KOESNADI BONDOWOSO
BIAYA PELAYANAN HEMODIALISA 5 JAM (DENGAN HEPARIN DAN NaCl tanpa depresiasi alat dan gedung) tanpa profit
NO Keterangan BARU 1R 4R 7R 9R
I Consumable Inti
1. Artificial kidney
2. Blood line
3. AV Fistula (2)
4. Cairan :
- acid
- bicnat Rp 579,500 Rp 359,100 Rp 359,100 Rp 359,100 Rp 359,100
II Consumable Tambahan
1. NaCl 0.9% (3 liter) Rp 22,800 Rp 22,800 Rp 22,800 Rp 22,800 Rp 22,800
2. Heparin (12500 U) Rp 30,900 Rp 30,900 Rp 30,900 Rp 30,900 Rp 30,900
3. Infus set (2) Rp 4,700 Rp 4,700 Rp 4,700 Rp 4,700 Rp 4,700
4. Syringe 1 cc (1) Rp 1,900 Rp 1,900 Rp 1,900 Rp 1,900 Rp 1,900
5. Syringe 3 cc (1) Rp 800 Rp 800 Rp 800 Rp 800 Rp 800
6. Syringe 20 cc (1) Rp 1,900 Rp 1,900 Rp 1,900 Rp 1,900 Rp 1,900
7. Lidocain 2% (2) Rp 2,503 Rp 2,503 Rp 2,503 Rp 2,503 Rp 2,503
8. Masker (1) Rp 600 Rp 600 Rp 600 Rp 600 Rp 600
9. Sarung tangan steril (1) Rp 1,892 Rp 1,892 Rp 1,892 Rp 1,892 Rp 1,892
10. BMHP dasar Rp 24,000 Rp 24,000 Rp 24,000 Rp 24,000 Rp 24,000
11. Keperluan mesin :
- Bayclin Rp 5,850 Rp 5,850 Rp 5,850 Rp 5,850 Rp 5,850
- syringe 50 cc
- Asam asetat 25% Rp 254 Rp 254 Rp 254 Rp 254 Rp 254
- Asam sitrat Rp 4,020 Rp 4,020 Rp 4,020 Rp 4,020 Rp 4,020
- H2O2 5% Rp 480 Rp 480 Rp 480 Rp 480 Rp 480
- Garam Non Yodium Rp 180 Rp 180 Rp 180 Rp 180 Rp 180
- MW Filter Rp 2,383 Rp 2,383 Rp 2,383 Rp 2,383 Rp 2,383
V Gaji pokok Tenaga Medis (dr dan perawat) Rp 70,000 Rp 70,000 Rp 70,000 Rp 70,000 Rp 70,000
Rp 957,755
RSU dr H. KOESNADI BONDOWOSO
BIAYA PELAYANAN HEMODIALISA 5 JAM (DENGAN HEPARIN DAN NaCl tanpa depresiasi alat dan gedung) dengan profit
NO Keterangan BARU 1R 4R 7R 9R
I Consumable Inti
1. Artificial kidney
2. Blood line
3. AV Fistula (2)
Rp 579,500 Rp 359,100 Rp 359,100 Rp 359,100 Rp 359,100
4. Cairan :
- acid
- bicnat
II Consumable Tambahan
1. NaCl 0.9% (3 liter) Rp 22,800 Rp 22,800 Rp 22,800 Rp 22,800 Rp 22,800
2. Heparin (12500 U) Rp 30,900 Rp 30,900 Rp 30,900 Rp 30,900 Rp 30,900
3. Infus set (2) Rp 4,700 Rp 4,700 Rp 4,700 Rp 4,700 Rp 4,700
4. Syringe 1 cc (1) Rp 1,900 Rp 1,900 Rp 1,900 Rp 1,900 Rp 1,900
5. Syringe 3 cc (1) Rp 800 Rp 800 Rp 800 Rp 800 Rp 800
6. Syringe 20 cc (1) Rp 1,900 Rp 1,900 Rp 1,900 Rp 1,900 Rp 1,900
7. Lidocain 2% (2) Rp 2,503 Rp 2,503 Rp 2,503 Rp 2,503 Rp 2,503
8. Masker (1) Rp 600 Rp 600 Rp 600 Rp 600 Rp 600
9. Sarung tangan steril (1) Rp 1,892 Rp 1,892 Rp 1,892 Rp 1,892 Rp 1,892
10. BMHP dasar Rp 24,000 Rp 24,000 Rp 24,000 Rp 24,000 Rp 24,000
11. Keperluan mesin :
- Bayclin Rp 5,850 Rp 5,850 Rp 5,850 Rp 5,850 Rp 5,850
- syringe 50 cc
- Asam asetat 25% Rp 254 Rp 254 Rp 254 Rp 254 Rp 254
- Asam sitrat Rp 4,020 Rp 4,020 Rp 4,020 Rp 4,020 Rp 4,020
- H2O2 5% Rp 480 Rp 480 Rp 480 Rp 480 Rp 480
- Garam Non Yodium Rp 180 Rp 180 Rp 180 Rp 180 Rp 180
- MW Filter Rp 2,383 Rp 2,383 Rp 2,383 Rp 2,383 Rp 2,383
V Gaji pokok Tenaga Medis (dr dan perawat) Rp 70,000 Rp 70,000 Rp 70,000 Rp 70,000 Rp 70,000