Page 4 - TARIF BPJS (Update Nov 2017)

TINDAKAN UMUM

TINDAKAN Jasa Medis Biaya Sarana Total Tarif
1 Injeksi
- Injeksi (IV, IM, SC, IC) 21,000 21,000
- Injeksi Khusus 88,200 156,800 245,000
- Injeksi Keloid 50,400 89,600 140,000
- Injeksi Varises 50,400 89,600 140,000
- Vaksinasi 42,000 42,000
- Vaksinasi BCG 70,000 70,000
2 Pemasangan :
- C V P 277,200 492,800 770,000
- Cerobong Angin - 35,000 35,000
- Double/Triple lumen 324,000 576,000 900,000
- Infus / Transfusi / Plug 100,800 179,200 280,000
- Intubasi - 27,500 27,500
- Kateter Urine 37,800 67,200 105,000
- Long Spine Board - 17,500 17,500
- Neck Collar - 14,000 14,000
- NGT - 50,000 50,000
- OPA / NPA - 35,000 35,000
- S B Tube 113,400 201,600 315,000
- Vena Sectie 88,200 156,800 245,000

3 Angkat :
- CVP/ Double / Triple lumen 40,320 71,680 112,000
- Drain - 31,500 31,500
- Extubasi - 77,000 77,000
- NGT - 35,000 35,000
- SB Tube 50,400 89,600 140,000
- Kateter Urine - 30,000 30,000
4 Jahit Luka :
- 1 s/d 10 50,040 88,960 139,000
- 11 s/d 20 76,680 136,320 213,000
- > 20 85,680 152,320 238,000

5 Angkat Jahitan :
- 1 s/d 10 32,400 57,600 90,000
- 11 s/d 20 43,200 76,800 120,000
- > 20 56,160 99,840 156,000

6 Ganti Balut :
- Ganti Balut Kecil / Wound toilet Kecil 32,400 57,600 90,000
- Ganti Balut Sedang / Wound toilet Sedang 41,400 73,600 115,000
- Ganti Balut Besar / Wound toilet Besar 52,200 92,800 145,000
- Ganti Tracheostomi Tube 52,200 92,800 145,000

7 Punksi :
- Asites 86,400 153,600 240,000
- Cairan sendi 93,600 166,400 260,000
- Hepar 214,200 380,800 595,000
- Pleura 214,200 380,800 595,000
- Thyroid 93,600 166,400 260,000

8 Extraksi Corpus Alienum :
- Mata 75,600 134,400 210,000
- Hidung 88,200 156,800 245,000
- Telinga 88,200 156,800 245,000