panel | Rp 3,299,000 | ~$206 | 21 | first-time testers who want to stop wondering |
| Pro panel | Rp 9,895,000 | ~$618 | 39 | men pushing hard who want the full systems picture |
| Elite Protocol panel | Rp 17,595,000 | ~$1,100 | 55 | men who want the deepest hormone & metabolic picture |
| Ultra panel | Rp 31,350,000 | ~$1,959 | 68 | men who want zero blind spots and comprehensive health optimization |
USD figures are approximate conversions for reference. All FORM Indonesia orders are charged in IDR.
What every FORM price includes
- Certified nurse blood draw at your address in Bali — no clinic visit.
- Lab processing through FORM's Bali partner laboratory.
- Results dashboard plus a PDF report reviewed by Dr. Nikola Topalovic, MD PhD.
- Itemised receipt with ICD-10 codes for an international insurance claim.
- Personalised next steps on which results are worth discussing with a doctor.
- 90-day guarantee — see the refund policy for full terms.
Costs added at checkout
| Item | Amount |
|---|---|
| Service fee | 2% of the cart subtotal, shown as a line item before payment. |
| Home draw in Bali | Included in the panel price. |
| Payment methods | Card or bank transfer. Pay in 3 instalments is available at checkout on eligible orders. |
Pricing a custom panel
If none of the four fixed panels fits, FORM prices custom panels per biomarker. You pick the individual markers you want and the total updates as you build — the cart itemises every marker and its price so you can add or remove before checkout.