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JASA JASA
KODE URAIAN ADMINISTRASI TARIF (RP)
MEDIK DOKTER
1 2 3 4 5 6 =(3+4+5)
1.1 Dokter Umum Jaga
1.2 Dokter Spesialis Dalam jam kerja
1.3 Dokter Spesialis Luar Jam Kerja
1.4 Jasa Pelayanan - - -
JASA PERAWAT /
ALKES & BAHAN JASA JASA ASISTEN PERAWAT =
KODE URAIAN TARIF (RP)
HABIS PAKAI MEDIK DOKTER ((JASA KLINIK + JASA
MEDIK)X 20 %)
1 2 3 4 5 6 =(3+4+5+6)
2.1 Suntik Anti tetanus 200,000 10,000 10,000 4,000 224,000
Infus (Belum termasuk cairan
2.2 30,000 50,000 50,000 20,000 150,000
infuse)
2.3 Kateterisasi 50,000 60,000 60,000 24,000 194,000
2.4 Nebulizer 20,000 25,000 25,000 10,000 80,000
2.5 Perawatan Luka
2.5.1 Kecil < 5 cm 15,000 30,000 30,000 12,000 87,000
2.5.2 Sedang 5 10 cm 25,000 35,000 35,000 14,000 109,000
2.5.3 Besar > 10 cm 35,000 40,000 40,000 16,000 131,000
2.6 Jahitan Luka
2.6.1 Tiga Jahitan Pertama 40,000 30,000 30,000 12,000 112,000
2.6.2 Selanjutnya perjahitan 5,000 10,000 10,000 4,000 29,000
2.7 Ekstraksi Corpus Alineum
2.7.1 Mata 20,000 50,000 50,000 20,000 140,000
2.7.2 Hidung 5,000 30,000 30,000 12,000 77,000
2.7.3 Telinga 5,000 30,000 30,000 12,000 77,000
2.8 Imobilisasi dengan spalk 20,000 10,000 10,000 4,000 44,000
2.9 Debridement luka bakar < 20 % 15,000 20,000 20,000 8,000 63,000
2.10' RJP tanpa Intubasi 0 75,000 75,000 30,000 180,000
2.11 Avulsi kuku 30,000 35,000 35,000 14,000 114,000
2.12 Incisi Abses
2.12.1 < 10 cm 20,000 40,000 40,000 16,000 116,000
2.12.2 > 10 cm atau lebih 30,000 50,000 50,000 20,000 150,000
2.13 Eksplorasi luka tusuk paku 20,000 30,000 30,000 12,000 92,000
2.14 Pasang NGT 25,000 50,000 50,000 20,000 145,000
2.15 Pemakaian Oxigen/liter/jam 30,000 5,000 5,000 2,000 42,000
2.16 Ganti Verband 10,000 20,000 20,000 8,000 58,000
2.17 AFF HEACTING / JAHITAN 0 5,000 5,000 2,000 12,000
2.18 PENYULIT 20 % X (DARI JASA MEDIK + JASA DOKTER + ASISTEN)
3. BEDAH MINOR
MENGETAHUI,
DIRUT PT.MEDISTIRA SETYA SEHAT