You are on page 1of 6

Dokter Dokter Anastesi

NO TINDAKAN KELAS TARIF INA-CBG operator30% 30% jasa Dokter


Tarif INA operator

1 3,510,000 1,053,000 315,900


1 PROSEDUR APPENDIK 2 3,009,200 902,760 270,828
3 2,507,700 752,310 225,693
1 5,697,400 1,709,220 512,766
2 PROSEDUR HIL 2 4,883,500 1,465,050 439,515
3 4,069,600 1,220,880 366,264
1 11,031,900 3,309,570 992,871
PROSEDUR INTESTINAL
3 2 9,455,900 2,836,770 851,031
KOMPLEK (ILEUS)
3 7,880,000 2,364,000 709,200
1 6,105,500 1,831,650 549,495
PROSEDUR PAYUDARA
4 2 5,233,300 1,569,990 470,997
(FAM)
3 4,361,100 1,308,330 392,499
1 7,021,600 2,106,480 631,944
5 PROSEDUR TIROID 2 6,018,600 1,805,580 541,674
3 5,015,500 1,504,650 451,395
1 4,650,800 1,395,240 418,572
PROSEDUR PADA KULIT
6 JARINGAN BAWAH 2 3,986,400 1,195,920 358,776
KULIT (LYPOMA)
3 3,322,000 996,600 298,980
1 9,405,600 2,821,680 846,504
7 ULCUS PEDIS 2 5,726,600 1,717,980 515,394
3 3,450,800 1,035,240 310,572
1 4,031,500 1,209,450 362,835
8 EXCISI LOKAL 2 3,455,600 1,036,680 311,004
3 2,879,700 863,910 259,173
1 8,616,500 2,584,950 775,485
DEBRIDEMENT + 2 7,985,600 2,395,680 718,704
9
AMPUTASI
3 6,154,600 1,846,380 553,914

1 5,562,300 1,668,690 500,607


PROSEDUR ANAL
10
(HEMOROID) 2 4,767,700 1,430,310 429,093
3 3,970,100 1,191,030 357,309
1 7,955,800 2,386,740 716,022
11 PROSEDUR KANDUNG
KEMIH KOMPLEK (BBB) 2 6,819,200 2,045,760 613,728
3 5,682,700 1,704,810 511,443
Sewa OK Ass 1 Ass 2 RR BHP Spoed Sisa

225,000 170,000 140,000 35,000 50,000 125,000 1,396,100


225,000 130,000 120,000 30,000 50,000 125,000 1,155,612
225,000 130,000 120,000 30,000 50,000 125,000 849,697
225,000 170,000 140,000 35,000 50,000 125,000 2,730,414
225,000 130,000 120,000 30,000 50,000 125,000 2,298,935
225,000 130,000 120,000 30,000 50,000 125,000 1,802,456
225,000 170,000 140,000 35,000 50,000 125,000 5,984,459
225,000 130,000 120,000 30,000 50,000 125,000 5,088,099
225,000 130,000 120,000 30,000 50,000 125,000 4,126,800
225,000 170,000 140,000 35,000 50,000 125,000 2,979,355
225,000 130,000 120,000 30,000 50,000 125,000 2,512,313
225,000 130,000 120,000 30,000 50,000 125,000 1,980,271
225,000 170,000 140,000 35,000 50,000 125,000 3,538,176
225,000 130,000 120,000 30,000 50,000 125,000 2,991,346
225,000 130,000 120,000 30,000 50,000 125,000 2,379,455
225,000 170,000 140,000 35,000 50,000 125,000 2,091,988
225,000 130,000 120,000 30,000 50,000 125,000 1,751,704
225,000 130,000 120,000 30,000 50,000 125,000 1,346,420
225,000 170,000 140,000 35,000 50,000 125,000 4,992,416
225,000 130,000 120,000 30,000 50,000 125,000 2,813,226
225,000 130,000 120,000 30,000 50,000 125,000 1,424,988
225,000 170,000 140,000 35,000 50,000 125,000 1,714,215
225,000 130,000 120,000 30,000 50,000 125,000 1,427,916
225,000 130,000 120,000 30,000 50,000 125,000 1,076,617
225,000 170,000 140,000 35,000 50,000 125,000 4,511,065
225,000 130,000 120,000 30,000 50,000 125,000 4,191,216
225,000 130,000 120,000 30,000 50,000 125,000 3,074,306

225,000 170,000 140,000 35,000 50,000 125,000 2,648,003

225,000 130,000 120,000 30,000 50,000 125,000 2,228,297


225,000 130,000 120,000 30,000 50,000 125,000 1,741,761
225,000 170,000 140,000 35,000 50,000 125,000 4,108,038
225,000 130,000 120,000 30,000 50,000 125,000 3,479,712
225,000 130,000 120,000 30,000 50,000 125,000 2,786,447
Dokter Anastesi
Dokter operator
NO TINDAKAN KELAS TARIF 30% jasa Dokter
30% Tarif INA
operator
1 6,191,300 1,857,390 557,217
1 SECTIO CAESAR 2 5,306,800 1,592,040 477,612
3 4,422,400 1,326,720 398,016
1 7,720,200 2,316,060 694,818
2 MYOMA+ADNEXA 2 6,617,300 1,985,190 595,557
3 5,514,400 1,654,320 496,296
1 4,358,200 1,307,460 392,238
3 LEEP 2 3,735,600 1,120,680 336,204
3 3,113,000 933,900 280,170
1 2,084,700 625,410 187,623
4 KURETASE 2 1,786,900 536,070 160,821
3 1,489,100 446,730 134,019
1 7,639,600 2,291,880 687,564
5 KISTA 2 6,548,200 1,964,460 589,338
3 5,456,800 1,637,040 491,112
Sewa OK Ass 1 Ass 2 RR BHP Spoed Sisa

225,000 170,000 140,000 35,000 50,000 125,000 3,031,693


225,000 130,000 120,000 30,000 50,000 125,000 2,557,148
225,000 130,000 120,000 30,000 50,000 125,000 2,017,664
225,000 170,000 140,000 35,000 50,000 125,000 3,964,322
225,000 130,000 120,000 30,000 50,000 125,000 3,356,553
225,000 130,000 120,000 30,000 50,000 125,000 2,683,784
225,000 170,000 140,000 35,000 50,000 125,000 1,913,502
225,000 130,000 120,000 30,000 50,000 125,000 1,598,716
225,000 130,000 120,000 30,000 50,000 125,000 1,218,930
225,000 170,000 140,000 35,000 50,000 125,000 526,667
225,000 130,000 120,000 30,000 50,000 125,000 410,009
225,000 130,000 120,000 30,000 50,000 125,000 228,351
225,000 170,000 140,000 35,000 50,000 125,000 3,915,156
225,000 130,000 120,000 30,000 50,000 125,000 3,314,402
225,000 130,000 120,000 30,000 50,000 125,000 2,648,648
Dokter Dokter Anastesi
NO TINDAKAN KELAS TARIF operator 30% 30% jasa Dokter
Tarif INA operator
1 2,758,100 827,430 248,229
1 INJEKSI SENDI 2 2,364,100 709,230 212,769
3 1,970,100 591,030 177,309
1 4,031,500 1,209,450 362,835
2 AFF PINNING 2 3,455,600 1,036,680 311,004
3 2,879,700 863,910 259,173
1 2,753,300 825,990 247,797
FRAKTUR/DISLOKASI
3 SELAIN FEMUR DAN 2 2,360,000 708,000 212,400
PELVIS (PASANG GIPS)
3 1,966,700 590,010 177,003
1 3,734,700 1,120,410 336,123
4 RELEASE TENDON 2 3,201,200 960,360 288,108
3 2,667,600 800,280 240,084
PROSEDUR ANGGOTA 1 7,858,100 2,357,430 707,229
5 TUBUH ATAS 2 6,735,500 2,020,650 606,195
(FRAKTUR) 3 5,612,900 1,683,870 505,161
1 13,823,500 4,147,050 1,244,115
PROSEDUR LUTUT DAN
6 TUNGKAI BAWAH 2 11,848,700 3,554,610 1,066,383
SELAIN KAKI (FRAKTUR)
3 9,873,900 2,962,170 888,651

PROSEDUR PADA 1 10,803,800 3,241,140 972,342


7 SENDI TUNGKAI 2 9,260,400 2,778,120 833,436
BAWAH (TKR)
3 7,717,000 2,315,100 694,530
Sewa OK Ass 1 Ass 2 RR BHP Spoed Sisa

225,000 170,000 140,000 35,000 50,000 125,000 937,441


225,000 130,000 120,000 30,000 50,000 125,000 762,101
225,000 130,000 120,000 30,000 50,000 125,000 521,761
225,000 170,000 140,000 35,000 50,000 125,000 1,714,215
225,000 130,000 120,000 30,000 50,000 125,000 1,427,916
225,000 130,000 120,000 30,000 50,000 125,000 1,076,617
225,000 170,000 140,000 35,000 50,000 125,000 934,513
225,000 130,000 120,000 30,000 50,000 125,000 759,600
225,000 130,000 120,000 30,000 50,000 125,000 519,687
225,000 170,000 140,000 35,000 50,000 125,000 1,533,167
225,000 130,000 120,000 30,000 50,000 125,000 1,272,732
225,000 130,000 120,000 30,000 50,000 125,000 947,236
225,000 170,000 140,000 35,000 50,000 125,000 4,048,441
225,000 130,000 120,000 30,000 50,000 125,000 3,428,655
225,000 130,000 120,000 30,000 50,000 125,000 2,743,869
225,000 170,000 140,000 35,000 50,000 125,000 7,687,335
225,000 130,000 120,000 30,000 50,000 125,000 6,547,707
225,000 130,000 120,000 30,000 50,000 125,000
5,343,079
225,000 170,000 140,000 35,000 50,000 125,000 5,845,318
225,000 130,000 120,000 30,000 50,000 125,000 4,968,844
225,000 130,000 120,000 30,000 50,000 125,000 4,027,370

You might also like