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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
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