No ICD-10 Deskripsi Jumlah ALOS

1 Z09.8^N18.5 Chronic kidney disease, stage 5 347 -

2 Z09.8^I11.9 Hypertensive heart disease without (congestive) heart failure 22 -
3 Z09.8^K30 Dyspepsia 10 -
4 Z09.8^M13.9 Arthritis, unspecified 9 -
5 Z09.8^J45.9 Asthma, unspecified 8 -
6 Z09.8^K29.9 Gastroduodenitis, unspecified 5 -
7 Z09.8^M06.9 Rheumatoid arthritis, unspecified 5 -
8 Z09.8^I09.9 Rheumatic heart disease, unspecified 4 -
9 Z09.8^K27.7 Peptic ulcer, chronic without haemorrhage or perforation 4 -
10 Z09.8^K80.8 Other cholelithiasis 4 -
11 Z09.8^M32.1 Systemic lupus erythematosus with organ or system involvement 4 -
12 Z09.8^D59.1 Other autoimmune haemolytic anaemias 3 -
13 Z09.8^E78.5 Hyperlipidaemia, unspecified 3 -
14 Z09.8^J98.1 Pulmonary collapse 3 -
15 Z09.8^J44.8 Other specified chronic obstructive pulmonary disease 2 -
16 Z09.8^N28.1 Cyst of kidney, acquired 2 -
17 N18.5 Chronic kidney disease, stage 5 1 -
18 R51 Headache 1 -
19 Z09.8^G44.2 Tension-type headache 1 -
20 Z09.8^H81.3 Other peripheral vertigo 1 -
21 Z09.8^J40 Bronchitis, not specified as acute or chronic 1 -
22 Z09.8^M18.5 Other secondary arthrosis of first carpometacarpal joint 1 -
23 A09.9 Gastroenteritis and colitis of unspecified origin 1 -
 APRIL 2018 RAWAT JALAN

Tindakan Tindakan Bedah Konsul / Visit Tenaga Ahli Keperawatan Penunjang

Rp 416,399,999 Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp 2,200,000 Rp - Rp - Rp -
Rp - Rp - Rp 1,000,000 Rp - Rp - Rp -
Rp - Rp - Rp 900,000 Rp - Rp - Rp -
Rp - Rp - Rp 800,000 Rp - Rp - Rp -
Rp - Rp - Rp 500,000 Rp - Rp - Rp -
Rp - Rp - Rp 500,000 Rp - Rp - Rp -
Rp - Rp - Rp 400,000 Rp - Rp - Rp -
Rp - Rp - Rp 400,000 Rp - Rp - Rp -
Rp - Rp - Rp 400,000 Rp - Rp - Rp -
Rp - Rp - Rp 400,000 Rp - Rp - Rp -
Rp - Rp - Rp 300,000 Rp - Rp - Rp -
Rp - Rp - Rp 300,000 Rp - Rp - Rp -
Rp - Rp - Rp 300,000 Rp - Rp - Rp -
Rp - Rp - Rp 200,000 Rp - Rp - Rp -
Rp - Rp - Rp 200,000 Rp - Rp - Rp -
Rp 1,200,000 Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp 100,000 Rp - Rp 75,000 Rp -
Rp - Rp - Rp 100,000 Rp - Rp - Rp -
Rp - Rp - Rp 100,000 Rp - Rp - Rp -
Rp - Rp - Rp 100,000 Rp - Rp - Rp -
Rp 1,200,000 Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp 65,000 Rp - Rp - Rp -
RAWAT JALAN

Laboratorium Radiologi Pelayanan Darah Rehabilitasi Kamar / Akomodasi Rawat Intensif

Rp 2,031,500 Rp - Rp - Rp - Rp 8,899,991 Rp -
Rp 60,500 Rp - Rp - Rp - Rp 616,000 Rp -
Rp - Rp - Rp - Rp - Rp 280,000 Rp -
Rp 28,000 Rp - Rp - Rp - Rp 224,000 Rp -
Rp - Rp - Rp - Rp - Rp 224,000 Rp -
Rp - Rp - Rp - Rp - Rp 140,000 Rp -
Rp - Rp - Rp - Rp - Rp 140,000 Rp -
Rp - Rp - Rp - Rp - Rp 112,000 Rp -
Rp - Rp - Rp - Rp - Rp 112,000 Rp -
Rp - Rp - Rp - Rp - Rp 112,000 Rp -
Rp - Rp - Rp - Rp - Rp 112,000 Rp -
Rp - Rp - Rp - Rp - Rp 84,000 Rp -
Rp - Rp - Rp - Rp - Rp 84,000 Rp -
Rp - Rp - Rp - Rp - Rp 84,000 Rp -
Rp - Rp - Rp - Rp - Rp 56,000 Rp -
Rp - Rp - Rp - Rp - Rp 56,000 Rp -
Rp - Rp - Rp - Rp - Rp 25,000 Rp -
Rp - Rp - Rp - Rp - Rp 28,000 Rp -
Rp - Rp - Rp - Rp - Rp 28,000 Rp -
Rp - Rp - Rp - Rp - Rp 28,000 Rp -
Rp - Rp - Rp - Rp - Rp 28,000 Rp -
Rp - Rp - Rp - Rp - Rp 25,002 Rp -
Rp 60,500 Rp - Rp - Rp - Rp 35,000 Rp -
Obat Alkes BMHP Sewa Alat Subtotal RS Subtotal INA-CBG
Rp 4,975,807 Rp - Rp - Rp - Rp 432,307,304 Rp 259,070,200
Rp 554,998 Rp - Rp - Rp - Rp 3,431,498 Rp 4,120,600
Rp 93,990 Rp - Rp - Rp - Rp 1,373,990 Rp 1,873,000
Rp 332,158 Rp - Rp - Rp - Rp 1,484,158 Rp 1,685,700
Rp 102,725 Rp - Rp - Rp - Rp 1,126,725 Rp 1,498,400
Rp 3,177 Rp - Rp - Rp - Rp 643,177 Rp 936,500
Rp 143,594 Rp - Rp - Rp - Rp 783,594 Rp 936,500
Rp 37,700 Rp - Rp - Rp - Rp 549,700 Rp 749,200
Rp 92,288 Rp - Rp - Rp - Rp 604,288 Rp 749,200
Rp - Rp - Rp - Rp - Rp 512,000 Rp 749,200
Rp 43,300 Rp - Rp - Rp - Rp 555,300 Rp 749,200
Rp 38,996 Rp - Rp - Rp - Rp 422,996 Rp 561,900
Rp 80,377 Rp - Rp - Rp - Rp 464,377 Rp 561,900
Rp 96,422 Rp - Rp - Rp - Rp 480,422 Rp 561,900
Rp 24,331 Rp - Rp - Rp - Rp 280,331 Rp 374,600
Rp 89,175 Rp - Rp - Rp - Rp 345,175 Rp 374,600
Rp - Rp - Rp - Rp - Rp 1,225,000 Rp 746,600
Rp - Rp - Rp - Rp - Rp 203,000 Rp 184,300
Rp 6,506 Rp - Rp - Rp - Rp 134,506 Rp 187,300
Rp 18,320 Rp - Rp - Rp - Rp 146,320 Rp 187,300
Rp - Rp - Rp - Rp - Rp 128,000 Rp 187,300
Rp - Rp - Rp - Rp - Rp 1,225,000 Rp 746,600
Rp 19,155 Rp - Rp - Rp - Rp 179,655 Rp 184,300