BROOSUR PP 64 TH. 2019 · 2020-01-23 · Pelayanan Pengujian dan/ atau Kalibrasi Alat Kesehatan...

Pelayanan Pengujian dan/ atau Kalibrasi Alat KesehatanBerdasarkan Pola Tarif PP No. 64 Tahun 2019

Pada Loka Pengamanan Fasilitas Kesehatan (LPFK) SurakartaNo Nama Alat Polat Tarif

1 Flow Meter/Regulator Oksigen Rp 192.000

2 Micropipet Fix Rp 288.000

3 Micropipet Variabel Rp 384.000

4 Parameter Tester Rp 620.000

5 Tachometer Rp 384.000

6 Thermometer Digital Rp 168.000

7 Timbangan Bayi Rp 180.000

8 Vaporizer (tanpa gas anesthesi) Rp 396.000

9 Vaporizer dengan gas Desflurane Rp 2.076.000

10 Vaporizer dengan gas Halothane Rp 2.076.000

11 Vaporizer dengan gas Isoflurance Rp 2.076.000

12 Vaporizer dengan gas Sevoflurance Rp 2.076.000

13 Suction Wallper / Suction Dinding Rp 96.000

14 Analytical Balance Rp 180.000

15 Digital Pressure Meter Rp 744.000

16 Thermometer Gelas Rp 408.000

17 Thermometer Klinik Rp 216.000

18 Thermometer Ruang Rp 276.000

19 Chamber Audiometer/ Ruang Kedap Suara Audiometer Rp 144.000

20 Head Lamp Rp 144.000

21 Magnetic Resonance Imaging (MRI) Rp 2.232.000

22 Grounding/Pentanahan Rp 348.000

23 Pengujian Thermo Luminisence Dosimeter (TLD) Rp 150.000

24 Film Badge dan Analisisnya Rp 50.000

25 Photo Therapy Unit/Blue Light Rp 204.000

26 Portable Concentrator Oksigen Rp 288.000

27 Ultra Violet Lamp (UV Lamp) Rp 156.000

28 Ultra Violet Sterilizer Rp 180.000

29 Lampu Operasi Rp 192.000

30 Light Source Rp 192.000

31 Medical Air Rp 1.980.000

32 N2O (Nitrogen) Rp 780.000

33 Nebulizer Rp 228.000

34 O2 (Oksigen) Rp 792.000

35 Suction Gas Medis Rp 720.000

36 Instalasi Sentral Gas Medis Rp 2.300.000

37 Instalasi Listrik Medis Rp 1.100.000

38 Audiometer Rp 396.000

39 Autoclave Rp 312.000

40 Bed Side Monitor/Pasien Monitor Rp 588.000

41 Blood Bank Rp 252.000

42 Blood Pressure monitor (BPM) Rp 162.000

43 Non Invasive Blood Pressure Monitor (NIBP Monitor) Rp 252.000

44 Blood Solution Warmer Rp 216.000

Pengujian dan Kalibrasi

Kalibrasi

Pengujian

Inspeksi

45 Blood Warmer Rp 216.000

46 Cardiotograph (CTG) Rp 168.000

47 Centrifuge Rp 240.000

48 Centrifuge Refrigerator Rp 420.000

49 Deep Freezer Rp 384.000

50 Defibrilator / DC Shock Rp 156.000

51 Defibrilator with ECG (Electrocardiograph) Rp 300.000

52 Defibrilator Monitor Rp 300.000

53 Dental Unit Rp 168.000

54 ECG (Electrocardiograph) Monitor Rp 168.000

55 Echo Cardiograph Rp 288.000

56 Electro Cardiograph Rp 180.000

57 Electro Stimulator / EST Rp 288.000

58 Electro Convulsion Therapy (ECT) * Rp 288.000

59 Elektro Enchepalograph (EEG) Rp 420.000

60 Elektro Myograph (EMG) * Rp 258.000

61 Elektro Surgery Unit (ESU) / Couter Rp 348.000

62 ENT Treatment (Ear Nose Trouth) * Rp 156.000

63 Fetal Detector / Doppler (dilengkapi Display) Rp 156.000

64 Freezer Laboratorium Rp 396.000

65 Hearth Rate Monitor Rp 300.000

66 Infant Warmer Rp 240.000

67 Infusion Pump Rp 288.000

68 Inkubator Perawatan Rp 324.000

69 Laboratorium Incubator Rp 252.000

70 Laboratorium Refrigator Rp 252.000

71 Laboratorium Rotator Rp 144.000

72 Mesin Anesthesi tanpa Vaporizer tanpa Ventilator Rp 228.000

73 Oven Rp 396.000

74 Paraffin Bath Rp 252.000

75 Pulse Oximetri (SPO2 Monitor) Rp 180.000

76 Short Wave Diathermy Rp 312.000

77 Micro Wave Diathermy Rp 312.000

78 Sphygmomanometer / Tensimeter Rp 84.000

79 Spirometer Rp 156.000

80 Sterilisator Kering Rp 204.000

81 Sterilisator Basah Rp 204.000

82 Stirrer Rp 156.000

83 Suction Pump / Alat Hisap Medik Rp 144.000

84 Syringe Pump Rp 288.000

85 Tabung Oksigen Rp 228.000

86 Traksi Rp 168.000

87 Treadmill Rp 168.000

88 Treadmill with ECG (electrocardiograph) / Cardiac Stress Test Rp 250.000

89 Ultra Sonograph (USG) Rp 300.000

90 Ultra Sound Theraphy (UST) Rp 216.000

91 Vacuum Extractor Rp 168.000

92 Ventilator Rp 396.000

93 Countinous Positive Airways Presure (CPAP) Rp 396.000

94 Ventilator Anesthesi Rp 396.000

95 Respirator Rate Rp 396.000

96 Water Bath Rp 216.000

97 CT-Scan Rp 1.044.000

98 Dental X-Ray Rp 950.000

99 Dental X-Ray Panoramic Rp 600.000

100 Dental X-Ray Panoramic with chepalometric Rp 700.000

101 General Purpose X-Ray dengan AEC Rp 1.440.000

102 General Purpose X-Ray Rp 1.032.000

103 Mobile C-Arm X-Ray Rp 1.008.000

104 Mobile Unit X-Ray Rp 876.000

105 X-ray Fluoroscopy (Dual fungsi R/F) Rp 1.116.000

106 X-Ray Mamography Rp 912.000

107 General Purpose X-Ray dengan AEC Rp 1.872.000

108 General Purpose X-Ray tanpa AEC Rp 1.872.000

109 Mobile Unit X - Ray/ Radiografi Mobil Rp 1.400.000

110 X-Ray Mamografi Rp 2.160.000

111 X-Ray Angiografi Rp 1.800.000

112 CT-Scan Rp 2.634.000

113 Dental X - Ray Rp 1.400.000

114 Dental X-Ray Panoramic Rp 1.400.000

115 Dental X-Ray Panoramic w/ Chepalometric Rp 1.400.000

116 X-Ray Fluroscopy (dual fungsi) Rp 3.960.000

117 Mobile C-Arm X-Ray Rp 1.700.000

118 Pengukuran Paparan Radiasi Ruangan Fluoroskopi Rp 1.050.000

119 Pengukuran Paparan Radiasi Ruangan Angiography Rp 900.000

120 Pengukuran Paparan Radiasi Ruangan Panoramic X-Ray Rp 800.000

121 Pengukuran Paparan Radiasi Ruangan Dental X-Ray Rp 500.000

122 Pengukuran Paparan Radiasi Ruangan Mobile X-Ray Rp 600.000

123 Pengukuran Paparan Radiasi Ruangan Mobile C-Arm Rp 1.000.000

124 Pengukuran Paparan Radiasi Ruangan Purpose X-Ray Rp 750.000

125 Pengukuran Paparan Radiasi Ruangan CT-Scan Rp 1.150.000

a SMA/ SMK Rp 50.000

b Diploma 3 Rp 75.000

c Diploma 4/ Strata 1 Rp 100.000

d Strata 2 Rp 150.000

a Diploma 3 Rp 200.000

b Diploma 4/ Strata 1 Rp 250.000

Praktek Kerja/Magang

Penelitian Mahasiswa

Pengukuran Paparan Radiasi dan Proteksi Radiasi

Uji Kesesuaian