RINCIAN DASAR PENETAPAN TARIF PEMERIKSAAN ELEKTROLIT DAN ANA

Elektrolit (Na, K, Cl, Ca)

Katalog Product Name Pack Size Packaging Harga ppn 11%
Reagent

2124 Solution Pack NA/K/CL/CA/LI, 800ml 1 x 800 ml Pack Rp6,169,000 Rp678,590

2118 Daily Cleaning Solution 1 x 90 ml Kit Rp1,400,000 Rp154,000
2102 Na+ Electrode 1x1 Unit Rp7,386,000 Rp812,460
2101 K+ Electrode 1x1 Unit Rp6,673,000 Rp734,030
2113 Cl- Electrode 1x1 Unit Rp6,566,000 Rp722,260
2150 Calcium Electrode 1x1 Unit Rp7,030,000 Rp773,300
2152 Calcium Reference Electrode 1x1 Unit Rp5,928,000 Rp652,080
Control
2814 Bi-Level QC Kit, Medica 1 x 10 ml (Lv1); Kit Rp1,833,000 Rp201,630
1 x 10 ml (Lv2)
Consumable
2323 Probe Wipers (6 Pcs) 1 x 6 pcs Set Rp868,000 Rp95,480
2578 Red Dye Test Solution (50 ml) 1 x 50 ml Box Rp558,000 Rp61,380
2595 Sample Cup 500UL Medica 1 x 500 cups Pack Rp1,350,000 Rp148,500
T-EASYLYT Thermal Paper For Easylyte Plus 1 x (57 x ø 30 mm) Roll Rp32,000 Rp3,520
Tabung SST 1 Box Rp477,500 Rp52,525

Total penggunaan AMHP & BMHP 6 Bulan

Total penggunaan AMHP & BMHP Bulanan
AMHP & BMHP per sampel (perkiraan 100 sampel per bulan)
Biaya listrik dan nilai penyusutan alat per sampel
Total Biaya AMHP dan BMHP Per Sampel

Berdasarkan rincian perhitungan di atas, maka didapatkan tarif pemeriksaan elektrolit sebagai berikut:
Jenis Pemeriksaan Jasa Sarana 60% Jasa Pelayanan 40% Rawat Jalan
Elektrolit (Na, K, Cl, Ca) Rp206,455 Rp137,636.93 Rp344,092
Pembulatan Rp350,000
Analisa Gas Darah (pH, pCO2, pO2, TCO2, HCO3, Beb. Beecf, SBC, %SO2c, O2ct, A-aDO2, RI)

Katalog
Product Name Pack Size Packaging Harga ppn 11%
Reagent

6101-0000EBG Reagent Module 1 x 600 ml Pack Rp8,259,000 Rp908,490

2118 Daily Cleaning Solution 1 x 90 ml Kit Rp1,400,000 Rp154,000
6201 EBG/ES PH Sensor 1x1 Unit Rp7,350,000 Rp808,500
6202 EBG/ES PCO2 Sensor 1x1 Unit Rp8,524,000 Rp937,640
6203 EBG/ES PO2 Sensor 1x1 Unit Rp8,524,000 Rp937,640
6204 EBG/ES/EEL Reference Sensor 1x1 Unit Rp4,940,000 Rp543,400
Control
6303 EBG QC KIT – Level 1 10 x 1.7 ml Set Rp484,000 Rp53,240
6304 EBG QC KIT – Level 2 10 x 1.7 ml Set Rp484,000 Rp53,240
6305 EBG QC KIT – Level 3 10 x 1.7 ml Set Rp484,000 Rp53,240
Consumable
6402 Red Test Dye Solution_BG 1 x 50 ml Box Rp558,000 Rp61,380
Spuit Heparin 1X 100 Box Rp800,000 Rp88,000
T-EASYBL Printer Paper EBG / EEL 1x1 Roll Rp38,000 Rp4,180

Total penggunaan AMHP & BMHP 6 Bulan

Total penggunaan AMHP & BMHP Bulanan
AMHP & BMHP per sampel (perkiraan 100 sampel per bulan)
Biaya listrik dan nilai penyusutan alat per sampel
Total Biaya AMHP dan BMHP Per Sampel

Berdasarkan rincian perhitungan di atas, maka didapatkan tarif pemeriksaan analisa gas darah sebagai berikut:
Jenis Pemeriksaan Jasa Sarana 60% Jasa Pelayanan 40% Rawat Jalan
Analisa Gas Darah Rp207,856 Rp138,570.57 Rp346,426
Pembulatan Rp350,000
Rp207,856
EMERIKSAAN ELEKTROLIT DAN ANALISA GAS DARAH

Kebutuhan
Harga + ppn 1 Bulan 6 Bulan
11%
Jumlah Harga Jumlah Harga
Rp6,847,590 1 Rp6,847,590 6 Rp41,085,540
Rp1,554,000 1 Rp1,554,000 6 Rp9,324,000
Rp8,198,460 1 Rp8,198,460
Rp7,407,030 1 Rp7,407,030
Rp7,288,260 1 Rp7,288,260
Rp7,803,300 1 Rp7,803,300
Rp6,580,080 0.50 Rp3,290,040

Rp2,034,630 1.5 9 Rp18,311,670

Rp963,480 1 Rp963,480
Rp619,380 0.50 Rp309,690
Rp1,498,500 1 Rp1,498,500
Rp35,520 1 Rp35,520 6 Rp213,120
Rp530,025 6 Rp3,180,150

Rp108,873,240
Rp18,145,540
Rp181,455
Rp25,000
Rp206,455

Kelas 3 &2 Kelas 1 VIP

Rp344,092 Rp357,856 Rp371,620
Rp350,000 Rp364,000 Rp378,000
SBC, %SO2c, O2ct, A-aDO2, RI)
Kebutuhan
Harga + ppn
1 Bulan 6 Bulan
11%
Jumlah Harga Jumlah Harga
Rp9,167,490 1 Rp9,167,490 6 Rp55,004,940
Rp1,554,000 1 Rp1,554,000 6 Rp9,324,000
Rp8,158,500 1 Rp8,158,500
Rp9,461,640 1 Rp9,461,640
Rp9,461,640 1 Rp9,461,640
Rp5,483,400 0.50 Rp2,741,700

Rp537,240 1 Rp537,240 6 Rp3,223,440

Rp537,240 1 Rp537,240 6 Rp3,223,440
Rp537,240 1 Rp537,240 6 Rp3,223,440

Rp619,380 0.50 Rp309,690

Rp888,000 1 Rp888,000 6 Rp5,328,000
Rp42,180 1 Rp42,180 6 Rp253,080

Rp109,713,510
Rp18,285,585
Rp182,856
Rp25,000
Rp207,856

Kelas 3 &2 Kelas 1 VIP

Rp346,426 Rp360,283 Rp374,141
Rp350,000 Rp364,000 Rp378,000