DAFTAR HARGA INFUS BPJS

NO. NAMA OBAT HNA + PPN 28 % HARGA JADI

1. Aqua 25 cc 2.500 1.160 3.660

2. Aqua 1 L 10.499 2.951 13.450

3. Infus Ciprofloxacin 28.600 8.010 36.610

4. Infus D5 ½ NS 15.525 4.347 19.872

5. Infus G5 % 6.900 1.930 8.830

6. Infus G10 % 7.500 2.100 9.600

7. Infus Levofloxacin 88.000 24.640 112.640

8. Infus Manitol 79.360

9. Infus Metronidazol 12.000

10. Infus NaCl 500 ml 6.410 1.795 8.205

11. Infus NaCl 1 L 13.260 3.675 16.935

12. Infus RL 6.500 1.820 8.320

13. Infus Paracetamol 38.500 10.780 49.280

14. Betadin 15 ml 3.870

 DAFTAR HARGA INFUS REGULER

NO. NAMA OBAT HNA + PPN 30 % HARGA JADI

1. Aqua 25 cc 2.500 1.220 3.720
2. Aqua 1 L 23.760
3. Aqua 1 L (khusus) 13.650
4. Alkohol 1 cc 55
5. Alkohol 1 L 55.770
6. Aseptan Liquid 47.190
7. Aseptan Liquid + Pompa 44.850
8. Aseptic Gel 37.180
9. Aseptic Gel + Pompa 31.460
10. Betadin 55 ml 32.450 9.735 42.185
11. Betadin 1 L 250.250
12. Citrit 22.000
13. CO2 500
14. O2 1 L 25
15. N2O 1 L 200
16. D40% 8.690 2.610 11.300
17. First Aid 1.324.170
18. Formalin 10 L 715.000
19. Infus Aminofusin 75.350 22.605 97.955
20. Infus Ciprofloxacin 28.600 8.580 37.180
21. Infus D5 ½ NS 15.525 4655 20.180
22. Infus G5 % 6.900 2.070 8.970
23. Infus G10 % 7.500 2.250 9.750
24. Infus Gelofusin 88.300 26.490 114.790
25. Infus Hes 97.500 29.250 126.750
26. Infus Levofloxacin 88.000 26.400 114.400
27. Infus Martos 92.400 27.720 120.120
28. Infus Metronidazol 12.200
29. Infus NaCl 500 ml 6.410 1.940 8.350
30. Infus NaCl 1 L 16.100 4.830 18.590
31. Infus Otsutran 97.900 29.370 127.270
32. Infus Paracetamol 38.500 11.550 50.050
33. Infus Manitol 62.000 18.600 80.600
34. KCL 8.690 2.610 11.300
35. KY Jelly ( 1gr) 78.650
36. KY Jelly (1cc) 530 159 515
37. Meylon 13.200 3.960 17.160
38. Mildex 30 660.000 198.000 28.600
39. Milzym DF 2.200.000 660.000 2.860.000
40. MY Jelly (1gr) 42.260
41. NaCl 25 cc 5.500 1.650 7.150
42. NaCl 3 % 22.000 6.600 28.600
43. NaCl 100 cc 13.585
44. One Srub Refil 77.000 23.100 100.100
45. One Scrub + Pompa 62.500 18.750 81.250
46. Pehidrol I L 62.920
47. Pehidrol (1cc) 6
48. RL (B-Braun) 8.250 2.475 10.725
49. RL (MJB) 6.970 2.090 9.060
50. Renalin 10 L 4.200.000 1.806.000 6.006.000
51. Signa Gell 77.000 23.100 100.100
52. Sodalime 506.000 151.800 657.800
53. USG Jelly 223.995
54. Ultrasonic Sky Jelly 257.400
55. Infus Kidmin 63.000