11.314
suntingan
Baris 168: | Baris 168: | ||
|} | |} | ||
==== 5. Tarif Asuhan Keperawatan (Askep) Rawat Inap Per Hari ==== | ====5. Tarif Asuhan Keperawatan (Askep) Rawat Inap Per Hari==== | ||
===== a. Asuhan Keperawatan Minimal (Minimal Care) ===== | =====a. Asuhan Keperawatan Minimal (Minimal Care)===== | ||
{| class="wikitable" | {| class="wikitable" | ||
! No !! Kelas !! Tarif | !No!!Kelas!!Tarif | ||
|- | |- | ||
| 1 || Kelas III || | |1||Kelas III||7.000 | ||
|- | |- | ||
| 2 || Kelas II || | |2||Kelas II||7.700 | ||
|- | |- | ||
| 3 || Kelas I || | |3||Kelas I||9.500 | ||
|} | |} | ||
===== b. Asuhan Keperawatan Parsial (Partial Care) ===== | =====b. Asuhan Keperawatan Parsial (Partial Care)===== | ||
{| class="wikitable" | {| class="wikitable" | ||
! No !! Kelas !! Tarif | !No!!Kelas!!Tarif | ||
|- | |- | ||
| 1 || Kelas III || | |1||Kelas III||15.400 | ||
|- | |- | ||
| 2 || Kelas II || | |2||Kelas II||16.900 | ||
|- | |- | ||
| 3 || Kelas I || | |3||Kelas I||20.900 | ||
|} | |} | ||
===== c. Asuhan Keperawatan Total (Total Care) ===== | =====c. Asuhan Keperawatan Total (Total Care)===== | ||
{| class="wikitable" | {| class="wikitable" | ||
! No !! Kelas !! Tarif | !No!!Kelas!!Tarif | ||
|- | |- | ||
| 1 || Kelas III || | |1||Kelas III||19.200 | ||
|- | |- | ||
| 2 || Kelas II || | |2||Kelas II||21.200 | ||
|- | |- | ||
| 3 || Kelas I || | |3||Kelas I||26.100 | ||
|- | |- | ||
| 4 || HCU || | |4||HCU||35.000 | ||
|- | |- | ||
| 5 || ICU || | |5||ICU||45.000 | ||
|- | |- | ||
| 6 || Perinatologi || | |6||Perinatologi||30.500 | ||
|} | |} | ||
==== 6. Tarif Asuhan Kefarmasian Per Kunjungan ==== | ====6. Tarif Asuhan Kefarmasian Per Kunjungan==== | ||
{| class="wikitable" | {| class="wikitable" | ||
! No !! Kelas !! Tarif | !No!!Kelas!!Tarif | ||
|- | |- | ||
| 1 || Kelas III || | |1||Kelas III||10.300 | ||
|- | |- | ||
| 2 || Kelas II || | |2||Kelas II||11.800 | ||
|- | |- | ||
| 3 || Kelas I || | |3||Kelas I||15.800 | ||
|- | |- | ||
| 4 || HCU || | |4||HCU||18.100 | ||
|- | |- | ||
| 5 || ICU || | |5||ICU||21.200 | ||
|- | |- | ||
| 6 || Perinatologi || | |6||Perinatologi||23.700 | ||
|} | |} | ||
==== 7. Tarif Asuhan Gizi Per Kunjungan ==== | ====7. Tarif Asuhan Gizi Per Kunjungan==== | ||
{| class="wikitable" | {| class="wikitable" | ||
! No !! Kelas !! Tarif | !No!!Kelas!!Tarif | ||
|- | |- | ||
| 1 || Kelas III || | |1||Kelas III||10.300 | ||
|- | |- | ||
| 2 || Kelas II || | |2||Kelas II||11.800 | ||
|- | |- | ||
| 3 || Kelas I || | |3||Kelas I||15.800 | ||
|- | |- | ||
| 4 || HCU || | |4||HCU||18.100 | ||
|- | |- | ||
| 5 || ICU || | |5||ICU||21.200 | ||
|- | |- | ||
| 6 || Perinatologi || | |6||Perinatologi||23.700 | ||
|} | |} | ||
=== C. RAWAT DARURAT === | ===C. RAWAT DARURAT=== | ||
==== 1. Tarif Akomodasi IGD ==== | ====1. Tarif Akomodasi IGD==== | ||
{| class="wikitable" | {| class="wikitable" | ||
! No !! Jenis Akomodasi !! Tarif | !No!!Jenis Akomodasi!!Tarif | ||
|- | |- | ||
| 1 || Observasi 0 - 8 Jam || | |1||Observasi 0 - 8 Jam||93.500 | ||
|- | |- | ||
| 2 || One Day Care (ODC) 8 - 24 Jam || | |2||One Day Care (ODC) 8 - 24 Jam||187.000 | ||
|- | |- | ||
| 3 || Rawat Wing Transit || | |3||Rawat Wing Transit||140.250 | ||
|} | |} | ||
==== 2. Tarif Pemeriksaan / Konsultasi Dokter ==== | ====2. Tarif Pemeriksaan / Konsultasi Dokter==== | ||
{| class="wikitable" | {| class="wikitable" | ||
! No !! Jenis Layanan !! Tarif | !No!!Jenis Layanan!!Tarif | ||
|- | |- | ||
| 1 || Pemeriksaan Dokter Jaga || | |1||Pemeriksaan Dokter Jaga||52.600 | ||
|- | |- | ||
| 2 || Konsultasi Spesialis On Site (Hari dan Jam Kerja) || | |2||Konsultasi Spesialis On Site (Hari dan Jam Kerja)||94.000 | ||
|- | |- | ||
| 3 || Konsultasi Spesialis On Call (Di Luar Hari dan Jam Kerja) || | |3||Konsultasi Spesialis On Call (Di Luar Hari dan Jam Kerja)||174.200 | ||
|- | |- | ||
| 4 || Konsultasi Spesialis By Phone || | |4||Konsultasi Spesialis By Phone||45.900 | ||
|} | |} | ||
==== 3. Tarif Tindakan Medis Non Operatif (TMNO) IGD ==== | ====3. Tarif Tindakan Medis Non Operatif (TMNO) IGD==== | ||
{| class="wikitable" | {| class="wikitable" | ||
! Kelompok !! 1 !! 2 !! 3 | !Kelompok!!1!!2!!3 | ||
|- | |- | ||
| Kecil || | |Kecil||32.800||62.800|| | ||
|- | |- | ||
| Sedang || | |Sedang||185.100||287.000|| | ||
|- | |- | ||
| Besar || | |Besar||346.600||420.600|| | ||
|- | |- | ||
| Khusus || | |Khusus||489.600||810.000||1.100.200 | ||
|} | |} | ||
==== 4. Tarif Asuhan Keperawatan (Askep) IGD ==== | ====4. Tarif Asuhan Keperawatan (Askep) IGD==== | ||
{| class="wikitable" | {| class="wikitable" | ||
! NO !! KELOMPOK !! TARIF | !NO!!KELOMPOK!!TARIF | ||
|- | |- | ||
| 1 || Askep Minimal Care di IGD (Pelayanan 1-2 jam) || | |1||Askep Minimal Care di IGD (Pelayanan 1-2 jam)||7.700 | ||
|- | |- | ||
| 2 || Askep Parsial - Total Care di IGD (Pelayanan 3 – 8 jam) || | |2||Askep Parsial - Total Care di IGD (Pelayanan 3 – 8 jam)||16.900 | ||
|} | |} | ||
==== 5. Tarif Pelayanan Ambulans ==== | ====5. Tarif Pelayanan Ambulans==== | ||
{| class="wikitable" | {| class="wikitable" | ||
! No !! Jenis Layanan !! Tarif | !No!!Jenis Layanan!!Tarif | ||
|- | |- | ||
| 1 || Dokter Umum On Site/ orang (Hari dan Jam Kerja) || 78.000 | |1||Dokter Umum On Site/ orang (Hari dan Jam Kerja)||78.000 | ||
|- | |- | ||
| 2 || Dokter Umum On Call/ orang (Diluar Hari dan Jam Kerja) || 105.200 | |2||Dokter Umum On Call/ orang (Diluar Hari dan Jam Kerja)||105.200 | ||
|- | |- | ||
| 3 || Perawat/Bidan On Site || 62.800 | |3||Perawat/Bidan On Site||62.800 | ||
|- | |- | ||
| 4 || Konsultasi dr. Umum On Call (Di Luar Hari dan Jam Kerja) || 32.800 | |4||Konsultasi dr. Umum On Call (Di Luar Hari dan Jam Kerja)||32.800 | ||
|} | |} | ||
=== D. KAMAR OPERASI (OK) === | ===D. KAMAR OPERASI (OK)=== | ||
==== 1. Tindakan Medis Operatif (TMO) Dengan Bius Total/Spinal ==== | ====1. Tindakan Medis Operatif (TMO) Dengan Bius Total/Spinal==== | ||
{| class="wikitable" | {| class="wikitable" | ||
! | !Kelompok!!Kelas III!!Kelas II/ODS!!Kelas I | ||
|- | |- | ||
| Kecil 1 || | |Kecil 1||2.222.300||2.366.700||2.735.800 | ||
|- | |- | ||
| Kecil 2 || | |Kecil 2||3.460.200||4.520.600||5.480.400 | ||
|- | |- | ||
| Sedang 1 || | |Sedang 1||4.520.600||5.214.900||5.820.400 | ||
|- | |- | ||
| Sedang 2 || | |Sedang 2||5.214.900||5.535.800||6.356.200 | ||
|- | |- | ||
| Besar 1 || | |Besar 1||6.103.000||7.304.100||8.329.600 | ||
|- | |- | ||
| Besar 2 || | |Besar 2||7.580.300||8.329.600||9.200.800 | ||
|- | |- | ||
| Khusus 1 || | |Khusus 1||9.379.300||9.860.600||11.091.200 | ||
|- | |- | ||
| Khusus 2 || | |Khusus 2||10.280.400||11.460.200||12.640.300 | ||
|} | |} | ||