Page 19 - TARIF BPJS (Update Nov 2017)

KELAS II Jasa Medis Jasa Medis Biaya Sarana Total Tarif
OPERASI KATEGORI II Operator Anastesi
1 Operasi Kecil 684,432 205,330 1,011,438 1,901,200
2 Operasi Sedang 929,376 278,813 1,373,411 2,581,600
3 Operasi Besar 1,332,828 399,848 1,969,624 3,702,300
4 Operasi Khusus 1,956,024 586,807 2,890,569 5,433,400
5 Operasi Khusus Lanjutan 2,691,486 807,446 3,977,418 7,476,350
OPERATOR OPERASI KATEGORI III
1 Operasi Kecil 502,488 150,746 742,566 1,395,800
2 Operasi Sedang 850,122 255,037 1,256,291 2,361,450
3 Operasi Besar 1,235,556 370,667 1,825,877 3,432,100
4 Operasi Khusus 1,815,534 544,660 2,682,956 5,043,150
KELAS II - III Jasa Medis Jasa Medis Biaya Sarana Total Tarif
OPERASI KATEGORI I Operator Anastesi
1 Operasi Sedang 1,814,400 544,320 2,681,280 5,040,000
2 Operasi Besar 3,402,000 1,020,600 5,027,400 9,450,000
3 Operasi Besar Lanjutan 4,082,400 1,224,720 6,032,880 11,340,000
4 Operasi Khusus 6,804,000 2,041,200 10,054,800 18,900,000
ORTHOPAEDIC SPINE SURGERY
1 LEVEL 1 7,126,056 2,137,817 10,530,727 19,794,600
2 LEVEL 2 18,139,464 5,441,839 26,806,097 50,387,400
3 LEVEL 3 18,211,032 5,463,310 26,911,858 50,586,200
LAMINOSTOMY MICRODISECTOMI
1 LEVEL 1 15,381,009 3,076,202 10,026,139 28,483,350
2 LEVEL 2 27,209,196 5,441,839 17,736,365 50,387,400
CERVICAL ANTERIOR INTERNAL FIKSASI (CAIF)
1 LEVEL 1 7,126,056 2,137,817 10,530,727 19,794,600
2 LEVEL 2 14,252,112 4,275,634 21,061,454 39,589,200
KELAS III Jasa Medis Jasa Medis
OPERASI KATEGORI II Operator Anastesi Biaya Sarana Total Tarif
1 Operasi Kecil 606,816 182,045 896,739 1,685,600
2 Operasi Sedang 842,940 252,882 1,245,678 2,341,500
3 Operasi Besar 1,210,356 363,107 1,788,637 3,362,100
4 Operasi Khusus 1,765,134 529,540 2,608,476 4,903,150
5 Operasi Khusus Lanjutan 2,435,895 730,769 3,599,712 6,766,375
OPERASI KATEGORI III
1 Operasi Kecil 441,252 132,376 652,072 1,225,700
2 Operasi Sedang 745,668 223,700 1,101,932 2,071,300
3 Operasi Besar 1,059,080 317,724 1,565,085 2,941,890
4 Operasi Khusus 1,613,808 484,142 2,384,850 4,482,800

Jasa Medis Jasa Medis
BIOPSI OF BONE MARROW Biaya Sarana Total Tarif
Operator Anastesi
1 BMP 371,700 111,510 549,290 1,032,500

Catatan :
Biaya belum termasuk Obat-obatan dan Medical Supply
EQUIPMENT
SEWA ALAT RUMAH SAKIT Tarif
1 Alat Bronchoskopi 220,000
2 Alat Endoskopi 220,000
3 Bed Side Monitor 120,000
4 Blanket Warmer 100,000
5 Blood Warmer 40,000
6 Blue Light Terapi 200,000
7 CPAP Anak / Bayi 230,000
8 CPAP Dewasa 230,000
9 Heartmett 90,000
10 Incubator 120,000
11 Infra Red 50,000