MENTERI KESEHATAN REPUBLIK INDONESIA Tarif INA-CBG 2014 Regional 5 Rumah Sakit Kelas C Rawat Inap Tp SEPTREMA AT neta] —7aviso | 7.79000 Terao SEPTRENTA EA ME ECE ECAC 3eaio7 SEPTRENA EWE Ton | 4.064 om [a7 apeais THFERS SESUDAP OPERATE TREO NGA zprenm | —3eee 0 | 62700 EEE THFERS SESUDRE OERAS & TRA IMASEDENG Sraesw] _eseasm| sso TNFERS SESUDAP OFERAS& TRAUMA SERA 365,100 | Ti tooo [3950 De WATT AINGH, FASERIC MERIC EET DEAR SEDRNG Tawa] —2er Ton | 2a Dea BRAT Tao] — 7am] RIO INFERS. NOW ANCTER AGA ETERS EER ESET TERS NOW RAKE SEDAN Zam | ra TAPERS NOWGRCTER GERRI Tae | ESAT | ATO. Ta PENYACTINFEGS AACTERI OA PARRGT WRN sala frnisan asso | azenao | aora,so0 PENTACTINFETS BATE OA PARRST WRN ra are 286 4.03, sa, PENTAUTINTETS GACTEN ORY PARRST NWN asfaaisay facet s.owa.o00 | sagen Tafa THERE =VANGAW Tarra] pam. | 3 sa Tifa: THFERS AV SEDAN sama | aso] 50 Tela TERS IV SERA cmmop Toe, 3.70: 0 Tsar Px se0U PeNICAN TORN HAT ENG Ter soo | Vw, 727 7 zfs car PROSEDUR PE NCANGRONEN HRT SEDANS Zet,o00 [Be oon [FOO FASE PROSEDLA PENANG COCA FAT SERAT Soran] ear wo 7998 oo 23[6-210- FROSEDL HATI DIA PANKREAS RNGAN Ta7igoo | — a155,100[ —ase0-ou PROSEDUR ARTI DAN PRAKAERS SEDENG RET Too | We 7609 [TOIT 7m PROSEDUR ARTI DAN PENGGERS SERAT Boe Too] Pa TOO] Tos PROSEDUR ACURA ENDPEDU COMPLER TINGANT Tso | isa soa | 4.005 PROSEDUASTCURAN ENED. TSEDANGT Bavagoo | — eee poo [30 70 BSL IL PROSTORES: URAN FPO KOR (ART Temes | aR wo Te RGN PROSEDIR CAO ESSTECTOM TANPR LAPAROSTOMR oafa.car frnisan ssaeso | eas00| ,81:,500 PROSEDIR CAO ESSTECTOM TANPR UAPEROSTOME soa aios9200 | veasscco | 16 786700 PROSEDIN CAO ESSTERTON TNFR UAPRROSTOM aofecazy —_fewar rermgm | ro:e700|_ 19,850.00 POSED PAN TERS Da AEATORTURATA EW aijesas FINGANL seats | saamsoo| 5298400 POSED PAN RETS DN AE TRTORTURATIRAW SEDANG) aaron | s.0.500| sa2s0.200 POSED PANRERS DAN AE ORTORTURATIRAW lesan 26RAT) raso3.soo| _r2s04.200|_15.273.400 TP RSED CA ESSTECTO ENGR TAPRROSROTIC safes fraisans ovs200] 202.00] 9.519.200 POSED CAC SSSTECTO ENGR TAPROSROTIC asfen saan eysn000| aronsio| 9,475,200, ROSEDLR CA ESSTECTON SENGRH APRROSROPTC Jeena 10,390,700 | 12,708.00 _14.902,00 SOS DEN AEEATITS INOUE RNG SEES EET PCED ‘SOS DAN HEPATITS RLCOAO- SEDAN EATER ET ESC HeESIOT ‘STROSS DAN HEPATITS RIKOMOLR SERAT Enso] aera | 577 aagfena-at TUMORSSTEMHEpRTOBLAR DAN eANCREKS RNGAN| 2.90200] 3,488,200 MU BEATOSICIAR-OAN PRNCAERS zasosm] seize] s001200MENTERI KESEHATAN REPUBLIK INDONESIA Tarif INA-CBG 2014 Regional 5 Rumah Sakit Kelas C Rawat Inap [Re ee nces | estrpsitoe neces Tranter 3 ranteasa: | Tariteeasa | aaa. TWMOASSTEMHESATOSILIAR DAN PANCAEAS 3e8ar | 4956.700] — s,9en000 | 6,939,400 EEEEEY ANGCTAN SENT AG AITO TAR Taree] — aR | 3 za 2 ‘GAN GGAN DRNRREAT FT ATN TUMOR (SFDENGH Soma] earn 7a “GANGGUAN TANEREAS SELATN TUMOR TEER Tsao ese] TO TAN ABT, SFLAIN TUMOR, ROSS ATAT apo.ta3 ALKOAOUK AINGAN aarer00 | 2a0aa00| 3,820 TaN aT” SFTAIN TUMOR, ROSS RTAT agfenets. PATITIS ALKOAO. SEDRNG aossio | a.e200 | 5.s21.700 'ANGGUAN ABT SEAN TUMOR GROSS ATAU agfoai34) fenarmsa como. Keka sea.so0 | s.es.s00 | e6a,200 aafo-sas GANGGUAN SALURAN EIMPEDU AINA RINGAN zara | same] 383500 sofeace NGGUAN SALUARN 2MPEDU LANLAIN SEDANS asne.100| _aas2.00| 398200 Sie 1a NGGUAN SAIURRN EMPEDUTA NAN SERAT srs070] 335,000 sa ce0 TERE ARUT ANG Tariaon | iia ton [aa 20 [orm REM ARUTSEDANG ego | 729 soo |B Bale 10 REM AKT SERA Taro] 8 eso | im 20 35[CEIT TEOMA & OREM A NOW ART ANG Tima] —aaNem| — 376A safer COMA BE IKEM a NOW ARUT SEDAN 1.5m | sa oon | aa Seer TRIFOM & UREN A NOH AKUT SERA TaaRoo | BRT so] 20 sa[cear TESTOTERAP AAW Tae Ss w seer TEDTOTERAPTSE DANG seaman rason| ao waa Tae tan Te 97 woo TOF BCE Tere] — Lanse] — 2.755700 Galcrs Taam |e som [aT BCT Zzmeme | —sih7smo| 507000 pace FEU AAW ANGRY Tae] aio | RT wfc TOR RAFELOPROUFERATIF A N-ATNSEDANG Sram] aso] 5 TR rear TOMA FELOPROLTERATIFCR NAN ERAT 7 | Tv Tom [BT 5i[0-1-10 POSEDUR PENCANGLOKAN SUMSUM TULANG aINGAN | 17,135,800] 20560390] 23,990,100, sslo1.20 paosedua peNceNGcoxan sumeua ruta sepaNG | 26,008,200] 1319090 | 15,959,200 PaOSEDUA PENCRNGKOKAN SUMBUM TULANE ERAT | 35571800] 42.44500] 49,590,200 PROSEDIE UPA ATNGAY Z| 5 A. | 6ST PROS=DUR_IMPASEDANG Sao | —erion | —o.877 Sm, Pa aoa Tans ere eo TPROSEDLA ADA GARR DAN ORGHN PEMBENTIR 13)0-1-20 fone LaN-LAIN (RINGANY asia] aons00] 9.226.500 PAOSEDLA ADA ARH DAN ORGHN PEMBENTIR a). fren in-utin1SED8S) exei30| riso.200] 1,580,500 PRGSEDLIA ADA ARR DAN ORGHN PEMBENTIR 5] 01.20 fracas witun wiser reso0200 | 20.266.00| _23,50,100 Tel o-r TiganTILLOS TOSS ANG Teco | Lae] 9 Sea Til TRGRANLOS TORS SEDANS Tasm] asia] sca Talo: TRGRANITOS TORS ERAT epsom | —a75 on | 5.60 7a ‘GANGGUAN PEW ERAAN DARAR NGA Zanisme| 2a. | 3.5000 Booe Tr ‘GANGGUAN FEMBECUAN DARE SEDAN Siren aac] 3 Toe aoe ‘GANGGUAN SERIGERUAN DER BERAT PAS AI ST efor TASS ANEMIA $e SORE INGA Daseyon| 2277s | 7.50.80 a0 aISIS ANE WIR SEL SICK SEDANS asso sero] 009,800 Bae ISG ANE WIR SCRE SERA zara] sorta] 6985MENTERI KESEHATAN REPUBLIK INDONESIA Tarif INA-CBG 2014 Regional 5 Rumah Sakit Kelas C Rawat Inap ‘CANGGUANSEL JAR MEE SEAN RUSS ERENT gsfo.13 se sick. e wan nsorv00 | xs2a200 | 2,250,500 ‘GANGGUANSEL OBA MI TRESS NEM 60.013, st sicrus seDaNG aana,00 | 2ama700| 372400 ‘CANGGUANSEL OAT M TRESS NEM aifoe ss set sick. kan ameam | aarce | 39sa200 ‘GENSGIAN PAIN ORRIN B ORGAN PEVBENTOR ORIG] aslo.a.ta Jananninnsani reansoo | aaon900 | 9.r:2000 ‘GENGGIAN PADA DAREN BONG salon Lan anisenns aioasoo | a.saaso0 | 5:01.20 SANGIN PAOR TATEH BOTAN SERENTOR DATA] Jana zea) ssas0 | e2ea900| 280200 sifer0: PROSEDUA K=LEWIAR 9 TUITAAI DAN PINEAL RINGAN so.9 | cosno0| 7.059.000 safean PROSEDUA K=LENIAR PTUTAA) DAN PINEAL SEDANG sue700] 7.924 9.208 safer0.4 PAOSEDU KELENIAR PTUTTAAI DAN NEAL SERAT s.ase.a00 | 13,162.000| 16,085,200 Safe PROSEDUR = MIBULUM KOROVER| ag} -1.074) Faved KATETERSASIANTUNG SEDANG zossso00 | tesmsoo | 5,640,200 PROSEDLA PEMBEDAFAN BYPASS 2 MIBULUM ROROVER| 2aefi-07 lrsNPA KATETER'SASLIRNTUNGBERAT 2798000] 33358800] 3,918,500 POSEDUADEFIBRILATOR JRNTUNG DAN PEMASENGAN asofia.tt ssten SANT uss KNTUNG RINGAN aaceio| 9.900 | 4,659,800, POSEDUA DEFIBRILATOR JRNTUNG DAN PEMASENGAN as:hati Listen BANTUAN JENTUNG SEDANG aoyeio | acrason | 9.27200 asafivay sistem BaNTUAN JANTUNG aeRaT zeraam | samo | s.s.c00 PROSEDUR PEMSULIF SBR TORE. RORPLES ssf frasan s2insoo| r19s;,500] 1,893,400 asaficin 206 xe.a6s.so0 | _s2.s6n200| _16,650.100 TP ROSEDURTEMTSUCP ORR TORI KORTE 25h Jean vis:900 | 2ama.s00| _ 2a,9e7,700 TP QSEDURPEMSULIP SARA RSDORINAT OMT sofia fraisan s2rso00 | 6:53,500 PROSEDUT PEMSULOF SARE RBDORINAL OM asafiaie RNG 296,700] 7.55600] 815,200 TAQSEDUPENTSULP SARA RSDORANAT TOMI seta [sevar 1soe2.200| _amormaoa| 21,055,200 PROSEDIT PEISENGAN PALEMACER NTING seh JpeRMneN aiNan rase0 | r,soero9| 27,776.60 PROSEDLA PEMSSENGAN PRTEMACER TNTING 260-1144) fenaaiien seDanG zasssson] esenao | _4si9.800 OSEDLA PEDMISANGAN PREEMICER ANTING oz), Jennaniien ae80 nevam| wrnam| as997.00 pasar POSED ATETETSAS ANTON NO sama] — sas] 60aMENTERI KESEHATAN REPUBLIK INDONESIA Tarif INA-CBG 2014 Regional 5 Rumah Sakit Kelas C Rawat Inap FSET PROSEDU CATETERISAS JANTUNG SEDENG Tang soo | Ws9e coo | 1,900,500 pasa] PROSEDUR CATETER SASTIANTONG SEAT Tiss Te 7.500 | AES. 000 PROSEDLA EIB DET BATATORE PACE harurunc 11Da« TERASUK PERGANTIAN ALAT 295) 1.16 INGAN) 503300] 10,2094 POSED REVS DEFIEATATOR PCE hnurune 11DK« TERYASUK PERGANTIAN ALAT 2661-164 SEONG) 2as06,100] 2692800 | 951,900, PROSEDUA REVIS|DEFIBALATOR & PAC asifinas lmuruna noxcTeawasukrenccnnmiaN auariaexnni| —95,sox.00| ae.s0n600| 45,200,200 PROSEDULIGAS DAN STRPPING PEMBILIR DARAT oe a.t7 ENAAINGAN iio | 16.13.80 |_s6.783.300 TP ROSEDULIGRST DAW STRONG PENT ONES eofair 2A SEDANG raa3190 | rese0s500|_ 19,7:9200 TROSEDU LIGRS DAW STRIPPING PENI ONES aroha, ews seRa nsvam| wserao0 | 45,576.500 POSED STM FEREDIBAW GAMA RTCA 1-120 fraisan xesis.200 | _ 12,160.00 | 16,880,800 PROSEDIR STW FEREDARAN DARA RTE vafi.04 sane rassazo | resae000|_sn.809.600 aisfi20 PROSEDUR SII PEREDRAAN DAMM LAN BERAT 15256500 | ag.r0ac00| 21,358,100 PROSEDU PENGGANTTAN ALAT DET BHTATO® AN rah 1-30. pace MaceR sRMTUNGAINGAN e600] 11.575200] 13,508,500 PROSEDUN PENGGANTIAN AAT DETTATOR OR 2ys}-1-204 PacemaceR aNTUNG SEDENG zosi.ton] 2aomsan | aeone.800 PAOSEDUR PENGGANTIAN ALA DET BULATOR OA 2a face uacee RMTUNGBERAT xooz200 | varie] 23,526,200 a7 PROSEDU KAN IOVASRULAG PERRUTAN ANGRY. Tes Sa | 1, TORSO] TET, 70 275] PROSEDUA KATSTOVRSRULA PERTOTAN SEDANG Te rasa| ssa ROO A TF PROSEDU KAMSIOVASRU_Ra PERRUTAN SERAT Tees | PET a Fe FBI 7 THER MVORARO RCUT RNGAN 7366.50 [37700 7 TPR NAFOXAAD ACUT SEDANG Tass. T | SI TesoO ma Ta VORA AUBERT EE Ce 7 TA SCRABT ST Dan TBAT TOT Sopa OT 7a EHIDORAADITS ACT DAN SUBARU SEDENG Zee] 365 | 677,700 255] ERISOAADIIS ACT DAN SUSERUT ERAT Bapaooo | — eae soo [57 2] GALAN TANTUNG ANGAY. Zama | a raaco | 553000 7 TEGAN UNE SEDENG Ei5.t00 | 7H 500 [SHO TOT 25 REGRGALAWIANTUNG BRAT Taneooe emo | mS "TEROMBOP=LEBTS PAOAPEMBU.URD eofiers frsisan aaei0 | s.nesoo| 665500 “Te ROMSOFALERTS DATA EVISTIUA ORRTE VEN 250fe-134 san 8.454.100 TrXOMSOALEBTS DALAT PENIDIION DORE VEE osha, Jeena xea7s.200| _12.570200| _ 14,665,100 Baer ‘CARINE REST, T DARD ETAT NGA Tamsw | asia] — 2528300 pager -RRDIEC ARVEST_T DAK OHFTAFU SEDANG Tamm] aaa] 3 Sa eal ore (CRADIAC ARAEST. TAK OIETAMUTEFRAT Esso] 3278500 | 6098200 ‘GANGURY PEMBULIH JAA PERFER LATTAN 9sfie15 INGANL azissmo| asso | 302,200 ‘GANGUAN PEMSULIR OAIAH PERVERT AN 296|¢-154 e046) a6oaim | ssa700| sasi.g00 ‘GANGURN PEMSULIR DARA PERERA fits aera) saxam| same] pas300MENTERI KESEHATAN REPUBLIK INDONESIA Tarif INA-CBG 2014 Regional 5 Rumah Sakit Kelas C Rawat Inap Bale. eee Tees] 2mm | Ia es] 16H EIREROSH EROS SEDANS am Too] ae soo | a9 ROT TIREOS EONS ERAT zara] ae so| 5 Fre TIPERTENSTAINGAW Tara | aoa] aT OT RapeIT THIPEATENSI SENG mms] 330200 [ 658200 3s THIPETENST BERT Saas] Soria] Tae. aoa] es GANGURN RATOP IANTUNG COWGENTTAC AGA TEW7599 | 15 Tom | awe HS|ETET ‘GANGURY RATUP ANTON KONGENITALSEDANG ESTO AEA CO ‘GANGUAY PENTART ETOP TANT ONG KONGER TE aos}i.18 lean esexoo| nena] 9.156.500 aoi)ie.18 GGANGGUAN CONDUKSI 8 8&7 IANTUNG RINGAN 2am | —2.ras900| 3263400 39) 2.184 Gavacuan covoussianatuimanruscseoans | _agr.om] 4.165.200] 5.560.000 x9) 19, GANGGUAN = ANATASAN SERAT easrsoap eno p aoe SIMPLE eNEUMONIA & WHOOPING COUGH RINGAN 599500] az9:00 | 5nao0 SIMPLE SHEUWONIA &. WHOOPING COUGH SEDANG sos | eosasoo| _.08:,000 SIMPLE SNEUMIONIA & WHOOPING COUGH BERAT Baran | ete 700 [1,790.00 PENTRU FRRU OMSTAURTT- HOWE AINGAN Tamera TIO PEWTARIT PRL ORSTRIRTIE CROWES SEDANG: 4291,800 [48a 100 [4.058 50, EWING PARUOBSTRUIKTIF GOW AFRAT ‘tim | a6 700 | aoe 0 ASTHMA ARONKOUTS RINGAN Tamra | tee | 91060 TASTE MA & BRONCIOUTS SEDANG ais | pana] 3 Asa TASTER BRONCIOUTS BERAT 275800) 2.803 900 [3 PENTAGT SRA HTERSTIVAL ARGH Sari | mam | 38a Fa PENYAIT BARU NTERSTITIR. SEDANS te Toa | a som | aT 0 Tay PEWWRGT PRA WTERSTIT AL SEAT arama] esta | ea TO rea FERAL EUS DEN > NEUNIOTORAC NGA Daron] asia] 3 902 Tair PLEIRALETUSIDRN PNEUMOTORAK SEDANG EET ESTO CEST P20 PLEURAL-==051 DAN PNEUMOTORAK SERAT e336 00 [7.03 309 | B88 arafyeon Lan rninnrni xso400 | 1925200| 9,248,200 arafnaas Jawan iseanNs azesaoo] 805.700] 4,505,200MENTERI KESEHATAN REPUBLIK INDONESIA Tarif INA-CBG 2014 Regional 5 Rumah Sakit Kelas C Rawat Inap arsfeaaiyy _Lawawisenan asoo200 | sser900 | g.s.300 PROSEDIA HOW KOWPLENS USS AROSE USCS TET ars) ei-t0 aINGANI xism | sanesoo| s07o,s00 POSED HON KOWPLNS USS TALUS E USL A af va0 SEONG) sxmom| —eaieso | narra POSED HON KOWPLNS USS TALUS H USL BESTE avaf1-104 2eRA) ssm.e00] as:oa00 | 3.2900 POSED ADHERTOLSS SE TONE NGA SEL | eta | 7098, AT POSED ADFES OLSIS PEA TONEAL SEDANS, eoraoo | 7.927.390 [8 267 [ETI POEDUT ADFESOLSIs STATTONTAL STRAT SETA ETS ETE PRISED RENE T OAK TERNESIC WOVE ssa fics. MORAL IRNSANY ansioo| ayer] 390,200 PROSEDIA HEAT OAC TERNS NGA safc, MORAL ISEANG) asii00 | a27900[ a.eo.r00 POSED HEANIS TAR ERNEST NOOTVALE geafkaazu _fewona taeean xoeram| sesso | 2.055.300 afer PAOSEDIR APPEND AER Taam] iam | aa apes TPROSEDUR APPEND SEDANG Samet | eon | 72870 Bee Ta PROSEDUR APPENDIR SERAT Ssrsm] —eaazoo| 772.100 aas|icota POSEDUA H#AN/A INGUINAL DAN =EMORAL ANGAN. romeo] azrzaon] 5.276.500 x9) case PAOSEDURHERNIA NGUINALOAN FeWoRaLseDaNG | ss3600] «eno 7.187.100 as0)kt44 PROSEDUR HERVIA NGLINAL DAN FEMORAL BERAT 1297.10 | _13844,600 | _ 15,800,000 3 [eae PROS OUR NTEST NAL COWPLFRS INGA S57 | 11 Ton [1S wipe 0 TROSEDGTNTEST WAL KOWPLERS [SEDANS] Testa We, 700 ES Bra) TFROSEDLRINTEST WAL COWPLERS (HERAT TasTi Toop oe SO | TBH I POEUN DUO ENUM, FSO AGIS & AMIN NOW 351) k.30 lkoraPLeksiaivsan crit] nenoo | a7 100 TP ROSEDUR OJOENUM, SSO=AGIS & AEUNG NOW aesfc130 frour.eksis=3,4) assxaoo| 0.196600] 12,228,200 POSE BUT TOE HU,FSOTAGIS & ETNG NOW sedfictsoy own. sea) rszousoo| rsroncoo | 22,3800 asi). PROseDU 8 waniantaniancan! | s7a00] 7056500] 9.28:.700 aa) i1-c0 Posed Si waviananiseonnar | «7easo0] gomn.son | 9.409.200 05) c-u04 PROSEDUA SISTEW PENCERNAAN LAN LAIN BE uize3so0| s3aan800| _ 15,569,100 sor crs PROSEOUR ANA. SEDANG eaves | 7m som | 8.508 aoa es PROSEDIR ANAL ERAT amon B 200 | 19 03-507 TUMOR PENCERNAAN RGR gaz 7a | ata6500 soa) ica TOO PENCERAANTSEDANG Sani] 6.200 a0] R-1-107 “TOO FENCERNAAN ERAT Saar too | iso | aa ae) eT GASTATIS RUS PESTICOM NGA Tame] bree] 2289.50 OTA GASTRITIS JIKUS PEAT RU SEDANG Tana aso] 3a fe eT GASTTISEIRUS PEST ROA ERAT tsi | 485 00 | 5.0 bos cai TGINGEUAN SONGS AINGHT, Tamra} trace] 9a feao pea CANGGUAN ESOT RGUS SEDI 3253500 | 2502300 500 HPT ‘GANGGUANSOF AGUS SERAT Saas [sx2)ca.ts JpeRAIANGAN USUS BESAR AINGAN! aanesm | —2ams00] — 3.ae.c00MENTERI KESEHATAN REPUBLIK INDONESIA Tarif INA-CBG 2014 Regional 5 Rumah Sakit Kelas C Rawat Inap da)ca.ss pesaonucan sus 58503 SeDANG) asrvom| —avesson | 4.269.000 TONEATIGIUTS, OVERTRGTOSS DAN PENT Jaxafica-r.n_fpersoanaan vsus arsaa ine seam | enero | 7.166.500 THSUT SENS) PEMB Cor ORE GHSTROMTESTIVE ens}ka.ta Jrican ams | aeiano| 2.800 THEUF SENS] PENIBLOOR ARI GIST ROMNTESTINN ls16|ia-16 soa anram| avnse| _assasoo TSU SENS] PEMABCOH ORE GHSTROTTESTI arfeaaen _beear axea00 | aezo00| 552.500 ispecies aS SATU GASTRO NTT HADNT Tamme am oa laashica OBST RT SALUT GASTRO ESTIWaL SEDAN EATER EATER REC 20] GASTRIKSTSALURAN GASTRO NTEST NAL 3FRAT zara | sani] 5.0 1 ica. THFERS =F. GASTSOHTESTINNC RINGAN. EATER EST ESET tafe THFERS-VFE. GASTROINTESTINAL SEDANS arse | 2s] 37a a6 THFERS-AFE. GASTRO NTESTINAL FRAT 3538700] 355, 38200 VERT ABDOWEN 8 GASTOENTERTS LANA salar INGAN) aaenom | 2509900 | 2.200 REDON E GATSOENTEATS NA «as|ea.st SEDANG) aucso| _a5¢a3m| _ara4.s00 ls26|k3-174 A2DOWEN & GRSTROENTERTISLANNLAN aaa] 3565200] 3,666.00] 4.277300, azz kate, DAGNOSS STEM ENCERNARNLANLANaINGaN) | —_2a7920] —3,¢s6.700] ananso0 28] a.18 DIAGNOSS STEM PENCERNAANLAINAINiSeDANG: | 918,100] 5,182,000] 6,016,200, laze|ka-184 LIAGNOS' STEM PENCERNAAN LIN-LANN (28K soaram | easssoo| _nar6.200 PROSEDL PEM HASAN KULIT PRON LIRA BOAR |s30].2-20, frsican 22255,100] 26,706,200 | 4,156,200, PROSEDTN PEM HISRARN RULIT POE TRA SERS Engen sean zaarsao0] 2593.00 vai0.so0 ROSEDLR PEM ISRTRN ROLY FDR TRA SERS Jssefr2o _foewar xies700 | szasasco | _15254.300 POSED PEMA RULIT TARPE LOR BARE esa] -30 fesan axiom | ssm00| _9.ea9.100 ROSEDIR PEMA RULIT TARFR LOR BARE e3aft-20 ssa va9esso0|_as.se:.100|_sw.79900 ROSEDL TEM IDR RIT TARP LON BARAT essfiison seat 1523.00 | _sesoec00|_21,509,700 POSED IT ADA CITT TAR HERNAN SOT HA sae |t--c0 Jravuaaza RinGaN auousoo | aosaeo0 | azanro0 POSED PADA XULIT INR GRY BAAR CULT OA 47] 140 Jpavuanas seoan6 asaeam | __ss.a00| mors o00 POSIT PAD KATY TAR GAN THAN lase|urson _pavuaaasenar w2a:3500| _reesr.600| 12.0980 8] 50. POSEDLPADA PATOOTAR AGA Sane | ena] 789500 Fea -T 50 TROSEDU PATA PRFUIDAAA SEDAN. Sseasoo | Tasesea | ae oe en] C50 POSED ADA =ATUDIRADERAT Tesrazor| Taare] Te 0. wale. PENTART COUT MRTOR INGA EE EEA ET aaa] PENTA CULT MIRTOR SEDAN Tama] — Laas | ea eee] cao PENTARIT COLT ATOR ERAT Tosi Foo] 8.250000 10-7680 as] TUMOR PAYUDARA ATNGANL Tacs aes] — 3 ASO Ieee] cas “TUOR PAYUGARA SEDAN SEI EEO PEST beer eas TUMOR PAYUDARA SERA Tan Toe] Bas | a GEIBe? PRR TANGAN AU TPES AGA Tarr] 7a] 3 Re 7aMENTERI KESEHATAN REPUBLIK INDONESIA Tarif INA-CBG 2014 Regional 5 Rumah Sakit Kelas C Rawat Inap face] PHB TANGAN Cu CHIU. TSS Deeoo|—syite son | 6,061 700 aso] 2 PEAR ORNGAN OC FERLIOTTS BEAT Samim] ens | 8 a TRRUMIR PADA AUT, JRRINGAN BRIA ROOT ORT fravuaze aincan 15:s00| 1:00 | 9,221,700 sso] ss Jpavuoans seD—nN 260.700 | _2592.800| 507,000 esafiacsiy _pavuonea seaar 2,615,500 | 338.700 | 391,800 ‘GANGGUAN FAIR KOLT & PAVUSIAR LAN TAT asa] i INGANL xeo7200 | asec | 9.20000 ZANGGUAN TRIB OCT B PAVOORTS TATE essfiaze SEDANG) aaraam | _2anesoo| 3.72300 ‘GANGGUAN FAIR ROLT & PAVUSIAR LAN TAT laso|aa ERAT) asoiz00 | sones00| e000 TP ROSEDI BTATERAT GAN MULTIPLE SEND ANG asa). 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DARI P20SE0UR sai) Jsrau PEMMASANIGRN ALAT CATO2ED KSEDRNG ass.000 | 5335.30 sxs|v-digi _[arau penmasanoan aLAr O&TO>ED « SEKAT s7ai300| 821200 2.074.000 TENDE-TENDA,GFIALB, MUSRATOSKIE AL, RESTO saelv-4201 Joan PeRADANGse ¥iNOR (INGEN xenscoo | ase700 | 9.2sa400 TENDE-TENDA, GTTALA, MUSRATOSRT-TAL, RESTS 4-20 Joa ornanantcas sano3 sF8N6) 2arss00 | 2809.00 | 589,200 TENDE-TENDA, GFTA(A, MIBRATOSRT-TAL, RESTO sai] 42011 fon PERADANGAN MMNOA BEART aenam | a2ns.700| 3760000 DAGNOSS STEW VUSKILOSH saz) soe fence ua UNG ALAIN (INGAN) renscoo | isaac | 2.28e200 DHGHOSS SSTEM VUSKIIOSH sas)eeaon pesruauns LANVLAN SEDANS) aeoeam | as2a00| _2.9sas00 TGOSS STEW VUSKILOSH susfeizii _pencrusuns amin ean zsoaam| sacs] sno SENS OL POSED PENCRNGORAN GUAT ANG Tr nana Promo | Tomo S| RTO PROSEDLA PENCRNGKOXAN GINTALSEDANG TN aA] Tr MT NPT RTI Son PROSEDITA PENCRNGOXAN GINTAL BERAT TH] roo | PCC Sas) Na POSED KANSUNG KEM 3 KOWPL=X RINGAT Goro 776.000 [—B.a10.400 Seer TF ROSEDU CANDUNG RE WI> KOM ER SDBNG Eaton | Toe FON | TT SHON POSED RANTUNG KEM = COUPLER SERAT Teroo.aa | 10.400 | 18 8.000 safc JewiNDAeKAN AAT MISS ANGAN assim] ains200 | a.arr.o0 saa) IMEWINDAEKAN.RLAT 9 ALSIS SEDANS 10285000| azaseca| sear saa)uc-124) __hpevivoancaN Akt DLs 2ERAT rasta | 22axer00| _ 26,103,290 Sua] N20. 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