Berita Terkini
Lihat Semua
Mengenal Suspek Demam Tifoid di minggu ke 2 tahun 2025
Kamis, 16 Januari 2025
Yuk ikut Posyandu Kesehatan Jiwa di daerahmu!
Kamis, 16 Mei 2024
Gebyar Vaksin! Ayo dapatkan Vaksin COVID-19 di Bulan Ramadhan di Taman Kota Sumpiuh!
Jumat, 08 April 2022Galeri Kegiatan
Lihat Semua →
Germas
Motto
Berakhlak
Download Center
Lihat Semua →FAQ
Lihat Semua →Bagaimana alur pendaftaran di Puskesmas Sumpiuh I?
<h5>1. Pasien menuju Ruang Pendaftaran</h5> <h5>2. Pasien mengambil nomor antrian</h5> <h5>3. Pasien dipanggil sesuai dengan urutan</h5> <h5>4. Pasien menyerahkan syarat-syarat:</h5> <h5> a. Pasien umum: Kartu Berobat, Kartu identitas (KTP)</h5> <h5> b. Peserta dengan Asuransi Kesehatan: Kartu Berobat, Kartu Asuransi (BPJS, KIS, dll)</h5> <h5>5. Pasien menunggu data diproses</h5> <h5>6. Pasien menuju unit pelayanan yang dituju</h5>
Bagaimana jam pelayanan di Puskesmas Sumpiuh I?
<p><strong>JAM PELAYANAN RAWAT JALAN</strong></p> <table width="594"> <tbody> <tr> <td><strong>HARI</strong></td> <td><strong>WAKTU PELAYANAN</strong></td> <td><strong>WAKTU PENDAFTARAN</strong></td> </tr> <tr> <td><strong>Senin-Kamis</strong></td> <td><strong>07.15 - 14.15</strong></td> <td><strong>07.30 - 12.00 WIB</strong></td> </tr> <tr> <td><strong>Jumat</strong></td> <td><strong>07.15 - 11.15</strong></td> <td><strong>07.30 - 10.30 WIB</strong></td> </tr> <tr> <td><strong>Sabtu</strong></td> <td><strong>07.15 - 12.45</strong></td> <td><strong>07.30 - 12.00</strong></td> </tr> </tbody> </table> <h2> </h2>
Berapa tarif pelayanan di Puskesmas Sumpiuh I?
<h1 class="entry_title">Tarif Pelayanan Puskesmas Sumpiuh I</h1> <p> </p> <h1><strong>TARIF PELAYANAN PUSKESMAS SUMPIUH I</strong></h1> <p><strong>Tarif Pelayanan Puskesmas Sumpiuh I ditetapkan berdasarkan Peraturan Daerah Kabupaten Banyumas Nomor 1 Tahun 2024 Tentang Pajak Daerah dan Retribusi Daerah</strong></p> <p> </p> <p><strong><a title="Tarif Pelayanan Puskesmas Sumpiuh I" href="https://drive.google.com/file/d/1db6bimEoyH6gBBBKzL-sJzD60gYFf-Zt/view?usp=share_link">https://drive.google.com/file/d/1db6bimEoyH6gBBBKzL-sJzD60gYFf-Zt/view?usp=share_link</a></strong></p> <p> </p> <p><strong>A. PELAYANAN RAWAT JALAN</strong></p> <table width="617"> <tbody> <tr> <td><strong>No.</strong></td> <td><strong>Jenis Pelayanan</strong></td> <td width="199"><strong>Tarif (Rp)</strong></td> <td width="199"><strong>Satuan</strong></td> </tr> <tr> <td><strong>(1)</strong></td> <td><strong>(2)</strong></td> <td width="199"><strong>(3)</strong></td> <td width="199"><strong>(4)</strong></td> </tr> <tr> <td rowspan="4">1</td> <td>Pemeriksaan Kesehatan Dasar</td> <td rowspan="4" width="199"> 10.000<br /><br /></td> <td rowspan="4" width="199">Per Pemeriksaan</td> </tr> <tr> <td>a) Pemeriksaan Umum</td> </tr> <tr> <td>b) Pemeriksaan Gigi</td> </tr> <tr> <td>c) Pemeriksaan KIA-KB</td> </tr> <tr> <td>2</td> <td>Pelayanan pemeriksaan kesehatan untuk sekolah/mencari pekerjaan</td> <td width="199">15.000</td> <td width="199">Per Pemeriksaan</td> </tr> <tr> <td>3</td> <td>Pelayanan pemeriksaan kesehatan untuk calon pengantin</td> <td width="199">15.000</td> <td width="199">Per Pemeriksaan</td> </tr> <tr> <td>4</td> <td>Konsultasi Sanitasi/Kesehatan Lainnya</td> <td width="199">10.000</td> <td width="199">Per Pemeriksaan</td> </tr> </tbody> </table> <p>Keterangan: Pelayanan di Puskesmas Pembantu dan Puskesmas Keliling sama dengan di Puskesmas sesuai jenis pelayanan dan tindakan</p> <p> </p> <p><strong>B. PELAYANAN GAWAT DARURAT</strong></p> <table width="614"> <tbody> <tr> <td><strong>No.</strong></td> <td><strong>Jenis Pelayanan</strong></td> <td><strong>Tarif (Rp)</strong></td> <td><strong>Satuan</strong></td> </tr> <tr> <td><strong>(1)</strong></td> <td><strong>(2)</strong></td> <td><strong>(3)</strong></td> <td><strong>(4)</strong></td> </tr> <tr> <td>1.</td> <td>Pemeriksaan</td> <td> 10.000</td> <td>Per Pemeriksaan</td> </tr> <tr> <td>2.</td> <td>Pemasangan Infus</td> <td>25.000</td> <td>Per Tindakan</td> </tr> <tr> <td> </td> <td>Pemasangan Infus di luar jam kerja</td> <td>30.000</td> <td>Per Tindakan</td> </tr> <tr> <td>3.</td> <td>Ganti Perban</td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td>Ukuran < 10 cm</td> <td>15.000</td> <td>Per Tindakan</td> </tr> <tr> <td> </td> <td>Ukuran 10-20 cm</td> <td>20.000</td> <td>Per Tindakan</td> </tr> <tr> <td> </td> <td>Ukuran > 20 cm atau Luka Gangren</td> <td>30.000</td> <td>Per Tindakan</td> </tr> <tr> <td> </td> <td>Penanganan di luar jam kerja</td> <td>35.000</td> <td> Per Tindakan</td> </tr> <tr> <td>4.</td> <td>Stabilisasi pra rujukan (paket)</td> <td>175.000</td> <td>Per Paket </td> </tr> <tr> <td> </td> <td>Penanganan di luar jam kerja</td> <td>190.000</td> <td>Per Paket </td> </tr> <tr> <td>5 .</td> <td> Pemasangan Kateter Urine</td> <td> 50.000</td> <td> Per Tindakan</td> </tr> <tr> <td> </td> <td> Penanganan di luar jam kerja</td> <td>55.000 </td> <td> Per Tindakan </td> </tr> </tbody> </table> <p> </p> <p> </p> <p><strong>C. PELAYANAN HOME CARE</strong></p> <table width="617"> <tbody> <tr> <td><strong><strong>No.</strong></strong></td> <td><strong>Jenis Pelayanan</strong></td> <td><strong><strong>Tarif (Rp)</strong></strong></td> <td><strong>Satuan</strong></td> </tr> <tr> <td><strong>(1)</strong></td> <td><strong>(2)</strong></td> <td>(3) </td> <td><strong>(4)</strong></td> </tr> <tr> <td rowspan="4">1. </td> <td>Kunjungan Home Care</td> <td> </td> <td> </td> </tr> <tr> <td>a. Perawat/bidan/tenaga penunjang medik</td> <td> 35.000</td> <td>Per Kunjungan</td> </tr> <tr> <td>b. Dokter umum</td> <td> 45.000</td> <td>Per Kunjungan</td> </tr> <tr> <td>c. Dokter gigi</td> <td> 45.000</td> <td>Per Kunjungan</td> </tr> <tr> <td rowspan="6">2. </td> <td colspan="3">Tindakan </td> </tr> <tr> <td colspan="3">a. Perawat/bidan/tenaga penunjang medik</td> </tr> <tr> <td>Medikasi luka</td> <td> 25.000</td> <td>Per tindakan </td> </tr> <tr> <td colspan="3">b. Dokter umum</td> </tr> <tr> <td>Pemeriksaan</td> <td> 30.000</td> <td> Per pemeriksaan</td> </tr> <tr> <td>Circumsisi</td> <td>600.000</td> <td>Per tindakan</td> </tr> </tbody> </table> <p> </p> <p><strong>D. PELAYANAN RAWAT INAP</strong></p> <table width="622"> <tbody> <tr> <td><strong>No.</strong></td> <td><strong>Jenis Pelayanan</strong></td> <td><strong>Tarif (Rp)</strong></td> <td><strong>Satuan</strong></td> </tr> <tr> <td><strong>(1)</strong></td> <td><strong>(2)</strong></td> <td><strong>(3)</strong></td> <td><strong>(4)</strong></td> </tr> <tr> <td>1.</td> <td>Paket Rawat Inap</td> <td>200.000</td> <td>Per hari</td> </tr> <tr> <td>2.</td> <td>Visite/Konsultasi dokter umum</td> <td>20.000</td> <td>Per visite</td> </tr> <tr> <td>3.</td> <td>Asuhan Keperawatan</td> <td>25.000</td> <td>Per tindakan</td> </tr> <tr> <td>4.</td> <td>Visite gizi, sanitasi, kefarmasian atau kesehatan lainnya</td> <td>25.000</td> <td>Per visite</td> </tr> <tr> <td>5.</td> <td>Asuhan Kebidanan</td> <td>25.000</td> <td>Per tindakan</td> </tr> </tbody> </table> <p> </p> <p><strong>E. PELAYANAN KESEHATAN IBU DAN ANAK</strong></p> <table width="620"> <tbody> <tr> <td><strong>No.</strong></td> <td><strong>Jenis Pelayanan</strong></td> <td><strong>Tarif (Rp)</strong></td> <td><strong>Satuan</strong></td> </tr> <tr> <td><strong>(1)</strong></td> <td><strong>(2)</strong></td> <td><strong>(3)</strong></td> <td><strong>(4)</strong></td> </tr> <tr> <td>1.</td> <td>Pelayanan ANC/PNC Terpadu</td> <td>10.000</td> <td>Per tindakan</td> </tr> <tr> <td>2.</td> <td>Persalinan pervaginam normal oleh bidan</td> <td>700.000</td> <td>Per tindakan</td> </tr> <tr> <td>3.</td> <td>Persalinan pervaginam normal oleh dokter</td> <td>800.000</td> <td>Per tindakan</td> </tr> <tr> <td>4.</td> <td>Penanganan persalinan dengan komplikasi</td> <td>950.000</td> <td>Per tindakan</td> </tr> <tr> <td>5.</td> <td>Pelayanan tindakan paska persalinan seperti placenta manual</td> <td>200.000</td> <td>Per tindakan</td> </tr> <tr> <td>6.</td> <td>Inkubator</td> <td>120.000</td> <td>Per hari</td> </tr> <tr> <td>7.</td> <td>Oksigen headbox</td> <td>10.000</td> <td>Per jam</td> </tr> <tr> <td>8.</td> <td>Tindik</td> <td>20.000</td> <td>Per tindakan</td> </tr> <tr> <td>9.</td> <td>Perawatan neonatus</td> <td>25.000</td> <td>Per hari</td> </tr> <tr> <td>10.</td> <td>Pelayanan pra rujukan pada komplikasi kebidanan dan neonatal</td> <td>150.000</td> <td>Per tindakan</td> </tr> <tr> <td>11.</td> <td>Penanganan komplikasi KB paska persalinan</td> <td>125.000</td> <td>Per tindakan</td> </tr> <tr> <td rowspan="6">12.</td> <td colspan="3">Pelayanan KB </td> </tr> <tr> <td>a. Pasang Spiral</td> <td>100.000</td> <td>Per tindakan</td> </tr> <tr> <td>b. Bongkar Spiral</td> <td>70.000</td> <td>Per tindakan</td> </tr> <tr> <td>c. Pasang Implant</td> <td>50.000</td> <td>Per tindakan</td> </tr> <tr> <td>d. Bongkar Implant</td> <td>50.000</td> <td>Per tindakan</td> </tr> <tr> <td>e. Suntik KB</td> <td>25.000</td> <td>Per tindakan</td> </tr> </tbody> </table> <p> </p> <p><strong>F. PELAYANAN GIZI</strong></p> <table width="616"> <tbody> <tr> <td><strong>No.</strong></td> <td><strong>Jenis Pelayanan</strong></td> <td><strong>Tarif (Rp)</strong></td> <td><strong>Satuan</strong></td> </tr> <tr> <td><strong>(1)</strong></td> <td><strong>(2)</strong></td> <td><strong>(3)</strong></td> <td><strong>(4)</strong></td> </tr> <tr> <td>1.</td> <td>Konsultasi Gizi</td> <td>10.000</td> <td>Per tindakan</td> </tr> </tbody> </table> <p> </p> <p><strong>G. PELAYANAN PEMERIKSAAN KESEHATAN HAJI</strong></p> <table width="616"> <tbody> <tr> <td><strong>No.</strong></td> <td><strong>Jenis Pelayanan</strong></td> <td><strong>Jumlah (Rp)</strong></td> <td><strong>Satuan</strong></td> </tr> <tr> <td><strong>(1)</strong></td> <td><strong>(2)</strong></td> <td><strong>(3)</strong></td> <td><strong>(4)</strong></td> </tr> <tr> <td rowspan="4">1.<br /><br /><br /></td> <td colspan="3">Pemeriksaan dan pemantauan kesehatan haji </td> </tr> <tr> <td>a. Pemeriksaan umum</td> <td>10.000</td> <td>Per pemeriksaan</td> </tr> <tr> <td>b. Test kejiwaan</td> <td>15.000</td> <td>Per pemeriksaan</td> </tr> <tr> <td> <p>c. Test kebugaran</p> <p>Walk Test (6 menit walking test) atau Rockport test</p> </td> <td>15.000</td> <td>Per pemeriksaan</td> </tr> </tbody> </table> <p> Keterangan: </p> <p>Di luar pemeriksaan penunjang medis</p> <p> </p> <p><strong>H. PELAYANAN KESEHATAN TRADISIONAL</strong></p> <table width="617"> <tbody> <tr> <td><strong>No.</strong></td> <td><strong>Jenis Pelayanan</strong></td> <td><strong>Jumlah (Rp)</strong></td> <td><strong>Satuan</strong></td> </tr> <tr> <td><strong>(1)</strong></td> <td><strong>(2)</strong></td> <td><strong>(3)</strong></td> <td><strong>(4)</strong></td> </tr> <tr> <td>1.</td> <td>Konsultasi Kesehatan Tradisional</td> <td>10.000</td> <td>Per tindakan</td> </tr> <tr> <td>2.</td> <td>Akupresur</td> <td>40.000</td> <td>Per tindakan</td> </tr> <tr> <td>3.</td> <td>Akupuntur tindakan kecil</td> <td>100.000</td> <td>Per tindakan</td> </tr> <tr> <td>4.</td> <td>Akupuntur tindakan sedang</td> <td>150.000</td> <td>Per tindakan</td> </tr> <tr> <td>5.</td> <td>Pijat Bayi</td> <td>40.000</td> <td>Per tindakan</td> </tr> </tbody> </table> <p> </p> <p><strong>I. PELAYANAN YANG MEMERLUKAN TINDAKAN</strong></p> <table width="623"> <tbody> <tr> <td><strong>No.</strong></td> <td><strong>Jenis Tindakan Medis</strong></td> <td><strong>Tarif (Rp)</strong></td> <td><strong>Satuan</strong></td> </tr> <tr> <td><strong>(1)</strong></td> <td><strong>(2)</strong></td> <td><strong>(3)</strong></td> <td><strong>(4)</strong></td> </tr> <tr> <td>1</td> <td>Pelayanan IVA/IMS</td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td>a. Pemeriksaan IMS</td> <td>30.000</td> <td> Per pemeriksaan</td> </tr> <tr> <td> </td> <td>b. Pemeriksaan IVA</td> <td>30.000</td> <td> Per pemeriksaan</td> </tr> <tr> <td> </td> <td>c. Tindakan koagulasi pra kanker</td> <td>400.000</td> <td> Per pemeriksaan</td> </tr> <tr> <td>2</td> <td>Biaya Operasi Kecil (Bedah Minor)</td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td>a. Lipoma kecil diameter < 5 cm, atero</td> <td>30.000</td> <td> Per tindakan</td> </tr> <tr> <td> </td> <td>b. Lipoma sedang diameter 5-10 cm</td> <td>40.000</td> <td> Per tindakan</td> </tr> <tr> <td> </td> <td>c. Lipoma besar diameter >10 cm</td> <td>50.000</td> <td> Per tindakan</td> </tr> <tr> <td> </td> <td>d. Vercusa simple/cuplak</td> <td>50.000</td> <td> Per tindakan</td> </tr> <tr> <td> </td> <td>e. Fiksasi Fraktur Tertutup/Patah Tulang Tangan</td> <td>25.000</td> <td>Per tindakan</td> </tr> <tr> <td> </td> <td>f. Fiksasi Fraktur Tertutup/Patah Tulang Kaki</td> <td>50.000</td> <td>Per tindakan</td> </tr> <tr> <td> </td> <td>g. Circumsisi</td> <td>600.000</td> <td> Per tindakan</td> </tr> <tr> <td> </td> <td>h. Kista dermoid kecil/gelembung kecil < 5 cm</td> <td>25.000</td> <td> Per tindakan</td> </tr> <tr> <td> </td> <td>i. Kista dermoid sedang > 5 cm</td> <td>40.000</td> <td> Per tindakan</td> </tr> <tr> <td> </td> <td>j. Veruca multiple</td> <td>50.000</td> <td> Per tindakan</td> </tr> <tr> <td> </td> <td>k. Ekstraksi kuku (1 kuku)</td> <td>30.000</td> <td> Per tindakan</td> </tr> <tr> <td> </td> <td>l. Ekstraksi corpus alineum</td> <td>30.000</td> <td> Per tindakan</td> </tr> <tr> <td> </td> <td>m. Eksisi</td> <td>30.000</td> <td> Per tindakan</td> </tr> <tr> <td> </td> <td>n. Incisi</td> <td>25.000</td> <td> Per tindakan</td> </tr> <tr> <td> </td> <td>o. Hecting 1-5</td> <td>15.000</td> <td> Per tindakan</td> </tr> <tr> <td> </td> <td>p. Hecting 6-10</td> <td>30.000</td> <td> Per tindakan</td> </tr> <tr> <td> </td> <td>q. Hecting >10</td> <td>50.000</td> <td> Per tindakan</td> </tr> <tr> <td> </td> <td>r. Visum</td> <td>25.000</td> <td> Per tindakan</td> </tr> </tbody> </table> <p> </p> <p><strong>J. PELAYANAN TINDAKAN GIGI</strong></p> <table width="622"> <tbody> <tr> <td><strong>No.</strong></td> <td><strong>Jenis Tindakan Medis</strong></td> <td><strong>Tarif (Rp)</strong></td> <td><strong>Satuan</strong></td> </tr> <tr> <td><strong>(1)</strong></td> <td><strong>(2)</strong></td> <td><strong>(3)</strong></td> <td><strong>(4)</strong></td> </tr> <tr> <td>1.</td> <td>Scaling per rahang</td> <td>50.000</td> <td>Per tindakan</td> </tr> <tr> <td rowspan="7">2.<br /><br /><br /><br /><br /><br /></td> <td>Extracio (Pencabutan)</td> <td> </td> <td> </td> </tr> <tr> <td>a. Gigi susu tanpa injeksi</td> <td>10.000</td> <td rowspan="6">Per tindakan</td> </tr> <tr> <td>b. Gigi susu dengan injeksi</td> <td>20.000</td> </tr> <tr> <td>c. Gigi susu dengan injeksi (Cytojet)</td> <td>35.000</td> </tr> <tr> <td>d. Gigi tetap tanpa penyakit (penyulit)</td> <td>35.000</td> </tr> <tr> <td>e. Gigi dengan penyakit/komplikasi</td> <td>50.000</td> </tr> <tr> <td>f. Operasi gigi miring/impacted</td> <td>100.000</td> </tr> <tr> <td rowspan="11">3.</td> <td>Konservasi/Penambalan</td> <td> </td> <td> </td> </tr> <tr> <td>a. Sementara</td> <td>15.000</td> <td rowspan="13">Per tindakan</td> </tr> <tr> <td>b. Tetap per lubang</td> <td>30.000</td> </tr> <tr> <td>c. Penambalan dengan sinar</td> <td>50.000</td> </tr> <tr> <td>d. Penambalan Composite</td> <td>100.000</td> </tr> <tr> <td>e. Penambalan FUJI/ART</td> <td>50.000</td> </tr> <tr> <td>f. Trepanasi/Open Bur</td> <td>10.000</td> </tr> <tr> <td>d. Pengobatan syaraf/Devitalisasi pulpa</td> <td>35.000</td> </tr> <tr> <td>e. Perawatan syaraf</td> <td>35.000</td> </tr> <tr> <td>f. Insisi abses tanpa injeksi</td> <td>40.000</td> </tr> <tr> <td>g. Insisi abses dengan injeksi</td> <td>50.000</td> </tr> <tr> <td rowspan="3">4.</td> <td>Prostodonsi (Pembuatan Gigi Palsu)</td> <td> </td> </tr> <tr> <td>a. Gigi Pertama</td> <td>220.000</td> </tr> <tr> <td>b. Pertambahan Tiap Gigi</td> <td>100.000</td> </tr> </tbody> </table> <p> </p> <p><strong>K. PEMERIKSAAN PENUNJANG LABORATORIUM</strong></p> <table width="624"> <tbody> <tr> <td><strong>No.</strong></td> <td><strong>Pemeriksaan</strong></td> <td><strong>Tarif (Rp)</strong></td> <td><strong>Satuan</strong></td> </tr> <tr> <td><strong>(1)</strong></td> <td><strong>(2)</strong></td> <td><strong>(3)</strong></td> <td><strong>(4)</strong></td> </tr> <tr> <td rowspan="17">1.<br /><br /><br /><br /><br /><br /><br /><br /></td> <td><strong>HEMATOLOGI</strong></td> <td> </td> <td> </td> </tr> <tr> <td>a. Hemoglobin</td> <td>20.000</td> <td rowspan="16">Per pemeriksaan</td> </tr> <tr> <td>b. Eritrosit</td> <td>20.000</td> </tr> <tr> <td>c. Leukosit</td> <td>20.000</td> </tr> <tr> <td>d. Trombosit</td> <td>24.000</td> </tr> <tr> <td>e. Hitung jenis</td> <td>30.000</td> </tr> <tr> <td>f. Gambaran darah tepi</td> <td>35.000</td> </tr> <tr> <td>g. Laju Endap Darah (LED)</td> <td>20.000</td> </tr> <tr> <td>h. Waktu Perdarahan (BT)</td> <td>15.000</td> </tr> <tr> <td>i. Waktu Pembekuan (CT)</td> <td>15.000</td> </tr> <tr> <td>j. Golongan darah</td> <td>10.000</td> </tr> <tr> <td>k. Hematokrit</td> <td>20.000</td> </tr> <tr> <td>1) Darah lengkap otomatis 3 diff</td> <td>68.000</td> </tr> <tr> <td>2) Darah lengkap otomatis 5 diff</td> <td>80.000</td> </tr> <tr> <td>m. Rhesus faktor</td> <td>10.000</td> </tr> <tr> <td>n. Retikulosit</td> <td>15.000</td> </tr> <tr> <td>o. Malaria</td> <td>20.000</td> </tr> <tr> <td rowspan="25">2.</td> <td><strong>KIMIA DARAH</strong></td> <td> </td> <td> </td> </tr> <tr> <td>a. Bilirubin total</td> <td>25.000</td> <td rowspan="24">Per pemeriksaan</td> </tr> <tr> <td>b. Bilirubin direk</td> <td>25.000</td> </tr> <tr> <td>c. Bilirubin indirek</td> <td>25.000</td> </tr> <tr> <td>d. Alkali phospat</td> <td>25.000</td> </tr> <tr> <td>e. Protein total</td> <td>25.000</td> </tr> <tr> <td>f. Albumin</td> <td>25.000</td> </tr> <tr> <td>g. Globulin</td> <td>25.000</td> </tr> <tr> <td>-SGOT</td> <td>25.000</td> </tr> <tr> <td>-SGPT</td> <td>25.000</td> </tr> <tr> <td>h. Gama GT</td> <td>50.000</td> </tr> <tr> <td>i. Ureum darah</td> <td>50.000</td> </tr> <tr> <td>j. Kreatinin darah</td> <td>50.000</td> </tr> <tr> <td>k. Asam urat darah</td> <td>50.000</td> </tr> <tr> <td>l. Asam urat (stick)</td> <td>20.000</td> </tr> <tr> <td>m. Glukosa darah</td> <td>50.000</td> </tr> <tr> <td>n. Glukosa stick</td> <td>20.000</td> </tr> <tr> <td>o. Hb A1C</td> <td>100.000</td> </tr> <tr> <td>p. Cholesterol total</td> <td>40.000</td> </tr> <tr> <td>q. Trigliserida</td> <td>50.000</td> </tr> <tr> <td>r. Cholesterol HDL</td> <td>50.000</td> </tr> <tr> <td>s. Cholesterol LDL</td> <td>50.000</td> </tr> <tr> <td>t. Lipase</td> <td>60.000</td> </tr> <tr> <td>u. Amylase</td> <td>60.000</td> </tr> <tr> <td>v. Kalium</td> <td>50.000</td> </tr> <tr> <td rowspan="14">3.</td> <td><strong>IMUNOLOGI DAN SEROLOGI</strong></td> <td> </td> <td> </td> </tr> <tr> <td>a. HbsAg</td> <td>50.000</td> <td rowspan="13">Per pemeriksaan</td> </tr> <tr> <td>b. Anti Hbs</td> <td>50.000</td> </tr> <tr> <td>c. HIV</td> <td>50.000</td> </tr> <tr> <td>d. Tes kehamilan</td> <td>15.000</td> </tr> <tr> <td>e. VDRL</td> <td>40.000</td> </tr> <tr> <td>f. TPHA</td> <td>40.000</td> </tr> <tr> <td>g. Widal</td> <td>35.000</td> </tr> <tr> <td>h. Anti HCV Elisa</td> <td>55.000</td> </tr> <tr> <td>i. Anti HIV Elisa</td> <td>55.000</td> </tr> <tr> <td>j. DBD (Ig G + Ig M)</td> <td>85.000</td> </tr> <tr> <td>k. DBD Ns 1</td> <td>105.000</td> </tr> <tr> <td>l. Rapid tes leptospirosis</td> <td>55.000</td> </tr> <tr> <td>m. Malaria Manual</td> <td>60.000</td> </tr> <tr> <td rowspan="13">4.</td> <td><strong>KIMIA KLINIK (URINALISA)</strong></td> <td> </td> <td> </td> </tr> <tr> <td>a. Berat jenis urine</td> <td>10.000</td> <td rowspan="12">Per pemeriksaan</td> </tr> <tr> <td>b. Bilirubin urine</td> <td>45.000</td> </tr> <tr> <td>c. Fisik (Volume, Bau, Warna)</td> <td>10.000</td> </tr> <tr> <td>d. Glucose urine</td> <td>10.000</td> </tr> <tr> <td>e. Protein urine</td> <td>10.000</td> </tr> <tr> <td>f. pH urine</td> <td>10.000</td> </tr> <tr> <td>g. Sedimen urine</td> <td>40.000</td> </tr> <tr> <td>h. Test bensidin</td> <td>20.000</td> </tr> <tr> <td>i. Urine rutin</td> <td>20.000</td> </tr> <tr> <td>j. Urine lengkap</td> <td>40.000</td> </tr> <tr> <td>k. Urobilin</td> <td>25.000</td> </tr> <tr> <td>l. Urobilinogen</td> <td>20.000</td> </tr> <tr> <td rowspan="10">5.</td> <td><strong>MIKROBIOLOGI</strong></td> <td> </td> <td> </td> </tr> <tr> <td>a. Trichomonas</td> <td>15.000</td> <td rowspan="9">Per pemeriksaan</td> </tr> <tr> <td>b. Jamur</td> <td>15.000</td> </tr> <tr> <td>c. Mikrofilaria</td> <td>40.000</td> </tr> <tr> <td>d. Pemeriksaan telur cacing</td> <td>15.000</td> </tr> <tr> <td>e. Plasmodium sp</td> <td>40.000</td> </tr> <tr> <td>f. BTA</td> <td>30.000</td> </tr> <tr> <td>g. GO</td> <td>20.000</td> </tr> <tr> <td>h. Gram</td> <td>40.000</td> </tr> <tr> <td>i. Diphteri</td> <td>20.000</td> </tr> <tr> <td rowspan="4">6.</td> <td><strong>PEMERIKSAAN NARKOBA</strong></td> <td> </td> <td> </td> </tr> <tr> <td>a. 3 Parameter</td> <td>60.000</td> <td rowspan="3">Per pemeriksaan</td> </tr> <tr> <td>b. 5 Parameter</td> <td>65.000</td> </tr> <tr> <td>c. 6 Parameter</td> <td>75.000</td> </tr> </tbody> </table> <p> </p> <p><strong>L. PEMERIKSAAN PENUNJANG LAINNYA</strong></p> <table width="623"> <tbody> <tr> <td><strong>No.</strong></td> <td><strong>Pemeriksaan</strong></td> <td><strong>Tarif (Rp)</strong></td> <td><strong>Satuan</strong></td> </tr> <tr> <td><strong>(1)</strong></td> <td><strong>(2)</strong></td> <td><strong>(3)</strong></td> <td><strong>(4)</strong></td> </tr> <tr> <td>1.</td> <td>EKG</td> <td>50.000</td> <td>Per pemeriksaan</td> </tr> <tr> <td>2.</td> <td>USG</td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td>a. USG Tanpa Cetak</td> <td>75.000</td> <td>Per pemeriksaan</td> </tr> <tr> <td> </td> <td>b. Cetak USG per lembar</td> <td>15.000</td> <td>Per pemeriksaan</td> </tr> <tr> <td>3.</td> <td>Spirometri</td> <td>45.000</td> <td>Per pemeriksaan</td> </tr> <tr> <td>4.</td> <td>Oksigenasi</td> <td>10.000</td> <td>Per jam</td> </tr> <tr> <td rowspan="3">5.<br /><br /></td> <td>Nebulizer</td> <td> </td> <td> </td> </tr> <tr> <td>a. Nebulizer 1 jenis obat</td> <td>40.000</td> <td>Per pemeriksaan</td> </tr> <tr> <td>b. Nebulizer 2 jenis obat</td> <td>50.000</td> <td>Per pemeriksaan</td> </tr> <tr> <td>5</td> <td>Resusitasi cardiopulmoner</td> <td>40.000</td> <td>Per pemeriksaan</td> </tr> <tr> <td>6</td> <td>Suction lendir</td> <td>20.000</td> <td>Per pemeriksaan</td> </tr> </tbody> </table> <p> </p> <p><strong>M. PELAYANAN ASUHAN KEPERAWATAN/KEBIDANAN/TENAGA KESEHATAN LAINNYA</strong></p> <table width="625"> <tbody> <tr> <td><strong>No.</strong></td> <td><strong>Jenis Pelayanan</strong></td> <td><strong>Tarif (Rp)</strong></td> <td><strong>Satuan</strong></td> </tr> <tr> <td><strong>(1)</strong></td> <td><strong>(2)</strong></td> <td><strong>(3)</strong></td> <td><strong>(4)</strong></td> </tr> <tr> <td>1.</td> <td>Pengantaran menggunakan Ambulance</td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td>Pendambingan Perawat/Bidan</td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td>a. Dalam Kota</td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td><8 jam</td> <td>35.000</td> <td>Per pendamping</td> </tr> <tr> <td> </td> <td>>8 jam</td> <td>150.000</td> <td>Per pendamping</td> </tr> <tr> <td>3.</td> <td>b. Luar Kota</td> <td>2.000</td> <td>Per km/pendamping/hari (disesuaikan dengan SSH Kab. Banyumas</td> </tr> </tbody> </table>
Berita Terbaru
Update SKPD
Statistik Pengunjung
Buletin kesehatan Minggu epidemiologi ke 41