Laporan Tindakan Radiologi

2022-05-01 S/D 2022-05-31

Ralan IGD Ranap Total Ralan Total IGD Total Ranap

# Pemeriksaan Tarif
KTP/KK Tunai JKN KTP/KK Tunai JKN KTP/KK Tunai JKN KTP/KK Tunai JKN KTP/KK Tunai JKN KTP/KK Tunai JKN
1 Abd 3 posisi 3x Penyinaran Kelas Utama 0 0 0 0 1 0 0 0 0 210000 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp210,000.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00
2 Ankle joint 2x Penyinaran Kelas Utama 0 0 0 1 0 0 0 0 0 160000 Rp0.00 Rp0.00 Rp0.00 Rp160,000.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00
3 Antebrachii 2x Penyinaran Kelas Utama 1 0 0 0 0 0 0 0 0 160000 Rp160,000.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00
4 BNO 1x Penyinaran Kelas Utama 0 1 1 4 0 8 1 0 0 85000 Rp0.00 Rp85,000.00 Rp85,000.00 Rp340,000.00 Rp0.00 Rp680,000.00 Rp85,000.00 Rp0.00 Rp0.00
BNO AP/PA & lateral 2x Penyinaran Kelas
5 Utama 0 0 0 1 0 2 0 0 3 160000 Rp0.00 Rp0.00 Rp0.00 Rp160,000.00 Rp0.00 Rp320,000.00 Rp0.00 Rp0.00 Rp480,000.00
6 Cruris 2x Penyinaran Kelas Utama 0 1 0 1 0 0 0 0 0 160000 Rp0.00 Rp160,000.00 Rp0.00 Rp160,000.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00
7 Femur 2x Penyinaran Kelas Utama 0 1 0 1 0 0 0 0 0 160000 Rp0.00 Rp160,000.00 Rp0.00 Rp160,000.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00
8 Genu 2x Penyinaran Kelas Utama 0 1 0 1 0 0 0 0 0 150000 Rp0.00 Rp150,000.00 Rp0.00 Rp150,000.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00
9 Genu 4x Penyinaran Kelas Utama 0 0 0 0 0 2 0 0 0 300000 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp600,000.00 Rp0.00 Rp0.00 Rp0.00
10 Manus 2x Penyinaran Kelas Utama 0 0 0 0 3 0 0 0 0 160000 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp480,000.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00
11 Panoramic 1x Penyinaran Kelas Khusus 0 1 0 0 0 0 0 0 0 90000 Rp0.00 Rp90,000.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00
12 Panoramic 1x Penyinaran Kelas Utama 2 13 8 0 0 0 0 0 0 85000 Rp170,000.00 Rp1,105,000.00 Rp680,000.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00
13 Pedis 2x Penyinaran Kelas Utama 0 1 0 1 1 0 0 0 0 160000 Rp0.00 Rp160,000.00 Rp0.00 Rp160,000.00 Rp160,000.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00
14 Pelvis 1x Penyinaran Kelas Utama 0 1 0 3 0 0 0 0 0 85000 Rp0.00 Rp85,000.00 Rp0.00 Rp255,000.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00
15 Schedell 2x Penyinaran Kelas Utama 0 0 0 4 6 1 0 0 0 160000 Rp0.00 Rp0.00 Rp0.00 Rp640,000.00 Rp960,000.00 Rp160,000.00 Rp0.00 Rp0.00 Rp0.00
16 Shoulder 1x Penyinaran Kelas Utama 0 1 0 1 1 0 0 0 0 85000 Rp0.00 Rp85,000.00 Rp0.00 Rp85,000.00 Rp85,000.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00
Thorax AP/PA dan lateral 2x Penyinaran
17 Kelas Utama 0 0 0 0 1 0 0 0 0 150000 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp150,000.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00
18 Thorax foto 1x Penyinaran Kelas Utama 12 65 25 54 13 105 10 1 16 80000 Rp960,000.00 Rp5,200,000.00 Rp2,000,000.00 Rp4,320,000.00 Rp1,040,000.00 Rp8,400,000.00 Rp800,000.00 Rp80,000.00 Rp1,280,000.00
19 USG Lower Abdomen Kelas Utama 5 3 4 2 2 1 2 0 8 200000 Rp1,000,000.00 Rp600,000.00 Rp800,000.00 Rp400,000.00 Rp400,000.00 Rp200,000.00 Rp400,000.00 Rp0.00 Rp1,600,000.00
20 USG Upper Abdomen Kelas Utama 5 3 4 2 2 1 2 0 8 200000 Rp1,000,000.00 Rp600,000.00 Rp800,000.00 Rp400,000.00 Rp400,000.00 Rp200,000.00 Rp400,000.00 Rp0.00 Rp1,600,000.00
21 USG Whole Abdomen Kelas Khusus 0 0 0 0 0 0 1 0 0 380000 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp380,000.00 Rp0.00 Rp0.00
22 USG Whole Abdomen Kelas Utama 0 3 1 0 0 0 1 0 1 350000 Rp0.00 Rp1,050,000.00 Rp350,000.00 Rp0.00 Rp0.00 Rp0.00 Rp350,000.00 Rp0.00 Rp350,000.00
23 VLS 2x Penyinaran Kelas Utama 4 2 0 0 0 2 0 0 0 160000 Rp640,000.00 Rp320,000.00 Rp0.00 Rp0.00 Rp0.00 Rp320,000.00 Rp0.00 Rp0.00 Rp0.00
24 VTL 2x Penyinaran Kelas Utama 2 1 0 0 0 1 0 0 0 160000 Rp320,000.00 Rp160,000.00 Rp0.00 Rp0.00 Rp0.00 Rp160,000.00 Rp0.00 Rp0.00 Rp0.00
25 Wrist joint 2x Penyinaran Kelas Utama 0 0 0 0 2 0 0 0 0 160000 Rp0.00 Rp0.00 Rp0.00 Rp0.00 Rp320,000.00 Rp0.00 Rp0.00 Rp0.00 Rp0.00
TOTAL 31 98 43 76 32 123 17 1 36 Rp4,250,000.00 Rp10,010,000.00 Rp4,715,000.00 Rp7,390,000.00 Rp4,205,000.00 Rp11,040,000.00 Rp2,415,000.00 Rp80,000.00 Rp5,310,000.00

TINDAKAN PASIEN AKUMULASI

KTP KK :124 95 TOTAL PASIEN 377
TUNAI :131 116 TOTAL PENDAPATAN : Rp49,415,000.00
BPJS : 202 166 TOTAL TINDAKAN 457