No | JENIS PELAYANAN | | TARIP |
1 | 2 | 3 | 4 |
A. | PEMERIKSAAN DAN TINDAKAN DI BP UMUM | | |
1 | ATS | | 48,300.00 |
2 | Bilas Lambung | | 44,800.00 |
3 | Cerumen Prop | | 20,000.00 |
4 | Circumsisi | | 70,400.00 |
5 | Dawir kanan / kiri | | 52,900.00 |
6 | Ekstraksi Corpus Alienum di kulit | | 8,000.00 |
7 | Ekstraksi Corpus Alienum Mata | | 30,900.00 |
8 | Ekstraksi Corpus Alienum pada Hidung | | 21,900.00 |
9 | Ekstraksi Corpus Alienum pada Telinga | | 21,900.00 |
10 | Exterpasi Nail | | 44,200.00 |
11 | Ganti Cairan Infus | | 8,000.00 |
12 | Ganti Verban | | 17,100.00 |
13 | Gigitan Binatang | | 19,900.00 |
14 | Hordeolum / Chalazion | | 29,900.00 |
15 | Imobiliasasi Dislokasi Sederhana | | 86,700.00 |
16 | Incisi/Eksisi | | 39,100.00 |
17 | Infra Red / Fisio Therafi | | 11,300.00 |
18 | Injeksi (tindakan terpisah) | | 8,000.00 |
19 | Injeksi ABU / Anti Bisa Ular | | 63,800.00 |
20 | Irigasi Mata | | 25,800.00 |
21 | Irigasi Telinga | | 21,800.00 |
22 | Jahit luka >10 jahitan | | 72,300.00 |
23 | Jahit luka 4 jahitan | | 36,700.00 |
24 | Jahit luka 5-10 jahitan | | 53,200.00 |
25 | Keur Dokter | | 9,300.00 |
26 | Lepas Cateter | | 20,800.00 |
27 | Lepas Infusan | | 12,000.00 |
28 | Lepas Jahitan | | 15,500.00 |
29 | Lepas Selang NGT | | 14,300.00 |
30 | Nebulizer | | 28,600.00 |
31 | Operasi Tumor Jinak | | 62,100.00 |
32 | Pasang Infus | | 53,700.00 |
33 | Pasang Kateter | | 44,200.00 |
34 | Pemasangan Bidai | | 33,800.00 |
35 | Pemasangan Gips Spalk | | 125,800.00 |
36 | Pemasangan Selang NGT | | 40,300.00 |
37 | Pemberian Obat Melalui Anus | | 52,800.00 |
38 | Pemberian Oksigen / hari | | 41,200.00 |
39 | Pemeriksaan Caten | | 9,300.00 |
40 | Pemeriksaan Spinometri / spiro analizer | | 10,300.00 |
41 | Perawatan luka bakar <10% | | 48,000.00 |
42 | Perawatan luka bakar 10-20% | | 99,400.00 |
43 | Perawatan luka DM / Nekrotik | | 36,800.00 |
44 | Perawatan luka sobek | | 17,700.00 |
45 | Perbaikan Infusan | | 14,300.00 |
46 | Rawat Jalan Umum | | 10,800 |
47 | Rectal Toucher | | 23,500.00 |
48 | Semprot Cutaneus Larva Migrans | | 68,700.00 |
49 | Tampon Hidung | | 19,800.00 |
50 | Treadmill | | 16,000.00 |
51 | Visum luar di Puskesmas | | 23,000.00 |
52 | Visum luar di TKP | | 38,000.00 |
53 | Pelayanan 24 JAM / UGD TERBATAS DI PUSKESMAS | sesuai tarif + | 20,000.00 |
54 | PELAYANAN DI LUAR GEDUNG | sesuai tarif + | 15,000.00 |
55 | Pemeriksaan EKG | | 26,900.00 |
56 | ROTGEN FOTO UKURAN | 30 X 40 | 42,500.00 |
57 | ROTGEN FOTO UKURAN | 30 X 35 | 40,000.00 |
58 | ROTGEN FOTO UKURAN | 24 x 30 | 36,000.00 |
59 | ROTGEN FOTO UKURAN | 18 x 24 | 34,000.00 |