BREAKDOWN PAKET CAESAR - HARGA DASAR

KELAS III KELAS II KELAS I KELAS VIP B KELAS VIP A

UGD - Rawat Jalan
Jasa Konsultas-dr Umum 40,000 44,000 48,000 56,000 64,000
Jasa Konsultas-RS 15,000 16,500 18,000 21,000 24,000
Pemeriksaan Fisik 12,000 12,000 12,000 12,000 12,000
Pemeriksaan Fisik - RS 28,000 28,000 28,000 28,000 28,000
Jasa Dokter Spesialis yang dikonsulkan dari UGD 30,000 33,000 36,000 42,000 48,000
Jasa Dokter Spesialis yang dikonsulkan dari UGD -RS 12,857 14,143 15,429 18,000 20,571
ASPER UGD (min care ) @27.000 27,000 29,700 32,400 37,800 43,200
Sub Total UGD 164,857 177,343 189,829 214,800 239,771
Administrasi UGD 16,486 17,734 18,983 21,480 23,977
Total UGD 181,343 195,077 208,811 236,280 263,749

Kamar Operasi
ASPER Kamar Operasi ( Min care )@ 30.000 30,000 33,000 36,000 42,000 48,000
Sewa Kamar Operasi 715,000 715,000 715,000 715,000 715,000
Sewa Alat Operasi 700,000 700,000 700,000 700,000 700,000
Konsumsi Kamar Operasi @20.000 x 8 orang 160,000 160,000 160,000 160,000 160,000
Jasa Dokter Operator 1,000,000 1,402,500 1,870,000 2,550,000 2,890,000
Jasa Dokter Operator -RS 428,571 471,429 514,286 600,000 685,714
Jasa Dokter Anestesi 500,000 561,000 748,000 1,020,000 1,156,000
Jasa Dokter Anestesi -RS 214,286 235,714 257,143 300,000 342,857
Jasa Dokter Anak 200,000 220,000 240,000 280,000 320,000
Jasa Dokter Anak-RS 85,714 94,286 102,857 120,000 137,143
Jasa Asisten Operator Jika Spesialis 400,000 400,000 500,000 600,000 600,000
Jasa Asisten Operator Jika Spesialis -RS 171,429 171,429 214,286 257,143 257,143
Jasa Penata Anestesi 200,000 200,000 200,000 200,000 200,000
Jasa Penata Anestesi -RS 85,714 85,714 85,714 85,714 85,714
Total 4,890,714 5,450,071 6,343,286 7,629,857 8,297,571

Rawat Inap
ASPER (3 hari) (max care) @77.000 231,000 254,100 277,200 323,400 369,600
Kamar Rawat Inap ( 3 Hari ) @125rb, 150rb, 375,000 750,000 1,050,000 1,500,000 2,250,000
Kamar Perina ( 3 Hari ) @200rb 600,000 600,000 600,000 600,000 600,000
Aminities 106,442 106,442 106,442 106,442 106,442
Pigura Bayi - - 150,000 150,000 150,000
Makan Pasien & Penunggu untuk 3 Hari @70.608 /hari 211,824 211,824 243,414 255,492 268,236
Laktasi 3X KEDATANGAN @70.000 ( 3hari ) 210,000 231,000 252,000 294,000 336,000
Pijat Full Body (1x) 100,000 110,000 120,000 140,000 160,000
CREAMBATH (1x) 40,000 44,000 48,000 56,000 64,000
Total 1,874,266 2,307,366 2,847,056 3,425,334 4,304,278

TINDAKAN RAWAT INAP

Pembacaan EKG-dr 1x 49,000 53,900 58,800 68,600 78,400
Pembacaan EKG-RS 1x 21,000 23,100 25,200 29,400 33,600
Pembacaan CTG-dr 2x 24,000 26,400 28,800 33,600 38,400
Pembacaan CTG-RS 2x 176,000 193,600 211,200 246,400 281,600
TINDIK BAYI - DR Spesialis 300,000 330,000 360,000 420,000 480,000
TINDIK BAYI - RS 128,571 141,429 154,286 180,000 205,714
Visit dokter spesialis obsgyn 2x 105,000 115,500 126,000 147,000 168,000
Visit dokter spesialis obsgyn 2x-RS 45,000 49,500 54,000 63,000 72,000
Visit dokter spesialis anak 2x 105,000 115,500 126,000 147,000 168,000
Visit dokter spesialis anak 2x-RS 45,000 49,500 54,000 63,000 72,000
Visit dokter umum 2x 60,000 66,000 72,000 84,000 96,000
Visit dokter umum 2x -RS 30,000 33,000 36,000 42,000 48,000
Visit Gizi 2x 25,000 27,500 30,000 35,000 40,000
Visit Gizi 2x - RS 10,714 11,786 12,857 15,000 17,143
Jasa Ganti Verband 1x -dr 27,300 30,030 32,760 38,220 43,680
Jasa Ganti Verband 1x -RS 11,700 12,870 14,040 16,380 18,720
Rujukan 400,000 400,000 400,000 400,000 400,000
Total 1,563,286 1,679,614 1,795,943 2,028,600 2,261,257

Farmasi
BHP SC 930,760 930,760 930,760 930,760 930,760
BHP Anestesi 678,670 678,670 678,670 678,670 678,670
Paket Bayi 489,046 489,046 489,046 489,046 489,046
Total 2,098,476 2,098,476 2,098,476 2,098,476 2,098,476
 Laboratorium
Darah Lengkap 45,000 45,000 45,000 45,000 45,000
Golongan Darah 31,000 31,000 31,000 31,000 31,000
Glukosa Darah 15,000 15,000 15,000 15,000 15,000
HbsAg Rapid 16,000 16,000 16,000 16,000 16,000
HIV Rapid 21,000 21,000 21,000 21,000 21,000
PTT 27,000 27,000 27,000 27,000 27,000
APTT 30,000 30,000 30,000 30,000 30,000
Urin Tengah 17,000 17,000 17,000 17,000 17,000
Total 202,000 202,000 202,000 202,000 202,000

Total 10,628,742 11,737,528 13,286,761 15,384,267 17,163,583

Administrasi Rawat Inap 531,437 586,876 664,338 769,213 858,179
Total Breakdown Ranap 11,160,179 12,324,404 13,951,099 16,153,481 18,021,762

Kesepakatan Paket 7,500,000 8,250,000 11,000,000 15,000,000 17,000,000

Rugi - 3,660,179 - 4,074,404 - 2,951,099 - 1,153,481 - 1,021,762

KETERANGAN
* Jasa Tindakan yang Tidak Melebihi Maksimal Paket Ditagihkan Ke Pasien
 BREAKDOWN PAKET CAESAR - HARGA TARIF
KELAS III KELAS II KELAS I KELAS VIP B KELAS VIP A
UGD - Rawat Jalan
Jasa Konsultasi-dr Umum 40,000 44,000 48,000 56,000 64,000
Jasa Konsultasi-RS 15,000 16,500 18,000 21,000 24,000
Pemeriksaan Fisik 12,000 12,000 12,000 12,000 12,000
Pemeriksaan Fisik - RS 28,000 28,000 28,000 28,000 28,000
Jasa Dokter Spesialis yang dikonsulkan dari UGD 30,000 33,000 36,000 42,000 48,000
Jasa Dokter Spesialis yang dikonsulkan dari UGD -RS 12,857 14,143 15,429 18,000 20,571
ASPER UGD (min care ) @27.000 27,000 29,700 32,400 37,800 43,200
Sub Total UGD 164,857 177,343 189,829 214,800 239,771
Administrasi UGD 16,486 17,734 18,983 21,480 23,977
Total UGD 181,343 195,077 208,811 236,280 263,749

Kamar Operasi
ASPER Kamar Operasi ( Min care )@ 27.000 27,000 29,700 32,400 37,800 43,200
Sewa Kamar Operasi 715,000 715,000 715,000 715,000 715,000
Sewa Alat Operasi 700,000 700,000 700,000 700,000 700,000
Konsumsi Kamar Operasi @20.000 x 8 orang 160,000 160,000 160,000 160,000 160,000
Jasa Dokter Operator 1,000,000 1,402,500 1,870,000 2,550,000 2,890,000
Jasa Dokter Operator -RS 428,571 471,429 514,286 600,000 685,714
Jasa Dokter Anestesi 500,000 561,000 748,000 1,020,000 1,156,000
Jasa Dokter Anestesi -RS 214,286 235,714 257,143 300,000 342,857
Jasa Dokter Anak 200,000 220,000 240,000 280,000 320,000
Jasa Dokter Anak-RS 85,714 94,286 102,857 120,000 137,143
Jasa Asisten Operator Jika Spesialis 400,000 400,000 500,000 600,000 600,000
Jasa Asisten Operator Jika Spesialis -RS 171,429 171,429 214,286 257,143 257,143
Jasa Penata Anestesi 200,000 200,000 200,000 200,000 200,000
Jasa Penata Anestesi -RS 85,714 85,714 85,714 85,714 85,714
Total 4,887,714 5,446,771 6,339,686 7,625,657 8,292,771

Rawat Inap
ASPER (3 hari) (max care) @77.000 231,000 254,100 277,200 323,400 369,600
Kamar Rawat Inap ( 3 Hari ) @125rb, 150rb, 375,000 750,000 1,050,000 1,500,000 2,250,000
Kamar Perina ( 3 Hari ) @200rb 600,000 600,000 600,000 600,000 600,000
Aminities 106,442 117,086 127,730 149,019 170,307
Pigura Bayi - - 150,000 150,000 150,000
Makan Pasien & Penunggu untuk 3 Hari @70.608 /hari 211,824 211,824 243,414 255,492 268,236
Laktasi 3X KEDATANGAN @70.000 ( 3hari ) 210,000 231,000 252,000 294,000 336,000
Pijat Full Body (1x) 100,000 110,000 120,000 140,000 160,000
CREAMBATH (1x) 40,000 44,000 48,000 56,000 64,000
Total 1,874,266 2,318,010 2,868,344 3,467,911 4,368,143

TINDAKAN RAWAT INAP

Pembacaan EKG-dr 1x 49,000 53,900 58,800 68,600 78,400
Pembacaan EKG-RS 1x 21,000 23,100 25,200 29,400 33,600
Pembacaan CTG-dr 2x 24,000 26,400 28,800 33,600 38,400
Pembacaan CTG-RS 2x 176,000 193,600 211,200 246,400 281,600
TINDIK BAYI - DR Spesialis 300,000 330,000 360,000 420,000 480,000
TINDIK BAYI - RS 128,571 141,429 154,286 180,000 205,714
Visit dokter spesialis obsgyn 2x 105,000 115,500 126,000 147,000 168,000
Visit dokter spesialis obsgyn 2x-RS 45,000 49,500 54,000 63,000 72,000
Visit dokter spesialis anak 2x 105,000 115,500 126,000 147,000 168,000
Visit dokter spesialis anak 2x-RS 45,000 49,500 54,000 63,000 72,000
Visit dokter umum 2x 60,000 66,000 72,000 84,000 96,000
Visit dokter umum 2x -RS 30,000 33,000 36,000 42,000 48,000
Visit Gizi 2x 25,000 27,500 30,000 35,000 40,000
Visit Gizi 2x - RS 10,714 11,786 12,857 15,000 17,143
Jasa Ganti Verband 1x -dr 27,300 30,030 32,760 38,220 43,680
Jasa Ganti Verband 1x -RS 11,700 12,870 14,040 16,380 18,720
Rujukan 400,000 400,000 400,000 400,000 400,000
Total 1,563,286 1,679,614 1,795,943 2,028,600 2,261,257

Farmasi
BHP SC 1,209,988 1,303,064 1,396,140 1,489,216 1,582,292
BHP Anestesi 882,271 950,138 1,018,005 1,085,872 1,153,739
Paket Bayi 635,760 684,664 733,569 782,474 831,378
Total 2,728,019 2,937,866 3,147,714 3,357,562 3,567,409
 Laboratorium
Darah Lengkap 85,000 93,500 102,000 110,500 119,000
Golongan Darah 35,000 38,500 42,000 45,500 49,000
Glukosa Darah 35,500 39,050 42,600 46,150 49,700
HbsAg Rapid 63,000 69,300 75,600 81,900 88,200
HIV Rapid 82,000 90,200 98,400 106,600 114,800
PTT 170,000 187,000 204,000 221,000 238,000
APTT 135,000 148,500 162,000 175,500 189,000
Urin Tengah 70,000 77,000 84,000 91,000 98,000
Total 675,500 743,050 810,600 878,150 945,700

Total 11,728,785 13,125,312 14,962,287 17,357,880 19,435,281

Administrasi Rawat Inap 586,439 656,266 748,114 867,894 971,764
Total Breakdown Ranap 12,315,224 13,781,578 15,710,401 18,225,774 20,407,045

Kesepakatan Paket 7,500,000 8,250,000 11,000,000 15,000,000 17,000,000

Rugi - 4,815,224 - 5,531,578 - 4,710,401 - 3,225,774 - 3,407,045

KETERANGAN
* Jasa Tindakan yang Tidak Melebihi Maksimal Paket Ditagihkan Ke Pasien
 BREAKDOWN PAKET CAESAR - HARGA TARIF
KELAS III KELAS II KELAS I KELAS VIP B KELAS VIP A
UGD - Rawat Jalan
Jasa Konsultasi-dr Umum 40,000 44,000 48,000 56,000 64,000
Jasa Konsultasi-RS 15,000 16,500 18,000 21,000 24,000
Pemeriksaan Fisik 12,000 12,000 12,000 12,000 12,000
Pemeriksaan Fisik - RS 28,000 28,000 28,000 28,000 28,000
Jasa Dokter Spesialis yang dikonsulkan dari UGD 30,000 33,000 36,000 42,000 48,000
Jasa Dokter Spesialis yang dikonsulkan dari UGD -RS 12,857 14,143 15,429 18,000 20,571
ASPER UGD (min care ) @27.000 27,000 29,700 32,400 37,800 43,200
Sub Total UGD 164,857 177,343 189,829 214,800 239,771
Administrasi UGD 16,486 17,734 18,983 21,480 23,977
Total UGD 181,343 195,077 208,811 236,280 263,749

Kamar Operasi
ASPER Kamar Operasi ( Min care )@ 27.000 27,000 29,700 32,400 37,800 43,200
Sewa Kamar Operasi 600,000 600,000 600,000 600,000 600,000
Sewa Alat Operasi 500,000 500,000 500,000 500,000 500,000
Konsumsi Kamar Operasi @20.000 x 8 orang 160,000 160,000 160,000 160,000 160,000
Jasa Dokter Operator 850,000 935,000 1,020,000 1,190,000 1,360,000
Jasa Dokter Operator -RS 428,571 471,429 514,286 600,000 685,714
Jasa Dokter Anestesi 340,000 374,000 408,000 476,000 544,000
Jasa Dokter Anestesi -RS 214,286 235,714 257,143 300,000 342,857
Jasa Dokter Anak 200,000 220,000 240,000 280,000 320,000
Jasa Dokter Anak-RS 85,714 94,286 102,857 120,000 137,143
Jasa Asisten Operator Jika Spesialis 400,000 400,000 500,000 600,000 600,000
Jasa Asisten Operator Jika Spesialis -RS 171,429 171,429 214,286 257,143 257,143
Jasa Penata Anestesi 200,000 200,000 200,000 200,000 200,000
Jasa Penata Anestesi -RS 85,714 85,714 85,714 85,714 85,714
Total 4,262,714 4,477,271 4,834,686 5,406,657 5,835,771

Rawat Inap
ASPER (3 hari) (max care) @77.000 231,000 254,100 277,200 323,400 369,600
Kamar Rawat Inap ( 3 Hari ) @125rb, 150rb, 375,000 750,000 1,050,000 1,500,000 2,250,000
Kamar Perina ( 3 Hari ) @125rb 375,000 375,000 375,000 375,000 375,000
Aminities 106,442 117,086 127,730 149,019 170,307
Pigura Bayi - - 150,000 150,000 150,000
Makan Pasien untuk 3 Hari/hari 148,824 148,824 180,414 192,168 204,552

Total 1,236,266 1,645,010 2,160,344 2,689,587 3,519,459

TINDAKAN RAWAT INAP

Pembacaan EKG-dr 1x 49,000 53,900 58,800 68,600 78,400
Pembacaan EKG-RS 1x 21,000 23,100 25,200 29,400 33,600
Pembacaan CTG-dr 2x 24,000 26,400 28,800 33,600 38,400
Pembacaan CTG-RS 2x 176,000 193,600 211,200 246,400 281,600

Visit dokter spesialis obsgyn 2x 105,000 115,500 126,000 147,000 168,000

Visit dokter spesialis obsgyn 2x-RS 45,000 49,500 54,000 63,000 72,000
Visit dokter spesialis anak 2x 105,000 115,500 126,000 147,000 168,000
Visit dokter spesialis anak 2x-RS 45,000 49,500 54,000 63,000 72,000
Visit dokter umum 2x 60,000 66,000 72,000 84,000 96,000
Visit dokter umum 2x -RS 30,000 33,000 36,000 42,000 48,000
Visit Gizi 2x 25,000 27,500 30,000 35,000 40,000
Visit Gizi 2x - RS 10,714 11,786 12,857 15,000 17,143
Jasa Ganti Verband 1x -dr 27,300 30,030 32,760 38,220 43,680
Jasa Ganti Verband 1x -RS 11,700 12,870 14,040 16,380 18,720

Total 734,714 808,186 881,657 1,028,600 1,175,543

Farmasi
BHP SC 1,209,988 1,303,064 1,396,140 1,489,216 1,582,292
BHP Anestesi 882,271 950,138 1,018,005 1,085,872 1,153,739
Paket Bayi 635,760 684,664 733,569 782,474 831,378
Total 2,728,019 2,937,866 3,147,714 3,357,562 3,567,409
 Laboratorium
Darah Lengkap 85,000 93,500 102,000 110,500 119,000
Golongan Darah 35,000 38,500 42,000 45,500 49,000
Glukosa Darah 35,500 39,050 42,600 46,150 49,700
HbsAg Rapid 63,000 69,300 75,600 81,900 88,200
HIV Rapid 82,000 90,200 98,400 106,600 114,800
PTT 170,000 187,000 204,000 221,000 238,000
APTT 135,000 148,500 162,000 175,500 189,000
Urin Tengah 70,000 77,000 84,000 91,000 98,000
Total 675,500 743,050 810,600 878,150 945,700

Total 9,637,213 10,611,384 11,835,001 13,360,556 15,043,883

Administrasi Rawat Inap 481,861 530,569 591,750 668,028 752,194
Total Breakdown Ranap 10,119,074 11,141,953 12,426,751 14,028,583 15,796,077

Kesepakatan Paket 7,500,000 8,250,000 11,000,000 15,000,000 17,000,000

Rugi - 2,619,074 - 2,891,953 - 1,426,751 971,417 1,203,923

KETERANGAN
* Jasa Tindakan yang Tidak Melebihi Maksimal Paket Ditagihkan Ke Pasien
 BREAKDOWN PAKET CAESAR - HARGA TARIF
KELAS III KELAS II KELAS I KELAS VIP B KELAS VIP A
UGD - Rawat Jalan
Jasa Konsultasi-dr Umum 40,000 44,000 48,000 56,000 64,000
Jasa Konsultasi-RS 15,000 16,500 18,000 21,000 24,000
Pemeriksaan Fisik 12,000 12,000 12,000 12,000 12,000
Pemeriksaan Fisik - RS 28,000 28,000 28,000 28,000 28,000
Jasa Dokter Spesialis yang dikonsulkan dari UGD 30,000 33,000 36,000 42,000 48,000
Jasa Dokter Spesialis yang dikonsulkan dari UGD -RS 12,857 14,143 15,429 18,000 20,571
ASPER UGD (min care ) @27.000 27,000 29,700 32,400 37,800 43,200
Sub Total UGD 164,857 177,343 189,829 214,800 239,771
Administrasi UGD 16,486 17,734 18,983 21,480 23,977
Total UGD 181,343 195,077 208,811 236,280 263,749

Kamar Operasi
ASPER Kamar Operasi ( Min care )@ 27.000 27,000 29,700 32,400 37,800 43,200
Sewa Kamar Operasi 600,000 600,000 600,000 600,000 600,000
Sewa Alat Operasi 500,000 500,000 500,000 500,000 500,000
Konsumsi Kamar Operasi @20.000 x 8 orang 160,000 160,000 160,000 160,000 160,000
Jasa Dokter Operator 1,000,000 1,100,000 1,200,000 1,400,000 1,600,000
Jasa Dokter Operator -RS 428,571 471,429 514,286 600,000 685,714
Jasa Dokter Anestesi 400,000 440,000 480,000 560,000 640,000
Jasa Dokter Anestesi -RS 214,286 235,714 257,143 300,000 342,857
Jasa Dokter Anak 200,000 220,000 240,000 280,000 320,000
Jasa Dokter Anak-RS 85,714 94,286 102,857 120,000 137,143
Jasa Asisten Operator Jika Spesialis 400,000 400,000 500,000 600,000 600,000
Jasa Asisten Operator Jika Spesialis -RS 171,429 171,429 214,286 257,143 257,143
Jasa Penata Anestesi 200,000 200,000 200,000 200,000 200,000
Jasa Penata Anestesi -RS 85,714 85,714 85,714 85,714 85,714
Total 4,472,714 4,708,271 5,086,686 5,700,657 6,171,771

Rawat Inap
ASPER (3 hari) (max care) @77.000 231,000 254,100 277,200 323,400 369,600
Kamar Rawat Inap ( 3 Hari ) @125rb, 150rb, 375,000 750,000 1,050,000 1,500,000 2,250,000
Kamar Perina ( 3 Hari ) @200rb 375,000 375,000 375,000 375,000 375,000
Aminities 106,442 117,086 127,730 149,019 170,307
Pigura Bayi - - 150,000 150,000 150,000
Makan Pasien & Penunggu untuk 3 Hari @70.608 /hari 211,824 211,824 243,414 255,492 268,236
Laktasi 3X KEDATANGAN @70.000 ( 3hari )
Pijat Full Body (1x)
CREAMBATH (1x)
Total 1,299,266 1,708,010 2,223,344 2,752,911 3,583,143

TINDAKAN RAWAT INAP

Pembacaan EKG-dr 1x 49,000 53,900 58,800 68,600 78,400
Pembacaan EKG-RS 1x 21,000 23,100 25,200 29,400 33,600
Pembacaan CTG-dr 2x 24,000 26,400 28,800 33,600 38,400
Pembacaan CTG-RS 2x 176,000 193,600 211,200 246,400 281,600
TINDIK BAYI - DR Spesialis
TINDIK BAYI - RS
Visit dokter spesialis obsgyn 2x 105,000 115,500 126,000 147,000 168,000
Visit dokter spesialis obsgyn 2x-RS 45,000 49,500 54,000 63,000 72,000
Visit dokter spesialis anak 2x 105,000 115,500 126,000 147,000 168,000
Visit dokter spesialis anak 2x-RS 45,000 49,500 54,000 63,000 72,000
Visit dokter umum 2x 60,000 66,000 72,000 84,000 96,000
Visit dokter umum 2x -RS 30,000 33,000 36,000 42,000 48,000
Visit Gizi 2x 25,000 27,500 30,000 35,000 40,000
Visit Gizi 2x - RS 10,714 11,786 12,857 15,000 17,143
Jasa Ganti Verband 1x -dr 27,300 30,030 32,760 38,220 43,680
Jasa Ganti Verband 1x -RS 11,700 12,870 14,040 16,380 18,720
Rujukan 400,000 400,000 400,000 400,000 400,000
Total 1,134,714 1,208,186 1,281,657 1,428,600 1,575,543

Farmasi
BHP SC 1,209,988 1,303,064 1,396,140 1,489,216 1,582,292
BHP Anestesi 882,271 950,138 1,018,005 1,085,872 1,153,739
Paket Bayi 635,760 684,664 733,569 782,474 831,378
Total 2,728,019 2,937,866 3,147,714 3,357,562 3,567,409
 Laboratorium
Darah Lengkap 85,000 93,500 102,000 110,500 119,000
Golongan Darah 35,000 38,500 42,000 45,500 49,000
Glukosa Darah 35,500 39,050 42,600 46,150 49,700
HbsAg Rapid 63,000 69,300 75,600 81,900 88,200
HIV Rapid 82,000 90,200 98,400 106,600 114,800
PTT 170,000 187,000 204,000 221,000 238,000
APTT 135,000 148,500 162,000 175,500 189,000
Urin Tengah 70,000 77,000 84,000 91,000 98,000
Total 675,500 743,050 810,600 878,150 945,700

Total 10,310,213 11,305,384 12,550,001 14,117,880 15,843,567

Administrasi Rawat Inap 515,511 565,269 627,500 705,894 792,178
Total Breakdown Ranap 10,825,724 11,870,653 13,177,501 14,823,774 16,635,745

Kesepakatan Paket 7,500,000 8,250,000 11,000,000 15,000,000 17,000,000

Rugi - 3,325,724 - 3,620,653 - 2,177,501 176,226 364,255

KETERANGAN
* Jasa Tindakan yang Tidak Melebihi Maksimal Paket Ditagihkan Ke Pasien