Page 14 - TARIF BPJS (Update Nov 2017)

SPESIALIS ANAK
I TINDAKAN Jasa Medis Biaya Sarana Total Tarif

1 Terapi Surfaktan Pada Neonatus 166,320 295,680 462,000
2 Tranfusi Tukar 141,120 250,880 392,000
3 Plebotomi Anak 141,120 250,880 392,000
4 Dilatasi Preputium 83,160 147,840 231,000
5 Resusitasi Neonatus 110,880 197,120 308,000
6 Infus / Transfusi / Plug 21,672 38,528 60,200
7 Infus Umbilicalis 110,880 197,120 308,000
8 Prenulektomi / Tounge tie pada neonatus 118,440 210,560 329,000
9 Bluelight Therapy 95,760 170,240 266,000

Catatan :
Biaya belum termasuk Obat-obatan dan Medical Supply

OBSTETRY GINECOLOGY (KEBIDANAN DAN PENYAKIT KANDUNGAN)
I TINDAKAN Jasa Medis Biaya Sarana Total Tarif
1 Angkat IUD 60,480 107,520 168,000
2 Angkat Susuk 75,600 134,400 210,000
3 Angkat Tampon 45,360 80,640 126,000
4 Biopsi Vagina Luar 82,800 147,200 230,000
5 CTG 60,480 107,520 168,000
6 CTG Monitoring 136,080 241,920 378,000
7 Dopler 19,890 35,360 55,250
8 Endorphin Massage 52,920 94,080 147,000
9 Hypnobirthing Class 54,000 96,000 150,000
10 Hypnobreastfeeding 60,480 107,520 168,000
11 Inspeculo 18,000 32,000 50,000
12 Insersi Foley Uterin 64,800 115,200 180,000
13 IVA 39,312 69,888 109,200
14 Kontrol IUD 32,400 57,600 90,000
15 Konseling Laktasi 52,920 94,080 147,000
16 Konseling KB 45,360 80,640 126,000
17 Massage payudara 18,000 32,000 50,000
18 Observasi 60,480 107,520 168,000
19 Pasang Laminaria Stik 69,552 123,648 193,200
20 Pap's Smear 60,480 107,520 168,000
21 Pasang IUD 72,000 128,000 200,000
22 Pasang Pesarium 64,800 115,200 180,000
23 Pasang susuk 86,400 153,600 240,000
24 Pasang tampon vagina 32,400 57,600 90,000
25 PCT / UPS 45,360 80,640 126,000
26 Pelvic Rocking 52,920 94,080 147,000
27 Pijat bayi 21,600 38,400 60,000
28 Pijat Laktasi 45,360 80,640 126,000
29 Punksi Amnion 83,160 147,840 231,000
30 Punksi Cavum Douglas 83,160 147,840 231,000
31 Senam Hamil 32,400 57,600 90,000
32 Senam Nifas 45,360 80,640 126,000
33 Tindik Telinga 45,360 80,640 126,000
34 Tutul Albotyl 21,600 38,400 60,000
35 USG Kandungan 4 D lengkap dengan CD 161,280 286,720 448,000
36 USG Kandungan 4 D tanpa CD 148,680 264,320 413,000
37 USG Congenital Anomali Screening 216,720 385,280 602,000
38 USG Kandungan 63,000 112,000 175,000
39 USG Transvaginal / Kandungan 4D tanpa CD 90,720 161,280 252,000
40 USG Rectal 53,280 94,720 148,000
41 Vaginal Swab 24,480 43,520 68,000