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PERBANDINGAN TARIF HOSANA MEDICA GROUP
TARIF RUANG PERAWATAN
KETERANGAN HM LIPPO Usulan BEKASI Usulan HCB
BIAYA ADM :
LAMA RJ 7,500 7,500 7,500
BARU RJ 15,000 15,000 15,000
ADM RI 5% 5% 5%
TARIF JASA MEDIS RAWAT JALAN
JASA MEDIS RAWAT JALAN
Dokter Umum 40,000 40,000 35,000
Konsul Bid n ! ! !
Dokter "#e$i lis 75,000 0,000 70,000
J s Ke&id n n'd(n U") inti#* ! ! 0
Dokter "u&"#esi lis 100,000 100,000 100,000
J s Dokter )i(i '+U* 30,000 30,000 30,000
J s Dokter )i(i "#esi lis d n Mulut ! ! 0
J s Dokter mer(en$- . U)D 'Dr/ Umum* 50,000 50,000 45,000
J s Dokter mer(en$- . U)D 'Dr/ "#esi lis*' kti * 75,000 0,000 70,000
J s Dokter mer(en$- . U)D 'Dr/ "#esi lis*'# si * 35,000 40,000 35,000
J s Konsul A li )i2i 30,000 30,000 30,000
J s isum et Re#ertum r n( idu# 75,000 75,000 75,000
J s isum et Re#ertum r n( M ti 150,000 150,000 150,000
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J s Dokter n 6 ll 1 75,000 75,000 75,000
J s Dokter n 6 ll 100,000 100,000 100,000
J s Dokter n 6 ll ' ks# tri t * 150,000 150,000 150,000
J s Dokter Aku#untur 75,000 75,000 75,000
TARIF RUANG PERAWATAN RAWAT INAP
I+ 00,000 ! 0
I+ 850,000 850,000 550,000
K LA" 1 450,000 400,000 350,000
K LA" 50,000 50,000 00,000
K LA" 3A '5 Bed* 1 0,000 110,000 110,000
K LA" 3B '8 Bed* 110,000 ! 95,000
RUA:) BA;I " A< "esu i kel s "esu i kel s "esu i Kel s
I" LA"I 450,000 400,000 350,000
+ RI:A< L )I 400,000 350,000 300,000
I/ 6/ U 750,000 800,000 500,0006U 500,000 500,000 400,000
:/ I/ 6/ U. +/I/6/U 750,000 800,000 500,000
TARIF RUANG OBSER ASI UGD DAN KAMAR BERSALIN
U:I< )A=A< DARURA< >
1 ! 3 JAM 50,000 50,000 50,000
100,000 100,000 100,000
?8 JAM s . d 1 ri 00,000 00,000 00,000
K >
3 ! 8 JAM
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K I+ 800,000
K BIA"A 400,000 400,000 400,000
TARIF JASA MEDIS RAWAT INAPisite dokter s#esi lis '$ r(e m @ 1@ . ri*
I+ 1 5,000
I+ 100,000 100/000 90,000
I 90,000 90,000 0,000
II 0,000 0,000 70,000
III 75,000 75,000 85,000
I" LA"I 90,000 90,000 0,000
6U 100,000 100,000 100,000
I6U.+I6U.:I6U 150,000 1 5,000 1 5,000
+erin 100,000 100,000 100,000
Dokter ru n( n #er ri
"U+ R I+
I+ 45,000 45,000 40,000
I 40,000 40,000 35,000
II 37,500 37,500 3 ,500
III 35,000 35,000 30,000
I" LA"I 40,000 40,000 35,000I6U.+I6U.:I6U 150,000 50,000 50,000
+ RI:A 50,000 50,000 50,000
Administr si R t In # 5 % d ri tot l t (i n
TARIF TINDAKAN MEDIS RAWAT INAP
KELAS III!II KELAS III!II KELAS III!II KELAS III!IIen "eksi.
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In l si . :e&uli2er.
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"-rin(e #um# . In us +um# . ri . 1 l t 100,000
"u$tion 'm @ 5@ . ri* 30,000
"B
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#er si K usus 3,000,000 ,000,000
TARIF TINDAKAN FISIOTERAPI
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E 5 it n di itun( #er it n ,000 3,500 ,000e$tin( 5 ! 10 it ne$tin( 10 ! 15 it ne$tin( 18 ! 0 it ne$tin( 1 ! 5 it ne$tin( ? 5 it n
An(k t J it n 1!5 5,000 30,000 5,000? 5 it n di itun( #er it n ,000 ,500 ,000
A e$tin( 5 ! 10 it n A e$tin( 10 ! 15 it n A e$tin( 18 ! 0 it n A e$tin( 1 ! 5 it n
A e$tin( ? 5 it n
kstir# si >
Li#om !4 $m 'ke$il* 00,000 00,000 00,000
Li#om 5!7 $m 300,000 300,000 300,000
Li#om ?7 $m '&es r* 450,000 450,000 450,000
kstir# si 6l us 00,000 00,000 00,000
kstir# si eruk 00,000 00,000 00,000@#lor si luk 100,000 100,000 100,000kstir# si )r m 150,000 150,000 150,000
@tr si 6or#us Allienum ten((orok n. telin( . idun( 100,000 100,000 100,000Roser#l st- '$ &ut kuku se& (i n* 150,000 150,000 150,000
kstr ksi kuku '$ &ut kuku keseluru n* 100,000 100,000 100,000:ekrotom- > 75,000 75,000 75,000
6om&ustio 75,000 75,000 75,000
Am#ut si 1 ru s 50,000 50,000 50,000) nti er& n ') * ke$il 35,000 35,000 35,000) nti er& n ') * sed n( 40,000 40,000 40,000) nti er& n ') * &es r 45,000 45,000 45,000
=< Ke$il 30,000 30,000 30,000
=< "ed n( 35,000 35,000 35,000
=< Bes r 40,000 40,000 40,000"irkumsisi An k 'dr umum* 400,000 400,000 400,000"irkumsisi De s 'dr umum* 300,000 300,000 300,000
Klism 50,000 50,000 50,000
Insisi A&ses ke$il 75,000 75,000 75,000
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Insisi A&ses &es r 1 5,000 1 5,000 1 5,000
Iri( si m t 50,000 50,000 50,000
In us t li #us t 75,000 75,000 75,000
Um&ili$ l $ t eter 100,000 100,000 100,000
+ s n( in us 35,000 35,000 35,000
en seksi 500,000 500,000 500,000
:e&uli2er 45,000 40,000 40,000+er t n #ert m luk & k r >
E 5% 75,000 75,000 75,000? 5% 1 5,000 1 5,000 1 5,000
Ci@ @i + t
/ + s n( "# lk 'len( n* 5,000 5,000 5,000
+ s n( )i&s 400,000 400,000 400,000Re#osisi Dislok si "eder n 1 5,000 50,000 50,000Bil s L m&un( 100,000 100,000 100,000Corm lin di Rum 1,000,000 1,000,000 1,000,000Corm lin di Rum " kit 1,000,000 1,000,000 1,000,000
K) 50,000 50,000 50,000Monitor. 8 m 50,000 50,000 50,000Monitor. 1 m 75,000 75,000 75,000Monitor. 4 m 100,000 100,000 100,000
ksi(en . m 0,000 0,000 0,000
At erom 50,000 50,000 50,000
) n(lion 300,000 300,000 300,000+ ket ) #er 1@ kun un( n '1@ suntik* 100,000 100,000
+ s n( $oll r ne$k 10,000 10,000 10,000
+ s n( l stik +er& n 10,000 10,000 10,000
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Intr sseu2 250,000 250,000 250,000+ s n( in us 50,000 50,000 50,000Resusit si J ntun( + ru.dr/ umum 00,000 00,000 00,000Monitorin( Arteline . ri 100,000 100,000 100,000Monitorin( . ri 100,000 100,000 100,000
en "e$tie 750,000 750,000 750,000:)< 50,000 50,000 50,0006 t eter 50,000 50,000 50,000
entil tor . ri 500,000 500,000 500,000
. ri 140,000 140,000 140000$# # 00,000 175,000 175,000:e&uli2er 45,000 40,000 40,000
Intu& si 50,000 50,000 50,000
D6 s o$k 150,000 150,000 150,000
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Usulan Su#an$ Usulan KLINIK BPJS MEDIKA ANNISA AMANDA HK SILOAM
17,000 5,000 8,000 10,000 15,000
,500 10,000 1 ,000
375/000, Isol si F I6U > 80/000, ! 5 %
50,000 30,000 40,000 30,000 5,000 5,000 50,000
! 15,000
11 ,500 80,000 75,000 85,000 85,000 55,000 95,000
0 0 10,000 15,000
! 0
50,000 30,000 40,000 7,500 5,000 75,000
0 0 100,00
81, 75 0 45,000 40,000 40,000 35,000 80,000
! 0 5,000 85,000
! 0
0 0 30,000 15,000 5,000
! 75,000
100,000 150,000
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! 85,000
! 75,000
! 100,000
! 75,000
0 0 890,000
505,000 0 500,000 475,000 450,000 700,000
390,000 0 350,000 75,000 300,000 375,000
0,000 0 1 5,000 85,000 00,000 150,000 50,000
11 ,000 0 ,000 90,000 90,000 5,000 1 0,0000 0
"esu i Kel s 0 75,000
450,000 0 385,000 5,000 75,000 300,000
1 3,000 0 75,000 190,000 75,0001,01 ,000 0 535,000 450,000 400,000 550,000 750,000
! 0 450,000
! 0 535,000 350,000 350,000 550,000 550,000
7 ,750 30,000
0 50,000
0 75,000
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1,184,375
15,000
183,000 90,000 5,000 115,000
130,000
100,000
95,000
130,000 0,000!
190,000 10 ,000 5,000 1 5,000
! 115,000
70,000 80,000
isite dr/ umum 40,000 3 ,500
0
8 ,000 3,000
50,000
50,000
45,000
8 ,000 1,000
8 ,000 33,000 35,000
! 3 ,500
19,000 30,000
17,000 7,500
15,000 5,0005 % DARI <
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47,500 50,000
1 5,000 150,000
1 5,000 150,000
00,000 50,000
35,000 40,00035,000 40,000
40,000 45,000
45,000 50,000
55,000 80,000
900,000
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1 9,375
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,500 30,000191, 50 48,000 70,000 49,500 75,00
5 ,750 80,000 115,000 77,000 9 ,5155,000 110,000 9 ,5175,000 13 ,000
7,500 185,00045,000 75,000 0,00018, 75 1 ,000 45,000 ,00058, 50 ,0007 ,750 85,000 30, 00 75
0,000 49,500
83, 0077,000
110,000
108, 75 75,000
80,000 70,000 88,000
95,000 137,500
1 0,000 180,000 110,000 178,000
11 ,500
11 ,500183,1 5183,1 5 9 ,000 110,000108, 75 1 5,000 55,000
79,500 110,000
380,00045,00058, 50 4,000 0,000 30,000 7,500 50,0073,1 5 37,500 5,000 37,000 3 ,500 55,00
73,1 5 88,000 30,000 45,000 49,500 80,00
108, 75
198, 7595,000 0,000 507,
7,500 300,000
95,000 400,000 400,000
7 ,750 4 ,000 35,000 50,000 33,000
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1 0,000 79,000 89,000 70,000
73,1 5 158,000 1 5,000 135,000 137,500
38,000 34,500 50,000
81, 75 7,500
50,8 5 0,000
380,000 30,000 1 5,000 00,000 0,00
108, 75 173,000 0,000 0,000
4 ,000 83,000 75,000 49,500
105,000 103,500 130,000 110,00047,000 40,000
! 110,000
450,000 4,0003 3,43 35,00011 ,500 1 ,500 80,000 110,000
! 317,000 17 ,500 00,000 0,000! 7 5,000
90,0000 ,500 58,000 3 ,500
10,000
!
! 19 ,500350,000 10,000 75,000
0 40,000
3 3,43488, 75 79,500 34,500 55,000
110,000
70,0000 19 ,000
11 ,500 80,000!
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!7 ,000
1000.90000155000155000 80,000380000
8 000 0,00047000 80,000 0,000
0 8 ,000 475,000
73,1 5
!45000
75,000 50,000
108 75
3 08 5 135,000
55,000
40,000
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MITRA TMR RA HARAP HERMINA BELLA
10,000 5,000
17,000
5 % MAG 800/000
85,000 30,000 59,000 40,000
75,000 110,000 75,000
0,000
70/000!100/000
95,000 30,000
110,000
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BELLA
1,195,000 5 0,000 10,000 750,000
850,000 4 5,000 400,000
375,000 00,000 55,000 10,000
150,000 95,000 110,000 110,000
7 0,000 3 5,000 4 5,000 500,000
4 5,000
1,005,000 4 5,000 450,000
! !
595,000 550,000 400,000
80,000 ,000
80,000 85,000
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180,000 190,000
1 5,000
1 5,000
130,000
90,000 90,000
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85,000
85,000
85,000
85,000
70,000
85,000
85,000
90,000
78,000
78,000
78,000
85,00085,000
1,000
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133,000 1 0,000 170,000 HHH
0,000
330,000
100,000 85,000 75,000 75,000
5000
17,000 170,000
17,000 80,0008,000
44,000
350,000
101,000 110,000
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1,000
39,000 70,000
140,000
735,000 370,000
145,000
1 0,000
100,00040,000
1 0,000
1,000,000
5,0001 ,000
13 ,000 175,000,000
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195,00050000
79 ,00080,000
50,000
110,000 85000
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TINDAKAN DI POLI
KETERANGAN HM LIPPO
TARIF TINDAKAN POLI UMUMIn eksi 15,000) 50,000
TARIF TINDAKAN POLI BEDAH UMUM) 50,000:e$rotome 75,000"irkumsisi 750,000
ACC 6
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R +AIR JARI:)A: !I:"I"I AKUA"I MA< M !+ MA"A:)A: KA=A< CIK"A"I !6IR6UM"I"I 'A: "< "I L KAL* !
:A " K"I !6
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+U:)"I I:J K"I " :DI K 6IL+U:)"I I:J K"I " :DI B "AR
TARIF JASA DOKTER BEDAH TULANG ! ORTOPEDI
#er si Ke$il !#er si "ed n( !#er si Bes r !#er si K usus !
"e l t ort o !
POLI PENYAKIT DALAMM ntou@
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? 10(in l
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&/ Du
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< IL < < LI:)A 15,000 ACC 6
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A:)KA< B :DA A"I:) MA
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GA:< LA"MAR +AIR +AL+ BRAR +AIR 6 :JU:6
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+ MA"A:)A: R< II 5,500,000K :
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R< D :
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USULAN LIPPO HM BEKASI HM SUBANG SENTRA MEDIKA
15,000 15000 50,000 58000
50,000 58,00075,000
750,000 !75,000 45,000
5,000 58000 50,000
! 000 5,000
350,000 00,000 150,000
50,000 5000 1 0,000
! 150,000500,000 150,000 51 000
750,000 50,000
5,000 58000 300,000
30,000 45000 40,000
35,000 58000 70,000
40,000 73000 100,000100,000
10,000
00,000350,000
50,000 5000
0
0,000 5000
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00,000150,000150,000800,000
300,000 50,000100,000 130000
150,000 450000 50,000 3 000
BEKASI850,000 7 7,500
1, 00,000 1, 37,5001,700,000 ,09 ,500
,100,000
50,000 98000 0,000
100,000 190000 500,000 450000 50,000
5,00075,00075,000
350,00050,000
500,000 106,875
750,000 180,000
50,000
5,000
40,000
70,000
100,000
100,000
50,000
5 0,00050,000
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1 0,000
850,0001,750,000
,500,0004,000,000
50,000
50,000
75,000 0000 35,000 35000 50,000
100,000 190000 15,000
75,000 75,000 0000 145,000
35,000 35,000 35000 0,000
1 5,000 175,000 19 ,00050,00050,000 80,000
1 5,000 0,000 40,000
175,000 100,000 40,000
50,000 13 ,000
75000 80,000
150,000 310000
1 5,000
100,000 310000
750,00030,00035,000 88,000
5,000,500
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0,0004 ,000
1 0,000150,000
340000 1 5,000
5000 40,000
KELAS III 3,000,000 900,000 55,000
Dit m& 5% d ri r( # rtus norm l 1185000.10 8750.1184375500,000 543,000
3,000,000 900,000 3, 35,0007,000,000 1,400,000 9,703,000
,413,000!
400,000400,000
50,000
500,00080,000
! 500,000
500,000
150,000 8 000 88,000
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90,000
35,000 0,000 50000 35,000 0,000 50000 45,000 80,000
0,000
80000 4 ,000
5000 4 ,000
55,000 95000 40,000
35,000 95000 80,000
!!
!! 11 500
5,000 8 000 50,000
35,000
! 5,000 8 000
40,000
5,00050,000
0,000 40,000
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0,000 95000 40,000
30,00050,00075,000
!!
5,0005,000
70,000
1 0,000
88,000
1 0,000
1 5,000 10 ,000100,000
4 ,000
7 ,000
80,000
13 ,000
500,0001, 00,0001,750,000
,500,000
750,0001,000,000
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35,000 80,00030,000 75,00050,000 35,000
35,000 75,000 33,000
50,000 ! 75,000 1 0,000
80,000 !
100,000 150,000
40,000 HHH 33,000
30,000 50,000 19 ,000
50,000 ! 75,000 HHH 5,000 HHH 33,000
0,000 5,000 33,000
100,000
30,000 45,000 88,00050,00075,000
150,00040,00040,000 19 ,000
! 88,000
!
!!!
80,00035,000 48,500
! 5,000 33,000
15,000 0,000
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750,0001,100,0001,700,000
!
30,000 ! 50000 40,00075,000 80,000 79,000 88,000
,000,000150,000 100,000
13 ,000
150,000
180,000
40,000
180,000150,000 150,000 3 0,000
00,000 00,000 183,00075,000 98,000 75,000
75,000 183,000 9 ,500
75,000 98,000 79,500
100,000 130,000 99,000
100,000150,000
100,000 100,000
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13 ,000
180,000
108,000
119,00045,000
1,000,000
0,000
100,000
150,000
50,00050,00075,000
398,000
00,000 00,000
1,000,000 !1,1 0,000 1,500,000
500,000 40,000
95,0000,000
450,000
75,00040,000
100,0000,000
! 11 000.R )I500,000
150,0005,000
75,000100,000 100,000150,000100,000150,000300,000450,000
,000,00075,000
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5,500,000100,000
75,00075,000
1,300,0003,000,000
150,00075,000
400,000
00,000 450,000100,000 183,000
1,000,000 1,1 1,000100,000 183,000
1,500,000100,000
1,000,000 1,1 1,000750,000 848,000750,000 7 7,000
,000,000
300,00075,00075,00050,00075,00030,00040,00050,000
5,00075,000
150,0004, 00
150,000 40,000
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BEKASI ANNISA AMANDA HARAPAN KELUARGA SILOAM MITRA TMR
15,000
50,000
50,00075,000
750,00075,000
30,000 45,000
40,000 85,000
350,00050,000 140,000 5,000
!500,000750,000
9,000 45,000 50,000
34,500 55,000
48,000 80,000
110,000 180,000
1 5,000 180,000
110,000 3 0,000
140,000 180,000
55,000 75,000
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145,00050,000
55,000
1,3 ,000 1,440,000 800,000 770,000
3,051,000 ,770,000 1,000,000 143,0003,799,000 3,900,000 1,500,000 ,530,000
4,543,000 4,810,000 ,000,000 3,830,000
30,000
0,000
100,000500,000
50,0005,000
75,00075,000
350,00050,000
500,000
750,000
3 0,000
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1,455,000 800,000 1, 00,000
3,07 ,000 1,000,000 ,300,000
4,04 ,000 1,500,000 3,800,000
4,9 5,000 ,500,000 4,800,000
30,000
75,00035,00050,000
100,00015,000
1 5,000 130,000 18 ,000
50,000 85,000 130,000
1 5,000 185,000 3 4,000597,000
HHH
50,000
00,000
90,000 90,000 100,000 147,000
40,000
1,000
150,00070,000
15,000
150,000
70,000
5,000 5,000
5,000
35,00045,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
53/322
85,000
30,000 35,000
1 ,500
150,0005,000 100,000
00,000 100,000
5,000
35,000
00,000
0,000
35,000
30,000
40,000
1,3 ,000 ,14 ,500 1,100,000
1,505,000 1,375,000
915,000 550,000
1,100,0003,150,000 1,500,000
1, 00,0001,375,000
30,000 0,000 0,000
500,000 140,00080,000 90,000 55,000
185,000
5,000
0,000
500,000500,000
150,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
54/322
0,000
0,000
45,000 55,000
00,000
85,000
50,000
5,000
1,000
35,000 75,000 89,000
58,000
89,0005,000
89,000
80,000
5,000
87,500 5,000
5,000
0,000
45,000
1 4,000
155,000
187,000
1 0,000
50,0005,000
5,000
40,000
85,000
5,000 8,000
85,000
0,0001,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
55/322
30,000
50,000
75,000
80,000
155,000 155,000
55,000 85,000
185,000 155,000
5,000 1 4,000
143,000
155,000
1 0,000
89,00089,000
140,000
5,000 0,000
30,000
45,000
1 0,000
90,000
55,000
1, 35,000 1,7 0,000 800,000 850,000
,731,000 3,050,000 1,000,000 1, 50,000
3,108,000 4,1 0,000 1,500,000 1,750,000
3, 14,000 4, 90,000 ,000,000 ,500,000
750,0001,000,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
56/322
35,00030,000 40,000 1 9,000
50,00075,000
150,00035,000 30,000
50,00075,000
80,0001 9,000
100,000 457,000457,000
40,0008,000
115,000
30,000 104,000
50,00075,000
5,000 59,000
0,000 104,000158,000
30,00030,000
55,000
300,000
70,000
104,000
5,000 104,000
185,000
150,000
30,000
30,000 41,000
30,000 54,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
57/322
457,000
457,000
555,000
75,000
75,000104,000
30,000 104,000
45,000
5,000
30,000
300,000
300,000
1, 10,000 800,000 750,000
,3 7,000 1,000,000 1,350,000
,9 0,000 1,500,000 1,850,000
3,000,000
5,000 75,000 5,00050,000 80,000 50,000
90,000 90,000 300,000
110,000 1 0,000 500,000
90,000 380,000
90,000 70,000 0,000
105,000 1 0,000 90,000
70,000 80,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
58/322
90,000 0,000
135,000 105,000 110,000
155,000 180,000 150,000
105,000 95,000 0,000
115,500 140,000 90,00050,000 300,000
00,000 300,000
45,000 35,000
55,000 45,000
150,000
00,000
730,000 800,000 1, 50,000
,500,000
180,000 150,000 150,000 750,000
150,000
40,000
350,0005,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
59/322
100,000
300,000
5,000
45,0001 0,000
90,000
1 5,000
350,000 3 5,000 500,0009 ,000 100,000 130,000
935,000 1,300,000
1 5,000 150,000
1,000,000
00,000
975,000 50,000
500,000 750000!900000
875,000 1, 50,000
1,000,000 3,000,000 ,500,000
90,000 50,000
95,000 75,000 100,000 150,000
00,000 150,000 0,000 150,000
00,000 0,000
1,050,000 ,500,000 1,000,000
10,000,000
11,000,000
14,000,000
,000,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
60/322
9,000,000
10,000,000
1 ,000,000
13,000,000
175,00090,000 100,000
,000,000
1 5,000
3 0,000
510,000
150,000
50,000
5 5,000 40,000
45,000
835,000
05,000
15,000
835,000
05,000
835,000
05,000150,000
3, 00,000
,975,000
835,000
415,000
35,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
61/322
CITRA HARAPAN HERMINA BELLA
55000
7 000
80000
1 5000300000
580000
910000
1 0000
300000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
62/322
850000
500000
75000
50000
170,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
63/322
135000
35000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
64/322
40,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
65/322
90,000
80,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
66/322
80,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
67/322
155,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
68/322
70,000100,000
300,000
00,000
150,000
150,000150,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
69/322
1,000,000
100,000
1, 50,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
70/322
50,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
71/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
72/322
TARIF PER JENIS OPERASI
KETERANGAN HM LIPPO
:o Jenis #er si KELAS
I+ I+
OPERASI KECIL
1
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
73/322
OPERASI KHUSUS
1 "#lenektomi ### ###K olesistektomi sulit ### ###
3 1 Bi - terse&ut dilu r rese# dokter, r t in #, isite dokter d n #emeriks n #enun n(
#er si 6ito k sus, s dokter dit m& 5%
3 Jik d kesulit n d n tind k n l in, m k &i - k n &eru& / Jik o4 Bi - terse&ut d l untuk #er t n &i s '&uk n 6U*5 Bi - dministr si 5% d ri tot l &i -8 + d (emeli, untuk & -i &erikutn- &i - dit m& 50% #er & -i
7 Dokter An stesi 40% d ri s dokter o#er tor < ri k m r o#er si sud term suk l t ! l t st nd ris si o#er si
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
74/322
9 Jik o#er si le&i d ri s tu ktu d n d l m &ed l # n( n o#er si m10 Bil o#er si dil kuk n ole dokter s#esi lis - n( &er&ed m k s o#er tor n- m
OPERASI KECIL1 Bio#si tumor den( n )ener l An stesi ')A* 1,050,000 1,050,000
ks#lor si n so rin( den( n )ener l An stesi ')A* 1,050,000 1,050,0003 kstr ksi &end sin( di idun( . telin( den( n )A 1,000,000 1,000,000
OPERASI SEDANG1 kstr ksi $erumen sulit 1,500,000 1,500,000
kstr ksi &end sin( sulit
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
75/322
1 Cess 'Cun$tion r- ndos$o#- "inus "ur(er-* ,500,000 ,500,000An(io o&rom n so rin( ,500,000 ,500,000
3 Dekom#resi $i lis ,500,000 ,500,0004
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
76/322
13 Re# ir istel 3,300,000 3,300,00014 "istosko#i den( n tind k n 3,300,000 3,300,000
OPERASI KHUSUS1
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
77/322
1 Ciks si intern - n( kom#leks , 50,000 , 50,000
Ciks si le&i d ri s tu tul n( , 50,000 , 50,0003 Dis rtikul si , 50,000 , 50,0004 Multi#le re# ir tendon , 50,000 , 50,0005 Am#ut si tul n( &es r , 50,000 , 50,0008 #en reduksi r ktur , 50,000 , 50,000
OPERASI KHUSUS 1 M $rosur(er- 3,750,000 3,750,000
Artros$o#- 3,750,000 3,750,0003 ) nti sendi 'tot l knee i# el&o * 1 sendi 3,750,000 3,750,0004 Cr ktur - n( kom#lek ' r ktur $et &ulum, tul n( &el k 3,750,000 3,750,0005 "eoliosis 3,750,000 3,750,0008 "#ondilitis 3,750,000 3,750,0007 Kel in n $on(enit l se#erti 6D 3,750,000 3,750,000
Am#ut si Mind u ter 1 sisi 3,750,000 3,750,000
9 Am#ut si Core u ter 1 sisi 3,750,000 3,750,00010 Reseksi tumor mus$uloskelet l F rekontruksi 1 tul n( 3,750,000 3,750,00011 Artros$o#- 3,750,000 3,750,0001 6< 3,750,000 3,750,00013 :e(le$ted r $ture 'non union . m l union* 1 tul n( 3,750,000 3,750,00014 Dislok si l m 1 tul n( 3,750,000 3,750,000
Keter n( n >1 Bil le&i d ri 1 's tu* tul n( t u sisi &i - t m& 50%
OPERASI KECIL1 ktir# si #oli#+l $ent m nu l 1, 00,000 1, 00,000
3 M$ Don ld . " irodk r 1, 00,000 1, 00,0004 +en it n ro&ek n ser iks 00,000 00,0005 idrotu& si 1,050,000 1,050,000
OPERASI SEDANG &s(-n1 kstir# si M-om )e&urt 1,700,000 1,700,000
M = '
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
78/322
1
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
79/322
Ru#tur 6orne 4,050,000 4,050,0003 D $r-o$-ste$tom- 'D6R* 4,400,000 4,400,0004 Re# ir #tosis 3, 00,000 3, 00,0005 "tr &ismus 4,300,000 4,300,0008 nu$le si &ul&i 4,500,000 4,500,0007 K t r k den( n #en-ulit F # s n( I L 'Intr $uler Le 3, 00,000 3, 00,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
80/322
USULAN LIPPO USULAN BEKASI
KELASI II III I+ I II
Rp950,000 Rp 850,000 Rp 750,000 ### ### Rp 850,000### ### Rp1,000,000 ### ### Rp1,100,000
Rp950,000 Rp 850,000 Rp 750,000 ### ### Rp 850,000Rp950,000 Rp 850,000 Rp 750,000 ### ### Rp 850,000Rp950,000 Rp 850,000 Rp 750,000 ### ### Rp 850,000
### ### Rp1,400,000 ### ### Rp1,500,000### ### Rp1,400,000 ### ### Rp1,500,000### ### Rp1,400,000 ### ### Rp1,500,000### ### Rp1,400,000 ### ### Rp1,500,000### ### Rp1,400,000 ### ### Rp1,500,000### ### Rp1,400,000 ### ### Rp1,500,000### ### Rp1,400,000 ### ### Rp1,500,000### ### Rp1,400,000 ### ### Rp1,500,000
### ### Rp1,400,000 ### ### Rp1,500,000### ### Rp1,400,000 ### ### Rp1,500,000### ### Rp1,400,000 ### ### Rp1,500,000
### ### Rp1,800,000 ### ### Rp1,900,000### ### Rp1,800,000 ### ### Rp1,900,000### ### Rp1,800,000 ### ### Rp1,900,000### ### Rp1,800,000 ### ### Rp1,900,000
### ### Rp1,800,000 ### ### Rp1,900,000### ### Rp1,800,000 ### ### Rp1,900,000### ### Rp1,800,000 ### ### Rp1,900,000### ### Rp1,800,000 ### ### Rp1,900,000### ### Rp1,800,000 ### ### Rp1,900,000### ### Rp2,000,000 ### ### Rp2,100,000### ### Rp2,000,000 ### ### Rp2,100,000### ### Rp1,800,000 ### ### Rp1,900,000### ### Rp1,800,000 ### ### Rp1,900,000### ### Rp1,800,000 ### ### Rp1,900,000
### ### Rp1,800,000 ### ### Rp1,900,000### ### Rp1,800,000 ### ### Rp1,900,000
BedahUmum
BedahUmum
BedahUmum
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
81/322
### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000
### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000### ### Rp3,000,000 ### ### Rp3,200,000
### ### Rp2,500,000 ### ### Rp3,500,000
BedahUmum
BedahUmum
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
82/322
sin( ! m sin(
950,000 50,000 750,000 1,050,000 950,000 50,000950,000 50,000 750,000 1,050,000 950,000 50,000900,000 00,000 700,000 1,000,000 900,000 00,000
1,400,000 1,300,000 1, 00,000 1,700,000 1,500,000 1,400,0001,400,000 1,300,000 1, 00,000 1,700,000 1,500,000 1,400,0001,400,000 1,300,000 1, 00,000 1,700,000 1,500,000 1,400,0001,400,000 1,300,000 1, 00,000 1,700,000 1,500,000 1,400,0001,400,000 1,300,000 1, 00,000 1,700,000 1,500,000 1,400,0001,400,000 1,300,000 1, 00,000 1,700,000 1,500,000 1,400,000
1,400,000 1,300,000 1, 00,000 1,700,000 1,500,000 1,400,0001,400,000 1,300,000 1, 00,000 1,700,000 1,500,000 1,400,0001,400,000 1,300,000 1, 00,000 1,700,000 1,500,000 1,400,0001,400,000 1,300,000 1, 00,000 1,700,000 1,500,000 1,400,0001,400,000 1,300,000 1, 00,000 1,700,000 1,500,000 1,400,0001,400,000 1,300,000 1, 00,000 1,700,000 1,500,000 1,400,0001,400,000 1,300,000 1, 00,000 1,700,000 1,500,000 1,400,0001,400,000 1,300,000 1, 00,000 1,700,000 1,500,000 1,400,0001,400,000 1,300,000 1, 00,000 1,700,000 1,500,000 1,400,0001,400,000 1,300,000 1, 00,000 1,700,000 1,500,000 1,400,0001,400,000 1,300,000 1, 00,000 1,700,000 1,500,000 1,400,0001,400,000 1,300,000 1, 00,000 1,700,000 1,500,000 1,400,000
1,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,000
, 00,000 ,100,000 ,000,000 ,300,000 , 00,000 ,100,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
83/322
,400,000 ,300,000 , 50,000 3, 00,000 ,900,000 ,700,000,400,000 ,300,000 , 50,000 3, 00,000 ,900,000 ,700,000,400,000 ,300,000 , 50,000 3, 00,000 ,900,000 ,700,000,400,000 ,300,000 , 50,000 3, 00,000 ,900,000 ,700,000,400,000 ,300,000 , 50,000 3, 00,000 ,900,000 ,700,000,400,000 ,300,000 , 50,000 3, 00,000 ,900,000 ,700,000,400,000 ,300,000 , 50,000 3, 00,000 ,900,000 ,700,000
50%
Urologi 1,500,000 1, 00,000 1,000,000 1,900,000 1,500,000 1, 00,0001,500,000 1, 00,000 1,000,000 1,900,000 1,500,000 1, 00,0001,500,000 1, 00,000 1,000,000 1,900,000 1,500,000 1, 00,0001,500,000 1, 00,000 1,000,000 1,900,000 1,500,000 1, 00,0001,500,000 1, 00,000 1,000,000 1,900,000 1,500,000 1, 00,0001,500,000 1, 00,000 1,000,000 1,900,000 1,500,000 1, 00,0001,500,000 1, 00,000 1,000,000 1,900,000 1,500,000 1, 00,0001,500,000 1, 00,000 1,000,000 1,900,000 1,500,000 1, 00,000
Urologi ,150,000 1,950,000 1,750,000 ,550,000 ,150,000 1,950,000
,150,000 1,950,000 1,750,000 ,550,000 ,150,000 1,950,000,150,000 1,950,000 1,750,000 ,550,000 ,150,000 1,950,000,150,000 1,950,000 1,750,000 ,550,000 ,150,000 1,950,000,150,000 1,950,000 1,750,000 ,550,000 ,150,000 1,950,000,450,000 ,350,000 , 50,000 ,550,000 ,450,000 ,350,000,150,000 1,950,000 1,750,000 ,550,000 ,150,000 1,950,000, 00,000 ,100,000 ,000,000 ,300,000 , 00,000 ,100,000,150,000 1,950,000 1,750,000 ,550,000 ,150,000 1,950,000, 00,000 ,100,000 ,000,000 ,300,000 , 00,000 ,100,000,150,000 1,950,000 1,750,000 ,550,000 ,150,000 1,950,000,700,000 ,800,000 ,500,000 , 00,000 ,700,000 ,800,000
Urolo(i3, 00,000 , 00,000 ,800,000 3,300,000 3, 00,000 , 00,0003, 00,000 , 00,000 ,800,000 3,300,000 3, 00,000 , 00,0003, 00,000 , 00,000 ,800,000 3,300,000 3, 00,000 , 00,0003, 00,000 , 00,000 ,800,000 3,300,000 3, 00,000 , 00,0003, 00,000 , 00,000 ,800,000 3,300,000 3, 00,000 , 00,0003, 00,000 , 00,000 ,800,000 3,300,000 3, 00,000 , 00,0003, 00,000 , 00,000 ,800,000 3,300,000 3, 00,000 , 00,0003, 00,000 3,100,000 3,000,000 3,300,000 3, 00,000 3,100,000
,950,000 , 50,000 ,750,000 3,050,000 ,950,000 , 50,0003, 00,000 , 00,000 ,800,000 3,300,000 3, 00,000 , 00,000
3, 00,000 , 00,000 ,800,000 3,300,000 3, 00,000 , 00,0003, 00,000 , 00,000 ,800,000 3,300,000 3, 00,000 , 00,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
84/322
3, 00,000 , 00,000 ,800,000 3,300,000 3, 00,000 , 00,0003, 00,000 , 00,000 ,800,000 3,300,000 3, 00,000 , 00,000
Urologi 4,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,000
4,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,0004,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,0004,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,0004,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,0004,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,0004,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,0004,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,0004,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,0004,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,0004,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,0004,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,0004,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,000
4,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,0004,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,0004,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,0004,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,0004,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,0004,050,000 3,585,000 3, 35,000 4, 50,000 4,050,000 3,585,000
(/
50% d ri t ri tind k n o#er tor se&elumn- /#er tor #ert m
Bedah Tulang / Ort 950,000 50,000 750,000 1,150,000 950,000 50,000
950,000 50,000 750,000 1,150,000 950,000 50,000
Bed
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,450,000 ,350,000 , 50,000 , 50,000 ,450,000 ,350,000,450,000 ,350,000 , 50,000 , 50,000 ,450,000 ,350,000,450,000 ,350,000 , 50,000 , 50,000 ,450,000 ,350,000,450,000 ,350,000 , 50,000 , 50,000 ,450,000 ,350,000,450,000 ,350,000 , 50,000 , 50,000 ,450,000 ,350,000,450,000 ,350,000 , 50,000 , 50,000 ,450,000 ,350,000
Bed
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,700,000 ,800,000 ,500,000 , 00,000 ,700,000 ,800,000,900,000 , 00,000 ,700,000 3,000,000 ,900,000 , 00,000,700,000 ,800,000 ,500,000 , 00,000 ,700,000 ,800,000,400,000 ,300,000 , 00,000 ,500,000 ,400,000 ,300,000,450,000 ,350,000 , 50,000 ,550,000 ,450,000 ,350,000,700,000 ,800,000 ,500,000 , 00,000 ,700,000 ,800,000
Bedah Syaraf Bedah1, 00,000 1,100,000 9,000,000 1,400,000 1, 00,000 1,100,000
1,100,000 1,000,000 ,000,000 1,300,000 1,100,000 1,000,000
1, 00,000 1,100,000 9,000,000 1,400,000 1, 00,000 1,100,000
15,000,000 14,000,000 1 ,000,000 17,000,000 15,000,000 14,000,00011,500,000 10,500,000 ,500,000 13,500,000 11,500,000 10,500,000
d n isite dokter d n #emeriks n #enun n(/
50% d ri t ri tind k n o#er tor se&elumn-
Bedah Mulut Beda,700,000 ,800,000 ,500,000 , 00,000 ,700,000 ,800,000,950,000 , 50,000 ,750,000 3,050,000 ,950,000 , 50,000
Bed Mulut
3,700,000 3,800,000 3,500,000 3, 00,000 3,700,000 3,800,000
Bedah Mata Beda, 00,000 ,100,000 ,000,000 ,300,000 , 00,000 ,100,000
Bed M t
1,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,000, 00,000 ,100,000 ,000,000 ,300,000 , 00,000 ,100,000
1,700,000 1,800,000 1,500,000 1, 00,000 1,700,000 1,800,0001,950,000 1, 50,000 1,750,000 ,050,000 1,950,000 1, 50,000
, 00,000 ,100,000 ,000,000 ,300,000 , 00,000 ,100,000
Bed M t
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3,950,000 3, 50,000 3,750,000 4,050,000 3,950,000 3, 50,0004,300,000 4, 00,000 4,100,000 4,400,000 4,300,000 4, 00,0003,700,000 3,800,000 3,500,000 3, 00,000 3,700,000 3,800,0004, 00,000 4,100,000 4,000,000 4,300,000 4, 00,000 4,100,0004,400,000 4,300,000 4, 00,000 4,500,000 4,400,000 4,300,0003,700,000 3,800,000 3,500,000 3, 00,000 3,700,000 3,800,000
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SUBANG
KELAS KELASIII I+ I II III IP
1,9 5,000
Rp 750,000 ### ### Rp2,566,000 Rp2,149,500Rp1,000,000Rp 750,000Rp 750,000Rp 750,000
3, 45,000
Rp1,400,000 ### ### Rp4,275,500 Rp3,437,000Rp1,400,000Rp1,400,000Rp1,400,000Rp1,400,000Rp1,400,000Rp1,400,000Rp1,400,000
Rp1,400,000Rp1,400,000Rp1,400,000
5,005,000
Rp1,800,000 ### ### Rp6,649,000 Rp5,653,500Rp1,800,000Rp1,800,000Rp1,800,000
Rp1,800,000Rp1,800,000Rp1,800,000Rp1,800,000Rp1,800,000Rp2,000,000Rp2,000,000Rp1,800,000Rp1,800,000Rp1,800,000
Rp1,800,000Rp1,800,000
BedahUmum
BedahUmum
Be aUmum
BedahUmum
Be aUmum
BedahUmum
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8,180,000
Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000
Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000Rp3,000,000
Rp3,000,000
Be aUmum
BedahUmum
Be aUmum
BedahUmum
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180,000
750,000750,000700,000
3,000,000
1,300,0001,300,0001,300,0001,300,0001,300,0001,300,000
1,300,0001,300,0001,300,0001,300,0001,300,0001,300,0001,300,0001,300,0001,300,0001,300,0001,300,0001,300,000
4,500,000
1,750,0001,750,0001,750,0001,750,000
,000,0001,750,0001,750,0001,750,0001,750,0001,750,0001,750,0001,750,0001,750,0001,750,0001,750,0001,750,0001,750,0001,750,0001,750,0001,750,0001,750,000
5, 50,000
Telinga HidungTenggorokan
Telinga HidungTenggorokan
Telinga HidungTenggorokan
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,500,000,500,000,500,000,500,000,500,000,500,000,500,000
rologi Urologi 1,000,0001,000,0001,000,0001,000,0001,000,0001,000,0001,000,0001,000,000
rologi Urologi 1,750,000
1,750,0001,750,0001,750,0001,750,000
, 50,0001,750,000
,000,0001,750,000
,000,0001,750,000
,500,000
Urolo(i,800,000,800,000,800,000,800,000,800,000,800,000,800,000
3,000,000,750,000,800,000
,800,000,800,000
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,800,000,800,000
rologi 3, 35,000
3, 35,0003, 35,0003, 35,0003, 35,0003, 35,0003, 35,0003, 35,0003, 35,0003, 35,0003, 35,0003, 35,0003, 35,000
3, 35,0003, 35,0003, 35,0003, 35,0003, 35,0003, 35,000
hopedi Bedah Tulang / Orthopedi 3,400,000750,000 1,150,000 950,000 50,000 750,000750,000 1,150,000 950,000 50,000 750,000
ul n( . rt o#edi Bed
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, 50,000 , 50,000 ,450,000 ,350,000 , 50,000, 50,000 , 50,000 ,450,000 ,350,000 , 50,000, 50,000 , 50,000 ,450,000 ,350,000 , 50,000, 50,000 , 50,000 ,450,000 ,350,000 , 50,000, 50,000 , 50,000 ,450,000 ,350,000 , 50,000, 50,000 , 50,000 ,450,000 ,350,000 , 50,000
ul n( . rt o#edi Bed
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,500,000 , 00,000 ,700,000 ,800,000 ,500,000,700,000 3,000,000 ,900,000 , 00,000 ,700,000,500,000 , 00,000 ,700,000 ,800,000 ,500,000, 00,000 ,500,000 ,400,000 ,300,000 , 00,000, 50,000 ,550,000 ,450,000 ,350,000 , 50,000,500,000 , 00,000 ,700,000 ,800,000 ,500,000
Syaraf Bedah Syaraf 9,000,000 1,400,000 1, 00,000 1,100,000 9,000,000
,000,000 1,300,000 1,100,000 1,000,000 ,000,000
9,000,000 1,400,000 1, 00,000 1,100,000 9,000,000
1 ,000,000 17,000,000 15,000,000 14,000,000 1 ,000,000,500,000 13,500,000 11,500,000 10,500,000 ,500,000
Mulut Bedah Mulut ,500,000 , 00,000 ,700,000 ,800,000 ,500,000
,750,000 3,050,000 ,950,000 , 50,000 ,750,000
Bed Mulut Bed Mulut
3,500,000 3, 00,000 3,700,000 3,800,000 3,500,000
h Mata Bedah Mata 1,750,000,000,000 ,300,000 , 00,000 ,100,000 ,000,000
Bed M t Bed M t,500,000
1,750,000 ,050,000 1,950,000 1, 50,000 1,750,000,000,000 ,300,000 , 00,000 ,100,000 ,000,000
1,500,000 1, 00,000 1,700,000 1,800,000 1,500,0001,750,000 ,050,000 1,950,000 1, 50,000 1,750,000
,000,000 ,300,000 , 00,000 ,100,000 ,000,000
Bed M t Bed M t3, 00,000
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3,750,000 4,050,000 3,950,000 3, 50,000 3,750,0004,100,000 4,400,000 4,300,000 4, 00,000 4,100,0003,500,000 3, 00,000 3,700,000 3,800,000 3,500,0004,000,000 4,300,000 4, 00,000 4,100,000 4,000,0004, 00,000 4,500,000 4,400,000 4,300,000 4, 00,0003,500,000 3, 00,000 3,700,000 3,800,000 3,500,000
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SILOAM MITRA TMR CITRA HARAPANKELAS
I II III
1,430,000 1,100,000 770,000
1,9 0,000 1,705,000 1,430,000
3,905,000 3,0 0,000 ,530,000
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5,810,000 4,510,000 3,830,000
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1,100,000 900,000 850,000
1,750,000 1,500,000 1, 50,000
,750,000 , 50,000 1,750,000
4,000,000 3, 50,000 ,500,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
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, 50,000 1,750,000 1, 00,000
4,500,000 3,400,000 ,300,000
3,905,000 3,0 0,000 ,530,000
3,905,000 3,0 0,000 ,530,000
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5,810,000 4,510,000 3,830,000
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1,500,000 1, 00,000 750,000
00,000 1,750,000 1,350,000
,500,000 , 00,000 1,850,000
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RAPAN KELUAR AMANDA MITRA TMR CITRA HARAPAN HERMINA
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
105/322
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106/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
107/322
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108/322
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109/322
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110/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
111/322
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112/322
BELLA
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
113/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
114/322
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115/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
116/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
117/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
118/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
119/322
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TARIF PENUNJANG MEDIS
KETERANGAN HM LIPPO USULAN LIPPO
TARIF RADIOLOGI
6RA:IUM 140,000 140,0006 R I6AL +"" 150,000 150,0006 R I6AL 4 +"" 1 0,000 1 0,000
" :A"AL 140,000 140,000MA:DIBULA 140,000 140,000MA"< ID 135,000 135,000"+: 1 0,000 1 0,000MA:U" 135,000 135,000=RI"< J I:< 135,000 135,000
A:< BRA6 I 140,000 140,000LB = J I:< 135,000 135,000UM RU" 140,000 140,000
A:KL J I:< 135,000 135,000+ DI" 140,000 140,0006RURI" 140,000 140,000K: J I:< 140,000 140,000
ABD M : 3 + "I"I 330,000 330,000C MUR 140,000 140,000
6ALKA: U" 140,000 140,000< RAG A+.+A 1 0,000 1 0,000< RAG A+ LA< RAL 1 0,000 1 0,000< RAG LA< RAL 1 0,000 1 0,000< + L RD
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MD 500,000 500,000UR
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6RURI" D G . "I:LB = J I:< D G F "I:LB = J I:< D G . "I: 85,000
C MUR D G ."I: 75,000
C MUR D G F "I:UM RU" 85,000UM RU" D G F "I:UM RU" D G . "I:
MA:U" A+ 85,000MA:U" BILA< RALMA:U" D G F "I:MA:U" D G . "I:MA"< ID 85,000
RBI
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" ULD R J I:< 85,000" ULD R BILA< RAL"+: 85,000
R
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!!
TARIF RADIOLOGI UNTUK RAWAT INAP KELAS / :
ABD M : 3 + "I"I A:KL J I:< KA F KI A:KL J I:< KA . KI A:< BRA6 I KA F KI A:< BRA6 I KA . KI AR< BA U KA F KI AR< BA U KA . KI AR< ) :U KA F KI AR< ) :U KA.KI
ABD M : + L " 'B: *B : "UR ;6LA IKULA KA F KI6LA IKULA KA . KI6 LL R< 6 R IKALI" + "I"I6 R A:AL"6RA:IUM 6RURI" KA F KI
6RURI" KA . KI
LB = J I:< KA.KIC MUR KA.KI
I+ J I:< KA.KIUM RU" J I:< KA.KI
MA:DIBULA KA.KIMA:U" KA.KIMA"< ID:A"AL
RBI
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=RI"< J I:< KA F KI=RI"< J I:< KA . KI
;) MA
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)olon( n D r 1 ,000R C ktor 4,000L D
HEMATOLOGI0COAGULASIM s +end r n 10,000 10,000M s +em&eku n 10,000 10,000Ci&rono(en +R 198,000 198,000D r Rutin 40,000 40,000
6ross M t$ 7,000 7,0006oom&s
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As m m#edu 19 ,000LA+ 31 ,000LD
KIMIA0Fun$s& G&n2alUreum D r ,000 ,0006re tinin D r ,000 ,000
As m Ur t D r ,000 ,000Ureum Urine 18,5006re tinin urine 18,500
As m Ur t Urine 18,500Ureum 6le r n$e 30,000
KIMIA0D&a#,+,s)ul D r +u s ,000 ,000)ul D r ++ ,000 ,000)ul D r "e ktu ,000 ,000Kur ri n 4 ,000
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Anti B$
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
129/322
6 romMet nol
KIMIA0L,.a*C6 olesterol
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
130/322
TORC
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
131/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
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+"A '+rost t* 37,000"66 '"er iks* 330,000
MIKROBIOLOGI
Kultur 40,000Resistensi 40,000)AL Kultur 150,000Kultur B
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
133/322
+ LI
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
134/322
HM BEKASI HM SUBANG HM PILAR SENTRA MEDIKA ANNISA
19000175000
00000000000000000000
45000000000
11 50059000
11 500
175000175000175000140000
94000
140000508000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
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450,000 ! 08,50075,000 153,000
175,000 153,0000,000 153,000
119,000153,000
119,000
153,000
119,000
150,00085,000 ,000
! 140000 ! 99,000 114,000809,500
75,00090,000 119,000
1 0,000 153,000119,000
171,500
138,500
0 ,000
138,5000 ,000
138,500
0 ,000
80,000 131,000109,000
1 0,000 14,000
! 5,000 7,000
0,000 7,000 119,000
119,0000,000 0 ,000 151,000
140/00075/000
0/000
1 0/000150/000
75/00090/000
1 0/000
80/000
1 0/000
0/000
0/000
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138,500
153,000
75,000 119,000
0,000 138,500 151,000
0 ,000175,000 0,000
153,000
119,000
75,000
153,000
119,000
0,000 119,000 114,000
0,000 119,000 107,0000,000 153,000
119,000
140,000 70,000 119,000 10 ,0007,000
119,000
138,000 950,000
11 ,500 80,000 7,000 89,000
59,000 80,000 147,000
119,000138,500
100,00080,000
153,000
0,000 113,000
1 0,00075,000 153,000 114,000
119,00035,000
114,000
80,0000,0000,000 114,000
0,000 113,000
! 175,000 0,000
75/0000/000
0/000
75/000
0/000
0/0000/000
70/000
80/000100/000
80/00080/000
0/0001 0/000
70/000
35/000
0/0000/0000/0000/000
3 5/0000/000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
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175,000 0,000
0,000 131,000
! 100,000 135,000
100,000!
! ! ,370,000
100,000 1,050,000
00,0000,000
100,000 187,000
5 ,000 ! 490,000 1,3 5,000
1, 75,000
119,000
508,000 50,000 194,000
550,000 87 ,000 7 ,00073 ,000
838,000
475,000 500,000
3 5,000 838,000 535,000
851,000350,000 443,000
400,000 405,000 518,000
375,000 573,000 413,00083 ,000
9,000
704,000
347,000
583,000
400,000 4 3,000 535,000857,000
! 3 5,000
! 1,041,000
!! 5 7,000 800,000
! 84 ,000!
0/000
0/000
100/000100/000
100/00000/000
0/000100/000100/000
50/000550/000
475/0003 5/000
350/000400/000375/000
400/000
1/333/5001/385/000
750/000
50/0000/000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
138/322
!!
10 ,000
197,000
109,000
114,000
114,000
10 ,000
107,000
/83 / 00750/000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
139/322
1 5,000 30,000
5,000195,000
170,000195,000
0,0001 ,000 0,00040,000 5,000 70,000
7,000 0,0001 ,000 0,000
40,000 !1 ,000 0,00050,000 5,000
5,000 0,000 5,000 1 ,000 ,000
15,000 17,000
18,5000,000
1 5/000
5/000195/000
170/000195/000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
140/322
19,000 33,000 0,000
9,000
10,000 19,00010,000 19,000
158,0007 ,000
103,00087,500
150,000
88,00080,90085,000
30,000 39,000
,000 39,000
,000 39,000,000 39,000
,000 39,000 57,501
,000 39,000 30,000
39,000,000 39,000 30,000
,000 39,000 30,000
30,000
8,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
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,000 39,000 3,000
,000 39,000 3,000
,000 39,000,000 39,000,000 39,000,000 39,000
57,750
,000 39,000,000 39,000,000 39,000 3,000
109,000
90,000 310,00090,000 310,00050,000 70,000
55,000
50,000
85,000 7 ,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
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5,000 47,00038,000 39,000
39,000
5,000 39,000
55,000 50,00039,800
50,000!
45,00045,00045,00045,000
7 ,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
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8,000 39,000,500 47,000,500 47,000
7,000 54,00057,800
30,00030,00030,0004 ,500
80,000
33,000
149, 00
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
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310,000
310,000
100,000114,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
145/322
55,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
146/322
30,000
7 ,000 115,000 135000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
147/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
148/322
AMANDA HARAPAN KELUARGA SILOAM MITRA TMR RA HARAP HERMINA BELLA
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
149/322
0,000173,000 ,8 5,000 3 5,000 84,000
1,000 30,000154,000185,000
1,000 50,000
975,000
7,000805,000
115,000 ,000
179,000
179,000
179,000
179,000
70,000
1,000
149,000
5,000
143,000
19 ,0001,000 80,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
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175,000
115,000 189,000
1,000 185,000
1,000 154,000
181,000 30,000
9 ,000 178,000
9 ,0001,000 55,000
170,000
9 ,000 148,000
183,000
1,3 , 00 00,000
150,000 157, 00
1 7,000 1 ,000
157, 00
1,593,900
183,000
45,000
1,000 40,000
180,0003,000
181,000
13 ,000
104,000 178,000
7,000 143,000
13 ,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
151/322
1,000 185,000
50,000
9 ,000
,000
115,000
115,000 9 9,700 ,000
395,000
115,000 4 ,000
115,000
0,000181,000 , 5 ,000
193,000
300,000 50,000
400,000
1,150,000
80,000 550,000
50,000
350,000 385, 00
950,000
850,000
800,000
575,000
450,000
884,100
884,000
998,100
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
152/322
05, 00119,500
8,300
119,500
8,300
9 ,400
83,500
9 ,400
83,500
79,800531,300
9 ,900
79,800
99,800
13 , 00
99,800
159,300
99,500
8,30099,800 180,000
8,300 178,000
1,000 8,300
75,000
8,300
99,800
79,700
79,700
119,500119,500
8,300
79,700
79,700
150,900
8,800
159,400
11 ,900
180,000 10 ,8000,000 7 ,400
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
153/322
119,500
8,300
99,800
88,400
45 ,800 385000
85,800 300,000
453, 00
33 ,000
341,800
453, 00
85,800 300,000 3 1,000
300,000 573,000
453, 00 385,000
5, 00 300,000
300,000 3 4,000
453, 00
5, 00
199, 00
385,000
15,100
55,000 75,000 3,500
1 ,000 15,100 ,500
1 ,000 15,100 33,000
1 ,000 54,300 3 ,500
15,100 5,000
50,800
5,000 0, 00
1 ,000 15,100 5,000 HHH
5,000 30,000
30,000
0, 00 31,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
154/322
1 ,300 31,000 30,000
0,000
1 ,000 15,100 5,000
5,000 8,500
5,000 8,500
153,000 19 ,000
3,000
1 0,000 131,000131,000
180,000 19 ,000
189,000 50,000
19,000
75,000 314,000
79,000
97,500
110,000 1 0,000
1,000
05,000
7,500 180,000
57,500 4,000 88,000 43,500
4,000 41,50045,500 40,000
11 , 00 1 9,000
4,000 70,000 4 ,000
4,000 70,000 4 ,000
4,000 70,000 3 ,500
7,500 4,000 3 ,000 43,500
7,500 4,000 3 ,000 43,500
50,000 48,100 53,000 84,000
90,400 104,000 134,00053,900 37,900 55,000 80,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
155/322
90,900 375,000
330,000
9 ,000 4,700 9 ,000
3,400 31,000 43,500
3,400 33,000
3 ,500 3,400 3 ,000 4 ,500
3,400 89,000
3,400 89,000
3,400 89,000
13 ,000 107,000
,000 0, 00 5,000 3 ,000
,000 0, 00 5,000 3 ,000
,000 0, 00 5,000 3 ,000
83,000 113,000
91,700 139,000
195,000
15,800 11,000,700
4 0,000 1 5,000
31 ,400 4 0,000 1 5,000
57,500 58,900 5,000 97,500
197,800 130,000 17 ,000
197,800 1 0,000 1 5,000
197,800 5,0004 ,500 55,300 55,000 71,500
90,000 9 ,500
55,000
78,500 9 ,000 1 1,500
151, 00 110,000 133,500
330,400 0,000 309,50044 ,000 411,100 3 3,000 358,500
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
156/322
1 4,000
470,400 359,000
45 , 00 1,9 5,000
1,400 15,000 91,000
354, 00 17,500 55,000 3 0,000
3,000 4,800 43,000 5 ,000
0,000 4,000
0,000 4,000
8,000 30,000
30,900 78,000 77,000
0,000
80,000 44,000 187,000
77,000 3 ,500
31,000
84,000
110,000
33,000
4 5,000
81,800 53,700 110,000
53,700
53,700
110,000
110,000
110,000110,000
118,000
97,000
97,000
97,000
97,000
97,000
97,00010 ,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
157/322
10 ,000
330,000
7,500 4,000 43,500
33,000 4,000 59,000
33,000 4,000 59,000
4,000 43,500
55,300
199, 00
18 , 00
83,100
19 ,700
333,800
4,700
78,500
18,800
18,800
78,700
50,000 1 0, 00 50,000 59,000
50,000 HHH 59,000
50,000 59,000
57,700 50,000 5 ,000
53,700 50,000 8 ,000
50,000 58,900 50,000
75,000135,000
33,000
75,000
15 ,100 140,000 178,500
174,000 15 ,100 187,000 178,500
0 ,400 400,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
158/322
31,000
31,00031,000 199, 00 175,000
175,000
54, 00 1 4,000
10,000
195,000
195,000
1 0,000
1 0,000
7 ,100
4,000
4,000
45,500
14,000
140,000 180,000 178,000
140,000 180,000 178,000
50,000 174,000
358,00039,000 30,500
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
159/322
178,000 194,000
18,300 15,000 5 ,500
80,900 15,000 5 ,50080,900 10,000 5 ,500
347, 00 4 ,000 330,500
33 ,000 84,000 330,000
33 ,000 5 ,000 343,000
80,000
3 7, 00 313,000 358,000
9, 00 4 ,500
3 1,500
3 1,500
534,500
540,000
3 1,500
3 1,5003 1,500
3 1,500
348,500
3 1,500
3 1,500
3 1,500
3 1,500
3 1,500
540,000348,500
15,000
15,000
488,400
49 ,000
414, 00347, 00
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
160/322
40,000 58,700
78,700
00,000 7,70030,000
150, 00
00,000 0 ,700
7,500 49,000
49,000
1 ,000
15 ,000 08,500
1 7,000
171,000
171,000
355,000
15 ,000
134,000
1,430,000, 00,000
143,000
147,000
3 ,900
318, 00
11 , 00
71,900133,100
174,500
371,900
90,900
0,000 90,000
0,000 ,500
0,000 50,0000,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
161/322
0,000 5,000
0,000 30,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
162/322
TARIF SEWA ALAT
KETERANGAN HM LIPPO USULAN LIPPO
RUANGANI+ 400,000 400,000
K LA" I U
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
163/322
K U"U" +A"I : JAMK "DA " =A ALA< 750,000 750,000K U"U" +A"I : JAMK "DA " =A ALA< 750,000 750,000
RUJUKA: BIDA:" =A K'KUR
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
164/322
SENTRA MEDIKA ANNISA AMANDA HARAPAN KELUARGA SILOAM
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
165/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
166/322
MITRA TMR CITRA HARAPAN HERMINA BELLA
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
167/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
168/322
KETERANGAN M LIPPO
JASA PERAWATJA"A M DI" + RA=A
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
169/322
U") < RAGU")
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
170/322
1/ A A/
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
171/322
#er si Ke$il#er si "ed n(#er si Bes r #er si K usus
TARIF JASA DOKTER BEDAH UROLOGI
#er si Ke$il !#er si "ed n( !#er si Bes r !#er si k usus !"=L !
TARIF JASA DOKTER BEDAH MULUT
dentektomi d(n Dr(/ "# BMdentektomi d(n Dr(/ Umum
TARIF OPERASI SYARAF
#er si Ke$il#er si "ed n(#er si Bes r #er si K usus
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
172/322
LIPPO
TARIF TINDAKAN DIRUANGAN PERAWATAN BIASAen seksi 00,000
"u$tion 18,500+u(si >1/ +leur 100,000
/ A$ies ' &domen* !
In l si . :e&uli2er 5,000:ekrotomi ( n(ren 5,000
s$ r tonomi luk & k r 5,000+em s n( n1/ ="D 00,000
/:)< 5,0003/ D eur 6 t eter 5,000) nti & lut
/ Ke$il 5,000
&/ sed n( 30,000$/ &es r 40,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
173/322
USULAN LIPPO HM BEKASI HM PILAR NTRA MEDI ANNISA AMANDA APAN KELUA
15,000 5,000 !
75,000 5,000 !
750,000 750,000! 100,000! 100,000
75,000 ! 00,000 ! 70,000 ! 70,000 ! 70,000 !
! !
! 500,000! 800,000! 750,000
40,000 40,000 45,000 80,000 44,00000,000
150,000 ! 05,000 150,000
0,000 00,000
05,000 150,000
195,000 150,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
174/322
5,000 150,000
150,000
5,000 1 5,000
150,000
150,00050,000
158,000
195,000
195,000 ! 50,000 50,000 85,000 80,000 75,000
100,000 137,500
50,000 ! 375,000 ! 50,000 75,000
00,000
00,000
00,000
00,000
00,000
00,000
00,000
150,000
1 5,000
50,000
50,000
50,000
50,000
137,500
,500
50,000
50,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
175/322
185,000
5,000
99,000
80,000
150,00050,000
800,000
450,000
900,000
850,000
1,100,000
50,000
0,000
80,00080,000
KELAS III500,000 300,000 750,000
00,000 750,000 1,050,0001, 00,000 900,000 1, 50,000
,000,000 1,400,000,500,000 ! 1,550,000
BEKASIK LA" III
1,000,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
176/322
800,000
3,410,000 3,350,000 1,000,000
3,5 5,000 3,770,000 1,500,000
4, 00,000 ,000,000
850,000 ! 1,473,000 1,440,000 1,500/000 ! 3,395,000 ,770,000 1, 00,000 , 00,000 ! 4,459,000 3,900,000 1, 00,000 3,000,000 ! 5,09 ,000 4,810,000 ,500,000 4,900/000 ! 8,000,000
3,840,000 ,000,000
1,800,000
1,100,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
177/322
BEKASIKELAS III
40,000 00,00018,500 18,500
1 5,000 100,000 1 0,000
1 5,000 !
5,000 5,0005,000 5,0005,000 5,000
00,000 00,0005,000 5,0005,000 35,000
30,000 5,000
35,000 30,00040,000 40,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
178/322
SILOAM MITRA TMR RA HARA HERMINA BELLA
1,479,000
80,000
15,000
150,000
1,14 ,000
1,14 ,000
1,397,000
1,479,000
1,198,000
1,479,000
1,479,000
9,000
114,000
3 1,000
3 4,000
573,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
179/322
108,000
94,000
,000
89,000
100,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
180/322
870,000
790,000
1,000,000
1,1 0,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
181/322
9 0,000
1, 50,000
,100,000
,450,000
750,0001,500,000
,500,000
3,500,000
750,0001,500,000
,500,000
3,500,000
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
182/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
183/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
184/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
185/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
186/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
187/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
188/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
189/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
190/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
191/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
192/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
193/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
194/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
195/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
196/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
197/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
198/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
199/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
200/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
201/322
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202/322
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203/322
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204/322
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205/322
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206/322
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207/322
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208/322
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209/322
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210/322
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211/322
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212/322
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213/322
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214/322
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215/322
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216/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
217/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
218/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
219/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
220/322
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221/322
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222/322
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223/322
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224/322
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225/322
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226/322
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227/322
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228/322
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229/322
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230/322
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231/322
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232/322
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233/322
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234/322
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235/322
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236/322
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237/322
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238/322
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239/322
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240/322
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241/322
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242/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
243/322
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244/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
245/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
246/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
247/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
248/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
249/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
250/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
251/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
252/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
253/322
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254/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
255/322
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256/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
257/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
258/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
259/322
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260/322
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261/322
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262/322
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263/322
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264/322
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265/322
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266/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
267/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
268/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
269/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
270/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
271/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
272/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
273/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
274/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
275/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
276/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
277/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
278/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
279/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
280/322
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281/322
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282/322
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283/322
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284/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
285/322
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286/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
287/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
288/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
289/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
290/322
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291/322
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292/322
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293/322
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294/322
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295/322
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296/322
7/25/2019 Perbedaan Tarif Hosana Medica Group 15032013
297/322
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298/322
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299/322
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300/322
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301/322
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302/322
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303/322
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304/322
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305/322
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306/322
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307/322
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308/322
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309/322
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310/322
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311/322
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312/322
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313/322
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314/322
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315/322
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316/322
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317/322
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318/322
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319/322
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