Unit Cost Latihan

2,016 2,197,168,000
JB URAIAN 2,016
- PEKERJA
Material Umum BEBAN LANGSUNG 1,953,337,000
Kontrak dan Maint. BEBAN UMUM ADM 570,370,000
BEBAN PENYUSUTAN 135,047,000
BEBAN LAIN2 11,302,000
-
Sub Total
MATERIAL
Obat
208 Obat jadi
209 Bahan Obat
210 Susu
211 Sera/Vaksin
212 Infus
Sub Total
ALKES
213 Alat Suntik
214 Pembalut
215 Benang Bedah & Keperluan OK
216 Glass Ware
217 Instrumen Kedokteran
218 Barang keperluan Gigi
219 Barang Keperluan Orthopedi
220 Bedah Jantung & Pacu Maker
2,016 2,197,168,000
221 Electrode, ECG Paper, Jelly
222 Haemodialise
223 X Ray Film
224 Radio Isotop
225 Kimia Laboratorium
227 Gas Medis
241 Embalce
270 Obat Produksi
280 Obat Inhealth
Sub Total
Material lainnya
201 Pakaian Bedah
202 Pakaian Pasien
203 Linen
226 BBM
236 Material LK 3
240
250 Material Sipil
251 Material Teknik Listrik
252 Barang Teknik Medeq
254 Material Komlek
255 Alkes Non Resale
260 Obat-obat Produksi Farmasi
701 Alat Keperluan Kantor
702 Alat Keperluan RTK
703 Computer Supplies
803 Pecah Belah
804 Alat Rumah Tangga
Sub Total
KONTRAK/PEMELIHARAAN
205 Penyajian Makan
206 Penyajian Cucian
207 Pecah Belah Catering
302 Pemeliharaan Gedung
303 Pemeliharaan Ambulance
304 Pemeliharaan Komlek
305 Pemeliharaan Perlengkapan Kantor
306 Pemeliharaan Computer
307 Pemeliharaan Listrik
308 Pemeliharaan Mekanik
309 Pemeliharaan AC
310 Pemeliharaan Lift
2,016 2,197,168,000
312 Pemeliharaan Medeq
316 Alat RTK
320 Kebersihan Gedung & Hal
601 Sewa Kendaraan
602 Sewa Komputer
603 Sewa Mesin Foto Copy
604 Sewa Medeq
605 Kontrak Micro Film
606 Kontrak Pengemudi/Nurse Aid/Kurir & Adm
610 Sewa RTK
Sub Total
SUNDRIES
111 Pengobatan Karyawan
112 Perjalanan Dinas
113 Pendidikan
118 Pakaian Dinas
228 Listrik
229 Air
230 Telpon
234 Pelayanan Ambulan
237 Material Pemasaran
502
503
511
514 Asuransi
704 Pos Prangko
705 Materai
706 Perpustakaan (Buku/Majalah)
707 Perizinan
802
803 Pecah Belah
806 LK3
807 Reproduksi
808 Biaya Manajemen
809 Civic Mission
812 Pemeriksaan Air
813 TQM
814 Promosi / Pemasaran
816 Kesejahteraan pekerja
821 Kartu Kredit
827
823 Bunga Bank
830 Jagir
2,016 2,197,168,000
832 Biaya Bank
835 Biaya Pajak
838 PBB
999 Bunga Pinjaman
Sub Total
Penyusutan
TOTAL
151,752,000 667,300,000 224,566,000 150,000 10,360,000
7% 30% 10% 0% 0%
KELAS I KELAS II KELAS III BKIA POLY GIGI
134,911,302 593,246,297 199,644,759 133,354 9,210,298

39,393,796 173,226,581 58,295,820 38,939 2,689,386
9,327,303 41,015,008 13,802,752 9,220 636,768
780,596 3,432,521 1,155,144 772 53,291
184,412,998 810,920,407 272,898,475 182,284
- - - -
111,240
108,988,464 7,100,297 355,600 11,442,060
3,394,860 10,075,520
50,050
37,856,338 12,190,876 2,945,549 24,928,117
151,752,000 667,300,000 224,566,000 150,000 10,360,000
720,000 15,324,000 2,456,200
4,747 3,208,236
13,392,945 43,527,068 16,741,180 73,661,192
839,446 36,000
164,357,353 89,107,257 20,042,329 115,843,045
1,493,574 931,040 2,022,120

7,609,800
539,000 6,252,865 4,187,186

37,018,300 2,663,621 2,334,727
12,733,256 1,188,000 90,750
54,659,490 25,355,000 1,528,800

769,350 914,800 168,550
1,060,105 2,875,449 92,298 6,682,294
55,064 838,436 588,879 2,355,212
17,329,690 24,576,712 2,809,068 33,435,014

124,888,479 40,095,473 29,760,045 60,414,453
77,940,924 445,122,561 3,047,600 1,204,227,873

29,698,688 37,429,964 16,003,351 83,414,352
62,150,000
797,500 797,500 797,500

120,000
7,811,326 15,919,460 4,165,543 28,072,219

3,214,480 6,526,158 1,728,737 11,511,032
151,752,000 667,300,000 224,566,000 150,000 10,360,000
2,101,550 4,313,797 604,267 1,698,217
62,987,292 126,183,023 34,148,077 223,517,912
2,519,000 5,491,787 2,519,000 8,399,477

478,177 4,850,410 192,187 2,747,803
65,402,861 132,455,518 14,652,042 212,678,508

1,131,225 3,107,499 678,735 4,938,276
254,083,023 844,467,677 78,537,038 1,781,205,670
4,125,000 5,800,000 1,062,584 15,232,309

52,632 173,684
4,000,000
354,368,532 253,120,363 338,285,103

15,556,350 9,487,368 23,718,420
3,465,000
2,000,000 8,118,750 1,000,000 1,000,000

151,752,000 667,300,000 224,566,000 150,000 10,360,000
376,102,514 284,165,165 2,062,584 378,235,832

751,667 8,570,837 50,764,998 11,790,353
1,104,596,035 2,077,326,816 454,065,468 2,347,671,637
85,960,000 433,920,000 565,156,000 37,379,000 20,625,000
4% 20% 26% 2% 1%
POLIKLINIK HD KAPITASI PEND LAIN PIHAK III
76,420,578 385,765,672 502,437,741 33,230,861 18,336,138

22,314,636 112,642,707 146,710,687 9,703,336 5,354,111
5,283,456 26,670,511 34,736,817 2,297,467 1,267,697
442,169 2,232,039 2,907,103 192,274 106,093
527,310,929 686,792,348 45,423,938 25,064,039
- - - -
85,500
8,459,500 7,428,750 7,035,000 13,918,286
20,349,722 22,770,032 19,261,003 40,801,360

85,960,000 433,920,000 565,156,000 37,379,000 20,625,000
4,806,480 1,080,000 1,244,300 7,807,550
2,258,824 2,138,824 3,410,736

70,312,959 75,335,310 41,852,952 16,741,180
42,350 14,400 389,750 788,750
103,971,011 108,887,316 72,007,329 83,467,862
12,169,179 3,910,950
3,544,200
27,742,550 8,234,853 1,108,800 310,750

1,568,060 1,171,164 12,413,500 607,944
1,237,500 433,950 39,526,520 90,662,275
655,200 5,911,800 12,309,200

136,500 546,000 91,000
6,630,080 7,051,547 5,638,008 3,312,648
2,089,467 1,669,301 1,363,423 691,453
79,742,040 33,437,993 26,640,834 22,137,418

131,178,876 60,245,658 93,148,885 130,122,688
1,322,180,866 939,593,254 194,226,041 194,226,041

91,436,583 76,253,329 32,938,487 76,360,969
990,000
113,300,000 797,500 797,500
105,769 105,769
30,027,738 21,405,003 5,957,610 7,643,804

12,323,329 8,254,895 2,443,837 3,151,996
85,960,000 433,920,000 565,156,000 37,379,000 20,625,000
1,899,883 1,899,883 38,428,004 72,658,171
238,463,950 160,375,988 47,873,434 61,465,538
5,426,690 5,426,690 2,519,000 2,519,000

2,878,214 4,184,621 1,460,843 1,460,843
182,381,144 185,018,806 59,250,458 84,272,927

9,159,473 1,507,789 376,948 376,948
1,896,177,870 1,518,210,257 386,377,931 505,039,506
2,792,135 3,250,000 2,400,000 5,387,553

378,947 985,526 5,263,159
500,000 10,500,000
249,226,178 151,872,193 112,930,600 89,565,680

32,889,544 28,778,350 6,878,343 5,059,929
2,000,000 5,650,000 1,000,000 9,093,750

85,960,000 433,920,000 565,156,000 37,379,000 20,625,000
286,907,857 189,929,490 124,694,469 124,870,071

9,574,580 4,972,498 147,249,583 607,774,734
2,955,121,123 2,569,037,567 868,902,135 1,476,338,900
0% 0%
MANAJEMEN SDM KEU UMUM
- -
- -
- -
16,657,800 4,252,500
33,358,679 14,137,972
22,720,000 1,305,000
4,157,648 2,138,824
10,044,706 33,482,359
420,018
87,358,851 55,316,655
18,626,026 7,690,925
1,980,000 3,379,200
1,925,350 6,161,260
1,416,963 3,926,501
13,700,500 4,916,338
13,764,500
45,500
7,185,898 6,685,283
1,165,996 1,103,407
57,131,817 74,175,188
103,178,050 121,802,602
851,381,796 897,250,779
73,592,439 64,423,802
11,812,000
113,300,000
160,000
30,087,007 20,085,003
12,323,329 8,254,895
7,750,050 1,899,883
238,463,950 160,375,988
8,399,477 5,491,787
1,679,357 2,589,935
193,534,924 146,915,863
753,893 7,104,922
1,429,938,222 1,427,692,857
109,894,527 2,900,000
1,405,263
245,332,054 260,908,668
16,286,648 16,444,772
2,000,000
2,000,000 6,975,000
376,918,492 287,228,440
28,123,262 9,936,639
2,025,516,877 1,901,977,193
PT. PERTAMINA BINA MEDIKA
Analisa Laporan Keuangan
Per 31 Des 2013
Unit Usaha
Uraian
RSPP RSPB RSPJ RSPC
1 Pendapatan Usaha
2 Biaya Usaha
3 Laba Usaha
4 Pend (Biaya) Diluar Usaha (Net)
5 Laba (Rugi) Tahun Berjalan
ALOKASI
KORPORAT PERTAMEDIKA
Laporan Keuangan
Uraian
Biaya Usaha
Biaya Pekerja
- Non IJD 27,072,060
- IJD -
Biaya Material
- Obat -
- Non Obat 419,570
Biaya Kontrak / Pemeliharaan 4,888,392
Biaya Adm & Umum 10,425,490
Biaya Penyusutan 786,115
Total Biaya Usaha 43,591,626
Rp. Juta
Unit Usaha
RSPPbm RSPT PHT RSPS RSPPBr RSPPlj
JB URAIAN RKAP 2014 KET
PEKERJA
101 Upah Tetap 50,994,524,405 Exclude
102 Tunjangan Daerah 6,281,967,864 Exclude
103 PPh 21 4,971,373,985 Exclude
104 Dana Pensiun 981,829,162 Exclude
106 Jamsostek 2,287,238,589 Exclude
108 THR 4,979,537,237 Exclude
109 Cuti 4,581,891,664 Exclude
116 Uang Makan 1,332,056,330 Exclude
117 Lembur 2,638,630,044 Exclude
119 Penggantian Biaya Angkut 3,622,442,370 Exclude
120 Jasa Produksi 5,080,332,811 Exclude
122 Honor Dokter - Exclude
127 Biaya Pesangon 11,129,858,491 Exclude
135 Uang Shift 2,703,546,124 Exclude
153 Honor 161,885,941 Exclude
161 Tunjangan Perumahan Exclude
162 Tunjangan Fungsional 1,708,443,578 Exclude
164 Tunjangan Jabatan 1,204,141,387 Exclude
165 Tunjangan Radiasi 192,793,107 Exclude
166 Tabungan Kesehatan Pensiun Exclude
167 AKPER Magang Exclude
168 IJP 35,092,440,760 Exclude
Sub Total 139,944,933,848
MATERIAL
Obat
208 Obat jadi 76,015,097,427 Exclude
209 Bahan Obat 803,090,407 Exclude
210 Susu 2,536,152 Exclude
211 Sera/Vaksin 3,199,949,540 Exclude
212 Infus 9,610,911,445 Exclude
Sub Total 89,631,584,970
ALKES
213 Alat Suntik 2,754,136,745 Exclude
214 Pembalut 2,836,953,342 Exclude
215 Benang Bedah & Keperluan OK 5,403,102,753 Exclude
216 Glass Ware 26,247,988 Exclude
217 Instrumen Kedokteran 5,733,814,361 Exclude
218 Barang keperluan Gigi 737,361,484 Exclude
219 Barang Keperluan Orthopedi 2,197,201,838 Exclude
220 Bedah Jantung & Pacu Maker 18,825,272,017 Exclude
221 Electrode, ECG Paper, Jelly 538,416,683 Exclude
222 Haemodialise 3,371,064,475 Exclude
223 X Ray Film - Exclude
224 Radio Isotop 2,109,153,299 Exclude
225 Kimia Laboratorium - Exclude
227 Gas Medis 1,374,557,846 Exclude
241 Embalce 341,934,143 Exclude
270 344,379,092 Exclude
280 966,361,938 Exclude
Sub Total 47,559,958,002
Material lainnya
201 Pakaian Bedah 278,800,500 Include
202 Pakaian Pasien 460,957,164 Include
203 Linen 743,523,000 Include
226 BBM 4,123,813,478 Include
236 Material LK 3 429,392,040 Include
240 Include
250 Material Sipil 720,255,796 Include
251 Material Teknik Listrik 603,385,764 Include
252 Barang Teknik Medeq 1,489,507,170 Include
254 Material Komlek 308,408,283 Include
255 Alkes Non Resale 444,822,016 Include
260 Obat-obat Produksi Farmasi Include
701 Alat Keperluan Kantor 1,148,194,886 Include
702 Alat Keperluan RTK Include
703 Computer Supplies 1,059,420,567 Include
803 Pecah Belah 338,977,043 Include
804 Alat Rumah Tangga 1,491,487,617 Include
Sub Total 13,640,945,324
#REF!
205 Penyajian Makan 15,026,495,771 Exclude
206 Penyajian Cucian 1,578,299,616 Exclude
207 Pecah Belah Catering Include
302 Pemeliharaan Gedung 1,650,330,801 Include
303 Pemeliharaan Ambulance 227,132,698 Include
304 Pemeliharaan Komlek 396,317,987 Include
305 Pemeliharaan Perlengkapan Kantor 48,739,287 Include
306 Pemeliharaan Computer 414,027,931 Include
307 Pemeliharaan Listrik 341,472,665 Include
308 Pemeliharaan Mekanik 500,187,384 Include
309 Pemeliharaan AC 350,048,079 Include
310 Pemeliharaan Lift 278,978,760 Include
312 Pemeliharaan Medeq 1,055,353,426 Include
316 Alat RTK 54,687,475 Include
320 Kebersihan Gedung & Hal 775,008,828 Include
601 Sewa Kendaraan 623,000,400 Include
602 Sewa Komputer 949,105,040 Include
603 Sewa Mesin Foto Copy 259,710,000 Include
604 Sewa Medeq 482,803,200 Include
605 Kontrak Micro Film Include
606 Kontrak Pengemudi/Nurse Aid/Kurir & Adm 14,830,035,705 Include
610 Sewa RTK 504,045,833 Include
Sub Total 40,345,780,884
SUNDRIES
111 Pengobatan Karyawan 677,198,181 Include
112 Perjalanan Dinas 294,732,887 Include
113 Pendidikan 592,631,115 Include
118 Pakaian Dinas 168,355,351 Include
228 Listrik 12,875,979,880 Include
229 Air 2,272,654,829 Include
230 Telpon 687,614,563 Include
234 Pelayanan Ambulan Include
237 Material Pemasaran 156,690,706 Include
502 Include
503 Include
511 Include
514 Asuransi 229,536,000 Include
704 Pos Prangko 64,483,309 Include
705 Materai 239,612,285 Include
706 Perpustakaan (Buku/Majalah) 28,447,200 Include
707 Perizinan 41,511,421 Include
802 Include
803 Pecah Belah Include
806 111,292,016 Include
807 Reproduksi 11,850,301 Include
808 Biaya Manajemen 299,837,729 Include
809 Civic Mission 76,472,436 Exclude
812 44,214,912 Include
813 TQM 1,029,991,877 Exclude
814 Promosi / Pemasaran 247,446,047 Include
816 Kesejahteraan pekerja 1,455,499,960 Exclude
821 Kartu Kredit 1,200,926,467 Include
827 Include
823 Bunga Bank 19,116,685 Exclude
830 Jagir Exclude
832 106,990,350 Include
835 Biaya Pajak 84,600,521 Include
838 PBB 915,526,743 Include
999 2,542,186,000 Include
Sub Total 26,475,399,771
Penyusutan 24,203,206,756
TOTAL 381,801,809,556
BU 3F KAMAR BAYI 3B 4B
695,179,213 837,822,862 617,697,435 1,541,106,659 1,331,412,931

91,414,419 92,124,322 82,572,353 169,772,195 167,638,939
56,266,521 67,219,119 54,516,892 117,700,216 105,689,605
14,408,807 15,105,912 11,876,723 27,497,574 26,358,535
32,183,557 36,954,402 29,082,029 67,291,485 60,028,503
70,252,315 81,483,521 60,039,089 147,742,091 134,731,208
66,500,819 64,022,915 55,225,763 123,434,130 113,680,664
51,211,697 25,093,376 26,826,225 48,412,644 48,536,419
42,148,482 46,683,507 16,124,089 105,426,480 88,207,084
61,771,587 59,102,200 43,771,751 111,171,980 106,688,420
- - - - -
- - - - -
- - - - -
23,810,338 35,026,292 26,618,002 62,799,239 53,405,479
- - - - -
- - - - -
18,186,657 19,533,503 32,601,969 25,676,500 26,580,723
- 94,989 94,991 94,989 -
- - - - -
- - - - -
- - - - -
- - - - -
1,223,334,412 1,380,266,919 1,057,047,312 2,548,126,182 2,262,958,510
46,486,038 4,476,140 - 75,914 -

29,817,760 15,622,465 3,913,073 28,405,829 27,000,134
- - - - -
- 9,512,842 - 2,502,022 -
- 101,133 - - -
76,303,797 29,712,580 3,913,073 30,983,765 27,000,134
- - - 132,932 -
155,935,103 10,158,740 508,774 16,370,712 12,103,419
7,396,811 21,952,810 - - -
- 51,495 - - -
68,034,951 21,909,295 5,293,704 44,800,510 36,572,274
- - - - -
- - - - -
- - - - -
1,063,787 22,640,939 - 3,628,992 7,101,489
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,324,605 - 56,806 66,826
- - - - -
- - - - -
232,430,653 78,037,885 5,802,478 64,989,953 55,844,008
- - - - -
3,188,022 1,987,298 - 4,316,200 25,975,021
- - - 117,931,312 -
- - - - -
- - - - -
- - - - -
427,186 4,955,726 - 3,318,566 21,987,436
42,641,128 3,068,207 - 2,689,356 1,806,238
10,776,761 1,005,461 - 76,806 1,047,355
- - - - -
107,329,896 - 49,787,320 3,001,966 -
- - - - -
1,076,648 2,920,322 93,738 6,786,574 6,733,545
- - - - -
66,297 1,009,477 709,010 2,835,675 2,515,718
- - - - -
14,898,074 21,128,229 2,414,913 28,743,578 68,553,031
180,404,014 36,074,719 53,004,982 169,700,033 128,618,343
- - - - -
- - - - -
- - - - -
- 73,077,472 - - -
- - - - -
1,218,000 1,218,000 1,218,000 - -
- 1,462,859 - - -
- - - - -
- - - - -
- - - - -
3,812,904 7,770,687 2,033,306 13,702,753 14,657,290
3,014,251 6,119,644 1,621,054 10,794,011 11,555,709
283,618 582,176 81,550 229,186 256,402
- - - - -
10,518,619 21,072,047 5,702,589 37,326,574 39,822,501
- - - - -
2,378,436 5,185,337 2,378,436 7,930,774 5,123,872
514,280 5,216,618 206,697 2,955,264 3,095,520
- - - - -
- - - - -
148,371,717 300,486,131 33,239,351 482,478,517 413,746,480
1,888,001 5,186,380 1,132,800 8,241,924 15,287,053
171,999,825 427,377,350 47,613,783 563,659,002 503,544,828
3,957,678 5,564,735 1,019,483 14,614,442 2,678,878

132,889 438,531 - - -
- 5,072,004 - - -
- - - - -
464,934,361 332,095,950 - 443,832,773 326,986,748
16,319,033 9,952,506 - 24,881,265 34,502,023
- - - - -
- - - - -
- 4,578,470 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
485,343,961 357,702,196 1,019,483 483,328,481 364,167,649
- - - - -
2,369,816,663 2,309,171,649 1,168,401,110 3,860,787,417 3,342,133,473
4F ICU B ICU A 5B 6F
1,394,040,856 949,063,670 1,577,934,029 1,137,560,558 1,107,885,725

153,272,077 120,412,419 193,744,684 128,830,210 139,852,429
107,917,287 71,040,086 124,473,235 88,441,634 87,275,285
24,258,253 19,180,970 30,685,992 20,748,157 22,650,809
61,691,803 43,539,789 72,101,286 50,448,131 50,317,197
133,515,931 86,096,905 152,099,542 107,994,828 109,970,672
113,983,038 83,594,002 145,306,062 84,808,022 92,889,486
47,876,286 48,866,485 50,558,076 47,381,186 47,814,399
85,729,920 51,945,687 93,039,923 74,168,032 71,683,080
95,830,482 74,299,145 119,357,122 83,366,303 89,279,696
- - - - -
- - - - -
- - - - -
51,359,053 37,767,138 61,899,413 45,002,559 40,046,221
- - - - -
- - - - -
30,907,682 22,744,562 40,411,225 22,433,617 31,394,100
- 1,044,891 - - 3,609,622
- 455,796 - - -
- - - - -
- - - - -
- - - - -
2,300,382,668 1,610,051,546 2,661,610,589 1,891,183,234 1,894,668,720
- 508,800 4,090,839 - -
17,245,494 33,401,121 63,332,937 49,953,730 19,021,906
- - - - -
- - - - 1,462,283
- - - - -
17,245,494 33,909,920 67,423,776 49,953,730 20,484,189
- 102,173 - - -
10,628,674 10,065,317 19,913,570 23,833,126 6,084,259
- - - - -
- - - - -
40,922,026 34,615,641 73,327,710 59,951,814 25,408,592
- - - - -
- - - - -
- - - - -
1,595,681 1,838,431 11,535,517 33,568,398 1,928,114
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
22,722 615,006 1,244,609 662,768 -
- - - - -
- - - - -
53,169,104 47,236,568 106,021,405 118,016,106 33,420,965
- - - - -
8,347,893 - - 39,757,112 16,416,221
54,925,511 - - 30,684,643 52,368,458
- - - - -
- - - - -
- - - - -
6,526,556 878,783 246,286 1,525,942 4,883,124
1,349,056 14,299,026 700,287 1,632,190 4,522,910
367,273 33,453,178 76,731,804 11,595,386 4,160,931
- - - - -
1,286,557 11,608,467 24,170,463 - 27,028,104
- - - - -
7,161,589 5,725,991 3,364,343 7,298,037 6,789,610
- - - - -
2,009,838 1,641,561 832,509 1,403,859 1,328,502
- - - - -
28,746,139 22,902,724 19,031,205 49,115,363 63,767,292
110,720,412 90,509,730 125,076,897 143,012,531 181,265,151
- - - - -
- - - - -
- - - - -
1,164,066 - - 13,888,835 -
- - - - -
173,040,000 1,218,000 1,218,000 - 173,040,000
- - - 1,950,478 -
- 257,089 257,089 - -
- - - - -
- - - - -
10,448,318 2,908,058 3,731,132 14,686,221 9,803,993
7,740,698 2,291,611 2,955,659 11,555,709 7,740,698
256,402 5,186,120 9,805,714 1,045,922 256,402
- - - - -
26,782,132 7,994,667 10,264,493 39,822,501 26,782,132
- - - - -
5,123,872 2,378,436 2,378,436 7,930,774 5,185,337
4,500,561 1,571,137 1,571,137 1,806,149 2,785,476
- - - - -
- - - - -
419,730,231 134,414,489 191,179,999 439,049,738 333,290,601
2,516,482 629,122 629,122 1,258,239 11,858,031
651,302,762 158,848,729 223,990,780 532,994,567 570,742,671
3,118,171 2,302,649 5,169,018 105,436,887 2,782,368

956,794 2,488,331 13,288,822 3,548,114 -
- 634,001 13,314,011 - -
- - - - -
199,257,538 148,165,855 117,510,892 321,877,626 342,314,269
30,189,269 7,215,568 5,308,003 17,085,135 17,251,011
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 2,676,415 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
233,521,771 160,806,403 154,590,746 450,624,177 362,347,648
- - - - -
3,366,342,211 2,101,362,897 3,338,714,193 3,185,784,346 3,062,929,344
6B 7F
1,286,121,528 1,660,022,031
161,662,566 212,011,246
97,899,782 132,942,738
26,195,034 33,099,710
58,193,711 77,111,461
124,604,906 147,299,677
102,849,969 173,968,898
48,123,836 147,760,121
81,652,836 82,612,518
105,166,396 125,735,029
- -
- -
- -
48,608,955 62,614,730
- -
- -
29,642,295 57,823,000
189,980 189,980
- -
- -
- -
- -
2,170,911,794 2,913,191,140
- -
39,082,065 14,818,207
- -
1,537,899 5,809,568
- -
40,619,965 20,627,775
- -
11,329,741 8,115,073
- -
25,079 -
60,059,631 11,540,550
- -
- 3,434,154
- -
4,737,178 701,804
- -
- -
- -
- -
- -
104,145 944,404
- -
- -
76,255,774 24,735,986
- -
15,111,987 16,630,941
- 8,745,123
- -
- -
- -
706,165 195,966,618
4,062,267 16,282,567
3,836,858 166,413
- -
- 4,722,481
- -
9,238,293 2,413,428
- -
3,037,032 37,114,495
- -
41,689,654 26,511,912
77,682,254 308,553,977
- -
- -
- -
- -
- -
- 25,629,927
- -
- -
- -
- -
14,686,221 17,528,135
11,555,709 13,840,811
256,402 807,888
- -
39,822,501 48,064,156
- -
7,930,774 13,116,111
1,542,838 3,649,140
- -
- -
498,378,695 631,896,783
8,712,782 7,740,167
582,885,923 762,273,120
2,566,494 10,953,893
411,954 2,445,145
380,400 -
- -
316,768,428 316,768,428
27,120,580 29,806,826
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
347,247,857 359,974,293
- -
3,295,603,566 4,389,356,290
RUMAH SAKIT PUSAT PERTAMINA
Single Distribution Cost Center
No Dasar Alokasi JUMLAH BIAYA

KELAS I
1
1 Luas Area 151,752,000
2 Biaya Makan 151,752,000
3 Biaya Laundry 151,752,000
4 Biaya Telepon 151,752,000
5 Biaya Material Obat & Alkes 151,752,000
6 Biaya Material Lainnya 151,752,000
7 Biaya Sewa Komputer 151,752,000
8 Biaya Langsung 151,752,000
9 Biaya Gaji/Tunjangan/Insentif 151,752,000
10 Jumlah Pekerja 151,752,000
11 Jumlah Perawat 151,752,000
12 Output/Utilisasi 151,752,000
13 Jumlah Pendapatan 151,752,000
14 Jumlah Pendapatan Obat 106,226,400
15 Biaya Penyusutan Gd B 151,752,000
16 Biaya Penyusutan Gd F 151,752,000
17 Biaya Penyusutan Gd B dan F 151,752,000
18 Biaya Penyusutan Gd A 151,752,000
Dasar Alokasi yang digunakan per Unit Kerja Cost Center
No UNIT KERJA JUMLAH BIAYA

KELAS I
1
1 Catering 151,752,000
2 Keperawatan 151,752,000
3 Adm Medis 151,752,000
4 Direktur/Wadir 151,752,000
5 Manajemen Resiko 151,752,000
6 K3 151,752,000
7 Manajemen Bisnis 151,752,000
8 TI 151,752,000
9 Komlek 151,752,000
10 Keuangan 151,752,000
11 SDM 151,752,000
12 Logistik 151,752,000
13 Teknik 151,752,000
14 Laundry 151,752,000
15 Security 151,752,000
16 Lay. Umum 151,752,000
17 Transport 151,752,000
18 Gudang Farmasi 106,226,400
19 Korporat 151,752,000
Alokasi Single Distribusi untuk Unit Kerja Cost Center dan Profit Center
No UNIT JUMLAH BIAYA KELAS I
1
1 Catering -
2 Keperawatan -
3 Adm Medis -
4 Direktur/Wadir -
5 Manajemen Resiko -
6 K3 -
7 Manajemen Bisnis -
8 TI -
9 Komlek -
10 Keuangan - -
11 SDM - -
12 Logistik -
13 Teknik -
14 Laundry -
15 Security -
16 Lay. Umum -
17 Transport -
18 Gudang Farmasi -
SUB TOTAL
19 Korporat - -
20 Biaya Penyusutan #REF!
- By. Penyusutan di OK #REF!
- By. Penyusutan di Radiologi #REF!
- By. Penyusutan di Ged. B #REF!
- By. Penyusutan di Ged. A #REF!
- By. Penyusutan di Ged. F #REF!
- Alokasi By. Peny. di Ged. B & F #REF!
- Alokasi By. Peny. di IGD & OK #REF!
KELAS II KELAS III BKIA POLY GIGI POLIKLINIK
2 3 4 5 6
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
2,688,350,287 - 82,779,355 94,539,821 679,397,875
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
2 3 4 5 6
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
3,840,500,410 - 118,256,222 135,056,887 970,568,393
2,688,350,287 - 82,779,355 94,539,821 679,397,875
3,840,500,410 - 118,256,222 135,056,887 970,568,393
2 3 4 5 6
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
HD KAPITASI PEND LAIN PIHAK III
7 8 9 10
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
905,621,038 281,126,660 2,556,813,451 145,655,439
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
7 8 9 10
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
1,293,744,339 401,609,514 3,652,590,644 208,079,199
905,621,038 281,126,660 2,556,813,451 145,655,439
1,293,744,339 401,609,514 3,652,590,644 208,079,199
7 8 9 10
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
11 12 13 14
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
11 12 13 14
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
15 16 17 18
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
15 16 17 18
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - - -
19 20 21 22 23
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
19 20 21 22 23
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - -
26 27 28 29
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
26 27 28 29
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
UNIT PRODUKSI
UNIT PRODUKSI
- - - -
30 31 32 33
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
UNIT PRODUKSI
- - - -
30 31 32 33
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
34 35 36 37
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
T PRODUKSI
- - - -
34 35 36 37
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
38 39 40 41
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
38 39 40 41
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
42 43 44 45
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
42 43 44 45
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
46 47 48 49
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
46 47 48 49
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
50 51 52 53
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
50 51 52 53
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
54 55 56 57
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
54 55 56 57
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
TOTAL
10,772,157,609
10,772,157,609
10,772,157,609
10,772,157,609
10,772,157,609
10,772,157,609
10,772,157,609
10,772,157,609
10,772,157,609
10,772,157,609
10,772,157,609
10,772,157,609
10,772,157,609
7,540,510,327
10,772,157,609
10,772,157,609
10,772,157,609
10,772,157,609
TOTAL
- - -
58 59 60
- - - 10,772,157,609
- - - 10,772,157,609
- - - 10,772,157,609
- - - 10,772,157,609
- - - 10,772,157,609
- - - 10,772,157,609
- - - 10,772,157,609
- - - 10,772,157,609
- - - 10,772,157,609
- - - 10,772,157,609
- - - 10,772,157,609
- - - 10,772,157,609
- - - 10,772,157,609
- - - 10,772,157,609
- - - 10,772,157,609
- - - 10,772,157,609
- - - 10,772,157,609
- - - 7,540,510,327
- - - 10,772,157,609
- - - TOTAL BIAYA
58 59 60
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
Alokasi
Biaya/Pendapatan
Jumlah Perawat (orang)
Jumlah Pendapatan
Jumlah Pendapatan
Biaya Asli (langsung) TOTAL
Jumlah Pendapatan
Biaya Lgs ybs
Biaya Lgs ybs
total pekerja (orang)
total pekerja (orang)
Biaya Lgs ybs
Biaya Lgs ybs
Luas Area (m2)
Luas Area (m2)
Jumlah Pendapatan Apotik
Jumlah Pendapatan
Gaji dan biaya catering dibuat unit cost tarif per porsi
Jumlah Pendapatan
Luas Area (m2)
Luas Area (m2) OK, CSSD, dan Anestesi
Luas Area (m2) Radiologi dan Radioterapi
Luas Area (m2) Ged. B
Luas Area (m2) Ged. A
Luas Area (m2) Ged. F
Luas Area (m2) Ged. B & F
Luas Area (m2) IGD, OK, CSSD, dan Anestesi
Simulasi Unit Cost
SEWA KAMAR
I Jenis Kamar VIP
Biaya Gaji Dasar Alokasi

1
Tenaga Langsung Setahun Pendptan Kamar
- Perawat 45,500,000 180,000 2
- Dokter 104,000,000 180,000 2
Biaya
2
Bahan Langsung
- Obat/Alkes
-
-
- Catering
- Laundry
`
Biaya Harga Dasar Alokasi
3
Alat Langsung Alat Pendptan Peny.
- BED 18,000,000 180,000 5 thn
- BRANCARD (ROLL-IN COT CHAIR) 20,000,000 180,000 3 thn
- 180,000 5 thn
- 180,000 3 thn
- TV 32, Dining Room, Sofa Bed 30,000,000 180,000 3 thn
Biaya Biaya Dasar Alokasi

4
Over Head Setahun Pendptan Kamar
- Material Umum 134,911,302 180,000 2
- Kontrak dan Maint. 39,393,796 180,000 2
- Sundries - 180,000 2
- Alokasi Overhead - 180,000 2
- Alokasi Overhead Korporat - 180,000 2
II Jenis Kamar Kelas 1

1
- Perawat 45,500,000 1,960,000 4
- Dokter 104,000,000 1,960,000 4
Biaya
2
Bahan Langsung
- Obat/Alkes
-
-
- Catering
- Laundry
3
- BED 18,000,000 1,960,000 5 thn
- BRANCARD (ROLL-IN COT CHAIR) 20,000,000 1,960,000 3 thn
- - - 1,960,000 5 thn
- - - 1,960,000 3 thn
- TV 32, Dining Room, Sofa Bed 20,000,000 1,960,000 3 thn

4
- Material Umum 134,911,302 1,960,000 4
- Kontrak dan Maint. 39,393,796 1,960,000 4
- Sundries - 1,960,000 4
- Alokasi Overhead - 1,960,000 4
- Alokasi Overhead Korporat - 1,960,000 4
III Jenis Kamar Kelas 2

1
- Perawat 1,046,500,000 4,200,000 6
- Dokter 104,000,000 4,200,000 6
Biaya
2
Bahan Langsung
- Obat/Alkes
-
-
- Catering
- Laundry

3
- BED 14,000,000 4,200,000 5 thn
- 4,200,000 5 thn
- 4,200,000 3 thn
- TV 21, Kursi 5,000,000 4,200,000 3 thn

4
- Material Umum 593,246,297 4,200,000 6
- Sundries - 4,200,000 6
IV Jenis Kamar Kelas 3

1
- Perawat 273,000,000 2,100,000 3
- Dokter 104,000,000 2,100,000 3
Biaya
2
Bahan Langsung
- Obat/Alkes
-
-
- Catering
- Laundry

3
- BED ANTIDICUBITUS HILLROM TOTALCARE 14,000,000 2,100,000 5 thn
- 2,100,000 5 thn
- 2,100,000 3 thn
- TV 32 (1 unit untuk 5 Bed) 3,500,000 2,100,000 3 thn

4
- Material Umum 199,644,759 2,100,000 3
- Sundries - 2,100,000 3
si Unit Cost
A KAMAR
Beban Gaji Kap. Kamar Unit Cost Jml Bed Unit Cost
Proporsional 20% Per Kamar Per Kamar Per Hari
970,379 146 6,646 1 6,646
2,218,009 146 15,192 1 15,192
21,838
Harga Terpakai Unit Cost

Bahan Per Hari Per Hari
40,000 1.00 40,000

2,000 10 kg 20,000
60,000
Beban Alat Kap. Kamar Unit Cost Jml Bed Unit Cost
3,600,000 146 24,658 1 24,658
426,540 146 2,922 1 2,922
- 146 - 1 -
- 146 - 1 -
10,000,000 146 68,493 1 68,493
96,072
Alokasi Kap. Kamar Unit Cost Jml Bed Unit Cost

Biaya 70% Per Kamar Per Kamar Per Hari
2,877,255 511 5,631 1 5,631
840,152 511 1,644 1 1,644
- 511 - 1 -
- 511 - 1 - Unit
- 511 - 1
### - Cost
7,275 185,185
Beban Gaji Kap. Kamar Unit Cost Jml Bed Unit Cost
10,566,351 1,022 10,339 2 5,169
24,151,659 1,022 23,632 2 11,816
16,985

33,000 1.00 33,000

2,000 10 kg 20,000
53,000
Harga Kap. Kamar Unit Cost Jml Bed Unit Cost

Alat 70% Per Kamar Per Kamar Per Hari
3,600,000 1,022 3,523 2 1,761
4,644,550 1,022 4,545 2 2,272
- 1,022 - 2 -
- 1,022 - 2 -
6,666,667 1,022 6,523 2 3,262
7,295

31,330,113 1,022 30,656 1 30,656
9,148,322 1,022 8,951 1 8,951
- 1,022 - 1 -
- 1,022 - 1 - Unit
- 1,022 - 1
### - Cost
39,607 116,888
Gaji Kap. Kamar Unit Cost Jml Bed Unit Cost

Setahun 70% Per Kamar Per Kamar Per Hari
520,770,142 1,533 339,707 4 84,927
51,753,555 1,533 33,760 4 8,440
93,367

30,000 1.00 30,000

2,000 10 kg 20,000
50,000

2,800,000 1,533 1,826 4 457
9,952,607 1,533 6,492 4 1,623
- 1,533 - 4 -
- 1,533 - 4 -
1,666,667 1,533 1,087 4 272
2,351

295,217,352 1,533 192,575 2 96,287
86,202,801 1,533 56,231 2 28,116
- 1,533 - 2 -
- 1,533 - 2 - Unit
- 1,533 - 2
### - Cost
124,403 270,121
Gaji Kap. Kamar Unit Cost Jml Bed Unit Cost

Setahun 70% Per Kamar Per Kamar Per Hari
67,926,540 767 88,619 5 17,724
25,876,777 767 33,760 5 6,752
24,476

20,000 1.00 20,000

2,000 10 kg 20,000
40,000

2,800,000 767 3,653 5 731
4,976,303 767 6,492 5 1,298
- 767 - 5 -
- 767 - 5 -
1,166,667 767 1,522 5 304
2,333

49,674,644 767 64,807 5 12,961
14,504,884 767 18,924 5 3,785
- 767 - 5 -
- 767 - 5 - Unit
- 767 - 5
### - Cost
16,746 83,555
1 VIP 3500000
1 KELAS I 3500000 1
23 KELAS II 3500000 1
5 KELAS III 3500000 1
5 ICU 3500000
Tarif BEP Tarif Tarif BEP Tarif

Existing Existing Usulan Usulan
450,000 0.1 - -
350,000 0.1 - -

250,000 1.3 351,158 0.5

200,000 0.2 - -
GITA PERMATASARIDR.
NO NO_PEKERJNAMA_PEKE
GELAR1
1 :002700 MONA SAVI

2 :002714 RATNA NUR
3 :002781 ARUM ANGG
4 :B00633 WAFA WAH
5 :B00634 AUKHALIA Y
6 :B00635 FATIMAH A
7 :B00639 SRI WAHYU
8 :B00693 LAILANNUR
9 :B00694 BULAN PUR
SMF DOKTE ### - - ### ### - 4,001,720.05
GELAR2 GELAR3 NAMA_BAGUPAH_POKOTJ_RUMAH TJ_TRANS TJ_FUNGSI TJ_DAERAH1 TJ_JABATAN
RUANG RAW ### - - - 560,000.00 -

RUANG RAW ### - - - 560,000.00 -
RUANG RAW ### - - - 560,000.00 -
AMD KEB RUANG RAW ### - - - - -
AMD KEB RUANG RAW ### - - - - -
RUANG RAW ### - - - - -
RUANG RAW ### - - - - -
RUANG RAW ### - - - - -
RUANG RAW ### - - - - -
UPAH TETAP
2,594,406.58
2,596,344.14
2,497,565.59
2,460,104.66
2,460,104.66
2,460,104.66
2,460,104.66
2,449,866.00
2,449,866.00
22,428,466.96
Simulasi Unit Cost
Poli THT
I Nama Tindakan : Konsul

1
Tenaga Langsung Setahun Pendptan Menit
- Dokter 97,863,134 756,756,000 20
- Perawat 87,832,668 756,756,000 20
Biaya
2
IJD
- IJD Dokter
- IJK
Biaya
3
Bahan Langsung
- -
- -
`
4
Alat Langsung Alat Penyusutan Menit
- - - thn -
- - - thn -

5
Over Head Setahun Pendptan Menit
- Material Umum 3,066,780 756,756,000 20
- Sundries 28,712,822 756,756,000 20
II Nama Tindakan : Angkat Tampon Hidung

1
- Dokter 97,863,134 776,160,000 10
- Perawat 87,832,668 776,160,000 10
`
Biaya
2
IJD
- IJD Dokter
- IJK
Biaya
3
3
Bahan Langsung
- XYLOCAINE SPRAY 10% 50 ML
- -

4
- - - 5 thn 10
- - -

5
- Material Umum 3,066,780 776,160,000 10
- Sundries 28,712,822 776,160,000 10
III Nama Tindakan : Audiometri

1
- Dokter 97,863,134 807,206,400 13
- Perawat 87,832,668 403,603,200 25
Biaya
2
IJD
- IJD Dokter
- IJK
Biaya
3
Bahan Langsung
- -
- -
- -
- -
- -

4
- - - 5 thn 13
-

5
- Material Umum 3,066,780 807,206,400 13
- Sundries 28,712,822 807,206,400 13
IV Nama Tindakan : Ext. Cerumen

1
- Dokter 97,863,134 672,672,000 15
- Perawat 87,832,668 672,672,000 15
Biaya
2
IJD
- IJD Dokter
- IJK
Biaya
3
Bahan Langsung
- -

4
- - - 5 thn 15
-

5
- Material Umum 3,066,780 672,672,000 15
- Sundries 28,712,822 672,672,000 15
V Nama Tindakan : Ganti Canule Trakea

1
- Dokter 97,863,134 646,800,000 60
- Perawat 87,832,668 646,800,000 60
Biaya
2
IJD
- IJD Dokter
- IJK
Biaya
3
Bahan Langsung
- -
- -
- -
- -
- -

4
- - - 5 thn 60
-

5
- Material Umum 3,066,780 646,800,000 60
- Sundries 28,712,822 646,800,000 60
VI Nama Tindakan : Nasopharingoskopy

1
- Dokter 97,863,134 646,800,000 60
- Perawat 87,832,668 646,800,000 60
Biaya
2
IJD
- IJD Dokter
- IJK
Biaya
3
Bahan Langsung
- -

4
- - - 5 thn 60
-

5
- Material Umum 3,066,780 646,800,000 60
- Sundries 28,712,822 646,800,000 60
VII Nama Tindakan : OAE

1
- Dokter 97,863,134 1,086,624,000 10
- Perawat 87,832,668 543,312,000 20
Biaya
2
IJD
- IJD Dokter
- IJK
Biaya
3
Bahan Langsung
- -
- -
- -
- -
- -

4
- OAE 150,000,000 5 thn 10
-

5
- Material Umum 3,066,780 1,086,624,000 10
- Kontrak dan Maint. 61,445,872 1,086,624,000 10
- Sundries 28,712,822 1,086,624,000 10
- Alokasi Overhead - 1,086,624,000 10
- Alokasi Overhead Korporat - 1,086,624,000 10
st
50%
Beban Gaji Menit / Thn Unit Cost Unit Cost

Proporsional 70% Per Menit Per Tind.
97,863,134 77,616 1,261 25,217
87,832,668 77,616 1,132 22,633
47,850
Tarif Tarif Unit Cost

Berlaku IJD Per Tind.
195,000 80% 156,000
39,000 40% 15,600
171,600

Bahan Per Tind. Per Tind.
- - -
- - -
-
Beban Alat Menit / Thn Unit Cost Unit Cost

- - - -
- - - -
-
Alokasi Menit / Thn Unit Cost Unit Cost

Biaya 70% Per Menit Per Tind.
430,335 77,616 6 111
8,622,172 77,616 111 2,222
4,029,024 77,616 52 1,038
- 77,616 - - Unit Tarif
- 77,616 - - Cost Existing
3,371 222,821 195,000

97,863,134 77,616 1,261 12,609
87,832,668 77,616 1,132 11,316
23,925

100,000 70% 70,000
30,000 40% 12,000
82,000

246,016 0.03 7,380
- - -
7,380
Harga Menit / Thn Unit Cost Unit Cost

Alat 70% Per Menit Per Tind.
- 77,616 - -

441,369 77,616 6 57
8,843,253 77,616 114 1,139
4,132,332 77,616 53 532
- 77,616 - - Unit Tarif
1,729 115,034 100,000

97,863,134 77,616 1,261 15,761
87,832,668 77,616 1,132 28,291
44,052

130,000 70% 91,000
39,000 40% 15,600
106,600

- - -
- - -
- - -
- - -
- - -
-

- 77,616 - -

459,024 77,616 6 74
9,196,984 77,616 118 1,481
4,297,626 77,616 55 692
- 77,616 - - Unit Tarif
2,247 152,899 130,000

97,863,134 77,616 1,261 18,913
87,832,668 77,616 1,132 16,974
35,887

130,000 70% 91,000
39,000 40% 15,600
106,600

246,016 0.03 7,380
- - -
7,380

- 77,616 - -

382,520 77,616 5 74
7,664,153 77,616 99 1,481
3,581,355 77,616 46 692
- 77,616 - - Unit Tarif
2,247 152,115 130,000

97,863,134 77,616 1,261 75,652
87,832,668 77,616 1,132 67,898
143,550

500,000 70% 350,000
150,000 40% 60,000
410,000
- - -
- - -
- - -
- - -
- - -
-

- 77,616 - -

367,808 77,616 5 284
7,369,378 77,616 95 5,697
3,443,610 77,616 44 2,662
- 77,616 - - Unit Tarif
8,643 562,193 500,000

97,863,134 77,616 1,261 75,652
87,832,668 77,616 1,132 67,898
143,550

500,000 70% 350,000
150,000 40% 60,000
410,000

246,016 0.03 7,380
- - -
7,380

- 77,616 - -

367,808 77,616 5 284
7,369,378 77,616 95 5,697
3,443,610 77,616 44 2,662
- 77,616 - - Unit Tarif
8,643 569,573 500,000

97,863,134 77,616 1,261 12,609
87,832,668 77,616 1,132 22,633
35,241

140,000 70% 98,000
42,000 40% 16,800
114,800

- - -
- - -
- - -
- - -
- - -
-

30,000,000 77,616 387 3,865
3,865

617,917 77,616 8 80
12,380,555 77,616 160 1,595
5,785,265 77,616 75 745
- 77,616 - - Unit Tarif
2,420 156,327 140,000
BEP Tarif Tarif BEP Tarif
Existing Usulan Usulan
2.4 242,867 0.7
2.7 128,544 0.6
2.1 171,468 0.7

2.6 170,450 0.7
1.2 625,851 0.7
1.2 635,445 0.7

1.2 173,824 0.7
NO NO_PEKERJA NAMA_PEKERJA GELAR1 GELAR2
1 :001387 HERLINA IDA H DR. SP. THT
2 :000738 KANIAWATY DEWI
3 :001224 YENI DAMAYANTI
GELAR3 NAMA_BAG UPAH_POKOK TJ_RUMAH TJ_TRANS TJ_FUNGSI
SMF THT 4,837,445.89 - - 500,000.00
POLI THT 5,019,322.93 - - 340,000.00
POLI THT 4,112,760.59 - - 310,000.00
TJ_DAERAH1 TJ_JABATAN UPAH TETAP
779,000.00 - 6,116,445.89 6,116,445.89
622,000.00 - 5,981,322.93
575,000.00 - 4,997,760.59 5,489,541.76
Simulasi Unit Cost
Instalasi Kamar Operasi
I Nama Tindakan : Operasi Kecil
Biaya Gaji Dasar Alokasi Beban Gaji Jumlah Unit Cost Unit Cost
1
Tenaga Langsung Setahun Pendptan Menit SDM Proporsional 70% Per Menit Per Tind.
- Dokter Operator 75,911,685 2,496,648,000 60 1 75,911,685 77,616 978 58,683 50%
- Dokter Anestesi 86,991,493 2,496,648,000 60 1 86,991,493 77,616 1,121 67,248
- Dokter Asisten Operator 48,042,046 2,496,648,000 60 - - 77,616 - -
- Perawat 36,220,192 2,496,648,000 60 1 36,220,192 77,616 467 28,000
153,930
Biaya Tarif Tarif Unit Cost

2
IJD Berlaku IJD Per Tind.
- IJD Dokter 1,930,000 70% 1,351,000
- IJK 579,000 40% 231,600
1,582,600
Biaya Harga Terpakai Unit Cost

3
Bahan Langsung Bahan Per Tind. Per Tind.
- ALKOHOL 70% 1000 ML 58,500.00 0.10 5,850
- HIBISCRUB 500 ML SOLUTION 135,000.00 0.20 27,000
- SODIUM CHLORIDE 0.9% 500 ML /OTSU-NS 11,800.00 1.00 11,800
- STERILE WATER 1000 ML # 9,900.00 1.00 9,900
- DARYANT-TULLE 1% 15,000.00 1.00 15,000
- FORMALIN 10 % 1000 ML 21,000.00 0.20 4,200
- XYLOCAINE 2% PDF.20ML INJ 48,324.40 0.50 24,162
- MARCAIN 0,50% PDF 20 ML AMPUL 63,581.00 0.50 31,791
- XYLOCAINE JELLY 10 GRAM 49,202.90 1.00 49,203
- BETADINE SOLUTION @ GALON 630,000.00 0.02 12,600
- BETADINE SKIN CLEANSER @GALON 685,000.00 0.02 13,700
- ALKAZYME 860,000.00 1.00 860,000
- SURGIC.FACE-MASK(SURGILAB)50'S 1,700.00 6.00 10,200
- LATEX EXAM GLOVE M "WIN GLOVES" 635.00 3.00 1,905
- SURG.GLOVES PF GAMMEX * 7.5 GX-075 15,500.00 3.00 46,500
- APRON PLASTIK 1,500.00 2.00 3,000
- STERILE SURGICAL BLADES NO.10 2,800.00 2.00 5,600
- DISP.SYRINGE 20 ML (TO) 8,000.00 1.00 8,000
- BALLON CATHETER CH.14 16,500.00 1.00 16,500
- URINE BAG STERIL "KAPITASI" 8,300.00 1.00 8,300
- Lidi kapas 2.00 -
- PENROSE DRAIN NO.8 FR 36,000.00 1.00 36,000
- PHARMAFIX 5 CM X 5 M 37,000.00 0.002 74
- TEGADERM TRANS. DRES.1623 6,037.50 1.000 6,038
- POT PLASTIK 200 ML 1,500.00 1.00 1,500
- VICRYL 4/0 W.9113 78,166.67 1.00 78,167
- CATGUT PLAIN 3/0 DS16 B0532150 48,100.00 1.00 48,100
- COROLENE 3-0 20S20H 117,000.00 1.00 117,000
- CATGUT CHROMIC 3/0 DS 056236/0 45,900.00 1.00 45,900
- LINA PEN SINGLE-USE CD.516 120,000.00 1.00 120,000
- PISMA SUCTION CONECTING TUBE 34,200.00 1.00 34,200
- FENTANYL 2 ML INJEKSI 36,997.00 1.00 36,997
- PETHIDIN HCL 50MG/ML INJ 2ML 11,992.00 1.00 11,992
- RECOFOL-N 10MG/ML 20 ML INJEKSI 83,000.00 1.00 83,000
- RANITIDIN 25 MG INJEKSI (GO) 2,336.40 1.00 2,336
- ONDANSETRON 4 MG INJEKSI (GT) 5,000.00 2.00 10,000
- KALMETHASONE 5 MG INJEC. 5,300.00 2.00 10,600
- EPINEPHRINE INJEKSI 2,300.00 1.00 2,300
- NEOSTIGMIN 0,5MG/ML INJEKSI * 14,000.00 4.00 56,000
- Dynastat 40 mg - - -
- Remopain 30 mg - - -
- Tramal 100 mg - - -
- Pantozol 40 mg - - -
- Spuit 3/5 /10 /20 cc (ST) - - -
- Asering / RingAs - - -
- RL otsu / RL sanbe - - -
- Tutofusin / D5R - - -
- Gelo / Haemc /Fima - - -
- Vasofix / venflon no. - - -
- Tegaderm 1623 - - -
- Infus set Makro - - -
- Elektrode - - -
- Pastik - - -
- Needle no.18 / 21 - - -
- NaCl 25cc - - -
- Tambahan - - -
- Tramus /Roclx/Ecron - - -
- ETT - - -
- LMA No. - - -
- NGT No. - - -
- Kassa Besar (III) - - -
- Kassa Kecil (I) - - -
- Kasa Hidrofil - - -
- Breathing Sirkuit - - -
-
1,865,414
`
Biaya Harga Dasar Alokasi Beban Alat Menit / Thn Unit Cost Unit Cost
4
Alat Langsung Alat Penyusutan Menit Proporsional 70% Per Menit Per Tind.
- - - - thn - - - -
- - - - thn - - - -
-
Biaya Biaya Dasar Alokasi Alokasi Menit / Thn Unit Cost Unit Cost
5
Over Head Setahun Pendptan Menit Biaya 70% Per Menit Per Tind.
- Material Umum 151,546,620 2,496,648,000 60 15,901,684 77,616 205 12,293
- Kontrak dan Maint. 495,785,570 2,496,648,000 60 52,022,444 77,616 670 40,215
- Sundries 712,590,559 2,496,648,000 60 74,771,644 77,616 963 57,801
- Alokasi Overhead - 2,496,648,000 60 - 77,616 - - Unit Tarif
- Alokasi Overhead Korporat - 2,496,648,000 60 - 77,616 -### - Cost Existing
110,309 3,712,253 1,930,000
II Nama Tindakan : Operasi Sedang I
1
- Dokter Operator 75,911,685 1,888,656,000 120 1 75,911,685 77,616 978 117,365
- Dokter Anestesi 86,991,493 1,888,656,000 120 1 86,991,493 77,616 1,121 134,495
- Dokter Asisten Operator 48,042,046 1,888,656,000 120 1 48,042,046 77,616 619 74,277
- Perawat 36,220,192 1,888,656,000 120 1 36,220,192 77,616 467 55,999
` 382,136

2
- IJD Dokter 2,920,000 70% 2,044,000
- IJK 876,000 40% 350,400
2,394,400

3
- ALKOHOL 70% 1000 ML 58,500 0.10 5,850
- HIBISCRUB 500 ML SOLUTION 135,000 0.20 27,000
- SODIUM CHLORIDE 0.9% 500 ML /OTSU-NS 11,800 1.00 11,800
STERILE WATER 1000 ML # 9,900 1.00 9,900
DARYANT-TULLE 1% 15,000 1.00 15,000
FORMALIN 10 % 1000 ML 21,000 0.20 4,200
XYLOCAINE 2% PDF.20ML INJ 48,324 0.50 24,162
MARCAIN 0,50% PDF 20 ML AMPUL 63,581 0.50 31,791
XYLOCAINE JELLY 10 GRAM 49,203 1.00 49,203
BETADINE SOLUTION @ GALON 630,000 0.02 12,600
BETADINE SKIN CLEANSER @GALON 685,000 0.02 13,700
ALKAZYME 860,000 1.00 860,000
SURGIC.FACE-MASK(SURGILAB)50'S 1,700 6.00 10,200
LATEX EXAM GLOVE M "WIN GLOVES" 635 3.00 1,905
SURG.GLOVES PF GAMMEX * 7.5 GX-075 15,500 3.00 46,500
APRON PLASTIK 1,500 2.00 3,000
STERILE SURGICAL BLADES NO.10 2,800 2.00 5,600
DISP.SYRINGE 20 ML (TO) 8,000 1.00 8,000
BALLON CATHETER CH.14 16,500 1.00 16,500
URINE BAG STERIL "KAPITASI" 8,300 1.00 8,300
Lidi kapas 2.00 -
PENROSE DRAIN NO.8 FR 36,000 1.00 36,000
PHARMAFIX 5 CM X 5 M 37,000 0.00 74
TEGADERM TRANS. DRES.1623 6,038 1.00 6,038
POT PLASTIK 200 ML 1,500 1.00 1,500
VICRYL 4/0 W.9113 78,167 2.00 156,333
CATGUT PLAIN 3/0 DS16 B0532150 48,100 1.00 48,100
COROLENE 3-0 20S20H 117,000 1.00 117,000
CATGUT CHROMIC 3/0 DS 056236/0 45,900 1.00 45,900
LINA PEN SINGLE-USE CD.516 120,000 1.00 120,000
PISMA SUCTION CONECTING TUBE 34,200 1.00 34,200
FENTANYL 2 ML INJEKSI 36,997 1.00 36,997
PETHIDIN HCL 50MG/ML INJ 2ML 11,992 1.00 11,992
RECOFOL-N 10MG/ML 20 ML INJEKSI 83,000 1.00 83,000
RANITIDIN 25 MG INJEKSI (GO) 2,336 1.00 2,336
ONDANSETRON 4 MG INJEKSI (GT) 5,000 2.00 10,000
KALMETHASONE 5 MG INJEC. 5,300 2.00 10,600
EPINEPHRINE INJEKSI 2,300 1.00 2,300
NEOSTIGMIN 0,5MG/ML INJEKSI * 14,000 4.00 56,000
- Tramal 100 mg - - -
- Spuit 3/5 /10 /20 cc (ST) - - -
- Tegaderm 1623 - - -
- Elektrode - - -
- Pastik - - -
- Needle no.18 / 21 - - -
- NaCl 25cc - - -
- Tambahan - - -
- ETT - - -
- LMA No. - - -
- NGT No. - - -
- - -
1,943,581
Biaya Harga Dasar Alokasi Harga Menit / Thn Unit Cost Unit Cost
4
Alat Langsung Alat Pendptan Peny. Alat 70% Per Menit Per Tind.
- - - - thn - - - -
- - - - thn - - - -
-
5
- Material Umum 151,546,620 1,888,656,000 120 12,029,253 77,616 155 18,598
- Sundries 712,590,559 1,888,656,000 120 56,563,006 77,616 729 87,451
### 166,892 4,887,009 2,920,000
III Nama Tindakan : Operasi Sedang II
1
- Dokter Operator 75,911,685 2,030,952,000 120 1 75,911,685 77,616 978 117,365
- Dokter Anestesi 86,991,493 2,030,952,000 120 1 86,991,493 77,616 1,121 134,495
- Perawat 36,220,192 2,030,952,000 120 1 36,220,192 77,616 467 55,999
382,136

2
- IJD Dokter 3,140,000 70% 2,198,000
- IJK 942,000 40% 376,800
2,574,800

3
- ALKOHOL 70% 1000 ML 58,500 0.10 5,850
- STERILE WATER 1000 ML # 9,900 1.00 9,900
- DARYANT-TULLE 1% 15,000 1.00 15,000
- FORMALIN 10 % 1000 ML 21,000 0.20 4,200
- XYLOCAINE 2% PDF.20ML INJ 48,324 0.50 24,162
- MARCAIN 0,50% PDF 20 ML AMPUL 63,581 0.50 31,791
- XYLOCAINE JELLY 10 GRAM 49,203 1.00 49,203
- BETADINE SOLUTION @ GALON 630,000 0.02 12,600
- BETADINE SKIN CLEANSER @GALON 685,000 0.02 13,700
- ALKAZYME 860,000 1.00 860,000
- SURGIC.FACE-MASK(SURGILAB)50'S 1,700 6.00 10,200
- LATEX EXAM GLOVE M "WIN GLOVES" 635 3.00 1,905
- SURG.GLOVES PF GAMMEX * 7.5 GX-075 15,500 3.00 46,500
- APRON PLASTIK 1,500 2.00 3,000
- STERILE SURGICAL BLADES NO.10 2,800 2.00 5,600
- DISP.SYRINGE 20 ML (TO) 8,000 1.00 8,000
- BALLON CATHETER CH.14 16,500 1.00 16,500
- URINE BAG STERIL "KAPITASI" 8,300 1.00 8,300
- Lidi kapas 2.00 -
- PENROSE DRAIN NO.8 FR 36,000 1.00 36,000
- PHARMAFIX 5 CM X 5 M 37,000 0.00 74
- TEGADERM TRANS. DRES.1623 6,038 1.00 6,038
- POT PLASTIK 200 ML 1,500 1.00 1,500
- VICRYL 4/0 W.9113 78,167 2.00 156,333
- SOFSILK 2-0 SS-679 48,000 1.00 48,000
- CATGUT PLAIN 3/0 DS16 B0532150 48,100 1.00 48,100
- COROLENE 3-0 20S20H 117,000 1.00 117,000
- CATGUT CHROMIC 3/0 DS 056236/0 45,900 1.00 45,900
- VICRYL PLUS 2/0 VCP 339H 93,672 1.00 93,672
- VICRYL PLUS 3/0 VCP 316H 82,500 1.00 82,500
- LINA PEN SINGLE-USE CD.516 120,000 1.00 120,000
- PISMA SUCTION CONECTING TUBE 34,200 1.00 34,200
- FENTANYL 2 ML INJEKSI 36,997 1.00 36,997
- PETHIDIN HCL 50MG/ML INJ 2ML 11,992 1.00 11,992
- RECOFOL-N 10MG/ML 20 ML INJEKSI 83,000 1.00 83,000
- RANITIDIN 25 MG INJEKSI (GO) 2,336 1.00 2,336
- ONDANSETRON 4 MG INJEKSI (GT) 5,000 2.00 10,000
- KALMETHASONE 5 MG INJEC. 5,300 2.00 10,600
- EPINEPHRINE INJEKSI 2,300 1.00 2,300
- NEOSTIGMIN 0,5MG/ML INJEKSI * 14,000 4.00 56,000
- Tramal 100 mg - - -
- Spuit 3/5 /10 /20 cc (ST) - - -
- Tegaderm 1623 - - -
- Elektrode - - -
- Pastik - - -
- Needle no.18 / 21 - - -
- NaCl 25cc - - -
- Tambahan - - -
- ETT - - -
- LMA No. - - -
- NGT No. - - -
- -
2,167,753
4
Alat Langsung Alat Pendptan Menit Alat 70% Per Menit Per Tind.
- - - - thn - - - -
- - - - thn - - - -
-
5
- Material Umum 151,546,620 2,030,952,000 120 12,935,567 77,616 167 19,999
- Sundries 712,590,559 2,030,952,000 120 60,824,602 77,616 784 94,039
### 179,467 5,304,155 3,140,000
IV Nama Tindakan : Operasi Sedang III
1
- Dokter Operator 75,911,685 2,276,736,000 120 1 75,911,685 77,616 978 117,365
- Dokter Anestesi 86,991,493 2,276,736,000 120 1 86,991,493 77,616 1,121 134,495
- Perawat 36,220,192 2,276,736,000 120 1 36,220,192 77,616 467 55,999
382,136

2
- IJD Dokter 3,520,000 70% 2,464,000
- IJK 1,056,000 40% 422,400
2,886,400

3
- ALKOHOL 70% 1000 ML 58,500 0.10 5,850
- STERILE WATER 1000 ML # 9,900 1.00 9,900
- DARYANT-TULLE 1% 15,000 1.00 15,000
- FORMALIN 10 % 1000 ML 21,000 0.20 4,200
- ALKAZYME 860,000 1.00 860,000
- APRON PLASTIK 1,500 2.00 3,000
- Lidi kapas 2.00 -
- PHARMAFIX 5 CM X 5 M 37,000 0.00 74
- POT PLASTIK 200 ML 1,500 1.00 1,500
- VICRYL 4/0 W.9113 78,167 2.00 156,333
- SOFSILK 2-0 SS-679 48,000 1.00 48,000
- CATGUT PLAIN 3/0 DS16 B0532150 48,100 1.00 48,100
- COROLENE 3-0 20S20H 117,000 1.00 117,000
- VICRYL PLUS 2/0 VCP 339H 93,672 1.00 93,672
- VICRYL PLUS 3/0 VCP 316H 82,500 1.00 82,500
- Tramal 100 mg - - -
- Spuit 3/5 /10 /20 cc (ST) - - -
- Spuit 3/5 /10 /20 cc (ST) - - -
- Tegaderm 1623 - - -
- Elektrode - - -
- Pastik - - -
- Needle no.18 / 21 - - -
- NaCl 25cc - - -
- Tambahan - - -
- ETT - - -
- LMA No. - - -
- NGT No. - - -
- - - - -
2,167,753
4
- - - - thn - - - -
- - - - thn - - - -
-
5
5
- Material Umum 151,546,620 2,276,736,000 120 14,501,018 77,616 187 22,420
- Sundries 712,590,559 2,276,736,000 120 68,185,541 77,616 878 105,420
### 201,185 5,637,474 3,520,000
V Nama Tindakan : Operasi Besar I
1
- Dokter Operator 75,911,685 1,638,560,000 180 1 75,911,685 77,616 978 176,048
- Dokter Anestesi 86,991,493 1,638,560,000 180 1 86,991,493 77,616 1,121 201,743
- Perawat 36,220,192 1,638,560,000 180 1 36,220,192 77,616 467 83,999
573,204

2
- IJD Dokter 3,800,000 70% 2,660,000
- IJK 1,140,000 40% 456,000
3,116,000

3
- ALKOHOL 70% 1000 ML 58,500 0.10 5,850
- STERILE WATER 1000 ML # 9,900 1.00 9,900
- DARYANT-TULLE 1% 15,000 1.00 15,000
- FORMALIN 10 % 1000 ML 21,000 0.20 4,200
- ALKAZYME 860,000 1.00 860,000
- APRON PLASTIK 1,500 2.00 3,000
- Lidi kapas 2.00 -
- PHARMAFIX 5 CM X 5 M 37,000 0.00 74
- POT PLASTIK 200 ML 1,500 1.00 1,500
- VICRYL 4/0 W.9113 78,167 2.00 156,333
- SOFSILK 2-0 SS-679 48,000 1.00 48,000
- CATGUT PLAIN 3/0 DS16 B0532150 48,100 1.00 48,100
- COROLENE 3-0 20S20H 117,000 1.00 117,000
- VICRYL PLUS 2/0 VCP 339H 93,672 1.00 93,672
- VICRYL PLUS 3/0 VCP 316H 82,500 1.00 82,500
- Tramal 100 mg - - -
- Spuit 3/5 /10 /20 cc (ST) - - -
- Tegaderm 1623 - - -
- Elektrode - - -
- Pastik - - -
- Needle no.18 / 21 - - -
- NaCl 25cc - - -
- Tambahan - - -
- ETT - - -
- LMA No. - - -
- NGT No. - - -
- - - - -
2,167,753
4
- - - - thn - - - -
- - - - thn - - - -
-
5
- Material Umum 151,546,620 1,638,560,000 180 10,436,338 77,616 134 16,135
- Sundries 712,590,559 1,638,560,000 180 49,072,927 77,616 632 75,870
### 144,793 6,001,749 3,800,000
VI Nama Tindakan : Operasi Besar II
1
- Dokter Operator 75,911,685 2,229,304,000 180 1 75,911,685 77,616 978 176,048
- Dokter Anestesi 86,991,493 2,229,304,000 180 1 86,991,493 77,616 1,121 201,743
- Perawat 36,220,192 2,229,304,000 180 1 36,220,192 77,616 467 83,999
573,204

2
- IJD Dokter 5,170,000 70% 3,619,000
- IJK 1,551,000 40% 620,400
4,239,400

3
- ALKOHOL 70% 1000 ML 58,500 0.10 5,850
- STERILE WATER 1000 ML # 9,900 1.00 9,900
- DARYANT-TULLE 1% 15,000 1.00 15,000
- FORMALIN 10 % 1000 ML 21,000 0.20 4,200
- ALKAZYME 860,000 1.00 860,000
- APRON PLASTIK 1,500 2.00 3,000
- Lidi kapas 2.00 -
- PHARMAFIX 5 CM X 5 M 37,000 0.00 74
- POT PLASTIK 200 ML 1,500 1.00 1,500
- VICRYL 4/0 W.9113 78,167 2.00 156,333
- SOFSILK 2-0 SS-679 48,000 1.00 48,000
- CATGUT PLAIN 3/0 DS16 B0532150 48,100 1.00 48,100
- COROLENE 3-0 20S20H 117,000 1.00 117,000
- VICRYL PLUS 2/0 VCP 339H 93,672 1.00 93,672
- VICRYL PLUS 3/0 VCP 316H 82,500 1.00 82,500
- Tramal 100 mg - - -
- Spuit 3/5 /10 /20 cc (ST) - - -
- Tegaderm 1623 - - -
- Elektrode - - -
- Pastik - - -
- Needle no.18 / 21 - - -
- NaCl 25cc - - -
- Tambahan - - -
- ETT - - -
- LMA No. - - -
- NGT No. - - -
- - - - -
2,167,753
4
- - - - thn - - - -
- - - - thn - - - -
-
5
- Material Umum 151,546,620 2,229,304,000 180 14,198,913 77,616 183 21,953
- Sundries 712,590,559 2,229,304,000 180 66,765,009 77,616 860 103,224
### 196,994 7,177,351 5,170,000
VII Nama Tindakan : Operasi Besar III
1
- Dokter Operator 75,911,685 2,371,600,000 180 1 75,911,685 77,616 978 176,048
- Dokter Anestesi 86,991,493 2,371,600,000 180 1 86,991,493 77,616 1,121 201,743
- Perawat 36,220,192 2,371,600,000 180 1 36,220,192 77,616 467 83,999
573,204

2
- IJD Dokter 5,500,000 70% 3,850,000
- IJK 1,650,000 40% 660,000
4,510,000

3
- ALKOHOL 70% 1000 ML 58,500 0.10 5,850
- STERILE WATER 1000 ML # 9,900 1.00 9,900
- DARYANT-TULLE 1% 15,000 1.00 15,000
- FORMALIN 10 % 1000 ML 21,000 0.20 4,200
- ALKAZYME 860,000 1.00 860,000
- APRON PLASTIK 1,500 2.00 3,000
- Lidi kapas 2.00 -
- PHARMAFIX 5 CM X 5 M 37,000 0.00 74
- POT PLASTIK 200 ML 1,500 1.00 1,500
- VICRYL 4/0 W.9113 78,167 2.00 156,333
- SOFSILK 2-0 SS-679 48,000 1.00 48,000
- CATGUT PLAIN 3/0 DS16 B0532150 48,100 1.00 48,100
- COROLENE 3-0 20S20H 117,000 1.00 117,000
- VICRYL PLUS 2/0 VCP 339H 93,672 1.00 93,672
- VICRYL PLUS 3/0 VCP 316H 82,500 1.00 82,500
- Tramal 100 mg - - -
- Spuit 3/5 /10 /20 cc (ST) - - -
- Tegaderm 1623 - - -
- Elektrode - - -
- Pastik - - -
- Needle no.18 / 21 - - -
- NaCl 25cc - - -
- Tambahan - - -
- ETT - - -
- LMA No. - - -
- NGT No. - - -
- - - - -
2,167,753
4
- - - - thn - - - -
- - - - thn - - - -
-
5
- Material Umum 151,546,620 2,371,600,000 180 15,105,227 77,616 195 23,354
- Sundries 712,590,559 2,371,600,000 180 71,026,605 77,616 915 109,812
### 209,568 7,460,525 5,500,000
VIII Nama Tindakan : Operasi Khusus I
1
- Dokter Operator 75,911,685 2,134,440,000 240 1 75,911,685 77,616 978 234,730
- Dokter Anestesi 86,991,493 2,134,440,000 240 1 86,991,493 77,616 1,121 268,990
- Perawat 36,220,192 2,134,440,000 240 1 36,220,192 77,616 467 111,998
764,272

2
- IJD Dokter 6,600,000 70% 4,620,000
- IJK 1,980,000 40% 792,000
5,412,000

3
- ALKOHOL 70% 1000 ML 58,500 0.10 5,850
- STERILE WATER 1000 ML # 9,900 1.00 9,900
- DARYANT-TULLE 1% 15,000 1.00 15,000
- FORMALIN 10 % 1000 ML 21,000 0.20 4,200
- ALKAZYME 860,000 1.00 860,000
- APRON PLASTIK 1,500 2.00 3,000
- Lidi kapas 2.00 -
- PHARMAFIX 5 CM X 5 M 37,000 0.00 74
- POT PLASTIK 200 ML 1,500 1.00 1,500
- VICRYL 4/0 W.9113 78,167 2.00 156,333
- SOFSILK 2-0 SS-679 48,000 1.00 48,000
- CATGUT PLAIN 3/0 DS16 B0532150 48,100 1.00 48,100
- COROLENE 3-0 20S20H 117,000 1.00 117,000
- VICRYL PLUS 2/0 VCP 339H 93,672 1.00 93,672
- VICRYL PLUS 3/0 VCP 316H 82,500 1.00 82,500
- Tramal 100 mg - - -
- Spuit 3/5 /10 /20 cc (ST) - - -
- Tegaderm 1623 - - -
- Elektrode - - -
- Pastik - - -
- Needle no.18 / 21 - - -
- NaCl 25cc - - -
- Tambahan - - -
- ETT - - -
- LMA No. - - -
- NGT No. - - -
- - - - -
2,167,753
4
- - - - thn - - - -
- - - - thn - - - -
-
5
- Material Umum 151,546,620 2,134,440,000 240 13,594,704 77,616 175 21,018
- Sundries 712,590,559 2,134,440,000 240 63,923,945 77,616 824 98,831
### 188,611 8,532,636 6,600,000
IX Nama Tindakan : Operasi Khusus II
1
- Dokter Operator 75,911,685 3,043,194,000 240 1 75,911,685 77,616 978 234,730
- Dokter Anestesi 86,991,493 3,043,194,000 240 1 86,991,493 77,616 1,121 268,990
- Perawat 36,220,192 3,043,194,000 240 1 36,220,192 77,616 467 111,998
764,272

2
- IJD Dokter 9,410,000 70% 6,587,000
- IJK 2,823,000 40% 1,129,200
7,716,200

3
- ALKOHOL 70% 1000 ML 58,500 0.10 5,850
- STERILE WATER 1000 ML # 9,900 1.00 9,900
- DARYANT-TULLE 1% 15,000 1.00 15,000
- FORMALIN 10 % 1000 ML 21,000 0.20 4,200
- ALKAZYME 860,000 1.00 860,000
- APRON PLASTIK 1,500 2.00 3,000
- Lidi kapas 2.00 -
- PHARMAFIX 5 CM X 5 M 37,000 0.00 74
- POT PLASTIK 200 ML 1,500 1.00 1,500
- VICRYL 4/0 W.9113 78,167 2.00 156,333
- SOFSILK 2-0 SS-679 48,000 1.00 48,000
- CATGUT PLAIN 3/0 DS16 B0532150 48,100 1.00 48,100
- COROLENE 3-0 20S20H 117,000 1.00 117,000
- VICRYL PLUS 2/0 VCP 339H 93,672 1.00 93,672
- VICRYL PLUS 3/0 VCP 316H 82,500 1.00 82,500
- Tramal 100 mg - - -
- Spuit 3/5 /10 /20 cc (ST) - - -
- Tegaderm 1623 - - -
- Elektrode - - -
- Pastik - - -
- Needle no.18 / 21 - - -
- NaCl 25cc - - -
- Tambahan - - -
- ETT - - -
- LMA No. - - -
- NGT No. - - -
- - - - -
2,167,753
4
- - - - thn - - - -
- - - - thn - - - -
-
5
- Material Umum 151,546,620 3,043,194,000 240 19,382,752 77,616 250 29,967
- Sundries 712,590,559 3,043,194,000 240 91,140,048 77,616 1,174 140,909
### 268,914 10,917,139 9,410,000
X Nama Tindakan : Operasi Khusus III
1
- Dokter Operator 75,911,685 3,683,526,000 240 1 75,911,685 77,616 978 234,730
- Dokter Anestesi 86,991,493 3,683,526,000 240 1 86,991,493 77,616 1,121 268,990
- Perawat 36,220,192 3,683,526,000 240 1 36,220,192 77,616 467 111,998
764,272

2
- IJD Dokter 11,390,000 70% 7,973,000
- IJK 3,417,000 40% 1,366,800
9,339,800

3
- ALKOHOL 70% 1000 ML 58,500 0.10 5,850
- STERILE WATER 1000 ML # 9,900 1.00 9,900
- DARYANT-TULLE 1% 15,000 1.00 15,000
- FORMALIN 10 % 1000 ML 21,000 0.20 4,200
- ALKAZYME 860,000 1.00 860,000
- APRON PLASTIK 1,500 2.00 3,000
- Lidi kapas 2.00 -
- PHARMAFIX 5 CM X 5 M 37,000 0.00 74
- POT PLASTIK 200 ML 1,500 1.00 1,500
- VICRYL 4/0 W.9113 78,167 2.00 156,333
- SOFSILK 2-0 SS-679 48,000 1.00 48,000
- CATGUT PLAIN 3/0 DS16 B0532150 48,100 1.00 48,100
- COROLENE 3-0 20S20H 117,000 1.00 117,000
- VICRYL PLUS 2/0 VCP 339H 93,672 1.00 93,672
- VICRYL PLUS 3/0 VCP 316H 82,500 1.00 82,500
- Tramal 100 mg - - -
- Spuit 3/5 /10 /20 cc (ST) - - -
- Tegaderm 1623 - - -
- Elektrode - - -
- Pastik - - -
- Needle no.18 / 21 - - -
- NaCl 25cc - - -
- Tambahan - - -
- ETT - - -
- LMA No. - - -
- NGT No. - - -
- - - - -
2,167,753
4
4
- - - - thn - - - -
- - - - thn - - - -
-
5
- Material Umum 151,546,620 3,683,526,000 240 23,461,163 77,616 302 36,273
- Sundries 712,590,559 3,683,526,000 240 110,317,232 77,616 1,421 170,558
325,497 12,597,322 11,390,000
(0.1) 4,825,929 0.1
(0.2) 6,353,112 0.2
(0.2) 6,895,402 0.2
(0.2) 7,328,716 0.2
(0.4) 7,802,274 0.2
(0.4) 9,330,556 0.2
(0.4) 9,698,682 0.2
(0.7) 11,092,427 0.2
(1.0) 14,192,280 0.2
(1.7) 16,376,519 0.2
NO NO_PEKERJA NAMA_PEKERJA GELAR1 GELAR2 GELAR3
1 :000838 NORMAN ZAINAL DR.DR.Dr SP. OT M.KES
2 :000801 HERRY MARDANI DR. Sp. An.
3 :002351 ROSMALI ADRIANS DR. SP. B
4 :000679 SURYA JAYA S.KM
5 :000725 DIAN ADRIANI
6 :000743 SETIYO ARINTOKO
7 :000791 ELSA MARTINELLY
8 :001013 MISJA
9 :001038 SITI OETAMI
10 :001101 HERMAN PUJI SAN
11 :001138 AZIZ MULYANA SKM
12 :001226 ACHMAD JUNAIDI S.KEP
13 :001244 SRIYONO
14 :001248 JAMIL SIDIK SUWI S.KEP
15 :001288 GERSON ISRAEL R
16 :001347 ASEP RIDWAN
17 :001402 MARTONI ABDUL
18 :001429 METTY KHAIROTUN
19 :001430 AGUSTINA NURHAY
20 :001474 MARLENA
21 :001721 SUGIHARTINI S.KM
22 :001791 GUNANTO
23 :001876 OCTARINA SUGIART
24 :001947 DENY DAMAYANTI
25 :001960 TATANG SUTISNA S.Kep NS
26 :001961 TUTI NURHASANAH
27 :002026 MARLIYANA S.KM
28 :002029 ERYN GUSVERYNTO
29 :B00642 FITRI ARININGSIH SR
30 :B00667 M.ABDUL AZIS BR
31 :B00668 SAEFUL HANDI BR
32 :B00689 GOTO RIFLANDO
NAMA_BAG UPAH_POKOK TJ_RUMAH TJ_TRANS TJ_FUNGSI TJ_DAERAH1 TJ_JABATAN UPAH TETAP
SMF ORTHOPEDI & 7,812,960.59 - - 700,000.00 976,000.00 - 9,488,960.59
INSTALASI ANESTESI 8,981,936.57 - - 800,000.00 1,092,000.00 - 10,873,936.57
INSTALASI KAMAR B 4,726,255.71 - - 500,000.00 779,000.00 - 6,005,255.71
KAMAR BEDAH 5,026,651.01 - - 325,000.00 580,000.00 - 5,931,651.01 4,527,523.99
KAMAR BEDAH 5,018,914.84 - - 340,000.00 622,000.00 - 5,980,914.84
KAMAR BEDAH 5,084,914.46 - - 325,000.00 580,000.00 - 5,989,914.46
KAMAR BEDAH 4,779,276.59 - - 325,000.00 580,000.00 - 5,684,276.59
KAMAR BEDAH 4,088,045.24 - - - 570,000.00 - 4,658,045.24
KAMAR BEDAH 4,258,992.48 - - 310,000.00 575,000.00 - 5,143,992.48
KAMAR BEDAH 4,235,012.01 - - 310,000.00 575,000.00 - 5,120,012.01
KAMAR BEDAH 4,457,349.92 - - 310,000.00 575,000.00 - 5,342,349.92
KAMAR BEDAH 4,238,337.12 - - 310,000.00 575,000.00 - 5,123,337.12
KAMAR BEDAH 4,238,337.12 - - 310,000.00 575,000.00 - 5,123,337.12
KAMAR BEDAH 4,210,010.06 - - 310,000.00 575,000.00 - 5,095,010.06
KAMAR BEDAH 4,174,417.10 - - 310,000.00 575,000.00 - 5,059,417.10
KAMAR BEDAH 4,203,235.49 - - 310,000.00 575,000.00 - 5,088,235.49
KAMAR BEDAH 4,169,822.57 - - 310,000.00 575,000.00 - 5,054,822.57
KAMAR BEDAH 4,226,616.16 - - 310,000.00 575,000.00 - 5,111,616.16
KAMAR BEDAH 4,174,650.21 - - 310,000.00 575,000.00 - 5,059,650.21
KAMAR BEDAH 4,097,241.16 - - - 570,000.00 - 4,667,241.16
KAMAR BEDAH 3,865,111.93 - - - 565,000.00 - 4,430,111.93
KAMAR BEDAH 3,853,038.92 - - - 570,000.00 - 4,423,038.92
KAMAR BEDAH 3,588,566.80 - - - 565,000.00 - 4,153,566.80
KAMAR BEDAH 3,286,319.12 - - - 565,000.00 - 3,851,319.12
KAMAR BEDAH 3,307,091.61 - - - 565,000.00 - 3,872,091.61
KAMAR BEDAH 3,286,319.12 - - - 565,000.00 - 3,851,319.12
KAMAR BEDAH 3,250,987.69 - - - 565,000.00 - 3,815,987.69
KAMAR BEDAH 3,271,757.05 - - - 565,000.00 - 3,836,757.05
KAMAR BEDAH 2,460,104.66 - - - - - 2,460,104.66
KAMAR BEDAH 2,460,104.66 - - - - - 2,460,104.66
KAMAR BEDAH 2,460,104.66 - - - - - 2,460,104.66
KAMAR BEDAH 2,449,866.00 - - - - - 2,449,866.00
Simulasi Unit Cost
Instalasi Kamar Operasi
I Nama Tindakan : Operasi Kecil

1
- Dokter Operator 75,911,685 1,785,168,000 60
- Dokter Anestesi 86,991,493 1,785,168,000 60
- Dokter Asisten Operator 48,042,046 1,785,168,000 60
- Perawat 36,220,192 1,785,168,000 60
Biaya
2
IJD
- IJD Dokter
- IJK
Biaya
3
Bahan Langsung
- Stereofoam 2@ 100.000
- Timah 15.000
- Masker 0.6
- Micropore besar 4 pcs
`
4
Alat Langsung Alat Peny. Menit
- MEJA OPERASI MERK:TRUMPF TYPE:SATURN G 437,800,000 5 thn 60
- LAMPU OPERASI STERIS-USA HARMONY DUAL L 537,326,087 30000 jam 60
- INSTRUMEN BEDAH 432,166,735 5 thn 60
- SUCTION PUMP ATMOS GERMANY 209183003 40,202,250 5 thn 60
- ELEKTRO CAUTER DIATHERMY SN.F2E70040AX 174,000,000 5 thn 60
- GENERATOR ELECTROSURGERY ADVANCE BIPO 462,000,000 5 thn 60
- VESSEL SEALING SYSTEM LIGASURE VALLEY LA 291,886,100 5 thn 60
- - - - -

5
- Material Umum 151,546,620 1,785,168,000 60
- Sundries 712,590,559 1,785,168,000 60
II Nama Tindakan : Operasi Sedang I

1
- Dokter Operator 75,911,685 1,112,496,000 120
- Dokter Anestesi 86,991,493 1,112,496,000 120
- Perawat 36,220,192 1,112,496,000 120
`
Biaya
2
IJD
- IJD Dokter
- IJK
Biaya
3
Bahan Langsung
- -
- -
- -
- -
- -

4
- - - - -

5
- Material Umum 151,546,620 1,112,496,000 120
- Sundries 712,590,559 1,112,496,000 120
III Nama Tindakan : Operasi Sedang II

1
- Dokter Operator 75,911,685 1,125,432,000 120
- Dokter Anestesi 86,991,493 1,125,432,000 120
- Perawat 36,220,192 1,125,432,000 120
Biaya
2
IJD
- IJD Dokter
- IJK
Biaya
3
Bahan Langsung
- -
- -
- -
- -
- -

4
- - -

5
- Material Umum 151,546,620 1,125,432,000 120
- Sundries 712,590,559 1,125,432,000 120
IV Nama Tindakan : Operasi Sedang III

1
- Dokter Operator 75,911,685 1,177,176,000 120
- Dokter Anestesi 86,991,493 1,177,176,000 120
- Perawat 36,220,192 1,177,176,000 120
Biaya
2
IJD
- IJD Dokter
- IJK
Biaya
3
Bahan Langsung
- -
- -
- -
- -
- -

4
- - -

5
- Material Umum 151,546,620 1,177,176,000 120
- Sundries 712,590,559 1,177,176,000 120
V Nama Tindakan : Operasi Besar I

1
- Dokter Operator 75,911,685 819,280,000 180
- Dokter Anestesi 86,991,493 819,280,000 180
- Dokter Asisten Operator 48,042,046 819,280,000 180
- Perawat 36,220,192 819,280,000 180
Biaya
2
IJD
- IJD Dokter
- IJK
Biaya
3
Bahan Langsung
- -
- -
- -
- -
- -

4
- - -

5
- Material Umum 151,546,620 819,280,000 180
- Sundries 712,590,559 819,280,000 180
VI Nama Tindakan : Operasi Besar II

1
- Dokter Operator 75,911,685 853,776,000 180
- Dokter Anestesi 86,991,493 853,776,000 180
- Perawat 36,220,192 853,776,000 180
Biaya
2
IJD
- IJD Dokter
- IJK
Biaya
3
Bahan Langsung
- -
- -
- -
- -
- -

4
- - -

5
- Material Umum 151,546,620 853,776,000 180
- Sundries 712,590,559 853,776,000 180
VII Nama Tindakan : Operasi Besar III

1
- Dokter Operator 75,911,685 875,336,000 180
- Dokter Anestesi 86,991,493 875,336,000 180
- Perawat 36,220,192 875,336,000 180
Biaya
2
IJD
- IJD Dokter
- IJK
Biaya
3
Bahan Langsung
- -
- -
- -
- -
- -

4
- - -

5
- Material Umum 151,546,620 875,336,000 180
- Sundries 712,590,559 875,336,000 180
VIII Nama Tindakan : Operasi Khusus I

1
- Dokter Operator 75,911,685 662,970,000 240
- Dokter Anestesi 86,991,493 662,970,000 240
- Perawat 36,220,192 662,970,000 240
Biaya
2
IJD
- IJD Dokter
- IJK
Biaya
3
3
Bahan Langsung
- -
- -
- -
- -
- -

4
- - -

5
- Material Umum 151,546,620 662,970,000 240
- Sundries 712,590,559 662,970,000 240
IX Nama Tindakan : Operasi Khusus II

1
- Dokter Operator 75,911,685 662,970,000 240
- Dokter Anestesi 86,991,493 662,970,000 240
- Perawat 36,220,192 662,970,000 240
Biaya
2
IJD
- IJD Dokter
- IJK
Biaya
3
Bahan Langsung
- -
- -
- -
- -
- -

4
- - -

5
- Material Umum 151,546,620 662,970,000 240
- Sundries 712,590,559 662,970,000 240
X Nama Tindakan : Operasi Khusus III

1
- Dokter Operator 75,911,685 695,310,000 240
- Dokter Anestesi 86,991,493 695,310,000 240
- Perawat 36,220,192 695,310,000 240
Biaya
2
IJD
- IJD Dokter
- IJK
Biaya
3
Bahan Langsung
- -
- -
- -
- -
- -

4
- - -

5
- Material Umum 151,546,620 695,310,000 240
- Sundries 712,590,559 695,310,000 240
ost
Operasi
Beban Gaji Jumlah Unit Cost Unit Cost

75,911,685 77,616 978 58,683
86,991,493 77,616 1,121 67,248
48,042,046 77,616 619 37,138
36,220,192 77,616 467 28,000
191,068

1,380,000 0% -
1,380,000 0% -
-

- - -
- - -
-

87,560,000 77,616 1,128 67,687
- 77,616 299 17,911
86,433,347 77,616 1,114 66,816
8,040,450 77,616 104 6,216
34,800,000 77,616 448 26,902
92,400,000 77,616 1,190 71,429
58,377,220 77,616 752 45,128
- - - -
302,088

27,690,743 77,616 357 21,406
90,590,412 77,616 1,167 70,030
130,205,226 77,616 1,678 100,653
- 77,616 - - Unit Tarif
192,089 685,245 1,380,000

75,911,685 77,616 978 117,365
86,991,493 77,616 1,121 134,495
48,042,046 77,616 619 74,277
36,220,192 77,616 467 55,999
382,136

1,720,000 0% -
1,720,000 0% -
-

- - -
- - -
- - -
- - -
- - -
-

87,560,000 77,616 1,128 135,374
- 77,616 299 35,822
86,433,347 77,616 1,114 133,632
8,040,450 77,616 104 12,431
34,800,000 77,616 448 53,803
92,400,000 77,616 1,190 142,857
58,377,220 77,616 752 90,255
- - - -
604,175

17,256,550 77,616 222 26,680
56,454,894 77,616 727 87,283
81,142,387 77,616 1,045 125,452
- 77,616 - - Unit Tarif
239,415 1,225,726 1,720,000

75,911,685 77,616 978 117,365
86,991,493 77,616 978 117,365
48,042,046 77,616 978 117,365
36,220,192 77,616 467 55,999
408,094

1,740,000 0% -
1,740,000 0% -
-

- - -
- - -
- - -
- - -
- - -
-

87,560,000 77,616 1,128 135,374
- 77,616 299 35,822
86,433,347 77,616 1,114 133,632
8,040,450 77,616 104 12,431
34,800,000 77,616 448 53,803
92,400,000 77,616 1,190 142,857
58,377,220 77,616 752 90,255
- - - -
604,175

17,457,207 77,616 225 26,990
57,111,347 77,616 736 88,298
82,085,903 77,616 1,058 126,911
- 77,616 - - Unit Tarif
242,199 1,254,468 1,740,000

75,911,685 77,616 978 117,365
86,991,493 77,616 1,121 134,495
48,042,046 77,616 619 74,277
36,220,192 77,616 467 55,999
382,136

1,820,000 0% -
1,820,000 0% -
-

- - -
- - -
- - -
- - -
- - -
-

87,560,000 77,616 1,128 135,374
- 77,616 299 35,822
86,433,347 77,616 1,114 133,632
8,040,450 77,616 104 12,431
34,800,000 77,616 448 53,803
92,400,000 77,616 1,190 142,857
58,377,220 77,616 752 90,255
- - - -
604,175

18,259,838 77,616 235 28,231
59,737,156 77,616 770 92,358
85,859,968 77,616 1,106 132,746
- 77,616 - - Unit Tarif
253,335 1,239,646 1,820,000

75,911,685 77,616 978 176,048
86,991,493 77,616 1,121 201,743
48,042,046 77,616 619 111,415
36,220,192 77,616 467 83,999
573,204

1,900,000 0% -
1,900,000 0% -
-

- - -
- - -
- - -
- - -
- - -
-

87,560,000 77,616 1,128 203,061
- 77,616 299 53,733
86,433,347 77,616 1,114 200,448
8,040,450 77,616 104 18,647
34,800,000 77,616 448 80,705
92,400,000 77,616 1,190 214,286
58,377,220 77,616 752 135,383
- - - -
906,263

12,708,312 77,616 164 19,648
41,575,310 77,616 536 64,278
59,756,022 77,616 770 92,387
- 77,616 - - Unit Tarif
176,314 1,655,780 1,900,000

75,911,685 77,616 978 176,048
86,991,493 77,616 1,121 201,743
48,042,046 77,616 619 111,415
36,220,192 77,616 467 83,999
573,204

1,980,000 0% -
1,980,000 0% -
-

- - -
- - -
- - -
- - -
- - -
-

87,560,000 77,616 1,128 203,061
- 77,616 299 53,733
86,433,347 77,616 1,114 200,448
8,040,450 77,616 104 18,647
34,800,000 77,616 448 80,705
92,400,000 77,616 1,190 214,286
58,377,220 77,616 752 135,383
- - - -
906,263

13,243,399 77,616 171 20,475
43,325,849 77,616 558 66,985
62,272,065 77,616 802 96,277
- 77,616 - - Unit Tarif
183,737 1,663,204 1,980,000

75,911,685 77,616 978 176,048
86,991,493 77,616 1,121 201,743
48,042,046 77,616 619 111,415
36,220,192 77,616 467 83,999
573,204

2,030,000 0% -
2,030,000 0% -
-

- - -
- - -
- - -
- - -
- - -
-

87,560,000 77,616 1,128 203,061
- 77,616 299 53,733
86,433,347 77,616 1,114 200,448
8,040,450 77,616 104 18,647
34,800,000 77,616 448 80,705
92,400,000 77,616 1,190 214,286
58,377,220 77,616 752 135,383
- - - -
906,263

13,577,828 77,616 175 20,992
44,419,936 77,616 572 68,676
63,844,592 77,616 823 98,708
- 77,616 - - Unit Tarif
188,377 1,667,844 2,030,000

75,911,685 77,616 978 234,730
86,991,493 77,616 1,121 268,990
48,042,046 77,616 619 148,553
36,220,192 77,616 467 111,998
764,272

2,050,000 0% -
2,050,000 0% -
-

- - -
- - -
- - -
- - -
- - -
-

87,560,000 77,616 1,128 270,748
- 77,616 299 71,643
86,433,347 77,616 1,114 267,265
8,040,450 77,616 104 24,862
34,800,000 77,616 448 107,607
92,400,000 77,616 1,190 285,714
58,377,220 77,616 752 180,511
- - - -
1,208,350

10,283,700 77,616 132 15,899
33,643,178 77,616 433 52,015
48,355,202 77,616 623 74,761
- 77,616 - - Unit Tarif
142,675 2,115,297 2,050,000

75,911,685 77,616 978 234,730
86,991,493 77,616 1,121 268,990
48,042,046 77,616 619 148,553
36,220,192 77,616 467 111,998
764,272

2,050,000 0% -
2,050,000 0% -
-

- - -
- - -
- - -
- - -
- - -
-

87,560,000 77,616 1,128 270,748
- 77,616 299 71,643
86,433,347 77,616 1,114 267,265
8,040,450 77,616 104 24,862
34,800,000 77,616 448 107,607
92,400,000 77,616 1,190 285,714
58,377,220 77,616 752 180,511
- - - -
1,208,350

10,283,700 77,616 132 15,899
33,643,178 77,616 433 52,015
48,355,202 77,616 623 74,761
- 77,616 - - Unit Tarif
142,675 2,115,297 2,050,000

75,911,685 77,616 978 234,730
86,991,493 77,616 1,121 268,990
48,042,046 77,616 619 148,553
36,220,192 77,616 467 111,998
764,272

2,150,000 0% -
2,150,000 0% -
-

- - -
- - -
- - -
- - -
- - -
-

87,560,000 77,616 1,128 270,748
- 77,616 299 71,643
86,433,347 77,616 1,114 267,265
8,040,450 77,616 104 24,862
34,800,000 77,616 448 107,607
92,400,000 77,616 1,190 285,714
58,377,220 77,616 752 180,511
- - - -
1,208,350

10,785,344 77,616 139 16,675
35,284,309 77,616 455 54,552
50,713,992 77,616 653 78,408
- 77,616 - - Unit Tarif
149,635 2,122,257 2,150,000
0.2 - -
0.4 - -
0.5 - -
0.4 - -
0.7 - -

0.6 - -
0.6 - -
1.1 2,749,886 0.5
1.1 2,749,886 0.5
1.0 - -
NO NO_PEKERJA NAMA_PEKERJA GELAR1 GELAR2 GELAR3
1 :000838 NORMAN ZAINAL DR.DR.Dr SP. OT M.KES
2 :000801 HERRY MARDANI DR. Sp. An.
3 :002351 ROSMALI ADRIANS DR. SP. B
4 :000679 SURYA JAYA S.KM
5 :000725 DIAN ADRIANI
6 :000743 SETIYO ARINTOKO
7 :000791 ELSA MARTINELLY
8 :001013 MISJA
9 :001038 SITI OETAMI
10 :001101 HERMAN PUJI SAN
11 :001138 AZIZ MULYANA SKM
12 :001226 ACHMAD JUNAIDI S.KEP
13 :001244 SRIYONO
14 :001248 JAMIL SIDIK SUWI S.KEP
15 :001288 GERSON ISRAEL R
16 :001347 ASEP RIDWAN
17 :001402 MARTONI ABDUL
18 :001429 METTY KHAIROTUN
19 :001430 AGUSTINA NURHAY
20 :001474 MARLENA
21 :001721 SUGIHARTINI S.KM
22 :001791 GUNANTO
23 :001876 OCTARINA SUGIART
24 :001947 DENY DAMAYANTI
25 :001960 TATANG SUTISNA S.Kep NS
26 :001961 TUTI NURHASANAH
27 :002026 MARLIYANA S.KM
28 :002029 ERYN GUSVERYNTO
29 :B00642 FITRI ARININGSIH SR
30 :B00667 M.ABDUL AZIS BR
31 :B00668 SAEFUL HANDI BR
32 :B00689 GOTO RIFLANDO
NAMA_BAG UPAH_POKOK TJ_RUMAH TJ_TRANS TJ_FUNGSI TJ_DAERAH1
SMF ORTHOPEDI & 7,812,960.59 - - 700,000.00 976,000.00
INSTALASI ANESTESI 8,981,936.57 - - 800,000.00 1,092,000.00
INSTALASI KAMAR B 4,726,255.71 - - 500,000.00 779,000.00
KAMAR BEDAH 5,026,651.01 - - 325,000.00 580,000.00
KAMAR BEDAH 5,018,914.84 - - 340,000.00 622,000.00
KAMAR BEDAH 5,084,914.46 - - 325,000.00 580,000.00
KAMAR BEDAH 4,779,276.59 - - 325,000.00 580,000.00
KAMAR BEDAH 4,088,045.24 - - - 570,000.00
KAMAR BEDAH 4,258,992.48 - - 310,000.00 575,000.00
KAMAR BEDAH 4,235,012.01 - - 310,000.00 575,000.00
KAMAR BEDAH 4,457,349.92 - - 310,000.00 575,000.00
KAMAR BEDAH 4,238,337.12 - - 310,000.00 575,000.00
KAMAR BEDAH 4,238,337.12 - - 310,000.00 575,000.00
KAMAR BEDAH 4,210,010.06 - - 310,000.00 575,000.00
KAMAR BEDAH 4,174,417.10 - - 310,000.00 575,000.00
KAMAR BEDAH 4,203,235.49 - - 310,000.00 575,000.00
KAMAR BEDAH 4,169,822.57 - - 310,000.00 575,000.00
KAMAR BEDAH 4,226,616.16 - - 310,000.00 575,000.00
KAMAR BEDAH 4,174,650.21 - - 310,000.00 575,000.00
KAMAR BEDAH 4,097,241.16 - - - 570,000.00
KAMAR BEDAH 3,865,111.93 - - - 565,000.00
KAMAR BEDAH 3,853,038.92 - - - 570,000.00
KAMAR BEDAH 3,588,566.80 - - - 565,000.00
KAMAR BEDAH 3,286,319.12 - - - 565,000.00
KAMAR BEDAH 3,307,091.61 - - - 565,000.00
KAMAR BEDAH 3,286,319.12 - - - 565,000.00
KAMAR BEDAH 3,250,987.69 - - - 565,000.00
KAMAR BEDAH 3,271,757.05 - - - 565,000.00
KAMAR BEDAH 2,460,104.66 - - - -
KAMAR BEDAH 2,460,104.66 - - - -
KAMAR BEDAH 2,460,104.66 - - - -
KAMAR BEDAH 2,449,866.00 - - - -
TJ_JABATAN UPAH TETAP
- 9,488,960.59
- 10,873,936.57
- 6,005,255.71
- 5,931,651.01 4,527,523.99
- 5,980,914.84
- 5,989,914.46
- 5,684,276.59
- 4,658,045.24
- 5,143,992.48
- 5,120,012.01
- 5,342,349.92
- 5,123,337.12
- 5,123,337.12
- 5,095,010.06
- 5,059,417.10
- 5,088,235.49
- 5,054,822.57
- 5,111,616.16
- 5,059,650.21
- 4,667,241.16
- 4,430,111.93
- 4,423,038.92
- 4,153,566.80
- 3,851,319.12
- 3,872,091.61
- 3,851,319.12
- 3,815,987.69
- 3,836,757.05
- 2,460,104.66
- 2,460,104.66
- 2,460,104.66
- 2,449,866.00

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Hak Cipta:

Format Tersedia

Unit Cost Latihan

Diunggah oleh

Hak Cipta:

Format Tersedia

2,016 2,197,168,000

134,911,302 593,246,297 199,644,759 133,354 9,210,298

184,412,998 810,920,407 272,898,475 182,284

164,357,353 89,107,257 20,042,329 115,843,045

1,493,574 931,040 2,022,120

539,000 6,252,865 4,187,186

54,659,490 25,355,000 1,528,800

55,064 838,436 588,879 2,355,212

17,329,690 24,576,712 2,809,068 33,435,014

77,940,924 445,122,561 3,047,600 1,204,227,873

797,500 797,500 797,500

7,811,326 15,919,460 4,165,543 28,072,219

62,987,292 126,183,023 34,148,077 223,517,912

2,519,000 5,491,787 2,519,000 8,399,477

65,402,861 132,455,518 14,652,042 212,678,508

4,125,000 5,800,000 1,062,584 15,232,309

354,368,532 253,120,363 338,285,103

2,000,000 8,118,750 1,000,000 1,000,000

376,102,514 284,165,165 2,062,584 378,235,832

76,420,578 385,765,672 502,437,741 33,230,861 18,336,138

527,310,929 686,792,348 45,423,938 25,064,039

20,349,722 22,770,032 19,261,003 40,801,360

2,258,824 2,138,824 3,410,736

103,971,011 108,887,316 72,007,329 83,467,862

27,742,550 8,234,853 1,108,800 310,750

655,200 5,911,800 12,309,200

2,089,467 1,669,301 1,363,423 691,453

79,742,040 33,437,993 26,640,834 22,137,418

1,322,180,866 939,593,254 194,226,041 194,226,041

113,300,000 797,500 797,500

30,027,738 21,405,003 5,957,610 7,643,804

238,463,950 160,375,988 47,873,434 61,465,538

5,426,690 5,426,690 2,519,000 2,519,000

182,381,144 185,018,806 59,250,458 84,272,927

2,792,135 3,250,000 2,400,000 5,387,553

249,226,178 151,872,193 112,930,600 89,565,680

2,000,000 5,650,000 1,000,000 9,093,750

286,907,857 189,929,490 124,694,469 124,870,071

695,179,213 837,822,862 617,697,435 1,541,106,659 1,331,412,931

46,486,038 4,476,140 - 75,914 -

3,957,678 5,564,735 1,019,483 14,614,442 2,678,878

1,394,040,856 949,063,670 1,577,934,029 1,137,560,558 1,107,885,725

3,118,171 2,302,649 5,169,018 105,436,887 2,782,368

No Dasar Alokasi JUMLAH BIAYA

Dasar Alokasi yang digunakan per Unit Kerja Cost Center

No UNIT KERJA JUMLAH BIAYA

No UNIT JUMLAH BIAYA KELAS I

KELAS II KELAS III BKIA POLY GIGI POLIKLINIK

KELAS II KELAS III BKIA POLY GIGI POLIKLINIK

HD KAPITASI PEND LAIN PIHAK III

HD KAPITASI PEND LAIN PIHAK III

I Jenis Kamar VIP

Biaya Gaji Dasar Alokasi

Biaya Biaya Dasar Alokasi

II Jenis Kamar Kelas 1

Biaya Gaji Dasar Alokasi

Biaya Biaya Dasar Alokasi

III Jenis Kamar Kelas 2

Biaya Gaji Dasar Alokasi

Biaya Harga Dasar Alokasi

Biaya Biaya Dasar Alokasi

Biaya Gaji Dasar Alokasi

Biaya Harga Dasar Alokasi

Biaya Biaya Dasar Alokasi