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# PERSALINAN NORMAL/PARTUS NORMAL(DOKTER)

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 DOKTER OBSGYN 1,600,000 1,400,000 1,265,000
2 DR. SP. ANAK 640,000 560,000 506,000
3 JASA RS & SEWA VK 800,000 700,000 632,500
4 JASA PERAWATAN BIDAN 90,000 75,000 65,000

TOTAL TINDAKAN 3,130,000 2,735,000 2,468,500


3,130,000 2,735,000 2,468,500
# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN

# PERSALINAN PATOLOGIS

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 DOKTER OBSGYN 2,400,000 2,000,000 1,500,000
2 DR. SP. ANAK 960,000 800,000 600,000
3 JASA RS & SEWA VK 1,200,000 1,000,000 750,000
4 JASA PERAWATAN BIDAN 100,000 80,000 70,000

TOTAL TINDAKAN 4,660,000 3,880,000 2,920,000


4660000 3880000 2920000
# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN
# PERSALINAN SECTIO CAESARIA

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 DOKTER OBSGYN 3,000,000 2,500,000 2,090,000
2 DR. ANESTESI 1,500,000 1,250,000 1,045,000
3 DR. SP. ANAK 1,200,000 1,000,000 836,000
4 JASA RS & SEWA VK 1,500,000 1,250,000 1,045,000
5 ASS. ANESTESI 360,000 300,000 250,800
5 ASS. OPERATOR 300,000 250,000 209,000
6 JASA PERAWATAN BIDAN 150,000 110,000 95,000

TOTAL TINDAKAN 8,010,000 6,660,000 5,570,800


8010000 6660000 5570800
# CURETTAGE

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 DOKTER OBSGYN 1,500,000 1,300,000 1,097,500 1097500
2 DR. ANESTESI 600,000 520,000 439,000 600000
3 JASA RS & SEWA VK 855,000 741,000 625,575 560000
4 BIDAN 145,000 114,000 82,925 80000

TOTAL TINDAKAN 3,100,000 2,675,000 2,245,000


3100000 2675000 2245000 2337500
# NOTE : - - -
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN
# PERSALINAN NORMAL(BIDAN)

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 BIDAN 900,000 800,000 700,000
2 JASA RS & SEWA VK 450,000 400,000 350,000

TOTAL TINDAKAN 1,350,000 1,200,000 1,050,000


# OPERASI KECIL

RUANGAN
NO KETERANGAN
SVIP VIP UTAMA II VIP UTAMA I
1 OPERATOR 1,000,000 900,000 800,000
2 DR. ANESTESI 450,000 405,000 360,000
3 JASA RS & SEWA VK 500,000 450,000 400,000
4 ASS. ANESTESI 100,000 90,000 80,000
5 ASS. OPERATOR 170,000 153,000 136,000

TOTAL TINDAKAN 2,220,000 1,998,000 1,776,000


2220000 1998000 1776000

# OPERASI KECIL CITO

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 1,750,000 1,650,000 1,550,000
2 DR. ANESTESI 787,500 742,500 697,500
3 JASA RS & SEWA VK 875,000 825,000 775,000
4 ASS. ANESTESI 175,000 165,000 155,000
5 ASS. OPERATOR 297,500 280,500 263,500

TOTAL TINDAKAN 3,885,000 3,663,000 3,441,000


3885000 3663000 3441000

# OPERASI SEDANG

RUANGAN
NO KETERANGAN
VIP KLS I KLS II

1 OPERATOR 2,400,000 2,100,000 1,800,000 2580000


2 DR. ANESTESI 1,080,000 945,000 810,000 180000
3 JASA RS & SEWA VK 1,200,000 1,050,000 900,000 800,000
4 ASS. ANESTESI 240,000 210,000 180,000
5 ASS. OPERATOR 408,000 357,000 306,000
TOTAL TINDAKAN 5,328,000 4,662,000 3,996,000
5328000 4662000 3996000
# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN

# OPERASI SEDANG CITO


RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 3,150,000 2,850,000 2,550,000
2 DR. ANESTESI 1,417,500 1,282,500 1,147,500
3 JASA RS & SEWA VK 1,575,000 1,425,000 1,275,000
4 ASS. ANESTESI 315,000 285,000 255,000
5 ASS. OPERATOR 535,500 484,500 433,500

TOTAL TINDAKAN 6,993,000 6,327,000 5,661,000


6993000 6327000 5661000
# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN

# OPERASI BESAR

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 3,500,000 3,000,000 2,500,000
2 DR. ANESTESI 1,575,000 1,350,000 1,125,000
3 JASA RS & SEWA VK 1,750,000 1,500,000 1,250,000
4 ASS. ANESTESI 350,000 300,000 250,000
5 ASS. OPERATOR 595,000 510,000 425,000

TOTAL TINDAKAN 7,770,000 6,660,000 5,550,000


7770000 6660000 5550000

# OPERASI BESAR CITO

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 4,250,000 3,750,000 3,250,000
2 DR. ANESTESI 1,912,500 1,687,500 1,462,500
3 JASA RS & SEWA VK 2,125,000 1,875,000 1,625,000
4 ASS. ANESTESI 425,000 375,000 325,000
5 ASS. OPERATOR 722,500 637,500 552,500

TOTAL TINDAKAN 9,435,000 8,325,000 7,215,000

# OPERASI KHUSUS

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 4,200,000 3,400,000 3,000,000
2 DR. ANESTESI 1,890,000 1,530,000 1,350,000
3 JASA RS & SEWA VK 2,100,000 1,700,000 1,500,000
4 ASS. ANESTESI 420,000 340,000 300,000
5 ASS. OPERATOR 714,000 578,000 510,000

TOTAL TINDAKAN 9,324,000 7,548,000 6,660,000


9324000 7548000 6660000
# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN
# OPERASI KHUSUS CITO

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 4,950,000 4,150,000 3,750,000
2 DR. ANESTESI 2,227,500 1,867,500 1,687,500
3 JASA RS & SEWA VK 2,475,000 2,075,000 1,875,000
4 ASS. ANESTESI 495,000 415,000 375,000
5 ASS. OPERATOR 841,500 705,500 637,500

TOTAL TINDAKAN 10,989,000 9,213,000 8,325,000


10989000 9213000 8325000
# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN
1,600,000
# OPERASI KECIL

RUANGAN
NO KETERANGAN
VIP KLS I KLS II

1 OPERATOR 1,000,000 900,000 800,000


2 DR. ANESTESI 450,000 405,000 360,000
3 JASA RS & SEWA VK 500,000 450,000 400,000
4 ASS. ANESTESI 100,000 90,000 80,000

5 ASS. OPERATOR 170,000 153,000 136,000

TOTAL TINDAKAN 2,220,000 1,998,000 1,776,000


2220000 1998000 1776000

# OPERASI KECIL CITO

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 1,750,000 1,650,000 1,550,000
2 DR. ANESTESI 787,500 742,500 697,500
3 JASA RS & SEWA VK 875,000 825,000 775,000
4 ASS. ANESTESI 175,000 165,000 155,000
5 ASS. OPERATOR 297,500 280,500 263,500

TOTAL TINDAKAN 3,885,000 3,663,000 3,441,000


3885000 3663000 3441000

# OPERASI SEDANG

RUANGAN
NO KETERANGAN
VIP KLS I KLS II

1 OPERATOR 2,400,000 2,100,000 1,800,000 2580000


2 DR. ANESTESI 1,080,000 945,000 810,000 180000
3 JASA RS & SEWA VK 1,200,000 1,050,000 900,000 800,000
4 ASS. ANESTESI 240,000 210,000 180,000
5 ASS. OPERATOR 408,000 357,000 306,000

TOTAL TINDAKAN 5,328,000 4,662,000 3,996,000


5328000 4662000 3996000
# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN

# OPERASI SEDANG CITO


RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 3,150,000 2,850,000 2,550,000
2 DR. ANESTESI 1,417,500 1,282,500 1,147,500
3 JASA RS & SEWA VK 1,575,000 1,425,000 1,275,000
4 ASS. ANESTESI 315,000 285,000 255,000
5 ASS. OPERATOR 535,500 484,500 433,500 151725
75,863
TOTAL TINDAKAN 6,993,000 6,327,000 5,661,000
6993000 6327000 5661000
# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN

# OPERASI BESAR

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 3,500,000 3,000,000 2,500,000
2 DR. ANESTESI 1,575,000 1,350,000 1,125,000
3 JASA RS & SEWA VK 1,750,000 1,500,000 1,250,000
4 ASS. ANESTESI 350,000 300,000 250,000
5 ASS. OPERATOR 595,000 510,000 425,000
TOTAL TINDAKAN 7,770,000 6,660,000 5,550,000
7770000 6660000 5550000

# OPERASI BESAR CITO

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 4,250,000 3,750,000 3,250,000
2 DR. ANESTESI 1,912,500 1,687,500 1,462,500
3 JASA RS & SEWA VK 2,125,000 1,875,000 1,625,000
4 ASS. ANESTESI 425,000 375,000 325,000
5 ASS. OPERATOR 722,500 637,500 552,500

TOTAL TINDAKAN 9,435,000 8,325,000 7,215,000

# OPERASI KHUSUS

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 4,200,000 3,400,000 3,000,000
2 DR. ANESTESI 1,890,000 1,530,000 1,350,000
3 JASA RS & SEWA VK 2,100,000 1,700,000 1,500,000
4 ASS. ANESTESI 420,000 340,000 300,000
5 ASS. OPERATOR 714,000 578,000 510,000

TOTAL TINDAKAN 9,324,000 7,548,000 6,660,000


9324000 7548000 6660000
# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN

# OPERASI KHUSUS CITO

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 4,950,000 4,150,000 3,750,000
2 DR. ANESTESI 2,227,500 1,867,500 1,687,500
3 JASA RS & SEWA VK 2,475,000 2,075,000 1,875,000
4 ASS. ANESTESI 495,000 415,000 375,000
5 ASS. OPERATOR 841,500 705,500 637,500

TOTAL TINDAKAN 10,989,000 9,213,000 8,325,000


10989000 9213000 8325000
# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN
1,600,000
178500
89250
# OPERASI KECIL

RUANGAN
NO KETERANGAN
SVIP
1 OPERATOR 1,200,000
2 DR. ANESTESI 540,000
3 JASA RS & SEWA VK 600,000
4 ASS. ANESTESI 120,000
5 ASS. OPERATOR 204,000

TOTAL TINDAKAN 2,664,000

# OPERASI KECIL CITO

RUANGAN
NO KETERANGAN
SVIP
1 OPERATOR 1,950,000
2 DR. ANESTESI 877,500
3 JASA RS & SEWA VK 975,000
4 ASS. ANESTESI 195,000
5 ASS. OPERATOR 331,500

TOTAL TINDAKAN 4,329,000

# OPERASI SEDANG

RUANGAN
NO KETERANGAN
SVIP
1 OPERATOR 2,600,000
2 DR. ANESTESI 1,170,000
3 JASA RS & SEWA VK 1,300,000
4 ASS. ANESTESI 260,000
5 ASS. OPERATOR 442,000

TOTAL TINDAKAN 5,772,000

# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN

# OPERASI SEDANG CITO


RUANGAN
NO KETERANGAN
SVIP
1 OPERATOR 3,350,000
2 DR. ANESTESI 1,507,500
3 JASA RS & SEWA VK 1,675,000
4 ASS. ANESTESI 335,000
5 ASS. OPERATOR 569,500

TOTAL TINDAKAN 7,437,000

# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN

# OPERASI BESAR

RUANGAN
NO KETERANGAN
SVIP
1 OPERATOR 3,700,000
2 DR. ANESTESI 1,665,000
3 JASA RS & SEWA VK 1,850,000
4 ASS. ANESTESI 370,000
5 ASS. OPERATOR 629,000

TOTAL TINDAKAN 8,214,000

# OPERASI BESAR CITO

RUANGAN
NO KETERANGAN
SVIP
1 OPERATOR 4,450,000
2 DR. ANESTESI 2,002,500
3 JASA RS & SEWA VK 2,225,000
4 ASS. ANESTESI 445,000
5 ASS. OPERATOR 756,500

TOTAL TINDAKAN 9,879,000

# OPERASI KHUSUS

RUANGAN
NO KETERANGAN
SVIP
1 OPERATOR 4,400,000
2 DR. ANESTESI 1,980,000
3 JASA RS & SEWA VK 2,200,000
4 ASS. ANESTESI 440,000
5 ASS. OPERATOR 748,000

TOTAL TINDAKAN 9,768,000

# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN

# OPERASI KHUSUS CITO


RUANGAN
NO KETERANGAN
SVIP
1 OPERATOR 5,150,000
2 DR. ANESTESI 2,317,500
3 JASA RS & SEWA VK 2,575,000
4 ASS. ANESTESI 515,000
5 ASS. OPERATOR 875,500

TOTAL TINDAKAN 11,433,000

# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN
# OPERASI KECIL

RUANGAN
NO KETERANGAN
SVIP
1 OPERATOR 1,200,000
2 JASA RS & SEWA VK 600,000
3 ASS. OPERATOR 204,000

TOTAL TINDAKAN 2,004,000

# OPERASI KECIL CITO

RUANGAN
NO KETERANGAN
SVIP
1 OPERATOR 1,950,000
2 JASA RS & SEWA VK 975,000
3 ASS. OPERATOR 331,500

TOTAL TINDAKAN 3,256,500

# OPERASI SEDANG

RUANGAN
NO KETERANGAN
SVIP

1 OPERATOR 2,600,000
2 JASA RS & SEWA VK 1,300,000
3 ASS. OPERATOR 442,000
TOTAL TINDAKAN 4,342,000

# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN

# OPERASI SEDANG CITO


RUANGAN
NO KETERANGAN
SVIP
1 OPERATOR 3,350,000
2 JASA RS & SEWA VK 1,675,000
3 ASS. OPERATOR 569,500

TOTAL TINDAKAN 5,594,500

# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN

# OPERASI BESAR

RUANGAN
NO KETERANGAN
SVIP
1 OPERATOR 3,700,000
2 JASA RS & SEWA VK 1,850,000
3 ASS. OPERATOR 629,000

TOTAL TINDAKAN 6,179,000

# OPERASI BESAR CITO

RUANGAN
NO KETERANGAN
SVIP
1 OPERATOR 4,450,000
2 JASA RS & SEWA VK 2,225,000
3 ASS. OPERATOR 756,500

TOTAL TINDAKAN 7,431,500

# OPERASI KHUSUS

RUANGAN
NO KETERANGAN
SVIP
1 OPERATOR 4,400,000
2 JASA RS & SEWA VK 2,200,000
3 ASS. OPERATOR 748,000

TOTAL TINDAKAN 7,348,000

# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN

# OPERASI KHUSUS CITO

RUANGAN
NO KETERANGAN
SVIP
1 OPERATOR 5,150,000
2 JASA RS & SEWA VK 2,575,000
3 ASS. OPERATOR 875,500

TOTAL TINDAKAN 8,600,500

# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN
# OPERASI KECIL

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 1,000,000 900,000 800,000
2 JASA RS & SEWA VK 500,000 450,000 400,000
3 ASS. OPERATOR 170,000 153,000 136,000

TOTAL TINDAKAN 1,670,000 1,503,000 1,336,000


1670000 1503000 1336000

# OPERASI KECIL CITO

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 1,750,000 1,650,000 1,550,000
2 JASA RS & SEWA VK 875,000 825,000 775,000
3 ASS. OPERATOR 297,500 280,500 263,500

TOTAL TINDAKAN 2,922,500 2,755,500 2,588,500


2992500 2755500 2588500

# OPERASI SEDANG

RUANGAN
NO KETERANGAN
VIP KLS I KLS II

1 OPERATOR 2,400,000 2,100,000 1,800,000


2 JASA RS & SEWA VK 1,200,000 1,050,000 900,000
3 ASS. OPERATOR 408,000 357,000 306,000
TOTAL TINDAKAN 4,008,000 3,507,000 3,006,000
4008000 3507000 3006000
# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN

# OPERASI SEDANG CITO


RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 3,150,000 2,850,000 2,550,000
2 JASA RS & SEWA VK 1,575,000 1,425,000 1,275,000
3 ASS. OPERATOR 535,500 484,500 433,500

TOTAL TINDAKAN 5,260,500 4,759,500 4,258,500


5260500 4759500 4258500
# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN

# OPERASI BESAR

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 3,500,000 3,000,000 2,500,000
2 JASA RS & SEWA VK 1,750,000 1,500,000 1,250,000
3 ASS. OPERATOR 595,000 510,000 425,000

TOTAL TINDAKAN 5,845,000 5,010,000 4,175,000


5845000 5010000 4175000

# OPERASI BESAR CITO

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 4,250,000 3,750,000 3,250,000
2 JASA RS & SEWA VK 2,125,000 1,875,000 1,625,000
3 ASS. OPERATOR 722,500 637,500 552,500

TOTAL TINDAKAN 7,097,500 6,262,500 5,427,500

# OPERASI KHUSUS

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 4,200,000 3,400,000 3,000,000
2 JASA RS & SEWA VK 2,100,000 1,700,000 1,500,000
3 ASS. OPERATOR 714,000 578,000 510,000

TOTAL TINDAKAN 7,014,000 5,678,000 5,010,000


7014000 5678000 5010000
# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN

# OPERASI KHUSUS CITO

RUANGAN
NO KETERANGAN
VIP KLS I KLS II
1 OPERATOR 4,950,000 4,150,000 3,750,000
2 JASA RS & SEWA VK 2,475,000 2,075,000 1,875,000
3 ASS. OPERATOR 841,500 705,500 637,500

TOTAL TINDAKAN 8,266,500 6,930,500 6,262,500


8266500 6930500 6262500
# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN
# OPERASI LOKAL

Untuk Operasi Lokal yang dikerjakan di Ruangan IGD


1 Untuk total tindakan langsung ditanyakan ke dokter yang bersangkutan
2 Harga yang telah ditentukan ditambahkan 30% untuk Klinik

# GANTI VERBAN dr. SUMARYONO,Sp.B

1 Tindakan ke dokternya Rp. 150.000,-


2 Harga tersebut diluar Konsul, Visit, Perawat

# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN
HARGA RAWAT JALAN & TINDAKAN
DR. DEDY PANHAR,SP.OG

NO TINDAKAN TARIF

1 ADMINISTRASI 15,000

2 POLI & USG 2D(DI PRINT/TIDAK DI PRINT) 130,000


3 USG 4D(DI PRINT/TIDAK DI PRINT) 400,000
4 PASANG IUD(INSERSI) 332,000
5 ANGKAT IUD(AFF IUD) 260,000
6 BONGKAR PASANG IUD 600,000
7 JAHIT(HECTING) 180,000
8 ANGKAT JAHITAN(AFF HECTING) 240,000
9 SUNTIK KB 90,000
10 GANTI VERBAN 120,000
11 BIOPSY 240,000
12 INSISI ABSES 240,000
13 PAP SMEAR 174,000
14 INSPEKULO 60,000
15 KONTROL IUD 120,000

NOTE :
UNTUK KASIR,
APABILA PASIEN SUDAH KELUAR RUANGAN DOKTER,
HARUS DITANYAKAN TINDAKAN APA SAJA YANG SUDAH DI KERJAKAN
TERIMA KASIH
DAFTAR TARIF PERSALINAN

A. PERSALINAN

RUANGAN
NO KETERANGAN
VIP KLS I
1 PERSALINAN NORMAL Rp 3,130,000 Rp 2,735,000
2 PERSALINAN PATOLOGIS Rp 4,660,000 Rp 3,880,000
3 PERSALINAN SECTIO CAESARIA Rp 8,010,000 Rp 6,660,000
4 CURETTAGE Rp 3,100,000 Rp 2,675,000

# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN

DAFTAR TARIF OPERASI

B. OPERASI

RUANGAN
NO KETERANGAN
SVIP VIP&VIP UTAMA KLS I
1 OPERASI KECIL Rp 2,664,000 Rp 2,220,000 Rp 1,998,000
2 OPERASI SEDANG Rp 5,772,000 Rp 5,328,000 Rp 4,662,000
3 OPERASI BESAR Rp 8,214,000 Rp 7,770,000 Rp 6,660,000
4 OPERASI KHUSUS Rp 9,768,000 Rp 9,324,000 Rp 7,548,000

C. OPERASI CITO
RUANGAN
NO KETERANGAN
SVIP VIP&VIP UTAMA KLS I

1 OPERASI KECIL CITO Rp 4,329,000 Rp 3,663,000 Rp 3,663,000


2 OPERASI SEDANG CITO Rp 7,437,000 Rp 6,327,000 Rp 6,327,000
3 OPERASI BESAR CITO Rp 9,879,000 Rp 8,325,000 Rp 8,325,000

4 OPERASI KHUSUS CITO Rp 11,433,000 Rp 9,213,000 Rp 9,213,000

# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN

D. OPERASI NON ANESTESI

RUANGAN
NO KETERANGAN
SVIP VIP KLS I
1 OPERASI KECIL Rp 2,004,000 Rp 1,670,000 Rp 1,503,000
2 OPERASI SEDANG Rp 4,342,000 Rp 4,008,000 Rp 3,507,000
3 OPERASI BESAR Rp 6,179,000 Rp 5,845,000 Rp 5,010,000
4 OPERASI KHUSUS Rp 7,348,000 Rp 7,014,000 Rp 5,678,000

E. OPERASI CITO NON ANESTESI

RUANGAN
NO KETERANGAN
SVIP VIP KLS I
1 OPERASI KECIL CITO Rp 2,922,500 Rp 2,755,500 Rp 2,755,500
2 OPERASI SEDANG CITO Rp 5,260,500 Rp 4,759,500 Rp 4,759,500
3 OPERASI BESAR CITO Rp 7,097,500 Rp 6,262,500 Rp 6,262,500
4 OPERASI KHUSUS CITO Rp 8,266,500 Rp 6,930,500 Rp 6,930,500

# NOTE :
BIAYA BELUM TERMASUK
1 RUANGAN
2 OBAT & ALKES
3 PENUNJANG LAIN(LAB, RONGENT, EKG, DLL)
4 KONSUL DOKTER LAIN
KLS II
Rp 2,468,500
Rp 2,920,000
Rp 5,570,800
Rp 2,245,000

KLS II
Rp 1,776,000
Rp 3,996,000
Rp 5,550,000
Rp 6,660,000
KLS II

Rp 3,441,000
Rp 5,661,000
Rp 7,215,000

Rp 8,325,000

KLS II
Rp 1,336,000
Rp 3,006,000
Rp 4,175,000
Rp 5,010,000

KLS II
Rp 2,588,500
Rp 4,258,500
Rp 5,427,500
Rp 6,262,500