14 AFF DC 10% 11,00015 AFF INFUS 10% 11,00016 AFF NGT 10% 11,00017 MENGAMBIL SPESIMEN 10% 11,00018 ORAL HIGIENE 10% 11,00019 DRESSING INFUS 10% 11,00020 SKIN TES 10% 11,00021 FOEDING SONDE HIDUNG 10% 11,00022 PASANG INFUS 10% 11,00023 PASANG INFUS DENGAN PENYULIT 15% 16,50024 PASANG NGT 10% 11,00025 LAVEMENT 10% 11,00026 EXTRASI SUSUK / SPIRAL 15% 16,50027 INSERSI SUSUK / SPIRAL 15% 16,50028 NECROTOMI 15% 16,50029 VULVA HIGIENE 15% 16,50030 SKEREN & PERAWATAN LUKA / SCROTUM 15% 16,50031 TINDIK TELINGA 15% 16,50032 RESUSITASI PERNAPASAN RINGAN 15% 16,50033 TAMPON LUKA 15% 16,50034 MEDIKASI LUKA PERINEUM 15% 16,50035 PUNGSI ASBES 15% 16,50036 SPOLING DC DENGAN PENYULIT 15% 16,50037 PERAWATAN FUNGSI PLEURA 15% 16,50038 PERAWATAN WSD 15% 16,50039 VAGINAL TUSSE 15% 16,50040 PASANG SYRING PUMP 15% 16,50041 PASANG INFUS PUMP 15% 16,50042 PENDIDIKAN KESEHATAN 15% 16,50043 PEMASANGAN TUBA ENDOTRAKEAL 15% 16,50044 KATETERISASI UMBILIKAL 15% 16,50045 BILAS LAMBUNG 15% 16,50046 HISAP LENDIR 15% 16,50047 DC SHOCK 20% 22,00048 RESUTASI JANTUNG PARU 20% 22,00049 PENGAMBILAN BENDA ASING HIDUNG, TELINGAN 20% 22,00050 RESUSITASI PASIEN GAWAT DARURAT 30% 33,000Keterangan :Jasa tindakan Keperawatan hanya satu kali sehariJasa tindakan keperawatan di Rawat jalan menggunakan Unit Cost kelas II
9 TARIF TINDAKAN REHABILITASI MEDIKNOUraian BiayaVIPdokter fisioterapist saranaUnit cost1 SEDERHANA 15,600 13,200 6,0002 SEDANG 20,748 17,556 7,9803 CANGGIH 23,400 19,800 9,000NOUraian Biayakelas Idokter fisioterapist saranaNONO1 SEDERHANA 10,374 8,778 3,9902 SEDANG 15,600 13,200 6,0003 CANGGIH 19,500 16,500 7,500Uraian Biayakelas IIdokter fisioterapist sarana60,0001 SEDERHANA 7,800 6,600 3,0002 SEDANG 10,374 8,778 3,9903 CANGGIH 11,700 9,900 4,500Uraian Biayakelas IIIdokter fisioterapist sarana1 SEDERHANA 5,148 4,356 1,9802 SEDANG 7,800 6,600 3,0003 CANGGIH 9,360 7,920 3,600Keterangan :1. Biaya tersebut belum termasuk bahan dan obat2. Untuk pasien rawat jalan tarif sesuai pasien rawat inap kelas II10 TARIF TINDAKAN MEDIK OPERATIF TERENCANANOURAIANVIPMinor Kecil Sedang
- Page 1 and 2: LAMPIRAN :PERDA TENTANG RESTRIBUSNO
- Page 3 and 4: 3 Imunologi 19,200 14,400 9,600Jasa
- Page 5: Jasa Asisten Medis 19,950 14,963 9,
- Page 9 and 10: KECILB. SMF KEBIDANAN1. Sterilisasi
- Page 11 and 12: 3 Jasa Ass. Operator 40,500 108,000
- 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