TINDAKAN RAWAT JALAN KHUSUS JKN YANG MEMPUNYAI PMK 3 TH 20

NILAI KODING INACBG'S RS TIPE B, C dan D

USULAN
NO NAMA TINDAKAN
KODE TARIF_INACBG
TINDAKAN TIPE B
SERVICE NAME HINAI REG 1
A. Bila operator dependent ---> 30% peran operator
1 AFF CDL Pencabutan CDL 97.49 345,700
2 AFF DJ Stent 97.62 398,500
3 Odontectomy ODONTECTOMI - OPERASI 23:19 1,891,100
4 Eksisi STT Rajal 86.3 548,400
5 Endoskopi interna 45.16 1,485,600
18.19 /
6 Endoskopi THT ENDOSKOPI Bukan merupakan t
22.19
7 Audiometri ↓ koding 95.41 314,100
8 Biopsi Cervix Biopsi inguinal, cervix, tumor 67.12 498,100
9 Biopsi Ovarium 65.12 638,500
10 Biopsy of soft tissue 83.21 463,400
11 Echocardiografi BPJS ECHO CARDIOGRAFI 88.72 465,600
12 Irigasi Hidung IRIGASI SINUS MAXILLARIS 96.53 322,900
13 Irigasi Telinga IRIGASI 1 TELINGA 96.52 322,900

14 Pasang / Ganti Gips BUKA GIPS - 1 SISI - IGD PAGI 93.53 431,800

15 Pasang NGT PASANG NGT - BEDAH 96.07 325,500

16 Treadmill Latihan Treadmill (untuk Sport Injury) 89.41 429,000
17 USG Gravid USG (ALAT 2D) 88.78 336,300
18 EEG EEG DOKTER SPESIALIS SYARAF 89.14 538,600
19 AFF Heacting AFF HECTING 1 - 3 - IGD PAGI 97.89 Bukan merupakan t
20 Debridement DEBRIDEMENT BERAT - BEDAH 86.22 428,000
 21 Lepas Gips 97.11-13 431,800
22 Pasang kateter URINE KATETER 57.94 398,500
B. Bila operator masih dependent, consumable masih banyak digunakan ---> 20% peran operat
23 Injeksi Artikular INJEKSI INTRA ARTICULAR BESAR - PAIN CLINIC 81.92 463,400
24 Intubasi INTUBASI 96.05 345,700
25 Laser Mata LASER MATA 14.24 891,100
26 USG Lain-lain USG ABDOMEN 88.76 592,600
27 USG Vaskular USG Doppler Carotis 88.77 757,800
28 Spirometri BRONKOSPIROMETRI 89.37 579,700

C. Bila operator dependentnya kecil sekali, tidak ada consumable ---> Honor Konsultasi
29 Tonometri TONOMETRI - TENSI OKULI 89.11 252,300
30 Ganti Verban GANTI VERBAN 97.16 212,500
31 Ophtalmoscopy INDIRECT OPTHALMOSCOPY 16.21 252,300
32 Biometri BIOMETRI 95.02 252,300
33 Ganti Kateter 97.15 212,500
34 Uroflowmetry TINDAKAN UROFLOWMETRI 89.24 541,700
UROFLOWMETRY

35 Funduskopi FUNDUSCOPY DIRECT 95.11 310,800

FUNDUSCOPY INDIRECT

36 Inhalasi/Nebulizer INHALASI 93.94 352,800

37 Suture / Hecting 86:59:00 309,600

Prosedur Operasi
48 13.41 7,938,000
Katarak

Rontgen tulang cervical

51 87.22 743,700
(komplit)

TOTAL
NOTE :
1 Bila operator dependent ---> 40% peran operator
2 Bila operator masih dependent, consumable masih banyak digunakan ---> 30%
3 Bila operator dependentnya kecil, consumable masih banyak digunakan ---> 2
4 Bila operator dependentnya kecil sekali, consumable masih banyak digunakan
 PMK 3 TH 2023

TARIF_INACBG TARIF_INACBG HD Tipe B HD Tipe C reg

BMHP
TIPE C TIPE D reg 1 1
REG 1 REG 2 NOMINAL % NOMINAL % NOMINAL

rumus belum diperbaiki da

336,500 323,300 103,710 30.00% 100,950 30.00% 16,431
382,000 367,100 119,550 30.00% 114,600 30.00% 2,052
1,797,200 1,750,400 567,330 30.00% 539,160 30.00% 128,375
536,400 515,400 164,520 30.00% 160,920 30.00% 83,375
1,149,900 1,117,100 445,680 30.00% 344,970 30.00% 16,629

Bukan merupakan top coding #VALUE! 30.00% 0 30.00% 16,629

301,100 289,300 94,230 30.00% 90,330 30.00% 1,150

477,500 458,000 149,430 30.00% 143,250 30.00% 11,200
612,100 588,100 191,550 30.00% 183,630 30.00% 11,200
444,300 426,900 139,020 30.00% 133,290 30.00% 11,200
446,400 428,900 139,680 30.00% 133,920 30.00% 29,869
263,600 252,800 96,870 30.00% 79,080 30.00% 22,500
263,600 252,800 96,870 30.00% 79,080 30.00% 9,500

420,300 403,800 129,540 30.00% 126,090 30.00% 232,590

316,800 304,400 97,650 30.00% 95,040 30.00% 54,307

411,200 395,100 128,700 30.00% 123,360 30.00% 0
323,800 314,500 100,890 30.00% 97,140 30.00% 7,818
516,300 496,100 161,580 30.00% 154,890 30.00% 55,209
Bukan merupakan top coding #VALUE! 30.00% 0 30.00% 14,171
416,500 400,200 128,400 30.00% 124,950 30.00% 25,975
 420,300 403,800 129,540 30.00% 126,090 30.00% 0
382,000 367,100 119,550 30.00% 114,600 30.00% 30,600
> 20% peran operator 0 0 30.00%
444,300 426,900 92,680 20.00% 88,860 20.00% 130,900
336,500 323,300 69,140 20.00% 67,300 20.00% 76,702
871,700 837,600 178,220 20.00% 174,340 20.00% 29,539
578,700 578,700 118,520 20.00% 115,740 20.00% 7,818
676,800 676,800 151,560 20.00% 135,360 20.00% 7,818
567,000 544,900 115,940 20.00% 113,400 20.00% 19,170

0 0 30.00%
245,600 245,600 50,460 20.00% 49,120 20.00% 29,539
210,000 210,000 42,500 20.00% 42,000 20.00% 17,900
245,600 245,600 50,460 20.00% 49,120 20.00% 18,650
245,600 236,000 50,460 20.00% 49,120 20.00% 8,000
201,000 201,000 42,500 20.00% 40,200 20.00% 30,600
536,100 536,100 108,340 20.00% 107,220 20.00% 1,749
0 20.00% 0 20.00%
302,500 302,500 62,160 20.00% 60,500 20.00% 29,539
0 20.00% 0 20.00%
338,300 338,300 70,560 20.00% 67,660 20.00% 16,464
301,400 301,400 61,920 20.00% 60,280 20.00% 78,175
0 20.00% 0 20.00%
7,276,600 6,683,400 1,587,600 20.00% 1,455,320 20.00%
0 20.00% 0 20.00%
735,900 705,900 148,740 20.00% 147,180 20.00%
gunakan ---> 30% peran operator
digunakan ---> 20% peran operator
anyak digunakan ---> 10% peran operator
 KSO / SEWA
RS KETERANGAN
ALAT
% NOMINAL % NOMINAL %

mus belum diperbaiki dari BMHP ke belakang.

4.75% 0 0.00% 225,559 65.25%
0.51% 0 0.00% 280,998 69.80%
#DIV/0! 0 #DIV/0! -695,705 #DIV/0!
15.05% 0 0.00% 306,105 55.25%
1.11% 150,000 9.99% 888,591 59.20%

#DIV/0! 33,000 #DIV/0! #VALUE! #VALUE!

0.36% 0 0.00% 221,920 69.94%

2.23% 0 0.00% 342,570 68.08%
1.74% 0 0.00% 442,350 68.57%
2.39% 0 0.00% 317,980 67.92%
6.35% 186,890 39.72% 114,061 24.24%
6.90% 0 0.00% 206,930 63.42%
2.91% 0 0.00% 219,930 67.40%
Keuntungan dari BMHP
53.31% 0 0.00% 74,170 17.00%
sekitar 30%
16.52% 0 0.00% 176,843 53.78%
0.00% 100,000 23.07% 204,700 47.23% Alat punya RS
2.30% 127,000 37.37% 104,092 30.63% Alat punya RS
10.15% 132,000 24.26% 195,311 35.90% Alat punya RS
#DIV/0! 0 #DIV/0! #VALUE! #VALUE!
6.01% 0 0.00% 278,025 64.30%
 0.00% 0 0.00% 306,760 70.31%
7.60% 0 0.00% 252,450 62.70%
BMHP pemakaian bersama.
27.96% 0 0.00% 244,620 52.25% Dapat dilakukan untuk 3
orang
#DIV/0! 0 #DIV/0! -145,842 #DIV/0!
#DIV/0! 240,000 #DIV/0! -447,759 #DIV/0!
1.31% 257,750 43.05% 214,612 35.85%
1.02% 332,700 43.45% 273,622 35.73% Alat KSO
#DIV/0! 102,000 #DIV/0! -237,110 #DIV/0!

11.59% 117,000 45.90% 57,901 22.72% Alat punya RS

8.34% 0 0.00% 154,300 71.87%
7.32% 81,000 31.78% 104,790 41.11% Alat punya RS
#DIV/0! 36,200 #DIV/0! -94,660 #DIV/0!
14.25% 0 0.00% 141,600 65.95%
0.32% 200,000 36.54% 237,211 43.34% Alat punya RS

9.41% 21,000 6.69% 201,301 64.11%

4.62% 14,250 4.00% 255,226 71.59%

24.99% 0 0.00% 172,705 55.21%
Tarif KonsulTarif Tindakan Keterangan
77,000 26,710
77,000 42,550
77,000 490,330 Kenaikan dengan tindakan hanya mengalami kenaikan sebesar 13
77,000 87,520 Kenaikan dengan tindakan hanya mengalami kenaikan sebesar 22
77,000 368,680

77,000 #VALUE!

77,000 17,230
77,000 72,430
77,000 114,550
77,000 62,020
77,000 62,680
77,000 19,870
77,000 19,870

77,000 52,540 Jarang terjadi, dan banyak dilakukan pada OK

77,000 20,650
77,000 51,700
77,000 23,890
77,000 84,580
77,000 #VALUE!
77,000 #VALUE!
77,000 51,400
77,000 52,540

77,000 15,680 Dalam waktu 24 jam untuk Obat dapat digunakan untuk 3 Pasien
77,000 - 7,860
77,000 101,220
77,000 41,520
77,000 74,560

77,000 - 26,540
77,000 - 34,500
77,000 - 26,540
77,000 - 26,540
77,000 - 34,500
77,000 - 34,500

77,000 31,340

77,000 - 14,840
77,000 - 6,440
galami kenaikan sebesar 13.360
galami kenaikan sebesar 22.450
t digunakan untuk 3 Pasien dan diatur untuk penggunaan obatnya
JALAN
KHUS
US JKN
YANG
MEMP
USULA
UNYAI
N
NILAI
KODIN KODE TARIF_INACB KODE TINDAKAN
USULAN
KSO / SEWA
G
NO NAMA TINDAKAN
TINDAKAN G TIPE B USULAN
% HONOR BMHP
ALAT
RS KETERANGAN
INACB DOKTER
A. Bila
G'S RS
operat
TIPE B
or REG 1 NOMINAL % NOMINAL % NOMINAL % NOMINAL %
depen
dent
--->
30% 1 AFF CDL 97.65 322,900 1 30 96,870 30.00% 16,431 5.09% 0 0.00% 209,599 64.91%
peran
operat
2 AFF DJ Stent 97.62 398,500 1 30 119,550 30.00% 2,052 0.51% 0 0.00% 276,898 69.49%
or
3 Odontectomy 23:19 1,891,100 1 30 567,330 30.00% 128,375 6.79% 0 0.00% 1,195,395 63.21%
4 Eksisi STT Rajal 86.3 1 30 0 #DIV/0! 83,375 #DIV/0! 0 #DIV/0! -83,375 #DIV/0!
5 Endoskopi interna 45.16 1 30 0 #DIV/0! 16,629 #DIV/0! 150,000 #DIV/0! -166,629 #DIV/0!
18.19 /
6 Endoskopi THT 1 30 0 #DIV/0! 16,629 #DIV/0! 33,000 #DIV/0! -49,629 #DIV/0!
22.19
7 Audiometri 95.41 1 30 0 #DIV/0! 1,150 #DIV/0! 0 #DIV/0! -1,150 #DIV/0!
8 Biopsi Cervix 67.12 1 30 0 #DIV/0! 11,200 #DIV/0! 0 #DIV/0! -11,200 #DIV/0!
9 Biopsi Ovarium 65.12 548,400 1 30 164,520 30.00% 11,200 2.04% 0 0.00% 372,680 67.96%
10 Biopsy of soft tissue 83.21 1,485,600 1 30 445,680 30.00% 11,200 0.75% 0 0.00% 1,028,720 69.25%
11 Echocardiografi 88.72 1 30 0 #DIV/0! 29,869 #DIV/0! 186,890 #DIV/0! -216,759 #DIV/0!
12 Irigasi Hidung 96:53:00 2 30 0 #DIV/0! 22,500 #DIV/0! 0 #DIV/0! -22,500 #DIV/0!
13 Irigasi Telinga 96:52:00 314,100 2 30 94,230 30.00% 9,500 3.02% 0 0.00% 210,370 66.98%
Keuntungan dari BMHP
14 Pasang / Ganti Gips 93:53:00 498,100 2 30 149,430 30.00% 232,590 46.70% 0 0.00% 116,080 23.30%
sekitar 30%
15 Pasang NGT 96:07:00 638,500 2 30 191,550 30.00% 54,307 8.51% 0 0.00% 392,643 61.49%
16 Treadmill 89:41:00 463,400 2 30 139,020 30.00% 0 0.00% 100,000 21.58% 224,380 48.42% Alat punya RS
17 USG Gravid 88.78 465,600 2 30 139,680 30.00% 7,818 1.68% 127,000 27.28% 191,102 41.04% Alat punya RS
18 EEG 89:14:00 266,300 2 30 79,890 30.00% 55,209 20.73% 132,000 49.57% -799 -0.30% Alat punya RS
19 AFF Heacting 97.84 292,300 3 30 87,690 30.00% 14,171 4.85% 0 0.00% 190,439 65.15%
20 Debridement 86:22:00 265,700 3 30 79,710 30.00% 25,975 9.78% 0 0.00% 160,015 60.22%
21 Lepas Gips 97.11-13 297,800 3 30 89,340 30.00% 0 0.00% 0 0.00% 208,460 70.00%
22 Pasang kateter 57.94 331,100 3 30 99,330 30.00% 30,600 9.24% 0 0.00% 201,170 60.76%
URINE
B. Bila operator masih dependent, con 360900
 BMHP pemakaian bersama.
23 Injeksi Artikular 81.92 322,900 2 20 64,580 20.00% 130,900 40.54% 0 0.00% 127,420 39.46% Dapat dilakukan untuk 3
orang
24 Intubasi 96:04:00 322,900 2 20 64,580 20.00% 76,702 23.75% 0 0.00% 181,618 56.25%
25 Laser Mata 14:24 292,300 2 20 58,460 20.00% 29,539 10.11% 240,000 82.11% -35,699 -12.21%
26 USG Lain-lain 88.76 431,800 2 20 86,360 20.00% 7,818 1.81% 257,750 59.69% 79,872 18.50%
27 USG Vaskular 88.77 2 20 0 #DIV/0! 7,818 #DIV/0! 332,700 #DIV/0! -340,518 #DIV/0! Alat KSO
28 Spirometri 89:37:00 429,700 3 20 85,940 20.00% 19,170 4.46% 102,000 23.74% 222,590 51.80%
C. Bila operator dependentnya kecil sekali 1543200
29 Tonometri 89:11:00 687,600 3 77,000 11.20% 29,539 s 117,000 17.02% 464,061 67.49% Alat punya RS
30 Ganti Verban 97:16:00 592,500 3 77,000 13.00% 17,900 3.02% 0 0.00% 497,600 83.98%
31 Ophtalmoscopy 16:21 742,400 3 77,000 10.37% 18,650 2.51% 81,000 10.91% 565,750 76.21% Alat punya RS
32 Biometri 95:02:00 461,700 3 77,000 16.68% 8,000 1.73% 36,200 7.84% 340,500 73.75%
33 Ganti Kateter 97:15:00 3 77,000 #DIV/0! 30,600 #DIV/0! 0 #DIV/0! -107,600 #DIV/0!
34 Uroflowmetry 89:24:00 224,100 3 77,000 34.36% 1,749 0.78% 200,000 89.25% -54,649 -24.39% Alat punya RS
35 Funduskopi 95:11:00 208,800 3 77,000 36.88% 29,539 14.15% 21,000 10.06% 81,261 38.92%
36 Inhalasi/Nebulizer 93.94 224,100 3 77,000 34.36% 16,464 7.35% 14,250 6.36% 116,386 51.93%
37 Suture / Hecting 86:59:00 224,100 3 77,000 34.36% 78,175 34.88% 0 0.00% 68,925 30.76%
325,500
541,700
252,600
327,300
217,200

429,000

336,300

48 Prosedur Operasi 13:41

Katarak
 51 Rontgen tulang 87:22:00 2 0
cervical (komplit)
538,600

510,800

TOTAL

NOTE :
1 Bila operator dependent ---> 40% peran operator
2 Bila operator masih dependent, consumable masih banyak digunakan ---> 30% peran operator
3 Bila operator dependentnya kecil, consumable masih banyak digunakan ---> 20% peran operator
4 Bila operator dependentnya kecil sekali, consumable masih banyak digunakan ---> 10% peran operator

428000
431800
398500
Tarif KonsulTarif Tindakan Keterangan
77,000 19,870
77,000 42,550
77,000 490,330 Kenaikan dengan tindakan hanya mengalami kenaikan sebesar 13.360
77,000 - 77,000 Kenaikan dengan tindakan hanya mengalami kenaikan sebesar 22.450
77,000 - 77,000

77,000 - 77,000

77,000 - 77,000
77,000 - 77,000
77,000 87,520
77,000 368,680
77,000 - 77,000
77,000 - 77,000
77,000 17,230

77,000 72,430 Jarang terjadi, dan banyak dilakukan pada OK

77,000 114,550
77,000 62,020
77,000 62,680
77,000 2,890
77,000 10,690
77,000 10,690
77,000 2,710
77,000 12,340
77,000 - 12,420 Dalam waktu 24 jam untuk Obat dapat digunakan untuk 3 Pasien dan diatur untuk penggunaan obatnya
77,000 - 12,420
77,000 - 18,540
77,000 9,360
77,000 - 77,000

77,000 -
77,000 -
77,000 -
77,000 -
77,000 -
77,000 -
77,000 -
77,000 -
77,000 -
 T
JALAN
KHUS
US JKN
YANG
MEMP
USULA
UNYAI
N
NILAI
KODIN
A. Bila NAMA TINDAKAN
NO
KODE TARIF_INACB
G
operat TINDAKAN G TIPE B
INACB
or SERVICE NAME HINAI REG 2
G'S RS
depen
TIPE C
dent
--->
30% 1 AFF CDL Pencabutan CDL 97.65 352,900
peran
operat
2 AFF DJ Stent 97.62 382,000
or
3 Odontectomy ODONTECTOMI - OPERASI 23:19 1,797,200
ODONTECTOMI 1 GIGI CANINUS

ODONTECTOMI 1 GIGI MOLAR

ODONTECTOMI 2 GIGI

ODONTECTOMI 4 GIGI

ODONTECTOMI KELAS 1 POSISI A

4 Eksisi STT Rajal 86.3 536,400

5 Endoskopi interna 45.16 619,100
18.19 /
6 Endoskopi THT ENDOSKOPI 328,700
22.19

ENDOSKOPI - THT

7 Audiometri 95.41 291,300

8 Biopsi Cervix Biopsi inguinal, cervix, tumor 67.12 321,200
9 Biopsi Ovarium 65.12 289,200
10 Biopsy of soft tissue 83.21 425,200
11 Echocardiografi BPJS ECHO CARDIOGRAFI 88.72 351,900
ECHOCARDIOGRAPHY

ECHOCARDIOGRAPHY DOKTER JANTUNG

ECHOCARDIOGRAPHY DOKTER JANTUNG ANAK

USG JANTUNG
 USG JANTUNG + PRINT (MAKS 3 LEMBAR)

USG JANTUNG - Rujukan

12 Irigasi Hidung IRIGASI SINUS MAXILLARIS 96:53:00 263,500

13 Irigasi Telinga IRIGASI 1 TELINGA 96:52:00 263,500
IRIGASI 2 TELINGA

14 Pasang / Ganti Gips BUKA GIPS - 1 SISI - IGD PAGI 93:53:00 289,200

BUKA GIPS - 2 SISI - IGD PAGI

BUKA GIPS 1

BUKA GIPS 1 SISI - IGD SORE

BUKA GIPS 2

BUKA GIPS 2 SISI - IGD SORE

PASANG BAYI GIPS REPOSISI

PASANG BAYI GIPS TNP REPOSISI

PASANG GIPS BELOW/ABOVE ELBOW CAST-LENGAN ATAS

PASANG GIPS PADA BAYI 1 SISI

PASANG GIPS PADA BAYI 2 SISI

PASANG GIPS REPOSISI

PASANG GIPS TNP REPOSISI

15 Pasang NGT PASANG NGT - BEDAH 96:07:00 245,800

 PASANG NGT - IGD PAGI

PASANG NGT - IGD SORE

PASANG NGT - THT

PASANG NGT + BILAS LAMBUNG - IGD PAGI

PASANG NGT + BILAS LAMBUNG - IGD SORE

PASANG NGT DENGAN ENDOSCOPY

PASANG NGT DR. ANAK

TINDAKAN DOKTER ANAK PASANG NGT

16 Treadmill Latihan Treadmill (untuk Sport Injury) 89:41:00 294,700

TREADMILL DENGAN EKG

TREADMILL TANPA EKG

17 USG Gravid USG (ALAT 2D) 88.78 311,300

USG 2 D ( ALAT 3D/4D)

USG 2 DIMENSI ALAT 3D

USG 2D NON KEBIDANAN ALAT 3D-4D

USG 3 DIMENSI - 4 DIMENSI + PRINT

USG 3 DIMENSI NON FETO

USG KEBIDANAN 2D (ALAT 2D) + PRINT (MAKS 3 LEMBAR)

USG KEBIDANAN 2D (ALAT 3D) + PRINT (MAKS 3 LEMBAR)

USG KEBIDANAN 3D NON FETO

USG KEBIDANAN 3D/4D + PRINT (MAKS 3 LEMBAR)

USG Kebidanan 2D + Ekspertise

18 EEG EEG DOKTER SPESIALIS SYARAF 89:14:00 296,900

EEG DOKTER SPESIALIS SYARAF ANAK

19 AFF Heacting AFF HECTING 1 - 3 - IGD PAGI 97.84 461,900

AFF HECTING 1 - 3 - IGD SORE

AFF HECTING 11 - 15 - IGD PAGI

AFF HECTING 11 - 15 - IGD SORE

AFF HECTING 15 - 20 - IGD PAGI

AFF HECTING 15 - 20 - IGD SORE

AFF HECTING 15-20

AFF HECTING 4 - 6 - IGD PAGI

AFF HECTING 4 - 6 - IGD SORE

AFF HECTING 7 - 10 - IGD PAGI

AFF HECTING 7 - 10 - IGD SORE

AFF HECTING > 20

AFF HECTING DR ANAK 1-3 JAHITAN

AFF HECTING DR ANAK 11-15 JAHITAN

AFF HECTING DR ANAK 16-20 JAHITAN

AFF HECTING DR ANAK 4-6 JAHITAN

AFF HECTING DR ANAK 7-10 JAHITAN

AFF HECTING DR ANAK LEBIH DARI 20 JAHITAN

AFF HECTING JUMLAH JAHITAN 1-3 - BEDAH

AFF HECTING JUMLAH JAHITAN 11-15 - BEDAH

AFF HECTING JUMLAH JAHITAN 15-20 - BEDAH

AFF HECTING JUMLAH JAHITAN 4-6 - BEDAH

AFF HECTING JUMLAH JAHITAN 7-10 - BEDAH

AFF HECTING JUMLAH JAHITAN LEBIH DARI 20 - BEDAH

AFF HECTING KORNEA

AFF HECTING LEBIH DARI 20 - IGD PAGI

AFF HECTING LEBIH DARI 20 - IGD SORE

AFF HECTING PALPEBRA

AFF HECTING TELINGA 1-5 JAHITAN (PASKA OPERASI)

AFF HECTING TELINGA 6-10 JAHITAN (PASKA OPERASI)

 Aff Hecting 1-3 jahitan Kebidanan

Aff Hecting 11-15 jahitan Kebidanan

Aff Hecting 15-20 jahitan Kebidanan

Aff Hecting 4-6 jahitan Kebidanan

Aff Hecting 7-10 jahitan Kebidanan

Aff Hecting >20 jahitan Kebidanan

20 Debridement DEBRIDEMENT BERAT - BEDAH 86:22:00 355,200

DEBRIDEMENT BERAT - IGD PAGI

DEBRIDEMENT BERAT - IGD SORE

DEBRIDEMENT RINGAN - BEDAH

DEBRIDEMENT RINGAN - IGD PAGI

DEBRIDEMENT RINGAN - IGD SORE

DEBRIDEMENT SEDANG - BEDAH

DEBRIDEMENT SEDANG - IGD PAGI

DEBRIDEMENT SEDANG - IGD SORE

21 Lepas Gips 97.11-13 289,200

Pasang kateter
22 KATETER 57.94 352,900
URINE
PEMASANGAN KATETER URIN - BEDAH
PEMASANGAN KATETER URIN - IGD PAGI
PEMASANGAN KATETER URIN - IGD SORE
Sp.BV : Pasang Kateter Vena Sentral (Long Line)
Sp.U : Pasang Kateter Urine

B. Bila operator masih dependent, consumable masih banyak digunakan ---> 20% peran operat
23 Injeksi Artikular INJEKSI INTRA ARTICULAR BESAR - PAIN CLINIC 81.92 425,200
INJEKSI INTRA ARTICULAR BESAR+USG - PAIN CLINIC
INJEKSI INTRA ARTICULAR KECIL - PAIN CLINIC
INJEKSI INTRA ARTICULAR KECIL+USG - PAIN CLINIC
INJEKSI INTRA ARTICULAR SEDANG - PAIN CLINIC
INJEKSI INTRA ARTICULAR SEDANG+USG - PAIN CLINIC
INJEKSI INTRA ARTIKULAR - MUSKULAR - TENDON - TRIGER
POINT - PAIN CLINIC
INJEKSI INTRA ARTIKULER
Sp.PD : Injeksi Intra Artikuler

24 Intubasi INTUBASI 96:04:00 1,527,100

 INTUBASI - PEMASANGAN ETT - IGD PAGI

INTUBASI - PEMASANGAN ETT - IGD SORE

INTUBASI-PEMASANGAN ETT - BEDAH

INTUBASI/PASANG ETT

Intubasi Endotracheal

PASANG ENDOTRACHEAL TUBE RJP -INTUBASI + RESUSITASI

PASANG ETT RJP -INTUBASI+ RESUSITASI - IGD PAGI

PASANG ETT RJP -INTUBASI+ RESUSITASI - IGD SORE

TINDAKAN DOKTER UMUM INTUBASI/PEMASANGAN ETT

25 Laser Mata LASER MATA 14:24 494,900

26 USG Lain-lain USG ABDOMEN 88.76 576,900
USG ABDOMEN

USG ABDOMEN + PRINT (MAKS 3 LEMBAR)

USG ABDOMEN - Rujukan

USG ABDOMEN DOPPLER - Rujukan

USG ABDOMEN DOPPLER.

USG APPENDIX

USG Adneksa

USG Doppler Testis

USG EKSTERMITAS 3D + PRINT (MAKS 3 LEMBAR)

USG GINJAL - Rujukan

USG GINJAL.

USG GINJAL/PROSTAT

USG HEPATOBILER

USG INTIP TRANSVAGINAL

USG Inguinal

USG JARINGAN LUNAK

USG JARINGAN LUNAK - Rujukan

USG JARINGAN LUNAK.

USG KEPALA

USG KEPALA - Rujukan

USG KEPALA 2D + PRINT

USG KEPALA 3D + PRINT (MAKS 3 LEMBAR)

USG KEPALA.

USG KULIT + PRINT (MAKS 3 LEMBAR)

USG LEHER

USG LEHER - Rujukan

USG LEHER 3D + PRINT (MAKS 3 LEMBAR)

USG LEHER.

USG MAMMAE 3D + PRINT (MAKS 3 LEMBAR)

USG MAMMO

USG MAMMO - Rujukan

USG MAMMO.

USG MUCULOSKELETAL

USG MUCULOSKELETAL - Rujukan

USG MUSCULOKELETAL

USG PROSTAT

USG PROSTAT - Rujukan

USG SOFT TISSUE ABDOMEN

USG SOFT TISSUE LEHER

USG Scrotum

USG TESTIS

USG TESTIS - Rujukan

USG TESTIS 3D + PRINT (MAKS 3 LEMBAR)

 USG TESTIS.

USG THORAX

USG THORAX - Rujukan

USG THORAX 3 D + PRINT (MAKS 3 LEMBAR)

USG THORAX.

USG THYROID

USG THYROID RADIOLOGI - Rujukan

USG THYROID radiologi

USG THYROID.

USG TRANSVAGINAL (3D) + PRINT

USG TRANSVAGINAL 2D + PRINT (MAKS.3 LBR)

USG TYROID

USG Transvaginal 2D + Ekspertise

USG Transvaginal 2D + print (maks 3 lbr)

USG Umbilikal

27 USG Vaskular USG Doppler Carotis 88.77 659,900

USG CAROTIS

USG CEREBROVASKULAR DISEASE -CVD

USG DOPPLER

USG DOPPLER VASKULER

USG DOPPLER VASKULER - Rujukan

USG Doppler Carotis

USG Doppler Vaskuler Ekstremitas Atas 1 Sisi

USG Doppler Vaskuler Ekstremitas Atas 2 Sisi

USG Doppler Vaskuler Ekstremitas Bawah 2 Sisi

 USG Doppler Vaskuler Ekstremitas Bawah1 Sisi

USG PARAORTA & ILLIACA

USG Parotis

USG VASCULAR

28 Spirometri BRONKOSPIROMETRI 89:37:00 456,900

SPIROMETRI

C. Bila operator dependentnya kecil sekali, tidak ada consumable ---> Honor Konsultasi
29 Tonometri TONOMETRI - TENSI OKULI 89:11:00 221,800
30 Ganti Verban GANTI VERBAN 97:16:00 193,100
GANTI VERBAN - IGD

GANTI VERBAN - THT

GANTI VERBAN BESAR - BEDAH

GANTI VERBAN BESAR - IGD PAGI

GANTI VERBAN BESAR - IGD SORE

GANTI VERBAN BESAR DR ANAK

GANTI VERBAN KECIL - BEDAH

GANTI VERBAN KECIL - IGD PAGI

GANTI VERBAN KECIL - IGD SORE

GANTI VERBAN KECIL DR ANAK

GANTI VERBAN SEDANG - BEDAH

GANTI VERBAN SEDANG - IGD PAGI

GANTI VERBAN SEDANG - IGD SORE

GANTI VERBAN SEDANG DR ANAK

GANTI VERBAN-POLI VASKULER

Ganti Verban Khusus

Sp.KK : Ganti Verban Besar

Sp.KK : Ganti Verban Kecil

 Sp.KK : Ganti Verban Sedang

31 Ophtalmoscopy INDIRECT OPTHALMOSCOPY 16:21 221,800

32 Biometri BIOMETRI 95:02:00 221,800
33 Ganti Kateter 97:15:00 193,100
34 Uroflowmetry TINDAKAN UROFLOWMETRI 89:24:00 536,000
UROFLOWMETRY

35 Funduskopi FUNDUSCOPY DIRECT 95:11:00 250,000

FUNDUSCOPY INDIRECT

36 Inhalasi/Nebulizer INHALASI 93.94 323,900

37 Suture / Hecting 86:59:00 215,000

Prosedur Operasi
48 13:41 7,938,000
Katarak

Rontgen tulang
51 87:22:00 743,600
cervical (komplit)
 TOTAL

NOTE :
1 Bila operator dependent ---> 40% peran operator
2 Bila operator masih dependent, consumable masih banyak digunakan ---> 30
3 Bila operator dependentnya kecil, consumable masih banyak digunakan --->
4 Bila operator dependentnya kecil sekali, consumable masih banyak digunakan
 KODE USULAN KSO / SEWA
TINDAKAN % HONOR BMHP
ALAT
USULAN DOKTER
NOMINAL % NOMINAL % NOMINAL

1 30 105,870 30.00% 16,431 4.66% 0

1 30 114,600 30.00% 2,052 0.54% 0
1 30 539,160 30.00% 128,375 7.14% 0
539,160 30.00%
539,160 30.00%
539,160 30.00%
539,160 30.00%
539,160 30.00%
1 30 160,920 30.00% 83,375 15.54% 0
1 30 185,730 30.00% 16,629 2.69% 150,000

1 30 98,610 30.00% 16,629 5.06% 33,000

98,610 30.00%

1 30 87,390 30.00% 1,150 0.39% 0

1 30 96,360 30.00% 11,200 3.49% 0
1 30 86,760 30.00% 11,200 3.87% 0
1 30 127,560 30.00% 11,200 2.63% 0
1 30 105,570 30.00% 29,869 8.49% 186,890
105,570 30.00%
105,570 30.00%
105,570 30.00%
105,570 30.00%
 105,570 30.00%
105,570 30.00%
2 30 79,050 30.00% 22,500 8.54% 0
2 30 79,050 30.00% 9,500 3.61% 0
79,050 30.00%

2 30 86,760 30.00% 232,590 80.43% 0

86,760 30.00%

86,760 30.00%

86,760 30.00%

86,760 30.00%

86,760 30.00%

86,760 30.00%

86,760 30.00%

86,760 30.00%

86,760 30.00%

86,760 30.00%

86,760 30.00%

86,760 30.00%

2 30 73,740 30.00% 54,307 22.09% 0

 73,740 30.00%
73,740 30.00%
73,740 30.00%
73,740 30.00%
73,740 30.00%
73,740 30.00%
73,740 30.00%
73,740 30.00%
2 30 88,410 30.00% 0 0.00% 100,000
88,410 30.00%
88,410 30.00%
2 30 93,390 30.00% 7,818 2.51% 127,000
93,390 30.00%
93,390 30.00%
93,390 30.00%
93,390 30.00%
93,390 30.00%
93,390 30.00%
93,390 30.00%
93,390 30.00%
93,390 30.00%
93,390 30.00%
2 30 89,070 30.00% 55,209 18.60% 132,000
89,070 30.00%
3 30 138,570 30.00% 14,171 3.07% 0
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
 138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
138,570 30.00%
3 30 106,560 30.00% 25,975 7.31% 0
106,560 30.00%
106,560 30.00%
106,560 30.00%
106,560 30.00%
106,560 30.00%
106,560 30.00%
106,560 30.00%
106,560 30.00%
3 30 86,760 30.00% 0 0.00% 0
3 30 105,870 30.00% 30,600 8.67% 0
105,870 30.00%
105,870 30.00%
105,870 30.00%
105,870 30.00%
105,870 30.00%
20% peran operator
2 20 85,040 20.00% 130,900 30.79% 0
85,040 20.00%
85,040 20.00%
85,040 20.00%
85,040 20.00%
85,040 20.00%
85,040 20.00%
85,040 20.00%
85,040 20.00%
2 20 305,420 20.00% 76,702 5.02% 0
 305,420 20.00%
305,420 20.00%
305,420 20.00%
305,420 20.00%
305,420 20.00%
305,420 20.00%
305,420 20.00%
305,420 20.00%
305,420 20.00%
2 20 98,980 20.00% 29,539 5.97% 240,000
2 20 115,380 20.00% 7,818 1.36% 257,750
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
 115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
115,380 20.00%
2 20 131,980 20.00% 7,818 1.18% 332,700
131,980 20.00%
131,980 20.00%
131,980 20.00%
131,980 20.00%
131,980 20.00%
131,980 20.00%
131,980 20.00%
131,980 20.00%
131,980 20.00%
 131,980 20.00%
131,980 20.00%
131,980 20.00%
131,980 20.00%
3 20 91,380 20.00% 19,170 4.20% 102,000
91,380 20.00%

3 77,000 34.72% 29,539 13.32% 117,000

3 77,000 39.88% 17,900 9.27% 0
77,000 39.88%
77,000 39.88%
77,000 39.88%
77,000 39.88%
77,000 39.88%
77,000 39.88%
77,000 39.88%
77,000 39.88%
77,000 39.88%
77,000 39.88%
77,000 39.88%
77,000 39.88%
77,000 39.88%
77,000 39.88%
77,000 39.88%
77,000 39.88%
77,000 39.88%
77,000 39.88%
 77,000 39.88%

3 77,000 34.72% 18,650 8.41% 81,000

3 77,000 34.72% 8,000 3.61% 36,200
3 77,000 39.88% 30,600 15.85% 0
3 77,000 14.37% 1,749 0.33% 200,000
77,000 14.37%
3 77,000 30.80% 29,539 11.82% 21,000
77,000 30.80%
3 77,000 23.77% 16,464 5.08% 14,250
3 77,000 35.81% 78,175 36.36% 0

2 223,080
unakan ---> 30% peran operator
digunakan ---> 20% peran operator
anyak digunakan ---> 10% peran operator
 RS KETERANGAN

% NOMINAL %

Tarif Konsul
0.00% 230,599 65.34% 77,000
0.00% 265,348 69.46% 77,000
0.00% 1,129,665 62.86% 77,000

0.00% 292,105 54.46% 77,000

24.23% 266,741 43.09% 77,000

10.04% 180,461 54.90% 77,000

0.00% 202,760 69.61% 77,000

0.00% 213,640 66.51% 77,000
0.00% 191,240 66.13% 77,000
0.00% 286,440 67.37% 77,000
53.11% 29,571 8.40% 77,000
0.00% 161,950 61.46% 77,000
0.00% 174,950 66.39% 77,000

Keuntungan dari BMHP

0.00% -30,150 -10.43% 77,000
sekitar 30%

0.00% 117,753 47.91% 77,000

33.93% 106,290 36.07% Alat punya RS 77,000

40.80% 83,092 26.69% Alat punya RS 77,000

44.46% 20,621 6.95% Alat punya RS 77,000

0.00% 309,159 66.93% 77,000

0.00% 222,665 62.69% 77,000

0.00% 202,440 70.00% 77,000

0.00% 216,430 61.33% 77,000

BMHP pemakaian bersama.

0.00% 209,260 49.21% Dapat dilakukan untuk 3 77,000
orang

0.00% 1,144,978 74.98% 77,000

48.49% 126,381 25.54% 77,000
44.68% 195,952 33.97% 77,000
50.42% 187,402 28.40% Alat KSO 77,000
22.32% 244,350 53.48%

52.75% -1,739 -0.78% Alat punya RS 77,000

0.00% 98,200 50.85% 77,000
36.52% 45,150 20.36% Alat punya RS 77,000
16.32% 100,600 45.36% 77,000
0.00% 85,500 44.28% 77,000
37.31% 257,251 47.99% Alat punya RS 77,000

8.40% 122,461 48.98% 77,000

4.40% 216,186 66.74% 77,000

0.00% 59,825 27.83% 77,000
Tarif Tindakan Keterangan
28,870
37,600
462,160 Kenaikan dengan tindakan hanya mengalami kenaikan sebesar 13.360

83,920 Kenaikan dengan tindakan hanya mengalami kenaikan sebesar 22.450

108,730

21,610

10,390
19,360
9,760
50,560
28,570
 2,050
2,050

9,760 Jarang terjadi, dan banyak dilakukan pada OK

- 3,260
11,410

16,390

12,070

61,570
 61,570

29,560
9,760

8,040 Dalam waktu 24 jam untuk Obat dapat digunakan untuk 3 Pasien dan diatur untuk pen

228,420
21,980
38,380
54,980
-
-
-
-
-
-

-
-
dan diatur untuk penggunaan obatnya