TARIF (Rp) jasa dokter

No JENIS PEMERIKSAAN
ELEKTIF CYTO umum
SCHEDEL
1 Schedel AP/ lateral Rp 160,000 Rp 175,000 Rp 60,000
2 Os Nasal Rp 135,000 Rp 150,000 Rp 30,000
3 Sinus Paranasalis Rp 135,000 Rp 150,000 Rp 30,000
4 Sinus paranasalis 3 posisi Rp 185,000 Rp 200,000 Rp 90,000
5 Orbita Rp 150,000 Rp 165,000 Rp 30,000
6 Mastoid Rp 175,000 Rp 190,000 Rp 60,000
7 Basis Cranii Rp 135,000 Rp 150,000 Rp 30,000
8 Cela Tutsica Rp 160,000 Rp 175,000 Rp 30,000
9 TMJ (tempora mandibula jouint) Rp 145,000 Rp 160,000 Rp 60,000
10 Petrosum (towns) Rp 160,000 Rp 175,000 Rp 30,000
11 Mandibula Rp 145,000 Rp 160,000 Rp 60,000
12 maxila Rp 145,000 Rp 160,000 Rp 30,000

GIGI Rp 110,000 Rp 125,000 Rp 30,000

THORAX
1 Thorax AP / PA Rp 110,000 Rp 125,000 Rp 30,000
2 Thorax AP dan lateral Rp 160,000 Rp 175,000 Rp 60,000
3 Clavikula Rp 135,000 Rp 150,000 Rp 30,000
4 Top lordotik Rp 110,000 Rp 125,000 Rp 30,000
5 Scapula ka-ki Rp 145,000 Rp 160,000 Rp 30,000
ABDOMEN
1 Abdomen Polos atau BNO Rp 135,000 Rp 150,000 Rp 30,000
2 Abdomen 3 posisi Rp 260,000 Rp 275,000 Rp 90,000
3 abdomen 2 posisi Rp 210,000 Rp 225,000 Rp 60,000
EKSTREMITAS
1 Tiap regio AP LAT Rp 160,000 Rp 175,000 Rp 30,000
2 Humerus Rp 160,000 Rp 175,000 Rp 30,000
3 Wrist Joint Rp 160,000 Rp 175,000 Rp 30,000
4 Antebrachy AP dan Lat Rp 160,000 Rp 175,000 Rp 30,000
5 Manus AP dan LAT Rp 160,000 Rp 175,000 Rp 30,000
6 Femur AP dan LAT Rp 160,000 Rp 175,000 Rp 30,000
7 Genu AP dan LAT Rp 175,000 Rp 190,000 Rp 30,000
8 Cruris AP dan LAT Rp 160,000 Rp 175,000 Rp 30,000
9 Angkel Joint AP dan LAT Rp 160,000 Rp 175,000 Rp 30,000
10 Pedis AP dan LAT Rp 160,000 Rp 175,000 Rp 30,000
PELVIS
1 PELVIS Rp 160,000 Rp 175,000 Rp 30,000
2 IUD Rp 310,000 Rp 325,000 Rp 30,000
COLUMNA VERTEBRAE
1 C.V. Cervical AP dan LAT Rp 175,000 Rp 190,000 Rp 60,000
2 C.V. Cervical AP, LAT,oblique Rp 210,000 Rp 225,000 Rp 60,000
3 C.V. Thoracalis AP dan LAT Rp 210,000 Rp 225,000 Rp 60,000
4 C.V. Thoracalis AP, LAT, oblique Rp 260,000 Rp 275,000 Rp 60,000
5 C.V. Lumbalis AP dan LAT Rp 210,000 Rp 225,000 Rp 60,000
6 C.V. Lumbalis AP, LAT, oblique Rp 260,000 Rp 275,000 Rp 60,000
7 C.V. Lumbosacral Rp 210,000 Rp 225,000 Rp 60,000
8 C.V. Sacrum AP dan LAT Rp 210,000 Rp 225,000 Rp 60,000

RADIOLOGI DENGAN KONTRAS

1 BNO IVP Rp 700,000 Rp 380,000

2 COLON IN LOOP Rp 700,000 Rp 410,000
3 CHOLONGIOGRAFY Rp 700,000 Rp 380,000
4 FISTULOGRAFI Rp 750,000 Rp 350,000
5 HSG Rp 650,000 Rp 320,000
6 LOFOGRAFY Rp 650,000 Rp 320,000
7 OMD Rp 650,000 Rp 350,000
8 URETROGRAM Rp 600,000 Rp 350,000
9 URETROCYSTOGRAFY Rp 700,000 Rp 350,000
10 APENDICOGRAM Rp 400,000 Rp 320,000
11 CYSTOGRAM Rp 600,000 Rp 350,000
12 ESOFAGOGRAM Rp 550,000 Rp 350,000
USG
1 USG ABDOMEN Rp 200,000 Rp 85,000
2 USG TYROID Rp 200,000 Rp 85,000
3 USG MAMAE Rp 200,000 Rp 85,000
4 USG PELVIS Rp 150,000 Rp 85,000
5 USG KANDUNGAN Rp 200,000 Rp 85,000
6 USG KEPELA Rp 220,000 Rp 85,000
7 USG DOPLER WARNA Rp 400,000 Rp 85,000
8 USG GUIDE/OPERASI Rp 300,000 Rp 85,000
9 USG LEHER Rp 200,000 Rp 85,000
10 USG MOSKOLOS LATERAL Rp 225,000 Rp 85,000
jasa dokter
asuransi

Rp 50,000
Rp 25,000
Rp 25,000
Rp 75,000
Rp 25,000
Rp 50,000
Rp 25,000
Rp 25,000
Rp 50,000
Rp 25,000
Rp 50,000
Rp 25,000

Rp 25,000

Rp 25,000
Rp 50,000
Rp 25,000
Rp 25,000
Rp 25,000

Rp 25,000
Rp 75,000
Rp 50,000

Rp 25,000
Rp 25,000
Rp 25,000
Rp 25,000
Rp 25,000
Rp 25,000
Rp 25,000
Rp 25,000
Rp 25,000
Rp 25,000

Rp 25,000
Rp 25,000

Rp 50,000
Rp 50,000
Rp 50,000
Rp 50,000
Rp 50,000
Rp 50,000
Rp 50,000
Rp 50,000

Rp 350,000
Rp 375,000
Rp 350,000
Rp 325,000
Rp 300,000
Rp 300,000
Rp 325,000
Rp 325,000
Rp 325,000
Rp 200,000
Rp 325,000
Rp 325,000

Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000