Analisa Penentuan Inacbgs BPJS Ok

RATE RANAP
CASE : CAESARIA
PERUJUK REG TINDAKAN OBT+EMB+ TSL RETUR RESEP PULANG
OBAT
- 950,000 2,050,021 - -
- 875,000 507,101 - -
DR J. SUDARWANTONO SP OG - 1,027,500 2,196,239 - -
RATE CASE RANAP - 950,833 1,584,454 - -

INACBGS
TOTAL TANPA OPERASI 950,833 1,584,454 - -
RETUR
ASUMSI REG TINDAKAN OBT+EMB+ TSL OBAT RESEP PULANG
- 950,833 1,584,454 - -
650,833 316,891
TOTAL JM OP 1 JM AO 1 JM AO 2 JM INSTRUMEN
RATE OP
4,197,500 1,250,000 175,000 125,000 50,000
SPACE OPERASI CASE : CAESARIA 2,834,246 1,250,000 175,000 125,000 50,000
SPACE OPERASI TGL 2,832,500 1,000,000 100,000 95,000 50,000
0%
RATE RANAP
CASE : HISTREKTOMY
PERUJUK REG TINDAKAN OBT+EMB+ TSL RETUR RESEP PULANG
OBAT
- 950,000 2,050,021 - -
- 875,000 507,101 - -
DR J. SUDARWANTONO SP OG - 1,027,500 2,196,239 - -
RATE CASE RANAP - 950,833 1,584,454 - -

INACBGS
RETUR
ASUMSI REG TINDAKAN OBT+EMB+ TSL OBAT RESEP PULANG
- 950,833 1,584,454 - -
RATE OP
4,197,500 1,250,000 175,000 125,000 50,000
SPACE OPERASI CASE : HISTREKTOMY -
LAB RADIOLOGI POT TAMB KAMAR+ SERV OPERASI HARI TOTAL
412,000 - - 70,000 - 300,000 5,032,500 - 8,674,521
105,000 - - - 300,000 2,402,000 - 4,189,101
515,000 - - 60,000 - 300,000 5,032,500 - 9,011,239
344,000 - - 43,333 - 300,000 4,155,667 - 7,291,620

5,970,200
344,000 - - 43,333 - 300,000 3,135,954
SPACE OPERASI 2,834,246
344,000 - - 43,333 - 300,000 2,832,500 5,968,454

103,200 300,000 1,370,924
50%
JM DR ANAS JM AA 1 JM OL 1 JM PJ ANAK SEWA OK AKOMODASI NMS SARPRAS
625,000 87,500 25,000 60,000 500,000 150,000 1,000,000 150,000
625,000 87,500 25,000 60,000 261,746 75,000 100,000 -
525,000 87,500 25,000 60,000 500,000 150,000 100,000 140,000

412,000 - - 70,000 - 300,000 5,032,500 - 8,674,521
105,000 - - - 300,000 2,402,000 - 4,189,101
515,000 - - 60,000 - 300,000 5,032,500 - 9,011,239
344,000 - - 43,333 - 300,000 4,155,667 - 7,291,620

5,970,200
344,000 - - 43,333 - 300,000 3,135,954
344,000 - - 43,333 - 300,000 - 3,135,954

625,000 87,500 25,000 60,000 500,000 150,000 1,000,000 150,000
KAMAR OPERATOR 1 JM OP 1 JM OP 2 JM OP 3 JM AO 1 JM AO 2 JM AO 3
SHINTA 1 R KABER dr. Sudarwantono Sp.OG 1,750,000 - - 225,000 125,000 -
R TIND KABER1 R KABER
R TIND KABER1 R KABER dr. Sudarwantono Sp.OG 1,250,000 0 0 175,000 125,000 0
13% 7%
Selisih Dengan INACBGS
- 1,746
Check
2,832,500
2,832,500
KAMAR OPERATOR 1 JM OP 1 JM OP 2 JM OP 3 JM AO 1 JM AO 2 JM AO 3
SHINTA 1 R KABER dr. Sudarwantono Sp.OG 1,750,000 - - 225,000 125,000 -
R TIND KABER1 R KABER
R TIND KABER1 R KABER dr. Sudarwantono Sp.OG 1,250,000 0 0 175,000 125,000 0
- 2,834,246
Check
- 2,834,246
JM INSTRUMEN JM DR. A JM PR JM DR ANAS JM AA 1 JM AA 2 JM BIDAN 1 JM BIDAN 2
50,000 - - 875,000 122,500 - - -
50,000 - - 625,000 87,500 0 0 0

3% 50% 7%
JM INSTRUMEN JM DR. A JM PR JM DR ANAS JM AA 1 JM AA 2 JM BIDAN 1 JM BIDAN 2
50,000 - - 875,000 122,500 - - -
50,000 - - 625,000 87,500 0 0 0

JM BIDAN 3 JM PL JM OL 1 JM OL 2 JM OL 3 JM OL 4 JM OL 5 JM PJ ANAK JM DR. UMUM SEWA ALAT SEWA OK
- - 25,000 - - - - 60,000 - - 500,000
0 0 25,000 0 0 0 0 60,000 0 0 500,000
JM BIDAN 3 JM PL JM OL 1 JM OL 2 JM OL 3 JM OL 4 JM OL 5 JM PJ ANAK JM DR. UMUM SEWA ALAT SEWA OK
- - 25,000 - - - - 60,000 - - 500,000
0 0 25,000 0 0 0 0 60,000 0 0 500,000

AKOMODASI NMS SARPRAS TOTAL
150,000 1,000,000 150,000 5,032,500
150,000 1,000,000 150,000 4,197,500
AKOMODASI NMS SARPRAS TOTAL
150,000 1,000,000 150,000 5,032,500
150,000 1,000,000 150,000 4,197,500

RATE RANAP
CASE : DEBRIDEMENT
PERUJUK REG TINDAKAN OBT+EMB+ TSL RETUR OBAT RESEP PULANG
DEBRIDEMENT BEDAH UMUM KLS 3 - 490,000 1,047,082 - -
DEBRIDEMENT BEDAH UMUM KLS 2 - 1,129,344 1,309,276 - -
RATE CASE RANAP 809,672 1,178,179 - -

INACBGS
ASUMSI REG TINDAKAN OBT+EMB+ TSL RETUR OBAT RESEP PULANG
- 809,672 1,178,179 - -
TOTAL JM OP 1 JM AO 1 JM INSTRUMEN JM DR ANAS

RATE OP
4,791,000 1,700,000 170,000 68,000 850,000
SPACE OPERASI CASE : DEBRIDEMENT 3,491,000 1,000,000 170,000 68,000 850,000
RATE RANAP
CASE : APPENDICITIS
APPENDICITIS ACUTE (SPINAL) KLS 3 - 745,000 1,473,191 - -
RATE CASE RANAP - 745,000 1,473,191 - -

INACBGS
- 745,000 1,473,191 - -

RATE OP
3,995,000 1,500,000 150,000 60,000 750,000
SPACE OPERASI CASE : APPENDICITIS 1,860,000 750,000 75,000 40,000 400,000
2,540,000 1,000,000 100,000 75,000 500,000
RATE RANAP
CASE : HERNIA INGUINALIS LATERALIS
HERNIA INGUINALIS LATERALIS KLS 1 - 834,815 1,525,908 - -
RATE CASE RANAP - 834,815 1,525,908 - -

INACBGS
- 834,815 1,525,908 - -

RATE OP
5,829,000 2,300,000 230,000 92,000 1,150,000
SPACE OPERASI CASE : HERNIA 1,860,000 750,000 75,000 40,000 400,000
INGUINALIS LATERALIS
RATE RANAP
CASE : HERNIA UMBILICAL
HERNIA UMBILICAL KLS 3 - 620,000 1,511,247 - -
RATE CASE RANAP - 620,000 1,511,247 - -

INACBGS
- 620,000 1,511,247 - -

RATE OP
4,445,000 1,500,000 150,000 60,000 750,000
SPACE OPERASI CASE : HERNIA -
UMBILICAL
RATE RANAP
CASE : HYDROCELL UNILATERAL
HYDROCELL UNILATERAL KLS 3 - 590,000 1,141,063 - -

RATE CASE RANAP - 590,000 1,141,063 - -
INACBGS
- 590,000 1,141,063 - -

RATE OP
4,445,000 1,500,000 150,000 60,000 750,000
SPACE OPERASI CASE : HYDROCELL -
UNILATERAL
185,000 - - 100,000 - 200,000 5,280,000 - 7,102,082
472,000 100,000 - - 1,000,000 5,972,000 - 9,982,620
328,500 50,000 - 50,000 - 600,000 5,626,000 - 8,542,351

6,433,900
328,500 50,000 - 50,000 - 600,000 2,916,351
328,500 50,000 - 50,000 - 600,000 3,491,000 6,407,351
JM AA 1 JM OL 1 SEWA OK AKOMODASI NMS SARPRAS Check

119,000 34,000 700,000 150,000 500,000 500,000
119,000 34,000 500,000 150,000 100,000 500,000 9,924,900
577,000 100,000 - - 240,000 4,830,000 - 7,965,191
577,000 100,000 - - 240,000 4,830,000 - 7,965,191

3,449,400
577,000 100,000 - - 240,000 3,135,191
SPACE OPERASI 314,209
577,000 100,000 - - 240,000 1,860,000 4,995,191

105,000 30,000 500,000 150,000 500,000 250,000
65,000 30,000 500,000 3,449,400
50,000 15,000 500,000 100,000 100,000 100,000

367,000 100,000 - - 600,000 6,664,000 - 10,091,723
367,000 100,000 - - 600,000 6,664,000 - 10,091,723

4,664,800
367,000 100,000 - - 600,000 3,427,723
367,000 100,000 - - 600,000 1,860,000 5,287,723

161,000 46,000 700,000 150,000 500,000 500,000
65,000 30,000 500,000 2,482,923
- - - - 240,000 5,280,000 - 7,651,247
- - - - 240,000 5,280,000 - 7,651,247

4,664,800
- - - - 240,000 2,371,247
- - - - 240,000 - 2,371,247

105,000 30,000 700,000 150,000 500,000 500,000
- 2,293,553
350,000 100,000 - - 100,000 4,445,000 - 6,726,063

350,000 100,000 - - 100,000 4,445,000 - 6,726,063
6,608,600
350,000 100,000 - - 100,000 2,281,063
350,000 100,000 - - 100,000 - 2,281,063

105,000 30,000 700,000 150,000 500,000 500,000
- 4,327,537
KAMAR OPERATOR 1 JM OP 1 JM OP 2 JM OP 3 JM AO 1 JM AO 2
NAKULA 1A KL2 UNIT II dr. Hanafi, Sp.B 1,500,000 - - 150,000 -
KRESNA 2 KLU UNIT III dr. Hanafi Sp.B 1,900,000 - - 190,000 -
1,700,000 - - 170,000 -
6,433,900
ARJUNA 1B KL3 UNIT I dr. Hanafi Sp.B 1,500,000 - - 150,000 -
1,589,400 - 1,545,791
BALADEWA 2 KL1 UNIT III dr. Hanafi, Sp.B 2,300,000 - - 230,000 -
622,923
BIMA 1B KL3 UNIT I dr. Hanafi Sp.B 1,500,000 - - 150,000 -
- 2,293,553
YUDISTIRA 1CKL3 UNIT I dr. Hanafi Sp.B 1,500,000 - - 150,000 -

- 4,327,537
JM AO 3 JM INSTRUMEN JM DR. A JM PR JM DR ANAS JM AA 1 JM AA 2 JM BIDAN 1
- 60,000 - - 750,000 105,000 - -

- 76,000 - - 950,000 133,000 - -
- 68,000 - - 850,000 119,000 - -
- 60,000 - - 750,000 105,000 - -

- 92,000 - - 1,150,000 161,000 - -
- 60,000 - - 750,000 105,000 - -
- 60,000 - - 750,000 105,000 - -

JM BIDAN 2 JM BIDAN 3 JM PL JM OL 1 JM OL 2 JM OL 3 JM OL 4 JM OL 5 JM PJ ANAK
- - - 30,000 - - - - -
- - - 38,000 - - - - -
- - - 34,000 - - - - -
- - - 30,000 - - - - -

- - - 46,000 - - - - -
- - - 30,000 - - - - -
- - - 30,000 - - - - -
JM DR. UMUM SEWA OK AKOMODASI NMS SARPRAS TOTAL
- 700,000 150,000 500,000 500,000 4,445,000

- 700,000 150,000 500,000 500,000 5,137,000
- 700,000 150,000 500,000 500,000 4,791,000
- 500,000 150,000 500,000 250,000 3,995,000

- 700,000 150,000 500,000 500,000 5,829,000
- 700,000 150,000 500,000 500,000 4,445,000
- 700,000 150,000 500,000 500,000 4,445,000

RATE RANAP
CASE : DEBRIDEMENT
TGL NO NOTA NAMA PASIEN JENIS BAYAR
2020-06-12 2020/06/RI/000081 106759 AFRIZA NADIFATUL HIKMAH, AN UM RANAP

5/13/2020 2020/05/RI/000081 105692 RETNO NADYA NANNY,NY UM RANAP
PERUJUK REG TINDAKAN OBT+EMB+ TSL RETUR OBAT
DEBRIDEMENT BEDAH UMUM KLS 3 - 490,000 1,047,082 -

DEBRIDEMENT BEDAH UMUM KLS 2 - 1,129,344 1,309,276 -
RATE CASE RANAP - 809,672 1,178,179 -

INACBGS
TOTAL TANPA OPERASI 809,672 1,178,179 -
ASUMSI REG TINDAKAN OBT+EMB+ TSL RETUR OBAT
- 809,672 1,178,179 -
TOTAL JM OP 1 JM AO 1 JM INSTRUMEN
RATE OP
4,791,000 1,700,000 170,000 68,000
SPACE OPERASI CASE : DEBRIDEMENT -
KAMAR+
RESEP PULANG LAB RADIOLOGI POT TAMB OPERASI HARI
SERV
- 185,000 - - 100,000 - 200,000 5,280,000 -

- 472,000 100,000 - - 1,000,000 5,972,000 -
- 328,500 50,000 - 50,000 - 600,000 5,626,000 -
- 328,500 50,000 - 50,000 - 600,000

SPACE OPERASI
RESEP PULANG LAB RADIOLOGI POT TAMB KAMAR+ OPERASI HARI

SERV
- 328,500 50,000 - 50,000 - 600,000 -
JM DR ANAS JM AA 1 JM OL 1 SEWA OK AKOMODASI NMS SARPRAS Check

850,000 119,000 34,000 700,000 150,000 500,000 500,000
- 3,517,549
TOTAL KAMAR OPERATOR 1 JM OP 1 JM OP 2 JM OP 3 JM AO 1 JM AO 2
7,102,082 NAKULA 1A KL2 UNIT II dr. Hanafi, Sp.B 1,500,000 - - 150,000 -

9,982,620 KRESNA 2 KLU UNIT III dr. Hanafi Sp.B 1,900,000 - - 190,000 -
1,700,000 - - 170,000 -
5,694,901
6,433,900
2,916,351
3,517,549
TOTAL Selisih Dengan INACBGS
2,916,351 - 3,517,549
JM
JM AO 3 JM DR. A JM PR JM DR ANAS JM AA 1 JM AA 2 JM BIDAN 1 JM BIDAN 2
INSTRUMEN
- 60,000 - - 750,000 105,000 - - -

- 76,000 - - 950,000 133,000 - - -
- 68,000 - - 850,000 119,000 - - -
JM BIDAN 3 JM PL JM OL 1 JM OL 2 JM OL 3 JM OL 4 JM OL 5 JM PJ ANAK
- - 30,000 - - - - -
- - 38,000 - - - - -
- - 34,000 - - - - -
AKOMODAS
JM DR. UMUM SEWA OK NMS SARPRAS TOTAL
I
- 700,000 150,000 500,000 500,000 4,445,000

- 700,000 150,000 500,000 500,000 5,137,000
- 700,000 150,000 500,000 500,000 4,791,000
TOTAL JM OP 1 JM AO 1 JM INSTRUMEN JM DR ANAS JM AA 1 JM OL 1 SEWA OK
RATE OP
2,540,000 1,000,000 100,000 75,000 500,000 50,000 15,000 500,000
2,105,000 750,000 75,000 56,250 375,000 37,500 11,250 500,000
1,670,000 500,000 50,000 37,500 250,000 25,000 7,500 500,000
1,322,000 300,000 30,000 22,500 150,000 15,000 4,500 500,000
AKOMODASI NMS SARPRAS Check
100,000 100,000 100,000 24%
100,000 100,000 100,000 29%
100,000 100,000 100,000 36%
100,000 100,000 100,000 45%
MEI
VISITE
CASE HARI KAMAR ADMIN
SP UMUM IGD
SC KLS III 3 300,000 100,000 145,000 80,000 40,000
INACBGS HPP 50,000 105,000 40,000 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
895,530
RATE OP
4,197,500 1,250,000 175,000 125,000 50,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
JUNI
VISITE
SP UMUM IGD
CURETAGE KLS 3 3 300,000 100,000 260,000 50,000 40,000
INACBGS HPP 50,000 210,000 40,000 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
2,402,000 800,000 80,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
SC + PENYULIT KLS VIP 3 1,500,000 133,100 300,000 50,000 40,000
INACBGS HPP 50,000 200,000 40,000 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
6,540,565 2,562,500 307,440 256,250 102,500
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
KISTA OVARII KLU 3 1,200,000 243,100 280,000 50,000 40,000
INACBGS HPP 100,000 200,000 40,000 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
5,370,000 2,200,000 264,000 220,000 88,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
CURETAGE KLS 3 3 500,000 100,000 260,000 167,562 40,000
INACBGS HPP 50,000 165,000 72,562 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
2,402,000 800,000 80,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
CURETAGE KLS 3 3 300,000 100,000 195,000 137,562 40,000
INACBGS HPP 50,000 120,000 67,562 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
2,402,000 800,000 80,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
JULI
VISITE
SP UMUM IGD
SC + PENYULIT KLS 3 3 300,000 100,000 210,000 50,000 40,000
INACBGS HPP 50,000 150,000 40,000 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
4,690,625 1,562,500 187,500 156,250 62,500
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
SC + MOW KL3 3 300,000 130,000 210,000 50,000 40,000
INACBGS HPP 80,000 150,000 40,000 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
5,021,000 1,700,000 220,000 170,000 68,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
SC KLS III 3 300,000 100,000 260,000 130,000 40,000
INACBGS HPP 50,000 175,000 105,000 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
4,197,500 1,250,000 175,000 125,000 50,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
HISTEREKTOMY dengan
3 500,000 150,000 295,000 90,525
ONCOLOGI Kls 3
INACBGS HPP 100,000 240,000 40,000

SIMULASI (1)
5,970,200
SIMULASI (2)
TOTAL JM OP 1 JM OP 2 JM AO 1 JM AO 2
RATE OP
12,750,000 5,000,000 2,000,000 500,000
2,640,000 1,000,000 100,000 75,000
2,105,000 750,000 75,000 56,250
1,670,000 500,000 50,000 37,500
1,322,000 300,000 30,000 22,500
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
SC KLS III 3 300,000 100,000 485,000 50,000 40,000
INACBGS HPP 50,000 355,000 40,000 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
TOTAL JM OP 1 JM OP 2 JM AO 1 JM AO 2
RATE OP
4,197,500 1,250,000 175,000 125,000
2,640,000 1,000,000 100,000 75,000
2,105,000 750,000 75,000 56,250
1,670,000 500,000 50,000 37,500
1,322,000 300,000 30,000 22,500
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
SC KLS III 3 300,000 100,000 195,000 80,000 40,000
INACBGS HPP 50,000 120,000 55,000 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
4,197,500 1,250,000 175,000 125,000 50,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
TINDAKAN
YANMED LAB RO OBAT BHP TOTAL OPERASI
BIDAN PERAWAT
30,000 555,000 412,000 2,050,021 3,712,021 4,197,500
3,000 55,500 288,400 1,640,017 2,189,917 59%
- 2,105,000

625,000 87,500 25,000 60,000 500,000 150,000 1,000,000 150,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
- 25,000 400,000 105,000 - 507,101 1,787,101 2,402,000
2,500 40,000 73,500 405,681 829,681 46%
- 2,105,000

400,000 56,000 16,000 500,000 150,000 250,000 150,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
731,993 617,000 - 2,566,282 5,938,375 6,540,565
- 73,199 431,900 2,053,026 2,856,125 48%
- 2,105,000

1,281,250 179,375 51,250 500,000 150,000 1,000,000 150,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
553,863 1,245,000 100,000 1,721,058 5,433,021 5,370,000
- 55,386 871,500 1,376,846 2,651,733 49%
- 2,105,000

1,100,000 154,000 44,000 500,000 150,000 500,000 150,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
35,000 563,075 1,452,000 878,216 3,995,853 2,402,000
3,500 56,308 1,016,400 702,573 2,074,342 52%
- 2,105,000

400,000 56,000 16,000 500,000 150,000 250,000 150,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
30,000 500,000 780,000 936,222 3,018,784 2,402,000
3,000 50,000 546,000 748,978 1,593,540 53%
- 2,105,000

400,000 56,000 16,000 500,000 150,000 250,000 150,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
30,000 420,000 842,000 1,848,649 3,840,649 4,690,625
3,000 42,000 589,400 1,478,919 2,361,319 61%
- 2,105,000
781,250 109,375 31,250 500,000 150,000 1,000,000 150,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
30,000 400,000 712,000 2,175,008 4,047,008 5,021,000
3,000 40,000 498,400 1,740,006 2,559,406 63%
- 2,105,000

850,000 119,000 34,000 60,000 500,000 150,000 1,000,000 150,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
497,500 515,000 2,196,239 4,038,739 4,197,500
- 49,750 360,500 1,756,991 2,505,241 62%
- 2,105,000

625,000 87,500 25,000 60,000 500,000 150,000 1,000,000 150,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
600,000 1,482,000 3,014,531 6,132,056 12,750,000
60,000 1,037,400 2,411,625 3,889,025 63%

- 2,105,000
JM INSTRUMEN JM DR ANAS JM AA 1 JM OL 1 JM OL 2 JM PJ ANAK SEWA OK AKOMODASI

200,000 2,500,000 350,000 100,000 100,000 1,000,000 150,000
500,000 50,000 15,000 500,000 100,000 100,000 100,000
375,000 37,500 11,250 500,000 100,000 100,000 100,000
250,000 25,000 7,500 500,000 100,000 100,000 100,000
150,000 15,000 4,500 500,000 100,000 100,000 100,000
TINDAKAN
BIDAN PERAWAT
70,000 505,000 725,000 2,778,410 5,053,410 4,197,500
7,000 50,500 507,500 2,222,728 3,240,728 64%
- 2,105,000
JM INSTRUMEN JM DR ANAS JM AA 1 JM OL 1 JM OL 2 JM PJ ANAK SEWA OK AKOMODASI

50,000 625,000 87,500 25,000 60,000 500,000 150,000
500,000 50,000 15,000 500,000 100,000 100,000 100,000
375,000 37,500 11,250 500,000 100,000 100,000 100,000
250,000 25,000 7,500 500,000 100,000 100,000 100,000
150,000 15,000 4,500 500,000 100,000 100,000 100,000
TINDAKAN
BIDAN PERAWAT
120,000 447,500 512,000 1,856,695 3,651,195 4,197,500
12,000 44,750 358,400 1,485,356 2,133,506 58%
- 2,105,000

625,000 87,500 25,000 60,000 500,000 150,000 1,000,000 150,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -

TOTAL+OP
7,909,521
SELISIH HPP DG TOTAL 1,522,104
2,105,000 SELISIH DGN INACBG 3,865,200
SELISIH TOTAL DGN INACBG 2,258,179
TOTAL+OP
4,189,101
SELISIH HPP DG TOTAL 957,420
TOTAL+OP
TOTAL+OP
12,478,940
SELISIH TOTAL DGN INACBG 31,825
TOTAL+OP
10,803,021
TOTAL+OP
6,397,853
TOTAL+OP
5,420,784
TOTAL+OP
8,531,274
TOTAL+OP
9,068,008
TOTAL+OP
8,236,239
TOTAL+OP
18,882,056
SELISIH TOTAL DGN INACBG - 161,856
NMS SARPRAS
700,000 150,000
100,000 -
- -
- -
- -
TOTAL+OP
9,250,910
NMS SARPRAS
1,000,000 150,000
100,000 -
- -
- -
- -
TOTAL+OP
7,848,695
MEI
VISITE
SP UMUM IGD
DEBRIDEMENT BEDAH 2 240,000 160,000 332,500
UMUM KLS 3
INACBGS HPP 80,000 249,375 - -
SIMULASI (1)
6,433,900
SIMULASI (2)
10% 4%
RATE OP
4,445,000 1,500,000 150,000 60,000
2,640,000 1,000,000 100,000 75,000 50,000
1,760,000 1,000,000 90,000 50,000
1,610,000 900,000 90,000 - 50,000
2,105,000 750,000 75,000 56,250 37,500
930,000 500,000 50,000 50,000
1,322,000 300,000 30,000 22,500 15,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
APPENDICITIS ACUTE
2 240,000 100,000 145,000 50,000 40,000
(SPINAL) KLS 3
INACBGS HPP 50,000 95,000 40,000 8,000
SIMULASI (1)
3,449,400
SIMULASI (2)
RATE OP
3,995,000 1,500,000 150,000 60,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
DEBRIDEMENT BEDAH
2 240,000 160,000 275,000 50,000 40,000
UMUM KLS 3
INACBGS HPP 80,000 205,000 40,000 8,000
SIMULASI (1)
6,433,900
SIMULASI (2)
RATE OP
4,445,000 1,500,000 150,000 60,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
TOTAL
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
DEBRIDEMENT BEDAH
2 400,000 140,000 170,000 50,000 40,000
UMUM KLS 2
INACBGS HPP 80,000 130,000 40,000 8,000
SIMULASI (1)
6,433,900
SIMULASI (2)
RATE OP
5,137,000 1,900,000 190,000 76,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
DEBRIDEMENT BEDAH 3 1,000,000 193,100 180,000 96,784 40,000
UMUM KLS 2
INACBGS HPP 80,000 125,000 77,427 8,000
SIMULASI (1)
6,433,900
SIMULASI (2)
RATE OP
5,137,000 1,900,000 190,000 76,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
HYDROCELL 1 100,000 150,000 145,000 75,000
UNILATERAL KLS 3
INACBGS HPP 80,000 95,000 45,500 -
SIMULASI (1)
6,608,600
SIMULASI (2)
RATE OP
4,445,000 1,500,000 150,000 60,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
INCISI ABSES (GA) KLS 2 800,000 133,100 547,500
UTAMA
INACBGS HPP 50,000 409,375 -
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
5,829,000 2,300,000 230,000 92,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
JUNI
VISITE
SP UMUM IGD
CHOLELYTIASIS TANPA
4 480,000 150,000 210,000 105,000 -
PENYULIT KLS 3
INACBGS HPP 80,000 150,000 60,500 -

SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
6,010,000 2,000,000 200,000 80,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
APPENDICITIS
PERFORACY 4 480,000 100,000 378,125 75,000
(LAPAROTOMY) KLS 3
INACBGS HPP 50,000 242,344 45,500 -
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
6,010,000 2,000,000 200,000 80,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
DEBRIDEMENT BEDAH
1 200,000 100,000 80,000 50,000 40,000
UMUM KLS 3
INACBGS HPP 50,000 40,000 40,000 8,000
SIMULASI (1)
6,433,900
SIMULASI (2)
RATE OP
4,445,000 1,500,000 150,000 60,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
INCISI ABSES (LA) 1 120,000 100,000 145,000 50,000 40,000
INACBGS HPP 50,000 95,000 40,000 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
1,751,000 800,000 80,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
DEBRIDEMENT BEDAH 1 120,000 100,000 65,000 50,000 40,000
UMUM KLS 3
INACBGS HPP 50,000 55,000 40,000 8,000
SIMULASI (1)
6,433,900
SIMULASI (2)
RATE OP
4,445,000 1,500,000 150,000 60,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
DEBRIDEMENT BEDAH 1 240,000 100,000 80,000 50,000 40,000
UMUM KLS 3
INACBGS HPP 50,000 40,000 40,000 8,000
SIMULASI (1)
6,433,900
SIMULASI (2)
RATE OP
4,445,000 1,500,000 150,000 60,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
JULI
VISITE
SP UMUM IGD
HAEMOROID KLS 1 1 900,000 121,000 380,000 50,000 40,000
INACBGS HPP 50,000 265,000 40,000 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
5,829,000 2,300,000 230,000 92,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
DEBRIDEMENT BEDAH
1 200,000 110,000 80,000 50,000 40,000
UMUM KLS 3
INACBGS HPP 50,000 40,000 40,000 8,000
SIMULASI (1)
6,433,900
SIMULASI (2)
RATE OP
4,445,000 1,500,000 150,000 60,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
DEBRIDEMENT BEDAH
2 200,000 160,000 80,000 50,000 40,000
UMUM KLS 3
INACBGS HPP 80,000 40,000 40,000 8,000
SIMULASI (1)
6,433,900
SIMULASI (2)
RATE OP
4,445,000 1,500,000 150,000 60,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
DEBRIDEMENT BEDAH
1 120,000 100,000 80,000 50,000 40,000
UMUM KLS 3
INACBGS HPP 50,000 40,000 40,000 8,000
SIMULASI (1)
6,433,900
SIMULASI (2)
RATE OP
4,445,000 1,500,000 150,000 60,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
DEBRIDEMENT BEDAH
1 120,000 100,000 80,000 50,000 40,000
UMUM KLS 3
INACBGS HPP 50,000 40,000 40,000 8,000
SIMULASI (1)
6,433,900
SIMULASI (2)
RATE OP
4,445,000 1,500,000 150,000 60,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
HERNIA INCARCERATA
1 600,000 170,000 250,000 50,000 40,000
TANPA RESEKSI KLS 3
INACBGS HPP 80,000 170,000 40,000 8,000

SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
6,010,000 2,000,000 200,000 80,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
HERNIA UMBILICAL KLS 1 240,000 100,000 145,000 75,000
3
INACBGS HPP 50,000 95,000 45,500 -
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
4,445,000 1,500,000 150,000 60,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
835,000 500,000 50,000
-
-
-
-
TINDAKAN
BIDAN PERAWAT
317,500 412,000 100,000 1,175,103 2,737,103 4,445,000
- 31,750 288,400 70,000 940,082 1,659,607 61%

- 4,445,000
50% 7% 2%
750,000 105,000 30,000 700,000 150,000 500,000 500,000
500,000 15,000 500,000 100,000 100,000 100,000 100,000 -
500,000 90,000 30,000
450,000 90,000 30,000
375,000 11,250 500,000 100,000 100,000 100,000 - -
250,000 50,000 30,000 - -
150,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
410,000 577,000 100,000 1,473,191 3,135,191 3,995,000
- 41,000 403,900 70,000 1,178,553 1,886,453 60%

- 2,105,000

750,000 105,000 30,000 500,000 150,000 500,000 250,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -

TINDAKAN
BIDAN PERAWAT
655,000 581,000 100,000 1,938,634 4,039,634 4,445,000
- 65,500 406,700 70,000 1,550,907 2,426,107 60%

- 2,105,000

750,000 105,000 30,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
423,753 367,000 100,000 1,647,261 3,338,014 5,137,000
- 42,375 256,900 70,000 1,317,809 1,945,084 58%

- 2,105,000

950,000 133,000 38,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -

TINDAKAN
BIDAN PERAWAT
619,460 472,000 100,000 1,309,276 4,010,620 5,137,000
- 61,946 330,400 70,000 1,047,421 1,800,194 45%

- 2,105,000

950,000 133,000 38,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
220,000 350,000 100,000 1,141,063 2,281,063 4,445,000
- 22,000 245,000 70,000 912,850 1,470,350 64%

- 2,105,000

750,000 105,000 30,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -

TINDAKAN
BIDAN PERAWAT
545,301 555,000 100,000 1,671,836 4,352,737 5,829,000
- 54,530 388,500 70,000 1,337,469 2,309,874 53%

- 2,105,000

1,150,000 161,000 46,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
- - 560,000 350,000 - 4,257,717 6,112,717 6,010,000
- 56,000 245,000 - 3,406,174 3,997,674 65%

- 2,105,000

1,000,000 140,000 40,000 1,000,000 150,000 700,000 700,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -

TINDAKAN
BIDAN PERAWAT
490,000 327,000 - 2,845,674 4,695,799 6,010,000
- 49,000 228,900 - 2,276,539 2,892,283 62%

- 2,105,000

1,000,000 140,000 40,000 1,000,000 150,000 700,000 700,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
220,000 185,000 - 2,845,674 3,720,674 4,445,000
- 22,000 129,500 - 2,276,539 2,566,039 69%

- 2,105,000

750,000 105,000 30,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -

TINDAKAN
BIDAN PERAWAT
200,000 275,000 917,983 1,847,983 1,751,000
- 20,000 - 192,500 734,386 1,139,886 62%
- 2,105,000

16,000 500,000 75,000 150,000 130,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
330,000 632,000 100,000 1,141,334 2,578,334 4,445,000
- 33,000 442,400 70,000 913,067 1,611,467 63%

- 2,105,000

750,000 105,000 30,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
253,500 632,000 100,000 1,298,237 2,793,737 4,445,000
- 25,350 442,400 70,000 1,038,590 1,714,340 61%

- 2,105,000

750,000 105,000 30,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
397,777 632,000 100,000 2,344,680 4,965,457 5,829,000
- 39,778 442,400 70,000 1,875,744 2,790,922 56%
- 2,105,000

1,150,000 161,000 46,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
50,000 233,002 632,000 275,000 871,101 2,541,103 4,445,000
- 23,300 442,400 192,500 696,881 1,493,081 59%

- 2,105,000

750,000 105,000 30,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
327,500 632,000 275,000 865,634 2,630,134 4,445,000
- 32,750 442,400 192,500 692,507 1,528,157 58%

- 2,105,000

750,000 105,000 30,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
212,500 512,000 1,027,432 2,141,932 4,445,000
- 21,250 358,400 - 821,946 1,339,596 63%

- 2,105,000

750,000 105,000 30,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
175,000 532,000 1,242,696 2,339,696 4,445,000
- 17,500 372,400 - 994,157 1,522,057 65%

- 2,105,000

750,000 105,000 30,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
494,253 887,000 100,000 3,318,038 5,909,291 6,010,000
- 49,425 620,900 70,000 2,654,430 3,692,756 62%

- 2,105,000

1,000,000 140,000 40,000 1,000,000 150,000 700,000 700,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
300,000 1,511,247 2,371,247 4,445,000
- 30,000 - - 1,208,998 1,429,498 60%

- 2,105,000

750,000 105,000 30,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -

250,000 35,000
TOTAL+OP
7,182,103

TOTAL+OP
7,130,191

TOTAL+OP
8,484,634

TOTAL+OP
8,475,014

TOTAL+OP
9,147,620

TOTAL+OP
6,726,063

TOTAL+OP
10,181,737

TOTAL+OP
12,122,717

SELISIH TOTAL DGN INACBG - 142,517
TOTAL+OP
10,705,799

TOTAL+OP
8,165,674

TOTAL+OP
3,598,983
TOTAL+OP
7,023,334

TOTAL+OP
TOTAL+OP
7,238,737

TOTAL+OP
10,794,457
TOTAL+OP
6,986,103

TOTAL+OP
7,075,134

TOTAL+OP
6,586,932

TOTAL+OP
6,784,696

TOTAL+OP
11,919,291

TOTAL+OP
6,816,247

MEI
VISITE
SP UMUM IGD
ORTOPEDI SEDANG 1 (GA) KLS 3 120,000 100,000 80,000 50,000 40,000
III
INACBGS HPP 50,000 40,000 40,000 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
4,445,000 1,500,000 150,000 60,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
JUNI
VISITE
SP UMUM IGD
ORTOPEDI SEDANG 1 (GA) KLS
1 120,000 110,000 80,000 50,000 40,000
III
INACBGS HPP 50,000 40,000 40,000 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
4,445,000 1,500,000 150,000 60,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
JULI
VISITE
SP UMUM IGD
ORTOPEDI SEDANG 1 (GA) KLS
1 120,000 100,000 100,000 50,000 40,000
III
INACBGS HPP 50,000 80,000 40,000 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
4,445,000 1,500,000 150,000 60,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
ORTOPEDI KECIL 4 1 120,000 100,000 80,000 50,000 40,000
INACBGS HPP 50,000 40,000 40,000 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
2,715,000 1,500,000 150,000 60,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
ORTOPEDI KECIL 4 1 120,000 150,000 80,000 50,000 40,000
INACBGS HPP 50,000 40,000 40,000 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
4,445,000 1,500,000 150,000 60,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
VISITE
SP UMUM IGD
ORTOPEDI SEDANG 1 (GA) KLS 1 400,000 213,100 80,000 50,000 40,000
UTAMA
INACBGS HPP 80,000 40,000 40,000 8,000
SIMULASI (1)
5,970,200
SIMULASI (2)
RATE OP
4,445,000 1,500,000 150,000 60,000
2,640,000 1,000,000 100,000 75,000 500,000
2,105,000 750,000 75,000 56,250 375,000
1,670,000 500,000 50,000 37,500 250,000
1,322,000 300,000 30,000 22,500 150,000
RATE CITO
-
-
-
-
-
TINDAKAN
YANMED LAB RO OBAT BHP TOTAL OPERASI TOTAL+OP
BIDAN PERAWAT
230,000 632,000 275,000 1,375,713 2,902,713 4,445,000 7,347,713
- 23,000 442,400 192,500 1,100,570 1,896,470 65%

- 4,445,000 4,445,000

750,000 105,000 30,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
417,000 632,000 275,000 1,260,197 2,984,197 4,445,000 7,429,197
- 41,700 442,400 192,500 1,008,158 1,822,758 61%

- 4,445,000 4,445,000

750,000 105,000 30,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -

TINDAKAN
BIDAN PERAWAT
287,500 364,000 275,000 1,122,001 2,458,501 4,445,000 6,903,501
- 28,750 254,800 192,500 897,601 1,551,651 63%

- 4,445,000 4,445,000

750,000 105,000 30,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
200,000 112,000 150,000 263,412 1,115,412 2,715,000 3,830,412
- 20,000 78,400 105,000 210,730 552,130 50%
- 2,715,000 2,715,000

30,000 500,000 75,000 150,000 250,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -

TINDAKAN
BIDAN PERAWAT
160,000 359,000 100,000 884,471 1,943,471 4,445,000 6,388,471
- 16,000 251,300 70,000 707,577 1,182,877 61%
- 4,445,000 4,445,000

750,000 105,000 30,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -
TINDAKAN
BIDAN PERAWAT
249,694 492,000 275,000 1,456,771 3,256,565 4,445,000 7,701,565
- 24,969 344,400 192,500 1,165,417 1,895,286 58%

- 4,445,000 4,445,000

750,000 105,000 30,000 700,000 150,000 500,000 500,000
50,000 15,000 500,000 100,000 100,000 100,000 100,000 -
37,500 11,250 500,000 100,000 100,000 100,000 - -
25,000 7,500 500,000 100,000 100,000 100,000 - -
15,000 4,500 500,000 100,000 100,000 100,000 - -

SELISIH DGN INACBG 1,525,200



OPERASI OBGYN RANAP OPERASI TOTAL
REAL SC KLS III 3,712,021 4,197,500 7,909,521

INACBGS (?) (?) 5,970,200
3,330,200 2,640,000 5,970,200
3,865,200 2,105,000 5,970,200
3,520,000 880,000 4,400,000

SIMULASI
1,191,280 297,820 1,489,100
4,300,200 1,670,000 5,970,200

4,648,200 1,322,000 5,970,200
REAL CURETAGE 1,787,101 2,402,000 4,189,101
INACBGS (?) (?) 1,706,800
SIMULASI 384,800 1,322,000 1,706,800
REAL KISTA OVARI 5,433,021 5,370,000 10,803,021
INACBGS (?) (?) 6,321,000
3,681,000 2,640,000 6,321,000
4,216,000 2,105,000 6,321,000
SIMULASI
4,651,000 1,670,000 6,321,000
4,999,000 1,322,000 6,321,000
REAL HISTEREKTOMY ONKOLOGI 6,132,056 12,750,000 18,882,056
INACBGS (?) (?) 12,061,500
9,421,500 2,640,000 12,061,500
9,956,500 2,105,000 12,061,500
SIMULASI
10,391,500 1,670,000 12,061,500
10,739,500 1,322,000 12,061,500
OPERASI RANAP OPERASI TOTAL

HERNIA INCARCERATA TANPA RESEKSI KLS 3 5,909,291 6,010,000 11,919,291
INACBGS (?) (?) 5,697,400
1,499,900 4,197,500 5,697,400
2,399,900 3,297,500 5,697,400
4,077,400 1,620,000 5,697,400
2,449,600 1,620,000 4,069,600
3,937,400 1,760,000 5,697,400

2,309,600 1,760,000 4,069,600
2,580,800 930,000 3,510,800

SIMULASI
1,570,000 930,000 2,500,000
4,002,900 1,610,000 5,612,900

3,852,900 1,760,000 5,612,900
2,530,800 980,000 3,510,800
3,592,400 2,105,000 5,697,400
4,027,400 1,670,000 5,697,400
4,375,400 1,322,000 5,697,400
CHOLELYTIASIS TANPA PENYULIT KLS 3 6,112,717 6,010,000 12,122,717
INACBGS (?) (?) 7,311,600
3,114,100 4,197,500 7,311,600
4,014,100 3,297,500 7,311,600
4,671,600 2,640,000 7,311,600
SIMULASI
5,206,600 2,105,000 7,311,600
5,641,600 1,670,000 7,311,600
5,989,600 1,322,000 7,311,600
HYDROCELL UNILATERAL KLS 3 2,281,063 4,445,000 6,726,063
INACBGS (?) (?) 7,930,300
3,732,800 4,197,500 7,930,300
4,632,800 3,297,500 7,930,300
5,290,300 2,640,000 7,930,300
SIMULASI
5,825,300 2,105,000 7,930,300
6,260,300 1,670,000 7,930,300
6,608,300 1,322,000 7,930,300
3,297,500 ### 175,000 125,000 50,000 625,000
1,194,040
1,445,960
SC RINGAN KLS 3
CURETAGE KLS 3
341,360
1,264,200
2,412,300
1,139,480
KLS 1 DENGAN 900K JASA OP

KLS 3
KLS 1 DENGAN 1000K JASA OP

KLS 3
APP KLS 1 DENGAN 500K JASA OP

APP KLS 3
CARPAL OPEN DENGAN 900K JASA OP

DENGAN 1000K JASA OP
1,462,320
1,586,060
87,500 25,000 60,000 500,000 150,000 100,000 150,000

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RATE RANAP

RATE CASE RANAP - 950,833 1,584,454 - -

RATE CASE RANAP - 950,833 1,584,454 - -

344,000 - - 43,333 - 300,000 4,155,667 - 7,291,620

LAB RADIOLOGI POT TAMB KAMAR+ SERV OPERASI HARI TOTAL

344,000 - - 43,333 - 300,000 2,832,500 5,968,454

LAB RADIOLOGI POT TAMB KAMAR+ SERV OPERASI HARI TOTAL

344,000 - - 43,333 - 300,000 4,155,667 - 7,291,620

LAB RADIOLOGI POT TAMB KAMAR+ SERV OPERASI HARI TOTAL

344,000 - - 43,333 - 300,000 - 3,135,954

JM DR ANAS JM AA 1 JM OL 1 JM PJ ANAK SEWA OK AKOMODASI NMS SARPRAS

Selisih Dengan INACBGS

Selisih Dengan INACBGS

50,000 - - 875,000 122,500 - - -

50,000 - - 625,000 87,500 0 0 0

JM INSTRUMEN JM DR. A JM PR JM DR ANAS JM AA 1 JM AA 2 JM BIDAN 1 JM BIDAN 2

50,000 - - 875,000 122,500 - - -

50,000 - - 625,000 87,500 0 0 0

- - 25,000 - - - - 60,000 - - 500,000

0 0 25,000 0 0 0 0 60,000 0 0 500,000

JM BIDAN 3 JM PL JM OL 1 JM OL 2 JM OL 3 JM OL 4 JM OL 5 JM PJ ANAK JM DR. UMUM SEWA ALAT SEWA OK

- - 25,000 - - - - 60,000 - - 500,000

0 0 25,000 0 0 0 0 60,000 0 0 500,000

150,000 1,000,000 150,000 5,032,500

150,000 1,000,000 150,000 4,197,500

AKOMODASI NMS SARPRAS TOTAL

150,000 1,000,000 150,000 5,032,500

150,000 1,000,000 150,000 4,197,500

RATE CASE RANAP 809,672 1,178,179 - -

ASUMSI REG TINDAKAN OBT+EMB+ TSL RETUR OBAT RESEP PULANG

TOTAL JM OP 1 JM AO 1 JM INSTRUMEN JM DR ANAS

APPENDICITIS ACUTE (SPINAL) KLS 3 - 745,000 1,473,191 - -

RATE CASE RANAP - 745,000 1,473,191 - -

ASUMSI REG TINDAKAN OBT+EMB+ TSL RETUR OBAT RESEP PULANG

TOTAL JM OP 1 JM AO 1 JM INSTRUMEN JM DR ANAS

RATE CASE RANAP - 834,815 1,525,908 - -

ASUMSI REG TINDAKAN OBT+EMB+ TSL RETUR OBAT RESEP PULANG

TOTAL JM OP 1 JM AO 1 JM INSTRUMEN JM DR ANAS

HERNIA UMBILICAL KLS 3 - 620,000 1,511,247 - -

RATE CASE RANAP - 620,000 1,511,247 - -

ASUMSI REG TINDAKAN OBT+EMB+ TSL RETUR OBAT RESEP PULANG

TOTAL JM OP 1 JM AO 1 JM INSTRUMEN JM DR ANAS

HYDROCELL UNILATERAL KLS 3 - 590,000 1,141,063 - -

ASUMSI REG TINDAKAN OBT+EMB+ TSL RETUR OBAT RESEP PULANG

TOTAL JM OP 1 JM AO 1 JM INSTRUMEN JM DR ANAS

328,500 50,000 - 50,000 - 600,000 5,626,000 - 8,542,351

LAB RADIOLOGI POT TAMB KAMAR+ SERV OPERASI HARI TOTAL

328,500 50,000 - 50,000 - 600,000 3,491,000 6,407,351

JM AA 1 JM OL 1 SEWA OK AKOMODASI NMS SARPRAS Check

LAB RADIOLOGI POT TAMB KAMAR+ SERV OPERASI HARI TOTAL

577,000 100,000 - - 240,000 4,830,000 - 7,965,191

577,000 100,000 - - 240,000 4,830,000 - 7,965,191

LAB RADIOLOGI POT TAMB KAMAR+ SERV OPERASI HARI TOTAL

577,000 100,000 - - 240,000 1,860,000 4,995,191

JM AA 1 JM OL 1 SEWA OK AKOMODASI NMS SARPRAS Check

LAB RADIOLOGI POT TAMB KAMAR+ SERV OPERASI HARI TOTAL

367,000 100,000 - - 600,000 6,664,000 - 10,091,723

LAB RADIOLOGI POT TAMB KAMAR+ SERV OPERASI HARI TOTAL

367,000 100,000 - - 600,000 1,860,000 5,287,723

JM AA 1 JM OL 1 SEWA OK AKOMODASI NMS SARPRAS Check

LAB RADIOLOGI POT TAMB KAMAR+ SERV OPERASI HARI TOTAL

- - - - 240,000 5,280,000 - 7,651,247

- - - - 240,000 5,280,000 - 7,651,247