Daftar Tarif Pelayanan RSU CITRA BMC PADANG TAHUN 2017

P E N U N J A N G

USG
KODE NAMA JASA TARIF JENIS JASA
BURS-USG01- Clinic Admition Fee 20.000 USG
RSUSG-B003- USG Buli-buli 200.000 USG
RSUSG-D02B- USG ABDOMEN 200.000 USG
RSUSG-D04B USG DOPPLER 450.000 USG
RSUSG-G003- USG Ginjal 200.000 USG
RSUSG-M01B- USG MAMME 300.000 USG
RSUSG-P02B- USG Pelvis 200.000 USG
RSUSG-S02A- USG Scrutum 200.000 USG
RSUSG-T01D- USG Tiroid 200.000 USG

RSU C-BMC Padang

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 Daftar Tarif Pelayanan RSU CITRA BMC PADANG TAHUN 2017

P E N U N J A N G

RADIOLOGI

KODE NAMA JASA TARIF JENIS JASA

BURS RON01 Clinic Admission Fee 20.000 RAD
RSCTSSK21A CT-Scan Non Kontras Abdmn/Urlg/Pelvis 1.200.000 RAD
RSCTSSK22A CT-Scan Non Kontras Thorax 1.200.000 RAD
RSCTSSK23A CT-Scan Non Kontras SPN 1.050.000 RAD
RSCTSSK25A CT-Scan Non Kontras Nasoparing 1.050.000 RAD
RSCTSSK26A CT-Scan Non Kontras Mastoid 1.200.000 RAD
RSCTSSK27A CT-Scan Non Kontras Axilla 1.050.000 RAD
RSCTSSK29A CT-Scan Kontras Brain 2.775.000 RAD
RSCTSSK30A CT-Scan Kontras Abdmn/Urologi/Pelvis 3.100.000 RAD
RSCTSSK31A CT-Scan Kontras Thorax 3.100.000 RAD
RSCTSSK32A CT-Scan Kontras Abdomen Oral 2.775.000 RAD
RSCTSSK34A CT-Scan Non Kontras Orbita 1.200.000 RAD
RSCTSSK36A- CT-Scan Non Kontras Brain 1.050.000 RAD
RSCTSSK37A- CT-Scan Non Kontras Ekstremitas 1.200.000 RAD
RSCTSSK38A- CT-Scan Non Kontras Servical/Thorac/Lumbal 1.200.000 RAD
RSRON 002D RONTGEN ABDOMEN 150.000 RAD
RSRON 007D RONTGEN ANKEL JOINT 150.000 RAD
RSRON 008D RONTGEN ANTEBRACHI 150.000 RAD
RSRON 010D RONTGEN APENDICOGRAM 420.000 RAD
RSRON 012D RONTGEN BAHU 150.000 RAD
RSRON 014E RONTGEN BARIUM ENEMA 700.000 RAD
RSRON 016D RONTGEN BRACHI 165.000 RAD
RSRON 017D RONTGEN CALCANEUS 150.000 RAD
RSRON 019D RONTGEN CERVICAL 2 PSS 235.000 RAD
RSRON 020D RONTGEN CERVICAL 3 PSS 310.000 RAD
RSRON 021D RONTGEN CERVICAL 4 PSS 380.000 RAD
RSRON 022D RONTGEN CLAVICULA 165.000 RAD
RSRON 023D RONTGEN CRANIUM 1 PSS 150.000 RAD
RSRON 024D RONTGEN CRANIUM 2 PSS 235.000 RAD
RSRON 025D RONTGEN CRURIS 165.000 RAD
RSRON 028D RONTGEN CUBITI/SIKU 150.000 RAD
RSRON 029D RONTGEN FEMUR 165.000 RAD
RSRON 032D RONTGEN GENU 150.000 RAD
RSRON 035D RONTGEN HUMERUS 165.000 RAD
RSRON 037D RONTGEN LUMBAL 165.000 RAD
RSRON 039D RONTGEN LUMBOSACRAL 165.000 RAD
RSRON 041D RONTGEN MANDIBULA 165.000 RAD
RSRON 042D RONTGEN MANDIBULA 2 PSS 240.000 RAD
RSRON 043D RONTGEN MANDIBULA 4 PSS 390.000 RAD
RSRON 044F RONTGEN MANUS 150.000 RAD

RSU C-BMC Padang 18

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 Daftar Tarif Pelayanan RSU CITRA BMC PADANG TAHUN 2017

P E N U N J A N G

RSRON 047D RONTGEN MASTOID 165.000 RAD

RSRON 048D RONTGEN NASAL 200.000 RAD
RSCTSSL20A- PEMBACAAN CT-SCAN 200.000 RAD
RSRON 049D RONTGEN ORBITA 165.000 RAD
RSRON 051D RONTGEN PEDIS 150.000 RAD
RSRON 052D RONTGEN PEDIS 2 PSS 150.000 RAD
RSRON 053D RONTGEN PELVIS 150.000 RAD
RSRON 058D RONTGEN SACRUM 165.000 RAD
RSRON 059D RONTGEN SCAPULA 165.000 RAD
RSRON 063D RONTGEN STRENUM 165.000 RAD
RSRON 064D RONTGEN TEMPORA MANDIBULA 165.000 RAD
RSRON 065D RONTGEN THORACAL 165.000 RAD
RSRON 069D RONTGEN THORACOLUMBAL 165.000 RAD
RSRON 071D RONTGEN THORAX 150.000 RAD
RSRON 072E RONTGEN THORAX AP/LATERAL 165.000 RAD
RSRON 077D RONTGEN WRIST JOINT 150.000 RAD
RSRON 082B PEMERIKSAAN HSG 650.000 RAD
RSRON 082C PEMERIKSAAN HSG II 1.000.000 RAD
RSRON 083A RONTGEN SCANNOGRAM 150.000 RAD

RSU C-BMC Padang 19

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 Daftar Tarif Pelayanan RSU CITRA BMC PADANG TAHUN 2017

P E N U N J A N G

LABORATORIUM

KODE NAMA JASA TARIF JENIS JASA

RSLB-HT01B- Darah Rutin (B) 49.000 LAB
RSLB-HT02B- Darah Lengkap (B) 77.000 LAB
RSLB-HT03B- Urine Rutin (B) 35.000 LAB
RSLB-HT04B- Hitung Jenis (B) 15.000 LAB
RSLB-HT05B- Laju Endap Darah (B) 15.000 LAB
RSLB-HT06B- CT / BT (B) 20.000 LAB
RSLB-HT07B- Feces Lengkap (B) 35.000 LAB
RSLB-HT08B- Gambaran Darah Tepi (B) 75.000 LAB
RSLB-HT09B- Retikulosit (B) 45.000 LAB
RSLB-HT10B- Retraksi Bekuan (B) 40.000 LAB
RSLB-HT11B- Rumple Leed (B) 20.000 LAB
RSLB-HT12B- LE SEL (B) 65.000 LAB
RSLB-HT13B- Golongan Darah (B) 40.000 LAB
RSLB-HT14B- Narkoba (B) 65.000 LAB
RSLB-HT15B- THC (B) 65.000 LAB
RSLB-HT16B- Amphetamine (B) 65.000 LAB
RSLB-HT17B- Methapetamin (MET) (B) 65.000 LAB
RSLB-HT18B- Bonzodiazepham (BZAO) (B) 65.000 LAB
RSLB-HT19B- Morphin (B) 65.000 LAB
RSLB-HT21B- BMP (B) 150.000 LAB
RSLB-HT22B- Cocaine (B) 65.000 LAB
RSLB-HT24B Narkoba 4 Parameter 135.000 LAB
RSLB-HT25B Narkoba 6 Parameter 160.000 LAB
RSLB-KK01B- Planotest (B) 30.000 LAB
RSLB-KK02B- Albumin (B) 45.000 LAB
RSLB-KK03B- Protein Total (B) 45.000 LAB
RSLB-KK04B- Bilirubin Total (B) 42.000 LAB
RSLB-KK05B- SGOT (B) 30.000 LAB
RSLB-KK06B- SGPT (B) 30.000 LAB
RSLB-KK07B- Alkali Phospat (B) 42.000 LAB
RSLB-KK08B- Ureum (B) 35.000 LAB
RSLB-KK09B- Creatinin (B) 35.000 LAB
RSLB-KK10B- Uric Acid (B) 42.000 LAB
RSLB-KK11B- Cholesterol Total (B) 35.000 LAB
RSLB-KK12B- Triglyserida (B) 40.000 LAB
RSLB-KK13B- HDL Cholesterol / LDL (B) 77.000 LAB
RSLB-KK14B- Gamma GT (B) 63.000 LAB
RSLB-KK15B- Gula Darah Puasa / Random (B) 30.000 LAB

RSU C-BMC Padang 20

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 Daftar Tarif Pelayanan RSU CITRA BMC PADANG TAHUN 2017

P E N U N J A N G

RSLB-KK16B- Gula Darah 2 Jam PP (B) 30.000 LAB

RSLB-KK30B- Electrolit (B) 120.000 LAB
RSLB-KK18B- Calsium (B) 49.000 LAB
RSLB-KK19B- Cairan Plural (B) 105.000 LAB
RSLB-KK20B- C K M B (B) 115.000 LAB
RSLB-KK21A- Urine 4 Porsi / Kurva Harian (B) 40.000 LAB
RSLB-KK23B- Billirubin Direct / Indirect (B) 42.000 LAB
RSLB-KK24B- HDL Cholesterol (B) 40.000 LAB
RSLB-KK25B- LDL Cholesterol (B) 40.000 LAB
RSLB-KK27B- Globulin (B) 20.000 LAB
RSLB-KK28B- Asturb + Elektrolit (B) 275.000 LAB
RSLB-PR01B- Filaria (B) 45.000 LAB
RSLB-PR03B- Malaria II (B) 45.000 LAB
RSLB-SR01B- Widal (B) 48.000 LAB
RSLB-SR02B- Serologi Dengue (B) 276.000 LAB
RSLB-SR03B- HbsAg (B) 60.000 LAB
RSLB-SR04B- Anti HBS (B) 65.000 LAB
RSLB-SR05C- Anti HIV (B) 80.000 LAB
RSLB-SR06B- VDRL (B) 42.000 LAB
RSLB-SR07B- HBeAg (B) 75.000 LAB
RSLB-SR09B- Anti Serologi Typoid IgM (B) 200.000 LAB
RSLB-PA011- PA 1 385.000 LAB
RSLB-PA012- PA 2 395.000 LAB
RSLB-PA003- PA 3 495.000 LAB
RSLB-PA004- PA 4 550.000 LAB
RSLB-PA005- PA 5 770.000 LAB
RSLB-PA006- PA 6 1.100.000 LAB
RSLB-PA007- Papsmear 165.000 LAB
RSLB-PA008- Papiniculo 138.000 LAB
RSLB-PA009- PA Cairan Tubuh 275.000 LAB
RSLB-BA004- Pemeriksaan Bajah 1 395.000 LAB
RSLB-BA002- Pemeriksaan Bajah 2 495.000 LAB
RSLB-BA003- Pemeriksaan Bajah 3 605.000 LAB

RSU C-BMC Padang 1621

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P E N U N J A N G

FISIOTERAPI

KODE NAMA JASA TARIF JENIS JASA

PSTRP00014- Biofeedback 130.000 PST
PSTRP00015- Homecare Service F 250.000 PST
PSTRP00025- Physioterapy For Stroke 150.000 PST
\
PSTRP00027- Physioterapy 1 Modalitas (INPT) 70.000 PST
PSTRP00028- Physioterapy 2 Modalitas (INPT) 100.000 PST
PSTRP00029- Physioterapy 3 Modalitas (INPT) 120.000 PST
PSTRP00030- Physioterapy 4 Modalitas (INPT) 150.000 PST
PSTRP00031- Physioterapy 5 Modalitas (INPT) 200.000 PST
PSTRP00032- Physioterapy 6 Modalitas (INPT) 250.000 PST
PSTRP00034- Baby Massage 100.000 PST
PSTRP00035- Baby Massage + Gym 120.000 PST
PSTRP00036- Diathermy THT 70.000 PST
PSTRP00037- Paket Physioterapy For Stroke 1.000.000 PST
PSTRP00038- Paket Physioterapy 1 Modalitas 800.000 PST
PSTRP00039- Paket Physioterapy 2 Modalitas 1.000.000 PST
PSTRP00040- Paket Physioterapy 3 Modalitas 1.200.000 PST
PSTRP00041- Paket Physioterapy 4 Modalitas 1.500.000 PST
PSTRP00042- Paket Physioterapy 5 Modalitas 2.000.000 PST
PSTRP00043- Paket Physioterapy 6 Modalitas 2.500.000 PST
PSTRP00099- Two Condition 30.000 PST
PSTPACK001- VARIASI (01 MODALITAS) 90.000 PST
PSTPACK002- VARIASI (02 MODALITAS) 120.000 PST
PSTPACK003- VARIASI (03 MODALITAS) 140.000 PST
PSTPACK004- VARIASI (04 MODALITAS) 170.000 PST
PSTPACK005- VARIASI (05 MODALITAS) 220.000 PST
PSTPACK006- VARIASI (06 MODALITAS) 270.000 PST

RSU C-BMC Padang 1622

Jl. Proklamasi No. 37. Padang 25211-Sumatera Barat - Tel: (0751) 23 164 Fax: (0751) 23 200
Daftar Tarif Pelayanan RSU CITRA BMC PADANG TAHUN 2017

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 Daftar Tarif Pelayanan RSU CITRA BMC PADANG TAHUN 2017

P E N U N J A N G

RSU C-BMC Padang

Jl. Proklamasi No. 37, Padang 25211-Sumatera Barat - Tel: (0751) 23 164 Fax: (0751) 23 200 20
 Daftar Tarif Pelayanan RSU CITRA BMC PADANG TAHUN 2017

P E N U N J A N G

RSU C-BMC Padang

Jl. Proklamasi No. 37, Padang 25211-Sumatera Barat - Tel: (0751) 23 164 Fax: (0751) 23 200 21
 Daftar Tarif Pelayanan RSU CITRA BMC PADANG TAHUN 2017

P E N U N J A N G

RSU C-BMC Padang

Jl. Proklamasi No. 37, Padang 25211-Sumatera Barat - Tel: (0751) 23 164 Fax: (0751) 23 200 22
 Daftar Tarif Pelayanan RSU CITRA BMC PADANG TAHUN 2017

P E N U N J A N G

RSU C-BMC Padang

Jl. Proklamasi No. 37, Padang 25211-Sumatera Barat - Tel: (0751) 23 164 Fax: (0751) 23 200 23