LAMPIRAN Perda No. 7.pdf

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BESAR TINDAKAN MEDIK OPERATIF BESARA. SMF BEDAH1. Kelainan bawaan ditulang muka, jaringan lunak muka dan lainlain.2. Neurofibromatosis3. Kriptorkhismus4. Megacolon / Hirschprung disease5. Hispadia, CTEV dan kelainan uretra lain-lain6. Tumor tyroid, payudara, rahang dan paru-paru.7. Tumor pembuluh darah intraabdominal, retro paritonal danmediastinum.BESAR B. SMF KEBIDANAN DAN PENYAKIT KANDUNGAN1. Hysterectomy2. Tumor ganas ovarium3. Reparasi fistula, tuba1. Dokter Operator2. Dokter ANESTESI3. Perawat ANESTES4. Assisten Operator I5. Assisten Operator II6. JASA RS1. Dokter Operator2. Dokter ANESTESI3. Perawat ANESTES4. Assisten Operator I5. Assisten Operator II6. JASA RS1.800.000630.000270.000270.000270.000540.0001.800.000630.000270.000270.000270.000540.0001.440.000504.000216.000216.000216.000432.0001.440.000504.000216.000216.000216.000432.000Keterangan :1 Biaya Bahan diperhitungkan sesuai pemakaian2 Jasa dokter anestesi 35 % dari jasa dokter operator3 Asisten operator dan asisten anestesi 15 % jasmed operator4 Anestesi lokal tidak dikenakan jasa medik11 TARIF TINDAKAN MEDIK OPERATIF TAK TERENCANA ( CITO )NOURAIANVIPMinor Kecil SedangUnit Cost II 60,0001 Jasa Medis ( dr Operator ) 360,000 900,000 1,800,0002 Jasa dr. Anestesi 126,000 315,000 630,0003 Jasa Ass. Operator 54,000 135,000 270,0004 Jasa Prwt Anestesi 54,000 135,000 270,0005 Jasa RS 108,000 270,000 540,000702,000 1,755,000 3,510,000NOURAIANKelas IMinor Kecil Sedang1 Jasa Medis ( dr Operator ) 270,000 720,000 1,440,0002 Jasa dr. Anestesi 94,500 252,000 504,000
3 Jasa Ass. Operator 40,500 108,000 216,0004 Jasa Prwt Anestesi 40,500 108,000 216,0005 Jasa RS 81,000 216,000 432,000526,500 1,404,000 2,808,000NOURAIANKelas IIMinor Kecil Sedang1 Jasa Medis ( dr Operator ) 180,000 540,000 1,080,0002 Jasa dr. Anestesi 63,000 189,000 378,0003 Jasa Ass. Operator 27,000 81,000 162,0004 Jasa Prwt Anestesi 27,000 81,000 162,0005 Jasa RS 54,000 162,000 324,000351,000 1,053,000 2,106,000NOURAIANKelas IIIMinor Kecil Sedang1 Jasa Medis ( dr Operator ) 90,000 360,000 720,0002 Jasa dr. Anestesi 31,500 126,000 252,0003 Jasa Ass. Operator 13,500 54,000 108,0004 Jasa Prwt Anestesi 13,500 54,000 108,0005 Jasa RS 27,000 108,000 216,000175,500 702,000 1,404,00012 TARIF TINDAKAN MEDIK NON OPERATIF<strong>No</strong> Uraian Biaya VIP Kelas I Kelas IIUnit cost II 110,000 80,000 60,0001 jasa medik 39,600 28,800 21,6002 jasa sarana 7,920 5,760 4,3203 tarif 47,520 34,560 25,920Keterangan :1 Jasa Sarana RS untuk pasien rawat jalan adalah 10,8% dari unit cost kelas II = 6.4802 Jasa medik tindakan non operatif untuk pasien rawat jalan sesuai tindakan klas II3 Jasa medik untuk pasien ICU adalah sesuai ketentuan asal pasien sebelumnya13 TARIF BIAYA PERSALINANPersalinan Fisiologis<strong>No</strong> Kelas dr. Ahli dr. Umum Bidan
Page 1 and 2: LAMPIRAN :PERDA TENTANG RESTRIBUSNO
Page 3 and 4: 3 Imunologi 19,200 14,400 9,600Jasa
Page 5 and 6: Jasa Asisten Medis 19,950 14,963 9,
Page 7 and 8: 9 TARIF TINDAKAN REHABILITASI MEDIK
Page 9: KECILB. SMF KEBIDANAN1. Sterilisasi
Page 13 and 14: Jasa dr. Anestesi 630,000 945,000Ja
Page 15: 3 Jasa Rumah Sakit 20,0004 Jasa Rek
Page 18 and 19: 60,00015,0007,50018,000Kelas III Pa
Page 20 and 21: Kelas III68,51345,60027,405141,518K
Page 22 and 23: 8,000 6,000 3,000 5,5008,000 6,000
Page 24 and 25: 1,800,000 2,400,000630,000 840,0002
Page 26 and 27: 1.080.000378.000162.000162.000162.0
Page 28 and 29: Unit Cost dr. Ahli dr. UmumResusita
Page 30 and 31: 8,00016,00024,000Kelas III8,0008,00

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