Download - Tarif Baru2016
-
7/23/2019 Tarif Baru2016
1/48
1 4,000
2 5,0003 5,0004 5,000
5 5,000
6 5,0007 5,000
1 15,000
2 30,000
3 65,000
1 10,000
2 20,0003 40,000
1 10,0002 20,000
3 40,000
1
15,000
25,000
15,000
15,00015,000
2
LAMPIRANI
PERATURANGUBERNURSULAWESITENGAH NOMOR TAHUN2011 TENTANG TARIFPELAYANANKESEHATANPADARUMAHSAKITDAERA
MADANIPROVINSISULAWESITENGAH.
JENISDANTARIFPELAYANANKESEHATAN
NO
JENISPELAYANAN JASA
SARANA
1.POLIKLINIK
A
Pemeriksaan
FormatRekamMedik
KonsultasiDokterAhli
KonsultasiDokterUmum(Asisten)
KonsultasiDokterGii
KonsultasiPsikolog
KonsultasiGiziBiasa
KonsultasiGizidenanKom likasi
B
TindakanPoliklinikS esialisTindakanMedikNonOp. Kecil/Sederhana
TindakanMedikNonOperatifSedang
TindakanMedikNonO eratifBesar
C
TindakanPsikiatriTindakanPsikiatriKecil/Sederhana
TindakanPsikiatriSedan
TindakanPsikiatriBesar
DTindakanPsikolois
TindakanPsikoloiKecil/SederhanaTindakanPsikoloiSedan
TindakanPsikologiBesar
ETindakanPoliklinikGiiTindakanMedisGigidanMulut
EkstraksiGiiSusu
EkstraksiGiiTeta
TumpatanSementara
RotasiObatPerawatanSarafGiiPulp-Caping
TindakanMedisGiidanMulutSedan
-
7/23/2019 Tarif Baru2016
2/48
50,000
45,00040,000
40,000
60,000
15,0003
115,000
30,000
30,000115,000
50,000
70,000
70,000
70,000
Ekstraksidenganpenyulit
tum atanteta ART/GICTrefanasi
PerawatanIndodenik
Scallingper-rahang
CurataePerGiiTindakanMedisGiidanMulutBesarOdontektomy
InciseIntraOral
InciseEkstraOralGingivektomy
Upperkuletomy
AlveolektomyPeregioFrenektomy
Enuklease
-
7/23/2019 Tarif Baru2016
3/48
1,000 5,000 12,000 2,000
25,000 30,000 7,000 30,000
15,000 20,000 7,000 18,00020,000 25,000 7,000 24,000
20,000 25,000 7,000 24,000
15,000 20,000 7,000 18,000
20,000 25,000 7,000 24,000
20,000 35,000 15,000 20,000
40,000 70,000 30,000 40,000
60,000 125,000 65,000 60,000
30,000 40,000 10,000 30,000
60,000 80,000 20,000 60,000100,000 140,000 40,000 100,000
30,000 40,000 10,000 30,00060,000 80,000 20,000 60,000
100,000 140,000 40,000 100,000
-
15,000 30,000 15,000 15,000
20,000 45,000 25,000 20,000
15,000 30,000 15,000 15,000
20,000 35,000 15,000 20,00020,000
35,00015,000 20,000
-
tarif
JASA
PELAYANAN
TARIF
JASA
SARANA
JASA
PELAYANAN
-
7/23/2019 Tarif Baru2016
4/48
40,000 90,000 50,000 40,000
25,000 70,000 45,000 25,00020,000 60,000 40,000 20,000
25,000 65,000 40,000 25,000
40,000 100,000 60,000 40,000
25,000 40,000 15,000 25,000-
200,000 315,000 115,000 200,000
30,000 60,000 30,000 30,000
30,000 60,000 30,000 30,000200,000 315,000 115,000 200,000
50,000 100,000 50,000 50,000
70,000 140,000 70,000 70,000
70,000 140,000 70,000 70,000
70,000 140,000 70,000 70,000
-
7/23/2019 Tarif Baru2016
5/48
14,000
37,000
25,000
31,000
31,000
25,000
31,000
35,000
70,000
125,000
40,000
80,000
140,000
40,00080,000
140,000
-
30,000
45,000
30,000
35,000
35,000-
TARIF
-
7/23/2019 Tarif Baru2016
6/48
90,000
70,000
60,000
65,000
100,000
40,000-
315,000
60,000
60,000
315,000
100,000
140,000
140,000
140,000
-
7/23/2019 Tarif Baru2016
7/48
74,500
90,00090,000
115,000
4
110,000
150,000
65,000
85,000
100,000
100,000
1,000,000
1,500,000
120,000
150,000
130,000
765,000
1,500,000
1 6,000
2 10,000
3 10,000
1 15,500
2 36,500
3 8,000
4 22,000
5 17,500
6 18,000
7 20,500
8 55,000
9 85,000
10 70,000
11 10,500
12 16,000
13 26,000
14 50,000
15 30,000
16 35,000
17 160,00018 23,000
EkripasiMuccell
Tum atanSinarL.CFiksasifrakturrahan sederhanasplinting/wire
TindakanRehabilitasi
PartialDenlureProtesaGiiPertama
-Akrilik
-Vallest
PartialDenlureProtesaGigiBerikutnya
-Akrilik
-Vallest
ReparasiDentureProtesadgnHotCuring
RearasiDentureProtesadnSelfCurinFullDentureProtesa
-Akrilik
-Valplest
MahkotaJaketCrown erii
-Akrilik
-Porcelen
Bride erunit
PerawatanOrtodontiLepasan
OrthoPer-rahan fixed(Behel)
2.IRD
A
Pemeriksaan
FormatRekamMedik
PemeriksaandokterIRD
Konsuldokterahli
B
Tindakan
Pasan InfusDewasa
Pasan InfusAnakEKG
Nebulizer
Pasan Salk
PasangO2
CrossInsisi
JahitLuka10Jahitan
PasangKateter
RawatLukaKecil
RawatLukaSedan
RawatLukaBesar
KumbahLambun
EkstraksiKuku
Pasan NGT
SirkumsisiNebulizer
-
7/23/2019 Tarif Baru2016
8/48
19 65,000
20 9,000
21 15,000
23 5,000
1 200,000
2 160,000
3 120,000
4 70,000
5 40,000
1
ETT
AffHectin
AffCateterInjeksi
3.RawatInaA Akomodasi
KelasVIPA
KelasVIPB
KelasI
KelasII
KelasIII
BVisiteDokterVisiteDokterSesialis
-
7/23/2019 Tarif Baru2016
9/48
66,000 140,500
70,000 160,00070,000 160,000
200,000 315,000
-
-
100,000 210,000
100,000 250,000
-
50,000 115,000
50,000 135,000
80,000 180,000
80,000 180,000-
1,000,000 2,000,000
1,000,000 2,500,000
-
200,000 320,000
200,000 350,000
250,000 380,000
635,000 1,400,000
1,000,000 2,500,000
-
-
-
2,000 8,000
15,000 25,000
25,000 35,000
-
-
4,400 19,900
6,200 42,700
4,600 12,600
7,800 29,800
8,400 25,900
2,000 20,000
3,800 24,300
7,200 62,200
12,800 97,800
6,400 76,400
3,800 14,300
7,000 23,000
10,800 36,800
5,000 55,000
4,400 34,400
6,400 41,400
22,800 182,8007,800 30,800
-
7/23/2019 Tarif Baru2016
10/48
60,000 125,000
5,200 14,200
20,000 35,000
2,500 7,500
-
--
200,000
160,000
120,000
70,000
40,000
-
-
25,000 25,000
-
7/23/2019 Tarif Baru2016
11/48
1 5,000
2 5,000
3 5,000
4 5,000
25,000
3,600
115,000
2 30,0003 65,000
1 10,0002 20,000
3 40,000
1 10,000
2 20,0003 40,000
50/liter
1
200,000
200,000
2 300,000
1 250,000
1 15,000
2 30,0003 65,000
C
AsuhanKeerawatanPelaksanaanAsuhanKeerawatanI
PelaksanaanAsuhanKeerawatanII
PelaksanaanAsuhanKeperawatanIII
TAK(TeraiAktivitasKelom ok) D
HomeVisitHomeVisitDalamkota
LuarKota(Tarifdalamkotaditambah
biaaR .6.000,00 erkilometer)
ETindakanMedisTindakanMedikNonOperatif
KecilSederhanaTindakanMedikNonO eratifSedan
TindakanMedikNonO eratifBesar
FTindakanPsikiatriTindakanPsikiatriKecil/Sederhana
TindakanPsikiatriSedan
TindakanPsikiatriBesar
GTindakanPsikoloisTindakanPsikologiKecil/Sederhana
TindakanPsikoloiSedan
TindakanPsikoloi
Besar
F Oksigen
4.KebidanandanKandunanA
TindakanPartusPartusNormalerVainam
DenanBantuanBidan
DenganBantuanDokterSp.OG
PartusPlusPenuliterVainam
5.ICU
A
Akomodasi
PerawatanICU
BTindakanMedis
TindakanMedikNonOperatifKecil
TindakanMedikNonO eratifSedan
TindakanMedikNonO eratif
Besar
-
7/23/2019 Tarif Baru2016
12/48
1 600,000
1 1,300,0002 1,500,000
3 2,100,000
4 2,500,000
1 8,0002 8,0003 8,000
4 8,000
5 8,0006 8,0007 12,000
6.KamarOperasi
A TindakanOperasidenganAnastesi
O erasidenananastesilokal
B TindakanOperasidenganGeneral
O erasiKecilO erasiSedan
OperasiBesar
O erasiKhusus
7.LaboratoriumA
HematoloiSederhana
Leukosit
Eritrosit
Trombosit
Hematokrit
LauEnda
DarahHitun JenisLeukosit
CT/BT
-
7/23/2019 Tarif Baru2016
13/48
10,000 15,000
15,000 20,000
20,000 25,000
10,000 15,000
-
30,000 55,000
2,4006,000
-
-
20,00035,000
40,000 70,000
60,000 125,000
-
-
30,000 40,000
60,000 80,000
100,000 140,000
-
-
30,000 40,000
60,000 80,000
100,000 140,000
-
240,000 440,000
400,000 600,000
500,000 800,000
50,000 300,000
-
-
20,000 35,000
40,000 70,000
60,000 125,000
-
50/liter
-
7/23/2019 Tarif Baru2016
14/48
-
-
300,000 900,000
-
800,000 2,100,0001,200,000 2,700,000
1,600,000 3,700,000
2,100,000 4,600,000
-
-
-
3,000 11,000
3,000 11,000
3,000 11,000
3,000 11,000
3,000 11,000
3,000 11,000
8,000 20,000
-
7/23/2019 Tarif Baru2016
15/48
1 25,0002 30,000
1 35,000
2 30,0003 22,000
4 25,000
1 22,0002 25,000
3 25,000
4 25,000
5 35,0006 25,000
7 22,000
8 22,0009 22,00010 45,000
11 50,000
12 25,000
13 25,00014 25,000
15 25,000
1655,00017 75,000
18 110,000
19 200,000
1 15,0002 30,000
3 35,000
4 35,000
5 35,0006 35,000
7 35,000
8 55,0009 80,00010 120,000
1 14,0002 14,0003 14,000
4 60,000
BHematoloiCan ih
Hemolobin(AlatCan ih)Hematoloi(AlatCan ih)
C Urinalisa
UrinLengkap
PlanoTestEsbach
ProteinKuantitatif D
KimiaDarahGlukosa
KolestrolTotal
KolestrolLDL
KolestrolHDL
Trigliserida
UricAcid
Kreatinin
Ureum
SGOT
SGPT
Bilirubin
Albumin
Globulin
ProteinTotalCalcium
CK
CK-MB
Elektrolit(aket)
Analisis asdarah(aket) E
Imunologi/Serulogi
GolonanDarah
TestKehamilanVDRL
Widal
ASTO
RF(FACORRheumatoid)
CRPKualitatif
HBsAAntiHBS(kualitatif)
AntiGBS(kualitatif)
FMikrobioloiKlinik
PewarnaanLansun
PewarnaanLansun Gram
Malaria
MalariaRaidTest
-
7/23/2019 Tarif Baru2016
16/48
5 110,000
6 22,0007 50,000
8 100,000
1 10,000
2 20,000
3 35,000
1 19,000
2 19,0003 19,000
4 19,000
5 19,000
6 19,0007 19,000
TBRapidTest
FecesRutin
Sutum
BTANarkoba
8.RehabMedik
APaketTindakanRehabMedikPsikiatriTindakanKecil
TindakanSedang
TindakanBesar
BTindakanRehabMedikUmumFunctionalEvaluation
OrthoticEvaluation
ProstheticEvaluation
MMT
RaneofmotionTestin
MeasurementofLimbLenthBod Measurement
-
7/23/2019 Tarif Baru2016
17/48
5,000 30,00010,000 40,000
-
6,000 41,000
6,000 36,0006,500 28,5006,000 31,000
-
6,000 28,0006,000 31,000
6,000 31,000
6,000 31,000
6,000 41,0006,000 31,000
6,000 28,000
6,000 28,000
6,000 28,0006,000 51,0008,000 58,000
3,000 28,000
3,000 28,0003,000 28,0007,000 32,000
18,000 73,00025,000 100,00035,000 145,00055,000 255,000
-
5,000 20,0008,000 38,00010,000 45,000
10,000 45,000
10,000 45,00010,000 45,000
10,000 45,000
18,000 73,00025,000 105,00035,000 155,000
-
4,000 18,000
4,000 18,0004,000 18,00016,000 76,000
-
7/23/2019 Tarif Baru2016
18/48
35,000 145,000
10,000 32,00040,000 90,00050,000 150,000
-
-
-6,000 16,000
15,000 35,000
20,000 55,000
-
-
16,000 35,000
16,000 35,00016,000 35,000
16,000 35,000
16,000 35,000
16,000 35,00016,000 35,000
-
7/23/2019 Tarif Baru2016
19/48
8 52,000
9 25,000
10 19,00011 19,000
12 19,000
13 19,000
14 25,00015 25,000
16 19,000
17 19,000
18 52,00019 19,000
20 19,00021 19,00022 19,00023 52,000
24 52,000
25 52,000
26 25,00027 19,000
28 19,000
29 19,000
30 19,00031 25,000
32 52,000
33 25,000
34 52,00035 25,000
36 25,000
37 25,000
38 19,00039 25,000
40 25,000
41 25,000
42 25,000
43 52,000
1 40,0002 65,000
3 140,000
4 400,000
Electromyography
OtherDiagn.PhysicalTherapy
AssistiveExercise
OtherActiveMusculoskeletalExc.
ResistiveExercise
TraininginJointMovements
MobilizationofSine
MobilizationofotherJoints
OtherPassiveMusculoskeletalExercise
BreathingExercise
Manual&MechanicalTraction
AmbulationandGaitTrainin
TraininginUseOf
prostheticofdeformityStretching
OtherforcibleCorrection
AssistedExercisein ool
WhithoolTreatment
OtherHydrotherapyDiathermy
IRR
HotPacks
ParaffinBath
Cardiacretrainin
Prenatal
Trainin
Skeletaltraction&othertraction
OtherImmobilization
OsteoathicManiulativetreatment
MobilisasiSaraf
MobilisasiViseral
MobilisasiTherapyMassage
Faradik
Interferensi
TENS
Ultrasound
Tkiapping
9.RadioloiPemeriksaanKecil
PemeriksaanSedan
PemeriksaanBesar
PemeriksaanCanggih
-
7/23/2019 Tarif Baru2016
20/48
1 20,000
2 40,000
3 60,0004 80,000
1 5,000
2 1,000
3 1,000
1 5,000
2 1,0003 1,000
10.Elektromedik
PemeriksaanKecil
PemeriksaanSedang
PemeriksaanBesar
PemeriksaanCan ih
11.PelayananFarmasi
A PelaananFarmasiRawatJalan
PelaananKonselin
danInformasiObat
PelaananEmbalaseObatJadi
PelayananEmbalaseObatracikan
B PelaananFarmasiRawatIna
PelaananVisiteMandiri
PelayananEmbalaseObatJadi
PelaananEmbalaseObatracikan
12.InstalasiGiziA
PelayananGizi
Penelen araanMakanan
-
7/23/2019 Tarif Baru2016
21/48
43,000 95,000
20,000 45,000
16,000 35,00016,000 35,00016,000 35,000
16,000 35,000
20,000 45,00020,000 45,00016,000 35,000
16,000 35,000
43,000 95,000
16,000 35,000
16,000 35,00016,000 35,000
16,000 35,00043,000 95,00043,000 95,000
43,000 95,000
20,000 45,00016,000 35,00016,000 35,000
16,000 35,000
16,000 35,00020,000 45,00043,000 95,000
20,000 45,000
43,000 95,00020,000 45,00020,000 45,000
20,000 45,000
16,000 35,00020,000 45,00020,000 45,000
20,000 45,000
20,000 45,000
43,000 95,000-
-
30,000 70,00050,000 115,000100,000 240,000
200,000 600,000
-
-
7/23/2019 Tarif Baru2016
22/48
-30,000 50,000
40,000 80,000
100,000 160,000120,000 200,000
-
-
-10,000 15,0001,000 2,000
2,500 3,500
-
-10,000 15,000
1,000 2,0002,500 3,500
-
7/23/2019 Tarif Baru2016
23/48
22,00026,000
35,500
71,500
79,50030,000
25,000
28,00030,000
73,000
81,000
30,000
5,000
6,000
7,000
160,000
5,000
6,000
225,000
275,000
3 35,000
4 300,000
5
10,000
10,000
200,0006
3,000
3,0003,000
3,000
3,000
3,000
A.PelayananGiziBiasa
a.KlasIII b.KlasII
c.KlasI/ICU
d.KlasUtama/VIPB
e.KlasUtama/VIPA
WelcomeFruit
B.PelaananGizidenanKom likasi
a.KlasIII
b.KlasII
c.KlasI/ICU
d.KlasUtama/VIPB
e.KlasUtama/VIPA
WelcomeFruit
BAsuhanGiziRawatInap
CKonsultasiGizi
a.KonsultasiGiziBiasa
b.KonsultasiGizidenanKom likasi
13.Ambulance,MedicoLegaldan
Ambulance/mobilenazah
Dalam
kota(Maks10Km)
Lebih10Km,tambahtiapKm
Luarkotatambahtia
Km
Perawatanenazah
Tana enafanan
Denganpengafanan
Penim ananenazah
Pengawetan
Medicoleal
VisumEtRaperfum
VisumKeiwaan
(emeriksaanLuar/otosi)Administrasi
Suratruukan(berobatlanut)
SuratKetcacatteta
Cutihamil
Santunanasarahara
Suratket.sakit/istirahat
Suratket.Kematian
-
7/23/2019 Tarif Baru2016
24/48
3,000
3,000
3,000
16,000
8,000
10,000
14,000
26,000
10,000
20,000
32,000
1
Suratket.Sehat/SehatJiwa
Suratket.MPK
Suratket.Umum
14.Diklat
A
PRAKTEK/ORIENTASI
PraktekPerOran/Hari
1)
SMA/Sederaat
2)
DI-DIII/Sederaat
3) SI,DIV,CoAss,Apt,Ners
4) S2,S3,PPDS
PraktekPerOran Min u
1) SMA/Sederaat
2)
DI-DIII/Sederajat
3) SI,DIV,CoAss,At,Ners
4) S2,S3,PPDS
BPENELITIAN
PraPenelitian(Perkeiatan)
-
7/23/2019 Tarif Baru2016
25/48
2,500 24,5002,500 28,5002,500 38,000
2,500 74,000
2,500 82,000
30,000
-
5,000 30,000
5,000 33,0005,000 35,000
5,000 78,000
5,000 86,000
30,000-
10,000 15,000
-
-20,000 26,00023,000 30,000
-
-
-
-40,000 100,000
2,500 7,500
1,500 7,500
-25,000 50,000
100,000 375,000
15,000 50,000300,000 600,000
-
25,000 35,000
25,000 35,000
300,000 500,000-
7,000 10,000
7,000 10,0007,000 10,0007,000 10,000
7,000 10,000
7,000 10,000
-
7/23/2019 Tarif Baru2016
26/48
7,000 10,0007,000 10,000
7,000 10,000
-
-
-
-
-9,000 15,00012,000 20,000
15,000 25,000
21,000 35,000
-24,000 30,000
35,000 45,000
40,000 60,000
58,000 90,000
-
7/23/2019 Tarif Baru2016
27/48
8.000
10.00020.000
38.000
2
10.00020.000
80.000
100.000
15.000
20.000
100.000
50.000
80.000100.000
400.000
150.000
40.000
80.000
90.000100.000
110.000
135.000
70.000
80.000
90.000
100.000125.000
1) SMA/Sederajat
2)
DI-DIII/Sederaat3) SI,DIV,CoAss,At,Ners
4) S2,PPDS
Penelitian(Perkegiatan)
1) SMA/Sederaat
2)
DI-DIII/Sederaat
3) SI,DIV,CoAss,At,Ners
4) S2,PPDS
CSTUDIBANDINGa. Siswa
b. Mahasiswa
c.
Karawan/Umum
DMAKAN/ORANG/HARI
15.Penewaansaranadan rasaranaRSA
Gedun Olahraa
a.
PerHari
1)
Sian
2)
Malam
b.
PerBulan/2x/Min u
BRuan Pertemuan
a.
Auditorium/6am
Kelebihan/jam
b.
AulaKecil/hari
CRumahDinasBulana. GolonanII
1)
Tipe36
2)Tie45
3)Tie70
4)
Tipe100
5)
Tie120b. GolonanIII
6)Tie36
7)Tipe45
8)Tie70
9)Tie100
10)Tie120
-
7/23/2019 Tarif Baru2016
28/48
5.000
150.000
150.000200.000
D Asrama/hari/kamar
E Kafetaria/bulan
F Lain-lain
a.
SOUNDSYSTEM
Per8Jamb. OranElektonPer8Jam
GUBERNURSULAWESITENGAH,
LONGKIDJANGGOLA
-
7/23/2019 Tarif Baru2016
29/48
12.000 20.000
20.000 30.00055.000 75.000
82.000 120.000
40.000 50.00055.000 75.000
160.000 240.000
180.000 280.000
10.000 25.000
15.000 35.000
50.000 150.000
50.000
20.000 100.00050.000 150.000
100.000 500.000
50.000 200.000
10.000 50.000
80.000
90.000100.000
110.000
135.000
70.000
80.000
90.000
100.000125.000
-
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5.000
150.000
150.000200.000
-
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1
2
3
LAMPIRANII
PERATURANGUBERNURSULAWESITE
NOMOR
TENTANG
TARIFPELAYANANKESEHATANPADAR
TENGAH.
KLASIFIKASIJENISTINDAKAN/PE
1.KLASIFIKASITI
No BIDANGKEAHLIAN
Penyakitdalam
-Cateterisasi
-Venapunk
-Pemasanga
-Suction
Bedah-Cateterisasi-Bouginasi
-Traksikulit
-Ransalverb
-Perawatanl
komplikasi
Kebidanan/penyakit
Kandunan
-
-PasangIUD
-EkstraksiI
-PapSmear
Kuidosinte
-Kryo
-Amniosenie
-Pasangcat
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35.000 70.000
GAH
TAHUN2011
MAHSAKITDAERAHMADANIPROVINSISULAWESI
ERIKSAANPELAYANANKESEHATAN
DAKANNONOPERATIF
KECIL/SEDERHANA SEDANG
buli-buli -Defibrilisasi
i -Ventilasi
sondelambung -Resusitasikardiopulmonel
-InterpretasiEKG
-USGAbdomen
-USGGinjal
-
-Perawatanlukabakar>10%
tanpa
oerasi
-Eksisikorpusalineum
an
ukabakar
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125.000
BESAR
- -ResusitasiBBL
-
ManualPlasenta
-
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4
5
6
Anak
TindakanPsikiatri
TindakanPsikologi
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-Venapunksi
-Pasanglamenaria
-venapunksi -Perawatanbayidginkubator
-perawatantalipusat
-pemasanagansondelambung
-pemasangancateterbuli-buli
-Bregirasi
-Perawatanlukabakar
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-Resusitasibayibarulahir
-PsikiatriDinamik
-MMPI
-Hypotherapi
-Cogitivebehavioraltherapi
-ECTdenganMonitor&anastesi
-AlatTesEPPS
-AlatTesGRAFIS
-AlatTesCAT
-AlatTesTAT
-AlatTesRHO
-AlatTesPAPIKUSTIK
-Therapiperilakuketerampilan
interersonal
-Psikoterapi
-
Briefterapi
-IntervensiKrisis
-Gangguanperkembangananak
-Terapikecemasan
-IntervensiDepresi
-Intervensiperkawinandankeluarga
-
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70.000 115.000 240.000
50.000 80.000 160.000
16.000 35.000
2.KLASIFIKASITINDAKANPEMERIKSAANRADIOLOGI
Pemeriksaan
Kecil
PemeriksaanSedang PemeriksaanBesar
/Kontras
Thorax
Kepala BNO+IVP
ExtremiterAtas
Lumbosacral
ColonInloop
Extremiter
Bawah
Uretrrocistografi
BNO Fistulogr
AbdomenPolos BoneSurvey
US
3.KLASIFIKASITINDAKANPEMERIKSAANELEKTROMEDIK
Sederhana Sedang Besar
InfraRed
Traksi EKGMonitor
Exercise
Galvanisasi
InfusingPump Interverensial
EKG
Elektrosimulasi
SiringPump Osteoscaning
Daptone
Nebulizer
Akupuntur
Funduskopy
4.KLASIFIKASITINDAKANPEMERIKSAAN
REHABILITASIMEDIKPSIKIATRI
SEDERHANA SEDANG
-Menyulam -Pertukanganbatu -Pertukan
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-Menganyam
-Pertanian
-Perbengk
-MerangkaiBunga -Okupasiterapi -Servisele
-Menjahit
-Playtera
-Rekreasidanmusik
-ClubSenam
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600.000
200.000
55.000
Canggih
CT-Can
MRI
fi
Canggih
EEG/Brain
Tra in
Ventilator
FotoTherapi
TMS
CANGGIH
ganmebel
-
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elan
ktronika
i
-
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1
2
5.KLASIFIKASITINDAKANOPERASI
No BIDANG
KECIL/SEDERHANA SEDANG
2.100.000 2.700.000
Penyakitdalam Punksibuli-buli Punksicairan
pleusa
VenaSeksi AspirasiSumsum
Tulan
Flebotomi
Biopsiaspirasi
arumhalus
AspirasiCairan
sendiInjeks
Intraartikuler
Bedah
Tumor
Jinakkulit
(Kistaatberoma,
lipoma,clavusukuran
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Roserpiasty
ekstraksikuku
Cacatbawaan
simple
Reoperatif(akibat
tindakanoeratif)
PasangWSD
VenaSeksi
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BESAR KHUSUS
3.700.000 4.600.000
Debridement,reposisi
immobilisasi
Reposisiterbukadg
fixasiinterna
Semuajenispatah
tulan
terbuka
Reposisiterbukadg
bone raft
Semuajenistindakan
amputasi
Tindakanamputasidg
komplikasi
Sequesterectomipada
osteomyelitis
Debridementdan
posisiimmobilisasi
Pendarahan(toraks,
abdomen,
sal.Kemih,jaringanmuka,rongga
mulut,kerusakan
embuluhdarah
Semuajenispatah
tulangdgkomplikasi (rupturpemb.Darah,
rupturtendo)
Herniaimoponibilis
Croniptomi
Appendicitisacola
Ileusobsiructiva Reseksiusus
Batusal.Kemih ReseksiHepar
Tumor(pemb.Darah,
tyroidrahangMamat) Nefrectomi
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Cacatbawandupiex
Carsinomarecti
Hipertropiprostat
Batuginjal
Deseksibatu
ureter
Deseksilehertotal
Mastectomiradikal
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3
4
Kebidanan/
Penyakit
Kandunan
Tumor
jinakEmbryotomi
a.Padaserviks Heactingrupture
totalis
b.PadaVagina TranslokasiILD
c.PadaVelva
Hectingsituasidg
narkose
Sterilisasi/
Tubectomi
Kuretase
Laparskopi
InduksiHaid
Hectingruptur
Perineumtotalisdi
RS
Hectingruptur
perineumakibat
artusdiluarRS
Anak
Venaseksi
Punksipleura
Punksibuli-buli
Punksiasites
Punksilurabal
GUBERNURSULAWESITENGAH
-
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LONGKIDJANGGOLA
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SkinGraft
Operasitumorjnak/
Kista Hysterektomic
Ovarium Operasitumorganas
Miomektomi Ovarium/Uterus
Sectiosesaria ReparasiFistel
Kehamilanektopik
terganggu
a.RekioVaginalis
Laparatomy b.Vesiko
vaginalis
Pertubasi/Hydratubas
i
c.VesikoInterna
PasangPesarium Reparasivagina
Reparasituba
Resusitasibayibaru
lahir
,
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