RENCANA ANGGARAN BIAYA

PROYEK : PEMBANGUNAN RUMAH SAKIT UMUM MUTIARA SEHAT

PEKERJAAN : PEKERJAAN ALAT ALAT KESEHATAN
LOKASI : CILACAP JAWA TENGAH

HARGA SATUAN
NO URAIAN TYPE MEREK / SATUAN VOL JUMLAH HARGA (Rp.)
(Rp.)

A PERALATAN UTAMA
I Poli Umum
1 Kursi Roda Lokal ( unit ) 4 1,375,000.00 5,500,000.00
2 Meja Periksa Paramount/setara ( unit ) 2 2,750,000.00 5,500,000.00
3 Lampu Periksa Hanaulux/setara ( unit ) 2 3,850,000.00 7,700,000.00
4 Stetoskop Riester-Gmn ( unit ) 2 770,000.00 1,540,000.00
5 Lemari Obat Lokal ( unit ) 2 3,850,000.00 7,700,000.00
6 Laryngoscop Riester-Gmn ( unit ) 2 1,650,000.00 3,300,000.00
7 Tensimeter Riester-Gmn ( unit ) 2 825,000.00 1,650,000.00
8 Timbangan Berat Badan dan Tinggi Badan Leica-Gmn ( unit ) 2 1,320,000.00 2,640,000.00
9 Senter/Penlight Philips ( unit ) 2 550,000.00 1,100,000.00
10 Xray viever Single England ( unit ) 2 1,650,000.00 3,300,000.00
Jumlah 39,930,000.00
II Poli Kulit dan Kelamin
1 Lamp Loop Duralite ( unit ) 1 27,500,000.00 27,500,000.00
2 Wood Lamp Stand Duralite ( unit ) 1 24,750,000.00 24,750,000.00
3 Meja Periksa Paramount/setara ( unit ) 1 10,835,000.00 10,835,000.00
4 Instrument and Medicine cabinet Lokal ( unit ) 1 4,950,000.00 4,950,000.00
5 Infratil com stand Philips ( unit ) 1 3,850,000.00 3,850,000.00
Jumlah 71,885,000.00
III Poli Cardiology
1 Treadmill Cadwell 1 495,000,000.00 495,000,000.00
2 ECG 6 Chanel Philips ( unit ) 1 38,500,000.00 38,500,000.00
3 Spyrometri Minato ( unit ) 1 108,350,000.00 108,350,000.00
4 Intubation Set Martin ( unit ) 1 28,600,000.00 28,600,000.00
5 Defiblirator Fakuda Jpn ( unit ) 1 13,750,000.00 13,750,000.00
6 Xray viever Single England ( unit ) 1 1,650,000.00 1,650,000.00
7 Meja Periksa Paramount/setara ( unit ) 1 2,750,000.00 2,750,000.00
Jumlah 688,600,000.00
IV Poli Syaraf / Neorology
1 EEG Brain Mapping Nihon Kohden ( unit ) 1 165,000,000.00 165,000,000.00
EMG Nihon Kohden ( unit ) 1 528,000,000.00 528,000,000.00
2 Laryngoscop Riester-Gmn ( unit ) 1 1,320,000.00 1,320,000.00
3 Timbangan Berat Badan dan Tinggi Badan Leica-Gmn ( unit ) 1 1,320,000.00 1,320,000.00
4 Tensimeter Riester-Gmn ( unit ) 1 825,000.00 825,000.00
5 Senter/Penlight Philips ( unit ) 1 550,000.00 550,000.00
6 Meja Periksa Paramount/setara ( unit ) 1 10,835,000.00 10,835,000.00
Jumlah 707,850,000.00
V Poli Obsgyn
1 Meja Periksa Paramount/setara ( unit ) 1 10,835,000.00 10,835,000.00
2 Lampu Periksa Omega AH-001 ( unit ) 1 3,850,000.00 3,850,000.00
3 Stetoskop Riester-Gmn ( unit ) 1 770,000.00 770,000.00
4 Diagnostik Set Sellaco-GMN ( unit ) 1 4,950,000.00 4,950,000.00
5 Gynecologi Bed Hydraulic Maquet/Setara 1 39,050,000.00 39,050,000.00
6 USG Color 4 D Dedicated for Obsgyn GE/Volution P6 4D 1 935,000,000.00 935,000,000.00
7 Fetal Dopler BF-600++ ( unit ) 1 8,250,000.00 8,250,000.00
8 Cardiotocography/CTG Ex.Japan ( unit ) 1 49,500,000.00 49,500,000.00
9 Tensimeter Riester-Gmn ( unit ) 1 825,000.00 825,000.00
10 Timbangan Berat Badan dan Tinggi Badan Leica-Gmn ( unit ) 1 1,320,000.00 1,320,000.00
11 Senter/Penlight Philips ( unit ) 1 550,000.00 550,000.00
12 Xray viever Single England ( unit ) 1 1,650,000.00 1,650,000.00
13 Almari Instrumen Lokal ( unit ) 1 3,850,000.00 3,850,000.00
14 Meja Instrumen Lokal ( unit ) 1 2,750,000.00 2,750,000.00
Jumlah 1,063,150,000.00
VI Poli Bedah
1 Meja Periksa Paramount/setara ( unit ) 1 10,835,000.00 10,835,000.00
2 Lampu Periksa Omega AH-001 ( unit ) 1 3,850,000.00 3,850,000.00
3 Stetoskop Riester-Gmn ( unit ) 1 770,000.00 770,000.00
4 Diagnostik Set Sellaco-GMN ( unit ) 1 4,950,000.00 4,950,000.00
5 Tensimeter Riester-Gmn ( unit ) 1 825,000.00 825,000.00
6 Timbangan Berat Badan dan Tinggi Badan Leica-Gmn ( unit ) 1 1,320,000.00 1,320,000.00
7 Senter/Penlight Philips ( unit ) 1 550,000.00 550,000.00
8 Xray viever double England ( unit ) 1 2,475,000.00 2,475,000.00
9 Almari Instrumen Lokal ( unit ) 1 3,850,000.00 3,850,000.00
10 Meja Instrumen Lokal ( unit ) 1 2,750,000.00 2,750,000.00
11 Sutura set Hebu Germany ( unit ) 1 9,350,000.00 9,350,000.00
12 Bandage Instrumen Set Hebu Germany ( unit ) 1 15,125,000.00 15,125,000.00
13 Minor Set Aesculap ( unit ) 1 13,750,000.00 13,750,000.00
14 Mayor Basic set Aesculap ( unit ) 1 16,274,500.00 16,274,500.00
Jumlah 86,674,500.00
VII Poli Anak
1 Meja Periksa Paramount/setara ( unit ) 1 10,835,000.00 10,835,000.00
2 Suction Portable Sellaco-Gmn 1 13,750,000.00 13,750,000.00
3 Lampu Periksa Omega AH-001 ( unit ) 1 3,850,000.00 3,850,000.00
4 Stetoskop Riester-Gmn ( unit ) 1 770,000.00 770,000.00
5 Diagnostik Set Sellaco-GMN ( unit ) 1 4,950,000.00 4,950,000.00
6 Tensimeter Riester-Gmn ( unit ) 1 825,000.00 825,000.00
7 Timbangan Berat Badan dan Tinggi Badan ZT - 120 ( unit ) 1 2,750,000.00 2,750,000.00
8 Senter/Penlight Philips ( unit ) 1 550,000.00 550,000.00
9 Termometer digital Ex.Japan ( unit ) 1 1,250,000.00 1,250,000.00
10 Xray viever Single England ( unit ) 1 1,650,000.00 1,650,000.00
Jumlah 41,180,000.00
VIII Poli Gigi
1 Dental unit Gnatus/setara ( unit ) 1 165,000,000.00 165,000,000.00
2 Light Curing Ex.Japan ( unit ) 1 20,350,000.00 20,350,000.00
3 Pulp Tester Ex.Japan ( unit ) 2 12,650,000.00 25,300,000.00
4 Model Rahang Ex.Japan ( unit ) 2 2,750,000.00 5,500,000.00
5 Vibrator Ex.Japan ( unit ) 1 27,500,000.00 27,500,000.00
6 Diagnostik Set Sellaco-GMN ( unit ) 1 4,950,000.00 4,950,000.00
7 Tensimeter Riester-Gmn ( unit ) 1 825,000.00 825,000.00
8 Timbangan Berat Badan dan Tinggi Badan Leica-Gmn ( unit ) 1 1,320,000.00 1,320,000.00
9 Senter/Penlight Philips ( unit ) 1 550,000.00 550,000.00
10 Termometer digital Ex.Japan ( unit ) 1 1,250,000.00 1,250,000.00
11 Xray viever Single England ( unit ) 1 1,650,000.00 1,650,000.00
12 Dental Instrumen Set Primamed/medisi ( unit ) 2 20,625,000.00 41,250,000.00
13 Dental Accessories ( BHP set ) Primamed/medisi ( unit ) 2 16,500,000.00 33,000,000.00
Jumlah 328,445,000.00
IX Poli THT
1 ENT Treatment unit Ex.Korea/setara ( unit ) 1 63,580,000.00 63,580,000.00
2 ENT Instrument set Aesculap/rebsstok ( unit ) 1 28,215,000.00 28,215,000.00
3 Medicine Cabinet Lokal ( unit ) 1 3,850,000.00 3,850,000.00
4 Instrument Trolley Lokal ( unit ) 1 2,750,000.00 2,750,000.00
5 Diagnostik Set Sellaco-GMN ( unit ) 1 4,950,000.00 4,950,000.00
6 Double Bowl Lokal ( unit ) 1 1,925,000.00 1,925,000.00
7 Stetoskop Riester-Gmn ( unit ) 1 770,000.00 770,000.00
Jumlah 106,040,000.00
X Poli Mata
1 Slit Lamp Ophtimetrik ( unit ) 1 4,400,000.00 4,400,000.00
2 Scniotz Tonometer Riesater-Gmn ( unit ) 1 16,500,000.00 16,500,000.00
3 Trial Lens Set D-158 ( unit ) 1 21,285,000.00 21,285,000.00
4 Trial Frame Ex.Germany ( unit ) 1 6,050,000.00 6,050,000.00
5 Ishihara Frame Ishihara ( unit ) 1 4,950,000.00 4,950,000.00
6 Opthalmoscope set Import ( unit ) 1 6,875,000.00 6,875,000.00
7 Indirect Ophalmoscope Import ( unit ) 1 24,860,000.00 24,860,000.00
8 Electric Stelizer 10 L LSB 502 ( unit ) 1 6,380,000.00 6,380,000.00
9 Digital Weight scale ZT-120 ( unit ) 1 2,750,000.00 2,750,000.00
10 Medicine Cabinet Lokal ( unit ) 1 3,850,000.00 3,850,000.00
11 Instrument Cabinet Lokal ( unit ) 1 3,410,000.00 3,410,000.00
12 Catarac set Lokal ( unit ) 1 27,500,000.00 27,500,000.00
13 Non Contactonometer Ex.Korea/setara ( unit ) 1 126,500,000.00 126,500,000.00
14 Autorefractometer Ex.Korea/setara ( unit ) 1 108,350,000.00 108,350,000.00
Jumlah 363,660,000.00
XI Laboraturium Penunjang
1 Hematology Analizer Import/setara ( unit ) 1 97,900,000.00 97,900,000.00
2 Spectrophotometer Import/setara ( unit ) 1 61,600,000.00 61,600,000.00
3 Blood Gas Analizer Import/setara ( unit ) 1 105,380,000.00 105,380,000.00
4 Urine Analizer Import/setara ( unit ) 1 96,415,000.00 96,415,000.00
5 Microscop Binokuler Import/setara ( unit ) 1 82,500,000.00 82,500,000.00
6 Centrifuge Import/setara ( unit ) 1 49,500,000.00 49,500,000.00
7 Sterilisator Import/setara ( unit ) 1 24,750,000.00 24,750,000.00
8 Pipet Westergreen Import/setara ( unit ) 2 880,000.00 1,760,000.00
9 Timbangan Analitik Import/setara ( unit ) 1 4,400,000.00 4,400,000.00
10 Inkubator lab Import/setara ( unit ) 1 38,500,000.00 38,500,000.00
11 Stopwatch Import/setara ( unit ) 1 165,000.00 165,000.00
12 Termometer Digital Import/setara ( unit ) 1 1,250,000.00 1,250,000.00
13 Burner Import/setara ( unit ) 1 1,925,000.00 1,925,000.00
14 Pipet Automatic Import/setara ( unit ) 1 1,650,000.00 1,650,000.00
15 Lab Stiker Import/setara ( unit ) 1 3,300,000.00 3,300,000.00
16 Mikroelisa Reader Import/setara ( unit ) 1 38,500,000.00 38,500,000.00
17 Haemostatis Import/setara ( unit ) 1 42,350,000.00 42,350,000.00
18 Refrigerator Lab capacity 200 L Import/setara ( unit ) 1 49,500,000.00 49,500,000.00
19 Accessories ( BHP dll ) Import/setara ( unit ) 1 33,000,000.00 33,000,000.00
Jumlah 734,345,000.00
XII Radiology
1 General X ray Machine ( incl DR ) Ex.Korea/setara ( unit ) 1 1,375,000,000.00 1,375,000,000.00
2 USG Coulor 4DGeneral Use ( Obg dan cardiolog ) Siemens/GE/Hitachi ( unit ) 1 1,095,050,000.00 1,095,050,000.00
3 CT Scan Otima 128 slice ( incl DR ) Siemens/GE/Hitachi ( unit ) 1 16,297,106,000.00 16,297,106,000.00
4 Mobile Xray Siemens/GE/Hitachi ( unit ) 1 1,650,000,000.00 1,650,000,000.00
Jumlah 20,417,156,000.00
XIII Instalasi Gawat Darurat
1 Resusitator Adult Ex.Japan ( unit ) 1 13,750,000.00 13,750,000.00
2 Sterillisator Ex.Japan ( unit ) 1 24,750,000.00 24,750,000.00
3 Almari Instrumen Lokal ( unit ) 2 3,850,000.00 7,700,000.00
4 Meja Instrumen Lokal ( unit ) 2 2,750,000.00 5,500,000.00
5 Bed IGD 2 crank Paramount/setara ( unit ) 8 19,415,000.00 155,320,000.00
6 Lampu Periksa Omega AH-001 ( unit ) 1 3,850,000.00 3,850,000.00
7 Fetal Dopler Fakuda Japan ( unit ) 1 6,600,000.00 6,600,000.00
8 Meja Periksa Paramount/setara ( unit ) 3 10,835,000.00 32,505,000.00
9 Stetoskop Riester-Gmn ( unit ) 3 770,000.00 2,310,000.00
10 Tensimeter Riester-Gmn ( unit ) 2 825,000.00 1,650,000.00
11 Timbangan Berat Badan dan Tinggi Badan Leica-Gmn ( unit ) 1 1,320,000.00 1,320,000.00
12 Senter/Penlight Philips ( unit ) 1 550,000.00 550,000.00
13 Termometer digital Ex.Japan ( unit ) 1 1,250,000.00 1,250,000.00
14 Xray viever double England ( unit ) 1 2,475,000.00 2,475,000.00
15 Timbangan Bayi electric Leica-Gmn ( unit ) 1 8,250,000.00 8,250,000.00
16 Suction Portable 1x1 liter Ex.Germany ( unit ) 2 13,750,000.00 27,500,000.00
17 Stetoskop Pediatri Reister-Gmn ( unit ) 2 495,000.00 990,000.00
18 Diagnostik Set Sellaco-GMN ( unit ) 1 4,950,000.00 4,950,000.00
19 Double Bowl Stand Mak/setara ( unit ) 1 4,950,000.00 4,950,000.00
20 Vena Sectio Hebu Germany ( unit ) 1 2,200,000.00 2,200,000.00
21 Resusitasi Anak Ex.Japan ( unit ) 2 16,500,000.00 33,000,000.00
22 Resusitasi Bayi Ex.Japan ( unit ) 2 12,100,000.00 24,200,000.00
23 Neck Collar ( S,M,L ) Ex.Japan ( unit ) 3 23,100,000.00 69,300,000.00
24 ECG Singgle Chanel Fakuda Japan ( unit ) 1 11,000,000.00 11,000,000.00
25 Almari Instrumen Lokal ( unit ) 2 3,850,000.00 7,700,000.00
26 Defiblirator Ex.Korea/Setara ( unit ) 1 83,050,000.00 83,050,000.00
27 Nebulizer dewasa Ex.Japan ( unit ) 4 7,150,000.00 28,600,000.00
28 Nebulizer anak Ex.Japan ( unit ) 4 82,500,000.00 330,000,000.00
Jumlah 895,220,000.00
XIV Ruang Perawatan Bedah
1 Almari Instrumen Lokal ( unit ) 2 3,355,000.00 6,710,000.00
2 Meja Instrumen Lokal ( unit ) 2 3,850,000.00 7,700,000.00
3 Minor Sugery set Hebu Germany ( unit ) 2 28,050,000.00 56,100,000.00
4 Extirpation set Hebu Germany ( unit ) 2 13,750,000.00 27,500,000.00
5 Bandage set Hebu Germany ( unit ) 4 13,750,000.00 55,000,000.00
6 Mayor Sugery set Hebu Germany ( unit ) 1 29,150,000.00 29,150,000.00
Jumlah 182,160,000.00
XV Ruang Rawat Inap
1 VVIP Bed Electrik Paramount/setara ( unit ) 6 29,150,000.00 174,900,000.00
2 VIP Bed Electrik Paramount/setara ( unit ) 10 22,500,000.00 225,000,000.00
3 Hospital Bed 3 crank Paramount/setara ( unit ) 100 14,850,000.00 1,485,000,000.00
4 Stetoskop Riester-Gmn ( unit ) 10 770,000.00 7,700,000.00
5 Tensimeter Riester-Gmn ( unit ) 10 825,000.00 8,250,000.00
6 Senter/Penlight Philips ( unit ) 10 550,000.00 5,500,000.00
7 Termometer digital Ex.Japan ( unit ) 4 1,250,000.00 5,000,000.00
8 Suction Portable Sellaco-Gmn 4 13,750,000.00 55,000,000.00
9 Trolly Obat Maks/setara ( Unit ) 8 3,850,000.00 30,800,000.00
10 Trolly Instrument Maks/setara ( Unit ) 8 3,850,000.00 30,800,000.00
11 Trolly Emegency Maks/setara ( Unit ) 4 4,950,000.00 19,800,000.00
Jumlah 2,047,750,000.00
XVI Ruang Perawatan Kebidanan
a Ruang tindakan
1 Almari Instrumen Lokal ( unit ) 1 3,850,000.00 3,850,000.00
2 Meja Instrumen Lokal ( unit ) 1 2,750,000.00 2,750,000.00
3 Gynekologi Bed Hydraulic Paramount/setara ( unit ) 1 49,500,000.00 49,500,000.00
Jumlah 56,100,000.00
b Instrument
1 Partus set Ex.Germany ( unit ) 3 28,050,000.00 84,150,000.00
2 Bandage set Ex.Germany ( unit ) 3 40,425,000.00 121,275,000.00
Jumlah 205,425,000.00
XVII Ruang rawat inap kebidanan
2 Tempat tidur 3 crank Paramount/setara ( unit ) 8 15,950,000.00 127,600,000.00
4 Stetoskop Riester-Gmn ( unit ) 4 770,000.00 3,080,000.00
5 Tensimeter Riester-Gmn ( unit ) 4 825,000.00 3,300,000.00
6 Termometer digital Ex.Japan ( unit ) 4 1,250,000.00 5,000,000.00
7 Senter/Penlight Philips ( unit ) 4 550,000.00 2,200,000.00
8 Suction Portable 2 x 2,5 L Ex.Japan ( unit ) 2 13,750,000.00 27,500,000.00
9 Trolly Obat Maks/setara ( Unit ) 2 4,950,000.00 9,900,000.00
10 Trolly Instrument Maks/setara ( Unit ) 2 3,850,000.00 7,700,000.00
Jumlah 186,280,000.00
XVIII Ruang Perawatan Anak
Ruang rawat inap
1 Bed Children Paramount/setara ( unit ) 10 14,300,000.00 143,000,000.00
2 Baby Box Paramount/setara ( unit ) 10 10,450,000.00 104,500,000.00
5 Stetoskop Riester-Gmn ( unit ) 3 770,000.00 2,310,000.00
6 Tensimeter Riester-Gmn ( unit ) 3 825,000.00 2,475,000.00
7 Termometer digital Ex.Japan ( unit ) 3 1,250,000.00 3,750,000.00
8 Senter/Penlight Philips ( unit ) 3 550,000.00 1,650,000.00
9 Suction Portable 2 x 2,5 L Ex.Japan ( unit ) 1 13,750,000.00 13,750,000.00
10 Trolly Obat Maks/setara ( Unit ) 2 4,950,000.00 9,900,000.00
11 Trolly Instrument Maks/setara ( Unit ) 2 3,850,000.00 7,700,000.00
Jumlah 289,035,000.00
XIX Ruang Perawatan Interna
1 Infus Stand Lokal ( unit ) 15 825,000.00 12,375,000.00
2 Stetoskop Riester-Gmn ( unit ) 3 770,000.00 2,310,000.00
3 Tensimeter Riester-Gmn ( unit ) 3 825,000.00 2,475,000.00
4 Senter/Penlight Philips ( unit ) 3 550,000.00 1,650,000.00
5 Termometer digital Ex.Japan ( unit ) 3 1,250,000.00 3,750,000.00
6 Trolly Obat Maks/setara ( Unit ) 2 4,950,000.00 9,900,000.00
7 Trolly Instrument Maks/setara ( Unit ) 2 3,850,000.00 7,700,000.00
Jumlah 40,160,000.00
XX Khusus Ruang Operasi
a ruang operasi
1 Meja operasi eletrik Paramount/setara ( unit ) 4 418,000,000.00 1,672,000,000.00
2 Lampu Operasi LED Heraus/setara ( unit ) 4 412,500,000.00 1,650,000,000.00
3 Electrocouter Surtron/setara 4 208,450,000.00 833,800,000.00
4 Anaesthesia Machine/Ventilator Draeger/setara ( unit ) 4 704,000,000.00 2,816,000,000.00
5 Laparoscopy Machine B Braun ( unit ) 2 1,408,000,000.00 2,816,000,000.00
6 ECG 12 chanel Fakuda ( unit ) 2 93,500,000.00 187,000,000.00
7 Patien monitor 6 parameter HP/Seater ( unit ) 2 82,500,000.00 165,000,000.00
8 Laryngoscop Ex.Germany ( unit ) 2 16,500,000.00 33,000,000.00
Jumlah 10,172,800,000.00
b ruang persiapan cuci tangan
1 Scrub Sink 2 station Ex.Italy ( unit ) 2 214,500,000.00 429,000,000.00
Jumlah 429,000,000.00
c Ruang instrumen sterilisasi
1 Sterillisator kapasitas 200 L Ex.Japan/korea ( unit ) 1 374,000,000.00 374,000,000.00
2 Instrumen Washer Ex.Japan/korea ( unit ) 1 192,500,000.00 192,500,000.00
2 Autoclave portable kapasitas 20 L GEA/setara ( unit ) 1 96,800,000.00 96,800,000.00
3 Almari Instrumen Lokal ( unit ) 4 6,050,000.00 24,200,000.00
4 Trolly Instrument Maks/setara ( Unit ) 6 2,750,000.00 16,500,000.00
5 Meja stainlis Lokal ( unit ) 2 6,050,000.00 12,100,000.00
6 Meja cuci Instrument/sink Lokal ( unit ) 2 12,650,000.00 25,300,000.00
Jumlah 741,400,000.00
d Peralatan dan instrument
1 Tonsilectomy set Aesculap/setara ( unit ) 2 137,500,000.00 275,000,000.00
2 Laparatomy set Aesculap/setara ( unit ) 2 181,500,000.00 363,000,000.00
3 Infant laparatomy set Aesculap/setara ( unit ) 2 170,500,000.00 341,000,000.00
4 Mayor sugery set Aesculap/setara ( unit ) 2 118,800,000.00 237,600,000.00
5 Minor sugery set Aesculap/setara ( unit ) 2 88,000,000.00 176,000,000.00
6 Vena sectio Aesculap/setara ( unit ) 2 82,500,000.00 165,000,000.00
7 Appendectomy set Aesculap/setara ( unit ) 2 61,600,000.00 123,200,000.00
Jumlah 1,680,800,000.00
e Bedah orthopedy
1 Basic Orthopedy set Aesculap/setara ( unit ) 2 121,000,000.00 242,000,000.00
2 High drilling machine Aesculap/setara ( unit ) 1 660,000,000.00 660,000,000.00
3 Inplant set Aesculap/setara ( unit ) 1 93,500,000.00 93,500,000.00
Jumlah 995,500,000.00
f Bedah kebidanan
1 Partus set Aesculap/setara ( unit ) 2 35,750,000.00 71,500,000.00
2 Histerectomy Aesculap/setara ( unit ) 1 58,025,000.00 58,025,000.00
3 Epysiotromy Aesculap/setara ( unit ) 2 50,490,000.00 100,980,000.00
4 Gynokology Bad Nesbit Efans ( unit ) 1 60,500,000.00 60,500,000.00
5 Sectio set Aesculap/setara ( unit ) 2 47,245,000.00 94,490,000.00
6 Curetage set Aesculap/setara ( unit ) 1 34,100,000.00 34,100,000.00
7 Basic mayor surgery set Aesculap/setara ( unit ) 1 53,570,000.00 53,570,000.00
Jumlah 473,165,000.00
g Ruang pemulihan
1 Observation Bad Paramount/setara ( unit ) 4 20,625,000.00 82,500,000.00
2 Infus Stand Lokal ( unit ) 4 825,000.00 3,300,000.00
3 Stetoskop Riester-Gmn ( unit ) 1 770,000.00 770,000.00
4 Tensimeter Riester-Gmn ( unit ) 1 825,000.00 825,000.00
5 Suction Portable 2 x 2,5 L Ex.Japan ( unit ) 1 13,750,000.00 13,750,000.00
6 Trolly Instrument Maks/setara ( Unit ) 1 3,740,000.00 3,740,000.00
7 Patien monitor 6 parameter HP/Setara ( unit ) 2 82,500,000.00 165,000,000.00
Jumlah 269,885,000.00
h Ruang bersalin
1 Partus set Aesculap/setara ( unit ) 1 49,500,000.00 49,500,000.00
2 Curetage set Aesculap/setara ( unit ) 1 33,000,000.00 33,000,000.00
3 Obsterik Vaccum Medila/setara ( unit ) 1 8,250,000.00 8,250,000.00
4 Infus pump Terumo-jpn ( unit ) 1 24,750,000.00 24,750,000.00
5 Resusitator baby Ex.Japan ( unit ) 1 16,500,000.00 16,500,000.00
6 Resusitator anak Ex.Japan ( unit ) 1 19,250,000.00 19,250,000.00
7 Resusitator dewasa Ex.Japan ( unit ) 1 24,200,000.00 24,200,000.00
8 Baby incubator GEA/setara ( unit ) 3 55,550,000.00 166,650,000.00
9 Gynekology Bed Haydraulic Ex.Japan ( unit ) 1 4,950,000.00 4,950,000.00
10 Almari Instrumen Lokal ( unit ) 1 3,850,000.00 3,850,000.00
 11 Meja Instrumen Lokal ( unit ) 1 3,300,000.00 3,300,000.00
Jumlah 354,200,000.00
XXI Ruang ICU
1 Tempat tidur ICU Maks/setara ( Unit ) 6 22,800,000.00 136,800,000.00
2 Ventilator Ex.Eropa ( unit ) 2 385,000,000.00 770,000,000.00
3 Syringe pump B Braun/setara ( unit ) 6 22,500,000.00 135,000,000.00
4 Patien monitor + central system HP 5+1/setara ( unit ) 1 375,000,000.00 375,000,000.00
5 Suction Pump mobile Ex.Germany 2 12,500,000.00 25,000,000.00
6 Infuse pump B Braun/setara ( unit ) 6 22,500,000.00 135,000,000.00
7 Laryngoscop Reister-Gmn/setara ( unit ) 2 4,500,000.00 9,000,000.00
8 ECG 6 chanel Fukuda/setara ( unit ) 1 75,000,000.00 75,000,000.00
9 Defiblirator Fukuda/setara ( unit ) 1 99,000,000.00 99,000,000.00
Jumlah 1,759,800,000.00
XXII Ruang Fisiotrapy
1 Short wave diathermy Import/setara ( Unit ) 1 79,750,000.00 79,750,000.00
2 Ultra short diathermy Import/setara ( Unit ) 1 69,850,000.00 69,850,000.00
3 Ultrasonic therapy Import/setara ( Unit ) 1 25,850,000.00 25,850,000.00
4 Ergocycle Import/setara ( Unit ) 1 13,750,000.00 13,750,000.00
5 Auto trac table Import/setara ( Unit ) 1 9,350,000.00 9,350,000.00
6 Pararel bar Lokal/setara ( Unit ) 1 4,950,000.00 4,950,000.00
7 Staircase walker Lokal/setara ( Unit ) 1 1,650,000.00 1,650,000.00
8 Wall grip Lokal/setara ( Unit ) 1 24,860,000.00 24,860,000.00
9 Wheel chair Lokal/setara ( Unit ) 6 2,750,000.00 16,500,000.00
10 Vibrator portable Import/setara ( Unit ) 2 4,950,000.00 9,900,000.00
Jumlah 256,410,000.00
XXIII Ruang Jenazah
1 Freezer 2 susun untuk jenazah Import/setara ( unit ) 1 68,750,000.00 68,750,000.00
2 Keranda jenazah Lokal/setara ( Unit ) 1 7,480,000.00 7,480,000.00
Meja untuk memandikan jenazah Lokal/setara ( Unit ) 1 8,250,000.00 8,250,000.00
Jumlah 84,480,000.00
XXIV Dapur dan penunjang
1 Meja stainless lokal ( unit ) 4 8,800,000.00 35,200,000.00
2 Meja stainless dan rak lokal ( unit ) 4 9,900,000.00 39,600,000.00
3 Meja stainless dan cabinet lokal ( unit ) 4 15,400,000.00 61,600,000.00
4 Telenan stainless lokal ( unit ) 2 1,650,000.00 3,300,000.00
5 Meja cuci /sink Blanco/setara ( unit ) 8 21,560,000.00 172,480,000.00
6 Trolly bahan makanan lokal ( unit ) 5 7,370,000.00 36,850,000.00
7 Trolly distribusi makanan lokal ( unit ) 5 6,050,000.00 30,250,000.00
8 Rice coker kapasitas 10L lokal ( unit ) 2 9,350,000.00 18,700,000.00
9 Panci pemasak air kapasitas 20L lokal ( unit ) 3 7,150,000.00 21,450,000.00
10 Wajan penggorengan stainless lokal ( unit ) 3 990,000.00 2,970,000.00
11 Oven Listrik 4 burner Modena/setara ( unit ) 1 9,350,000.00 9,350,000.00
12 Kulkas besar 2 pintu Sharp/sanyo/setara ( unit ) 1 13,475,000.00 13,475,000.00
13 Freezer Sharp/sanyo/setara ( unit ) 1 20,295,000.00 20,295,000.00
14 Penyedot asap lokal ( unit ) 2 18,700,000.00 37,400,000.00
15 Kompor gas 2 tungku + meja stainless Rinai/setara ( unit ) 1 12,375,000.00 12,375,000.00
16 Perlengkapan saji - sendok,piring,gelas dll Sango/setara ( lsmp ) 1 79,651,000.00 79,651,000.00
Jumlah 594,946,000.00
XXV Ruang laundry/kamar cuci dan strika
1 Mesin cuci kapasitas 12 kg Sharp/sanyo/setara ( unit ) 4 14,300,000.00 57,200,000.00
2 Mesin pengering kapasitas 12 kg Sharp/sanyo/setara ( unit ) 4 12,650,000.00 50,600,000.00
3 Strika listrik + uap Sharp/sanyo/setara ( unit ) 3 550,000.00 1,650,000.00
4 Timbangan GEA/setara ( unit ) 1 4,950,000.00 4,950,000.00
5 Troly linen bersih Custom ( unit ) 3 3,850,000.00 11,550,000.00
6 Troly linen kotor Custom ( unit ) 3 3,850,000.00 11,550,000.00
7 Cabinet - gudang linen Custom ( unit ) 2 5,775,000.00 11,550,000.00
8 APD - alat pelindung diri utuk petugas Custom ( set ) 1 2,750,000.00 2,750,000.00
9 Mesin jahit komplit Singer/setara ( Unit ) 1 2,750,000.00 2,750,000.00
Jumlah 154,550,000.00
XXVI Kursi duduk ruang tunggu pasien
1 Kursi duduk engkel stainlis Lokal/setara ( unit ) 120 418,000.00 50,160,000.00
2 Kursi duduk double pararel stainlis Lokal/setara ( unit ) 180 836,000.00 150,480,000.00
3 Kursi duduk tripel pararel stainlis Lokal/setara ( unit ) 150 1,254,000.00 188,100,000.00
Jumlah 388,740,000.00
XXVII Furniture Manajemen Operasional
1 Kursi Meja Almari dll Lokal/setara ( paket ) 70 3,250,000.00 227,500,000.00
Jumlah 227,500,000.00

Sub Jumlah A 47,134,221,500.00

B PERALATAN PENUNJANG
I Kendaraan roda 4
1 Mobil ambulance standart komplit Toyota/Mitsubishi 2 715,000,000.00 1,430,000,000.00
2 Mobil Jenazah Mitssubhisi L300 jenazah 1 415,800,000.00 415,800,000.00
3 Mobil box makanan/sayuran Suzuki carry box 1 225,000,000.00 225,000,000.00
4 Mobil dinas direktur type Sedan Toyota altis 1 517,500,000.00 517,500,000.00
5 Mobil dinas type SUV sedang Toyota Kijang Inova 2 447,600,000.00 895,200,000.00
6 Mobil dinas type SUV kecil Toyota/mitsubishi/Suzuki 2 325,500,000.00 651,000,000.00
Jumlah 4,134,500,000.00
II Kendaraan roda 3 dan 2
6 Sepeda motor roda 3 pickup Tosa/Jailing/Hercules 1 35,000,000.00 35,000,000.00
7 Sepeda motor roda 2 Honda/Yamaha/suzuki 10 26,000,000.00 260,000,000.00
Jumlah 295,000,000.00
Sub Jumlah B 4,429,500,000.00
Total Jumlah A + B 51,563,721,500.00
Ppn 5,156,372,150.00
Total Jumlah 56,720,093,650.00
Total Jumlah dibulatkan 56,720,093,000.00

Cilacap 25 Februari 2022

REKAPITULASI RENCANA ANGGARAN BIAYA

Proyek : Pembangunan RSU Mutiara Sehat

Pekerjaan : Pekerjaan Alat Alat Kesehatan
Lokasi : Cilacap, Jawa Tengah

NO URAIAN PEKERJAAN JML HARGA ( Rp. )

A PERALATAN UTAMA
I Poli Umum 39,930,000.00
II Poli Kulit dan Kelamin 71,885,000.00
III Poli Cardiology 688,600,000.00
IV Poli Syaraf / Neorology 707,850,000.00
V Poli Obsgyn 1,063,150,000.00
VI Poli Bedah 86,674,500.00
VII Poli Anak 41,180,000.00
VIII Poli Gigi 328,445,000.00
IX Poli THT 106,040,000.00
X Poli Mata 363,660,000.00
XI Laboraturium Penunjang 734,345,000.00
XII Radiology 20,417,156,000.00
XIII Instalasi Gawat Darurat 895,220,000.00
XIV Ruang Perawatan Bedah 182,160,000.00
XV Ruang Rawat Inap 2,047,750,000.00
XVI Ruang Perawatan Kebidanan
a Ruang tindakan 56,100,000.00
b Instrument 205,425,000.00
XVII Ruang rawat inap kebidanan 186,280,000.00
XVIII Ruang Perawatan Anak Rawat Inap 289,035,000.00
XIX Ruang Perawatan Interna 40,160,000.00
XX Khusus Ruang Operasi
a ruang operasi 10,172,800,000.00
b ruang persiapan cuci tangan 429,000,000.00
c ruang instrumen sterilisasi 741,400,000.00
d peralatan dan instrument 1,680,800,000.00
e bedah orthopedy 995,500,000.00
f bedah kebidanan 473,165,000.00
g ruang pemulihan 269,885,000.00
h ruang bersalin 354,200,000.00
XXI Ruang ICU 1,759,800,000.00
XXII Ruang Fisiotrapy 256,410,000.00
XXIII Ruang Jenazah 84,480,000.00
XXIV Dapur dan penunjang 594,946,000.00
XXV Ruang laundry/kamar cuci dan strika 154,550,000.00
XXVI Kursi duduk ruang tunggu pasien 388,740,000.00
XXVII Furniture Manajemen Operasional 227,500,000.00
Sub Jumlah A 47,134,221,500.00
B PERALATAN PENUNJANG

I Kendaraan roda 4 4,134,500,000.00

II Kendaraan roda 3 dan 2 295,000,000.00
Sub Jumlah B 4,429,500,000.00
Total Jumlah A + B 51,563,721,500.00

Ppn 5,156,372,150.00

Total Jumlah 56,720,093,650.00

Total Jumlah dibulatkan 56,720,093,000.00

Cilacap, 25 Februari 2022