Page 30 - TARIF BPJS (Update Nov 2017)

22 Senam Asma (Pernapasan) 90,000 90,000
23 Tindakan Akupuntur 1 x (Konsultasi +Tindakan) 64,800 115,200 180,000
24 Konsultasi Dokter dan mengkaji fasilitas lingkungan rumah 37,800 67,200 105,000
25 Rehabilitasi pasif 18,900 33,600 52,500

Catatan :
Biaya belum termasuk Obat-obatan dan Medical Supply

SEWA ALAT INSTRUMEN CSSD
Rawat Jalan / Kls III Kls II Kls I VIP COM
Rawat Inap
1 CSSD Set Operasi I Kecil 140,000 105,000 140,000 200,000 240,000
2 CSSD Set Operasi I Sedang 200,000 150,000 200,000 240,000 300,000
3 CSSD Set Operasi I Besar 250,000 187,500 250,000 300,000 360,000
4 CSSD Set Operasi I Khusus + Khusus Lanjutan 300,000 225,000 300,000 360,000 480,000
5 CSSD Set Operasi II Kecil 80,000 60,000 80,000 140,000 200,000
6 CSSD Set Operasi II Sedang 180,000 135,000 180,000 220,000 260,000
7 CSSD Set Operasi II Besar 240,000 180,000 240,000 300,000 320,000
8 CSSD Set Operasi II Khusus + Khusus Lanjutan 300,000 225,000 300,000 360,000 440,000
9 CSSD Set Operasi III Kecil 60,000 45,000 60,000 80,000 140,000
10 CSSD Set Operasi III Sedang 140,000 105,000 140,000 160,000 200,000
11 CSSD Set Operasi III Besar 120,000 90,000 120,000 160,000 240,000
12 CSSD Set Operasi III Khusus 240,000 180,000 240,000 280,000 320,000
13 CSSD Set Needle Cricotyroidotomi 12,500
14 CSSD Set Surgical Cricotyroidotomi 12,500
15 CSSD Set Needle Decompression 12,500
16 CSSD Set Intraosseus cath 12,500
17 CSSD Set Injeksi 2,500
18 CSSD Set C V P 15,000
19 CSSD Set Cerobong Angin 2,500
20 CSSD Set Double/Triple lumen 15,000
21 CSSD Set Infus / Transfusi / Plug 2,500
22 CSSD Set Intubasi 12,500
23 CSSD Set Kateter Urine 5,000
24 CSSD Set NGT 5,000
25 CSSD Set OPA / NPA 2,500
26 CSSD Set S B Tube 7,500
27 CSSD Set Vena Sectie 15,000
28 CSSD Set Jahit Luka 15,000
29 CSSD Set Angkat Jahitan 15,000
30 CSSD Set Ganti Balut Kecil 15,000
31 CSSD Set Ganti Balut Sedang 15,000
32 CSSD Set Ganti Balut Besar 15,000
33 CSSD Set Punksi 15,000
34 CSSD Set Extraksi Corpus Alienum Mata 10,000
35 CSSD Set Extraksi Corpus Alienum Hidung 10,000
36 CSSD Set Extraksi Corpus Alienum Telinga 10,000
37 CSSD Set Extraksi Corpus Alienum Tenggorokan 10,000
38 CSSD Set Extraksi Corpus Alienum Anggota tubuh lainnya 10,000
39 CSSD Set Kemoterapi 15,000
40 CSSD Set Ambil Darah 2,500
41 CSSD Set Bladder Training 5,000
42 CSSD Set Bronchial Washing / hari 7,500
43 CSSD Set Gastric Cooling 5,000
44 CSSD Set Klisma Gliserin 5,000
45 CSSD Set Klisma/Huknah 5,000
46 CSSD Set Plebotomi 2,500
47 CSSD Set Spooling Cateter/hari 5,000
48 CSSD Set Transfusi darah 5,000
49 CSSD Set Oesofagoskopi 12,500
50 CSSD Set Laringoskopi 5,000