Sheet1Informasi - Tarif TindakanNOKODENAMA TARIFKOMPONENASOKACEMARAISOLASIMERANTIPINUSSUPER VIPVIPVIP UVVIP12PENGISIAN ASURANSIPENDAPATAN RUMAH SAKIT200002000020000200002000020000200002000020000TOTAL >20000200002000020000200002000020000200002000024PENGISIAN KELENGKAPAN DMKJASA OPERATOR / DOKTER000000000TOTAL >00000000031000003BIAYA KARTUPENDAPATAN RUMAH SAKIT100001000010000100001000010000100001000010000TOTAL >1000010000100001000010000100001000010000100004ADM0001BIAYA ADMINISTRASIPENDAPATAN RUMAH SAKIT200002000020000200002000020000200002000020000TOTAL >2000020000200002000020000200002000020000200005ALK0004PEMAKAIAN ALAT MIKROSKOP MATAPENDAPATAN RUMAH SAKIT200000200000200000200000200000200000200000200000200000TOTAL >2000002000002000002000002000002000002000002000002000006ALK1018TARIF PEMAKAIAN ALAT CUKUR (DISPOSABLE)PENDAPATAN RUMAH SAKIT337533753375337533753375337533753375TOTAL >3375337533753375337533753375337533757ALK1021PEMAKAIAN ALAT : DJ STENTJASA OPERATOR / DOKTER150000015000001500000150000015000001500000150000015000001500000PENDAPATAN RUMAH SAKIT450000450000450000450000450000450000450000450000450000TOTAL >1950000195000019500001950000195000019500001950000195000019500008ALK1022PEMAKAIAN ALAT : URETHERAL CHATETERJASA OPERATOR / DOKTER100000010000001000000100000010000001000000100000010000001000000PENDAPATAN RUMAH SAKIT300000300000300000300000300000300000300000300000300000TOTAL >1300000130000013000001300000130000013000001300000130000013000009ALK1023SEWA ALAT LAPARASKOPIJASA OPERATOR / DOKTER130000013000001300000130000013000001300000130000013000001300000TOTAL >13000001300000130000013000001300000130000013000001300000130000010ALK1024SEWA ALAT : CUTTING LUBJASA OPERATOR / DOKTER162500016250001625000162500016250001625000162500016250001625000TOTAL >16250001625000162500016250001625000162500016250001625000162500011ALK1025PENENG DEWASA (ALERT WRISTBAND)PENDAPATAN RUMAH SAKIT500050005000500050005000500050005000TOTAL >50005000500050005000500050005000500012CO20001PEMAKAIAN CO2 (LITER)PENDAPATAN RUMAH SAKIT500500500500500500500500500TOTAL >50050050050050050050050050013FECO004SEWA ALAT FACOPENDAPATAN RUMAH SAKIT700000700000700000700000700000700000700000700000700000TOTAL >70000070000070000070000070000070000070000070000070000014FECO107PAKET OPERASI MATA (FACO)JASA CREW(UGD/ICU/OK/VK/RADIO)200000200000200000200000200000200000200000200000200000JASA OPERATOR / DOKTER140000014000001400000140000014000001400000140000014000001400000PEMAKAIAN ALKES / ABHP208500020850002085000208500020850002085000208500020850002085000PENDAPATAN RUMAH SAKIT100000100000100000100000100000100000100000100000100000SEWA ALAT700000700000700000700000700000700000700000700000700000TOTAL >44850004485000448500044850004485000448500044850004485000448500015GD10080ARMSLING SHORGIPENDAPATAN RUMAH SAKIT780007800078000780007800078000780007800078000TOTAL >78000780007800078000780007800078000780007800016H2O0001PEMAKAIAN O2 1 LITER / MENIT - 1 JAMPENDAPATAN RUMAH SAKIT737173717371737173717371737173717371TOTAL >73717371737173717371737173717371737117H2O0002PEMAKAIAN O2 2 LITER / MENIT - 1 JAMPENDAPATAN RUMAH SAKIT147421474214742147421474214742147421474214742TOTAL >14742147421474214742147421474214742147421474218H2O0003PEMAKAIAN O2 3 LITER / MENIT - 1 JAMPENDAPATAN RUMAH SAKIT221132211322113221132211322113221132211322113TOTAL >22113221132211322113221132211322113221132211319H2O0004PEMAKAIAN O2 4 LITER / MENIT - 1 JAMPENDAPATAN RUMAH SAKIT294842948429484294842948429484294842948429484TOTAL >29484294842948429484294842948429484294842948420H2O0005PEMAKAIAN O2 5 LITER / MENIT - 1 JAMPENDAPATAN RUMAH SAKIT368553685536855368553685536855368553685536855TOTAL >36855368553685536855368553685536855368553685521H2O0006PEMAKAIAN O2 1/2 TABUNGPENDAPATAN RUMAH SAKIT550005500055000550005500055000550005500055000TOTAL >55000550005500055000550005500055000550005500022H2O0007PEMAKAIAN O2 1 TABUNGPENDAPATAN RUMAH SAKIT110000110000110000110000110000110000110000110000110000TOTAL >11000011000011000011000011000011000011000011000011000023H2O0008PEMAKAIAN O2 1 LITER / MENIT - 15 MENITPENDAPATAN RUMAH SAKIT184318431843184318431843184318431843TOTAL >18431843184318431843184318431843184324H2O0009PEMAKAIAN O2 2 LITER / MENIT - 15 MENITPENDAPATAN RUMAH SAKIT368636863686368636863686368636863686TOTAL >36863686368636863686368636863686368625H2O0010PEMAKAIAN O2 3 LITER / MENIT - 15 MENITPENDAPATAN RUMAH SAKIT552955295529552955295529552955295529TOTAL >55295529552955295529552955295529552926H2O0012PEMAKAIAN O2 5 LITER / MENIT - 15 MENITPENDAPATAN RUMAH SAKIT921492149214921492149214921492149214TOTAL >92149214921492149214921492149214921427ICU2042JASA DOKTER TINDAKAN CVPJASA OPERATOR / DOKTER782000782000782000782000782000782000782000782000782000PENDAPATAN RUMAH SAKIT195500195500195500195500195500195500195500195500195500TOTAL >97750097750097750097750097750097750097750097750097750028ICU2043JASA PERAWAT TINDAKAN CVPJASA CREW(UGD/ICU/OK/VK/RADIO)151800151800151800151800151800151800151800151800151800PENDAPATAN RUMAH SAKIT379503795037950379503795037950379503795037950TOTAL >18975018975018975018975018975018975018975018975018975029ICU3003VENA SECHE OLEH PERAWATJASA CREW(UGD/ICU/OK/VK/RADIO)111320111320111320111320111320111320111320111320111320PENDAPATAN RUMAH SAKIT278302783027830278302783027830278302783027830TOTAL >13915013915013915013915013915013915013915013915013915030MS00007PELAYANAN GIZI (CASH)PENDAPATAN RUMAH SAKIT110000850008500011000045000200000175000175000175000TOTAL >11000085000850001100004500020000017500017500017500031N000016JASA DOKTER TINDAKAN SPOOLING WSDJASA OPERATOR / DOKTER150000150000150000150000150000150000150000150000150000TOTAL >15000015000015000015000015000015000015000015000015000032N000017JASA ASISTEN TINDAKAN SPOOLING WSDJASA CREW(UGD/ICU/OK/VK/RADIO)300003000030000300003000030000300003000030000TOTAL >30000300003000030000300003000030000300003000033NO20001PEMAKAIAN N2O 1 TABUNGPENDAPATAN RUMAH SAKIT235950023595002359500235950023595002359500235950023595002359500TOTAL >23595002359500235950023595002359500235950023595002359500235950034NO20002PEMAKAIAN N2O 1 JAMPENDAPATAN RUMAH SAKIT720007200072000720007200072000720007200072000TOTAL >72000720007200072000720007200072000720007200035NO20003PEMAKAIAN N2O / MENIT - 15 MENITPENDAPATAN RUMAH SAKIT195001950019500195001950019500195001950019500TOTAL >19500195001950019500195001950019500195001950036OK00141JASA DR OP.KRANIOTOMI KONVENSIONAL 72000007200000720000072000007200000720000072000007200000720000037OK00142JASA KRU OP.KRANIOTOMI KONVENSIONAL10800001080000108000010800001080000108000010800001080000108000038OK00143JASA DR.ANEST OP.KRANIOTOMI KONVEN.36000003600000360000036000003600000360000036000003600000360000039OK00144SEWA KAMAR OP.KRANIOTOMI KONVENS. < 4JAMPENDAPATAN RUMAH SAKIT252000025200002520000252000025200002520000252000025200002520000TOTAL >25200002520000252000025200002520000252000025200002520000252000040OK10033BIAYA ADMINISTRASI & MATERAI (OK)PENDAPATAN RUMAH SAKIT75000600007500011000060000120000110000110000110000TOTAL >7500060000750001100006000012000011000011000011000041OK10034BIAYA ADMINISTRASI&MATERAI (OK/PX.ICU)PENDAPATAN RUMAH SAKIT000000750007500075000TOTAL >00000075000750007500042OK10050SEWA KAMAR BDH OP.BSR KHUSUS (RWT JLN)PENDAPATAN RUMAH SAKIT111650011165001116500111650011165001116500111650011165001116500TOTAL >11165001116500111650011165001116500111650011165001116500111650043OK10051JASA DOKTER OP. KRANIOPLASTI < 4 JAMJASA OPERATOR / DOKTER566100056610005661000566100056610005661000566100056610005661000PAJAK459000459000459000459000459000459000459000459000459000PENDAPATAN RUMAH SAKIT108000010800001080000108000010800001080000108000010800001080000TOTAL >72000007200000720000072000007200000720000072000007200000720000044OK10052JASA CREW OPERASI KRANIOPLASTI < 4 JAMJASA CREW(UGD/ICU/OK/VK/RADIO)849150849150849150849150849150849150849150849150849150PAJAK688506885068850688506885068850688506885068850PENDAPATAN RUMAH SAKIT162000162000162000162000162000162000162000162000162000TOTAL >10800001080000108000010800001080000108000010800001080000108000045OK10053JASA DR ANESTESI OP KRANIOPLASTI < 4 JAMJASA DOKTER ANESTESI ; ASISTEN283050028305002830500283050028305002830500283050028305002830500PAJAK229500229500229500229500229500229500229500229500229500PENDAPATAN RUMAH SAKIT540000540000540000540000540000540000540000540000540000TOTAL >36000003600000360000036000003600000360000036000003600000360000046OK10054SEWA KAMAR BEDAH OP KRANIOPLASTI < 4 JAMPENDAPATAN RUMAH SAKIT252000025200002520000252000025200002520000252000025200002520000TOTAL >25200002520000252000025200002520000252000025200002520000252000047OK10055JASA DR.OP.KRANIOPLASTI LEBIH DARI 4 JAMJASA OPERATOR / DOKTER660450066045006604500660450066045006604500660450066045006604500PAJAK535500535500535500535500535500535500535500535500535500PENDAPATAN RUMAH SAKIT126000012600001260000126000012600001260000126000012600001260000TOTAL >84000008400000840000084000008400000840000084000008400000840000048OK10056JASA DR.ANEST.OP.KRANIOPL LBH DARI 4JAMJASA DOKTER ANESTESI ; ASISTEN330225033022503302250330225033022503302250330225033022503302250PAJAK267750267750267750267750267750267750267750267750267750PENDAPATAN RUMAH SAKIT630000630000630000630000630000630000630000630000630000TOTAL >42000004200000420000042000004200000420000042000004200000420000049OK10057JASA CREW OP.KRANIOPLASTI LBH DARI 4JAMJASA CREW(UGD/ICU/OK/VK/RADIO)990675990675990675990675990675990675990675990675990675PAJAK803258032580325803258032580325803258032580325PENDAPATAN RUMAH SAKIT189000189000189000189000189000189000189000189000189000TOTAL >12600001260000126000012600001260000126000012600001260000126000050OK10058SEWA KAMAR BDH OP.KRANIOPLASTI LBH 4 JAMPENDAPATAN RUMAH SAKIT294000029400002940000294000029400002940000294000029400002940000TOTAL >29400002940000294000029400002940000294000029400002940000294000051OK10059JASA DR OP.REKONST. MENINGOKEL KRANIALJASA OPERATOR / DOKTER566100056610005661000566100056610005661000566100056610005661000PAJAK459000459000459000459000459000459000459000459000459000PENDAPATAN RUMAH SAKIT108000010800001080000108000010800001080000108000010800001080000TOTAL >72000007200000720000072000007200000720000072000007200000720000052OK10060JASA DR.AN.OP REKONST MENINGOKEL KRANIALJASA DOKTER ANESTESI ; ASISTEN283050022644002264400283050022644002830500283050028305002830500PAJAK229500183600183600229500183600229500229500229500229500PENDAPATAN RUMAH SAKIT540000432000432000540000432000540000540000540000540000TOTAL >36000002880000288000036000002880000360000036000003600000360000053OK10061JASA CREW OP.REKONST MENINGOKEL KRANIALJASA CREW(UGD/ICU/OK/VK/RADIO)849150849150849150849150849150849150849150849150849150PAJAK688506885068850688506885068850688506885068850PENDAPATAN RUMAH SAKIT162000162000162000162000162000162000162000162000162000TOTAL >10800001080000108000010800001080000108000010800001080000108000054OK10062SEWA KMR BED.OP.REKONST MENINGOKEL KRANIPENDAPATAN RUMAH SAKIT252000025200002520000252000025200002520000252000025200002520000TOTAL >25200002520000252000025200002520000252000025200002520000252000055OK10063JASA DR.OP.REKONST MENING.SPINA BIFIDAJASA OPERATOR / DOKTER566100056610005661000566100056610005661000566100056610005661000PAJAK459000459000459000459000459000459000459000459000459000PENDAPATAN RUMAH SAKIT108000010800001080000108000010800001080000108000010800001080000TOTAL >72000007200000720000072000007200000720000072000007200000720000056OK10064JASA DR.ANS.OP.REKON.MENING.SPINA BIFIDAJASA DOKTER ANESTESI ; ASISTEN283050022644002264400283050022644002830500283050028305002830500PAJAK229500183600183600229500183600229500229500229500229500PENDAPATAN RUMAH SAKIT540000432000432000540000432000540000540000540000540000TOTAL >36000002880000288000036000002880000360000036000003600000360000057OK10065JASA CREW.OP.REKON.MENING.SPINA BIFIDAJASA CREW(UGD/ICU/OK/VK/RADIO)283050022644002264400283050022644002830500283050028305002830500PAJAK229500183600183600229500183600229500229500229500229500PENDAPATAN RUMAH SAKIT540000432000432000540000432000540000540000540000540000TOTAL >36000002880000288000036000002880000360000036000003600000360000058OK10066SEWA KMR BED.OP.REKON.MENING.SPINA BIFIDPENDAPATAN RUMAH SAKIT252000025200002520000252000025200002520000252000025200002520000TOTAL >25200002520000252000025200002520000252000025200002520000252000059OK10067JASA DR.OP.BED.TLG.FKORP V.APP POSTERIORJASA OPERATOR / DOKTER786250078625007862500786250078625007862500786250078625007862500PAJAK637500637500637500637500637500637500637500637500637500PENDAPATAN RUMAH SAKIT150000015000001500000150000015000001500000150000015000001500000TOTAL >10000000100000001000000010000000100000001000000010000000100000001000000060OK10068JASA DR.AN.OP.BED.TLG.BLK F.K.V.APPOSTERJASA DOKTER ANESTESI ; ASISTEN393125031450003145000393125031450003931250393125039312503931250PAJAK318750255000255000318750255000318750318750318750318750PENDAPATAN RUMAH SAKIT750000600000600000750000600000750000750000750000750000TOTAL >50000004000000400000050000004000000500000050000005000000500000061OK10069JASA CREW OP.BED.TLG.BLK.FK.V.APPPOSTERIJASA DOKTER ANESTESI ; ASISTEN117937511793751179375117937511793751179375117937511793751179375PAJAK956259562595625956259562595625956259562595625PENDAPATAN RUMAH SAKIT225000225000225000225000225000225000225000225000225000TOTAL >15000001500000150000015000001500000150000015000001500000150000062OK10070SEWA KMR BED.TLG.BLK FKORP V.APP ANTERIOPENDAPATAN RUMAH SAKIT350000035000003500000350000035000003500000350000035000003500000TOTAL >35000003500000350000035000003500000350000035000003500000350000063OK10071JASA DR.OP.BED.TLG.BLK.FK.V.APP ANTERIORJASA OPERATOR / DOKTER566100056610005661000566100056610005661000566100056610005661000PAJAK459000459000459000459000459000459000459000459000459000PENDAPATAN RUMAH SAKIT108000010800001080000108000010800001080000108000010800001080000TOTAL >72000007200000720000072000007200000720000072000007200000720000064OK10072JASA DR.AN.OP.BED.T.B.FK.V.APP ANTERIORJASA DOKTER ANESTESI ; ASISTEN283050022644002264400283050022644002830500283050028305002830500PAJAK229500183600183600229500183600229500229500229500229500PENDAPATAN RUMAH SAKIT540000432000432000540000432000540000540000540000540000TOTAL >36000002880000288000036000002880000360000036000003600000360000065OK10073JASA CREW OP.BED.T.B.FK.V.APP.ANTERIORJASA CREW(UGD/ICU/OK/VK/RADIO)849150849150849150849150849150849150849150849150849150PAJAK688506885068850688506885068850688506885068850PENDAPATAN RUMAH SAKIT162000162000162000162000162000162000162000162000162000TOTAL >10800001080000108000010800001080000108000010800001080000108000066OK10074SEWA KMR BED OP.T.B.FK.V.APP.ANTERIORPENDAPATAN RUMAH SAKIT252000025200002520000252000025200002520000252000025200002520000TOTAL >25200002520000252000025200002520000252000025200002520000252000067OK10075JASA DR.O.BED.T.B.LAMINEKTOMI SEDERHANAJASA OPERATOR / DOKTER566100056610005661000566100056610005661000566100056610005661000PAJAK108000010800001080000108000010800001080000108000010800001080000PENDAPATAN RUMAH SAKIT459000459000459000459000459000459000459000459000459000TOTAL >72000007200000720000072000007200000720000072000007200000720000068OK10076JASA DR.AN.O.BED.T.B.LAMINEKTOMI SEDERHAJASA DOKTER ANESTESI ; ASISTEN283050028305002830500283050028305002830500283050028305002830500PAJAK229500229500229500229500229500229500229500229500229500PENDAPATAN RUMAH SAKIT540000540000540000540000540000540000540000540000540000TOTAL >36000003600000360000036000003600000360000036000003600000360000069OK10077JASA CREW.OP.BED.T.B.LAMINEKTOMI SEDERHAJASA CREW(UGD/ICU/OK/VK/RADIO)849150849150849150849150849150849150849150849150849150PAJAK688506885068850688506885068850688506885068850PENDAPATAN RUMAH SAKIT162000162000162000162000162000162000162000162000162000TOTAL >10800001080000108000010800001080000108000010800001080000108000070OK10078SEWA KMR BED.OP.BED.T.B.LAMINEKTOMI SEDEPENDAPATAN RUMAH SAKIT252000025200002520000252000025200002520000252000025200002520000TOTAL >25200002520000252000025200002520000252000025200002520000252000071OK10079JASA DR.OP.BED.T.B.TUMOR SPIN.KRANIOSPINJASA OPERATOR / DOKTER786250078625007862500786250078625007862500786250078625007862500PAJAK637500637500637500637500637500637500637500637500637500PENDAPATAN RUMAH SAKIT150000015000001500000150000015000001500000150000015000001500000TOTAL >10000000100000001000000010000000100000001000000010000000100000001000000072OK10080JASA DR.AN.OP.BED.T.B.TUM SPINAL KRANIOSJASA DOKTER ANESTESI ; ASISTEN393125031450003145000393125031450003931250393125039312503931250PAJAK318750255000255000318750255000318750318750318750318750PENDAPATAN RUMAH SAKIT750000600000600000750000600000750000750000750000750000TOTAL >50000004000000400000050000004000000500000050000005000000500000073OK10081JASA CREW OP.BED.T.B.TUM.SPINAL KRANIOSPJASA CREW(UGD/ICU/OK/VK/RADIO)117937511793751179375117937511793751179375117937511793751179375PAJAK956259562595625956259562595625956259562595625PENDAPATAN RUMAH SAKIT225000225000225000225000225000225000225000225000225000TOTAL >15000001500000150000015000001500000150000015000001500000150000074OK10082SEWA KMR BED.OP.BED.T.B.TUM.SPIN.KRANIOSPENDAPATAN RUMAH SAKIT350000035000003500000350000035000003500000350000035000003500000TOTAL >35000003500000350000035000003500000350000035000003500000350000075OK10083JASA DR.OP.BED.T.B.TUMOR SPINAL CERVIKALJASA OPERATOR / DOKTER660450066045006604500660450066045006604500660450066045006604500PAJAK535500535500535500535500535500535500535500535500535500PENDAPATAN RUMAH SAKIT126000012600001260000126000012600001260000126000012600001260000TOTAL >84000008400000840000084000008400000840000084000008400000840000076OK10084JASA DR.AN.OP.BED.T.B TUM.SPINAL CERVIKAJASA DOKTER ANESTESI ; ASISTEN330225026418002641800330225026418003302250330225033022503302250PAJAK267750214200214200267750214200267750267750267750267750PENDAPATAN RUMAH SAKIT630000504000504000630000504000630000630000630000630000TOTAL >42000003360000336000042000003360000420000042000004200000420000077OK10085JASA CREW OP.BED.T.B.TUM.SPINAL.CERVIKALJASA CREW(UGD/ICU/OK/VK/RADIO)990675990675990675990675990675990675990675990675990675PAJAK803258032580325803258032580325803258032580325PENDAPATAN RUMAH SAKIT189000189000189000189000189000189000189000189000189000TOTAL >12600001260000126000012600001260000126000012600001260000126000078OK10086SEWA KMR.BED.OP.T.B TUMOR SPIN CERVIKALPENDAPATAN RUMAH SAKIT294000029400002940000294000029400002940000294000029400002940000TOTAL >29400002940000294000029400002940000294000029400002940000294000079OK10087JASA DR.OP.BED.T.B.TUM.SOINAL TORAKULOMBJASA OPERATOR / DOKTER566100056610005661000566100056610005661000566100056610005661000PAJAK459000459000459000459000459000459000459000459000459000PENDAPATAN RUMAH SAKIT108000010800001080000108000010800001080000108000010800001080000TOTAL >72000007200000720000072000007200000720000072000007200000720000080OK10088JASA DR.ANE.BED.T.B.TUM.SOINAL TORAKULOMJASA DOKTER ANESTESI ; ASISTEN283050022644002264400283050022644002830500283050028305002830500PAJAK229500183600183600229500183600229500229500229500229500PENDAPATAN RUMAH SAKIT540000432000432000540000432000540000540000540000540000TOTAL >36000002880000288000036000002880000360000036000003600000360000081OK10089JASA CREW OP.BED.T.B.TUM.SOINAL TORAKULOJASA CREW(UGD/ICU/OK/VK/RADIO)849150849150849150849150849150849150849150849150849150PAJAK688506885068850688506885068850688506885068850PENDAPATAN RUMAH SAKIT162000162000162000162000162000162000162000162000162000TOTAL >10800001080000108000010800001080000108000010800001080000108000082OK10090SEWA KMR BED.OP.T.B.TUM.SOINAL TORAKULOMPENDAPATAN RUMAH SAKIT252000025200002520000252000025200002520000252000025200002520000TOTAL >25200002520000252000025200002520000252000025200002520000252000083OK10091JASA DR.OP.NEURO.BED.MIKRO PLEXUS BRAKHIJASA OPERATOR / DOKTER849150084915008491500849150084915008491500849150084915008491500PAJAK688500688500688500688500688500688500688500688500688500PENDAPATAN RUMAH SAKIT162000016200001620000162000016200001620000162000016200001620000TOTAL >10800000108000001080000010800000108000001080000010800000108000001080000084OK10092JASA DR.AN.OP.NEURO.BED.MIK.PLEX.BRAKHIAJASA DOKTER ANESTESI ; ASISTEN424575033966003396600424575033966004245750424575042457504245750PAJAK344250275400275400344250275400344250344250344250344250PENDAPATAN RUMAH SAKIT810000648000648000810000648000810000810000810000810000TOTAL >54000004320000432000054000004320000540000054000005400000540000085OK10093JASA CREW OP.NEURO.BED.MIK.PLEX.BRAKHIALJASA CREW(UGD/ICU/OK/VK/RADIO)127372512737251273725127372512737251273725127372512737251273725PAJAK103275103275103275103275103275103275103275103275103275PENDAPATAN RUMAH SAKIT243000243000243000243000243000243000243000243000243000TOTAL >16200001620000162000016200001620000162000016200001620000162000086OK10094SEWA KMR BED.OP.NEU.BED.MIK.PLEX.BRAKHIAPENDAPATAN RUMAH SAKIT378000037800003780000378000037800003780000378000037800003780000TOTAL >37800003780000378000037800003780000378000037800003780000378000087OK10095JASA DR.OP.NEU.BED.MIK.N.CRANA/S.PERIFEJASA OPERATOR / DOKTER723350072335007233500723350072335007233500723350072335007233500PAJAK586500586500586500586500586500586500586500586500586500PENDAPATAN RUMAH SAKIT138000013800001380000138000013800001380000138000013800001380000TOTAL >92000009200000920000092000009200000920000092000009200000920000088OK10096JASA DR.AN.OP.NEU.BED.MIK.N.CRANI/S.PERIJASA DOKTER ANESTESI ; ASISTEN361675028934002893400361675028934003616750361675036167503616750PAJAK293250234600234600293250234600293250293250293250293250PENDAPATAN RUMAH SAKIT690000552000552000690000552000690000690000690000690000TOTAL >46000003680000368000046000003680000460000046000004600000460000089OK10097JASA CREW.OP.NEU.BED.MIK.N.CRAN/S.PERIFEJASA CREW(UGD/ICU/OK/VK/RADIO)108502510850251085025108502510850251085025108502510850251085025PAJAK879758797587975879758797587975879758797587975PENDAPATAN RUMAH SAKIT207000207000207000207000207000207000207000207000207000TOTAL >13800001380000138000013800001380000138000013800001380000138000090OK10098SEWA KMR BED.OP.NEU.BED.MIK N.CRAN/S.PERPENDAPATAN RUMAH SAKIT322000032200003220000322000032200003220000322000032200003220000TOTAL >32200003220000322000032200003220000322000032200003220000322000091OK10099JASA DR.NEUROPLA&EKSPLORASI KONVENSIONALJASA OPERATOR / DOKTER566100056610005661000566100056610005661000566100056610005661000PAJAK459000459000459000459000459000459000459000459000459000PENDAPATAN RUMAH SAKIT108000010800001080000108000010800001080000108000010800001080000TOTAL >72000007200000720000072000007200000720000072000007200000720000092OK10100JASA DR.AN.OP.NEU.&EKSLOR KONVENSIONALJASA DOKTER ANESTESI ; ASISTEN283050022644002264400283050022644002830500283050028305002830500PAJAK229500183600183600229500183600229500229500229500229500PENDAPATAN RUMAH SAKIT540000432000432000540000432000540000540000540000540000TOTAL >36000002880000288000036000002880000360000036000003600000360000093OK10101JASA CREW OP.NEUPLA&EKSPLOR.KONVENSIONALJASA CREW(UGD/ICU/OK/VK/RADIO)849150849150849150849150849150849150849150849150849150PAJAK688506885068850688506885068850688506885068850PENDAPATAN RUMAH SAKIT162000162000162000162000162000162000162000162000162000TOTAL >10800001080000108000010800001080000108000010800001080000108000094OK10102SEWA KMR BED.OP.NEURO&EKSPLOR.KONVENSIONPENDAPATAN RUMAH SAKIT252000025200002520000252000025200002520000252000025200002520000TOTAL >25200002520000252000025200002520000252000025200002520000252000095OK10103JASA DR.OP.PASANG PINTASAN VS/VP SHUNTJASA OPERATOR / DOKTER440300044030004403000440300044030004403000440300044030004403000PAJAK357000357000357000357000357000357000357000357000357000PENDAPATAN RUMAH SAKIT840000840000840000840000840000840000840000840000840000TOTAL >56000005600000560000056000005600000560000056000005600000560000096OK10104JASA DR.AN.OP.PASANG PINTASAN VS/V.SHUNTJASA DOKTER ANESTESI ; ASISTEN220150017612001761200220150017612002201500220150022015002201500PAJAK178500142800142800178500142800178500178500178500178500PENDAPATAN RUMAH SAKIT420000336000336000420000336000420000420000420000420000TOTAL >28000002240000224000028000002240000280000028000002800000280000097OK10105JASA CREW OP.PASANG PINTASAN VS/VP SHUNTJASA CREW(UGD/ICU/OK/VK/RADIO)660450660450660450660450660450660450660450660450660450PAJAK535505355053550535505355053550535505355053550PENDAPATAN RUMAH SAKIT126000126000126000126000126000126000126000126000126000TOTAL >84000084000084000084000084000084000084000084000084000098OK10106SEWA KMR BED.OP.PASANG PINT.VS/VP SHUNTPENDAPATAN RUMAH SAKIT196000019600001960000196000019600001960000196000019600001960000TOTAL >19600001960000196000019600001960000196000019600001960000196000099OK10107JASA DR.OP.COMPLIC.FUNC.NEU STEREO SEDERJASA OPERATOR / DOKTER786250078625007862500786250078625007862500786250078625007862500PAJAK637500637500637500637500637500637500637500637500637500PENDAPATAN RUMAH SAKIT150000015000001500000150000015000001500000150000015000001500000TOTAL >100000001000000010000000100000001000000010000000100000001000000010000000100OK10108JASA DR.AN.OP.COMPL.FUNC NEU.STER.SEDERHJASA DOKTER ANESTESI ; ASISTEN393125031450003145000393125031450003931250393125039312503931250PAJAK318750255000255000318750255000318750318750318750318750PENDAPATAN RUMAH SAKIT750000600000600000750000600000750000750000750000750000TOTAL >500000040000004000000500000040000005000000500000050000005000000101OK10109JASA CREW.OP.COMLPIC.FUNC.NEU.STER SEDERJASA CREW(UGD/ICU/OK/VK/RADIO)117937511793751179375117937511793751179375117937511793751179375PAJAK956259562595625956259562595625956259562595625PENDAPATAN RUMAH SAKIT225000225000225000225000225000225000225000225000225000TOTAL >150000015000001500000150000015000001500000150000015000001500000102OK10110SEWA KMR BED.OP.COMP.FUNC.NEU.STER.SEDERPENDAPATAN RUMAH SAKIT350000035000003500000350000035000003500000350000035000003500000TOTAL >350000035000003500000350000035000003500000350000035000003500000103OK10111JASA DR.OP.COMP.FUNC.NEU.STEREO.KOMPLEKJASA OPERATOR / DOKTER880600088060008806000880600088060008806000880600088060008806000PAJAK714000714000714000714000714000714000714000714000714000PENDAPATAN RUMAH SAKIT168000016800001680000168000016800001680000168000016800001680000TOTAL >112000001120000011200000112000001120000011200000112000001120000011200000104OK10112JASA DR.ANEST.OP.COMP.F.NEU.STER.KOMPLEKJASA DOKTER ANESTESI ; ASISTEN440300035224003522400440300035224004403000440300044030004403000PAJAK357000285600285600357000285600357000357000357000357000PENDAPATAN RUMAH SAKIT840000672000672000840000672000840000840000840000840000TOTAL >560000044800004480000560000044800005600000560000056000005600000105OK10113JASA CREW OP.COMP.FUNC.NEU.STER.KOMPLEKJASA CREW(UGD/ICU/OK/VK/RADIO)132090013209001320900132090013209001320900132090013209001320900PAJAK107100107100107100107100107100107100107100107100107100PENDAPATAN RUMAH SAKIT252000252000252000252000252000252000252000252000252000TOTAL >168000016800001680000168000016800001680000168000016800001680000106OK10114SEWA KMR BED.OP.COMP.F.NEU.STER.KOMPLEKPENDAPATAN RUMAH SAKIT392000039200003920000392000039200003920000392000039200003920000TOTAL >392000039200003920000392000039200003920000392000039200003920000107OK10115JASA DR.OP.COM.FUN.PERCUTANEUS KORDOTOMIJASA OPERATOR / DOKTER660450066045006604500660450066045006604500660450066045006604500PAJAK535500535500535500535500535500535500535500535500535500PENDAPATAN RUMAH SAKIT126000012600001260000126000012600001260000126000012600001260000TOTAL >840000084000008400000840000084000008400000840000084000008400000108OK10116JASA DR.ANEST.OP.COM.F.PERCUT.KORDOTOMIJASA DOKTER ANESTESI ; ASISTEN330225026418002641800330225026418003302250330225033022503302250PAJAK267750214200214200267750214200267750267750267750267750PENDAPATAN RUMAH SAKIT630000504000504000630000504000630000630000630000630000TOTAL >420000033600003360000420000033600004200000420000042000004200000109OK10117JASA CREW OP.COMPL.FUNC.PERCUT.KORDOTOMIJASA CREW(UGD/ICU/OK/VK/RADIO)990675990675990675990675990675990675990675990675990675PAJAK803258032580325803258032580325803258032580325PENDAPATAN RUMAH SAKIT189000189000189000189000189000189000189000189000189000TOTAL >126000012600001260000126000012600001260000126000012600001260000110OK10118SEWA KMR BED.OP.COM.FUN.PERCUT.KORDOTOMIPENDAPATAN RUMAH SAKIT294000029400002940000294000029400002940000294000029400002940000TOTAL >294000029400002940000294000029400002940000294000029400002940000111OK10119JASA DR.OP.KOR.IMPRES.FRAK.SEDERH < 1JAMJASA OPERATOR / DOKTER408850040885004088500408850040885004088500408850040885004088500PAJAK331500331500331500331500331500331500331500331500331500PENDAPATAN RUMAH SAKIT780000780000780000780000780000780000780000780000780000TOTAL >520000052000005200000520000052000005200000520000052000005200000112OK10120JASA DR.AN.OP.KOR.IMP.FRAK.SEDERH < 1JAMJASA DOKTER ANESTESI ; ASISTEN204425016354001635400204425016354002044250204425020442502044250PAJAK165750132600132600165750132600165750165750165750165750PENDAPATAN RUMAH SAKIT390000312000312000390000312000390000390000390000390000TOTAL >260000020800002080000260000020800002600000260000026000002600000113OK10121JASA CREW OP.KOR.IMP.FRAK.SEDERH < 1 JAMJASA CREW(UGD/ICU/OK/VK/RADIO)613275613275613275613275613275613275613275613275613275PAJAK497254972549725497254972549725497254972549725PENDAPATAN RUMAH SAKIT117000117000117000117000117000117000117000117000117000TOTAL >780000780000780000780000780000780000780000780000780000114OK10122SEWA KMR BED.OP.KOR.IMP.FRAK.SED 182000018200001820000182000018200001820000182000018200001820000115OK10123JASA DR.OP.KOR.IMPR.FRAK.SEDER.LBH 1JAMJASA OPERATOR / DOKTER471750047175004717500471750047175004717500471750047175004717500PAJAK382500382500382500382500382500382500382500382500382500PENDAPATAN RUMAH SAKIT900000900000900000900000900000900000900000900000900000TOTAL >600000060000006000000600000060000006000000600000060000006000000116OK10124JASA DR.AN.OP.KOR.IMP.FRAK.SEDE LBH 1JAMJASA DOKTER ANESTESI ; ASISTEN235875018870001887000235875018870002358750235875023587502358750PAJAK191250153000153000191250153000191250191250191250191250PENDAPATAN RUMAH SAKIT450000360000360000450000360000450000450000450000450000TOTAL >300000024000002400000300000024000003000000300000030000003000000117OK10125JASA CREW.OP.KOR.IMP.FRAK.SED.LBH 1JAMJASA CREW(UGD/ICU/OK/VK/RADIO)707625707625707625707625707625707625707625707625707625PAJAK573755737557375573755737557375573755737557375PENDAPATAN RUMAH SAKIT135000135000135000135000135000135000135000135000135000TOTAL >900000900000900000900000900000900000900000900000900000118OK10126SEWA KMR BED.OP.KOR.IMP.FRA.SED.LBH 1JAMPENDAPATAN RUMAH SAKIT210000021000002100000210000021000002100000210000021000002100000TOTAL >210000021000002100000210000021000002100000210000021000002100000119OK10127JASA DR.OP.PASANG FIKSASI INTERNAJASA OPERATOR / DOKTER503200050320005032000503200050320005032000503200050320005032000PAJAK408000408000408000408000408000408000408000408000408000PENDAPATAN RUMAH SAKIT960000960000960000960000960000960000960000960000960000TOTAL >640000064000006400000640000064000006400000640000064000006400000120OK10128JASA DR.ANEST. OP.PASANG FIKSASI INTERNAJASA DOKTER ANESTESI ; ASISTEN204425020128002012800204425020128002044250204425020442502044250PAJAK165750163200163200165750163200165750165750165750165750PENDAPATAN RUMAH SAKIT390000384000384000390000384000390000390000390000390000TOTAL >260000025600002560000260000025600002600000260000026000002600000121OK10129JASA CREW OP.PASANG FIKSASI INTERNAJASA CREW(UGD/ICU/OK/VK/RADIO)754800754800754800754800754800754800754800754800754800PAJAK612006120061200612006120061200612006120061200PENDAPATAN RUMAH SAKIT144000144000144000144000144000144000144000144000144000TOTAL >960000960000960000960000960000960000960000960000960000122OK10130SEWA KMR BEDAH OP.PASANG FIKSASI INTERNAPENDAPATAN RUMAH SAKIT224000022400002240000224000022400002240000224000022400002240000TOTAL >224000022400002240000224000022400002240000224000022400002240000123OK10131JASA DR.OP.NEUKROTOMI/NEUROLISMEJASA OPERATOR / DOKTER408850040885004088500408850040885004088500408850040885004088500PAJAK331500331500331500331500331500331500331500331500331500PENDAPATAN RUMAH SAKIT780000780000780000780000780000780000780000780000780000TOTAL >520000052000005200000520000052000005200000520000052000005200000124OK10132JASA DR.ANESTESI OP.NEUKROTOMI/NEUROLISMJASA DOKTER ANESTESI ; ASISTEN204425016354001635400204425016354002044250204425020442502044250PAJAK165750132600132600165750132600165750165750165750165750PENDAPATAN RUMAH SAKIT390000312000312000390000312000390000390000390000390000TOTAL >260000020800002080000260000020800002600000260000026000002600000125OK10133JASA CREW OP.NEUKROTOMI/NEUROLISMEJASA CREW(UGD/ICU/OK/VK/RADIO)613275613275613275613275613275613275613275613275613275PAJAK497254972549725497254972549725497254972549725PENDAPATAN RUMAH SAKIT117000117000117000117000117000117000117000117000117000TOTAL >780000780000780000780000780000780000780000780000780000126OK10134SEWA KMR BED.OP.NEUKROTOMI NEUROLISMEPENDAPATAN RUMAH SAKIT182000018200001820000182000018200001820000182000018200001820000TOTAL >182000018200001820000182000018200001820000182000018200001820000127OK10135JASA DR.OP.DISKOMPRESI SARAF TEPIJASA OPERATOR / DOKTER408850040885004088500408850040885004088500408850040885004088500PAJAK331500331500331500331500331500331500331500331500331500PENDAPATAN RUMAH SAKIT780000780000780000780000780000780000780000780000780000TOTAL >520000052000005200000520000052000005200000520000052000005200000128OK10136JASA DR.ANEST.OP.DISKOMPRESI SARAF TEPIJASA DOKTER ANESTESI ; ASISTEN204425016354001635400204425016354002044250204425020442502044250PAJAK165750132600132600165750132600165750165750165750165750PENDAPATAN RUMAH SAKIT390000312000312000390000312000390000390000390000390000TOTAL >260000020800002080000260000020800002600000260000026000002600000129OK10137JASA CREW OP.DISKROMPRESI SARAF TEPIJASA CREW(UGD/ICU/OK/VK/RADIO)613275613275613275613275613275613275613275613275613275PAJAK497254972549725497254972549725497254972549725PENDAPATAN RUMAH SAKIT117000117000117000117000117000117000117000117000117000TOTAL >780000780000780000780000780000780000780000780000780000130OK10138SEWA KMR BEDAH OP.NEUKROTOMI/NEUROLISMEPENDAPATAN RUMAH SAKIT182000018200001820000182000018200001820000182000018200001820000TOTAL >182000018200001820000182000018200001820000182000018200001820000131OK10139SEWA KAMAR VENA SECHE OLEH PERAWATPENDAPATAN RUMAH SAKIT423504235042350423504235042350423504235042350TOTAL >423504235042350423504235042350423504235042350132OK10171JASA DR ANEST. OP.SDNG DGN PENYULIT-ICUJASA OPERATOR / DOKTER00000072600016500001650000TOTAL >00000072600016500001650000133OK10172JASA DR ANEST. OP.BESAR DGN PENYULIT-ICUJASA OPERATOR / DOKTER000000105600020625002062500TOTAL >000000105600020625002062500134OK10173JASA DR ANEST OP.BSR KHS D/ PENYULIT-ICUJASA OPERATOR / DOKTER000000191400037125003712500TOTAL >000000191400037125003712500135OK10174JASA CREW OP.KECIL DGN PENYULIT - ICUJASA CREW(UGD/ICU/OK/VK/RADIO)000000185625371250371250TOTAL >000000185625371250371250136OK10182JASA DR.OP.KRANIOTOMI KONV. LBH DR 4JAMJASA OPERATOR / DOKTER714000071400007140000714000071400007140000714000071400007140000PENDAPATAN RUMAH SAKIT126000012600001260000126000012600001260000126000012600001260000TOTAL >840000084000008400000840000084000008400000840000084000008400000137OK10183JS DR.ANES OP.KRANIOTOMI KONVEN.LBH 4JAMJASA OPERATOR / DOKTER357000035700003570000357000035700003570000357000035700003570000PENDAPATAN RUMAH SAKIT630000630000630000630000630000630000630000630000630000TOTAL >420000042000004200000420000042000004200000420000042000004200000138OK10184JASA CREW OP.KRANIOTOMI KONVEN.LBH 4 JAMJASA CREW(UGD/ICU/OK/VK/RADIO)107100010710001071000107100010710001071000107100010710001071000PENDAPATAN RUMAH SAKIT189000189000189000189000189000189000189000189000189000TOTAL >126000012600001260000126000012600001260000126000012600001260000139OK10185SEWA KAMAR OP.KRANIOTOMI LBH DR 4 JAMPENDAPATAN RUMAH SAKIT294000029400002940000294000029400002940000294000029400002940000TOTAL >294000029400002940000294000029400002940000294000029400002940000140OK10190JASA CREW OP.KRANIOTOMI KONVEN < 4 JAMJASA CREW(UGD/ICU/OK/VK/RADIO)00000008491500PAJAK0000000688500PENDAPATAN RUMAH SAKIT00000001620000TOTAL >000000010800000141OK2035JASA DR OP.BESAR DGN KOMPLIKASIJASA OPERATOR / DOKTER342000024000002220000372000022200003750000342000037200003750000PENDAPATAN RUMAH SAKIT855000600000555000930000555000937500855000930000937500TOTAL >427500030000002775000465000027750004687500427500046500004687500142OK2049JASA DR OP.KECIL DGN PENYULIT (ICU)JASA OPERATOR / DOKTER000000000TOTAL >000000000143OK2050JASA DR OP.SEDANG DGN PENYULIT (ICU)JASA OPERATOR / DOKTER000000000TOTAL >000000000144OK2051JASA DR OP.BESAR DGN PENYULIT (ICU)JASA OPERATOR / DOKTER000000000TOTAL >000000000145OK2052JASA DR OP.BSR KHUSUS DG PENYULIT (ICU)JASA OPERATOR / DOKTER000000000TOTAL >000000000146OK2053JASA DR ANEST OP.KECIL DGN PENYULIT-ICUJASA OPERATOR / DOKTER000000000TOTAL >000000000147OK2057JASA CREW OP.KECIL DGN PENYULIT - ICUJASA CREW(UGD/ICU/OK/VK/RADIO)000000000TOTAL >000000000148OK2058JASA CREW OP.SEDANG DGN PENYULIT - ICUJASA CREW(UGD/ICU/OK/VK/RADIO)000000000TOTAL >000000000149OK2059JASA CREW OP.BESAR DGN PENYULIT - ICUJASA CREW(UGD/ICU/OK/VK/RADIO)000000000TOTAL >000000000150OK2060JASA CREW OP.BSR KHUSUS DGN PENYULIT-ICUJASA CREW(UGD/ICU/OK/VK/RADIO)000000000TOTAL >000000000151OK2061SEWA KAMAR OP.KECIL DGN PENYULIT - ICUPENDAPATAN RUMAH SAKIT000000000TOTAL >000000000152OK2062SEWA KAMAR OP.SEDANG DGN PENYULIT - ICUPENDAPATAN RUMAH SAKIT000000000TOTAL >000000000153OK2063SEWA KAMAR OP.BESAR DGN PENYULIT - ICUPENDAPATAN RUMAH SAKIT000000000TOTAL >000000000154OK2064SEWA KMR OP.BSR KHUSUS DGN PENYULIT-ICUPENDAPATAN RUMAH SAKIT000000000TOTAL >000000000155OK30001JASA DOKTER TINDAKAN/OPERASI KECILJASA OPERATOR / DOKTER132000070000068000013200006800001460000132000014400001460000PENDAPATAN RUMAH SAKIT330000175000170000330000170000365000330000360000365000TOTAL >165000087500085000016500008500001825000165000018000001825000156OK30002JASA DOKTER TIND/OP.KECIL (RWT ICU)JASA OPERATOR / DOKTER00000070000013200001320000PENDAPATAN RUMAH SAKIT000000175000330000330000TOTAL >00000087500016500001650000157OK30003JASA DOKTER TINDAKAN/OPERASI SEDANGJASA OPERATOR / DOKTER182000010200001000000182000010000001860000182000018400001860000PENDAPATAN RUMAH SAKIT455000255000250000455000250000465000455000460000465000TOTAL >227500012750001250000227500012500002325000227500023000002325000158OK30004JASA DOKTER TIND/OP.SEDANG (RWT ICU)JASA CREW(UGD/ICU/OK/VK/RADIO)000000001820000JASA OPERATOR / DOKTER000000102000018200000PENDAPATAN RUMAH SAKIT000000255000455000455000TOTAL >000000127500022750002275000159OK30005JASA DOKTER TINDAKAN/OPERASI BESARJASA OPERATOR / DOKTER228000016000001480000228000014800002500000228000024800002500000PENDAPATAN RUMAH SAKIT570000400000370000570000370000625000570000620000625000TOTAL >285000020000001850000285000018500003125000285000031000003125000160OK30006JASA DOKTER OPERASI BESAR (RWT ICU)JASA OPERATOR / DOKTER000000160000022800002280000PENDAPATAN RUMAH SAKIT000000400000570000570000TOTAL >000000200000028500002850000161OK30007JASA DOKTER OPERASI BESAR KHUSUSJASA OPERATOR / DOKTER398000026000002560000398000025600004000000398000039800004000000PENDAPATAN RUMAH SAKIT99500065000064000099500064000010000009950009950001000000TOTAL >497500032500003200000497500032000005000000497500049750005000000162OK30008JASA DOKTER OP.BESAR KHUSUS (RWT ICU)JASA OPERATOR / DOKTER000000260000039800003980000PENDAPATAN RUMAH SAKIT000000650000995000995000TOTAL >000000325000049750004975000163OK30009JASA DOKTER ANESTESI TIND/OPERASI KECILJASA OPERATOR / DOKTER660000280000272000660000272000730000660000720000730000PENDAPATAN RUMAH SAKIT165000700006800016500068000182500165000180000182500TOTAL >825000350000340000825000340000912500825000900000912500164OK30010JASA DOKTER ANESTESI OP.KECIL(RWT ICU)JASA OPERATOR / DOKTER000000280000660000660000PENDAPATAN RUMAH SAKIT00000070000165000165000TOTAL >000000350000825000825000165OK30011JASA DOKTER ANESTESI TIND/OPERASI SEDANGJASA OPERATOR / DOKTER910000408000400000910000400000930000910000920000930000PENDAPATAN RUMAH SAKIT227500102000100000227500100000232500227500230000232500TOTAL >113750051000050000011375005000001162500113750011500001162500166OK30012JASA DOKTER ANESTESI OP.SEDANG(RWT ICU)JASA OPERATOR / DOKTER000000408000910000910000PENDAPATAN RUMAH SAKIT000000102000227500227500TOTAL >00000051000011375001137500167OK30013JASA DOKTER ANESTESI TIND/OPERASI BESARJASA OPERATOR / DOKTER114000064000059200011400005920001250000114000012400001250000PENDAPATAN RUMAH SAKIT285000160000148000285000148000312500285000310000312500TOTAL >142500080000074000014250007400001562500142500015500001562500168OK30014JASA DOKTER ANESTESI OP.BESAR(RWT ICU)JASA OPERATOR / DOKTER00000064000011400001140000PENDAPATAN RUMAH SAKIT000000160000285000285000TOTAL >00000080000014250001425000169OK30015JASA DOKTER ANESTESI OP.BESAR KHUSUSJASA OPERATOR / DOKTER199000010400001024000199000010240002000000199000019900002000000PENDAPATAN RUMAH SAKIT497500260000256000497500256000500000497500497500500000TOTAL >248750013000001280000248750012800002500000248750024875002500000170OK30016JASA DR.ANESTESI OP.BSR KHUSUS(RWT ICU)JASA OPERATOR / DOKTER000000104000019900001990000PENDAPATAN RUMAH SAKIT000000260000497500497500TOTAL >000000130000024875002487500171OK30017JASA CREW TINDAKAN/OPERASI KECILJASA CREW(UGD/ICU/OK/VK/RADIO)198000105200102000198000102000219200198000216000219200PENDAPATAN RUMAH SAKIT495002630025500495002550054800495005400054800TOTAL >247500131500127500247500127500274000247500270000274000172OK30018JASA CREW OPERASI KECIL(RWT ICU)JASA CREW(UGD/ICU/OK/VK/RADIO)000000105200198000198000PENDAPATAN RUMAH SAKIT000000263004950049500TOTAL >000000131500247500247500173OK30019JASA CREW TINDAKAN/OPERASI SEDANGJASA CREW(UGD/ICU/OK/VK/RADIO)273200153200150000273200150000279200273200276000279200PENDAPATAN RUMAH SAKIT683003830037500683003750069800683006900069800TOTAL >341500191500187500341500187500349000341500345000349000174OK30020JASA CREW OPERASI SEDANG (RWT ICU)JASA CREW(UGD/ICU/OK/VK/RADIO)000000153200273200273200PENDAPATAN RUMAH SAKIT000000383006830068300TOTAL >000000191500341500341500175OK30021JASA CREW TINDAKAN/OPERASI BESARJASA CREW(UGD/ICU/OK/VK/RADIO)342000240000222000342000222000375200342000372000375200PENDAPATAN RUMAH SAKIT855006000055500855005550093800855009300093800TOTAL >427500300000277500427500277500469000427500465000469000176OK30022JASA CREW OPERASI BESAR (RWT ICU)JASA CREW(UGD/ICU/OK/VK/RADIO)000000240000342000342000PENDAPATAN RUMAH SAKIT000000600008550085500TOTAL >000000300000427500427500177OK30023JASA CREW OPERASI BESAR KHUSUSJASA CREW(UGD/ICU/OK/VK/RADIO)597200390000384000597200384000600000597200597200600000PENDAPATAN RUMAH SAKIT149300975009600014930096000150000149300149300150000TOTAL >746500487500480000746500480000750000746500746500750000178OK30024JASA CREW OPERASI BESAR KHUSUS (ICU)JASA CREW(UGD/ICU/OK/VK/RADIO)000000390000597200597200PENDAPATAN RUMAH SAKIT00000097500149300149300TOTAL >000000487500746500746500179OK30025SEWA KAMAR BEDAH OPERASI KECILPENDAPATAN RUMAH SAKIT725000425000400000725000400000775000725000750000775000TOTAL >725000425000400000725000400000775000725000750000775000180OK30026SEWA KAMAR BEDAH OP.KECIL (RWT ICU)PENDAPATAN RUMAH SAKIT000000425000725000725000TOTAL >000000425000725000725000181OK30027SEWA KAMAR BEDAH OPERASI SEDANGPENDAPATAN RUMAH SAKIT97500055000052500097500052500010000009750009750001000000TOTAL >97500055000052500097500052500010000009750009750001000000182OK30028SEWA KAMAR BEDAH OP.SEDANG (RWT ICU)PENDAPATAN RUMAH SAKIT000000550000975000975000TOTAL >000000550000975000975000183OK30029SEWA KAMAR BEDAH OPERASI BESARPENDAPATAN RUMAH SAKIT122500078500076500012250007650001375000122500013500001375000TOTAL >122500078500076500012250007650001375000122500013500001375000184OK30030SEWA KAMAR BEDAH OP.BESAR (RWT ICU)PENDAPATAN RUMAH SAKIT00000078500012250001225000TOTAL >00000078500012250001225000185OK30031SEWA KAMAR BEDAH OPERASI BESAR KHUSUSPENDAPATAN RUMAH SAKIT225000015000001450000225000014500002325000225000023000002325000TOTAL >225000015000001450000225000014500002325000225000023000002325000186OK30032SEWA KAMAR BEDAH OP.BSR KHUSUS (RWT ICU)PENDAPATAN RUMAH SAKIT000000150000022500002250000TOTAL >000000150000022500002250000187OK30033JASA DOKTER OP.KECIL DENGAN KOMPLIKASIJASA OPERATOR / DOKTER198000010500001020000198000010200002190000198000021600002190000PENDAPATAN RUMAH SAKIT495000262500255000495000255000547500495000540000547500TOTAL >247500013125001275000247500012750002737500247500027000002737500188OK30035JASA DOKTER OP.SEDANG DENGAN KOMPLIKASIJASA OPERATOR / DOKTER273000015300001500000273000015000002790000273000027600002790000PENDAPATAN RUMAH SAKIT682500382500375000682500375000697500682500690000697500TOTAL >341250019125001875000341250018750003487500341250034500003487500189OK30037JASA DOKTER OP.BESAR DENGAN KOMPLIKASIJASA OPERATOR / DOKTER342000024000003420000342000022200003750000342000037200003750000PENDAPATAN RUMAH SAKIT855000600000855000855000555000937500855000930000937500TOTAL >427500030000004275000427500027750004687500427500046500004687500190OK30039JASA DR OP.BESAR KHUSUS DGN KOMPLIKASIJASA OPERATOR / DOKTER597000039000003840000597000038400006000000597000059700006000000PENDAPATAN RUMAH SAKIT149250097500096000014925009600001500000149250014925001500000TOTAL >746250048750004800000746250048000007500000746250074625007500000191OK30041JASA DR ANESTESI OP.KECIL DGN KOMPLIKASIJASA DOKTER ANESTESI ; ASISTEN990000105000408000990000408000109500099000010800001095000PENDAPATAN RUMAH SAKIT247500420000102000247500102000273750247500270000273750TOTAL >123750052500051000012375005100001368750123750013500001368750192OK30043JASA DR ANESTESI OP.SEDANG DG KOMPLIKASIJASA DOKTER ANESTESI ; ASISTEN136500061200060000013650006000001395000136500013800001395000PENDAPATAN RUMAH SAKIT341250153000150000341250150000348750341250345000348750TOTAL >170625076500075000017062507500001743750170625017250001743750193OK30045JASA DR ANESTESI OP.BESAR DGN KOMPLIKASIJASA DOKTER ANESTESI ; ASISTEN171000096000088800017100008880001875000171000018600001875000PENDAPATAN RUMAH SAKIT427500240000222000427500222000468750427500465000468750TOTAL >213750012000001110000213750011100002343750213750023250002343750194OK30047JASA DR ANESTESI OP.BSR KHS DG KOMPLIKASJASA DOKTER ANESTESI ; ASISTEN298500015600001536000298500015360003000000298500029850003000000PENDAPATAN RUMAH SAKIT746250390000384000746250384000750000746250746250750000TOTAL >373125019500001920000373125019200003750000373125037312503750000195OK30049JASA CREW OP.KECIL DENGAN KOMPLIKASIJASA CREW(UGD/ICU/OK/VK/RADIO)297000157800153000297000153000328800297000324000328800PENDAPATAN RUMAH SAKIT742503945038250742503825082200742508100082200TOTAL >371250197250191250371250191250411000371250405000411000196OK30051JASA CREW OP.SEDANG DENGAN KOMPLIKASIJASA CREW(UGD/ICU/OK/VK/RADIO)409800229800409800409800225000418800409800414000418800PENDAPATAN RUMAH SAKIT1024505745010245010245056250104700102450103500104700TOTAL >512250287250512250512250281250523500512250517500523500197OK30053JASA CREW OP.BESAR DENGAN KOMPLIKASIJASA CREW(UGD/ICU/OK/VK/RADIO)513000360000333000513000333000562800513000558000562800PENDAPATAN RUMAH SAKIT128250900008325012825083250140700128250139500140700TOTAL >641250450000416250641250416250703500641250697500703500198OK30055JASA CREW OP.BESAR KHUSUS DGN KOMPLIKASIJASA CREW(UGD/ICU/OK/VK/RADIO)895800585000576000895800576000900000895800895800900000PENDAPATAN RUMAH SAKIT223950146250144000223950144000225000223950223950225000TOTAL >111975073125072000011197507200001125000111975011197501125000199OK30057SEWA KAMAR OP.KECIL DENGAN KOMPLIKASIPENDAPATAN RUMAH SAKIT108750063750060000010875006000001162500108750011250001162500TOTAL >108750063750060000010875006000001162500108750011250001162500200OK30059SEWA KAMAR OP.SEDANG DENGAN KOMPLIKASIPENDAPATAN RUMAH SAKIT146250082500078750014625007875001500000146250014625001500000TOTAL >146250082500078750014625007875001500000146250014625001500000201OK30061SEWA KAMAR OP.BESAR DENGAN KOMPLIKASIPENDAPATAN RUMAH SAKIT183750011775001147500183750011475002062500183750020250002062500TOTAL >183750011775001147500183750011475002062500183750020250002062500202OK30063SEWA KAMAR OP.BSR KHUSUS DGN KOMPLIKASIPENDAPATAN RUMAH SAKIT337500022500002175000337500021750003487500337500034500003487500TOTAL >337500022500002175000337500021750003487500337500034500003487500203PA10001PEMERIKSAAN P.A KECIL (K)AKOMODASI/TRANSPORTASI/TEKNISI825082508250825082508250825082508250JASA OPERATOR / DOKTER908129081290812908129081290812908129081290812PAJAK736373637363736373637363736373637363PEMAKAIAN ALKES / ABHP165001650016500165001650016500165001650016500PENDAPATAN RUMAH SAKIT420754207542075420754207542075420754207542075TOTAL >165000165000165000165000165000165000165000165000165000204PA10002PEMERIKSAAN P.A BESAR (K)AKOMODASI/TRANSPORTASI/TEKNISI110001100011000110001100011000110001100011000JASA OPERATOR / DOKTER121082121082121082121082121082121082121082121082121082PAJAK981898189818981898189818981898189818PEMAKAIAN ALKES / ABHP220002200022000220002200022000220002200022000PENDAPATAN RUMAH SAKIT561005610056100561005610056100561005610056100TOTAL >220000220000220000220000220000220000220000220000220000205PA10003PEMERIKSAAN PAP SMEAR (K)AKOMODASI/TRANSPORTASI/TEKNISI550055005500550055005500550055005500JASA OPERATOR / DOKTER605416054160541605416054160541605416054160541PAJAK490949094909490949094909490949094909PEMAKAIAN ALKES / ABHP110001100011000110001100011000110001100011000PENDAPATAN RUMAH SAKIT280502805028050280502805028050280502805028050TOTAL >110000110000110000110000110000110000110000110000110000206PA10004PEMERIKSAAN CAIRAN (K)AKOMODASI/TRANSPORTASI/TEKNISI687568756875687568756875687568756875JASA OPERATOR / DOKTER756767567675676756767567675676756767567675676PAJAK613661366136613661366136613661366136PEMAKAIAN ALKES / ABHP137501375013750137501375013750137501375013750PENDAPATAN RUMAH SAKIT350633506335063350633506335063350633506335063TOTAL >137500137500137500137500137500137500137500137500137500207PA10005PEMERIKSAAN FNAB (K)AKOMODASI/TRANSPORTASI/TEKNISI137501375013750137501375013750137501375013750JASA OPERATOR / DOKTER151353151353151353151353151353151353151353151353151353PAJAK122721227212272122721227212272122721227212272PEMAKAIAN ALKES / ABHP275002750027500275002750027500275002750027500PENDAPATAN RUMAH SAKIT701257012570125701257012570125701257012570125TOTAL >275000275000275000275000275000275000275000275000275000208PA10006PEMERIKSAAN SITOLOGI DI O.K (K)AKOMODASI/TRANSPORTASI/TEKNISI192501925019250192501925019250192501925019250JASA OPERATOR / DOKTER211894211894211894211894211894211894211894211894211894PAJAK171811718117181171811718117181171811718117181PEMAKAIAN ALKES / ABHP385003850038500385003850038500385003850038500PENDAPATAN RUMAH SAKIT981759817598175981759817598175981759817598175TOTAL >385000385000385000385000385000385000385000385000385000209PA10201PEMERIKSAAN P.A KECIL (C)AKOMODASI/TRANSPORTASI/TEKNISI168751687516875168751687516875168751687516875JASA OPERATOR / DOKTER135000135000135000135000135000135000135000135000135000PEMAKAIAN ALKES / ABHP168751687516875168751687516875168751687516875PENDAPATAN RUMAH SAKIT450004500045000450004500045000450004500045000SEWA ALAT112501125011250112501125011250112501125011250TOTAL >225000225000225000225000225000225000225000225000225000210PA10202PEMERIKSAAN P.A BESAR (C)AKOMODASI/TRANSPORTASI/TEKNISI225002250022500225002250022500225002250022500JASA OPERATOR / DOKTER180000180000180000180000180000180000180000180000180000PEMAKAIAN ALKES / ABHP225002250022500225002250022500225002250022500PENDAPATAN RUMAH SAKIT600006000060000600006000060000600006000060000SEWA ALAT150001500015000150001500015000150001500015000TOTAL >300000300000300000300000300000300000300000300000300000211PA10203PEMERIKSAAN PAP SMEAR (C)AKOMODASI/TRANSPORTASI/TEKNISI937593759375937593759375937593759375JASA OPERATOR / DOKTER750007500075000750007500075000750007500075000PEMAKAIAN ALKES / ABHP937593759375937593759375937593759375PENDAPATAN RUMAH SAKIT250002500025000250002500025000250002500025000SEWA ALAT625062506250625062506250625062506250TOTAL >125000125000125000125000125000125000125000125000125000212PA10204PEMERIKSAAN CAIRAN (C)AKOMODASI/TRANSPORTASI/TEKNISI150001500015000150001500015000150001500015000JASA OPERATOR / DOKTER120000120000120000120000120000120000120000120000120000PEMAKAIAN ALKES / ABHP150001500015000150001500015000150001500015000PENDAPATAN RUMAH SAKIT400004000040000400004000040000400004000040000SEWA ALAT100001000010000100001000010000100001000010000TOTAL >200000200000200000200000200000200000200000200000200000213PA10205PEMERIKSAAN FNAB (C)AKOMODASI/TRANSPORTASI/TEKNISI300003000030000300003000030000300003000030000JASA OPERATOR / DOKTER240000240000240000240000240000240000240000240000240000PEMAKAIAN ALKES / ABHP300003000030000300003000030000300003000030000PENDAPATAN RUMAH SAKIT800008000080000800008000080000800008000080000SEWA ALAT200002000020000200002000020000200002000020000TOTAL >400000400000400000400000400000400000400000400000400000214PA10207PAKET PAP SMEAR (C)AKOMODASI/TRANSPORTASI/TEKNISI225002250022500225002250022500225002250022500JASA OPERATOR / DOKTER180000180000180000180000180000180000180000180000180000PEMAKAIAN ALKES / ABHP225002250022500225002250022500225002250022500PENDAPATAN RUMAH SAKIT600006000060000600006000060000600006000060000SEWA ALAT150001500015000150001500015000150001500015000TOTAL >300000300000300000300000300000300000300000300000300000215PA10209PAKET PAP SMEAR (BANK MANDIRI)AKOMODASI/TRANSPORTASI/TEKNISI187501875018750187501875018750187501875018750JASA OPERATOR / DOKTER150000150000150000150000150000150000150000150000150000PEMAKAIAN ALKES / ABHP187501875018750187501875018750187501875018750PENDAPATAN RUMAH SAKIT500005000050000500005000050000500005000050000SEWA ALAT125001250012500125001250012500125001250012500TOTAL >250000250000250000250000250000250000250000250000250000216PA10301PAP SMEAR (RUJUK PERMATA HATI)JASA OPERATOR / DOKTER125000125000125000125000125000125000125000125000125000PENDAPATAN RUMAH SAKIT187501875018750187501875018750187501875018750TOTAL >143750143750143750143750143750143750143750143750143750217PA10302HORMONAL/SIT.VAGINA(RUJUK PERMATA HATI)JASA OPERATOR / DOKTER125000125000125000125000125000125000125000125000125000PENDAPATAN RUMAH SAKIT187501875018750187501875018750187501875018750TOTAL >143750143750143750143750143750143750143750143750143750218PA10303CAIRAN PLEURA,ASITES(RUJUK PERMATA HATIJASA OPERATOR / DOKTER200000200000200000200000200000200000200000200000200000PENDAPATAN RUMAH SAKIT300003000030000300003000030000300003000030000TOTAL >230000230000230000230000230000230000230000230000230000219PA10304P.A JARINGAN KECIL (RUJUK PERMATA HATI)JASA OPERATOR / DOKTER225000225000225000225000225000225000225000225000225000PENDAPATAN RUMAH SAKIT337503375033750337503375033750337503375033750TOTAL >258750258750258750258750258750258750258750258750258750220PA10305P.A JARINGAN BESAR (RUJUK PERMATA HATI)JASA OPERATOR / DOKTER275000275000275000275000275000275000275000275000275000PENDAPATAN RUMAH SAKIT412504125041250412504125041250412504125041250TOTAL >316250316250316250316250316250316250316250316250316250221PA10306P.A BESAR LBH 20CM (RUJUK PERMATA HATI)JASA OPERATOR / DOKTER400000400000400000400000400000400000400000400000400000PENDAPATAN RUMAH SAKIT600006000060000600006000060000600006000060000TOTAL >460000460000460000460000460000460000460000460000460000222PA10307PEMERIKSAAN IMMUNOHISTOKIMIA (SEMARANG)JASA OPERATOR / DOKTER400000400000400000400000400000400000400000400000400000PENDAPATAN RUMAH SAKIT600006000060000600006000060000600006000060000TOTAL >460000460000460000460000460000460000460000460000460000223PA10308PERMINTAAN SECOND OPINION P.A (DR.MAYA)JASA OPERATOR / DOKTER400000400000400000400000400000400000400000400000400000PENDAPATAN RUMAH SAKIT600006000060000600006000060000600006000060000TOTAL >460000460000460000460000460000460000460000460000460000224PMI0003DARAH KEMBALI (PER KOLF)PENDAPATAN RUMAH SAKIT500005000050000500005000050000500005000050000TOTAL >500005000050000500005000050000500005000050000225PMI0006BIAYA PENGGANTIAN PENGOLAHAN DARAHPENDAPATAN RUMAH SAKIT360000360000360000360000360000360000360000360000360000TOTAL >360000360000360000360000360000360000360000360000360000226PMI0007DARAH PERSIAPAN / STAND BYPENDAPATAN RUMAH SAKIT100000100000100000100000100000100000100000100000100000TOTAL >100000100000100000100000100000100000100000100000100000227PMI0008PLEBOTOMYPENDAPATAN RUMAH SAKIT125000125000125000125000125000125000125000125000125000TOTAL >125000125000125000125000125000125000125000125000125000228PMI0009COOMBS TESTPENDAPATAN RUMAH SAKIT100000100000100000100000100000100000100000100000100000TOTAL >100000100000100000100000100000100000100000100000100000229PMI0010ANTISERA (1 SET : ANTI A + ANTI B)PENDAPATAN RUMAH SAKIT250000250000250000250000250000250000250000250000250000TOTAL >250000250000250000250000250000250000250000250000250000230RR00001TARIF RECOVERY ROOMJASA PERAWAT500005000050000500005000050000500005000050000PENDAPATAN RUMAH SAKIT200000200000200000200000200000200000200000200000200000TOTAL >250000250000250000250000250000250000250000250000250000231VK00001PASANG IUD (NOVA-T)JASA OPERATOR / DOKTER314500314500314500314500314500314500314500314500314500PAJAK255002550025500255002550025500255002550025500PENDAPATAN RUMAH SAKIT600006000060000600006000060000600006000060000TOTAL >400000400000400000400000400000400000400000400000400000

Sheet2

Sheet3