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