Page 8 - TARIF BPJS (Update Nov 2017)

5 Bilasan dan Biopsi Forceps 504,000 896,000 1,400,000
6 Bilasan dan Kuretase 504,000 896,000 1,400,000
7 Bilasan, Sikatan dan Biopsi 630,000 1,120,000 1,750,000
8 Trans Bronchial Needle Aspiratior (TBNA) 630,000 1,120,000 1,750,000
9 Trans Bronchial lungBiopsi (TBLB) 630,000 1,120,000 1,750,000
II TINDAKAN RAWAT INAP KELAS I Jasa Medis Biaya Sarana Total Tarif
1 Penilaian dari bilasan 592,200 1,052,800 1,645,000
2 Bronchial toilet 592,200 1,052,800 1,645,000
3 Bilasan dan Biopsi Jarum 592,200 1,052,800 1,645,000
4 Bilasan dan Sikatan 592,200 1,052,800 1,645,000
5 Bilasan dan Biopsi Forceps 592,200 1,052,800 1,645,000
6 Bilasan dan Kuretase 592,200 1,052,800 1,645,000
7 Bilasan, Sikatan dan Biopsi 756,000 1,344,000 2,100,000
8 Trans Bronchial Needle Aspiratior (TBNA) 756,000 1,344,000 2,100,000
9 Trans Bronchial lungBiopsi (TBLB) 756,000 1,344,000 2,100,000
III TINDAKAN RAWAT INAP KELAS II-III Jasa Medis Biaya Sarana Total Tarif
1 Penilaian dari bilasan 504,000 896,000 1,400,000
2 Bronchial toilet 504,000 896,000 1,400,000
3 Bilasan dan Biopsi Jarum 504,000 896,000 1,400,000
4 Bilasan dan Sikatan 504,000 896,000 1,400,000
5 Bilasan dan Biopsi Forceps 504,000 896,000 1,400,000
6 Bilasan dan Kuretase 504,000 896,000 1,400,000
7 Bilasan, Sikatan dan Biopsi 630,000 1,120,000 1,750,000
8 Trans Bronchial Needle Aspiratior (TBNA) 630,000 1,120,000 1,750,000
9 Trans Bronchial lungBiopsi (TBLB) 630,000 1,120,000 1,750,000

Catatan :
Biaya belum termasuk Obat-obatan dan Medical Supply

BRONCOSKOPI DENGAN GENERAL ANESTESI
Jasa Medis Jasa Medis
I TINDAKAN RAWAT INAP KELAS I Biaya Sarana Total Tarif
Operator Anastesi
1 Tindakan Kecil 803,250 240,975 1,187,025 2,231,250
2 Tindakan Sedang 983,430 295,029 1,453,291 2,731,750
3 Tindakan Besar 1,217,664 365,299 1,799,437 3,382,400
4 Tindakan Khusus 1,469,916 440,975 2,172,209 4,083,100
Jasa Medis Jasa Medis
II TINDAKAN RAWAT INAP KELAS II Biaya Sarana Total Tarif
Operator Anastesi
1 Tindakan Kecil 538,524 161,557 795,819 1,495,900
2 Tindakan Sedang 754,740 226,422 1,115,338 2,096,500
3 Tindakan Besar 970,956 291,287 1,434,857 2,697,100
4 Tindakan Khusus 1,259,244 377,773 1,860,883 3,497,900
Jasa Medis Jasa Medis
III TINDAKAN RAWAT INAP KELAS III Biaya Sarana Total Tarif
Operator Anastesi
1 Tindakan Kecil 441,252 132,376 652,072 1,225,700
2 Tindakan Sedang 675,486 202,646 998,218 1,876,350
3 Tindakan Besar 873,684 262,105 1,291,111 2,426,900
4 Tindakan Khusus 1,125,936 337,781 1,663,883 3,127,600
Catatan :
Biaya belum termasuk Obat-obatan dan Medical Supply

JANTUNG
TINDAKAN Jasa Medis Biaya Sarana Total Tarif
1 Treadmill Include Reading 126,000 224,000 350,000
2 Echocardiography Include Reading 162,000 288,000 450,000
3 USG Vasculer 214,200 380,800 595,000
4 ECG (Electrocardiogram) 30,240 53,760 84,000