Tgl Pelayanan NAMA TGLLHR KODE INA CBG TARIF DESKRIPSI INA-CBG PAJAK TOTAL BIAYA

4-May-13 ADE SYAHWALUDI 10/7/1944 N-3-15-0

4-May-13 FIKRI AULIA RAHMAN 10/20/1960 N-3-15-0
4-May-13 MUHAMMAD AMRULLAH 9/19/1939 N-3-15-0
4-May-13 DIAN SYAH 10/8/1944 N-3-15-0
4-May-13 YATI K 9/16/1955 Q-5-44-0
4-May-13 H ENDANG SUHERMAN BIN ALI 11/1/1947 Q-5-44-0
4-May-13 ERLANGGA 5/25/1945 N-3-15-0
4-May-13 IIS BINTI SALIM 2/11/1941 N-3-15-0
4-May-13 SUKUR SUPARMAN 11/27/1950 N-3-15-0
4-May-13 FIKRI AULIA RAHMAN 6/26/1951 N-3-15-0
4-May-13 ARYATI BINTI SAMAN 8/2/1937 N-3-15-0
4-May-13 DERI BIN SURYA 2/3/1945 N-3-15-0
4-May-13 GINA AMANDA BINTI NURHAMIDAH 2/27/1961 Q-5-44-0
4-May-13 NURHAMIDAH BINTI JUNAEDI 4/28/1958 N-3-15-0
4-May-13 UDIN SARIPUDIN 3/14/1951 Q-5-44-0
4-May-13 ROMLAH 4/19/1956 Q-5-44-0
1-May-13 ECEM BIN ENTUNG 4/20/1957 Q-5-44-0
1-May-13 FIKRI AULIA RAHMAN 11/16/1946 Q-5-44-0
1-May-13 ENDANG SURATMAN 5/29/1940 Q-5-44-0
1-May-13 KANDA 1/1/1957 N-3-15-0
1-May-13 ROSIDIN BIN NAMAN 11/7/1946 Q-5-25-0
1-May-13 RASMAN 2/8/1952 Q-5-44-0
1-May-13 SAEFUL HIKMAH 8/29/1951 Q-5-44-0
1-May-13 IWAN BIN ATAM 9/5/1956 Q-5-44-0
1-May-13 ADE CANDRA BIN IHKAD 9/2/1962 Q-5-44-0
1-May-13 ADE BINTI ERA 10/16/1953 Q-5-42-0
1-May-13 ACEM / BACEM BINTI CARKIWAN 7/12/1941 Z-3-12-0
1-May-13 YAYA BIN ENYAT 6/8/1961 Q-5-34-0
5-May-13 EPONG 7/27/1948 Q-5-44-0
5-May-13 MUMUN 8/18/1948 L-3-10-0
5-May-13 FIKRI AULIA RAHMAN 5/23/1963 Q-5-44-0
5-May-13 UDIN 5/5/1946 Q-5-44-0
5-May-13 KASMIN ROLAN 1/1/1929 Q-5-44-0
5-May-13 HJ NARWI 4/1/1950 Q-5-44-0
5-May-13 HARSONO 3/10/1948 Q-5-43-0
5-May-13 RANI BINTI ARIM 8/6/1947 Q-5-44-0
5-May-13 LILIS 1/7/1935 Q-5-44-0
5-May-13 ROYANI 9/20/1982 Q-5-44-0
5-May-13 WASNI 4/3/1942 Q-5-44-0
5-May-13 MUHAMMAD RIZKY M BIN ASDA 12/31/1936 Q-5-44-0
5-May-13 TOLIB BINTI DULOH 1/27/1934 Q-5-44-0
5-May-13 LISMINAH 5/10/1944 Q-5-44-0
5-May-13 MUHAMAD DADAN 11/3/1954 Q-5-44-0
5-May-13 RIAN KUSWARA 12/5/1954 Q-5-44-0
5-May-13 SUMINI BINTI SIMIN 9/15/1937 Q-5-44-0
5-May-13 MISNUN 10/13/1926 Q-5-44-0
5-May-13 DITO WINATA BIN SADI 11/16/1943 Q-5-44-0
5-May-13 MAROH 10/22/1959 Q-5-42-0
5-May-13 KOSASIH 6/15/1948 Q-5-44-0
5-May-13 DARMIN BIN TAKIM 1/14/1967 Q-5-44-0
5-May-13 MAMAN 12/7/1945 Q-5-44-0
5-May-13 MUHAMAD IRWAN BIN DEDI .M 12/31/1966 Q-5-44-0
3-May-13 ACANG 9/27/1940 Q-5-44-0
3-May-13 WARTA 8/30/1956 Q-5-44-0
3-May-13 UUN 6/30/1941 Q-5-44-0
3-May-13 KADA 5/21/1980 Q-5-44-0
3-May-13 FIKRI AULIA RAHMAN 3/5/1946 Q-5-44-0
3-May-13 SUMIYATI BINTI M RACHMAT 12/12/1937 Q-5-44-0
3-May-13 ROS ROFIKAH BINTI WARYI 7/16/1942 Q-5-44-0
3-May-13 ALPIANSAH BIN ACEP SUJANA 6/15/1936 Q-5-44-0
3-May-13 ARA BT HALIM 1/26/1938 Q-5-44-0
3-May-13 EUIS YUNENGSIH BINTI H JUHANA 6/16/1945 Q-5-44-0
3-May-13 DEDEH BINTI WARYA 4/23/1945 Q-5-44-0
3-May-13 AHMAD SAEPULOH 6/30/1944 Q-5-44-0
3-May-13 ASMID 7/1/1949 Q-5-44-0
3-May-13 UDI 1/1/1953 Q-5-44-0
3-May-13 KOMARUDIN 2/8/1934 Q-5-44-0
3-May-13 WATEM 3/28/1939 Q-5-44-0
3-May-13 AI SUMIATI 5/14/1934 Q-5-44-0
3-May-13 AMID 3/10/1948 Z-3-12-0
3-May-13 SAWIT 12/1/1954 Q-5-44-0
3-May-13 TETI BINTI PANDI 12/1/1926 Q-5-44-0
3-May-13 FIKRI AULIA RAHMAN 8/12/1946 Q-5-44-0
3-May-13 DARINI 8/12/1945 Q-5-44-0
3-May-13 DARWAN 8/27/1941 Q-5-44-0
3-May-13 IMAS/ MASRIPAH 3/15/1934 Q-5-44-0
3-May-13 SITI NURHAENI 1/6/1933 Q-5-44-0
3-May-13 PARIDA 6/24/1942 Q-5-44-0
3-May-13 NASIR 8/12/1932 N-3-15-0
3-May-13 EHA JULAEHA BT CUCUP Y 5/15/1930 N-3-15-0
 3-May-13 NARWIN 6/4/1932 N-3-15-0
3-May-13 AMEN 2/16/1943 Q-5-32-0
3-May-13 ASEP SAEPULOH 10/14/1948 Q-5-44-0
2-May-13 ASWI BINTI KOYO 12/5/1944 N-3-15-0
2-May-13 MIRAH 7/5/1953 Q-5-44-0
2-May-13 JUMA WIJAYA 12/31/1944 Q-5-44-0
2-May-13 ETAM 3/12/1951 Q-5-44-0
2-May-13 FIKRI AULIA RAHMAN 2/6/1948 Q-5-44-0
2-May-13 WASIAH 2/20/1950 N-3-15-0
2-May-13 NALIM 6/11/1949 Q-5-44-0
2-May-13 ONIH BINTI BASRI 9/9/1945 Q-5-42-0
2-May-13 EWI ROHAYATI BT TAWI 7/2/1961 Q-5-44-0
2-May-13 ENTANG 1/26/1942 N-3-15-0
2-May-13 ARIFIN HS 7/30/1938 Q-5-44-0
2-May-13 TN. NUR MUS BIHIN 4/30/1950 Q-5-44-0
2-May-13 TARJA 1/25/1951 N-3-15-0
2-May-13 NEMIN BIN MIANG 4/17/1943 Q-5-44-0
2-May-13 FIKRI SAIPUL AMRI 2/1/1943 Q-5-44-0
7-May-13 U MUKSIN 1/1/1938 Q-5-42-0
7-May-13 WINDA ANDINI BINTI NARYO 7/6/1944 Q-5-44-0
7-May-13 SARMAN 7/6/1948 Q-5-44-0
7-May-13 BAGUS SODIKINM, DRS. 6/4/1940 Q-5-42-0
7-May-13 FIKRI AULIA RAHMAN 6/15/1946 N-3-15-0
7-May-13 E. MACHMUD, BA. 12/15/1937 N-3-15-0
6-May-13 ENDANG SUHADA 3/12/1944 N-3-15-0
6-May-13 ENENG TARLIAH 6/21/1953 N-3-15-0
6-May-13 ENTANG RAGIMAN 8/12/1947 Q-5-44-0
6-May-13 R. TEDJANINGSIH 5/15/1951 Q-5-44-0
6-May-13 GATOT SANTOSA 11/5/1944 N-3-15-0
6-May-13 HAWAY SABU 9/22/1949 N-3-15-0
6-May-13 FIKRI AULIA RAHMAN 7/1/1925 N-3-15-0
8-May-13 HJ. OJOH SUKARIJAH 10/24/1941 N-3-15-0
8-May-13 HJ. RASINEM 6/15/1939 N-3-15-0
8-May-13 ISAH 12/6/1948 N-3-15-0
8-May-13 MOCH. SOLEH 3/10/1941 Q-5-44-0
8-May-13 ITJIH ASIH 6/15/1930 N-3-15-0
8-May-13 JATI NURJATI A. 5/20/1951 Q-5-44-0
8-May-13 KOMARIAH 8/5/1933 Q-5-44-0
8-May-13 HJ.NENENG LUMIDAH 3/23/1951 Q-5-44-0
8-May-13 MAEMUNAH 5/6/1951 Q-5-44-0
JUMLAH

TARIF TERBESAR INACBG SETELAH PAJAK

TARIF TERKECIL INACBG SETELAH PAJAK
NAMA PASIEN KUNJUNGAN TERBANYAK
NO KODE INA-CBG TARIF DESKRIPSI
1 Q-5-43-0 184,762.25 PENYAKIT KRONIS BESAR LAIN-LAIN
2 Q-5-44-0 150,791.64 PENYAKIT KRONIS KECIL LAIN-LAIN
3 Z-3-12-0 182,561.60 PROSEDUR REHABILITASI
4 L-3-10-0 195,607.98 PROSEDUR KECIL LAIN-LAIN PADA PAYUDARA
5 N-3-15-0 545,853.71 PROSEDUR DIALISIS
6 Q-5-25-0 127,168.39 GASTROINTESTINAL AKUT
7 Q-5-32-0 140,924.20 SALURAN KEMIH AKUT
8 Q-5-34-0 209,600.97 INFEKSI VIRUS HIV
9 Q-5-42-0 128,301.97 PENYAKIT AKUT KECIL LAIN-LAIN