Rekap Paket RANAP Kanwil II - Muara Enim
Transcript of Rekap Paket RANAP Kanwil II - Muara Enim
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Cakupan % tarif bawah
Mondok makan 55,000
Visite dokter 40,000
Asuhan keperawatan 10,000
Tindakan keperawatan 9,000
Tindakan Operasi kecil 100% 1,290,000
ia!a Operasional "1%Operator 4#%
Anestesi 1$%
Asisten, &, lain2 $%
Tindakan operasi sedan' 100% 2,1$0,000
ia!a Operasional "1%
Operator 4#%
Anestesi 1$%
Asisten, &, lain2 $%
Tindakan operasi (esar 100% 2,$"5,000
ia!a Operasional "1%
Operator 4#%
Anestesi 1$%
Asisten, &, lain2 $%
Tindakan operasi (esar isterektomi 100% 2,$"5,000
ia!a Operasional "1%
Operator 4#%
Anestesi 1$%
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Operator 4#%
Anestesi 1$%
Asisten, &, lain2 $%
Tindakan )uret *50,000
Tindakan partus risiko tin''i #50,000
Tindakan partus +akum ekstraksi 9"5,000
PAKET ISOLASI
)amar isolasi 55,000
Visite dokter 40,000asuhan keperawatan 10,000
Tindakan keperawatan 9,000
PAKET ICU
Mondok Makan
Visite dokter -./
Visite dokter spesialis
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50
20
5
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ia!a Operasional "1%
Operator 4#%
Anestesi 1$%
Asisten, &, lain2 $%
ia!a Operasional "1%
Operator 4#%
Anestesi 1$%
Asisten, &, lain2 $%
ia!a Operasional "1%
Operator 4#%
Anestesi 1$%
Asisten, &, lain2 $%
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Operator 4#%
Anestesi 1$%
Asisten, &, lain2 $%
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Tindakan Operasi kecil 1,000,000 2,100,000
ia!a Operasional "0#,14" $45,000
Operator 4#2,4$* 992,1*"
Anestesi 15#,24$ ""0,21$
Asisten, &, lain2 $",14" 1"2,$01
Tindakan operasi sedan' 1,#00,000 ","00,000
ia!a Operasional 522,14" 1,01",5#2
Operator *0",19$ 1,559,145
Anestesi 2$#,"1* 51*,911
Asisten, &, lain2 10#,"44 20*,"#"
Tindakan operasi (esar 2,500,000 4,#50,000
ia!a Operasional #$#,*5# 1,45*,929
Operator 1,1*1,1#0 2,244,224
Anestesi "9",114 #4$,91#
Asisten, &, lain2 15#,*5* 299,9"1
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Operator 2,055,2"$ ",*2$,992
Anestesi $*4,019 1,2#",$90
Asisten, &, lain2 2#4,$#" 511,4$1
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Mondok makan #0,000 120,000
Visite dr spesialis "5,000 $5,000
Asuhan keperawatan "0,000 "0,000
Tindakan keperawatan 25,000 25,000
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Rawat Jalan Lanjutan awat -nap
No ia!no"a Obat-obatan Penunjang Diagnostik Phisioterapi Emergency Rawat Inap Obat-obatan Rontgen Lab Pem Khusus PA
1 Astma pada anak 1"2,99* 4#,500 $5,000 5*,500 "42,000 "49,4#"
2 ronchopneumonia Anak 9",0$1 4#,500 $5,000 #0,500 5#0,000 #0",#$#
" ronchopneumonia ewasa 94,*5" 4#,500 $5,000 #0,500 5#0,000 #4#,1*9
4 emam Th!poid Anak 2$2,500 525,000 5"2,**1
5 emam Th!poid ewasa 2$2,500 5#0,000 5"#,5#0
$ 'rade --- Anak 1"5,000 45$,000 41",1$1
# 'rade --- ewasa 90,000 45$,000 "1$,02*
* 3A anak 122,500 25,000 "42,000 "$9,91*
9 3A dewasa 122,500 25,000 "42,000 "4#,*0910 )ean' emam #1,599 $5,000 90,000 "42,000 24$,9"0
11 O(ser+asi 6e(ris "$,4"* 95,000 25,000 "42,000 15*,000
12 &aket arian -./ 78 78 78 78 78 78 78 78 78 78 78
1" Tari6 &aket arian 78 78 78 78 78 78 78 78 78 78 78
14 Tari6 &aket arian -solasi 78 78 78 78 78 78 78 78 78 78 78
15 A(ortus den'an kuretase pada li'hted o+um 111,02$ 129,000 100,000 114,000 1$0,"41
1$ A(ortus inkomplit den'an kuretase 111,02$ 129,000 100,000 114,000 1$0,"41
1# &artus den'an -nduksi 45",000 $0,550
1* &artus den'an risiko tin''i 544,500 1#,##*
19 &artus den'an +akum ekstraksi, 6orceps 544,500 1#,##*
20 ectio aecaria ai 'a'al drip **2,000 1,200,$*1
21 ectio aecaria elekti6 :.&, )&, oli'ohidramnion; 90#,500 "$0,15$
22 ectio aecaria emer'ensi :'awa anin, &erdarahan antepa 90#,500 "$0,15$
2" isterektomi 45$,000 595,94$
24 appendisitis akut tanpa per6orasi 1#4,"$9 1$0,000 100,000 $5,000 "02,000 *1",12#
25 AM 114,000 1*,0#0
2$ 3an'lion 114,000 1*,0#0
2# <ipoma Multipel 114,000 1*,0#0
2* aemorroid disertai tindakan operasi 45$,000 #$2,*00 29 )atarak "9,40" 22*,000
"0 &teri'ium 105,000
"1 Tonsilitis hipertropi anak 5$,*50 22*,000 11",#00
"2 Tonsilitis hipertropi dewasa 22*,000 "*,4*4
"" Tari6 &aket Operasi )ecil 140,1"1 112,500 114,000 1*,0#0
"4 Tari6 &aket Operasi edan' 1#",*94 1$0,000 "02,000 554,504
"5 Tari6 &aket Operasi esar 1#",*94 1$0,000 5"0,000 1,145,$"0
okt#rSp#"iali"TinakanKhusus
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A=A ATA Rawat Jalan Lanjutan
Lain-!ain " Physioterapi TOTA< <-- TOTA< Obat-obatan Penunjang Diagnostik PhisioteraLabu Darah ATAA=A Rontgen Lab Pem Khusus PA
$4,500 1,059,9#0 :1,059,9#0;
*$,000 1,#00,*2* :1,#00,*2*;
$4,500 1,#24,542 :1,#24,542;
1,"20,"*1 :1,"20,"*1;
1,"#0,0#0 :1,"#0,0#0;
1,199,1$1 :1,199,1$1;
1,0#",52* :1,0#",52*;
*59,41* :*59,41*;
*"#,"09 :*"#,"09; 9$0,529 :9$0,529;
#21,4"* :#21,4"*;
78 78 78 78 78 78 78
78 78 78 78 78 78 78
78 78 78 78 78 78 78
50,000 1,514,"$# :1,514,"$#;
1,4$4,"$# :1,4$4,"$#;
2,29$,40* :2,29$,40*;
1,5$2,05$ :1,5$2,05$; 1,#4#,05$ :1,#4#,05$;
#,92",9"2 :#,92",9"2;
5,4$0,#04 :5,4$0,#04;
5,4$0,#04 :5,4$0,#04;
5,121,5## :5,121,5##;
4,#*0,52# :4,#*0,52#;
",44*,$#1 :",44*,$#1;
",44*,$#1 :",44*,$#1;
",44*,$#1 :",44*,$#1;
4,5"9,$$$ :4,5"9,$$$; 500,000 4,09*,20" :4,09*,20";
9#5,"00 :9#5,"00;
",*$5,220 :",*$5,220;
",#"",154 :",#"",154;
2,2"#,444 :2,2"#,444;
2,""5,429 :2,""5,429;
5,$50,555 :5,$50,555;
TinakanKhusus
o #r
Sp#"iali" TinakanKhususrans us
Darahn$ a e$%crew
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Penunjang Diagnostik Lain-!ain "Physioterapi
Rontgen Lab Pem Khusus PA Labu Darah
Persa!inanPato!ogis
TinakanKhusus rans us
Pin$ P!ate$ %crew
K K j P hi T if P k R I
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Asthma ronchiale Anakalaman 1$ dari 25#
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > Asthma ronchiale
/-A > Anakanak s?d? # tahun
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan 1"2,99*
Antiasma VTO<- /< 2?5M3 2?5M< 2 AM& *,910 1 *,910
Antiasma BAMTAO AM& 5M3 1M< 100 AM& *01 1 *01
ahan a(is &akai AO.AT T 223 1*,#50 1 1*,#50
ahan a(is &akai M-.O-& OT 1*,5$" 1 1*,5$" ahan a(is &akai T =AC TO& .O.) 2",292 1 2",292
.airan Mineral O-/M .<O- 0?9% 500M< OT T< *,"0# 1 *,"0#
-O<VO AM& 4m' AM& 42,000 1 42,000
AA< .A/< 12,"#5 1 12,"#5
P#nunjan! ia!no"tik
Ront!#n 4#,500
Thoraks A&D&A 4#,500 1 4#,500
Laboratoriu& $5,000
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
ari 1 ari 2 ari "
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Asthma ronchiale Anakalaman 1# dari 25#
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a
Ph("ioth#rapi
E&#r!#n"i 5*,500
@asa dokter 25,000 1 25,000
Oksi'en per am $,000 2 12,000
ewa e(uliFer 21,500 1 21,500
A=AT -A&
Ko&pon#n Rawat Inap 114,000 114,000 114,000
Mondok makan 55,000 1 55,000 1 55,000 1 55,000
Visite dokter spesialis 40,000 1 40,000 1 40,000 1 40,000
Asuhan keperawatan 10,000 1 10,000 1 10,000 1 10,000
Tindakan keperawatan 9,000 1 9,000 1 9,000 1 9,000
Obatobatan 14#,0"$ 14#,$44 54,#94
Anti(iotik 'ol se6alospori .AOB-< 125M3D5 M< C 3) T< 9,5*$
Antiasma VTO<- /< 2?5M3 2?5M< 2 AM& *,910 1 *,910 1 *,910 1 *,910
Antiasma )A<MTAO 4M3 1M< AM&G AM& #,"91 1 #,"91 2 14,#*" 2 14,#*"
kspektoran dan Mukoliti AMOBO< C 15M3D5M< $0M< 3- T< ",2"0 1 ",2"0
OO<VA 50M3D5M< C 100 M< T< 11,9$2
.airan Mineral O-/M .<O- 0?9% 500M< OT T< *,"0# 1 *,"0# 2 1$,$14 2 1$,$14
ahan a(is &akai AH/A-T 50 M< -)A < #,150 1 #,150 1 #,150
ahan a(is &akai -& C-3 1 M< T/MO T 2,$12 1 2,$12
ahan a(is &akai -& C-3 " M< T/MO 1,"#5 " 4,125 " 4,125 " 4,125
ahan a(is &akai AA&<AT T T-& G 10 4"* 1 4"*
ahan a(is &akai )AA C?T-< 1$D1$ ) $,9"0 0?10 $9" ahan a(is &akai -O- &OV-O O< 10% "0M< T< 2,500 0?10 250
ahan a(is &akai A<)OO< #0 % 100 M< AMA) < ",5*# 0?20 #1#
Oksi'en per 24 am 100,000 1 100,000 1 100,000
A-T-- -@ 3B ",212 1 ",212 1 ",212 1 ",212
Op#ra"i
ari 1 ari 2 ari "
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Asthma ronchiale Anakalaman 1* dari 25#
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a
P#rawatan Khu"u"
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu&
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u" 21,500 21,500 21,500
e(uliFer tanpa materi 21,500 1 21,500 1 21,500 1 21,500
Lainlain
Labu arah
Tranfu"i 'arah
Pin) Plat# S*r#w
ari 1 ari 2 ari "
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Asthma ronchiale Anakalaman 19 dari 25#
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a
&in
&late
rew
-O<
Ph("ioth#rapi
Total +ia(a ,-.),// 0-/)122 134)032
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Asthma ronchiale Anakalaman 20 dari 25#
ari 4 Total
@umlah ar'a @umlah ar'a
1"2,99*
1 *,910
1 *01
1 1*,#50
1 1*,5$" 1 2",292
1 *,"0#
1 42,000
1 12,"#5
4#,500
1 4#,500
$5,000
1 $5,000
ari 4 Total
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Asthma ronchiale Anakalaman 21 dari 25#
@umlah ar'a @umlah ar'a
5*,500
1 25,000
2 12,000
1 21,500
"42,000
" 1$5,000
" 120,000
" "0,000
" 2#,000
"49,4#"
" 2$,#"0
5 "$,95$
1 ",2"0
5 41,5"5
2 14,"00
1 2,$12
9 12,"#5
1 4"*
0 $9" 0 250
0 #1#
2 200,000
" 9,$"$
ari 4 Total
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Asthma ronchiale Anakalaman 22 dari 25#
@umlah ar'a @umlah ar'a
$4,500
" $4,500
ari 4 Total
@ l h @ l h
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Asthma ronchiale Anakalaman 2" dari 25#
@umlah ar'a @umlah ar'a
1,059,9#0
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ronchopneumonia Anakalaman 24 dari 25#
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > O.O&/MO-A
/-A > Anakanak s?d? # tahun
ari 1 ari 2 ari " ari 4
ediaan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan 9",0$1
Anti(iotik 'ol se6alospori .OTAB-M 1 3 3) V-A 14,4"* 1 14,4"* Antiasma VTO<- /< 2?5M3 2?5M< 2 AM& *,910 1 *,910
Antiasma )A<MTAO AM& 4M3 1M< 100 AM& *01 1 *01
ahan a(is &akai AO.AT T 223 1*,#50 1 1*,#50
ahan a(is &akai M-.O-& OT 1*,5$" 1 1*,5$"
ahan a(is &akai T =AC TO& .O.) 2",292 1 2",292
.airan Mineral O-/M .<O- 0?9% 500M< OT T< *,"0# 1 *,"0#
-O<VO /< AM& 1
AA< .A/< 1
P#nunjan! ia!no"tik
Ront!#n 4#,500
ont'enon)ontras Thoraks A&D&A 4#,500 1 4#,500
Laboratoriu& $5,000
&emeriksaanematolo'i
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
ar'aatuan
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ronchopneumonia Anakalaman 25 dari 25#
ari 1 ari 2 ari " ari 4
ediaan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'aar'a
atuan
Ph("ioth#rapi
E&#r!#n"i #0,500
@asa dokter 25,000 1 25,000
Oksi'en per am $,000 4 24,000
ewa e(uliFer 21,500 1 21,500
A=AT -A&
Ko&pon#n Rawat Inap 114,000 114,000 114,000 114,000
Mondok makan 55,000 1 55,000 1 55,000 1 55,000 1 55,000
Visite dokter spesialis 40,000 1 40,000 1 40,000 1 40,000 1 40,000
Asuhan keperawatan 10,000 1 10,000 1 10,000 1 10,000 1 10,000
Tindakan keperawatan 9,000 1 9,000 1 9,000 1 9,000 1 9,000
Obatobatan 1$2,*## 159,"2$ 1##,$*2 159,"2$
Anal'esik, Antipiretik AMO< C $0 M< T< 11,20$ 1 11,20$ 1 11,20$
Anti(iotik 'ol se6alospori .AOB-< 125M3D5 M< C 3) T< 9,5*$
Anti(iotik 'ol se6alospori .OTAB-M 1 3 3) V-A 14,4"* 1 14,4"* 1 14,4"* 1 14,4"*
Antiasma VTO<- /< 2?5M3 2?5M< 2 AM& *,910 1 *,910 1 *,910 1 *,910 1 *,910
Antiasma )A<MTAO AM& 5M3 1M< 100 AM& 1
.airan Mineral O-/M .<O- 0?9% 500M< OT T< *,"0# 1 *,"0# 2 1$,$14 2 1$,$14 2 1$,$14
kspektoran dan Mukoliti AMOBO< C 15M3D5M< $0M< 3- T< ",2"0 1 ",2"0
.airan Mineral O-/M .<O- 0?9% 500M< OT T< *,"0# 2 1$,$14 2 1$,$14 2 1$,$14 2 1$,$14
ahan a(is &akai AH/A-T 50 M< -)A < #,150 1 #,150 1 #,150
ahan a(is &akai -& C-3 1 M< T/MO T 2,$12 1 2,$12
ahan a(is &akai -& C-3 " M< T/MO 1,"#5 2 2,#50 2 2,#50 2 2,#50 2 2,#50
ahan a(is &akai AA&<AT T T-& G 10 4"* 1 4"*
ahan a(is &akai )AA C?T-< 1$D1$ ) $,9"0 0?10 $9"
ahan a(is &akai -O- &OV-O O< 10% "0M< T< 2,500 0?10 250
ahan a(is &akai A<)OO< #0 % 100 M< AMA) < ",5*# 0?20 #1#
Oksi'en per 24 am 100,000 1 100,000 1 100,000 1 100,000 1 100,000
-O<VO /< AM& 1 2 2
Op#ra"i
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ronchopneumonia Anakalaman 2$ dari 25#
ari 1 ari 2 ari " ari 4
ediaan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'aar'a
atuan
P#rawatan Khu"u"
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu& $5,000
&emeriksaanematolo'i
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u" 21,500 21,500 21,500 21,500
e(uliFer tanpa materi 21,500 1 21,500 1 21,500 1 21,500 1 21,500
Lainlain
Labu arah
Tranfu"i 'arah
Pin) Plat# S*r#w
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ronchopneumonia Anakalaman 2# dari 25#
ari 1 ari 2 ari " ari 4
ediaan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'aar'a
atuan
&in
&late
rew
-O<
Ph("ioth#rapi
Total +ia(a ,52)2/- 032)-0. /1/)1-0 /,3)-0.
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ronchopneumonia Anakalaman 2* dari 25#
ari 5 Total
@umlah ar'a @umlah ar'a
9",0$1
1 14,4"* 1 *,910
1 *01
1 1*,#50
1 1*,5$"
1 2",292
1 *,"0#
1
1
4#,500
1 4#,500
$5,000
1 $5,000
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ronchopneumonia Anakalaman 29 dari 25#
ari 5 Total
@umlah ar'a @umlah ar'a
#0,500
1 25,000
4 24,000
1 21,500
114,000 5#0,000
1 55,000 5 2#5,000
1 40,000 5 200,000
1 10,000 5 50,000
1 9,000 5 45,000
44,55$ #0",#$#
1 11,20$ " "",$1*
1 9,5*$ 1 9,5*$
" 4","14
4 "5,$40
1
1 *,"0# * $$,45$
1 ",2"0
1 *,"0# 9 #4,#$"
1 #,150 " 21,450
1 2,$12
* 11,000
1 4"*
0 $9"
0 250
0 #1#
4 400,000
5
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ronchopneumonia Anakalaman "0 dari 25#
ari 5 Total
@umlah ar'a @umlah ar'a
$5,000
1 $5,000
*$,000
4 *$,000
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ronchopneumonia Anakalaman "1 dari 25#
ari 5 Total
@umlah ar'a @umlah ar'a
1,-),,. 1,#00,*2*
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ronchopneumonia
alaman "2 dari 25#
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > O.O&/MO-A termasuk ronchitisDronchiolitis
/-A > ewasa
ari 1 ari 2 ari " ari 4
ediaan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'aRA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan 94,*5"
Anti(iotik 'ol se6alospori .OTAB-M 1 3 3) V-A 14,4"* 1 14,4"*
Antiasma VTO<- /< 2?5M3 2?5M< 2 AM& *,910 1 *,910
Antiasma )A<MTAO AM& 4M3 1M< 100 AM& *01 " 2,40"
ahan a(is &akai AO.AT T 203 1*,#50 1 1*,#50
ahan a(is &akai -/ T =AA TM 15,125 1 15,125
ahan a(is &akai T =AC TO& .O.) 2",292 1 2",292
.airan Mineral BT 5% I A.< 0?225% OT < 11,9"5 1 11,9"5
-O<VO /< AM&
AA< .A/<
P#nunjan! ia!no"tik
Ront!#n 4#,500
Thoraks A&D&A 4#,500 1 4#,500
Laboratoriu& $5,000
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Ph("ioth#rapi
ar'a
atuan
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ronchopneumonia
alaman "" dari 25#
ari 1 ari 2 ari " ari 4
ediaan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'aar'a
atuan
E&#r!#n"i #0,500
@asa dokter 25,000 1 25,000
Oksi'en per am $,000 4 24,000
e(uliFer tanpa materi 21,500 1 21,500
A=AT -A&
Ko&pon#n Rawat Inap 114,000 114,000 114,000 114,000
Mondok makan 55,000 1 55,000 1 55,000 1 55,000 1 55,000
Visite dokter spesialis 40,000 1 40,000 1 40,000 1 40,000 1 40,000
Asuhan keperawatan 10,000 1 10,000 1 10,000 1 10,000 1 10,000
Tindakan keperawatan 9,000 1 9,000 1 9,000 1 9,000 1 9,000
Obatobatan 1#1,1** 1#0,0"* 1##,1** 159,1$"
Anal'esik, Antipiretik &AA.TAMO< 500 M3 G 100 3) TA 95 4 "*0 4 "*0 4 "*0 4 "*0Anti(iotik 'ol se6alospori .OTAB-M 1 3 3) V-A 14,4"* 2 2*,*#$ 2 2*,*#$ 2 2*,*#$ 2 2*,*#$
Anti(iotik 'ol se6alospori .-B-M 100m' cap ",000
Antiasma VTO<- /< 2?5M3 2?5M< 2 AM& *,910 1 *,910 1 *,910 1 *,910
kspektoran dan Mukoliti AMOBO< "0 M3 TA G 100 3- TA 141 " 42" " 42" " 42" " 42"
.airan Mineral O-/M .<O- 0?9% 500M< OT T< *,"0# 2 1$,$14 " 24,921 " 24,921 " 24,921
ahan a(is &akai AH/A-T 50 M< -)A < #,150 1 #,150 1 #,150
ahan a(is &akai -& C-3 1 M< T/MO T 2,$12 1 2,$12
ahan a(is &akai -& C-3 " M< T/MO 1,"#5 " 4,125 " 4,125 " 4,125 " 4,125
ahan a(is &akai AA&<AT T T-& G 10 4"* 1 4"* 1 4"*
ahan a(is &akai )AA C?T-< 1$D1$ ) $,9"0 0?10 $9" ahan a(is &akai -O- &OV-O O< 10% "0M< T< 2,500 0?10 250
ahan a(is &akai A<)OO< #0 % 100 M< AMA) < ",5*# 0?20 #1#
Oksi'en per 24 am 100,000 1 100,000 1 100,000 1 100,000 1 100,000
Antiasma )A<MTAO AM& 4M3 1M< 100 AM& *01 " 2,40" " 2,40"
Op#ra"i
P#rawatan Khu"u"
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ronchopneumonia
alaman "4 dari 25#
ari 1 ari 2 ari " ari 4
ediaan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'aar'a
atuan
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu& $5,000
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Lainlain
Labu arah
Tranfu"i 'arah
Pin) Plat# S*r#w
&in
&late
rew
-O<
Ph("ioth#rapi 21,500 21,500 21,500
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ronchopneumonia
alaman "5 dari 25#
ari 1 ari 2 ari " ari 4
ediaan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'aar'a
atuan
ewa e(uliFer 21,500 1 21,500 1 21,500 1 21,500
Total +ia(a ,-2),21 /4,),/- /10).-- //-)1./
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ronchopneumonia
alaman "$ dari 25#
ari 5 Total
@umlah ar'a @umlah ar'a
94,*5"
1 14,4"*
1 *,910
" 2,40"
1 1*,#50
1 15,125
1 2",292
1 11,9"5
4#,500
1 4#,500
$5,000
1 $5,000
ari 5 Total
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ronchopneumonia
alaman "# dari 25#
ari 5 Total
@umlah ar'a @umlah ar'a
#0,500
1 25,000
4 24,000
1 21,500
114,000 5#0,000
1 55,000 5 2#5,000
1 40,000 5 200,000
1 10,000 5 50,000
1 9,000 5 45,000
$9,$12 #4#,1*9
1$ 1,5201 14,4"* 9 129,942
10 "0,000 10 "0,000
" 2$,#"0
10 1,410 22 ",102
2 1$,$14 1" 10#,991
1 #,150 " 21,450
1 2,$12
12 1$,500
2 *#$
0 $9" 0 250
0 #1#
4 400,000
$ 4,*0$
ari 5 Total
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ronchopneumonia
alaman "* dari 25#
ari 5 Total
@umlah ar'a @umlah ar'a
$5,000
1 $5,000
$4,500
ari 5 Total
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ronchopneumonia
alaman "9 dari 25#
ari 5 Total
@umlah ar'a @umlah ar'a
" $4,500
1-/).10 1)502),20
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
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T !poi
alaman 40 dari 25#
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > emam Th!poid
/sia > Anak
ari 1 ari 2 ari " ari 4
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan
P#nunjan! ia!no"tikRont!#n
Laboratoriu&
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Ph("ioth#rapi
E&#r!#n"i 21#,500
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
@asa dokter 25,000 1 25,000
3OT 1#,500 1 1#,500 3&T 1#,500 1 1#,500
=idal 45,000 1 45,000
/rine utin "0,000 1 "0,000
eses utin 1#,500 1 1#,500
ari 1 ari 2 ari " ari 4
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Th!poid
alaman 41 dari 25#
ari 1 ari 2 ari " ari 4
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a
A=AT -A&
Ko&pon#n Rawat Inap 105,000 105,000 105,000 105,000
Mondok makan 55,000 1 55,000 1 55,000 1 55,000 1 55,000
Visite dokter spesialis 40,000 1 40,000 1 40,000 1 40,000 1 40,000
Asuhan keperawatan 10,000 1 10,000 1 10,000 1 10,000 1 10,000
Tindakan keperawatan 9,000 1 9,000 1 9,000 1 9,000 1 9,000
Obatobatan 1#1,2$5 5$,#"0 $",**0 4#,"12
Anal'esik, AntipiretAMO< C $0 M< T< 11,20$ 1 11,20$ 1 11,20$
Anti(iotik 'ol se6al .e6triaJon 1 'r V-A< 14,000 1 14,000 1 14,000 1 14,000 1 14,000
Antasid dan antitu A-T-- 150M3 G"0 3) TA 250 1 250 1 250 1 250 1 250
Antiemetik &-M&A -@ AM& 10,"12 2 20,$24 2 20,$24 2 20,$24 Antasid dan antitu .-<O) /& 100 M< C& 4*,125 1 4*,125
.airan Mineral BT 5% 500 M< OT < *,#2* 2 1#,45$ 2 1#,45$ 2 1#,45$ 2 1#,45$
ahan a(is &akai AH/A-T 50 M< -)A < #,150 1 #,150 1 #,150
ahan a(is &akai -& C-3 1 M< T/MO T 2,$12 1 2,$12
ahan a(is &akai -& C-3 " M< T/MO 1,"#5 2 2,#50 2 2,#50 2 2,#50 2 2,#50
ahan a(is &akai -& C-3 5 M< TM 1,$50 1 1,$50 1 1,$50 1 1,$50 1 1,$50
ahan a(is &akai AO.AT T 223 1*,#50 1 1*,#50
ahan a(is &akai T =AC TO& .O.) 2",292 1 2",292
ahan a(is &akai AA&<AT T T-& G 10 4"* 1 4"*
ahan a(is &akai )AA C?T-< 1$D1$ ) $,9"0 0?2 1,"*$
ahan a(is &akai -O- &OV-O O< 10% "0M< T< 2,500 0?2 500
ahan a(is &akai A<)OO< #0 % 100 M< AMA) < ",5*# 0?" 1,0#$
Anti(iotik T-AMC.- 250M3D5M< C $0M< < #5,000
Op#ra"i
P#rawatan Khu"u"
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu&
ari 1 ari 2 ari " ari 4
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Th!poid
alaman 42 dari 25#
ari 1 ari 2 ari " ari 4
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Lainlain
Labu arah
Tranfu"i 'arah
Pin) Plat# S*r#w
&in
&late
rew
-O<
Ph("ioth#rapi
Total +ia(a 23/)5., 1.1)5/4 1.-)--4 1,0)/10
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Th!poid
alaman 4" dari 25#
ari 5 Total
@umlah ar'a @umlah ar'a
45,000 2$2,500
1 $5,000
1 25,000
1 1#,500 1 1#,500
1 45,000 2 90,000
1 "0,000
1 1#,500
ari 5 Total
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Th!poid
alaman 44 dari 25#
@umlah ar'a @umlah ar'a
105,000 525,000
1 55,000 5 2#5,000
1 40,000 5 200,000
1 10,000 5 50,000
1 9,000 5 45,000
19",$94 5"2,**1
2 22,412
1 14,000 5 #0,000
1 250 5 1,250
$ $1,*#2 1 4*,125
2 1#,45$ 10 *#,2*0
1 #,150 " 21,450
1 2,$12
2 2,#50 10 1",#50
1 1,$50 5 *,250
1 1*,#50
1 2",292
1 4"* 2 *#$
0 1,"*$ 0 500
0 1,0#$
2 150,000 2 150,000
ari 5 Total
l h l h
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Th!poid
alaman 45 dari 25#
@umlah ar'a @umlah ar'a
/2/).32 1)/04)/-1
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ emam Th!poid
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T !poi
alaman 4$ dari 25#
)A/ > emam Th!poid
/sia > ewasa
ari 1 ari 2 ari " ari 4
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umlah
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan
P#nunjan! ia!no"tikRont!#n
Laboratoriu&
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Ph("ioth#rapi
E&#r!#n"i 21#,500
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
@asa dokter 25,000 1 25,000
3OT 1#,500 1 1#,500 3&T 1#,500 1 1#,500
=idal 45,000 1 45,000 1
/rine utin "0,000 1 "0,000
eses utin 1#,500 1 1#,500
ari 1 ari 2 ari " ari 4
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umlah
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Th!poid
alaman 4# dari 25#
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umlah
A=AT -A&
Ko&pon#n Rawat Inap 114,000 114,000 114,000 114,000
Mondok makan 55,000 1 55,000 1 55,000 1 55,000 1 55,000 1
Visite dokter spesialis 40,000 1 40,000 1 40,000 1 40,000 1 40,000 1
Asuhan keperawatan 10,000 1 10,000 1 10,000 1 10,000 1 10,000 1
Tindakan keperawatan 9,000 1 9,000 1 9,000 1 9,000 1 9,000 1
Obatobatan 19$,#54 9",425 100,5#5 5*,"$4
Anal'esik, Antipiretik &AA.TAMO< 500 M3 G 100 3) TA 95 4 "*0 4 "*0 4 "*0 4 "*0 4
Anti(iotik 'ol se6alosporin .e6triaJon 1 'r V-A< 14,000 2 2*,000 2 2*,000 2 2*,000 2 2*,000 2
Antasid dan antitukak A-T-- 150M3 G"0 3) TA 250 2 500 2 500 2 500 2 500 2
Antiemetik &-M&A -@ AM& 10,"12 " "0,9"$ " "0,9"$ " "0,9"$ Antasid dan antitukak .-<O) /& 100 M< C& 4*,125 1 4*,125
.airan Mineral BT 5% 500 M< OT < *,#2* " 2$,1*4 " 2$,1*4 " 2$,1*4 " 2$,1*4 "
ahan a(is &akai AH/A-T 50 M< -)A < #,150 1 #,150 1 #,150 1
ahan a(is &akai -& C-3 1 M< T/MO T 2,$12 1 2,$12
ahan a(is &akai -& C-3 " M< T/MO 1,"#5 " 4,125 " 4,125 " 4,125
ahan a(is &akai -& C-3 5 M< TM 1,$50 2 ","00 2 ","00 2 ","00 2 ","00 2
ahan a(is &akai AO.AT T 223 1*,#50 1 1*,#50
ahan a(is &akai T =AC TO& .O.) 2",292 1 2",292
ahan a(is &akai AA&<AT T T-& G 10 4"* 1 4"* 1
ahan a(is &akai )AA C?T-< 1$D1$ ) $,9"0 0?2 1,"*$ ahan a(is &akai -O- &OV-O O< 10% "0M< T< 2,500 0?2 500
ahan a(is &akai A<)OO< #0 % 100 M< AMA) < ",5*# 0?" 1,0#$
Anti(iotik BC.O< 500M3 .A&G100 cap 1,500 15
Op#ra"i
P#rawatan Khu"u"
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu&
ari 1 ari 2 ari " ari 4
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umlah
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Th!poid
alaman 4* dari 25#
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umlah
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Lainlain
Labu arah
Tranfu"i 'arah
Pin) Plat# S*r#w
&in
&late
rew
-O<
Ph("ioth#rapi
Total +ia(a ,0-)0,2 045)20, 012),5, 150)/.2
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Th!poid
alaman 49 dari 25#
ri 5 Total
ar'a @umlah ar'a
45,000 2$2,500
1 $5,000
1 25,000
1 1#,500 1 1#,500
45,000 2 90,000
1 "0,000
1 1#,500
ri 5 Total
ar'a @umlah ar'a
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Th!poid
alaman 50 dari 25#
114,000 5#0,000
55,000 5 2#5,000
40,000 5 200,000
10,000 5 50,000
9,000 5 45,000
**,452 5"#,5#0
"*0 20 1,900
2*,000 10 140,000
500 10 2,500
9 92,*0* 1 4*,125
2$,1*4 15 1"0,920
#,150 " 21,450
1 2,$12
9 12,"#5
","00 10 1$,500
1 1*,#50
1 2",292
4"* 2 *#$
0 1,"*$ 0 500
0 1,0#$
22,500 15 22,500
ri 5 Total
ar'a @umlah ar'a
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Th!poid
alaman 51 dari 25#
025)2,0 1)/54)454
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ 3 - --
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)A/ > 3r ---
/-A > Anak
ari 1 ari 2 ari "
ediaan ar'a atua @umlah ar'a @umlah ar'a @umlah ar'a @umlah
RJLRA$AT JALAN LANJUTAN
RA$AT JALAN LANJUTAN
@< A=AT @A<A <A@/TA
RJL okt#r Sp#"iali" okt#r Sp#"iali"
@< o
@< o
RJL Obat ObatObatan
@< O(atO
@< O(atO @< O(atO
RJL P#nunjan! ia!no"tik P#nunjan! ia!no"tik
@< &enunan' ia'nostik ont'enRont!#n
@< &enunan' ia'nostik ont'en
@< &enunan' ia'nostik ont'en
@< &enunan' ia'nostik ont'en
@< &enunan' ia'nostik <a(oratorium
Laboratoriu&
@<&enunan' ia'nostik <a(oratorium
@< &enunan' ia'nostik <a(oratorium
@< &enunan' ia'nostik <a(oratorium
@< &enunan' ia'nostik&emeriksaan)husus
P#&#rik"aan Khu"u"
@< &enunan' ia'nostik &emeriksaan)husus
@< &enunan' ia'nostik &emeriksaan)husus
@< &enunan' ia'nostik &emeriksaan)husus
@< &enunan' ia'nostik &atolo'i Anatomi
Patolo!i Anato&i
@< &enunan' ia'nostik &atolo'i Anatomi
@< &enunan' ia'nostik &atolo'i Anatomi
@< &enunan' ia'nostik &atolo'i Anatomi
RJL Tin'akan Khu"u" Tin'akan Khu"u"
@< Tindakan )husus
@< Tindakan )husus
@< Tindakan )husus
RJL Ph Ph("ioth#rapi
@< &h!si
@< &h!si @< &h!si
RJL E&#r!# E&#r!#n"i 1"5,000
@< mer'en
@< mer'en<a(oratorium &emeriksaan ematolo'i
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
@< mer'en @asa dokter 25,000 1 25,000
@< mer'en <a( =idal 45,000 1 45,000
@< mer'en
-& A=AT - A=AT -A&-& A=AT -
RIP Ko&pon#n Rawat Inap Ko&pon#n Rawat Inap 114,000 114,000 114,000
ari 1 ari 2 ari " ari 4
ediaan ar'a atua @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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' @ ' @ ' @ ' @ '
-& )omponen awat -nap Visite dokter spesialis 40,000 1 40,000 1 40,000 1 40,000 1 40
-& )omponen awat -nap Asuhan keperawatan 10,000 1 10,000 1 10,000 1 10,000 1 10
-& )omponen awat -nap Tindakan keperawatan 9,000 1 9,000 1 9,000 1 9,000 1 9-& )omponen awat -nap
-& )omponen awat -nap
RIP Obat Obatobatan 159,050 *2,5*5 *9,#"5 *1
-& O(atO
@< O(atO Anal'esik, Antipiretik AMO< C $0 M< T< 11,20$ 1 11,20$ 1 11
-& O(atO Antasid dan antitukak 3AT-- -@ -@ 25,000 1 25,000 1 25,000 1 25,000
-& O(atO .airan Mineral )A "A -/ 500M< OT < 1*,$45 " 55,9"5 " 55,9"5 " 55,9"5 " 55
@< O(atO ahan a(is &akai AH/A-T 50 M< -)A < #,150 1 #,150 1 #,150
@< O(atO ahan a(is &akai -& C-3 1 M< T/MO T 2,$12 1 2,$12 @< O(atO ahan a(is &akai -& C-3 " M< T/MO 1,"#5
@< O(atO ahan a(is &akai -& C-3 5 M< TM 1,$50 1 1,$50 1 1,$50 1 1,$50 1 1
@< O(atO ahan a(is &akai AO.AT T 223 1*,#50 1 1*,#50
@< O(atO ahan a(is &akai T =AC TO& .O.) 2",292 1 2",292
@< O(atO ahan a(is &akai AA&<AT T T-& G 10 4"* 1 4"*
@< O(atO ahan a(is &akai )AA C?T-< 1$D1$ ) $,9"0 1 $,9"0
@< O(atO ahan a(is &akai -O- &OV-O O< 10% "0M< T< 2,500 1 2,500
@< O(atO ahan a(is &akai A<)OO< #0 % 100 M< AMA) < ",5*# 1 ",5*#
@< O(atO Vitamin M/<TCV-T C/& )&< 1",000 1 1"
-& O(atO
-& O(atO
RIP Op#ra"i Op#ra"i
-& Operasi
-& Operasi
-& Operasi
-& Operasi
RIP P#rawatan Khu"u" P#rawatan Khu"u"
-& &erawatan )husus
-& &erawatan )husus
-& &erawatan )husus
RIP P#r"alinan Patolo!i" P#r"alinan Patolo!i"
-& &ersalinan &atolo'is
-& &ersalinan &atolo'is
-& &ersalinan &atolo'is
RIP P#nunjan! ia!no"tik P#nunjan! ia!no"tik
-&&enunan' ia'nostik ont'en
Ront!#n -& &enunan' ia'nostik ont'en
-& &enunan' ia'nostik ont'en
-& &enunan' ia'nostik ont'en
-& &enunan' ia'nostik <a(oratorium
Laboratoriu& #9,500 49,500 49,500 1$
-& &enunan' ia'nostik <a(oratorium
-& &enunan' ia'nostik <a(oratorium &emeriksaan ematolo'i
arah utin :paket Trom(osit, t; 1$,500 " 49,500 " 49,500 " 49,500 1 1$
@< &enunan' ia'nostik <a(oratorium &emeriksaan/rine
/rin utin "0,000 1 "0,000
-& &enunan' ia'nostik <a(oratorium
-&&enunan' ia'nostik <a(oratorium
-& &enunan' ia'nostik&emeriksaan)husus
P#&#rik"aan Khu"u"
ari 1 ari 2 ari " ari 4
ediaan ar'a atua @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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-& &enunan' ia'nostik&emeriksaan)husus
-& &enunan' ia'nostik &emeriksaan)husus
-& &enunan' ia'nostik&emeriksaan)husus
-& &enunan' ia'nostik &atolo'i Anatomi
Patolo!i Anato&i
-& &enunan' ia'nostik &atolo'i Anatomi
-& &enunan' ia'nostik&atolo'i Anatomi
-& &enunan' ia'nostik &atolo'i Anatomi
RIP Tin'akan Khu"u" Tin'akan Khu"u"
-& Tindakan )husus
-& Tindakan )husus
-& Tindakan )husus
RIP Lainlai Lainlain-& <ainlain Labu arah
-& <ainlain
-& <ainlain
-& <ainlain
-& <ainlain Tranfu"i 'arah
-& <ainlain
-& <ainlain
-& <ainlain
-& <ainlain
-& <ainlain Pin) Plat# S*r#w
-& <ainlain &in
-& <ainlain &late
-& <ainlain rew
-& <ainlain -O<
RIP Ph Ph("ioth#rapi
-& &h!si
-& &h!si
-& &h!si
Total +ia(a 2-5),,4 02.)4-, 0,/)0/, 010
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Anakalaman 55 dari 25#
ari 5 Total
@umlah ar'a @umlah ar'a
1"5,000
1 $5,000
1 25,000
1 45,000
45$,000
4 220,000
ari 5 Total
@umlah ar'a @umlah ar'a
4 1$0,000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Anakalaman 5$ dari 25#
4 40,000
4 "$,000
41",1$1
2 22,412
" #5,000
12 22",#40
2 14,"00
1 2,$12
4 $,$00
1 1*,#50
1 2",292
1 4"*
1 $,9"0
1 2,500
1 ",5*#
1 1",000
195,000
10 1$5,000
1 "0,000
ari 5 Total
@umlah ar'a @umlah ar'a
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Anakalaman 5# dari 25#
1)133)1.1
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > 3r ---
/-A > ewasa
ari 1 ari 2 ari " ari 4
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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ewasaalaman 5* dari 25#
ari 1 ari 2 ari " ari 4
ediaan ar'a atua @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umlah
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu&
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Ph("ioth#rapi
E&#r!#n"i 90,000
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
@asa dokter 25,000 1 25,000
A=AT -A&
Ko&pon#n Rawat Inap 114,000 114,000 114,000 114,000
ari 1 ari 2 ari " ari 4
ediaan ar'a atua @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umlah
Mondok makan 55,000 1 55,000 1 55,000 1 55,000 1 55,000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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ewasaalaman 59 dari 25#
, , , , ,
Visite dokter spesialis 40,000 1 40,000 1 40,000 1 40,000 1 40,000
Asuhan keperawatan 10,000 1 10,000 1 10,000 1 10,000 1 10,000
Tindakan keperawatan 9,000 1 9,000 1 9,000 1 9,000 1 9,000
Obatobatan 1"*,"22 *9,9"4 44,4"4 4",""*
Anal'esik, Antipiretik &AA.TAMO< 500 M3 G 100 3 TA 95 4 "*0 4 "*0 4 "*0 10 950
Antasid dan antitukak A-T-- TA 250 2 500 2 500
Antasid dan antitukak 3AT-- -@ -@ 2",000 2 4$,000 2 4$,000
.airan Mineral -3 <A.TAT 500M< OT < 10,4#$ 4 41,904 4 41,904 4 41,904 " "1,42*
ahan a(is &akai -& C-3 1 M< T/MO T 2,$12 1 2,$12 ahan a(is &akai -& C-3 " M< T/MO 1,"#5
ahan a(is &akai -& C-3 5 M< TM 1,$50 1 1,$50 1 1,$50 1 1,$50 1 1,$50
ahan a(is &akai AO.AT T 223 1*,#50 1 1*,#50
ahan a(is &akai T =AC TO& .O.) 2",292 1 2",292
ahan a(is &akai AA&<AT T T-& G 10 4"* 1 4"*
ahan a(is &akai )AA C?T-< 1$D1$ ) $,9"0 0?" 2,0#9
ahan a(is &akai -O- &OV-O O< 10% "0M<T< 2,500 0?2 500
ahan a(is &akai A<)OO< #0 % 100 M< AMA) < ",5*# 0?2 #1#
Vitamin O-M- A G"0 T<D/ )&< **1 10 *,*10
Op#ra"i
P#rawatan Khu"u"
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu& #9,500 49,500 49,500 "",000
ari 1 ari 2 ari " ari 4
ediaan ar'a atua @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umlah
Trom(osit *,250 " 24,#50 " 24,#50 " 24,#50 2 1$,500
ematokrit *,250 " 24,#50 " 24,#50 " 24,#50 2 1$,500
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ewasaalaman $0 dari 25#
/rin utin "0,000 1 "0,000
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Lainlain
Labu arah
Tranfu"i 'arah
Pin) Plat# S*r#w
&in
&late
rew
-O<
Ph("ioth#rapi
Total +ia(a 201)-00 0,/)2/2 045)3/2 134)//-
ri 5 Total
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ewasaalaman $1 dari 25#
ar'a @umlah ar'a
90,000
1 $5,000
1 25,000
45$,000
ri 5 Total
ar'a @umlah ar'a
4 220,000
4 1$0 000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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ewasaalaman $2 dari 25#
4 1$0,000
4 40,000
4 "$,000
"1$,02*
22 2,090
4 1,000
4 92,000
15 15#,140
1 2,$12
4 $,$00
1 1*,#50
1 2",292
1 4"*
0 2,0#9
0 500
0 #1#
10 *,*10
211,500
ri 5 Total
ar'a @umlah ar'a
11 90,#50
11 90,#50
1 "0 000
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ewasaalaman $" dari 25#
1 "0,000
1)45/),0-
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > 3A :M/TA; den'an dehidrasi sedan'(erat
/sia > Anakanak
ari 1 ari 2
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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3astroenteritis dehidrasi sedan'(eratalaman $4 dari 25#
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu& 122,500
arah utin $5,000 1 $5,000
&aket elektrolit :a, ); 40,000 1 40,000
eses utin 1#,500 1 1#,500
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Ph("ioth#rapi
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
E&#r!#n"i 25 000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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3astroenteritis dehidrasi sedan'(eratalaman $5 dari 25#
E&#r!#n"i 25,000
@asa dokter 25,000 1 25,000
A=AT -A&
Ko&pon#n Rawat Inap 114,000 114,000
Mondok makan 55,000 1 55,000 1 55,000 1
Visite dokter spesialis 40,000 1 40,000 1 40,000 1
Asuhan keperawatan 10,000 1 10,000 1 10,000 1
Tindakan keperawatan 9,000 1 9,000 1 9,000 1Obatobatan 221,55" ##,"2$
Anal'esik, Antipiretik &O- OT C $0M< T< 25,4"* 1 25,4"*
Anti(iotik 'ol se6alosporin .T-ABO V-A< C 13 3BG V-A 1",2$2 1 1",2$2 1 1",2$2 1
Antasid dan antitukak A-T-- AM& 50M3DM< 2M< AM& ",125 1 ",125 1 ",125
Antiemetik &-M&A -@ AM& 10,"12 2 20,$24 2 20,$24 1
.airan Mineral )A "A -/ 500M< OT < 1*,$45 4 #4,5*0 2 "#,290 2
ahan a(is &akai AH/A-T 50 M< -)A < #,150 1 #,150 1
ahan a(is &akai -& C-3 1 M< T/MO T 2,$12 1 2,$12
ahan a(is &akai -& C-3 " M< T/MO 1,"#5 1 1,"#5 1 1,"#5 1
ahan a(is &akai -& C-3 5 M< TM 1,$50 1 1,$50 1 1,$50 1
ahan a(is &akai AO.AT T 223 1*,#50 1 1*,#50
ahan a(is &akai T =AC TO& .O.) 2",292 1 2",292
ahan a(is &akai AA&<AT T T-& G 10 4"* 1 4"*
ahan a(is &akai )AA C?T-< 1$D1$ ) $,9"0 0?2 1,"*$
ahan a(is &akai -O- &OV-O O< 10% "0M< T< 2,500 1 2,500
ahan a(is &akai A<)OO< #0 % 100 M< AMA) < ",5*# 0?5 1,#94
Antidiare O )AO<AA /& 120M< T< 1",5#* 1 1",5#*
palk pemasan'an in6us 10,000 1 10,000 Op#ra"i
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
P#rawatan Khu"u"
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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3astroenteritis dehidrasi sedan'(eratalaman $$ dari 25#
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu&
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Lainlain
Labu arah
Tranfu"i 'arah
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
Pin) Plat# S*r#w
&in
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3astroenteritis dehidrasi sedan'(eratalaman $# dari 25#
&in
&late rew
-O<
Ph("ioth#rapi
Total +ia(a 2-/)4,/ 131)/0.
ri " Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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3astroenteritis dehidrasi sedan'(eratalaman $* dari 25#
' @ '
122,500
1 $5,000
1 40,000
1 1#,500
ri " Total
ar'a @umlah ar'a
25,000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
http://slidepdf.com/reader/full/rekap-paket-ranap-kanwil-ii-muara-enim 69/257
3astroenteritis dehidrasi sedan'(eratalaman $9 dari 25#
1 25,000
114,000 "42,000
55,000 " 1$5,000
40,000 " 120,000
10,000 " "0,000
9,000 " 2#,000#1,0"9 "$9,91*
1 25,4"*
1",2$2 " "9,#*$
2 $,250
10,"12 5 51,5$0
"#,290 * 149,1$0
#,150 2 14,"00
1 2,$12
1,"#5 " 4,125
1,$50 " 4,950
1 1*,#50
1 2",292
1 4"*
0 1,"*$
1 2,500
1 1,#94
1 1",5#*
1 10,000
ri " Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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3astroenteritis dehidrasi sedan'(eratalaman #0 dari 25#
ri " Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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3astroenteritis dehidrasi sedan'(eratalaman #1 dari 25#
1-,)4/3 -,3)21-
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > 3A :M/TA; den'an dehidrasi sedan'(erat
/sia > ewasa
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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3astroenteritis dehidrasi sedan'(eratalaman #2 dari 25#
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu& 122,500
arah utin $5,000 1 $5,000
&aket elektrolit :a, ); 40,000 1 40,000
eses utin 1#,500 1 1#,500
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Ph("ioth#rapi
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
E&#r!#n"i 25,000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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3astroenteritis dehidrasi sedan'(eratalaman #" dari 25#
@asa dokter 25,000 1 25,000
A=AT -A&
Ko&pon#n Rawat Inap 114,000 114,000
Mondok makan 55,000 1 55,000 1 55,000 1
Visite dokter spesialis 40,000 1 40,000 1 40,000 1
Asuhan keperawatan 10,000 1 10,000 1 10,000 1
Tindakan keperawatan 9,000 1 9,000 1 9,000 1Obatobatan 1$#,$44 90,$$1
Anal'esik, Antipiretik &AA.TAMO< 500 M3 G 100 3) TA 95 4 "*0 4 "*0 4
Anti(iotik 'ol se6alosporin .T-ABO V-A< C 13 3BG V-A 1",2$2 2 2$,524 2 2$,524 2
Antasid dan antitukak A-T-- AM& 50M3DM< 2M< AM& ",125 2 $,250 2 $,250 2
Antiemetik &-M&A -@ AM& 10,"12 " "0,9"$ " "0,9"$ "
.airan Mineral O-/M .<O- 0?9% 500M< OT T< *,"0# 5 41,5"5 " 24,921 2
ahan a(is &akai AH/A-T 50 M< -)A < #,150 1 #,150 1
ahan a(is &akai -& C-3 1 M< T/MO T 2,$12 1 2,$12
ahan a(is &akai -& C-3 " M< T/MO 1,"#5 1 1,"#5
ahan a(is &akai -& C-3 5 M< TM 1,$50 1 1,$50 1 1,$50 1
ahan a(is &akai AO.AT T 223 1*,#50 1 1*,#50
ahan a(is &akai T =AC TO& .O.) 2",292 1 2",292
ahan a(is &akai AA&<AT T T-& G 10 4"* 1 4"*
ahan a(is &akai )AA C?T-< 1$D1$ ) $,9"0 0?2 1,"*$
ahan a(is &akai -O- &OV-O O< 10% "0M< T< 2,500 1 2,500
ahan a(is &akai A<)OO< #0 % 100 M< AMA) < ",5*# 0?5 1,#94
ahan a(is &akai <O-A 2M3 TAG$0 TA 1,0#" 1 1,0#"
Op#ra"i
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
P#rawatan Khu"u"
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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3astroenteritis dehidrasi sedan'(eratalaman #4 dari 25#
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu&
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Lainlain
Labu arah
Tranfu"i 'arah
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
Pin) Plat# S*r#w
&in
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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3astroenteritis dehidrasi sedan'(eratalaman #5 dari 25#
&late rew
-O<
Ph("ioth#rapi
Total +ia(a 203)122 042)..1
ri " Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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3astroenteritis dehidrasi sedan'(eratalaman #$ dari 25#
122,500
1 $5,000
1 40,000
1 1#,500
ri " Total
ar'a @umlah ar'a
25,000
1 25 000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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3astroenteritis dehidrasi sedan'(eratalaman ## dari 25#
1 25,000
114,000 "42,000
55,000 " 1$5,000
40,000 " 120,000
10,000 " "0,000
9,000 " 2#,000*9,504 "4#,*09
"*0 12 1,140
2$,524 $ #9,5#2
$,250 $ 1*,#50
"0,9"$ 9 92,*0*
1$,$14 10 *",0#0
#,150 2 14,"00
1 2,$12
1 1,"#5
1,$50 " 4,950
1 1*,#50
1 2",292
1 4"*
0 1,"*$
1 2,500
1 1,#94
1 1,0#"
ri " Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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3astroenteritis dehidrasi sedan'(eratalaman #* dari 25#
ri " Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
http://slidepdf.com/reader/full/rekap-paket-ranap-kanwil-ii-muara-enim 79/257
3astroenteritis dehidrasi sedan'(eratalaman #9 dari 25#
04/),42 -/5)/43
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > )ean' emam
/-A > Anakanak s?d? 5 tahun
ari 1 ari 2 ari " )o
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah
RA$AT JALAN LANJUTAN
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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)ean' emamalaman *0 dari 25#
J J
okt#r Sp#"iali"
@asa dokter spesialis 1
ObatObatan "5,#50
Antiepilepsi TO<- O< .TA< 10M3 2?5 T/ "5,#50 1 "5,#50
V-TAM- M/<T-V-TA&<B <-B 125M< T< 2$,2$" 1
Anti(iotik 'ol se6alospori .AOB-< 125M3D5 M< C 3) T< 9,5*$ 1
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu& $5,000
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
/rine utin "0,000
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
ari 1 ari 2 ari " )o
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah
Ph("ioth#rapi
E&#r!#n"i 90,000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
http://slidepdf.com/reader/full/rekap-paket-ranap-kanwil-ii-muara-enim 81/257
)ean' emamalaman *1 dari 25#
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
@asa dokter 25,000 1 25,000
A=AT -A&
Ko&pon#n Rawat Inap 114,000 114,000 114,000
Mondok makan 55,000 1 55,000 1 55,000 1 55,000Visite dokter spesialis 40,000 1 40,000 1 40,000 1 40,000
Asuhan keperawatan 10,000 1 10,000 1 10,000 1 10,000
Tindakan keperawatan 9,000 1 9,000 1 9,000 1 9,000
Obatobatan 9#,5"5 $5,520 *",*#$
Anal'esik, Antipiretik AMO< C $0 M< T< 11,20$ 1 11,20$ 1 11,20$
Anti(iotik 'ol se6alospori .OTAB-M 1 3 3) V-A 14,4"* 1 14,4"* 1 14,4"* 1 14,4"*
Antiepilepsi VA<-/M 10M3D2M< -@ AM&G5 AM& "",09" 1 "",09" 1 "",09"
ahan a(is &akai AH/A-T 50 M< -)A < #,150 1 #,150 1 #,150
.airan Mineral O-/M .<O- 0?9% 500M< OT< *,"0# 2 1$,$14 2 1$,$14 2 1$,$14
ahan a(is &akai -& C-3 1 M< T/MO T 2,$12 1 2,$12
ahan a(is &akai -& C-3 " M< T/MO 1,"#5 1 1,"#5 1 1,"#5 1 1,"#5
ahan a(is &akai AO.AT T 223 1*,#50 1 1*,#50
ahan a(is &akai T =AC TO& .O.) 2",292 1 2",292
ahan a(is &akai AA&<AT T T-& G 10 4"* 1 4"*
ahan a(is &akai )AA C?T-< 1$D1$ ) $,9"0 0?10 $9"
ahan a(is &akai -O- &OV-O O< 10% "0M< T< 2,500 0?10 250 ahan a(is &akai A<)OO< #0 % 100 M< AMA) < ",5*# 0?20 #1#
ahan a(is &akai O)-3 4
ahan a(is &akai AA< .A/< 1
Op#ra"i
ari 1 ari 2 ari " )o
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah
P#rawatan Khu"u"
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
http://slidepdf.com/reader/full/rekap-paket-ranap-kanwil-ii-muara-enim 82/257
)ean' emamalaman *2 dari 25#
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu& 145,000
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
&aket elektrolit :a, ), .l, .a; *0,000 1 *0,000
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
LainlainLabu arah
Tranfu"i 'arah
ari 1 ari 2 ari " )o
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah
Pin) Plat# S*r#w
&in
&late rew
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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)ean' emamalaman *" dari 25#
rew
-O<
Ph("ioth#rapi
Total +ia(a ,25)0-, 153),04 135)-5.
trol Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
http://slidepdf.com/reader/full/rekap-paket-ranap-kanwil-ii-muara-enim 84/257
)ean' emamalaman *4 dari 25#
1
"5,*49 #1,599
1 "5,#50
2$,2$" 1 2$,2$"
9,5*$ 1 9,5*$
$5,000
1 $5,000
trol Total
ar'a @umlah ar'a
90,000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
http://slidepdf.com/reader/full/rekap-paket-ranap-kanwil-ii-muara-enim 85/257
)ean' emamalaman *5 dari 25#
1 $5,000
1 25,000
"42,000
" 1$5,000 " 120,000
" "0,000
" 2#,000
24$,9"0
2 22,412
" 4","14
2 $$,1*5
2 14,"00
$ 49,*42
1 2,$12
" 4,125
1 1*,#50
1 2",292
1 4"*
0 $9"
0 250 0 #1#
4
1
ntrol Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
http://slidepdf.com/reader/full/rekap-paket-ranap-kanwil-ii-muara-enim 86/257
)ean' emamalaman *$ dari 25#
145,000
1 $5,000
1 *0,000
trol Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
http://slidepdf.com/reader/full/rekap-paket-ranap-kanwil-ii-muara-enim 87/257
)ean' emamalaman *# dari 25#
/,)-23 3.4),03
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > O(ser+asi e(ris
/-A > Anakanak s?d? # tahun
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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O(ser+asi e(risalaman ** dari 25#
ObatObatan "$,4"*
Anti(iotik 'ol se6alospori .OTAB-M 1 3 3) V-A 14,4"* 1 14,4"*
Anal'esik, Antipiretik /M- .TA< 125 M3 /&& 11,000 2 22,000
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu& 95,000
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
/rine utin "0,000 1 "0,000
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
Ph("ioth#rapi
E&#r!#n"i 25,000
@asa dokter 25,000 1 25,000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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O(ser+asi e(risalaman *9 dari 25#
A=AT -A&
Ko&pon#n Rawat Inap 114,000 114,000
Mondok makan 55,000 1 55,000 1 55,000 1
Visite dokter spesialis 40,000 1 40,000 1 40,000 1
Asuhan keperawatan 10,000 1 10,000 1 10,000 1
Tindakan keperawatan 9,000 1 9,000 1 9,000 1
Obatobatan *",09# "2,42#
Anal'esik, Antipiretik AMO< C $0 M< T< 11,20$ 1 11,20$ 1
Anti(iotik 'ol se6alospori .AOB-< 125M3D5 M< C 3) T< 9,5*$
Anti(iotik 'ol se6alospori .OTAB-M 1 3 3) V-A 14,4"* 1 14,4"* 1
.airan Mineral O-/M .<O- 0?9% 500M< OT T< *,"0# 2 1$,$14 2 1$,$14 1ahan a(is &akai AH/A-T 50 M< -)A < #,150 1 #,150 1
ahan a(is &akai -& C-3 1 M< T/MO T 2,$12 1 2,$12
ahan a(is &akai -& C-3 " M< T/MO 1,"#5 1 1,"#5 1 1,"#5 1
ahan a(is &akai AO.AT T 223 1*,#50 1 1*,#50
ahan a(is &akai T =AC TO& .O.) 2",292 1 2",292
ahan a(is &akai AA&<AT T T-& G 10 4"* 1 4"*
ahan a(is &akai )AA C?T-< 1$D1$ ) $,9"0 0?10 $9"
ahan a(is &akai -O- &OV-O O< 10% "0M< T< 2,500 0?10 250
ahan a(is &akai A<)OO< #0 % 100 M< AMA) < ",5*# 0?20 #1#
Op#ra"i
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
P#rawatan Khu"u"
P li P t l i
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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O(ser+asi e(risalaman 90 dari 25#
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu&
arah <en'kap :arah utin, iE count, <; $5,000 1
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Lainlain
Labu arah
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
Tranfu"i 'arah
Pin) Plat# S*r#w
&in
&l t
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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O(ser+asi e(risalaman 91 dari 25#
&late
rew
-O<
Ph("ioth#rapi
Total +ia(a /,/),/, 12.)205
ari " Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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O(ser+asi e(risalaman 92 dari 25#
"$,4"*
1 14,4"*
2 22,000
95,000
1 $5,000
1 "0,000
ari " Total
ar'a @umlah ar'a
25,000
1 25,000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
http://slidepdf.com/reader/full/rekap-paket-ranap-kanwil-ii-muara-enim 93/257
O(ser+asi e(risalaman 9" dari 25#
114,000 "42,000
55,000 " 1$5,000
40,000 " 120,000
10,000 " "0,000
9,000 " 2#,000
42,4#$ 15*,000
11,20$ 2 22,412
14,4"* 2 2*,*#$
*,"0# 5 41,5"5#,150 2 14,"00
1 2,$12
1,"#5 " 4,125
1 1*,#50
1 2",292
1 4"*
0 $9"
0 250
0 #1#
ari " Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
http://slidepdf.com/reader/full/rekap-paket-ranap-kanwil-ii-muara-enim 94/257
O(ser+asi e(risalaman 94 dari 25#
$5,000 $5,000
$5,000 1 $5,000
ari " Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
http://slidepdf.com/reader/full/rekap-paket-ranap-kanwil-ii-muara-enim 95/257
O(ser+asi e(risalaman 95 dari 25#
001)25. #21,4"*
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > AOT/ 3A )/TA a?i li'hted O+um
/-A > =AA
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan 95,99# 15,029
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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A(ortus den'an )uretase
Vitamin OOT )&< 10
A-35 -/ 500 M< < 15,029 " 45,0*# 1 15,029
AO.AT T 203 1*,#50 1 1*,#50
T =AC TO& .O.) 2",292 1 2",292
AA&<AT T T-& G 10 4"* 1 4"*
A/3 TA3A BAM 500 " 1,500
)AA C?T-< 1$D1$ ) $,9"0 1 $,9"0
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu& 129,000
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000 T :leeddin' Time; D Masa &erdarahan *,250 1 *,250
.T :.lotin' Time; D Masa &em(ekuan *,250 1 *,250
3olon'an darah 11,000
(sA' 4#,500 1 4#,500
P#&#rik"aan Khu"u" 100,000
/3 )andun'an print 100,000 1 100,000
Patolo!i Anato&i
Tin'akan Khu"u"
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
Ph("ioth#rapi
E&#r!#n"i
A=AT -A&
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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A(ortus den'an )uretase
Ko&pon#n Rawat Inap 114,000
Mondok makan 55,000 1 55,000
Visite dokter 40,000 1 40,000
Asuhan keperawatan 10,000 1 10,000
Tindakan keperawatan 9,000 1 9,000
Obatobatan 1$0,"41
Anal'esik, Antipiretik )TO&O 100 M3 TA TA 1,5"5 10 15,"50
Anti(iotik 'ol se6alospori .-B-M 100m' cap ",000 10 "0,000
emostatik )A<B .A& 250M3 G100 .A& 1,45* 10 14,5#5
Antiansietas VA<-/M AM&? 10M3D2M< AM& "",092 1 "",092
/terotonin MTC< 3OMT- TA 3) TA 1"* 10 1,"*0
/terotonin MT3- 0,2 M3 AM& 10 AM& 9,5$9 1 9,5$9
TA- $0 M< T< 4,125 1 4,125 <AM-A-A M 52,250 1 52,250
Op#ra"i *50,000
Tin'akan Kur#ta"# 'i OK *50,000 1 *50,000
ia!a Operasional
Operator
Asisten, &, lain2
P#rawatan Khu"u"
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu&
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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A(ortus den'an )uretase
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u" 50,000
&asan' laminaria 50,000 1 50,000
LainlainLabu arah
Tranfu"i 'arah
Pin) Plat# S*r#w &in
&late
rew
-O<
Ph("ioth#rapi
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
Total +ia(a 1)233)//- 1,)403
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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A(ortus den'an )uretase
ri " Total
ar'a @umlah ar'a
111,02$
10
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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A(ortus den'an )uretase
10
4 $0,11$
1 1*,#50
1 2",292
1 4"*
" 1,500
1 $,9"0
129,000
1 $5,000 1 *,250
1 *,250
1 4#,500
100,000
1 100,000
ri " Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
http://slidepdf.com/reader/full/rekap-paket-ranap-kanwil-ii-muara-enim 101/257
A(ortus den'an )uretase
114,000
1 55,000
1 40,000
1 10,000
1 9,000
1$0,"41
10 15,"50
10 "0,000
10 14,5#5
1 "",092
10 1,"*0
1 9,5$9
1 4,125 1 52,250
*50,000
1 *50,000
ri " Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
http://slidepdf.com/reader/full/rekap-paket-ranap-kanwil-ii-muara-enim 102/257
A(ortus den'an )uretase
50,000
1 50,000
ri " Total
ar'a @umlah ar'a
1,514,"$#
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
http://slidepdf.com/reader/full/rekap-paket-ranap-kanwil-ii-muara-enim 103/257
A(ortus den'an )uretase
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > AOT/ -)OM&<-T 3A )/TA
/-A > =AA
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan 95,99# 15,029
Vitamin OOT )&< 10
A-3 5 -/ 500 M< < 15 029 " 45 0*# 1 15 029
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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A(ortus den'an )uretase
A-35 -/ 500 M< < 15,029 " 45,0*# 1 15,029
AO.AT T 203 1*,#50 1 1*,#50
T =AC TO& .O.) 2",292 1 2",292
AA&<AT T T-& G 10 4"* 1 4"*
A/3 TA3A BAM 500 " 1,500
)AA C?T-< 1$D1$ ) $,9"0 1 $,9"0
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu& 129,000
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000 T :leeddin' Time; D Masa &erdarahan *,250 1 *,250
.T :.lotin' Time; D Masa &em(ekuan *,250 1 *,250
3olon'an darah 11,000
(sA' 4#,500 1 4#,500
P#&#rik"aan Khu"u" 100,000
/3 )andun'an print 100,000 1 100,000
Patolo!i Anato&i
Tin'akan Khu"u"
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
Ph("ioth#rapi
E&#r!#n"i
A=AT -A&
Ko&pon#n Rawat Inap 114 000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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A(ortus den'an )uretase
Ko&pon#n Rawat Inap 114,000
Mondok makan 55,000 1 55,000
Visite dokter 40,000 1 40,000
Asuhan keperawatan 10,000 1 10,000
Tindakan keperawatan 9,000 1 9,000
Obatobatan 1$0,"41
Anal'esik, Antipiretik )TO&O 100 M3 TA TA 1,5"5 10 15,"50
Anti(iotik 'ol se6alospori .-B-M 100m' cap ",000 10 "0,000
emostatik )A<B .A& 250M3 G100 .A& 1,45* 10 14,5#5
Antiansietas VA<-/M AM&? 10M3D2M< AM& "",092 1 "",092
/terotonin MTC< 3OMT- TA 3) TA 1"* 10 1,"*0
/terotonin MT3- 0,2 M3 AM& 10 AM& 9,5$9 1 9,5$9
TA- $0 M< T< 4,125 1 4,125 <AM-A-A M 52,250 1 52,250
Op#ra"i *50,000
Tin'akan Kur#ta"# 'i OK *50,000 1 *50,000
ia!a Operasional
Operator
Asisten, &, lain2
P#rawatan Khu"u"
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu&
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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A(ortus den'an )uretase
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
LainlainLabu arah
Tranfu"i 'arah
Pin) Plat# S*r#w &in
&late
rew
-O<
Ph("ioth#rapi
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
Total +ia(a 1)223)//- 1,)403
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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A(ortus den'an )uretase
ri " Total
ar'a @umlah ar'a
111,02$
10
4 $0,11$
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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A(ortus den'an )uretase
1 1*,#50
1 2",292
1 4"*
" 1,500
1 $,9"0
129,000
1 $5,000
1 *,250
1 *,250
1 4#,500
100,000
1 100,000
ri " Total
ar'a @umlah ar'a
114,000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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A(ortus den'an )uretase
1 55,000
1 40,000
1 10,000
1 9,000
1$0,"41
10 15,"50
10 "0,000
10 14,5#5
1 "",092
10 1,"*0
1 9,5$9
1 4,125
1 52,250
*50,000
1 *50,000
ri " Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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A(ortus den'an )uretase
ri " Total
ar'a @umlah ar'a
1,4$4,"$#
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A(ortus den'an )uretase
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > &artus den'an -nduksi
/-A > =AA
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi edan'alaman 112 dari 25#
P#nunjan! ia!no"tik
o Ront!#n
o
o
o
<a(oratorium Laboratoriu&
<a(oratorium
<a(oratorium
<a(oratorium
<a(oratorium
&emeriksaan )husus P#&#rik"aan Khu"u"
&emeriksaan )husus
&emeriksaan )husus
&emeriksaan )husus
&atolo'i AnatomiPatolo!i Anato&i
&atolo'i Anatomi
&atolo'i Anatomi
&atolo'i Anatomi
Tin'akan Khu"u"
Ph("ioth#rapi
E&#r!#n"i
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a
A=AT -A&
Ko&pon#n Rawat Inap 22$,500 22$,500
Mondok Makan -(u 55,000 1 55,000 1 55,000
Mondok Makan a!i 2# 500 1 2# 500 1 2# 500
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi edan'alaman 11" dari 25#
Mondok Makan a!i 2#,500 1 2#,500 1 2#,500
Visite dokter spesialis O(s'in 40,000 1 40,000 1 40,000
Visite dokter spesialis Anak 40,000 1 40,000 1 40,000
Asuhan keperawatan i(u 10,000 1 10,000 1 10,000
Tindakan keperawatan i(u 9,000 1 9,000 1 9,000
Asuhan keperawatan anak 20,000 1 20,000 1 20,000
Tindakan keperawatan anak 25,000 1 25,000 1 25,000
Obatobatan $0,550
OAT AC-
eo ) -nect 1",200 1 1",200
OTM 1,500 1 1,500
AlkaKl 1#,952 1 1#,952
arun' Tan'an 129 $ ##2
/m(ilikal ","00 1 ","00
)assa teril $,$00 1 $,$00 &anen' Anak 1,05$ 1 1,05$
&anen' -(u 1,1** 1 1,1**
eddle 24 1,452 1 1,452
!rin'e 1 cc 4,*1* 1 4,*1*
arun' Tan'an teril *,#12 1 *,#12
Op#ra"i
P#rawatan Khu"u"
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a
P#r"alinan Patolo!i" 1,5*$,""5 *4,2"2 20,#91
&ersalinan per+a'inam d'n induksi 1,250,000 1 1,250,000
@asa dokter kandun'an ewa )amar ersalin
Alkes dan &
1 .e6triaJone +ial r! 13 3BG2 +ial 5,15# 2 10,"1" 2 10,"1"
2 MetronidaFole -n6 +ial 14,1$0 " 42,4*0 " 42,4*0
" &ospar'in -n amp $ $00 1 $ $00
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi edan'alaman 114 dari 25#
" &ospar'in -n amp $,$00 1 $,$00
4 &ito'in amp 1,2#0 5 $,"49
5 Alinamin -n amp #,424
$ in'er <actat Ls 5,$#$ 1 5,$#$ 2 11,"52
# uma'esic cap 1"# " 412 12 1,$4*
* Amoksisilin 500 m' cap 2*# 10 2,*#4
9 Meth!l r'ometrine Ta( 3) ta( 4$ " 1"9 10 4$"
10 &renamia kpl 1,129 1 1,129 14 15,*0$
11 /nderpad (h #,#09 1 #,#09
12 -V .ath urLo 1* (h 29,"04
1" olle! .atheter no 24 2 wa! (h 12,4#4
14 !rin'e 1 cc (h 4,*1*
15 !rin'e " cc (h ",49* 1 ",49*
1$ !rin'e 10 cc (h 1,*2$ 2 ",$52 " 5,4#*
1# ansaplast (h "2# 1 "2# 1* Micropore 0?5 cm J 10 (h 1",*$0 1 1",*$0
19 Oksi'enDam 5 ltDmeni 1,150 $ $,900 $ $,900
esusitasi eonatus 1 2"5,000 1 2"5,000
P#nunjan! ia!no"tik
o Ront!#n
o
o
o
<a(oratorium Laboratoriu& 91,500
<a(oratorium 1 sA' 4#,500 1 4#,500
<a(oratorium 2 .ell .ounter 44,000 1 44,000
<a(oratorium
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a
&emeriksaan) hususP#&#rik"aan Khu"u"
&emeriksaan) husus
&emeriksaan) husus
&emeriksaan) husus
&atolo'i AnatomiPatolo!i Anato&i
&atolo'i Anatomi
&atolo'i Anatomi
&atolo'i Anatomi
&atolo'i Anatomi
Tin'akan Khu"u"
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Operasi edan'alaman 115 dari 25#
Lainlain
Labu arah
Tranfu"i 'arah
Pin) Plat# S*r#w &in
&late
rew
-O<
Ph("ioth#rapi
Total +ia(a 1)342)//, /51)0-0 04)531
Total
@umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi edan'alaman 11$ dari 25#
Total
@umlah ar'a
45",000
2 110,000
2 55,000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi edan'alaman 11# dari 25#
2 *0,000
2 *0,000
2 20,000
2 1*,000
2 40,000
2 50,000
$0,550
1 1",200
1 1,500
1 1#,952
$ ##2
1 ","00
1 $,$001 1,05$
1 1,1**
1 1,452
1 4,*1*
1 *,#12
Total
@umlah ar'a
1,$91,"5*
1 1,250,000
4 20,$2$
$ *4,9$0
1 $,$00
$ " 9
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Operasi edan'alaman 11* dari 25#
5 $,"49
" 1#,02*
15 2,0$0
10 2,*#4
1" $02
15 1$,9"5
1 #,#09
1 ",49*
5 9,1"0
1 "2#1 1",*$0
12 1",*00
1 2"5,000
91,500
1 4#,500
1 44,000
Total
@umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi edan'alaman 119 dari 25#
0)03.)24-
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > &AT/ den'an isiko Tin''i :&reeklampsi, sun'san', asma;
/-A > =AA
ari 1 ari 2 ari " ari 4 ari 5
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umlah a
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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P#nunjan! ia!no"tikRont!#n
Laboratoriu&
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Ph("ioth#rapi
E&#r!#n"i
A=AT -A&
Ko&pon#n Rawat Inap 1*1,500 1*1,500 1*1,500
Mondok Makan 55,000 1 55,000 1 55,000 1 55,000
Visite dokter spesialis O3C 40,000 1 40,000 1 40,000 1 40,000
Visite dokter spesialis AA) 40,000 1 40,000 1 40,000 1 40,000
&erawatan (a!i :roomin' in; 2#,500 1 2#,500 1 2#,500 1 2#,500
asuhan )eperawatan 10,000 1 10,000 1 10,000 1 10,000
Tindakan )eperawatan 9,000 1 9,000 1 9,000 1 9,000
ari 1 ari 2 ari " ari 4 ari 5
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umlah a
Anal'esik, Antipiretik )TO&O 100 M3 TA TA 1,5"5 2 ",0#0 2 ",0#0 2 ",0#0
Anti(iotik 'ol se6alospori .AOB-< .A& 250M3 3 .A& $12 2 1,224 2 1,224 10 $,120
Op#ra"i
P#rawatan Khu"u"
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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P#r"alinan Patolo!i" 90#,2#*
&ersalinan ormal d'n resiko tin''i #50,000 1 #50,000
un'san'
asma
&reeklamsi
@asa dokter kandun'an
ewa )amar ersalin
Alkes dan &
Alkes, & a!i eo ) in AM& 1",#50 1 1",#50
/m(ilical klem 2,100 1 2,100
&enen' a!i 1,000 1 1,000
MT3- 0,2 M3 AM& 10 AM& 9,5$9 1 9,5$9
OBCTO.- AM&? 10-/D1M< 100 AM& 4,00* 2 *,01$
<OO TA/-O T TM "9,12$ 1 "9,12$
-3 <A.TAT 500M< OT 11,""0 " "",990
AO.AT T 203 1*,#50 1 1*,#50 -& C-3 1 M< T/MO T 2,$12 1 2,$12
-& C-3 " M< T/MO 1,"#5 2 2,#50
-& C-3 5 M< TM 1,$50 1 1,$50
-O- &OV-O O< 10% "0M< T< 2,500 2 5,000
--./ 100 ml 24,0#0 1 12,0"5
)AA C?T-< 1$D1$ &A) $,9"0 1 $,9"0
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu& 92,500
-(u arah utin $5,000 1 $5,000
Anak iliru(in 2#,500 1 2#,500
krinin' hipotiroid 1
P#&#rik"aan Khu"u"
ari 1 ari 2 ari " ari 4 ari
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umlah
Tin'akan Khu"u"
Lainlain
Labu arah
Tranfu"i 'arah
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Pin) Plat# S*r#w
&in
&late
rew
-O<
Ph("ioth#rapi
Total +ia(a 666 1-,)532 134).34
ri $ ari # Total
ar'a @umlah ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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544,500
" 1$5,000
" 120,000
" 120,000
" *2,500
" "0,000
" 2#,000
ri $ ari # Total
ar'a @umlah ar'a @umlah ar'a
$ 9,210
14 *,5$*
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90#,2#*
1 #50,000
1 1",#50
1 2,100
1 1,000
1 9,5$9
2 *,01$
1 "9,12$
" "",990
1 1*,#50 1 2,$12
2 2,#50
1 1,$50
2 5,000
1 12,0"5
1 $,9"0
92,500
1 $5,000
1 2#,500
1
ri $ ari # Total
ar'a @umlah ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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1),.0)4,.
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > &AT/ den'an VA)/M )TA)- atau O.&
/-A > =AA
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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&AT/ den'an VA)/M )TA)-DO.&D&)<AM&-AD)<AM&-A
alaman 12$ dari 25#
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu&
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Ph("ioth#rapi
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
E&#r!#n"i
A=AT -A&
Ko&pon#n Rawat Inap 1*1,500 1*1,500
Mondok Makan 55,000 1 55,000 1 55,000 1
Visite dokter spesialis O3C 40,000 1 40,000 1 40,000 1
Visite dokter spesialis AA) 40,000 1 40,000 1 40,000 1
&erawatan (a!i :roomin' in; 2#,500 1 2#,500 1 2#,500 1
asuhan )eperawatan 10,000 1 10,000 1 10,000 1
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&AT/ den'an VA)/M )TA)-DO.&D&)<AM&-AD)<AM&-A
alaman 12# dari 25#
Tindakan )eperawatan 9,000 1 9,000 1 9,000 1
Obatobatan 4,294 4,294
Anal'esik, Antipiretik )TO&O 100 M3 TA TA 1,5"5 2 ",0#0 2 ",0#0 2
Anti(iotik 'ol se6alospori .AOB-< .A& 250M3 3 .A& $12 2 1,224 2 1,224 10
Op#ra"i
P#rawatan Khu"u"
P#r"alinan Patolo!i" 1,092,2#*
&ersalinan per+a'inam d'n +accum 9"5,000 1 9"5,000
orceps
@asa dokter kandun'an
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
ewa )amar ersalin
Alkes dan &
Alkes, & a!i eo ) in AM& 1",#50 1 1",#50
/m(ilical klem 2,100 1 2,100
&enen' a!i 1,000 1 1,000
MT3- 0,2 M3 AM& 10 AM& 9,5$9 1 9,5$9
OBCTO.- AM&? 10-/D1M< 100 AM& 4,00* 2 *,01$
<OO TA/-O T TM "9,12$ 1 "9,12$
-3 <A.TAT 500M< OT 11,""0 " "",990
AO.AT T 203 1*,#50 1 1*,#50
-& C-3 1 M< T/MO T 2,$12 1 2,$12
-& C-3 " M< T/MO 1,"#5 2 2,#50
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&AT/ den'an VA)/M )TA)-DO.&D&)<AM&-AD)<AM&-A
alaman 12* dari 25#
-& C-3 5 M< TM 1,$50 1 1,$50
-O- &OV-O O< 10% "0M< T< 2,500 2 5,000
--./ 100 ml 24,0#0 1 12,0"5 )AA C?T-< 1$D1$ &A) $,9"0 1 $,9"0
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu& 92,500
arah utin $5,000 1 $5,000 Anak iliru(in 2#,500 1 2#,500
krinin' hipotiroid 1
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
Lainlain
Labu arah
Tranfu"i 'arah
Pin) Plat# S*r#w
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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&AT/ den'an VA)/M )TA)-DO.&D&)<AM&-AD)<AM&-A
alaman 129 dari 25#
&in
&late
rew -O<
Ph("ioth#rapi
Total +ia(a 666 1-,)532
ri " Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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&AT/ den'an VA)/M )TA)-DO.&D&)<AM&-AD)<AM&-A
alaman 1"0 dari 25#
ri " Total
ar'a @umlah ar'a
1*1,500 544,500
55,000 " 1$5,000
40,000 " 120,000
40,000 " 120,000
2#,500 " *2,500
10,000 " "0,000
9 000 " 2# 000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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&AT/ den'an VA)/M )TA)-DO.&D&)<AM&-AD)<AM&-A
alaman 1"1 dari 25#
9,000 " 2#,000
9,190 1#,##*
",0#0 $ 9,210
$,120 14 *,5$*
1,092,2#*
1 9"5,000
ri " Total
ar'a @umlah ar'a
1 1",#50
1 2,100
1 1,000
1 9,5$9 2 *,01$
1 "9,12$
" "",990
1 1*,#50
1 2,$12
2 2,#50
1 1,$50
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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&AT/ den'an VA)/M )TA)-DO.&D&)<AM&-AD)<AM&-A
alaman 1"2 dari 25#
,$50
2 5,000
1 12,0"5
1 $,9"0
92,500
1 $5,000 1 2#,500
1
ri " Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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&AT/ den'an VA)/M )TA)-DO.&D&)<AM&-AD)<AM&-A
alaman 1"" dari 25#
134).34 1)525)4,.
)A/ > ectio aecaria a?i? 3a'al rip
/-A > =AA
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
RJLRA$AT JALAN LANJUTAN
RA$AT JALAN LANJUTAN
@< A=AT @A<A <A@/TA
RJL okt#r Sp#"iali" okt#r Sp#"iali"
@< o @< o
RJL Obat ObatObatan
@< O(atO
@< O(atO
@< O(atO
@< O(atO
@<
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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@< O(atO
@< O(atO
RJL P#nunjan! ia!no"tik P#nunjan! ia!no"tik
@< &enunan' ia'nostik o Ront!#n
@< &enunan' ia'nostik o
@< &enunan' ia'nostik o
@< &enunan' ia'nostik o
@< &enunan' ia'nostik <a(oratorium Laboratoriu&
@< &enunan' ia'nostik <a(oratorium
@< &enunan' ia'nostik <a(oratorium
@< &enunan' ia'nostik <a(oratorium
@< &enunan' ia'nostik <a(oratorium
@< &enunan' ia'nostik <a(oratorium
@< &enunan' ia'nostik <a(oratorium
@< &enunan' ia'nostik &emeriksaan)hus usP#&#rik"aan Khu"u"
@< &enunan' ia'nostik &emeriksaan)hus us
@< &enunan' ia'nostik &emeriksaan)hus us
@< &enunan' ia'nostik &emeriksaan)hus us
@< &enunan' ia'nostik &atolo'i Anatomi Patolo!i Anato&i @< &enunan' ia'nostik &atolo'i Anatomi
@< &enunan' ia'nostik &atolo'i Anatomi
@< &enunan' ia'nostik &atolo'i Anatomi
RJL Tin'akan Khu"u" Tin'akan Khu"u"
@< Tindakan )husus
@< Tindakan )husus
@< Tindakan )husus
RJL Ph Ph("ioth#rapi
@< &h!si
@< &h!si
@< &h!si
RJL E&#r!# E&#r!#n"i
@< mer'en
@< mer'en
@< mer'en
@< mer'en
@< mer'en
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah
-& A=AT -
RIP Ko&pon#n Rawat Inap Ko&pon#n Rawat Inap 220,500 2$0,500 200,500
-& )omponen awat -nap
-& )omponen awat -nap Mondok Makan -(u 55,000 1 55,000 1 55,000 1 55,000
-& )omponen awat -nap Mondok Makan a!i 2#,500 1 2#,500 1 2#,500 1 2#,500
-& )omponen awat -nap Visite dokter spesialis O(s'in 40,000 1 40,000 1 40,000 1 40,000
-& )omponen awat -nap Visite dokter spesialis Anak 40,000 1 40,000 1 40,000 1 40,000
-& )omponen awat -nap asuhan )eperawatan -(u 10,000 1 20,000 1 40,000 1 10,000
-& )omponen awat -nap T-A)A )eperawatan -(u 9,000 1 9,000 1 9,000 1 9,000
-& )omponen awat -nap asuhan )eperawatan anak 10,000 1 20,000 1 40,000 1 10,000
-& )omponen awat -nap T-A)A )eperawatan anak 9,000 1 9,000 1 9,000 1 9,000
-& )omponen awat -nap
RIP Obat Obatobatan 412,41# 4$2,#$2 2"5,0*#
-/
-& O( O .e6triaJone Vial r! 13 3BG2 +ial 10 "1" 2 20 $2$ 2 20 $2$ 2 20 $2$
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Operasi edan'alaman 1"5 dari 25#
-& O(atO .e6triaJone Vial r! 13 3BG2 +ial 10,"1" 2 20,$2$ 2 20,$2$ 2 20,$2$
-& O(atO MetronidaFole -n6 +ial 42,4*0 " 12#,440 " 12#,440
-& O(atO &ospar'in -n amp $,$00 2 1",200
-& O(atO !ntocinon amp 10,000 1 10,000
-& O(atO &ito'in amp $,"49 2 12,$9* 2 12,$9*
-& O(atO pidosin amp 2",95* " #1,*#4
-& O(atO Tramadol 100 m' -n amp 9,219 1 9,219
-& O(atO Alinamin -n amp 14,*4* 1 14,*4* " 44,544 " 44,544
-& O(atO anitidin Amp 50 m' Dml 2 ml amp ",#01 2 #,402 2 #,402
-& O(atO Asam Traneksamat 250 amp 4,$20 2 9,240 2 9,240
-& O(atO in'er <actat Ls 11,"52 2 22,#04 " "4,05$ " "4,05$ -& O(atO &roto6en uppos 100 m' G 20 supp 9,0$2 2 1*,124 " 2#,1*$
-& O(atO uma'esic cap 412 " 1,2"$
-& O(atO .eKJime 100 m' cap 2,*#4
-& O(atO Meth!l r'ometrine Ta( 3) ta( 1"9 " 41#
-& O(atO &renamia kpl 1,129
-& O(atO -kamicetine 2% Oint 15 'r tu( 4,$20
-& O(atO Trans6usi et (h 2#,#20 1 2#,#20
-& O(atO /nderpad (h #,#09 1 #,#09 2 15,41*
-& O(atO -V .ath urLo 1* (h 29,"04 1 29,"04 1 29,"04
-& O(atO olle! .atheter no 24 2 wa! (h 12,4#4 1 12,4#4
-& O(atO olle! .atheter no 1$ 2 wa! (h 12,4#4 1 12,4#4
-& O(atO /rine a' (h $,$00 1 $,$00
-& O(atO !rin'e 1 cc (h 4,*1* 1 4,*1*
-& O(atO !rin'e " cc (h ",49* 4 1",992 9 "1,4*2 $ 20,9**
-& O(atO !rin'e 10 cc (h 5,4#* " 1$,4"4 5 2#,"90 5 2#,"90
-& O(atO Jtradine (tl 1",400 1 1",400
-& O(atO ansaplast (h "2# 1 "2# -& O(atO acl 0,9% 100 ml (tl 1#,1*$ 1 1#,1*$
-& O(atO Micropore 0?5 cm J 10 (h 1",*$0 1 1",*$0
-& O(atO )assa teril pak $,$00 1
-& O(atO Oksi'enDam 5 ltDmeni $,900
-& O(atO
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah
-& O(atO OAT AC-
-& O(atO eo ) -nect 1",200 1 1",200
-& O(atO OTM 1,500 1 1,500
-& O(atO AlkaKl 1#,952 1 1#,952
-& O(atO arun' Tan'an 129 $ ##2
-& O(atO /m(ilikal ","00 1 ","00
-& O(atO )assa teril $,$00 1 $,$00
-& O(atO &anen' Anak 1,05$ 1 1,05$ -& O(atO &anen' -(u 1,1** 1 1,1**
-& O(atO eddle 24 1,452 1 1,452
-& O(atO !rin'e 1 cc 4,*1* 1 4,*1*
-& O(atO arun' Tan'an teril *,#12 1 *,#12
-& O(atO
RIP O i 5 51" 251 21# 000
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Operasi edan'alaman 1"$ dari 25#
RIP Op#ra"i Op#ra"i 5,51",251 21#,000
-& Operasi
-& Operasi Op#ra"i b#"ar 2,$"5,000 1 2,$"5,000
-& Operasi ia!a Operasional
-& Operasi Operator
-& Operasi Anestesi
-& Operasi Asisten, &, lain2
-& Operasi
-& Operasi
-& Operasi esusitasi eonatus 21#,000 1 21#,000 21#,000
-& Operasi
-& Operasi Materi Operasi > -& Operasi 1 -soLurane cc *,1*4 #0 5#2,**0
-& Operasi 2 entan!l amp 42,$*9 1 42,$*9
-& Operasi " ðidin amp 15,*"0 1 15,*"0
-& Operasi 4 ecopol D cc cc 11,**0 "0 "5$,400
-& Operasi 5 O2 ltDam 4#,520 2 95,040
-& Operasi $ Oksi'enDam ltDam $,000 4 24,000
-& Operasi # eJamethasone amp 2,400 1 2,400
-& Operasi * &rotopen upp supp 9,0$2 1 9,0$2
-& Operasi 9 emopain amp 40,920 2 *1,*40
-& Operasi 10 Tramus 50 m'Dcc cc 50,1$0 4 200,$40
-& Operasi 11 Asam Traneksamat 250 amp 4,$20 1 4,$20
-& Operasi 12 !rin'e 5 cc (h 4,092 1 4,092
-& Operasi 1" !irin'e 10 cc (h 5,4#* 1 5,4#*
-& Operasi 14 !rin'e " cc amp "4,99* 2 $9,99$
-& Operasi 15 Tramal -n 100 amp 41,#12 1 41,#12
-& Operasi 1$ Ondancetron amp #,2$0 1 #,2$0
-& Operasi 1# o+al'in amp 10,5"* 1 10,5"*
-& Operasi 1* < (tl 11,"52 2 22,#04
-& Operasi 19 acl (tl 19,2#* 1 19,2#* -& Operasi 20 Tutopusin Ops (tl 5$,100 1 5$,100
-& Operasi 21 -n6us et Adult (h 14,520 1 14,520
-& Operasi 22 Tree =a! T2) (h 25,*#2 1 25,*#2
-& Operasi 2" TT cuE # (h 112,200 1 112,200
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @u
-& Operasi 24 isturi no 24 (h 2,$** 1 2,$**
-& Operasi 25 .romic 1 pcs 11,9"0 1 11,9"0
-& Operasi 2$ .romic 2 pcs *#,*4$ 1 *#,*4$
-& Operasi 2# .romic 2?0 pcs *$,5"9 1 *$,5"9
-& Operasi 2* &lain 0 pcs *0,441 1 *0,441
-& Operasi 29 &ol!sor( 1 pcs 101,5$0 1 101,5$0
-& Operasi "0 ios!n "?0 pcs 12*,040 1 12*,040 -& Operasi "1 Asam TraneJamat amp 4,$20 1 4,$20
-& Operasi "2 &!to'in amp $,"49 2 12,$9*
-& Operasi "" &ospar'in -n amp $,$00 1 $,$00
-& Operasi "4 )assa teril (undle 1$,500 5 *2,500
-& Operasi "5 <inapen (h 25,**1 1 25,**1
-& Operasi "$ Opsite &ost op 25 J 10 (h "*,2*0 1 "*,2*0
-& Operasi "# /nderpad (h #,#09 1 #,#09
-& Operasi "* ariantule (h 1$ 500 1 1$ 500
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Operasi edanalaman 1"# dari 25
-& Operasi "* ariantule (h 1$,500 1 1$,500
-& Operasi"9
.ap ouEant ur'ical D Topi Operasi (h 1,#1$ $ 10,29$
-& Operasi 40 Jtradine cc 1"4 100 1",400
-& Operasi 41 i(iscru( cc 290 50 14,500
-& Operasi 42 irst Aid cc 222 50 11,100
-& Operasi 4" Masker Tali iau (h 1,214 $ #,2*4
-& Operasi 44 Medipack 140D250 (h 2,922 1 2,922
-& Operasi 45 Medipak 190D""0 (h 5,12* 2 10,25$
-& Operasi 4$ Medipak "00D"$5 (h #,*$$ 1 #,*$$
-& Operasi 4# ed ot Adult (h 4,**4 " 14,$52
-& Operasi 4* arun' Tan'an teril #?5 (h 12,"#5 1 12,"#5
-& Operasi 49 arun' Tan'an teril (h 12,"#5 " "#,125
-& Operasi 50 uction .ath no * (h 10,1$4 2 20,"2*
-& Operasi 51 uction .ath no 10 (h 10,1$4 1 10,1$4
-& Operasi
-& Operasi
RIP P#rawatan Khu"u" P#rawatan Khu"u"
-& &erawatan )husus
-& &erawatan )husus
-& &erawatan )husus
RIP P#r"alinan Patolo!i" P#r"alinan Patolo!i"
-& &ersalinan &atolo'is
-& &ersalinan &atolo'is
-& &ersalinan &atolo'is
RIP P#nunjan! ia!no"tik P#nunjan! ia!no"tik
-& &enunan' ia'nostik o Ront!#n
-& &enunan' ia'nostik o
-& &enunan' ia'nostik o 1
-& &enunan' ia'nostik o
-& &enunan' ia'nostik <a(oratorium Laboratoriu& 11,000 -& &enunan' ia'nostik <a(oratorium
-& &enunan' ia'nostik <a(oratorium sA' 4#,500 1 4#,500
-& &enunan' ia'nostik <a(oratorium .ell .ounter 44,000 1 44,000
-& &enunan' ia'nostik <a(oratorium T :leeddin' Time; D Masa &erdarahan *,250 1 *,250
-& &enunan' ia'nostik <a(oratorium .T :.lotin' Time; D Masa &em(ekuan *,250 1 *,250
-& &enunan' ia'nostik <a(oratorium 3lukosa ewaktu 20,000 1 20,000
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar
-& &enunan' ia'nostik <a(oratorium 3olon'an darah 11,000 1 11,000
-& &enunan' ia'nostik <a(oratorium .rossmach 1
-& &enunan' ia'nostik <a(oratorium
-& &enunan' ia'nostik &emeriksaan)hususP#&#rik"aan Khu"u" 100,000
-& &enunan' ia'nostik &emeriksaan)hususT 1 1
-& &enunan' ia'nostik &emeriksaan)husus/3 100,000 1 100,000
-& &enunan' ia'nostik &emeriksaan)husus
-& &enunan' ia'nostik &atolo'i AnatomiPatolo!i Anato&i
-& &enunan' ia'nostik &atolo'i Anatomi
-& &enunan' ia'nostik &atolo'i Anatomi
-& &enunan' ia'nostik &atolo'i Anatomi
-& &enunan' ia'nostik &atolo'i Anatomi
RIP Tin'akan Khu"u" Tin'akan Khu"u"
-&
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-& Tindakan )husus
-& Tindakan )husus -& Tindakan )husus
RIP Lainlai Lainlain
-& <ainlain Labu arah
-& <ainlain
-& <ainlain
-& <ainlain
-& <ainlain Tranfu"i 'arah
-& <ainlain
-& <ainlain -& <ainlain
-& <ainlain
-& <ainlain Pin) Plat# S*r#w
-& <ainlain &in
-& <ainlain &late
-& <ainlain rew
-& <ainlain -O<
RIP Ph Ph("ioth#rapi
-& &h!si
-& &h!si
-& &h!si
Total +ia(a 52/)315 .)0/.),1/ .
ri 4 Total
ar'a @umlah ar'a
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Operasi edan'alaman 1"9 dari 25#
ri 4 Total
ar'a @umlah ar'a
200,500 **2,000
55,000 4 220,000
2#,500 4 110,000
40,000 4 1$0,000
40,000 4 1$0,000
10,000 4 *0,0009,000 4 "$,000
10,000 4 *0,000
9,000 4 "$,000
90,415 1,200,$*1
$ $1,*#*
$ 254,**0
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Operasi edan'alaman 140 dari 25#
$ 254,**0
2 1",200 1 10,000
4 25,"9$
" #1,*#4
1 9,219
# 10",9"$
4 14,*04
4 1*,4*0
* 90,*1$
2#,1*$ * #2,49$4,944 15 $,1*0
2*,#40 10 2*,#40
1,"90 1" 1,*0#
1$,9"5 15 1$,9"5
4,$20 1 4,$20
1 2#,#20
" 2",12#
2 5*,$0*
1 12,4#4
1 12,4#4
1 $,$00
1 4,*1*
19 $$,4$2
1" #1,214
1 1",400
1 "2#
1 1#,1*$
1 1",*$0
$,$00 1 $,$00
ri 4 Total
ar'a @umlah ar'a
1 1",200
1 1,500
1 1#,952
$ ##2
1 ","00
1 $,$00
1 1,05$ 1 1,1**
1 1,452
1 4,*1*
1 *,#12
5,#"0,251
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Operasi edan'alaman 141 dari 25#
1 2,$"5,000
1 4"4,000
#0 5#2,**0
1 42,$*9
1 15,*"0
"0 "5$,400
2 95,040
4 24,000
1 2,400
1 9,0$2
2 *1,*40
4 200,$40
1 4,$20
1 4,092
1 5,4#*
2 $9,99$
1 41,#12
1 #,2$0
1 10,5"*
2 22,#04
1 19,2#* 1 5$,100
1 14,520
1 25,*#2
1 112,200
ri 4 Total
ar'a @umlah ar'a
1 2,$**
1 11,9"0
1 *#,*4$
1 *$,5"9
1 *0,441
1 101,5$0
1 12*,040
1 4,$20 2 12,$9*
1 $,$00
5 *2,500
1 25,**1
1 "*,2*0
1 #,#09
1 1$,500
$ 10,29$
100 1" 400
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Operasi edan'alaman 142 dari 25#
100 1",400
50 14,500
50 11,100
$ #,2*4
1 2,922
2 10,25$
1 #,*$$
" 14,$52
1 12,"#5
" "#,125
2 20,"2* 1 10,1$4
1
11,000
1 4#,500 1 44,000
1 *,250
1 *,250
1 20,000
ri 4 Total
ar'a @umlah ar'a
1 11,000
1
100,000
2
1 100,000
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Operasi edan'alaman 14" dari 25#
034)31, 5)30/)3/0
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > ectio aecaria elekti6 atas indikasi .&, )&, Oli'ohidramnion
/-A > ewasa
ari 1 ari 2 ari " ari 4
ediaan ar'a atuan @ml ar'a @ml ar'a @ml ar'a @ml ar'a
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan
P#nunjan! ia!no"tik
Ront!#n
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ectio aecariaalaman 144 dari 25#
Ront!#n
Laboratoriu&
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Ph("ioth#rapi
E&#r!#n"i
ari 1 ari 2 ari " ari 4
ediaan ar'a atuan @ml ar'a @ml ar'a @ml ar'a @ml ar'a
A=AT -A&
Ko&pon#n Rawat Inap 1*1,500 1*1,500 1*1,500 1*1,500
Mondok Makan 55,000 1 55,000 1 55,000 1 55,000 1 55,000
Visite dokter spesialis O3C 40,000 1 40,000 1 40,000 1 40,000 1 40,000Visite dokter spesialis AA) 40,000 1 40,000 1 40,000 1 40,000 1 40,000
&erawatan (a!i :roomin' in; 2#,500 1 2#,500 1 2#,500 1 2#,500 1 2#,500
asuhan )eperawatan 10,000 1 10,000 1 10,000 1 10,000 1 10,000
Tindakan )eperawatan 9,000 1 9,000 1 9,000 1 9,000 1 9,000
Obatobatan $",504 105,951 $$,4$" "",91$
Anal'esik arkotik TAMAO< 50M3 .A& 3- .A& 4$9
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ectio aecariaalaman 145 dari 25#
'
Anal'esik, Antipiretik &OTO /&&O 100 M3 G 20 /&& *,5*0 " 25,#40 " 25,#40 " 25,#40Anal'esik, Antipiretik OVA<3- 500 M3DM< 2 M< AM& AM& 9,4*2 2 1*,9$4
Anti(iotik 'ol se6alosporin .T-ABO V-A< C 13 3BG2 V-A 1",2$2 2 2$,524 2 2$,524
Anti(iotik 'ol se6alosporin .-B-M 100m' cap ",000 2 $,000 2 $,000
Antasid dan antitukak A-T-- AM& 50M3DM< 2M< AM& ",125 2 $,250
Antiemetik &-M&A -@ AM& 10,"12 1 10,"12
/terotonin MTC< 3OMT- TA 3) TA 1"* " 414 " 414 " 414
/terotonin MT3- 0,2 M3 AM& 10 AM& 9,5$9 1 9,5$9
Vitamin O-M- A G"0 T<D/ )&< **1 2 1,#$2 2 1,#$2 2 1,#$2
.airan Mineral -3 BTO 5% 500 M< OT < 10,*49 1 10,*49 " "2,54# " "2,54#
Topikal )ulit Anti(akteri )M-.T- 2% O-T 15 3 T/ 10,"12
Op#ra"i
P#rawatan Khu"u"
P#r"alinan Patolo!i" 4,005,54*
S#*tio Sa#*aria 2,$"5,000 1 2,$"5,000
ia!a Operasional 1
ari 1 ari 2 ari " ari 4
ediaan ar'a atuan @ml ar'a @ml ar'a @ml ar'a @ml ar'a
Operator 1
Anestesi 1
Asisten, &, lain2 1
1
1
uan' pemulihan 1
Alkes, & -(u ? &<A- 0 ,"# *5,"00 1 *5,"00
Alkes, & -(u ./A&O *0 B 50B10 MM 49,$00 1 49,$00
Alkes, & -(u A.O * :T-<; 12,"#5 1 12,"#5
A.O #,5 :T-<; 5,*44 2 11,$**
&-A/ --- 20 ",100 1 ",100
OTA.A< $,5 55,400 1 55,400
&O<CO O? 1 .<?905 3?25 1"5,500 1 1"5,500
&/-T " .. 4,100 1 4,100
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ectio aecariaalaman 14$ dari 25#
?.OM-. 2 .3?*$$D3?25 *2,#00 1 *2,#00 O<< 3A 5,200 1 5,200
V-)A 3A 5,200 1 5,200
/.T-O .ATT 10 10,*00 1 10,*00
&/-T 10 .. $,400 1 $,400
&/-T 5 .. 4,900 1 4,900
A &A. <.TO .O/T $9,"00 1 $9,"00
? /3-.C< MO-< "D0 ?24 112,900 1 112,900
? &<A- 20 .3?*4" *5,000 1 *5,000
A.O $,5 T-< 12,"00 2 24,$00
A.< 0,9 % 1000 M< 10,4#0 1 10,4#0
< 500 M< OT/ 11,#19 1 11,#19
A-3 500 M< 1*,225 1 1*,225
ATO&- /<A -@ 2,900 2 5,*00
&T-- AM& -@ #5 M3 14,990 1 14,990
&-M&A -@ 11,$** 1 11,$**
.OO< 1 % 20 M< $2,000 1 $2,000
TAMA< /&& 1#,"94 1 1#,"94
TAC< 2 M< 125 M.3 "*,500 1 "*,500
M-<O 15 M3 1*,11" 5?0 90,5$5 TA.-/M 2,5 M< 2#,225 1?0 2#,225
-O</A 250 M< *,10# "0 24",210
BTA- 10 % 4,$00 1 4,$00
)TOO<A. " % -@ 1$,#00 " 50,100
ari 1 ari 2 ari " ari 4
ediaan ar'a atuan @ml ar'a @ml ar'a @ml ar'a @ml ar'a
P#nunjan! ia!no"tikRont!#n
Laboratoriu& 1*#,500
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
T :leeddin' Time; D Masa &erdarahan *,250 1 *,250
.T :.lotin' Time; D Masa &em(ekuan *,250 1 *,250
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ectio aecariaalaman 14# dari 25#
3lukosa ewaktu 20,000 1 20,000 3olon'an darah 11,000 1 11,000
(sA' 4#,500 1 4#,500
An iliru(in 2#,500 1 2#,500
krinin' hipotiroid 1
P#&#rik"aan Khu"u"
.T3 1
Patolo!i Anato&i
Tin'akan Khu"u"
Lainlain
Labu arah
Tranfu"i 'arah
ari 1 ari 2 ari " ari 4
ediaan ar'a atuan @ml ar'a @ml ar'a @ml ar'a @ml ar'a
Pin) Plat# S*r#w
&in
&late
rew
-O<
Ph("ioth#rapi
Total +ia(a 2)2/-)4,0 0-5)2,1 025)3./ 01,)21.
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ectio aecariaalaman 14* dari 25#
ari 5 Total
@ml ar'a @ml ar'a
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ectio aecariaalaman 149 dari 25#
ari 5 Total
@ml ar'a @ml ar'a
1*1,500 90#,500
1 55,000 5 2#5,000
1 40,000 5 200,0001 40,000 5 200,000
1 2#,500 5 1"#,500
1 10,000 5 50,000
1 9,000 5 45,000
90,"22 "$0,15$
12 5,$2* 12 5,$2*
" 25 #40 12 102 9$0
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ectio aecariaalaman 150 dari 25#
" 25,#40 12 102,9$0 2 1*,9$4
4 5",04*
12 "$,000 1$ 4*,000
2 $,250
1 10,"12
15 2,0#0 24 ","12
1 9,5$9
12 10,5#2 1* 15,*5*
# #5,94"
1 10,"12 1 10,"12
4,005,54*
1 2,$"5,000
1
ari 5 Total
@ml ar'a @ml ar'a
1
1
1
1
1
1
1 *5,"00
1 49,$00
1 12,"#5
2 11,$**
1 ",100
1 55,400
1 1"5,500
1 4,100
1 *2 #00
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ectio aecariaalaman 151 dari 25#
1 *2,#00 1 5,200
1 5,200
1 10,*00
1 $,400
1 4,900
1 $9,"00
1 112,900
1 *5,000
2 24,$00
1 10,4#0
1 11,#19
1 1*,225
2 5,*00
1 14,990
1 11,$**
1 $2,000
1 1#,"94
1 "*,500
5 90,5$5 1 2#,225
"0 24",210
1 4,$00
" 50,100
ari 5 Total
@ml ar'a @ml ar'a
1*#,500
1 $5,000
1 *,250
1 *,250
1 20 000
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ectio aecariaalaman 152 dari 25#
1 20,000 1 11,000
1 4#,500
1 2#,500
1
1
ari 5 Total
@ml ar'a @ml ar'a
051)-00 ,)2.4)542
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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ectio aecariaalaman 15" dari 25#
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > ectio aecaria emer'ensi
/-A > ewasa
ari 1 ari 2 ari "
ediaan @ml ar'a @ml ar'a @ml ar'a @ml
RJLRA$AT JALAN LANJUTAN
RA$AT JALAN LANJUTAN
@< A=AT @A<A <A@/TA
RJL okt#r Sp#"iali" okt#r Sp#"iali"
@< o
@< o
RJL Obat ObatObatan
@< O(atO
@< O(atO
@< O(atO
ar'a atuan
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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@< O(atO
RJL P#nunjan! ia!no"tik P#nunjan! ia!no"tik
@< &enunan' ia'nostik ont'e Ront!#n
@< &enunan' ia'nostik ont'e
@< &enunan' ia'nostik ont'e
@< &enunan' ia'nostik ont'e
@< &enunan' ia'nostik < Laboratoriu&
@< &enunan' ia'nostik <
@< &enunan' ia'nostik < @< &enunan' ia'nostik <
@< &enunan' ia'nostik &emeriksaan )hususP#&#rik"aan Khu"u"
@< &enunan' ia'nostik &emeriksaan )husus
@< &enunan' ia'nostik &emeriksaan )husus
@< &enunan' ia'nostik &emeriksaan )husus
@< &enunan' ia'nostik &atolo'i Anatomi Patolo!i Anato&i
@< &enunan' ia'nostik &atolo'i Anatomi
@< &enunan' ia'nostik &atolo'i Anatomi
@< &enunan' ia'nostik &atolo'i Anatomi
RJL Tin'akan Khu"u" Tin'akan Khu"u"
@< Tindakan )husus
@< Tindakan )husus
@< Tindakan )husus
RJL Ph Ph("ioth#rapi
@< &h!sio
@< &h!sio
@< &h!sio RJL E&#r!# E&#r!#n"i
@< mer'ens
@< mer'ens
@< mer'ens
-& A=AT - A=AT -A&
-& A=AT -
RIPKo&pon#n Rawat Inap
Ko&pon#n Rawat Inap 1*1,500 1*1,500 1*1,500
-& )omponen awat -nap
-& )omponen awat -nap Mondok Makan 55,000 1 55,000 1 55,000 1 55,000 1
-& )omponen awat -nap Visite dokter spesialis O3C 40,000 1 40,000 1 40,000 1 40,000 1
-& )omponen awat -nap Visite dokter spesialis AA) 40,000 1 40,000 1 40,000 1 40,000 1
-& )omponen awat -nap &erawatan (a!i :roomin' in; 2#,500 1 2#,500 1 2#,500 1 2#,500 1
-& )omponen awat -nap asuhan )eperawatan 10,000 1 10,000 1 10,000 1 10,000 1-& )omponen awat -nap Tindakan )eperawatan 9,000 1 9,000 1 9,000 1 9,000 1
-& )omponen awat -nap
-& )omponen awat -nap
RIP Obat Obatobatan $",504 105,951 $$,4$"
-& O(atO
-& O(atO Anal'esik arkotik TAMAO< 50M3 .A& 3- .A& 4$9
-& O(atO Anal'esik, Antipiretik &OTO /&&O 100 M3 G 20 /&& *,5*0 " 25,#40 " 25,#40 "
-& O(atO Anal'esik, Antipiretik OVA<3- 500 M3DM< 2 M< AM& AM& 9,4*2 2 1*,9$4
-& O(atO Anti(iotik 'ol se6alosporin .T-ABO V-A< C 13 3BG2 V-A 1",2$2 2 2$,524 2 2$,524 -& A ti(i tik l 6 l i .-B-M 100 " 000 2 $ 000 2
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-& O(atO Anti(iotik 'ol se6alosporin .-B-M 100m' cap ",000 2 $,000 2
-& O(atO Antasid dan antitukak A-T-- AM& 50M3DM< 2M< AM& ",125 2 $,250
-& O(atO Antiemetik &-M&A -@ AM& 10,"12 1 10,"12
-& O(atO /terotonin MTC< 3OMT- TA 3) TA 1"* " 414 " 414 "
-& O(atO /terotonin MT3- 0,2 M3 AM& 10 AM& 9,5$9 1 9,5$9
-& O(atO Vitamin O-M- A G"0 T<D/ )&< **1 2 1,#$2 2 1,#$2 2
-& O(atO .airan Mineral -3 BTO 5% 500 M< OT < 10,*49 1 10,*49 " "2,54# " "2,54#
-& O(atO Topikal )ulit Anti(akteri )M-.T- 2% O-T 15 3 T/ 10,"12
-& O(atO -& O(atO
-& O(atO
RIP Op#ra"i Op#ra"i
-& Operasi
-& Operasi
-& Operasi
-& Operasi
RIP P#rawatan Khu"u" P#rawatan Khu"u"
-& &erawatan )husus -& &erawatan )husus
-& &erawatan )husus
RIP P#r"alinan Patolo!i" P#r"alinan Patolo!i" 4,005,54*
-& &ersalinan &atolo'is
-& &ersalinan &atolo'is S#*tio Sa#*aria 2,$"5,000 1 2,$"5,000
-& &ersalinan &atolo'is ia!a Operasional 1
-& &ersalinan &atolo'is Operator 1
-& &ersalinan &atolo'is Anestesi 1
-& &ersalinan &atolo'is Asisten, &, lain2 1 -& &ersalinan &atolo'is 1
-& &ersalinan &atolo'is 1
-& &ersalinan &atolo'is uan' pemulihan 1
-& &ersalinan &atolo'is
-& &ersalinan &atolo'is Alkes, & -(u ? &<A- 0 ,"# *5,"00 1 *5,"00
-& &ersalinan &atolo'is Alkes, & -(u ./A&O *0 B 50B10 MM 49,$00 1 49,$00
-& &ersalinan &atolo'is Alkes, & -(u A.O * :T-<; 12,"#5 1 12,"#5
-& &ersalinan &atolo'is A.O #,5 :T-<; 5,*44 2 11,$**
-& &ersalinan &atolo'is &-A/ --- 20 ",100 1 ",100 -& &ersalinan &atolo'is OTA.A< $,5 55,400 1 55,400
-& &ersalinan &atolo'is &O<CO O? 1 .<?905 3?25 1"5,500 1 1"5,500
-& &ersalinan &atolo'is &/-T " .. 4,100 1 4,100
-& &ersalinan &atolo'is ?.OM-. 2 .3?*$$D3?25 *2,#00 1 *2,#00
-& &ersalinan &atolo'is O<< 3A 5,200 1 5,200
-& &ersalinan &atolo'is V-)A 3A 5,200 1 5,200
-& &ersalinan &atolo'is /.T-O .ATT 10 10,*00 1 10,*00
-& &ersalinan &atolo'is &/-T 10 .. $,400 1 $,400
-& &ersalinan &atolo'is &/-T 5 .. 4,900 1 4,900 -& A &A. <.TO .O/T $9 "00 1 $9 "00
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-& &ersalinan &atolo'is A &A. <.TO .O/T $9,"00 1 $9,"00
-& &ersalinan &atolo'is ? /3-.C< MO-< "D0 ?24 112,900 1 112,900
-& &ersalinan &atolo'is ? &<A- 20 .3?*4" *5,000 1 *5,000
-& &ersalinan &atolo'is A.O $,5 T-< 12,"00 2 24,$00
-& &ersalinan &atolo'is A.< 0,9 % 1000 M< 10,4#0 1 10,4#0
-& &ersalinan &atolo'is < 500 M< OT/ 11,#19 1 11,#19
-& O(atO A-3 500 M< 1*,225 1 1*,225
-& O(atO ATO&- /<A -@ 2,900 2 5,*00
-& &ersalinan &atolo'is &T-- AM& -@ #5 M3 14,990 1 14,990
-& &ersalinan &atolo'is &-M&A -@ 11,$** 1 11,$**
-& &ersalinan &atolo'is .OO< 1 % 20 M< $2,000 1 $2,000
-& &ersalinan &atolo'is TAMA< /&& 1#,"94 1 1#,"94
-& &ersalinan &atolo'is TAC< 2 M< 125 M.3 "*,500 1 "*,500
-& &ersalinan &atolo'is M-<O 15 M3 1*,11" 5?0 90,5$5
-& &ersalinan &atolo'is TA.-/M 2,5 M< 2#,225 1?0 2#,225
-& &ersalinan &atolo'is -O</A 250 M< *,10# "0 24",210
-& &ersalinan &atolo'is BTA- 10 % 4,$00 1 4,$00 -& &ersalinan &atolo'is )TOO<A. " % -@ 1$,#00 " 50,100
-& &ersalinan &atolo'is
-& &ersalinan &atolo'is
-& &ersalinan &atolo'is
RIP P#nunjan! ia!no"tik P#nunjan! ia!no"tik
-& &enunan' ia'nostik ont'e Ront!#n
-& &enunan' ia'nostik ont'e
-& &enunan' ia'nostik ont'e
-& &enunan' ia'nostik ont'e -& &enunan' ia'nostik < Laboratoriu& 1*#,500
-& &enunan' ia'nostik <
-& &enunan' ia'nostik < arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
-& &enunan' ia'nostik < T :leeddin' Time; D Masa &erdarahan *,250 1 *,250
-& &enunan' ia'nostik < .T :.lotin' Time; D Masa &em(ekuan *,250 1 *,250
-& &enunan' ia'nostik < 3lukosa ewaktu 20,000 1 20,000
-& &enunan' ia'nostik < 3olon'an darah 11,000 1 11,000
-& &enunan' ia'nostik < (sA' 4#,500 1 4#,500
-& &enunan' ia'nostik < An iliru(in 2#,500 1 2#,500
-& &enunan' ia'nostik < krinin' hipotiroid 1
-& &enunan' ia'nostik &emeriksaan )husus P#&#rik"aan Khu"u"
-& &enunan' ia'nostik &emeriksaan )husus .T3 1
-& &enunan' ia'nostik &emeriksaan )husus
-& &enunan' ia'nostik &emeriksaan )husus
-& &enunan' ia'nostik &atolo'i Anatomi Patolo!i Anato&i
-& &enunan' ia'nostik &atolo'i Anatomi
-& &enunan' ia'nostik &atolo'i Anatomi
-& &enunan' ia'nostik &atolo'i Anatomi
RIP Tin'akan Khu"u" Tin'akan Khu"u"
-& Tindakan )husus -& Tindakan )husus
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Tindakan )husus
-& Tindakan )husus
RIP Lainlain Lainlain
-& <ainlain Labu arah
-& <ainlain
-& <ainlain
-& <ainlain
-& <ainlain Tranfu"i 'arah
-& <ainlain -& <ainlain
-& <ainlain
-& <ainlain
-& <ainlain Pin) Plat# S*r#w
-& <ainlain &in
-& <ainlain &late
-& <ainlain rew
-& <ainlain -O<
RIP Ph Ph("ioth#rapi -& &h!sio
-& &h!sio
-& &h!sio
Total +ia(a 2)2/-)4,0 0-5)2,1 025)3./
ari 4 ari 5 Total
ar'a @ml ar'a @ml ar'a
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1*1,500 1*1,500 90#,500
55,000 1 55,000 5 2#5,000
40,000 1 40,000 5 200,000
40,000 1 40,000 5 200,000
2#,500 1 2#,500 5 1"#,500
10,000 1 10,000 5 50,000
9,000 1 9,000 5 45,000
"",91$ 90,"22 "$0,15$
12 5,$2* 12 5,$2*
25,#40 " 25,#40 12 102,9$0
2 1*,9$4
4 5",04*
$,000 12 "$,000 1$ 4*,000
2 $,250
1 10 "12
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1 10,"12
414 15 2,0#0 24 ","12
1 9,5$9
1,#$2 12 10,5#2 1* 15,*5*
# #5,94"
1 10,"12 1 10,"12
4,005,54*
1 2,$"5,000
1
1
1
1
1
1
1
1 *5,"00
1 49,$00
1 12,"#5
2 11,$**
1 ",100
1 55,400
1 1"5,500 1 4,100
1 *2,#00
1 5,200
1 5,200
1 10,*00
1 $,400
1 4,900
1 $9,"00
1 112,900
1 *5,000
2 24 $00
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2 24,$00
1 10,4#0
1 11,#19
1 1*,225
2 5,*00
1 14,990
1 11,$**
1 $2,000
1 1#,"94 1 "*,500
5 90,5$5
1 2#,225
"0 24",210
1 4,$00
" 50,100
1*#,500
1 $5,000
1 *,250
1 *,250
1 20,000
1 11,000
1 4#,500
1 2#,500
1
1
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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01,)21. 051)-00 ,)2.4)542
)A/ > -T)TOM- TOTA<
/-A > =AA
ari 1 ari 2 ari " ari 4
ediaan ar'a atua @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umlah
RJL RA$AT JALAN LANJUTAN
@<
RJL okt#r Sp#"iali"
@<
@< RJL ObatObatan
@<
@<
@<
@<
@<
@<
RJL P#nunjan! ia!no"tik
@< Ront!#n
@<
@<
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Operasi edan'alaman 1$2 dari 25#
@
@<
@< Laboratoriu&
@<
@<
@<
@<
@< P#&#rik"aan Khu"u"
@< @<
@<
@< Patolo!i Anato&i
@<
@<
@<
RJL Tin'akan Khu"u"
@<
@<
@< RJL Ph("ioth#rapi
@<
@<
@<
RJL E&#r!#n"i
@<
@<
@<
@<
ari 1 ari 2 ari " ari 4
ediaan ar'a atua @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umlah
@<
@<
-& A=AT -A&
-&
RIP Ko&pon#n Rawat Inap 114,000 114,000 114,000 114,000
-&
-& Mondok Makan 55,000 1 55,000 1 55,000 1 55,000 1 55,000-& Visite dokter spesialis 40,000 1 40,000 1 40,000 1 40,000 1 40,000
-& asuhan )eperawatan 10,000 1 10,000 1 10,000 1 10,000 1 10,000
-& tindakan )eperawatan 9,000 1 9,000 1 9,000 1 9,000 1 9,000
RIP Obatobatan 109,20* 1$2,24$ 1$2,24$ 1$2,24$
-& Anal'esik arkotik TAMAO< 50M3 -@ G5 3- AM& *,$44 " 25,9"2 " 25,9"2 " 25,9"2
-& Anti(iotik 'ol se6alosporin .TA--M 13 V-A<G2 3 V-A< 4#,025 2 94,050 2 94,050 2 94,050 2 94,050
-& Antasid dan antitukak A-T-- AM& 50M3DM< 2M< AM& ",215 2 $,4"0 2 $,4"0 2 $,4"0 2 $,4"0
-& .airan Mineral BT 5% 500 M< OT < *,#2* 1 *,#2* 1 *,#2* 1 *,#2* 1 *,#2*
-& .airan Mineral -3 <A.TAT 500M< OT < 10,4#$ 2 20,952 2 20,952 2 20,952
-& Topikal )ulit Anti(akteri OAT/<< < 15,110
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Operasi edan'alaman 1$" dari 25#
-& ahan a(is &akai -& C-3 " M< T/MO 2,544 1 2,544 1 2,544 1 2,544
-& ahan a(is &akai -& C-3 5 M< TM ",$10 1 ",$10 1 ",$10 1 ",$10
RIP Op#ra"i ",$41,0"1 50,100
-&
-& Op#ra"i b#"ar 2,$"5,000 1 2,$"5,000
-& ia!a Operasional 1 -& Operator 1
-& Anestesi 1
-& Asisten, &, lain2 1
-&
-& & &lain 2D0 2$ (uah *2,200 1 *2,200
-& & andschoen $,5 teril ps' 12,"#5 2 24,#50
-& & /rine(a' ro!al :non steril; (uah 5,$00 1 5,$00
-& & ole!catteter 20 2 wa! (uah 24,$00 1 24,$00
-& & andschoen # teril (uah 12,"#5 2 24,#50
-& & andschoen #,5 teril (uah 5,*44 1 5,*44 -& & &isau insisi 20 :&isau (isturi; (uah ",100 1 ",100
-& & ios!n "0 sm $9" c?14 (uah 14$,"00 1 14$,"00
-& & oLilk "0 3*"2 +?20 (uah #0,*00 1 #0,*00
-& & ansaplas (uah "00 1 "00
-& & )asa idroKl citra Jra! l(r 1,1#0 20 2",400
-& & @arum isp 2# pinal : raun; (uah "*,500 1 "*,500
-& & .erplast aeroKlm 50 J 50 mm l(r #",200 1 #",200
-& & puit 10 cc :Terumo; (uah $,400 1 $,400
-& & spuit 5 cc :Terumo; (uah 4,900 2 9,*00
ari 1 ari 2 ari " ari 4
ediaan ar'a atua @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umlah
-& & and &eace electro couter :--; (uah $9,"00 2 1"*,$00
-& & ? ur'!cal 910 o? 2D0 2$ mm (uah *$,000 1 *$,000
-& O(at O) a.l 0?9% 1000ml (uah 10,4#0 1 10,4#0
-& O(at O) < 500 ml (uah 11,#19 2 2",4"*
-& O(at O) ðidin amp in 50M3 m' 14,990 1 14,990
-& O(at O) &rimperan in amp 11,$** 1 11,$**
-& O(at O) Marcain spinal hea+! 0,5% in amp 5$,#*9 1 5$,#*9 -& O(at O) entan!l 2ml 50M3 mc' "*,500 1 "*,500
-& O(at O) MiloF 15m' in mc' 1*,11" 1 1*,11"
-& O(at O) Jtradine 10 % G 1 'alon 4,$00 2 9,200
-& O(at O) )etorolac "% in amp 1$,#00 " 50,100 " 50,100
-& O(at O) Tramadol 100m' in amp *,$00 1 *,$00
-&
-&
RIP P#rawatan Khu"u"
-&
-&
-&
RIP P li P l i
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Operasi edan'alaman 1$4 dari 25#
RIP P#r"alinan Patolo!i"
-&
-&
-&
RIP P#nunjan! ia!no"tik
-& Ront!#n 4#,500
-&
-& OT3 TOA) 4#,500 1 4#,500 -&
-& Laboratoriu& 1*$,000
-&
-& arah utin $0,000 1 $0,000
-& &TT, A&TT 1
-& 3lukosa ewaktu 20,000 1 20,000
-& 3olon'an darah 11,000 1 11,000
-& un'si hati :s'ot, s'pt; "5,000 1 "5,000
-& un'si 'inal :As urat, /reum, kreatinin; $0,000 1 $0,000
-& -&
-& P#&#rik"aan Khu"u" 145,000
-& EK7 45,000 1 45,000
-& /3 100,000 1 100,000
-&
-& Patolo!i Anato&i
-&
-&
-&
ari 1 ari 2 ari " ari 4
ediaan ar'a atua @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umlah
-&
RIP Tin'akan Khu"u"
-&
-&
-&
RIP Lainlain
-& Labu arah -&
-&
-&
-& Tranfu"i 'arah
-&
-&
-&
-&
-& Pin) Plat# S*r#w
-& &in
-& &late
-&
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Operasi edan'alaman 1$5 dari 25#
-& rew
-& -O<
RIP Ph("ioth#rapi
-&
-&
-&
Total +ia(a 666 /0.)/2. 05.)02. 05.)02.
ri 5 Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi edan'alaman 1$$ dari 25#
ri 5 Total
ar'a @umlah ar'a
45$,000
4 220,000 4 1$0,000
4 40,000
4 "$,000
595,94$
9 ##,#9$
* "#$,200
* 25,#20
4 "4,912
$ $2,*5$
" # $"2
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Operasi edan'alaman 1$# dari 25#
" #,$"2
" 10,*"0
",$91,1"1
1 2,$"5,000
1
1
1
1
1 *2,200
2 24,#50
1 5,$00
1 24,$00
2 24,#50
1 5,*44 1 ",100
1 14$,"00
1 #0,*00
1 "00
20 2",400
1 "*,500
1 #",200
1 $,400
2 9,*00
ri 5 Total
ar'a @umlah ar'a
2 1"*,$00
1 *$,000
1 10,4#0
2 2",4"*
1 14,990
1 11,$**
1 5$,#*9 1 "*,500
1 1*,11"
2 9,200
$ 100,200
1 *,$00
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Operasi edan'alaman 1$* dari 25#
4#,500
1 4#,500
1*$,000
1 $0,000
1
1 20,000
1 11,000
1 "5,000
1 $0,000
145,000
1 45,000
1 100,000
ri 5 Total
ar'a @umlah ar'a
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Operasi edan'alaman 1$9 dari 25#
,)101),55
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > Appendisitis Akut Tanpa &er6orasi
/-A > =AA
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
)ontrol pasca rawat inap "5,000
ObatObatan 140,*$9
Anti(iotik 'ol se6alosporin ce6triaJon 1 'r V-A 14,000 1 14,000
Antiamoe(a N Anti'iardiasis MTO-AO< -/ 3-MA 2","#5 1 2","#5
.airan Mineral -3 <A.TAT 500M< OT < 10,4#$ 1 10,4#$
ahan a(is &akai AH/A-T 50 M< -)A < #,150 1 #,150
ahan a(is &akai <OO TA/-O T TM "9,12$ 1 "9,12$
ahan a(is &akai AO.AT T 203 1*,#50 1 1*,#50
ahan a(is &akai -& C-3 1 M< T/MO T 2,$12 1 2,$12
ahan a(is &akai -& C-3 5 M< TM 1,$50 1 1,$50 ahan a(is &akai T =AC TO& .O.) 2",292 1 2",292
ahan a(is &akai AA&<AT T T-& G 10 4"* 1 4"*
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Appendisitis
)OTO< &A.A A=AT -A&
Anal'esik, Antipiretik AAM MAMAT TA "50 10
Anti(iotik 'ol se6alosporin .-B-M 100m' cap ",000 10
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu& 1$0,000
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
T :leeddin' Time; D Masa &erdarahan *,250 1 *,250
.T :.lotin' Time; D Masa &em(ekuan *,250 1 *,250
3lukosa ewaktu 20,000 1 20,000 .ross Match :Vena; 1
3olon'an darah 11,000 1 11,000
(sA' 4#,500 1 4#,500
P#&#rik"aan Khu"u" 100,000
A&&-.O3AMD/3 100,000 1 100,000
Patolo!i Anato&i
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah
Tin'akan Khu"u"
Ph("ioth#rapi
E&#r!#n"i $5,000
@asa dokter 25,000 1 25,000
)onsul dr spesialis 40,000 1 40,000
A=AT -A&
Ko&pon#n Rawat Inap #4,000 114,000 114,000
Mondok makan 55 000 1 55 000 1 55 000 1 55 000
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Appendisitis
Mondok makan 55,000 1 55,000 1 55,000 1 55,000
Visite dokter 40,000 1 40,000 1 40,000
Asuhan keperawatan 10,000 1 10,000 1 10,000 1 10,000
Tindakan keperawatan 9,000 1 9,000 1 9,000 1 9,000
Obatobatan 15$,094 254,12* 20$,00"
Anal'esik arkotik TAMAO< 50M3 -@ G5 3- AM& *,$44 " 25,9"2 " 25,9"2 15
Anal'esik, Antipiretik )TO&O 100 M3 TA TA 1,5"5 2
Anti(iotik 'ol se6alosporin .TA--M 1'r V-A 55,000 2 110,000 2 110,000 2 110,000
Anti(iotik 'ol se6alosporin .-B-M 100m' cap ",000 10
Antasid dan antitukak A-T-- AM& 50M3DM< 2M< AM& ",215 2 $,4"0 2 $,4"0 2 $,4"0 2
Antasid dan antitukak OM&AO< 20 M3 .A& B .A& 9#$ 4
Antasid dan antitukak .-<O) /& 100 M< C& 4*,125 1 4*,125
Antiemetik &-M&A -@ AM& 10,"12 " "0,9"$ " "0,9"$ " "0,9"$
.airan Mineral BT 5% 500 M< OT < *,#2* 1 *,#2* 1 *,#2* 1 *,#2* 1
.airan Mineral -3 <A.TAT 500M< OT < 10,4#$ 2 20,952 2 20,952 Topikal )ulit Anti(akteri OAT/<< < 15,110 1
ahan a(is &akai -& C-3 " M< T/MO 1,"#5 1 1,"#5 1 1,"#5
ahan a(is &akai -& C-3 5 M< TM 1,$50 1 1,$50 1 1,$50
Op#ra"i ",1$$,0"1
Op#ra"i "#'an! 2,1$0,000 1 2,1$0,000
ia!a Operasional 1
Operator 1 Anestesi 1
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah
Asisten, &, lain2 1
uan' &emulihan 1
& &lain 2D0 2$ (uah *2,200 1 *2,200
& andschoen $,5 teril ps' 12,"#5 2 24,#50
& /rine(a' ro!al :non steril; (uah 5,$00 1 5,$00
& ole!catteter 20 2 wa! (uah 24,$00 1 24,$00 & andschoen # teril (uah 12,"#5 2 24,#50
& andschoen #,5 teril (uah 5,*44 1 5,*44
& &isau insisi 20 :&isau (isturi; (uah ",100 1 ",100
& ios!n "0 sm $9" c?14 (uah 14$,"00 1 14$,"00
& oLilk "0 3*"2 +?20 (uah #0,*00 1 #0,*00
& ansaplas (uah "00 1 "00
& )asa idroKl citra Jra! l(r 1,1#0 20 2",400
& @arum isp 2# pinal : raun; (uah "*,500 1 "*,500
& .erplast aeroKlm 50 J 50 mm l(r #",200 1 #",200
& puit 10 cc :Terumo; (uah $,400 1 $,400 & spuit 5 cc :Terumo; (uah 4,900 2 9,*00
& and &eace electro couter :--; (uah $9,"00 2 1"*,$00
& ur'!cal 910 o 2D0 2$ mm (uah *$ 000 1 *$ 000
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Appendisitis
& ? ur'!cal 910 o? 2D0 2$ mm (uah *$,000 1 *$,000
O(at O) a.l 0?9% 1000ml (uah 10,4#0 1 10,4#0
O(at O) < 500 ml (uah 11,#19 2 2",4"*
O(at O) ðidin amp in 50M3 m' 14,990 1 14,990
O(at O) &rimperan in amp 11,$** 1 11,$**
O(at O) Marcain spinal hea+! 0,5% in amp 5$,#*9 1 5$,#*9
O(at O) entan!l 2ml 50M3 mc' "*,500 1 "*,500
O(at O) MiloF 15m' in mc' 1*,11" 1 1*,11"
O(at O) Jtradine 10 % G 1 'alon 4,$00 2 9,200
O(at O) )etorolac "% in amp 1$,#00 " 50,100
O(at O) Tramadol 100m' in amp *,$00 1 *,$00
P#rawatan Khu"u"
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu&
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Lainlain
Labu arah
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Appendisitis
Tranfu"i 'arah
Pin) Plat# S*r#w
&in
&late
rew
-O<
Ph("ioth#rapi
Total +ia(a 666 /.-)10- /04)44/
ri 4 Total
ar'a @umlah ar'a
"",500 1#4,"$9
1 14,000
1 2","#5
1 10,4#$
1 #,150
1 "9,12$
1 1*,#50
1 2,$12
1 1,$50 1 2",292
1 4"*
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Appendisitis
",500 10 ",500
"0,000 10 "0,000
1$0,000
1 $5,000
1 *,250
1 *,250
1 20,000 1
1 11,000
1 4#,500
100,000
1 100,000
ri 4 Total
ar'a @umlah ar'a
$5,000
1 25,000
1 40,000
"02,000
" 1$5,000
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Appendisitis
2 *0,000
" "0,000
" 2#,000
19$,902 *1",12#
129,$$0 21 1*1,524
",0#0 2 ",0#0
$ ""0,000
"0,000 10 "0,000
$,4"0 * 25,#20
",904 4 ",904
1 4*,125
9 92,*0*
*,#2* 4 "4,912
4 41,90415,110 1 15,110
2 2,#50
2 ","00
",1$$,0"1
1 2,1$0,000
1
1 1
ri 4 Total
ar'a @umlah ar'a
1
1
1 *2,200
2 24,#50
1 5,$00
1 24,$00
2 24,#50
1 5,*44
1 ",100
1 14$,"00
1 #0,*00
1 "00
20 2",400
1 "*,500
1 #",200
1 $,400 2 9,*00
2 1"*,$00
1 *$,000
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Appendisitis
1 10,4#0
2 2",4"*
1 14,990
1 11,$**
1 5$,#*9
1 "*,500
1 1*,11"
2 9,200
" 50,100
1 *,$00
ri 4 Total
ar'a @umlah ar'a
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Appendisitis
0/4)240
4,#*0,52#
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > AM :-OAOMA MAMMA;
/-A > =AA
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu&
P#&#rik"aan Khu"u"
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AMD3A3<-OD<-&OMAalaman 1#* dari 25#
Patolo!i Anato&i
Tin'akan Khu"u"
Ph("ioth#rapi
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
E&#r!#n"i
A=AT -A&
Ko&pon#n Rawat Inap 114,000
Mondok makan 55,000 1 55,000 1 Visite dokter spesialis 40,000 1 40,000 1
Asuhan keperawatan 10,000 1 10,000 1
Tindakan keperawatan 9,000 1 9,000 1
Obatobatan 1*,0#0
Anal'esik, Antipiretik AAM MAMA TA 1"* 15 2,0#0
Anti(iotik 'ol se6alospori .AOB-< .A& .A& 1,$00 10 1$,000
Op#ra"i ",120,101
Op#ra"i "#'an! 2,1$0,000 1 2,1$0,000
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AMD3A3<-OD<-&OMAalaman 1#9 dari 25#
ia!a Operasional 1
Operator 1
Anestesi 1
Asisten, &, lain2 1
Materi dan (ahan ha(is p .OO< AM& -V AM& 101,200 1 101,200
Materi dan (ahan ha(is pTAC< .-TAT V-A #1,$10 1 #1,$10
A-T-- -@ 3B 4,125 2 *,250
Anestetik /mum -soLurane cc *,10# 50 405,"50
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
)TOO<A. "% -@G10 3B 1*,5$" 1 1*,5$" AH/A-T 50 M< #,150 1 #,150
-/ T =AA TM 15,125 1 15,125
-3 <A.TAT 500M< OT 11,""0 " "",990
TT 100,95* 1 100,95*
AO.AT T 203 1*,#50 1 1*,#50
</)OM #2"*001 * B 10 5,4"1 1 5,4"1
-& C-3 1 2,$12 1 2,$12
-& C-3 " 1,"#5 2 2,#50
-O- &OV-O T< 2,500 2 5,000
--./ 100 ml 24,0#0 0?25 $,01* /3-.A< 3<OV 4,400 4 1#,$00
/3-.A< <A ",4"* 1 ",4"*
.AA )A&A $,504 0?25 1,$2$
.AT 3/T .OM- $$,20$ 1 $$,20$
.OM-. 20 := $*,4#5 1 $*,4#5
P#rawatan Khu"u"
P#r"alinan Patolo!i"
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AMD3A3<-OD<-&OMAalaman 1*0 dari 25#
P#nunjan! ia!no"tik
Ront!#n 4#,500
Thoraks &A 4#,500 1 4#,500
Laboratoriu& 149,000
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
T :leeddin' Time; D Masa &erdarahan *,250 1 *,250
.T :.lotin' Time; D Masa &em(ekuan *,250 1 *,250
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
3ula arah &uasa 20,000 1 20,000 (sA' 4#,500 1 4#,500
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Lainlain
Labu arah
Tranfu"i 'arah
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AMD3A3<-OD<-&OMAalaman 1*1 dari 25#
Pin) Plat# S*r#w
&in
&late
rew
-O< Ph("ioth#rapi
Total +ia(a /)22-).51
ri " Total
ar'a @umlah ar'a
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AMD3A3<-OD<-&OMAalaman 1*2 dari 25#
ri " Total
ar'a @umlah ar'a
114,000
1 100,000 1 40,000
1 20,000
1 20,000
1*,0#0
15 2,0#0
10 1$,000
",120,101
1 2,1$0,000
1
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AMD3A3<-OD<-&OMAalaman 1*" dari 25#
1
1
1
1
1 101,200
1 #1,$10
2 *,250
50 405,"50
ri " Total
ar'a @umlah ar'a
1 1*,5$" 1 #,150
1 15,125
" "",990
1 100,95*
1 1*,#50
1 5,4"1
1 2,$12
2 2,#50
2 5,000
0 $,01* 4 1#,$00
1 ",4"*
0 1,$2$
1 $$,20$
1 $*,4#5
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AMD3A3<-OD<-&OMAalaman 1*4 dari 25#
4#,500
1 4#,500
149,000
1 $5,000
1 *,250
1 *,250
ri " Total
ar'a @umlah ar'a
1 20,000 1 4#,500
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AMD3A3<-OD<-&OMAalaman 1*5 dari 25#
/)22-).51
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > 3A3<-O
/-A > =AA
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu&
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AMD3A3<-OD<-&OMAalaman 1*$ dari 25#
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Ph("ioth#rapi
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
E&#r!#n"i
A=AT -A&
Ko&pon#n Rawat Inap 114,000
Mondok makan 55,000 1 55,000
Visite dokter spesialis 40,000 1 40,000
Asuhan keperawatan 10,000 1 10,000
Tindakan keperawatan 9,000 1 9,000
Obatobatan 1*,0#0
Anal'esik, Antipiretik AAM MAMAT 500 M3 3) TA 1"* 15 2,0#0
Anti(iotik 'ol se6alospori .AOB-< .A& 500M3 3- .A& 1,$00 10 1$,000
Op#ra"i ",120,101
Op#ra"i "#'an! 2,1$0,000 1 2,1$0,000
ia!a Operasional 1
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AMD3A3<-OD<-&OMAalaman 1*# dari 25#
ia!a Operasional 1
Operator 1
Anestesi 1
Asisten, &, lain2 1
Materi dan (ahan ha(is p.OO< AM& -V 10M3DM< 20M< AM& 101,200 1 101,200
Materi dan (ahan ha(is p TAC< .-TAT -@ 10 M< V-A #1,$10 1 #1,$10
A-T-- -@ 3B 4,125 2 *,250
Anestetik /mum -soLurane cc *,10# 50 405,"50
)TOO<A. "% -@G10 3B 1*,5$" 1 1*,5$"
AH/A-T 50 M< -)A < #,150 1 #,150
-/ T =AA TM 15,125 1 15,125 -3 <A.TAT 500M< OT 11,""0 " "",990
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
TT 100,95* 1 100,95*
AO.AT T 203 1*,#50 1 1*,#50
</)OM #2"*001 * B 10 5,4"1 1 5,4"1
-& C-3 1 M< T/MO T 2,$12 1 2,$12
-& C-3 " M< T/MO 1,"#5 2 2,#50
-O- &OV-O O< 10% "0M< T< 2,500 2 5,000
--./ 100 ml 24,0#0 0?25 $,01*
/3-.A< 3<OV O #?5 4,400 4 1#,$00 /3-.A< <A 15 ",4"* 1 ",4"*
.AA )A&A O<A 50 3 $,504 0?25 1,$2$
.AT 3/T .OM-. 20 $$,20$ 1 $$,20$
.OM-. 20 :=44*; $*,4#5 1 $*,4#5
P#rawatan Khu"u"
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
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AMD3A3<-OD<-&OMAalaman 1** dari 25#
P#nunjan! ia!no"tik
Ront!#n 4#,500
Thoraks &A 4#,500 1 4#,500
Laboratoriu& 149,000
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
T :leeddin' Time; D Masa &erdarahan *,250 1 *,250
.T :.lotin' Time; D Masa &em(ekuan *,250 1 *,250
3ula arah &uasa 20,000 1 20,000
(sA' 4#,500 1 4#,500
P#&#rik"aan Khu"u"
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
Patolo!i Anato&i
Tin'akan Khu"u"
Lainlain
Labu arah
Tranfu"i 'arah
Pin) Plat# S*r#w
&in
&late
rew
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AMD3A3<-OD<-&OMAalaman 1*9 dari 25#
rew
-O<
Ph("ioth#rapi
Total +ia(a 666
ri " Total
ar'a @umlah ar'a
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AMD3A3<-OD<-&OMAalaman 190 dari 25#
ri " Total
ar'a @umlah ar'a
114,000
1 100,000
1 40,000
1 20,000
1 20,000
1*,0#0
15 2,0#0
10 1$,000
",120,101
1 2,1$0,000
1
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AMD3A3<-OD<-&OMAalaman 191 dari 25#
1
1
1
1 101,200
1 #1,$10
2 *,250
50 405,"50
1 1*,5$"
1 #,150
1 15,125 " "",990
ri " Total
ar'a @umlah ar'a
1 100,95*
1 1*,#50
1 5,4"1
1 2,$12
2 2,#50
2 5,000
0 $,01*
4 1#,$00 1 ",4"*
0 1,$2$
1 $$,20$
1 $*,4#5
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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AMD3A3<-OD<-&OMAalaman 192 dari 25#
4#,500
1 4#,500
149,000
1 $5,000
1 *,250
1 *,250
1 20,000
1 4#,500
ri " Total
ar'a @umlah ar'a
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AMD3A3<-OD<-&OMAalaman 19" dari 25#
/)22-).51
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > <-&OMA M/<T-&<
/-A > =AA
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu&
P#&#rik"aan Khu"u"
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AMD3A3<-OD<-&OMAalaman 194 dari 25#
Patolo!i Anato&i
Tin'akan Khu"u"
Ph("ioth#rapi
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
E&#r!#n"i
A=AT -A&
Ko&pon#n Rawat Inap 114,000
Mondok makan 55,000 1 55,000 1
Visite dokter spesialis 40,000 1 40,000 1
Asuhan keperawatan 10,000 1 10,000 1
Tindakan keperawatan 9,000 1 9,000 1
Obatobatan 1*,0#0
Anal'esik, Antipiretik AAM MAMAT 500 M3 3) TA 1"* 15 2,0#0
Anti(iotik 'ol se6alospori .AOB-< .A& 500M3 3- .A& 1,$00 10 1$,000
Op#ra"i ",120,101
Op#ra"i "#'an! 2,1$0,000 1 2,1$0,000
ia!a Operasional 1
Operator 1
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AMD3A3<-OD<-&OMAalaman 195 dari 25#
Operator 1
Anestesi 1
Asisten, &, lain2 1
Materi dan (ahan ha(is p .OO< AM& -V 10M3DM< 20M< AM& 101,200 1 101,200
Materi dan (ahan ha(is p TAC< .-TAT -@ 10 M< V-A #1,$10 1 #1,$10
A-T-- -@ 3B 4,125 2 *,250
Anestetik /mum -soLurane cc *,10# 50 405,"50
)TOO<A. "% -@G10 3B 1*,5$" 1 1*,5$"
AH/A-T 50 M< -)A < #,150 1 #,150
-/ T =AA TM 15,125 1 15,125 -3 <A.TAT 500M< OT 11,""0 " "",990
ari 1 ari 2 ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
TT 100,95* 1 100,95*
AO.AT T 203 1*,#50 1 1*,#50
</)OM #2"*001 * B 10 5,4"1 1 5,4"1
-& C-3 1 M< T/MO T 2,$12 1 2,$12
-& C-3 " M< T/MO 1,"#5 2 2,#50
-O- &OV-O O< 10% "0M< T< 2,500 2 5,000
--./ 100 ml 24,0#0 0?25 $,01*
/3-.A< 3<OV O #?5 4,400 4 1#,$00
/3-.A< <A 15 ",4"* 1 ",4"*
.AA )A&A O<A 50 3 $,504 0?25 1,$2$
.AT 3/T .OM-. 20 $$,20$ 1 $$,20$
.OM-. 20 :=44*; $*,4#5 1 $*,4#5
P#rawatan Khu"u"
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n 4#,500
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AMD3A3<-OD<-&OMAalaman 19$ dari 25#
! ,
Thoraks &A 4#,500 1 4#,500
Laboratoriu& 149,000
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
T :leeddin' Time; D Masa &erdarahan *,250 1 *,250
.T :.lotin' Time; D Masa &em(ekuan *,250 1 *,250
3ula arah &uasa 20,000 1 20,000
(sA' 4#,500 1 4#,500
P#&#rik"aan Khu"u"
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
Patolo!i Anato&i
Tin'akan Khu"u"
Lainlain
Labu arah
Tranfu"i 'arah
Pin) Plat# S*r#w
&in
&late
rew
-O<
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AMD3A3<-OD<-&OMAalaman 19# dari 25#
-O<
Ph("ioth#rapi
Total +ia(a 666
)eteran'an>
; Tari6 paket untuk kasus lipoma !an' dimaksud adalah pada kasus <ipoma den'an>
ü
ukuran P *cm, atau
ü <etak pada ten'kuk :nuche;, umlah
ü @umlah Q " (uah !an' dioperasi pada saat (ersamaan
ri " Total
ar'a @umlah ar'a
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AMD3A3<-OD<-&OMAalaman 19* dari 25#
ri " Totalar'a @umlah ar'a
114,000
1 100,000
1 40,000
1 20,000
1 20,000
1*,0#0
15 2,0#0
10 1$,000
",120,101
1 2,1$0,000
1
1
1
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AMD3A3<-OD<-&OMAalaman 199 dari 25#
1
1
1 101,200
1 #1,$10
2 *,250
50 405,"50
1 1*,5$"
1 #,150
1 15,125
" "",990
ri " Totalar'a @umlah ar'a
1 100,95*
1 1*,#50
1 5,4"1
1 2,$12
2 2,#50
2 5,000
0 $,01*
4 1#,$00
1 ",4"*
0 1,$2$
1 $$,20$
1 $*,4#5
4#,500
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AMD3A3<-OD<-&OMAalaman 200 dari 25#
1 4#,500
149,000
1 $5,000
1 *,250
1 *,250
1 20,000
1 4#,500
ri " Totalar'a @umlah ar'a
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AMD3A3<-OD<-&OMAalaman 201 dari 25#
/)22-).51
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap
)A/ > AMOO- 'r ----- :den'an tindakan staples;
/-A > =AA
ari 1 ari 2 ari " ari 4
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu&
P#&#rik"aan Khu"u"
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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aemorrhoid 'r -----alaman 202 dari 25#
Patolo!i Anato&i
Tin'akan Khu"u"
Ph("ioth#rapi
E&#r!#n"i
A=AT -A&
Ko&pon#n Rawat Inap 114,000 114,000 114,000 114,000
Mondok makan 55,000 1 55,000 1 55,000 1 55,000 1 55,000
Visite dokter spesialis 40,000 1 40,000 1 40,000 1 40,000 1 40,000
Asuhan keperawatan 10,000 1 10,000 1 10,000 1 10,000 1 10,000
ari 1 ari 2 ari " ari 4
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a
Tindakan keperawatan 9,000 1 9,000 1 9,000 1 9,000 1 9,000
Obatobatan 2#4,1"5 14",0*5 150,2"5 195,"45
ahan a(is &akai <OO TA/-O T TM "9,12$ 1 "9,12$
ahan a(is &akai AO.AT T 203 1*,#50 1 1*,#50
ahan a(is &akai -/ T =AA TM 15,125 1 15,125
ahan a(is &akai -& C-3 1 M< T/MO T 2,$12 1 2,$12
ahan a(is &akai -& C-3 5 M< TM 1,$50 1 1,$50
ahan a(is &akai T =AC TO& .O.) 2",292 1 2",292
ahan a(is &akai AA&<AT T T-& G 10 4"* 1 4"*
Anal'esik arkotik TAMAO< 50M3 -@ G5 3- AM& *,$44 " 25,9"2
Anal'esik, Antipiretik )TO&O 100 M3 TA TA 1,5"5 2 ",0#0 2 ",0#0 2 ",0#0 2 ",0#0
Anti(iotik 'ol se6alospori .TA--M 13 V-A<G2 3 AM& 4#,025 2 94,050 2 94,050 2 94,050 2 94,050
)atartik /<.O<AB TA 5M3 G200 TA 904 2 1,*0* 2 1,*0* 2 1,*0* 2 1,*0*
ahan a(is &akai AH/A-T 50 M< -)A < #,150 1 #,150 1 #,150 1 #,150
Anti(iotik 'ol se6alospori .-B-M 100m' cap ",000 10 "0,000Antasid dan antitukak OM&AO< 20 M3 .A& B .A& 9#$ 1 9#$ 1 9#$ 1 9#$ 1 9#$
.airan Mineral BT 5% 500 M< OT < *,#2* 1 *,#2* 1 *,#2* 1 *,#2* 1 *,#2*
.airan Mineral -3 <A.TAT 500M< OT < 10,4#$ " "1,42* " "1,42* " "1,42* " "1,42*
Topikal )ulit Anti(akteri OAT/<< < 15,110 1 15,110
ahan a(is &akai -& C-3 " M< T/MO 1,"#5 1 1,"#5 1 1,"#5 1 1,"#5
ahan a(is &akai -& C-3 5 M< TM 1,$50 1 1,$50 1 1,$50 1 1,$50
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aemorrhoid 'r -----alaman 20" dari 25#
Op#ra"i ",1$0,*$$
Op#ra"i "#'an! 2,1$0,000 1 2,1$0,000
ia!a Operasional 1
Operator 1
Anestesi 1
Asisten, &, lain2 1
Materi dan & .OO< AM& -V 10M3DM< 20M< AM& 101,200 1 101,200 Materi dan & TAC< .-TAT -@ 10 M< V-A #1,$10 1 #1,$10
)TOO<A. "% -@G10 3B 1*,5$" 2 "#,125
Anestetik /mum -soLurane cc *,10# 50 405,"50
TT 100,95* 1 100,95*
AH/A-T 50 M< -)A < #,150 1 #,150
<OO TA/-O T TM "9,12$ 1 "9,12$
-3 <A.TAT 500M< OT 11,""0 4 45,"20
AO.AT T 223 1*,#50 1 1*,#50
</)OM #2"*001 * B 10 5,4"1 1 5,4"1
-& C-3 1 M< T/MO T 2,$12 1 2,$12 -& C-3 " M< T/MO 1,"#5 1 1,"#5
-& C-3 5 M< TM 1,$50 1 1,$50
-& C-3 10 M< TM 2,""* 1 2,""*
ari 1 ari 2 ari " ari 4
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a
-O- &OV-O O< 10% "0M< T< 2,500 1 2,500
A<)OO< #0 % 100 M< AMA) < ",5*# 1 ",5*#
--./ 100 ml 24,0#0 0?25 $,01*
)AA C?T-< 24 1$D1$ #,$22 1 #,$22
/3-.A< 3<OV O #?5 4,400 5 22,000
/3-.A< <A 15 ",4"* 1 ",4"*
M-.O&O 0,5R B 10 $,*#5 0?2 1,"#5
.AT 3/T .OM-. 20 $$,20$ 1 $$,20$
.AT 3/T M-<) "O 4*,125 1 4*,125
P#rawatan Khu"u"
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n
.olon -n <oop 1
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aemorrhoid 'r -----alaman 204 dari 25#
p
Laboratoriu& 1$0,000
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
T :leeddin' Time; D Masa &erdarahan *,250 1 *,250
.T :.lotin' Time; D Masa &em(ekuan *,250 1 *,250
3lukosa ewaktu 20,000 1 20,000
.ross Match :Vena; 1
3olon'an darah 11,000 1 11,000
A' 4#,500 1 4#,500
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
ectal Taucher 1
ari 1 ari 2 ari " ari 4
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a
Lainlain
Labu arah
Tranfu"i 'arah
Pin) Plat# S*r#w
&in
&late
rew
-O<
Ph("ioth#rapi
Total +ia(a /)543)441 0,5)4-, 0.2)0/, /43)/2,
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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aemorrhoid 'r -----alaman 205 dari 25#
)ontrol Total
@umlah ar'a @umlah ar'a
1 1
1 1
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aemorrhoid 'r -----alaman 20$ dari 25#
45$,000
4 220,000
4 1$0,000
4 40,000
)ontrol Total
@umlah ar'a @umlah ar'a
4 "$,000
#$2,*00
1 "9,12$
1 1*,#50
1 15,125
1 2,$12
1 1,$50
1 2",292
1 4"*
" 25,9"2
* 12,2*0
* "#$,200
* #,2"2
" 21,450
10 "0,000 4 ",904
4 "4,912
12 125,#12
1 15,110
" 4,125
" 4,950
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aemorrhoid 'r -----alaman 20# dari 25#
",1$0,*$$
1 2,1$0,000
1
1
1
1
1 101,200 1 #1,$10
2 "#,125
50 405,"50
1 100,95*
1 #,150
1 "9,12$
4 45,"20
1 1*,#50
1 5,4"1
1 2,$12 1 1,"#5
1 1,$50
1 2,""*
)ontrol Total
@umlah ar'a @umlah ar'a
1 2,500
1 ",5*#
0 $,01*
1 #,$22
5 22,000
1 ",4"*
0 1,"#5
1 $$,20$
1 4*,125
1
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aemorrhoid 'r -----alaman 20* dari 25#
1$0,000
1 $5,000
1 *,250
1 *,250
1 20,000
1
1 11,000
1 4#,500
1
)ontrol Total
@umlah ar'a @umlah ar'a
2),/3)...
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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aemorrhoid 'r -----alaman 209 dari 25#
)A/ > Operasi )atarak
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @um
RJL RA$AT JALAN LANJUTAN RA$AT JALAN LANJUTAN
@< A=AT @A<A <A@/TA
RJL okt#r okt#r Sp#"iali"
@< okter
@< okter
RJL ObatOba ObatObatan "9,40"
@< O(atO(ata cendoJitrol tm "2,"1" 1 "2,"1"
@< O(atO(ata Amoksisilin 500 m' 550 10 5,500
@< O(atO(ata Asam me6enamat 159 10 1,590
@< O(atO(ata
@< O(atO(ata
@< O(atO(ata
RJL P#nunjan! ia!no"tik P#nunjan! ia!no"tik@< &enunan' ia'nostik ont'e Ront!#n
@< &enunan' ia'nostik ont'e
@< &enunan' ia'nostik ont'e
@< &enunan' ia'nostik ont'e
@< &enunan' ia'nostik < Laboratoriu&
@< &enunan' ia'nostik <
@< & i tik <
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Operasi edan'alaman 210 dari 25#
@< &enunan' ia'nostik <
@< &enunan' ia'nostik <
@< &enunan' ia'nostik <
@< &enunan' ia'nostik <
@< &enunan' ia'nostik <
@< &enunan' ia'nostik &emeriksaan )husus P#&#rik"aan Khu"u"
@< &enunan' ia'nostik &emeriksaan )husus
@< &enunan' ia'nostik &emeriksaan )husus
@< &enunan' ia'nostik &emeriksaan )husus
@< &enunan' ia'nostik &atolo'i Anatomi Patolo!i Anato&i @< &enunan' ia'nostik &atolo'i Anatomi
@< &enunan' ia'nostik &atolo'i Anatomi
@< &enunan' ia'nostik &atolo'i Anatomi
RJL Tin' Tin'akan Khu"u"
@< Tindakan
@< Tindakan
@< Tindakan
RJL Ph("ioth Ph("ioth#rapi
@< &h!siother
@< &h!siother
@< &h!siother
RJL E&#r!#n"i E&#r!#n"i
@< mer'ensi
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
@< mer'ensi
@< mer'ensi
-& A=AT -A& A=AT -A&
-& A=AT -A&
RIP Ko&pon#n Rawat Inap Ko&pon#n Rawat Inap 22*,000
-& )omponen awat -nap Mondok makan 55,000 2 110,000
-& )omponen awat -nap Visite dokter 40,000 2 *0,000 -& )omponen awat -nap Asuhan keperawatan 10,000 2 20,000
-& )omponen awat -nap Tindakan keperawatan 9,000 2 1*,000
-& )omponen awat -nap
RIP Obatobat Obatobatan
-& O(atO(ata
-& O(atO(ata
-& O(atO(ata
-& O(atO(ata
-& O(atO(ata -& O(atO(ata
-& O(atO(ata
RIP Op#ra"i Op#ra"i ",""0,*00
-& Operasi
-& Operasi Pak#t op#ra"i IOL 8ol'abl# 9op#r"i b#"ar: ",""0,*00 1 ",""0,*00
-& Operasi
-& Operasi
-& Operasi
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Operasi edan'alaman 211 dari 25#
-& Operasi
-& Operasi -& Operasi
RIP P P#rawatan Khu"u"
-& &erawa
-& &erawa
-& &erawa
-& &erawa
-& &erawa
-& &erawa
RIP P#r"alinan Patolo!i" P#r"alinan Patolo!i"
-& &ers
-& &ers
-& &ers
RIP P#nunjan! ia!no"tik P#nunjan! ia!no"tik
-& &enunan' ia'nostik ont'e Ront!#n
-& &enunan' ia'nostik ont'e
-& &enunan' ia'nostik ont'e
-& &enunan' ia'nostik ont'e
-& &enunan' ia'nostik < Laboratoriu&
-& &enunan' ia'nostik <
-& &enunan' ia'nostik <
ari 1 ari 2
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah
-& &enunan' ia'nostik <
-& &enunan' ia'nostik <
-& &enunan' ia'nostik <
-& &enunan' ia'nostik <
-& &enunan' ia'nostik <
-& &enunan' ia'nostik <
-& &enunan' ia'nostik &emeriksaan )husus P#&#rik"aan Khu"u" -& &enunan' ia'nostik &emeriksaan )husus
-& &enunan' ia'nostik &emeriksaan )husus
-& &enunan' ia'nostik &emeriksaan )husus
-& &enunan' ia'nostik &atolo'i Anatomi Patolo!i Anato&i
-& &enunan' ia'nostik &atolo'i Anatomi
-& &enunan' ia'nostik &atolo'i Anatomi
-& &enunan' ia'nostik &atolo'i Anatomi
-& &enunan' ia'nostik &atolo'i Anatomi
RIP Tin' Tin'akan Khu"u"
-& Tindakan
-& Tindakan
-& Tindakan
RIP Lainlain Lainlain
-& <ainlain Labu arah
-& <ainlain
-& <ainlain
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Operasi edan'alaman 212 dari 25#
-& <ainlain
-& <ainlain -& <ainlain Tranfu"i 'arah
-& <ainlain
-& <ainlain
-& <ainlain
-& <ainlain
-& <ainlain Pin) Plat# S*r#w 500,000
-& <ainlain &in
-& <ainlain &late
-& <ainlain rew -& <ainlain -O< lensa mata tanam :-O<; 500,000 1 500,000
RIP Ph("ioth Ph("ioth#rapi
-& &h!siother
-& &h!siother
-& &h!siother
Total +ia(a 2)43-)04/
ri " Total
ar'a @umlah ar'a
"9,40" 1 "2,"1"
10 5,500
10 1,590
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Operasi edan'
alaman 21" dari 25#
ri " Total
ar'a @umlah ar'a
22*,000
2 110,000
2 *0,000
2 20,000 2 1*,000
",""0,*00
1 ",""0,*00
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Operasi edan'
alaman 214 dari 25#
ri " Total
ar'a @umlah ar'a
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Operasi edan'
alaman 215 dari 25#
500,000
1 500,000
2)43-)04/
)A/ > &teri'ium anap
ari 1 Total
ediaan ar'a atuan @umlah ar'a @umlah ar'a
RJL RA$AT JALAN LANJUTAN RA$AT JALAN LANJUTAN
@< A=AT @A<A <A@/TA
RJL okt#r okt#r Sp#"iali" @< okter p
@< okter p
RJL ObatOba ObatObatan
@< O(atO(ata
@< O(atO(ata
@< O(atO(ata
@< O(atO(ata
@< O(atO(ata
@< O(atO(ata
@< O(atO(ata
@< O(atO(ata
RJL P#nunjan! ia!no"tik P#nunjan! ia!no"tik
@< &enunan' ia'nostik ont'e Ront!#n
@< &enunan' ia'nostik ont'e
@< &enunan' ia'nostik ont'e
@< &enunan' ia'nostik ont'e
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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@< &enunan' ia'nostik <a(oratorium Laboratoriu&
@< &enunan' ia'nostik <a(oratorium
@< &enunan' ia'nostik <a(oratorium
@< &enunan' ia'nostik <a(oratorium
@< &enunan' ia'nostik <a(oratorium
@< &enunan' ia'nostik &emeriksaan )husus P#&#rik"aan Khu"u"
@< &enunan' ia'nostik &emeriksaan )husus
@< &enunan' ia'nostik &emeriksaan )husus
@< &enunan' ia'nostik &emeriksaan )husus
@< &enunan' ia'nostik &atolo'i Anatomi Patolo!i Anato&i @< &enunan' ia'nostik &atolo'i Anatomi
@< &enunan' ia'nostik &atolo'i Anatomi
@< &enunan' ia'nostik &atolo'i Anatomi
RJL Tin' Tin'akan Khu"u"
@< Tindaka
@< Tindaka
@< Tindaka
RJL Ph("ioth Ph("ioth#rapi
@< &h!siothera @< &h!siothera
@< &h!siothera
RJL E&#r!#n"i E&#r!#n"i
@< mer'ensi
@< mer'ensi
@< mer'ensi
-& A=AT -A& A=AT -A&
ari 1 Total
ediaan ar'a atuan @umlah ar'a @umlah ar'a
-& &enunan' ia'nostik &emeriksaan )husus
-& &enunan' ia'nostik &emeriksaan )husus
-& &enunan' ia'nostik &emeriksaan )husus
-& &enunan' ia'nostik &atolo'i Anatomi Patolo!i Anato&i
-& &enunan' ia'nostik &atolo'i Anatomi -& &enunan' ia'nostik &atolo'i Anatomi
-& &enunan' ia'nostik &atolo'i Anatomi
-& &enunan' ia'nostik &atolo'i Anatomi
RIP Tin' Tin'akan Khu"u"
-& Tindaka
-& Tindaka
-& Tindaka
RIP Lainlain Lainlain
-& <ainlain Labu arah -& <ainlain
-& <ainlain
-& <ainlain
-& <ainlain Tranfu"i 'arah
-& <ainlain
-& <ainlain
-& <ainlain
-& <ainlain
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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-& <ainlain Pin) Plat# S*r#w -& <ainlain &in
-& <ainlain &late
-& <ainlain rew
-& <ainlain -O<
RIP Ph("ioth Ph("ioth#rapi
-& &h!siothera
-& &h!siothera
-& &h!siothera
Total +ia(a 35,)/44 35,)/44
*29005
)A/ > TO-<-T- )O- -&TO&- :O&A-; &AA AA)
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan
Anal'esik, Antipiretik &O- OT C $0M< (tl 20,"50
Anti(iotik 'ol se6alospori .-B-M s!rup (tl "$,500
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu&
P#&#rik"aan Khu"u"
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Tonsilitis )ronis ipertroK :Operasi; &ada Anakalaman 21* dari 25#
Patolo!i Anato&i
Tin'akan Khu"u"
Ph("ioth#rapi
E&#r!#n"i
ari 1 ari 2 ari "ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a
A=AT -A&
Ko&pon#n Rawat Inap 114,000 114,000
Mondok makan 55,000 1 55,000 1 55,000
Visite dokter spesialis 40,000 1 40,000 1 40,000
Asuhan keperawatan 10,000 1 10,000 1 10,000
Tindakan keperawatan 9,000 1 9,000 1 9,000
Obatobatan 11",#00
Anal'esik, Antipiretik &O- OT C $0M< (tl 20,"50 2 40,#00
Anti(iotik 'ol se6alospori .-B-M s!rup (tl "$,500 2 #",000
Op#ra"i ","1#,$#0
Op#ra"i "#'an! 2,1$0,000 1 2,1$0,000
ia!a Operasional 1
Operator 1
Anestesi 1
Asisten, &, lain2 1
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Tonsilitis )ronis ipertroK :Operasi; &ada Anakalaman 219 dari 25#
uan' &emulihan 1
Materi dan (ahan ha(is p .OO< AM& -V 10M3DM< 20M< AM& 101,200 1 101,200
Materi dan (ahan ha(is p TAC< .-TAT -@ 10 M< V-A #1,$10 1 #1,$10
Anestetik /mum -soLurane cc *,10# #5 $0*,025
TT 100,95* 1 100,95*
A-T-- -@ 3B 4,125 2 *,250
)TOO<A. "% -@G10 3B 1*,5$" 1 1*,5$"
AH/A-T 50 M< -)A < #,150 1 #,150
-/ T =AA TM 15,125 1 15,125
-3 <A.TAT 500M< OT 11,""0 " "",990
AO.AT T 203 1*,#50 1 1*,#50
-& C-3 1 M< T/MO T 2,$12 1 2,$12
ari 1 ari 2 ari "ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a
-& C-3 " M< T/MO 1,"#5 2 2,#50
-O- &OV-O O< 10% "0M< T< 2,500 2 5,000
--./ 100 ml 24,0#0 0?25 $,01*
/3-.A< 3<OV O #?5 4,400 4 1#,$00
/3-.A< <A 15 ",4"* 1 ",4"*
.AA )A&A O<A 50 3 $,504 0 1,951
.AT 3/T .OM-. 20 $$,20$ 1 $$,20$
.OM-. 20 :=44*; $*,4#5 1 $*,4#5
P#rawatan Khu"u"
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu& 149,000
&emeriksaanematolo'i
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Tonsilitis )ronis ipertroK :Operasi; &ada Anakalaman 220 dari 25#
&emeriksaanematolo'i T :leeddin' Time; D Masa &erdarahan *,250 1 *,250 &emeriksaanematolo'i
.T :.lotin' Time; D Masa &em(ekuan *,250 1 *,250
&emeriksaan )adar 3ulaarah
3ula arah &uasa 20,000 1 20,000
A' 4#,500 1 4#,500
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
ari 1 ari 2 ari "ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a
Lainlain
Labu arah
Tranfu"i 'arah
Pin) Plat# S*r#w
&in
&late
rew
-O<
Ph("ioth#rapi
Total +ia(a /).32)/54 112)444
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Tonsilitis )ronis ipertroK :Operasi; &ada Anakalaman 221 dari 25#
kontrol Total
@umlah ar'a @umlah ar'a
5$,*50 5$,*50
1 20,"50 1 20,"50
1 "$,500 1 "$,500
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Tonsilitis )ronis ipertroK :Operasi; &ada Anakalaman 222 dari 25#
kontrol Total @umlah ar'a @umlah ar'a
22*,000
2 110,000
2 *0,000
2 20,000
2 1*,000
11",#00
2 40,#00
2 #",000
","1#,$#0
1 2,1$0,000
1
1
1
1
1
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Tonsilitis )ronis ipertroK :Operasi; &ada Anakalaman 22" dari 25#
1
1 101,200
1 #1,$10
50 $0*,025
1 100,95*
2 *,250
1 1*,5$"
1 #,150
1 15,125
" "",990
1 1*,#50
1 2,$12
kontrol Total @umlah ar'a @umlah ar'a
2 2,#50
2 5,000
0 $,01*
4 1#,$00
1 ",4"*
0 1,951
1 $$,20$
1 $*,4#5
149,000
1 $5,000
1 *,250
1 * 250
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Tonsilitis )ronis ipertroK :Operasi; &ada Anakalaman 224 dari 25#
1 *,250 1 20,000
1 4#,500
kontrol Total @umlah ar'a @umlah ar'a
,.)-,4 /)-.,)004
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Tonsilitis )ronis ipertroK :Operasi; &ada Anakalaman 225 dari 25#
)A/ > TO-<-T- )O- -&TO&- :Operasi; pada usia ewasa
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan
Anal'e AAM MAMAT 500 M3 3) TA 1"*
Anti(io .-B-M 100m' cap "000
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu&
P#&#rik"aan Khu"u"
Patolo!i Anato&i
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Tonsilitis )ronis ipertroK pada /sia ewasaalaman 22$ dari 25#
Tin'akan Khu"u"
Ph("ioth#rapi
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah
E&#r!#n"i
A=AT -A&
Ko&pon#n Rawat Inap 114,000 114,000
Mondok makan 55,000 1 55,000 1 55,000 Visite dokter spesialis 40,000 1 40,000 1 40,000
Asuhan keperawatan 10,000 1 10,000 1 10,000
Tindakan keperawatan 9,000 1 9,000 1 9,000
Obatobatan $,414 "2,0#0
Anal'esik, Antipiretik AAM M TA 1"* " 414 15 2,0#0
Anti(iotik 'ol se6alospori .-B-M 1 cap ",000 2 $,000 10 "0,000
Op#ra"i ","1#,$#0
Op#ra"i "#'an! 2,1$0,000 1 2,1$0,000
ia!a Operasional 1
Operator 1
Anestesi 1
Asisten, &, lain2 1
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Tonsilitis )ronis ipertroK pada /sia ewasaalaman 22# dari 25#
uan' &emulihan 1
Materi dan (ahan ha(is p .OO< A AM& 101,200 1 101,200
Materi dan (ahan ha(is pTAC< .-V-A #1,$10 1 #1,$10
Anestetik /mum -soLurane cc *,10# #5 $0*,025
TT 100,95* 1 100,95*
A-T-- -@ 3B 4,125 2 *,250
)TOO<A. "% -@G10 1*,5$" 1 1*,5$"
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah
AH/A- < #,150 1 #,150
-/ T =AA TM 15,125 1 15,125
-3 <A.TAT 500M< 11,""0 " "",990
AO.AT T 203 1*,#50 1 1*,#50
-& C-3 2,$12 1 2,$12
-& C-3 1,"#5 2 2,#50
-O- &OV- T< 2,500 2 5,000
--./ 100 ml 24,0#0 0?25 $,01*
/3-.A< 3 4,400 4 1#,$00 /3-.A< ",4"* 1 ",4"*
.AA )A& $,504 0 1,951
.AT 3/T . $$,20$ 1 $$,20$
.OM-. 2 $*,4#5 1 $*,4#5
P#rawatan Khu"u"
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Tonsilitis )ronis ipertroK pada /sia ewasaalaman 22* dari 25#
Laboratoriu& 149,000
&emeriksaanematolo'i
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
&emeriksaanematolo'i
T :leeddin' Time; D Masa &erdarahan *,250 1 *,250
&emeriksaanematolo'i
.T :.lotin' Time; D Masa &em(ekuan *,250 1 *,250
&emeriksaan )adar3ula arah
3ula arah &uasa 20,000 1 20,000
A' 4#,500 1 4#,500
P#&#rik"aan Khu"u"
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah
Patolo!i Anato&i
Tin'akan Khu"u"
Lainlain
Labu arah
Tranfu"i 'arah
Pin) Plat# S*r#w
&in
&late
rew
-O<
Ph("ioth#rapi
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Tonsilitis )ronis ipertroK pada /sia ewasaalaman 229 dari 25#
Total +ia(a /),-5)4-2 12.)454
Total
ar'a @umlah ar'a
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Tonsilitis )ronis ipertroK pada /sia ewasaalaman 2"0 dari 25#
Total
ar'a @umlah ar'a
22*,000
2 110,000 2 *0,000
2 20,000
2 1*,000
"*,4*4
1* 2,4*4
12 "$,000
","1#,$#0
1 2,1$0,000
1
1
1
1
1
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Tonsilitis )ronis ipertroK pada /sia ewasaalaman 2"1 dari 25#
1
1 101,200
1 #1,$10
50 $0*,025
1 100,95*
2 *,250
1 1*,5$"
Total
ar'a @umlah ar'a
1 #,150
1 15,125
" "",990
1 1*,#50
1 2,$12
2 2,#50
2 5,000
0 $,01*
4 1#,$00 1 ",4"*
0 1,951
1 $$,20$
1 $*,4#5
149,000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Tonsilitis )ronis ipertroK pada /sia ewasaalaman 2"2 dari 25#
1 $5,000
1 *,250
1 *,250
1 20,000
1 4#,500
Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Tonsilitis )ronis ipertroK pada /sia ewasaalaman 2"" dari 25#
/)5//)1,2
)A/ > O&A- ).-<
ari 1
ediaan ar'a atuan @umlah ar'a @umlah
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan 140,1"1
Anti(iotik 'ol se6alospori .T-ABO V-A< C 13 3BG2 V-A 1",2$2 1 1",2$2
Antiamoe(a N Anti'iardi MTO-AO< -/ 3-MA 2","#5 1 2","#5
.airan Mineral -3 <A.TAT 500M< OT < 10,4#$ 1 10,4#$
ahan a(is &akai AH/A-T 50 M< -)A < #,150 1 #,150
ahan a(is &akai <OO TA/-O T TM "9,12$ 1 "9,12$
ahan a(is &akai AO.AT T 203 1*,#50 1 1*,#50
ahan a(is &akai -& C-3 1 M< T/MO T 2,$12 1 2,$12
ahan a(is &akai -& C-3 5 M< TM 1,$50 1 1,$50
ahan a(is &akai T =AC TO& .O.) 2",292 1 2",292ahan a(is &akai AA&<AT T T-& G 10 4"* 1 4"*
Anal'esik, Antipiretik AAM MAMAT 500 M3 3) TA 1"*
Anti(iotik 'ol se6alospori .AOB-< .A& 500M3 3- .A& 1,$00
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu& 112,500
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi )ecilalaman 2"4 dari 25#
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
T :leeddin' Time; D Masa &erdarahan *,250 1 *,250
.T :.lotin' Time; D Masa &em(ekuan *,250 1 *,250
3lukosa ewaktu 20,000 1 20,000
.ross Match :Vena; 1
3olon'an darah 11,000 1 11,000
P#&#rik"aan Khu"u"
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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ari 1
ediaan ar'a atuan @umlah ar'a @umlah
Anestesi 1 Asisten, &, lain2 1
& &lain 2D0 2$ (uah *2,200 1 *2,200
& andschoen $,5 teril ps' 12,"#5 2 24,#50
& andschoen # teril (uah 12,"#5 2 24,#50
& andschoen #,5 teril (uah 5,*44 1 5,*44
& &isau insisi 20 :&isau (isturi; (uah ",100 1 ",100
& oLilk "0 3*"2 +?20 (uah #0,*00 1 #0,*00
& ansaplas (uah "00 1 "00
& )asa idroKl citra Jra! l(r 1,1#0 20 2",400
& .erplast aeroKlm 50 J 50 mm l(r #",200 1 #",200
& puit 10 cc :Terumo; (uah $,400 1 $,400
& spuit 5 cc :Terumo; (uah 4,900 2 9,*00
& ? ur'!cal 910 o? 2D0 2$ mm (uah *$,000 1 *$,000
O(at O) a.l 0?9% 1000ml (uah 10,4#0 1 10,4#0
O(at O) < 500 ml (uah 11,#19 2 2",4"*
O(at O) ðidin amp in 50M3 m' 14,990 1 14,990
O(at O) &rimperan in amp 11,$** 1 11,$**
O(at O) entan!l 2ml 50M3 mc' "*,500 1 "*,500
O(at O) MiloF 15m' in mc' 1*,11" 1 1*,11"
O(at O) Jtradine 10 % G 1 'alon 4,$00 2 9,200
O(at O) Tramadol 100m' in amp *,$00 " 25,*00
P#rawatan Khu"u"
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi )ecilalaman 2"$ dari 25#
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n
ari 1
ediaan ar'a atuan @umlah ar'a @umlah
Laboratoriu&
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Lainlain
Labu arah
Tranfu"i 'arah
Pin) Plat# S*r#w
&in
&late rew
-O<
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi )ecilalaman 2"# dari 25#
-O<
Ph("ioth#rapi
Total +ia(a 0)0/5)222
Total
ar'a @umlah ar'a
140,1"1
1 1",2$2
1 2","#5
1 10,4#$
1 #,150
1 "9,12$
1 1*,#50
1 2,$12
1 1,$50
1 2",292
1 4"*
112,500
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi )ecilalaman 2"* dari 25#
1 $5,000
1 *,250
1 *,250
1 20,000
1
1 11,000
Total
ar'a @umlah ar'a
114,000
1 55,000
1 40,000
1 10,000
1 9,000
1*,0#0
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi )ecilalaman 2"9 dari 25#
15 2,0#0
10 1$,000
1)-,0)520
1 1,290,000
1
1
Total
ar'a @umlah ar'a
1 1
1 *2,200
2 24,#50
2 24,#50
1 5,*44
1 ",100
1 #0,*00 1 "00
20 2",400
1 #",200
1 $,400
2 9,*00
1 *$,000
1 10,4#0
2 2",4"*
1 14,990
1 11,$**
1 "*,500
1 1*,11"
2 9,200
" 25,*00
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi )ecilalaman 240 dari 25#
Total
ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi )ecilalaman 241 dari 25#
0)0/5)222
)A/ > O&A- A3
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
@asa medis dr spesialis
&erawatan luka
ObatObatan 1#",*94
Anti(iotik 'ol se6alospori .TA--M 13 V-A<G2 3 V-A< 4#,025 1 4#,025 Antiamoe(a N Anti'iardiaMTO-AO< -/ 3-MA 2","#5 1 2","#5
.airan Mineral -3 <A.TAT 500M< OT < 10,4#$ 1 10,4#$
ahan a(is &akai AH/A-T 50 M< -)A < #,150 1 #,150
ahan a(is &akai <OO TA/-O T TM "9,12$ 1 "9,12$
ahan a(is &akai AO.AT T 203 1*,#50 1 1*,#50
ahan a(is &akai -& C-3 1 M< T/MO T 2,$12 1 2,$12
ahan a(is &akai -& C-3 5 M< TM 1,$50 1 1,$50
ahan a(is &akai T =AC TO& .O.) 2",292 1 2",292
ahan a(is &akai AA&<AT T T-& G 10 4"* 1 4"*
Anal'esik, Antipiretik )TO&O 100 M3 TA TA 1,5"5
Anti(iotik 'ol se6alospori .-B-M 100m' cap ",000
Antasid dan antitukak OM&AO< 20 M3 .A& B .A& 9#$
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu& 1$0,000
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi edan'alaman 242 dari 25#
T :leeddin' Time; D Masa &erdarahan *,250 1 *,250
.T :.lotin' Time; D Masa &em(ekuan *,250 1 *,250
3lukosa ewaktu 20,000 1 20,000
.ross Match :Vena; 1
3olon'an darah 11,000 1 11,000
A' 4#,500 1 4#,500
P#&#rik"aan Khu"u"
Patolo!i Anato&i
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a
Tin'akan Khu"u"
Ph("ioth#rapi
E&#r!#n"i
A=AT -A&
Ko&pon#n Rawat Inap #4,000 114,000 114,000
Mondok makan 55,000 1 55,000 1 55,000 1 55,000
Visite dokter spesialis 40,000 1 40,000 1 40,000
Asuhan keperawatan 10,000 1 10,000 1 10,000 1 10,000
Tindakan keperawatan 9,000 1 9,000 1 9,000 1 9,000
Obatobatan 1$$,0#$ 2"*,1#* 150,250
Anal'esik arkotik TAMAO< 50M3 -@ G5 3- AM& *,$44 " 25,9"2 " 25,9"2 " 25,9"2
Anti(iotik 'ol se6alospori .TA--M 13 V-A<G2 3 V-A< 4#,025 2 94,050 2 94,050 2 94,050
Antasid dan antitukak A-T-- AM& 50M3DM< 2M< AM& ",215 2 $,4"0 2 $,4"0 2 $,4"0
Antasid dan antitukak .-<O) /& 100 M< C& 4*,125 1 4*,125 Antiemetik &-M&A -@ AM& 10,"12 " "0,9"$ " "0,9"$
.airan Mineral BT 5% 500 M< OT < *,#2* 1 *,#2* 1 *,#2* 1 *,#2*
. i Mi l -3 <A.TAT 500M< OT < 10 4#$ 2 20 952
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Operasi edan'alaman 24" dari 25#
.airan Mineral -3 <A.TAT 500M< OT < 10,4#$ 2 20,952
Topikal )ulit Anti(akteri OAT/<< < 15,110 1 15,110
ahan a(is &akai -& C-3 " M< T/MO 1,"#5 1 1,"#5
ahan a(is &akai -& C-3 5 M< TM 1,$50 1 1,$50
Op#ra"i 1,145,0"1
Op#ra"i S#'an! 2,1$0,000
ia!a Operasional 1
Operator 1
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a
Anestesi 1 Asisten, &, lain2 1
uan' &emulihan 1"9,000 1 1"9,000
& &lain 2D0 2$ (uah *2,200 1 *2,200
& andschoen $,5 teril ps' 12,"#5 2 24,#50
& /rine(a' ro!al :non steril; (uah 5,$00 1 5,$00
& ole!catteter 20 2 wa! (uah 24,$00 1 24,$00
& andschoen # teril (uah 12,"#5 2 24,#50
& andschoen #,5 teril (uah 5,*44 1 5,*44 & &isau insisi 20 :&isau (isturi; (uah ",100 1 ",100
& ios!n "0 sm $9" c?14 (uah 14$,"00 1 14$,"00
& oLilk "0 3*"2 +?20 (uah #0,*00 1 #0,*00
& ansaplas (uah "00 1 "00
& )asa idroKl citra Jra! l(r 1,1#0 20 2",400
& @arum isp 2# pinal : raun; (uah "*,500 1 "*,500
& .erplast aeroKlm 50 J 50 mm l(r #",200 1 #",200
& puit 10 cc :Terumo; (uah $,400 1 $,400
& spuit 5 cc :Terumo; (uah 4,900 2 9,*00
& and &eace electro couter :--; (uah $9,"00 2 1"*,$00
& ? ur'!cal 910 o? 2D0 2$ m (uah *$,000 1 *$,000
O(at O) a.l 0?9% 1000ml (uah 10,4#0 1 10,4#0
O(at O) < 500 ml (uah 11,#19 2 2",4"*
O(at O) ðidin amp in 50M3 m' 14,990 1 14,990
O(at O) &rimperan in amp 11,$** 1 11,$**
O(at O) Marcain spinal hea+! 0,5% in amp 5$,#*9 1 5$,#*9
O(at O) entan!l 2ml 50M3 mc' "*,500 1 "*,500
O(at O) MiloF 15m' in mc' 1*,11" 1 1*,11" O(at O) Jtradine 10 % G 1 'alon 4,$00 2 9,200
O(at O) )etorolac "% in amp 1$,#00 " 50,100
O(at O) Tramadol 100m' in amp * $00 1 * $00
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi edan'alaman 244 dari 25#
O(at O) Tramadol 100m' in amp *,$00 1 *,$00
P#rawatan Khu"u"
P#r"alinan Patolo!i"
ari 1 ari 2 ari "
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a
P#nunjan! ia!no"tikRont!#n
Laboratoriu&
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Lainlain
Labu arah
Tranfu"i 'arah
Pin Plat# S*r#w
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Operasi edan'alaman 245 dari 25#
Pin) Plat# S*r#w
&in
&late
rew
-O<
Ph("ioth#rapi
Total +ia(a 1)513)441 /,0)15- 0.2)0,4
Total
@umlah ar'a @umlah ar'a
1#",*94
1 4#,025 1 2","#5
1 10,4#$
1 #,150
1 "9,12$
1 1*,#50
1 2,$12
1 1,$50
1 2",292
1 4"*
1$0,000
1 $5,000
1 *,250
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi edan'alaman 24$ dari 25#
1 *,250
1 *,250
1 20,000
1
1 11,000
1 4#,500
Total
@umlah ar'a @umlah ar'a
"02,000
" 1$5,000
2 *0,000
" "0,000
" 2#,000
554,504
9 ##,#9$
$ 2*2,150
$ 19,290
1 4*,125 $ $1,*#2
" 2$,1*4
2 20,952
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi edan'alaman 24# dari 25#
1 15,110
1 1,"#5
1 1,$50
1)12,)4/1
1
1
Total
@umlah ar'a @umlah ar'a
1 1
1 1"9,000
1 *2,200
2 24,#50
1 5,$00
1 24,$00
2 24,#50
1 5,*44 1 ",100
1 14$,"00
1 #0,*00
1 "00
20 2",400
1 "*,500
1 #",200
1 $,400
2 9,*00
2 1"*,$00
1 *$,000
1 10,4#0
2 2",4"*
1 14,990
1 11,$**
1 5$,#*9
1 "*,500
1 1*,11" 2 9,200
" 50,100
1 *,$00
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi edan'alaman 24* dari 25#
Total
@umlah ar'a @umlah ar'a
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi edan'alaman 249 dari 25#
0)//,)203
K#rta" K#rja P#rhitun!an Tarif Pak#t Rawat Inap)A/ > O&A- A
/-A > =AA
ari 1 ari 2 ari " ari 4 ari 5
ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umla ar'a
RA$AT JALAN LANJUTAN
okt#r Sp#"iali"
ObatObatan 1#",*94
Anti(iotik 'ol se6alospori .TA--M 13 V-A V-A< 4#,025 1 4#,025
Antiamoe(a N Anti'iardiaMTO-AO< -/ 2","#5 1 2","#5
.airan Mineral -3 <A.TAT 500 < 10,4#$ 1 10,4#$
ahan a(is &akai AH/A-T 50 M< -) < #,150 1 #,150
ahan a(is &akai <OO TA/-O T TM "9,12$ 1 "9,12$
ahan a(is &akai AO.AT T 203 1*,#50 1 1*,#50
ahan a(is &akai -& C-3 1 M< T 2,$12 1 2,$12
ahan a(is &akai -& C-3 5 M< T 1,$50 1 1,$50 ahan a(is &akai T =AC TO& .O. 2",292 1 2",292
ahan a(is &akai AA&<AT T T- 4"* 1 4"*
Anal'esik, Antipiretik )TO&O 100 M3 TA 1,5"5
Anti(iotik 'ol se6alospori .-B-M 100m' cap ",000
Antasid dan antitukak OM&AO< 20 M3 ..A& 9#$
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu& 1$0,000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi esaralaman 250 dari 25#
arah <en'kap :arah utin, iE count, <; $5,000 1 $5,000
T :leeddin' Time; D Masa &erdarahan *,250 1 *,250
.T :.lotin' Time; D Masa &em(ekuan *,250 1 *,250
3lukosa ewaktu 20,000 1 20,000
.ross Match :Vena; 1
3olon'an darah 11,000 1 11,000
A' 4#,500 1 4#,500
P#&#rik"aan Khu"u"
1
Patolo!i Anato&i
Tin'akan Khu"u"
ari 1 ari 2 ari " ari 4 ari 5ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umla ar'a
Ph("ioth#rapi
E&#r!#n"i
A=AT -A&
Ko&pon#n Rawat Inap #4,000 114,000 114,000 114,000 114,000
Mondok makan 55,000 1 55,000 1 55,000 1 55,000 1 55,000 1 55,000
Visite dokter spesialis 40,000 1 40,000 1 40,000 1 40,000 1 40,000
Asuhan keperawatan 10,000 1 10,000 1 10,000 1 10,000 1 10,000 1 10,000
Tindakan keperawatan 9,000 1 9,000 1 9,000 1 9,000 1 9,000 1 9,000
Obatobatan 140,144 2"*,1#* 2"*,1#* 2"*,1#* 290,952
Anal'esik arkotik TAMAO< 50M3 -@ AM& *,$44 " 25,9"2 " 25,9"2 " 25,9"2 15 129,$$0
Anal'esik, Antipiretik )TO&O 100 M3 TA 1,5"5 2 ",0#0
Anti(iotik 'ol se6alospori .TA--M 13 V-A V-A< 4#,025 2 94,050 2 94,050 2 94,050 2 94,050 2 94,050Anti(iotik 'ol se6alospori .-B-M 100m' cap ",000 10 "0,000
Antasid dan antitukak A-T-- AM& 50M3D AM& ",215 2 $,4"0 2 $,4"0 2 $,4"0 2 $,4"0 2 $,4"0
Antasid dan antitukak OM&AO< 20 M3 ..A& 9#$ 4 ",904
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Operasi esaralaman 251 dari 25#
Antasid dan antitukak .-<O) /& 100 MC& 4*,125 1 4*,125 1 4*,125 1 4*,125
Antiemetik &-M&A -@ AM& 10,"12 " "0,9"$ " "0,9"$ " "0,9"$ " "0,9"$
.airan Mineral BT 5% 500 M< OT < *,#2* 1 *,#2* 1 *,#2* 1 *,#2* 1 *,#2* 1 *,#2*
.airan Mineral -3 <A.TAT 500 < 10,4#$ 2 20,952 2 20,952 2 20,952
Topikal )ulit Anti(akteri OAT/<< < 15,110 1 15,110
ahan a(is &akai -& C-3 " M< 1,"#5 1 1,"#5 1 1,"#5 1 1,"#5
ahan a(is &akai -& C-3 5 M< T 1,$50 1 1,$50 1 1,$50 1 1,$50
Op#ra"i ",$41,0"1
Op#ra"i +#"ar 2,$"5,000 1 2,$"5,000
ia!a Operasional 1
Operator 1
Anestesi 1
Asisten, &, lain2 1 1
ari 1 ari 2 ari " ari 4 ari 5ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umla ar'a
1
uan' pemulihan 1"9,000
& &lain 2D0 2$ (uah *2,200 1 *2,200
& andschoen $,5 teril ps' 12,"#5 2 24,#50
& /rine(a' ro!al :non st (uah 5,$00 1 5,$00
& ole!catteter 20 2 wa (uah 24,$00 1 24,$00
& andschoen # teril (uah 12,"#5 2 24,#50
& andschoen #,5 teril (uah 5,*44 1 5,*44
& &isau insisi 20 :&isau ((uah ",100 1 ",100
& ios!n "0 sm $9" c (uah 14$,"00 1 14$,"00
& oLilk "0 3*"2 +? (uah #0,*00 1 #0,*00
& ansaplas (uah "00 1 "00
& )asa idroKl citra Jra l(r 1,1#0 20 2",400
& @arum isp 2# pinal : (uah "*,500 1 "*,500
& .erplast aeroKlm 50 l(r #",200 1 #",200
& puit 10 cc :Terumo; (uah $,400 1 $,400
& spuit 5 cc :Terumo; (uah 4,900 2 9,*00 & and &eace electro co (uah $9,"00 2 1"*,$00
& ? ur'!cal 910 o? 2 (uah *$,000 1 *$,000
O(at O) a.l 0?9% 1000ml (uah 10,4#0 1 10,4#0
O(at O) < 500 ml (uah 11,#19 2 2",4"*
O(at O) ðidin amp in 50M3m' 14,990 1 14,990
O(at O) &rimperan in amp 11,$** 1 11,$**
O(at O) Marcain spinal hea+! amp 5$,#*9 1 5$,#*9
O(at O) entan!l 2ml 50M3 mc' "*,500 1 "*,500
O(at O) MiloF 15m' in mc' 1*,11" 1 1*,11" O(at O) Jtradine 10 % G 1 'alon 4,$00 2 9,200
O(at O) )etorolac "% in amp 1$,#00 " 50,100
O(at O) Tramadol 100m' in amp *,$00 1 *,$00
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi esaralaman 252 dari 25#
P#rawatan Khu"u"
P#r"alinan Patolo!i"
P#nunjan! ia!no"tik
Ront!#n
Laboratoriu&
ari 1 ari 2 ari " ari 4 ari 5ediaan ar'a atuan @umlah ar'a @umlah ar'a @umlah ar'a @umlah ar'a @umla ar'a
P#&#rik"aan Khu"u"
Patolo!i Anato&i
Tin'akan Khu"u"
Lainlain
Labu arah
Tranfu"i 'arah
Pin) Plat# S*r#w
&in
&late rew
-O<
Ph("ioth#rapi
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi esaralaman 25" dari 25#
Total +ia(a 2)1-3)4.3 /,0)15- /,0)15- /,0)15- 242)3,0
Total
@umlah ar'a @umlah ar'a
1#",*94
1 4#,025
1 2","#5
1 10,4#$
1 #,150
1 "9,12$
1 1*,#50
1 2,$12
1 1,$50 1 2",292
1 4"*
1$0,000
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi esaralaman 254 dari 25#
1 $5,000
1 *,250
1 *,250
1 20,000
1
1 11,000
1 4#,500
1
Total @umlah ar'a @umlah ar'a
5"0,000
5 2#5,000
4 1$0,000
5 50,000
5 45,000
1,145,$"0
24 20#,45$
2 ",0#0
10 4#0,250 10 "0,000
10 "2,150
4 ",904
" 144,"#5
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi esaralaman 255 dari 25#
" 144,"#5
12 12",#44
5 4",$40
$ $2,*5$
1 15,110
" 4,125
" 4,950
/).21)4/1
1 2,$"5,000
1
1
1
1 1
Total @umlah ar'a @umlah ar'a
1
1 *2,200
2 24,#50
1 5,$00
1 24,$00
2 24,#50
1 5,*44
1 ",100
1 14$,"00
1 #0,*00
1 "00
20 2",400
1 "*,500
1 #",200
1 $,400
2 9,*00 2 1"*,$00
1 *$,000
1 10,4#0
2 2",4"*
1 14,990
1 11,$**
1 5$,#*9
1 "*,500
1 1*,11" 2 9,200
" 50,100
1 *,$00
7/26/2019 Rekap Paket RANAP Kanwil II - Muara Enim
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Operasi esaralaman 25$ dari 25#
Total @umlah ar'a @umlah ar'a