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RS.

HERMINA SOLO
PAKET OP KATARAK JKN kelas 1
N
o

Uraian

ke
t

Biaya (Rp)

1 Dokter operator (20%)

1,545,200.00

5 Sewa alat mikroskop

500,000.00

6 Sewa alat dokter + BHP (IOL dll)

2,000,000.00

7 Sewa OK

500,000.00

8 Jasa paramedis

200,000.00

9
1
0
1
0
1
1

Obat durante dan post op

240,650.00

EKG
Lab pre op katarak(GD,
HR1,Ureum, kretinin)

50,000.00

Admin 1%

77,260.00

Total

5,368,110.00

255,000.00

Coding kelas 1
Diagnosa : Cataract
tindakan: other operation on
cornea
7,726,000.00
Selisih coding

2,357,890.00

RS. HERMINA SOLO


PAKET OP KATARAK JKN kelas 2
N
o

Uraian

Biaya (Rp)

1 Dokter operator (20%)

1,324,460.00

2 Sewa alat mikroskop


Sewa alat dokter + BHP (IOL
3 dll)

500,000.00

4 Sewa OK

500,000.00

2,000,000.00

ke
t

5 Jasa paramedis

200,000.00

6 Obat durante dan post op

240,650.00

7 EKG
Lab pre op katarak(GD,
8 HR1,Ureum, kretinin)

50,000.00

9 Admin 1%

66,223.00

Total

255,000.00

5,136,333.00

Coding kelas 2
Diagnosa : Cataract
tindakan: other operation on
cornea
6,622,300.00
Selisih coding

1,485,967.00

RS. HERMINA SOLO


PAKET OP KATARAK JKN kelas 3
N
o

Uraian

Biaya (Rp)

1 Dokter operator (20%)

1,103,720.00

2 Sewa alat mikroskop


Sewa alat dokter + BHP (IOL
3 dll)

500,000.00

4 Sewa OK

500,000.00

5 Jasa paramedis

200,000.00

6 Obat durante dan post op

240,650.00

7 EKG

50,000.00

Lab pre op katarak(GD,


8 HR1,Ureum, kretinin)

255,000.00

9 Admin 1%

55,186.00

Total

2,000,000.00

4,904,556.00

ke
t

Coding kelas III


Diagnosa : Cataract
tindakan: other operation on
cornea
5,518,600.00

Selisih coding

614,044.00

BHP DAN ALKES YANG DIPAKAI UNTUK OPERASI KATARAK


(JKN)
yang
dibutuhkan

unit cost (Rp)

Harga jual (Rp)

Gentamycin inj
Dexamethason
inj

3,692.26

5,600.00

2,002.00

2,800.00

lidokain inj

2,191.20

2,500.00

handschoon

32,000.00

46,000.00

spuit 1cc
spuit 3 cc

2
1

1,001.00

2,000.00

583.00

1,050.00

spuit 10 cc

1,100.00

1,500.00

RL 500 cc Wida

7,150.00

10,000.00

Povidone iodine
As mefenamat
500mg
ciprofloxacin 500
mg

4,081.00

8,300.00

10

1,320.00

3,000.00

10

5,335.00

8,500.00

Midriasil ED
Floxa ED mini
dose

30,968.44

42,000.00

26,482.50

41,200.00

Pantokain ED
Bupivakain
(Markain)
Chloramfenicol
ED

14,210.61

19,000.00

23,760.00

45,000.00

1,563.10

2,200.00

157,440.11

240,650.00

TOTAL

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