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TARIF ORTHOPEDI 2020

TarIF ORTHOPEDI 2020


No Tarif 2020
Tindakan Operasi
. III II I VIP
A. OPERASI RINGAN SPESIALIS ORTHOPEDI
100000 150000
1 Buka Traksi Skletal/ganti gips sirkuler 0 0 2000000 3000000
100000 150000
2 pasang traksi skletal dengan LA 0 0 2000000 3000000
100000 150000
3 reposisi metacarpal/metatarsal/phalang dengan LA 0 0 2000000 3000000
150000 200000
4 debridement/amputasi 1 jari dengan LA 0 0 2500000 3500000

B. OPERASI SEDANG SPESIALIS ORTHOPEDI


150000 200000
1 reposisi metacarpal/metatarsal/phalang dengan GA 0 0 2500000 3500000
200000 250000
2 debridement luka dengan GA 0 0 3000000 4000000
300000 350000
3 wiring metacarpal/metatarsal/phalang <=2 0 0 4000000 5000000
250000 300000
4 aff Wire digiti/metacarpal/choles/ulna/fibula 0 0 3500000 4500000
250000 300000
5 reposisi dislokasi bahu/elbow/wrist 0 0 3500000 4500000
reposisi fraktur + long leg cast / long arm cast dengan 250000 300000
6 GA 0 0 3500000 4500000
250000 300000
7 amputasi jari <2 dengan GA 0 0 3500000 4500000
300000 350000
8 tendoraphy selain palmar <2 tendon 0 0 4000000 5000000
250000 300000
9 skin graft <10cm 0 0 3500000 4500000
300000 350000
10 reposisi dislokasi panggul 0 0 4000000 5000000
300000 350000
11 tendoraphy achilles 0 0 4000000 5000000
300000 350000
12 aff plate clavicula 0 0 4000000 5000000
300000 350000
13 orif radius/ulna 0 0 4000000 5000000
300000 350000
14 open Biopsi tulang 0 0 4000000 5000000
250000 300000
15 release CTS/Dequarvain/Trigger finger/ 0 0 3500000 4500000
300000 350000
16 Achilles Tendon Lenghtening CTEV 0 0 4000000 5000000

C. OPERASI BERAT SPESIALIS ORTHOPEDI


300000 350000
1 debridement luas 0 0 4000000 5000000
350000 400000
2 aff plate femur/cruris/lengan atas/lengan bawah 0 0 4500000 5500000
350000 400000
3 tendoraphy palmar/lainnya >2 0 0 4500000 5500000
300000 350000
4 skin graft > 10cm 0 0 4000000 5000000
300000 350000
5 orif metacarpal/metatarsal/phalang digiti >2 0 0 4000000 5000000
350000 400000
4 amputasi lengan atas/bawah 0 0 4500000 5500000
450000 500000
5 amputasi kaki atas/bawah 0 0 5500000 6500000
400000 450000
6 orif clavicula simple 0 0 5000000 6000000
450000 500000
7 orif scapula 0 0 5500000 6500000
450000 500000
8 orif fraktur humerus simple 0 0 5500000 6500000
450000 500000
9 orif fraktur antebrachii simple /colles/smith/galleazi 0 0 5500000 6500000
450000 500000
10 orif fraktur shaft femur simple 0 0 5500000 6500000
450000 500000
11 orif patella 0 0 5500000 6500000
450000 500000
12 orif fraktur shaft cruris (tibia/fibula) simple 0 0 5500000 6500000
450000 500000
13 orif calcaneus/tallus 0 0 5500000 6500000
450000 500000
14 open reduction dislocation Shoulder/Elbow/Hip/Knee 0 0 5500000 6500000
15 Postero Medial Release CTEV 400000 450000 5000000 6000000
0 0

D. OPERASI KHUSUS SPESIALIS ORTHOPEDI


600000 650000
1 Orif Clavicula Kominutif 0 0 7000000 8000000
600000 650000
2 Orif Proximal Humerus 0 0 7000000 8000000
600000 650000
3 Orif Humerus kominutif 0 0 7000000 8000000
600000 650000
4 orif Supracondylar/intercondylar humerus 0 0 7000000 8000000
500000 550000
5 orif monteggia 0 0 6000000 7000000
600000 650000
6 orif antebrachii kominutif 0 0 7000000 8000000
orif proximal femur 600000 650000
7 (intertrochanter/perthrochanter/subtrochanter) 0 0 7000000 8000000
600000 650000
8 orif femur kominutif 0 0 7000000 8000000
600000 650000
9 orif distal femur (intercondylar/supracondylar) 0 0 7000000 8000000
600000 650000
10 orif tibial plateau 0 0 7000000 8000000
600000 650000
11 orif cruris kominutif 0 0 7000000 8000000
500000 550000
12 orif tibial pillon 0 0 6000000 7000000
600000 650000
13 Partial Hip Arthroplasty (AMP/Bipolar) 0 0 7000000 8000000
800000 850000
14 Total Hip Arthroplasty / Total Knee Arthroplasty 0 0 9000000 10000000
600000 650000
15 Arthrodesis Hip/Knee/Ankle 0 0 7000000 8000000
600000 650000
16 Orif pelvic dan acetabulum 0 0 7000000 8000000
800000 850000
17 fiksasi / dekompresi tulang belakang 0 0 9000000 10000000
600000 650000
18 Skin Flap 0 0 7000000 8000000

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