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INA CBG's DENGAN BIAYA TERBESAR

KODE INA TARIF INA CBG ( PERMENKES 64 )


NO. DIAGNOSA
CBG KELAS 1 KELAS 2 KELAS 3
1 P-8-03-I RDSN / BBLR ; dengan BB <1000gr 17.406.800 14.920.100 12.433.500
2 P-8-11-I RDSN / BBLR ; dengan BB >1000gr 14.505.700 12.433.500 10.361.200
3 P-8-12-I RDSN / BBLR ; dengan BB >1600gr 13.704.000 11.746.300 9.788.600
4 G-4-14-I INFARK CEREBRI 7.102.600 6.087.900 5.073.300
5 G-4-11-I PARKINSON'S DISEASE 6.477.000 5.551.700 4.626.400
6 J-4-15-I TB PARU 6.144.000 5.266.200 4.388.500
7 G-14-10-I PARAPLEGIA 6.001.500 5.144.200 4.286.800
8 B-4-13-I HEPATITIS 5.956.700 5.105.700 4.254.800
9 G-4-15-I NHS 5.803.400 4.974.400 4.145.300
10 M-4-17-I LBP 5.224.900 4.478.500 3.732.100
11 M-4-17-I HNP 5.224.900 4.478.500 3.732.100
12 J-4-17-J CHRONIC BRONCHITIS 5.226.300 4.479.700 3.733.100
13 I-4-16-I PPOK 5.226.300 4.479.700 3.733.100
14 J-4-16-I PNEUMONIA 5.119.200 4.387.900 3.656.600
15 G-4-26-I HEMIPARESE 5.082.500 4.356.400 3.630.400
16 I-4-12-I CHF 5.066.000 4.342.300 3.618.600
17 E-4-10-I DIABETES MELLITUS 4.962.700 4.253.700 3.544.800
18 N-4-10-I CRONIC KIDNEY DISEASE 4.695.000 4.024.300 3.353.600

KODE INA TARIF INA CBG ( PERMENKES 64 )


NO. TINDAKAN
CBG KELAS 1 KELAS 2 KELAS 3
1 M-1-70-I ORIF TIBIA/FIBULA 21.613.700 18.526.000 15.438.300
2 M-1-20-I ORIF FEMUR 17.509.000 15.007.700 12.506.400
3 K-1-20-I COLOSTOMY 17.248.900 14.784.800 12.320.600
4 V-1-14-I TURP 12.521.500 10.732.800 8.944.000
5 M-1-80-I REPAIR TENDON 12.286.500 10.531.200 8.776.000
6 M-1-80-I ORIF RADIUS/ULNA 12.286.500 10.531.200 8.776.000
MIOMEKTOMI/HISTEREKTOMI/SALPI
W-1-20-I 11.708.800 10.036.100 8.363.400
7 NGOOPOREKTOMI/KISTEKTOMI
8 N-1-40-I SASCHE / URS / LITOTRIPSI 11.392.500 9.765.000 8.137.500
9 M-1-60-I ORIF CLAVICLE 11.316.200 9.699.600 8.083.000
10 B-1-14-I LAPARASCOPY CHOLECYSTEKTOMI 10.915.200 9.355.900 7.796.600
E-1-20-I ISTMOLOBECTOMY/THYROIDECTOMI 10.649.300 9.128.000 7.606.600
11
12 B-1-12-I CHOLECYSTEKTOMI 9.973.300 8.548.500 7.123.800
13 L-1-50-I EKSISI TUMOR MAMMAE / MRM 9.259.900 7.937.000 6.614.200
14 K-1-50-I HEMOROIDEKTOMI 8.435.900 7.230.800 6.025.700
15 K-1-14-I HERNIORAPHY 7.776.800 6.665.800 5.554.800
16 O-6-10-I SECTIO 7.065.200 6.055.900 5.046.600
17 L-1-40-I EKSISI TUMOR 7.053.500 6.045.900 5.038.200
18 N-1-12-I AV SHUNT 6.149.700 5.271.100 4.392.600
19 U-1-15-I TONSILECTOMI 5.526.500 4.737.000 3.947.500
20 K-1-13-I LAPARASCOPY APPENDEKTOMI 5.489.300 4.705.100 3.920.900

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