ref_tarif

NAMA TARIF
ADMINISTRASI Rp 10,000
KLINIK UMUM Rp 20,000
KLINIK SPESIALIS ANAK Rp 45,000
KONSELING KESEHATAN PARU (2017) Rp 16,000
KONSELING GIZI (2017) Rp 16,000
KONSELING BERHENTI MEROKOK (2017) Rp 16,000
KONSELING HIV (2017) Rp 16,000
MICRO CO (2017) Rp 25,000
PEMERIKSAAN SOROLOGI ANTI HIV RAPID (2017) Rp 50,000
PEMERIKSAAN SOROLOGI TES KEHAMILAN (2017) Rp 50,000
KLINIK DOTS Rp 20,000
KLINIK NON TB Rp 20,000
KLINIK ASPO Rp 20,000
KLINIK SPESIALIS PARU Rp 45,000
KLINIK SPESIALIS PENYAKIT DALAM Rp 45,000
KLINIK MDR Rp 20,000
KLINIK MCU Rp 20,000
KLINIK SPESIALIS REHABILITASI MEDIS Rp 45,000
INSTALASI GAWAT DARURAT Rp 35,000
KLINIK PDP Rp 20,000
KLINIK BERHENTI MEROKOK Rp 16,000
KLINIK SPESIALIS PA Rp 45,000
ADMINISTRASI RAWAT INAP Rp 10,000
KLINIK ANAK Rp 20,000
AKOMODASI KELAS VIP + VISITE Rp 500,000
AKOMODASI KELAS 2 + VISITE Rp 160,000
AKOMODASI KELAS 3 + VISITE Rp 144,000
AKOMODASI KELAS 1 + VISITE Rp 300,000
RAWAT SEHARI (ONE DAY CARE) + VISTE Rp 160,000
HCU/ INTERMEDIATE + VISITE Rp 400,000
ISOLASI + VISITE Rp 350,000
BEDSIDE MONITOR (2017) Rp 90,000
VENTILATOR (2017) Rp 225,000
SYRINGE PUMP (2017) Rp 15,000
INFUS PUMP (2017) Rp 15,000
BED ANTI DECUBITUS (2017) Rp 10,000
CONT. CUCTION PUMP (2017) Rp 10,000
OKSIGEN DALAM RS TABUNG BESAR (2017) Rp 80,000
OKSIGEN DALAM RS TABUNG KECIL (2017) Rp 45,000
OKSIGEN DALAM RS PER JAM (2017) Rp 6,000
OKSIGEN LUAR RS (2017) Rp 140,000
LAJU ENDAP DARAH (2017) Rp 15,000
HEMOGLOBIN (2017) Rp 15,000
JUMLAH LEKOSIT (2017) Rp 15,000
JUMLAH TROMBOSIT (2017) Rp 15,000
JUMLAH ERITROSIT (2017) Rp 15,000
HEMATOPKRIT (2017) Rp 15,000
HITUNG JENIS LEKOSIT (2017) Rp 15,000
JUMLAH EOSINOFIL (2017) Rp 15,000
URINE LENGKAP (2017) Rp 15,000
TES RIVALTA (2017) Rp 15,000
GOLONGAN DARAH (2017) Rp 15,000
DARAH RUTIN LENGKAP (2017) Rp 65,000

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MORFOLOGI DARAH TEPI (2017) Rp 65,000

BILIRUBIN TOTAL (2017) Rp 35,000
BILIRUBIN DIRECT (2017) Rp 35,000
SGOT (2017) Rp 35,000
SGPT (2017) Rp 35,000
PROTEIN (2017) Rp 35,000
ALBUMIN (2017) Rp 35,000
GLOBULIN (2017) Rp 35,000
GULA DARAH (2017) Rp 35,000
PUASA (2017) Rp 35,000
2 JAM PP (2017) Rp 35,000
SEWAKTU (2017) Rp 35,000
KOLESTEROL TOTAL (2017) Rp 35,000
HDL (2017) Rp 35,000
LDL (2017) Rp 35,000
TRIGLISERIDA (2017) Rp 35,000
ASAM URAT (2017) Rp 35,000
UREUM (BUN) (2017) Rp 35,000
KREATININ (2017) Rp 35,000
MIKROSKOPIS BTA (2017) Rp 15,000
KULTUR SPUTUM BTA (2017) Rp 35,000
KULTUR JAMUR (2017) Rp 35,000
RESISTENSI OAT (2017) Rp 200,000
THORAX 1 POSISI (2017) Rp 80,000
TOP LORDOTIK 1 POSISI (2017) Rp 80,000
SCHEDEL 1 POSISI (2017) Rp 90,000
WATERS 1 POSISI (2017) Rp 90,000
SHOULDER JOINT 1 POSISI (2017) Rp 80,000
VERT. CERVICAL 1 POSISI (2017) Rp 80,000
VERT. THORACALIS 1 POSISI (2017) Rp 80,000
VERT. THORACOLUMBAL 1 POSISI (2017) Rp 80,000
HUMEROS 1 POSISI (2017) Rp 80,000
BNO 1 POSISI (2017) Rp 90,000
LUMBAL 1 POSISI (2017) Rp 80,000
LUMBOSACRAL 1 POSISI (2017) Rp 80,000
PELVIS 1 POSISI (2017) Rp 90,000
ELBOW JOINT 2 POSISI (2017) Rp 110,000
ANTEBRACHI 2 POSISI (2017) Rp 110,000
WRIST JOINT 2 POSISI (2017) Rp 110,000
MANUS 2 POSISI (2017) Rp 110,000
FERMUR 2 POSISI (2017) Rp 110,000
GENU 2 POSISI (2017) Rp 110,000
CRURIS 2 POSISI (2017) Rp 110,000
ANKLE JOINT 2 POSISI (2017) Rp 110,000
PEDIS 2 POSISI (2017) Rp 110,000
VERT. CERVICAL 3 POSISI (2017) Rp 210,000
VERT. THORACOLUMBAL 3 POSISI (2017) Rp 210,000
USG THORAX (R/L) (2017) Rp 140,000
USG KGB PARAAORTA (2017) Rp 140,000
USG PANKREAS (2017) Rp 140,000
USG LIVER (2017) Rp 140,000
USG KANDUNG EMPEDU (2017) Rp 140,000
USG GINJAL (R/L) (2017) Rp 140,000
USG SPLEEN (2017) Rp 140,000

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USG VISIKA URINARIA (2017) Rp 140,000

USG MAMMAE (R/L) (2017) Rp 140,000
USG THYROID (2017) Rp 140,000
USG KANDUNGAN (2017) Rp 140,000
USG ABDOMEN UPPER (2017) Rp 200,000
USG ABDOMEN LOWER (2017) Rp 200,000
POSTURAL DRAINAGE (2017) Rp 35,000
MICROWAVE DIATHERMI (MWD)(2017) Rp 35,000
ULTRA SOUND DIATHERMI (USD)(2017) Rp 35,000
TRANCTANEUS ELECTRICAL NERVE STIMULATION (TENS) (2017) Rp 35,000
INFRA RED (2017) Rp 35,000
ELECTRICAL STIMULAN (ES) (2017) Rp 35,000
BREATHING EXERCISE (2017) Rp 35,000
MUSCULOSKELETAL EXERCISE RINGAN (TANPA ALAT) (2017) Rp 35,000
MUSCULOSKELETAL EXERCISE SEDANG (2017) Rp 40,000
MUSCULOSKELETAL EXCERCISE BERAT (2017) Rp 45,000
ENDURENCE EXERCISE DENGAN TREADMILL (2017) Rp 40,000
ENDURENCE EXERCISE DENGAN STATIC BICYCLE (2017) Rp 40,000
TRAKSI (2017) Rp 45,000
RAWAT DARURAT PEMERIKSAAN DOKTER UMUM (2017) Rp 35,000
RAWAT DARURAT PEMERIKSAAN DOKTER SPESIALIS (2017) Rp 60,000
SKIN TEST (2017) Rp 20,000
PEMBERSIHAN LUKA TANPA KASSA ANTIBIOTIK (2017) Rp 20,000
PEMBERSIHAN LUKA DENGAN KASSA ANTIBIOTIK (2017) Rp 20,000
INJEKSI (2017) Rp 20,000
JAHIT LUKA 1 JAHITAN (2017) Rp 20,000
JAHIT LUKA TAMBAHAN PER 1 JAHITAN (2017) Rp 20,000
PEMASANGAN INFUS (2017) Rp 20,000
INSISI ABSES (2017) Rp 50,000
MANTHOUX TEST (2017) Rp 80,000
NEBULIZER (2017) Rp 60,000
PUNKSI DIAGNOSTIK (2017) Rp 60,000
PUNKSI PLEURA (2017) Rp 230,000
WATER SEALED DRAINAGE (2017) Rp 750,000
BRONKOSKOPI (2017) Rp 750,000
PEAK FLOW METER (PFR) (2017) Rp 12,000
SPIROMETRI (2017) Rp 40,000
BRONKODILATOR TEST (2017) Rp 55,000
SIX MINUTES WALK TEST (2017) Rp 45,000
STATIC BICYCLE (2017) Rp 40,000
TREADMILL/ ERGOCYCLE (2017) Rp 40,000
EKG (2017) Rp 40,000
ERGOSPIROMETRI (2017) Rp 250,000
TREADMILL TEST (2017) Rp 200,000
PEMULASARAN JENAZAH (2017) Rp 250,000
AMBULANCE DALAM KOTA (< 15 KM) (2017) Rp 70,000
AMBULANCE LUAR KOTA TARIF DASAR (DALAM KOTA) (2017) Rp 70,000
AMBULANCE LUAR KOTA TARIF TAMBAHAN PER KM (2017) Rp 10,000
PERAWAT PENDAMPING DALAM KOTA (2017) Rp 50,000
PERAWAT PENDAMPING LUAR KOTA (2017) Rp 400,000
BIOPSI JARUM HALUS (TTNB) Rp 230,000
SITOLOGI CAIRAN PLEURA (2017) Rp 200,000
SITOLOGI FNAB (2017) Rp 200,000

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