PAKET RE

SECTIO
CAESARIA

KELAS
NO JENIS BIAYA RAWATAN
III
KAMAR OPERASI (PAKET) II II a I Ia VIP VIPa VVIP VVIPa
1 Jasa Operator (obgyn)
2,400,000 4,178,571 4,178,571 4,571,429 4,571,429 4,964,286 4,964,286 5,357,143 5,357,143

2 Jasa Anestesi 960,000 1,671,429 1,671,429 1,828,571 1,828,571 1,985,714 1,985,714 2,142,857 2,142,857

3 Sewa Kamar OK 640,000 1,100,000 1,100,000 1,200,000 1,200,000 1,300,000 1,300,000 1,400,000 1,400,000

4 Sewa alat 480,000 750,000 750,000 850,000 850,000 950,000 950,000 1,100,000 1,100,000

5 Obat paket operasi SC 750,000 750,000 1,500,000 750,000 1,500,000 750,000 1,500,000 750,000 1,500,000

6 Jasa sarana 680,000 1,170,000 1,170,000 1,280,000 1,280,000 1,390,000 1,390,000 1,500,000 1,500,000

7 Resusitasi dokter anak 325,000 325,000 325,000 325,000 325,000 325,000 325,000 325,000 325,000

RAWAT INAP

8 Room charge 480,000 1,000,000 1,000,000 1,400,000 1,400,000 3,000,000 3,000,000 6,000,000 6,000,000
9 Imunisasi H-B Uniject

10 injeksi vit K 23,000 23,000 23,000 23,000 23,000 23,000 23,000 23,000 23,000

11 Visite Sp.OG 415,000 415,000 450,000 450,000 485,000 485,000 525,000 525,000

12 Visite Sp.A 150,000 332,000 332,000 360,000 360,000 388,000 388,000 420,000 420,000

Konsul UGD (dokter umum)

13 35,000 35,000 35,000 35,000 35,000 35,000 35,000 35,000

 Visite ranap dr. umum
14 152,000 152,000 168,000 168,000 180,000 180,000 200,000 200,000

15 Kamar bayi 72,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000

Jasa keperawatan
16

a. Injeksi vit K
15,000 15,000 15,000 15,000 15,000 15,000 15,000 15,000

b. Injeksi imunisasi
hepatitis B
15,000 15,000 15,000 15,000 15,000 15,000 15,000 15,000

c. Pasang Infus
30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000

d. Pasang Kateter
50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000
e. Injeksi antibiotik
30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000

17 Doppler 1 hari 25,000 25,000 25,000 25,000 25,000 25,000 25,000 25,000 25,000

18 Administrasi rawat inap 76,300 54,300 54,400 65,300 55,400 70,300 50,400 58,300 78,400

19 Obat pulang 28,500 28,500 658,400 28,500 658,400 28,500 658,400 28,500 658,400

LABORATORIUM

21 hema 1 (pre op) 41,000 41,000 41,000 41,000 41,000 41,000 41,000 41,000 41,000

22 hema 1 (post op) 41,000 41,000 41,000 41,000 41,000 41,000 41,000 41,000 41,000

23 APTT 115,000 115,000 115,000 115,000 115,000 115,000 115,000 115,000 115,000

24 PT 160,000 160,000 160,000 160,000 160,000 160,000 160,000 160,000 160,000

25 Tingkat inflasi harga obat 53,200 53,200 53,200 53,200 53,200 53,200 53,200 53,200 53,200
 TOTAL 7,500,000 12,680,000 14,060,000 14,030,000 15,400,000 16,570,000 17,930,000 20,560,000 21,960,000

Keterangan:
1 tarif berlaku untuk pasien tanpa kondisi penyulit,jika ditemukan penyulit selama operasi,maka akan terdapat biaya tambahan di luar paket sesuai dengan kondisi
2 Paket hanya berlaku untuk operasi elektif (terjadwal), tidak berlaku untuk operasi cyto
3 Penambahan terapi ataupun pemeriksaan di luar paket, maka dikenakan biaya tambahan
4 Untuk paket kelas 3, hari rawatan terhitung 3 hari, sedangkan untuk perkiraan tarif kelas 2-VVIP hari rawatan adalah selama 4 hari