TARIF MCU RSUD TARUTUNG

JASA PELAYANAN
Jasa Jasa
NO URAIAN TARIF Jasa KETUA TIM Dokter DOKTER DOKTER
Sarana Pelayanan
Managemen PEMERIKSA Spesialis UMUM GIGI

1 PAKET DASAR
Ketua Tim 15,000 15,000 15,000
Pemeriksa

Pemeriksaan
dan
Konsultasi 13,000 13,000 - 13,000
Dokter
Umum

Perawat 20,000 20,000 -

Visus 25,000 18,750 6,250 6,250
Buta Warna 25,000 18,750 6,250 6,250
EKG 40,000 30,000 10,000 10,000
Laboratorium
:
1. Darah 40,500 30,375 10,125 2,906
Rutin

2. Kolesterol 18,000 13,500 4,500 1,292

Total

3. LDL 40,500 30,375 10,125 2,906

4. HDL 19,800 14,850 4,950 1,421

5. Trigliserida 20,700 15,525 5,175 1,485

6. Urin Rutin 13,500 10,125 3,375 969

7. Glukosa 12,600 9,450 3,150 904

Sewaktu
8. SGOT 16,200 12,150 4,050 1,162
9. SGPT 16,200 12,150 4,050 1,162
10. Ureum 16,200 12,150 4,050 1,162

11. Kreatinin 16,200 12,150 4,050 1,162

Total 368,400 240,300 128,100 39,031 15,000 13,000 -

2 PAKET PERAK
Ketua Tim
20,000 20,000 20,000
Pemeriksa

Pemeriksaan
dan
Konsultasi 17,500 17,500 - 17,500
Dokter
Umum

Pemeriksaan
Gigi oleh 15,000 15,000 15,000
Dokter Gigi

Perawat 12,500 12,500 -

 Visus 30,000 22,500 7,500 7,500
Buta Warna 30,000 22,500 7,500 7,500
THT 48,000 36,000 12,000 12,000
EKG 48,000 36,000 12,000 12,000
Foto Thorax 75,600 52,920 22,680 6,305
Laboratorium
:
1. Asam Urat 19,440 14,580 4,860 1,351
2. Darah 60,600 45,450 15,150 4,212
Lengkap
3. Glukosa 2
15,120 11,340 3,780 1,051
Jam PP
4. Glukosa 15,120 11,340 3,780 1,051
Puasa
5. HbsAg 72,000 54,000 18,000 5,004
6. HDL 23,760 17,820 5,940 1,651

7. Kolesterol 21,600 16,200 5,400 1,501

Total

8. Kreatinin 19,440 14,580 4,860 1,351

9. LDL 48,600 36,450 12,150 3,378
10. SGOT 19,440 14,580 4,860 1,351
11. SGPT 19,440 14,580 4,860 1,351
12. 24,840 18,630 6,210 1,726
Trigliserida
13. Ureum 19,440 14,580 4,860 1,351

14. Urin Rutin 16,200 12,150 4,050 1,126

Total 691,640 466,200 225,440 72,760 20,000 17,500 15,000

3 PAKET EMAS
Ketua Tim
25,000 25,000 25,000
Pemeriksa

Pemeriksaan
dan
Konsultasi 22,500 22,500 - 22,500
Dokter
Umum

Pemeriksaan
Gigi oleh 20,000 20,000 20,000
Dokter Gigi

Perawat 15,000 15,000 -

Konsul Dokter 100,000 100,000 100,000

Spesialis

Foto Thorax 90,720 63,504 27,216 7,566

Visus 36,000 27,000 9,000 9,000
Buta Warna 36,000 27,000 9,000 9,000
THT 57,600 43,200 14,400 14,400
Treadmill 240,000 180,000 60,000 60,000
Spirometri 113,400 85,050 28,350 28,350
Laboratorium
:
1. Asam Urat 23,328 17,496 5,832 1,621
2. Darah 72,720 54,540 18,180 5,054
Lengkap
3. Glukosa 2 18,144 13,608 4,536 1,261
Jam PP
4. Glukosa 18,144 13,608 4,536 1,261
Puasa
5. HbsAg 86,400 64,800 21,600 6,005
6. HDL 28,512 21,384 7,128 1,982

7. Kolesterol 25,920 19,440 6,480 1,801

Total

8. Kreatinin 23,328 17,496 5,832 1,621

9. LDL 58,320 43,740 14,580 4,053
10. SGOT 23,328 17,496 5,832 1,621
11. SGPT 23,328 17,496 5,832 1,621
12.
29,808 22,356 7,452 2,072
Trigliserida
13. Ureum 23,328 17,496 5,832 1,621

14. Urin Rutin 19,440 14,580 4,860 1,351

15. Alkali 56,000 42,000 14,000 3,892

Phospatase

16. Urinalisa 16,200 12,150 4,050 1,126

Total 1,302,468 835,440 467,028 166,280 25,000 100,000 22,500 20,000

UNG
JASA PELAYANAN
RADIOLOGI LABORATORIUM PERAWAT
DOKTER PERAWAT DOKTER ANALIS MCU

20,000

2,166 5,053

963 2,246

2,166 5,053
1,059 2,471

1,107 2,583

722 1,684

674 1,572

866 2,021
866 2,021
866 2,021

866 2,021

- - 12,321 28,748 20,000

12,500
8,187 8,187

1,053 2,456

3,281 7,657

819 1,910

819 1,910

3,899 9,097
1,287 3,002

1,170 2,729

1,053 2,456
2,632 6,141
1,053 2,456
1,053 2,456

1,345 3,139

1,053 2,456

877 2,047

8,187 8,187 21,391 49,913 12,500

15,000

9,825 9,825
 1,263 2,947

3,938 9,188

982 2,292

982 2,292

4,679 10,917
1,544 3,602

1,404 3,275

1,263 2,947
3,158 7,369
1,263 2,947
1,263 2,947

1,614 3,766

1,263 2,947

1,053 2,456

3,032 7,076

877 2,047

9,825 9,825 29,579 69,018 15,000

 TARIF MCU RSUD TARUTUNG
JASA PELAYANAN
Jasa Jasa Jasa
NO URAIAN TARIF KETUA TIM DOKTER DOKTER RADIOLOGI
Sarana Pelayanan Manageme PEMERIKSA UMUM GIGI DOKTER
n
PAKET DASAR
Karcis Harian 15,000 15,000
Pemeriksaan
Fisik 25,000 15,000 10,000
Visus 25,000 15,000 10,000 3,000 1,500 4,000
Buta Warna 25,000 15,000 10,000 3,000 1,500 4,000
Laboratorium
:
1. Darah
Rutin 45,000 33,750 11,250 3,375 1,688

2. Kolesterol
Total 18,000 13,500 4,500 1,350 675

1 3. LDL 40,500 30,375 10,125 3,038 1,519

4. HDL 33,500 25,125 8,375 2,513 1,256
5. Trigliserida 20,700 15,525 5,175 1,553 776

6. Urin Rutin 13,500 10,125 3,375 1,013 506

7. Glukosa
Sewaktu 18,500 13,875 4,625 1,388 694
8. SGOT 24,400 18,300 6,100 1,830 915
9. SGPT 24,400 18,300 6,100 1,830 915
10. Ureum 25,500 19,125 6,375 1,913 956
11. Kreatinin 26,000 19,500 6,500 1,950 975
Total 380,000 277,500 102,500 27,750 13,875 8,000 - -

PAKET PERAK
Karcis Harian 15,000 15,000
Pemeriksaan
Fisik 25,000 15,000 10,000
Visus 30,000 18,000 12,000 3,600 3,000
Buta Warna 30,000 18,000 12,000 3,600 3,000
THT 48,000 28,800 19,200 5,760 4,800
Pemeriksaan
Gigi 45,000 27,000 18,000 5,400 4,500
EKG 45,000 25,200 19,800 5,940 4,950
Foto Thorax 63,000 44,100 18,900 5,670 4,725 6,615
Laboratorium
:
1. Asam Urat 23,000 17,250 5,750 1,599

2
 2. Darah
Lengkap 52,000 39,000 13,000 3,614
3. Glukosa 2
18,500 13,875 4,625 1,286
2 Jam PP
4. Glukosa
Puasa 18,500 13,875 4,625 1,286
5. HbsAg 76,600 56,350 20,250 5,630
6. HDL 33,500 25,125 8,375 2,328
7. Kolesterol
Total 21,600 17,100 4,500 1,251

8. Kreatinin 26,000 19,500 6,500 1,807

9. LDL 48,600 38,475 10,125 2,815
10. SGOT 24,400 18,650 5,750 1,599
11. SGPT 24,400 18,650 5,750 1,599
12.
Trigliserida 24,840 19,665 5,175 1,439
13. Ureum 25,500 19,125 6,375 1,772
14. Urin
Rutin 16,560 13,185 3,375 938
Total 735,000 520,925 214,075 58,931 24,975 - - 6,615
PAKET EMAS
Karcis Harian 15,000 15,000
Pemeriksaan
25,000 15,000 10,000
Fisik
Pemeriksaan 55,000 33,000 22,000
Gigi
Foto Thorax 63,000 44,100 18,900 5,254 6,823
Visus 36,000 27,000 9,000 9,000
Buta Warna 36,000 27,000 9,000 9,000
THT 57,600 43,200 14,400 14,400
Treadmill 247,000 185,250 61,750 61,750
Spirometri 100,000 60,000 40,000 40,000
Laboratorium
:
1. Asam Urat 23,000 17,250 5,750 1,599
2. Darah
Lengkap 52,000 39,000 13,000 3,614
3. Glukosa 2
Jam PP 18,500 13,875 4,625 1,286
3
4. Glukosa
Puasa 18,500 13,875 4,625 1,286
5. HbsAg 76,600 56,350 20,250 5,630
6. HDL 33,500 25,125 8,375 2,328
7. Kolesterol
Total 25,920 21,420 4,500 1,251

8. Kreatinin 26,000 19,500 6,500 1,807

9. LDL 58,320 48,195 10,125 2,815
10. SGOT 23,000 17,250 5,750 1,599
11. SGPT 23,000 17,250 5,750 1,599
12.
Trigliserida 29,808 22,356 7,452 2,072
13. Ureum 25,500 19,125 6,375 1,772
14. Urin
Rutin 19,440 14,580 4,860 1,351
15. Alkali
Phospatase 57,312 52,812 4,500 1,251
Total 1,145,000 847,513 297,487 170,662 - - - 6,823
G
ASA PELAYANAN
RADIOLOGI LABORATORIUM PERAWAT
PERAWAT DOKTER ANALIS MCU

1,500
1,500

1,856 4,331 JASA P

Jenis Jasa
743 1,733 Pemeriksaan Pelayanan Jasa KETUA TIM DOKTER
Managemen PEMERIKSA UMUM
1,671 3,898
1,382 3,224 Dasar 102,500 30,750 12,556 12,556

854 1,992 Perak 214,075 64,223 17,982 17,982

557 1,299
Emas 297,487 89,246 31,236 31,236

763 1,781
1,007 2,349
1,007 2,349
1,052 2,454
1,073 2,503
- 11,963 27,913 3,000 92,500 39,875

doker penangg dokter umum perawat mcu

34,875 11000 11000 #REF!

11000 1000 #REF!
#REF!

30,375
19,125
6,615

1,245 2,906
 2,816 6,570

1,002 2,337 39,000

1,002 2,337
4,386 10,234
1,814 4,233

975 2,274

1,408 3,285
2,193 5,117
1,245 2,906
1,245 2,906
1,121 2,615
1,381 3,222
731 1,706
6,615 22,564 52,650 - 172,350 75,214 -

6,823

1,245 2,906
2,816 6,570

1,002 2,337

1,002 2,337
4,386 10,234
1,814 4,233

975 2,274

1,408 3,285
2,193 5,117
1,245 2,906
1,245 2,906
1,614 3,766
 1,381 3,222
1,053 2,456

975 2,274
6,823 24,354 56,826 - 1200 -
 JASA PELAYANAN

DOKTER LABORATORIUM PERAWAT

GIGI RADIOLOGI MCU
DOKTER PERAWAT DOKTER ANALIS

11,963 27,913 6,763

13,487 6,615 6,615 18,804 56,411 11,957

27,071 6,823 6,823 24,354 56,826 23,872

39,875 75,214

13,230

214,075
 USULAN PEMBAGIAN JASA PELAYANAN MCU
JASA PELAYANAN
Jenis Pemeriksaan Jasa Pelayanan KETUA TIM DOKTER DOKTER RADIOLOGI
Jasa Managemen PEMERIKSA UMUM GIGI DOKTER

Dasar 102,500 30,750 12,556 12,556

Perak 214,075 64,223 17,982 17,982 13,487 6,615
Emas 297,487 89,246 31,236 31,236 27,071 6,823
YANAN MCU
ELAYANAN
RADIOLOGI LABORATORIUM PERAWAT
PERAWAT DOKTER ANALIS MCU

11,963 27,913 6,763

6,615 18,804 56,411 11,957
6,823 24,354 56,826 23,872