Pelayanan Pengujian dan/ atau Kalibrasi Alat Kesehatan 45 Blood Warmer Rp 216.000 98 Dental X-Ray Rp 950.

000
Berdasarkan Pola Tarif PP No. 64 Tahun 2019 46 Cardiotograph (CTG) Rp 168.000 99 Dental X-Ray Panoramic Rp 600.000
Pada Loka Pengamanan Fasilitas Kesehatan (LPFK) Surakarta 47 Centrifuge Rp 240.000 100 Dental X-Ray Panoramic with chepalometric Rp 700.000
No Nama Alat Polat Tarif 48 Centrifuge Refrigerator Rp 420.000 101 General Purpose X-Ray dengan AEC Rp 1.440.000
Kalibrasi 49 Deep Freezer Rp 384.000 102 General Purpose X-Ray Rp 1.032.000
1 Flow Meter/Regulator Oksigen Rp 192.000 50 Defibrilator / DC Shock Rp 156.000 103 Mobile C-Arm X-Ray Rp 1.008.000
2 Micropipet Fix Rp 288.000 51 Defibrilator with ECG (Electrocardiograph) Rp 300.000 104 Mobile Unit X-Ray Rp 876.000
3 Micropipet Variabel Rp 384.000 52 Defibrilator Monitor Rp 300.000 105 X-ray Fluoroscopy (Dual fungsi R/F) Rp 1.116.000
4 Parameter Tester Rp 620.000 53 Dental Unit Rp 168.000 106 X-Ray Mamography Rp 912.000
5 Tachometer Rp 384.000 54 ECG (Electrocardiograph) Monitor Rp 168.000 Uji Kesesuaian
6 Thermometer Digital Rp 168.000 55 Echo Cardiograph Rp 288.000 107 General Purpose X-Ray dengan AEC Rp 1.872.000
7 Timbangan Bayi Rp 180.000 56 Electro Cardiograph Rp 180.000 108 General Purpose X-Ray tanpa AEC Rp 1.872.000
8 Vaporizer (tanpa gas anesthesi) Rp 396.000 57 Electro Stimulator / EST Rp 288.000 109 Mobile Unit X - Ray/ Radiografi Mobil Rp 1.400.000
9 Vaporizer dengan gas Desflurane Rp 2.076.000 58 Electro Convulsion Therapy (ECT) * Rp 288.000 110 X-Ray Mamografi Rp 2.160.000
10 Vaporizer dengan gas Halothane Rp 2.076.000 59 Elektro Enchepalograph (EEG) Rp 420.000 111 X-Ray Angiografi Rp 1.800.000
11 Vaporizer dengan gas Isoflurance Rp 2.076.000 60 Elektro Myograph (EMG) * Rp 258.000 112 CT-Scan Rp 2.634.000
12 Vaporizer dengan gas Sevoflurance Rp 2.076.000 61 Elektro Surgery Unit (ESU) / Couter Rp 348.000 113 Dental X - Ray Rp 1.400.000
13 Suction Wallper / Suction Dinding Rp 96.000 62 ENT Treatment (Ear Nose Trouth) * Rp 156.000 114 Dental X-Ray Panoramic Rp 1.400.000
14 Analytical Balance Rp 180.000 63 Fetal Detector / Doppler (dilengkapi Display) Rp 156.000 115 Dental X-Ray Panoramic w/ Chepalometric Rp 1.400.000
15 Digital Pressure Meter Rp 744.000 64 Freezer Laboratorium Rp 396.000 116 X-Ray Fluroscopy (dual fungsi) Rp 3.960.000
16 Thermometer Gelas Rp 408.000 65 Hearth Rate Monitor Rp 300.000 117 Mobile C-Arm X-Ray Rp 1.700.000
17 Thermometer Klinik Rp 216.000 66 Infant Warmer Rp 240.000 Pengukuran Paparan Radiasi dan Proteksi Radiasi
18 Thermometer Ruang Rp 276.000 67 Infusion Pump Rp 288.000 118 Pengukuran Paparan Radiasi Ruangan Fluoroskopi Rp 1.050.000
Pengujian 68 Inkubator Perawatan Rp 324.000 119 Pengukuran Paparan Radiasi Ruangan Angiography Rp 900.000
19 Chamber Audiometer/ Ruang Kedap Suara Audiometer Rp 144.000 69 Laboratorium Incubator Rp 252.000 120 Pengukuran Paparan Radiasi Ruangan Panoramic X-Ray Rp 800.000
20 Head Lamp Rp 144.000 70 Laboratorium Refrigator Rp 252.000 121 Pengukuran Paparan Radiasi Ruangan Dental X-Ray Rp 500.000
21 Magnetic Resonance Imaging (MRI) Rp 2.232.000 71 Laboratorium Rotator Rp 144.000 122 Pengukuran Paparan Radiasi Ruangan Mobile X-Ray Rp 600.000
22 Grounding/Pentanahan Rp 348.000 72 Mesin Anesthesi tanpa Vaporizer tanpa Ventilator Rp 228.000 123 Pengukuran Paparan Radiasi Ruangan Mobile C-Arm Rp 1.000.000
23 Pengujian Thermo Luminisence Dosimeter (TLD) Rp 150.000 73 Oven Rp 396.000 124 Pengukuran Paparan Radiasi Ruangan Purpose X-Ray Rp 750.000
24 Film Badge dan Analisisnya Rp 50.000 74 Paraffin Bath Rp 252.000 125 Pengukuran Paparan Radiasi Ruangan CT-Scan Rp 1.150.000
25 Photo Therapy Unit/Blue Light Rp 204.000 75 Pulse Oximetri (SPO2 Monitor) Rp 180.000 Praktek Kerja/Magang
26 Portable Concentrator Oksigen Rp 288.000 76 Short Wave Diathermy Rp 312.000 a SMA/ SMK Rp 50.000
27 Ultra Violet Lamp (UV Lamp) Rp 156.000 77 Micro Wave Diathermy Rp 312.000 b Diploma 3 Rp 75.000
28 Ultra Violet Sterilizer Rp 180.000 78 Sphygmomanometer / Tensimeter Rp 84.000 c Diploma 4/ Strata 1 Rp 100.000
29 Lampu Operasi Rp 192.000 79 Spirometer Rp 156.000 d Strata 2 Rp 150.000
30 Light Source Rp 192.000 80 Sterilisator Kering Rp 204.000 Penelitian Mahasiswa
31 Medical Air Rp 1.980.000 81 Sterilisator Basah Rp 204.000 a Diploma 3 Rp 200.000
32 N2O (Nitrogen) Rp 780.000 82 Stirrer Rp 156.000 b Diploma 4/ Strata 1 Rp 250.000
33 Nebulizer Rp 228.000 83 Suction Pump / Alat Hisap Medik Rp 144.000
34 O2 (Oksigen) Rp 792.000 84 Syringe Pump Rp 288.000
35 Suction Gas Medis Rp 720.000 85 Tabung Oksigen Rp 228.000
Inspeksi 86 Traksi Rp 168.000
36 Instalasi Sentral Gas Medis Rp 2.300.000 87 Treadmill Rp 168.000
37 Instalasi Listrik Medis Rp 1.100.000 88 Treadmill with ECG (electrocardiograph) / Cardiac Stress Test Rp 250.000
Pengujian dan Kalibrasi 89 Ultra Sonograph (USG) Rp 300.000
38 Audiometer Rp 396.000 90 Ultra Sound Theraphy (UST) Rp 216.000
39 Autoclave Rp 312.000 91 Vacuum Extractor Rp 168.000
40 Bed Side Monitor/Pasien Monitor Rp 588.000 92 Ventilator Rp 396.000
41 Blood Bank Rp 252.000 93 Countinous Positive Airways Presure (CPAP) Rp 396.000
42 Blood Pressure monitor (BPM) Rp 162.000 94 Ventilator Anesthesi Rp 396.000
43 Non Invasive Blood Pressure Monitor (NIBP Monitor) Rp 252.000 95 Respirator Rate Rp 396.000
44 Blood Solution Warmer Rp 216.000 96 Water Bath Rp 216.000
97 CT-Scan Rp 1.044.000