PERBANDINGAN TARIF TEMPAT PELAYANAN KESEHATAN

RSUD
RSUD RSUD RSUD RSUD RSUD KOTA RSUD KAB
NO NAMA PARAMETER RS WAHIDIN KOESMA
SOEKANDAR PACITAN JOMBANG SIDOARJO PASURUAN PASURUAN
TUBAN
1 DARAH LENGKAP Rp 35,500 Rp 65,000 Rp 75,000 Rp 72,500 Rp 57,000 Rp 75,000 Rp 54,000 Rp 50,000.00
2 LAJU ENDAP DARAH Rp 15,000.00
3 BLEEDING TIME (BT) Rp 17,000 Rp 20,000 Rp 29,400 Rp 9,000 Rp 12,000 Rp 17,250.00
4 CLOTING TIME (CT) Rp 17,000 Rp 20,000 Rp 29,400 Rp 9,000 Rp 12,000 Rp 17,250.00
5 GOLONGAN DARAH Rp 10,000 Rp 75,000 Rp 28,900 Rp 15,000 Rp 17,000 Rp 40,000.00
6 HAPUSAN DARAH TEPI Rp 40,000 Rp 50,000 Rp 75,000 Rp 56,000 Rp 57,000 Rp 57,000 Rp 55,000 Rp 70,000.00
7 FIBRINOGEN Rp 130,000 Rp 92,000 Rp 92,000 Rp 103,500.00
8 APTT Rp 85,000 Rp 92,000 Rp 90,000 Rp 92,000 Rp 46,000 Rp 91,000 Rp 85,000 Rp 50,000.00
9 PPT Rp 95,000 Rp 32,000 Rp 120,000 Rp 92,000 Rp 46,000 Rp 91,000 Rp 85,000 Rp 50,000.00
10 INR / TROMBO TEST Rp 130,000 Rp 92,000 Rp 46,000 Rp 85,000 Rp 79,000.00
11 RETIKULOSIT Rp 40,000 Rp 34,500 Rp 23,000 Rp 34,000 Rp 22,000 Rp 30,000.00
12 MALARIA Rp 25,000 Rp 37,500 Rp 25,000 Rp 65,000
13 ANALISA GAS DARAH Rp 480,000 Rp 175,000 Rp 192,000 Rp 207,000 Rp 265,000 Rp 250,000 Rp 175,000.00
14 GLUKOSA DARAH ACAK Rp 25,000 Rp 30,000 Rp 30,000 Rp 27,500 Rp 18,000 Rp 19,000 Rp 24,000 Rp 25,000.00
15 GLUKOSA DARAH PUASA Rp 25,000 Rp 30,000 Rp 30,000 Rp 27,500 Rp 18,000 Rp 19,000 Rp 24,000 Rp 25,000.00
16 GLUKOSA DARAH 2 JAM PP Rp 25,000 Rp 30,000 Rp 30,000 Rp 27,500 Rp 18,000 Rp 19,000 Rp 24,000 Rp 25,000.00
17 HDL KOLESTEROL Rp 33,000 Rp 50,000 Rp 34,000 Rp 30,000 Rp 30,000 Rp 30,000 Rp 43,000.00
18 LDL KOLESTEROL Rp 33,000 Rp 125,000 Rp 34,000 Rp 31,000 Rp 50,000 Rp 37,000 Rp 43,000.00
19 TOTAL KOLESTEROL Rp 27,000 Rp 37,500 Rp 34,000 Rp 34,000 Rp 30,000 Rp 33,000 Rp 35,000.00
20 TRIGLISERIDA Rp 27,000 Rp 45,000 Rp 44,000 Rp 34,000 Rp 30,000 Rp 33,000 Rp 35,000.00
21 ASAM URAT Rp 30,000 Rp 52,500 Rp 31,750 Rp 29,000 Rp 19,000 Rp 26,000 Rp 30,000.00
22 BUN Rp 30,000 Rp 30,000 Rp 37,500 Rp 31,750 Rp 23,000 Rp 19,000 Rp 24,000 Rp 24,000.00
23 CREATININ Rp 30,000 Rp 30,000 Rp 37,500 Rp 29,400 Rp 23,000 Rp 19,000 Rp 24,000 Rp 26,000.00
24 ALBUMIN Rp 25,000 Rp 30,000 Rp 37,500 Rp 31,250 Rp 23,000 Rp 24,000 Rp 28,000 Rp 35,000.00
25 BILIRUBIN DIREK Rp 50,000 Rp 35,000 Rp 52,500 Rp 36,050 Rp 23,000 Rp 19,000 Rp 26,000 Rp 35,000.00
26 BILIRUBIN TOTAL Rp 50,000 Rp 35,000 Rp 52,500 Rp 36,050 Rp 23,000 Rp 19,000 Rp 11,000 Rp 35,000.00
27 SGOT Rp 30,000 Rp 35,000 Rp 45,000 Rp 32,500 Rp 27,000 Rp 27,000 Rp 27,000 Rp 27,000.00
28 SGPT Rp 30,000 Rp 35,000 Rp 45,000 Rp 32,500 Rp 27,000 Rp 27,000 Rp 27,000 Rp 27,000.00
29 TOTAL PROTEIN Rp 25,000 Rp 37,500 Rp 31,250 Rp 23,000 Rp 24,000 Rp 25,000 Rp 35,000.00
30 SI Rp 55,000 Rp 45,000 Rp 108,800 Rp 63,000 Rp 63,000 Rp 69,000.00
31 TIBC Rp 60,000 Rp 80,000 Rp 157,550 Rp 70,000 Rp 66,000 Rp 69,000.00
32 CRP Rp 150,000 Rp 185,000 Rp 167,250 Rp 132,000 Rp 132,000 Rp 172,000 Rp 143,750.00
33 HbA1C Rp 150,000 Rp 200,000 Rp 222,250 Rp 138,000 Rp 160,000 Rp 198,000 Rp 160,000.00
34 Hs TROPONIN Rp 480,000 Rp 241,000 Rp 241,000 Rp 251,000 Rp 800,000.00
35 FT4 Rp 189,000 Rp 325,000 Rp 205,000 Rp 250,000 Rp 172,000 Rp 189,000 Rp 330,000.00
36 TSHS Rp 160,000 Rp 180,000 Rp 155,000 Rp 250,000 Rp 199,000 Rp 180,000.00
37 T4 Rp 165,000 Rp 190,000 Rp 103,000 Rp 169,000 Rp 230,000.00
38 T3 Rp 165,000 Rp 165,000 Rp 150,000 Rp 169,000 Rp 230,000.00
39 D-DIMER Rp 448,000 Rp 500,000 Rp 300,000 Rp 405,000 Rp 230,000.00
40 NATRIUM Rp 95,000 Rp 60,000 Rp 61,650 Rp 36,000 Rp 43,000
41 KALIUM Rp 95,000 Rp 60,000 Rp 200,000 Rp 61,650 Rp 36,000 Rp 43,000
Rp 135,000 Rp 140,000.00
42 CLORIDA Rp 95,000 Rp 60,000 Rp 61,650 Rp 36,000 Rp 43,000
43 KALSIUM Rp 32,000 Rp 60,000 Rp 40,000 Rp 41,000 Rp 43,000
44 ANTI HIV Rp 48,000 Rp 37,900 Rp 109,000 Rp 172,000
45 HBSAG Rp 55,000 Rp 72,000 Rp 100,000 Rp 44,760 Rp 40,000 Rp 31,000 Rp 52,000 Rp 40,000.00
46 RDT AG Rp 99,000 Rp 99,000 Rp 99,000
47 IGG/IGM DENGUE Rp 255,000 Rp 350,000 Rp 270,000 Rp 172,000 Rp 190,000 Rp 172,000.00
48 PLANO TEST Rp 24,000 Rp 31,000 Rp 19,000 Rp 20,000 Rp 23,000.00
49 WIDAL Rp 30,000 Rp 75,000 Rp 43,250 Rp 34,000 Rp 24,000 Rp 50,000 Rp 23,000.00
50 VDRL Rp 26,000 Rp 49,650 Rp 40,000 Rp 75,000 Rp 54,000 Rp 39,000.00
51 TPHA Rp 50,000 Rp 85,000 Rp 40,000 Rp 54,000 Rp 74,750.00
52 ASTO Rp 65,000 Rp 57,125 Rp 57,000 Rp 100,000 Rp 81,000 Rp 63,250.00
53 IGG/IGM SALMONELLA Rp 255,000 Rp 84,000 Rp 204,000 Rp 165,000.00
54 URIN LENGKAP + SEDIMEN Rp 23,800 Rp 46,900 Rp 23,000 Rp 19,000 Rp 36,000 Rp 30,000.00
55 FESES LENGKAP Rp 25,000 Rp 20,000 Rp 39,150 Rp 15,000 Rp 20,000 Rp 22,000 Rp 20,000.00
56 TES NARKOBA Rp 140,000 Rp 60,000 Rp 260,000 Rp 245,000.00
57 PENGECATAN GRAM / Zn Rp 26,000 Rp 50,000 Rp 37,900 Rp 31,000 Rp 44,000 Rp 23,000.00
58 ANALISA SPERMA Rp 26,000 Rp 100,000 Rp 45,000 Rp 162,000 Rp 75,000.00