Page 5 - TARIF BPJS (Update Nov 2017)

- Tenggorokan 88,200 156,800 245,000
- Anggota tubuh lain 63,000 112,000 175,000

9 Kemoterapi :
- Paket I - 280,000 280,000
- Paket II - 400,000 400,000
- Paket III - 450,000 450,000
Protokol Kemoterapi 126,000 224,000 350,000
Therapy Pain Management 37,800 67,200 105,000

10 Ambil Darah 28,000 28,000
11 Aspirasi 56,700 100,800 157,500
12 Bladder Training - 55,000 55,000
13 Bronchial Washing / hari - 105,000 105,000
14 Defibrilasi / Kardioversi 88,200 156,800 245,000
15 Gastric Cooling - 75,000 75,000
16 Gula Darah Sewaktu - 35,000 35,000
17 Inhalasi / Nebulizer - 45,000 45,000
18 Klisma Gliserin - 87,500 87,500
19 Klisma/Huknah - 66,000 66,000
20 Plebotomi - 55,000 55,000
21 E K G - 84,000 84,000
22 Resusitasi Jantung Paru 153,000 272,000 425,000
23 Spooling Cateter/hari - 210,000 210,000
Transfusi darah (Harga sewaktu waktu berubah mengikuti
24
PMI) - 339,500 339,500
Catatan :
Biaya belum termasuk Obat-obatan dan Medical Supply

INTERNIS

TINDAKAN INTERNIS DENGAN LOKAL ANESTESI
I TINDAKAN RAWAT JALAN Jasa Medis Biaya Sarana Total Tarif
1 Endoskopi :
- Oesofagoskopi 230,400 409,600 640,000
- Laringoskopi 201,600 358,400 560,000
- Gastroskopi / Duodenoskopi 302,400 537,600 840,000
2 Biopsi Perendoscopi 151,200 268,800 420,000
3 Colonoskopi 352,800 627,200 980,000
4 Sigmoidoskopi 302,400 537,600 840,000
5 Ligasi Haemoroid 252,000 448,000 700,000
6 STE Haemoroid 189,000 336,000 525,000
7 Ligasi Varices Oesofagus 252,000 448,000 700,000
8 STE Oesofagus 189,000 336,000 525,000
9 Anuscopy 144,900 257,600 402,500
10 Punksi Ascites 136,800 243,200 380,000