| 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 |
