Page 29 - TARIF BPJS (Update Nov 2017)

20 CT Lower Extremitas - 120,000 930,000 1,050,000
21 CT Small joint - 120,000 930,000 1,050,000
22 CT Transthoracal Biopsy (TTB)/CT Guide - 120,000 930,000 1,050,000
23 CT Urography - 100,000 900,000 1,000,000
24 CT Larynx - 120,000 930,000 1,050,000
25 CT Vert Thoracal Lumbosacral - 120,000 930,000 1,050,000
26 Jasa Dokter Anastesi Untuk Radiologi - 94,500 168,000 262,500
CT CONTRAST
1 CT brain Contras - 301,626 2,123,374 2,425,000
2 CT Sinus paranasal Contras - 301,626 2,123,374 2,425,000
3 CT Mastoid Contras - 301,626 2,123,374 2,425,000
4 CT Maxilla / mandibula Contras - 301,626 2,123,374 2,425,000
5 CT Nasopharynx Contras - 356,049 2,503,951 2,860,000
6 CT Neck Contras - 413,136 2,911,864 3,325,000
7 CT Orbita C0ntras - 340,713 2,409,287 2,750,000
8 CT Thorax Contras - 426,830 3,003,170 3,430,000
9 CT Urography Contras - 426,830 3,003,170 3,430,000
10 CT Whole Abd Contras IV - 426,830 3,023,170 3,450,000
11 CT Upper Abd Contras - 413,136 2,911,864 3,325,000
12 CT Lower Abd Contras - 413,136 2,911,864 3,325,000
13 CT Upper Extremitas Contras - 413,136 2,911,864 3,325,000
14 CT Lower Extremitas Contras - 413,136 2,911,864 3,325,000
15 CT Pelvis Contras - 413,136 2,911,864 3,325,000
16 CT Vert Cervical Contras - 413,136 2,911,864 3,325,000
17 CT Vert Thoracal Contras - 413,136 2,911,864 3,325,000
18 CT Vert Lumboscral Contras - 413,136 2,911,864 3,325,000
19 CT Small Joint Contras - 413,136 2,911,864 3,325,000
20 CT Colonography Contros - 479,507 3,370,493 3,850,000
21 CT Broncography Contras - 479,507 3,370,493 3,850,000
22 CT Myelography Contras - 354,407 2,495,593 2,850,000
23 CT Larynx Contras - 340,713 2,409,287 2,750,000
24 CT Whole Abd Contras IV dan Oral - 479,507 3,370,493 3,850,000
25 CT Whole Abd Contras Oral - 354,407 2,495,593 2,850,000

Catatan :
Pemeriksaan Cito ditambah 10% dari tarif

REHABILITASI MEDIS / FISIOTERAPI
2017
TINDAKAN
Jasa Medis Biaya Sarana Total Tarif
1 Exercise Alat 70,250 70,250
2 Exercise tanpa alat 81,750 81,750
3 Massage Seluruh 112,500 112,500
4 Muscle Test 70,250 70,250
5 Neck Traction 124,750 124,750
6 Stroke Exercise 96,750 96,750
7 Tens 70,250 70,250
8 UKG 70,250 70,250
9 Ultrasound Diatermi(USD) 86,750 86,750
10 Inhalasi + Chest Therapy 115,500 115,500
11 Therapy Dingin (Cold Therapy) 64,500 64,500
12 Laser Therapy 86,750 86,750
13 Lumbal Traksi 124,750 124,750
14 Infra Red 81,000 81,000
15 Massage Sebagian 86,750 86,750
16 Parrafin Bath 63,750 63,750
17 Chest Therapy 75,000 75,000
18 Pembuatan Wrist Splint 37,800 67,200 105,000
19 Senam Stroke 90,000 90,000
20 Senam Geriatri 90,000 90,000
21 Senam Osteoporosis 90,000 90,000