PEMERIKSAAN RADIOLOGI / RONTGEN.

Kode Produk Tindakan Sim Tarif Baru Js. RS. Tarip

Unit : RAWAT INAP

Sub Unit : CYTO
Kelas : VIP
ROCV 40 THORAKAL AP, L, O( Rel ) 24 X 30 0 225,000 225,000
ROCV01 THORAX 18 X 24( anak) 183,000.00 159,000 159,000
ROCV02 THORAX 24 X 30 0.00
ROCV03 THORAX 30 X 40(dewasa) 201,000.00 174,000 174,000
ROCV04 THORAX 35 X 35 0.00
ROCV05 THORAX AP & L 18 X 24(anak) 216,000.00 187,500 187,500
ROCV06 THORAX AP & L 24 X 30 0.00
ROCV07 THORAX AP & L 30 X 40(dewasa) 245,000.00 213,000 213,000
ROCV08 THORAX AP & L 35 X 35 0.00
ROCV09 ABDOMEN 18 X 24 (anak) 187,000.00 162,000 162,000
ROCV10 ABDOMEN 24 X 30 0.00
ROCV11 ABDOMEN 30 X 40(dewasa) 206,000.00 178,500 178,500
ROCV110 Brain/head/orbita/kepala non kontras ### 1,080,000 1,080,000
ROCV111 Brain/head/orbita/kepala dg kontras ### 2,100,000 2,100,000
ROCV112 Abdomen/thorax non kontras ### 1,620,000 1,620,000
ROCV113 Abdomen/thorax dg kontras ### 3,510,000 3,510,000
ROCV114 Leher/cervical/nasofaring non kontras ### 1,485,000 1,485,000
ROCV115 Leher/cervical/nasofaring dg kontras ### 3,240,000 3,240,000
ROCV116 Lumbal/extremitas/pelvis/sinus/non kontras ### 1,553,000 1,553,000
ROCV117 Sinus dg kontras ### 3,240,000 3,240,000
ROCV118 3D Facial bone/cervical/thoracal/lumbal ### 2,295,000 2,295,000
ROCV119 PEDIS AP & OB DEWASA 207,000.00 180,000 180,000
ROCV12 ABDOMEN 2 POSISI 18 X 24(anak) 216,000.00 187,500 187,500
ROCV13 ABDOMEN 2 POSISI 24 X 30 0.00
ROCV14 ABDOMEN 2 POSISI 30 X 40(dewasa) 245,000.00 213,000 213,000
ROCV15 ABDOMEN 3 POSISI(anak) 294,000.00 255,000 255,000
ROCV16 ABDOMEN 3 POSISI (dewasa) 325,000.00 282,000 282,000
ROCV17 ABDOMEN 3 POSISI 30 X 40 0.00
ROCV18 PELVIS 24 X 30 (anak) 187,000.00 162,000 162,000
ROCV19 PELVIS 30 X 40 (dewasa) 206,000.00 178,500 178,500
ROCV20 FEMUR AP & L 24 X 30(anak) 202,000.00 175,500 175,500
ROCV21 FEMUR AP & L 30 X 40 (dewasa) 207,000.00 180,000 180,000
ROCV22 GENU AP & L 202,000.00 175,500 175,500
ROCV23 CRURIS AP & L 24 X 30 (anak) 187,000.00 162,000 162,000
ROCV24 CRURIS AP & L 30 X 40 (dewasa) 207,000.00 180,000 180,000
ROCV25 ANKLE JOINT AP & L 187,000.00 162,000 162,000
ROCV26 PEDIS AP & OB ANAK 185,000.00 160,500 160,500
ROCV27 KLAVIKULA AP 185,000.00 160,500 160,500
ROCV28 SHOULDER JOINT AP & L 202,000.00 175,500 175,500
ROCV29 HUMERUS AP & L 202,000.00 160,000 160,000
ROCV30 ART. CUBITI AP & L 18 X 24 185,000.00 157,000 157,000
ROCV31 ART. CUBITI AP & L 24 X 30 0.00
ROCV32 ANTEBRACI AP & L 185,000.00 160,500 160,500
ROCV33 WRIST JOINT AP & L 185,000.00 160,500 160,500
ROCV34 MANUS AP & L 18 X 24 (anak) 185,000.00 160,500 160,500
ROCV35 MANUS AP & L 24 X 30 (dewasa) 207,000.00 180,000 180,000
ROCV36 CERVIKAL AP & L 216,000.00 187,500 187,500
ROCV37 CERVIKAL AP, L, OB 337,000.00 292,500 292,500
ROCV38 THORAKAL AP & L 24 X 30 0.00 213,000 213,000
ROCV39 THORAKAL AP & L 30 X 40 245,000.00 292,500 292,500
ROCV41 THORAKAL AP, L, O( Rel ) 30 X 40 337,000.00
ROCV42 LUMBAL AP & L 245,000.00 213,000 213,000
ROCV43 LUMBOSAKRAL AP, L, O 337,000.00 187,500 187,500
ROCV44 KRANIUM AP & L 216,000.00 187,500 187,500
ROCV45 TOWNE`S 216,000.00 187,500 187,500
ROCV46 SCHULLER R & L 216,000.00 187,500 187,500
ROCV47 MANDIBULA AP 187,000.00 162,000 162,000
ROCV48 MANDIBULA AP & L 216,000.00 187,500 187,500
ROCV49 EISHLER R & L 216,000.00 187,500 187,500
ROCV50 WATER`S 187,000.00 162,000 162,000
ROCV51 BNO - IVP ( UROGRAFIN )
ROCV52 OMD 630,000.00 547,000 547,000
ROCV53 OESOPHAGUS 366,000.00 318,000 318,000
ROCV54 COLON IN LOOP ( BaSo4 ) 630,000.00 547,500 547,500
ROCV55 COLON IN LOOP ( Urografin ) 0.00
ROCV56 BNO - IVP ( OPTIRAY ) 0.00
ROCV57 URETHROCYSTOGRAFI RETROGR 763,000.00 663,000 663,000
ROCV58 FISTULOGRAFI 578,000.00 502,500 502,500
ROCV59 HSG 0.00
ROCV60 CYSTOGRAFI / URETHROCYSTOGR 552,000.00 480,000 480,000
ROCV61 APPENDIKOGRAM 289,000.00 250,500 250,500
ROCV62 BaSo4 / 100 GR 100,000.00
ROCV63 UROGRAFIN / AMP 0.00
ROCV64 Iopamiro / 10 ml 90,000.00 71,500 71,500
ROCV65 BIAYA ADMINISTRASI 2,500.00 2,500 2,500
ROCV91 CACANEUS AP (24X30) 0.00 162,000 162,000
ROCV92 CACANEUS AP,R&L(24X30) 187,000.00 212,500 212,500
ROCV93 NASAL AP&L (24X30) 216,000.00 187,500 187,500
ROCV94 NASAL L 18X24 183,000.00 159,000 159,000
ROCV95 COLON IN LOOP (IOPAMIRO) 897,000.00 780,000 780,000
lumbal ap/lat/ob 337,000.00
sacrum ap/lat 216,000.00
lumbosacral ap/lat 216,000.00
SPN 216,000.00
PANORAMIK 206,000.00
1X EKSPOSE/FILM 20X26 80,000.00
1X EKSPOSE/FILM 26X30 90,000.00
1X EKSPOSE/FILM 35X43 100,000.00
THORACOLUMBAL AP/LAT 245,000.00
THORACOLUMBAL AP/LAT/OB 337,000.00
PEMBACAAN CT SCAN 50,000.00
PEMBACAAN RO 22,500.00