PACKAGE
PRICE IN OUT PATIENT SMALL
TREATMENT
Not Include Medicine, X ray, Laboratory
|
General Practitioner
Rupia |
General Practitioner
US$ |
Dr Specialist
Rupia |
Dr Specialist
US$ |
Hospital fee |
50,000 |
6.25 |
50,000 |
6.25 |
Dr. fee General - Spesialis |
100,000 |
12.50 |
200,000 |
25.00 |
Treatment |
100,000 |
12.50 |
200,000 |
25.00 |
total |
250,000 |
31.25 |
450,000 |
56.25 |
|
General Practitioner
Rupia |
General Practitioner
US$ |
Dr Specialist
Rupia |
Dr Specialist
US$ |
Hospital fee |
50,000 |
6.25 |
50,000 |
6.25 |
Dr. fee General - Spesialis |
100,000 |
12.50 |
200,000 |
25.00 |
Treatment |
200,000 |
25.00 |
400,000 |
25.00 |
total |
350,000 |
43.75 |
650,000 |
81.25 |
DENTAL
CLINIC
Not Include Medicine, X ray, Laboratory
Dentist
Rupia |
Dentist US$ |
|
Hospital fee |
50,000 |
6.25 |
Dr. fee |
100,000 |
12.50 |
Emergency Treatment |
100,000 |
12.50 |
total |
250,000 |
31.25 |
PACKAGE PRICE IN THE OPERATION THEATER
Not Include Medicine, X-ray, Laboratory & Nursing
ELECTIVE OPERATION |
Price in Rupia |
Price in US$ |
Small Operation |
3,049,300 |
381.16 |
Medium Operation |
4,062,800 |
507.85 |
Large Operation |
5,499,200 |
687.40 |
CITO OPERATION |
||
Small Operation |
3,319,200 |
414,90 |
Madium Operation |
4,424,600 |
553.08 |
Large Operation |
5,990,400 |
748.80 |
DELIVERY PRICE
Not Include Medicine, X-ray, Laboratory & Nursing
Price in Rupia |
Price in US$ |
|
Normal Delivery By
Midwife |
1,089,000 |
136.13
|
Normal Delivery By General Practicione |
1,650,000 |
206.25 |
Normal Delivery By Specialist |
2,557,500 |
319.69 |
Induction Delivery By Specialist |
2,871,000 |
358.88 |
Vacum Delivery By Spesialist |
3,184,500 |
398.06 |
Sectio Cesaria |
10,173,500 |
1,271.69 |
Cito
Sectio Cesaria |
11,262,000 |
1,407.75 |
Price in Rupia |
Price in US$
|
|
|
1,250,000
|
156.25 |
VIP- B
AC, TV, Refregerator, Private Bath Room with
Cool and Hot Water,Adjusted
Bed, Telephone,Extra Bed. |
1,110,000 |
138.75
|
Class I AC, TV, Private Bath Room, Adjusted Bed,Telephone |
977,500
|
122.19
|
Class II Private Fan, Private Bath Room,Adjusted Bed, Telephone. |
705,000
|
88.13
|
Price in Rupia |
Price in US$
|
|
|
135,000 |
16.88 |
WITH PROBLEM |
240,000
|
30.00 |
Price in Rupia |
Price in US$ |
|
Bed Consultation |
300,000 |
37.50 |
Cito
Bed Consultation |
400,000 |
50.00 |
Emergency Consultation In The Operation Theater |
500,000 |
62.50 |
Price in Rupia |
Price in US$ |
|
0 To 19 km |
250,000 |
31.25 |
20 To 50 km |
500,000 |
62.50 |
More then 50 km |
1,400,000 |
175.00 |
NO | ITEMS | TARIEVEN | |
Rupia | US$ | ||
1 |
Cranium |
150,000 |
18.75 |
2 |
Mastoid |
150,000 |
18.75 |
3 |
Lumbosakral AP/Lat |
150,000 |
18.75 |
4 |
Cervical AP/Lat |
150,000 |
18.75 |
5 |
Thorax PA (AP) |
150,000 |
18.75 |
6 |
Thorax AP/Lat |
150,000 |
18.75 |
7 |
Thoracolumbal AP/Lat |
150,000 |
18.75 |
8 |
Coxygeus AP/Lat |
150,000 |
18.75 |
9 |
Abdomen AP |
150,000 |
18.75 |
10 |
Abdomen AP/Lat |
150,000 |
18.75 |
11 |
Pelvis |
150,000 |
18.75 |
12 |
Clavicula |
150,000 |
18.75 |
13 |
Humerus AP |
150,000 |
18.75 |
14 |
Antebrachii AP/Lat |
150,000 |
18.75 |
15 |
Manus AP/Lat |
150,000 |
18.75 |
16 |
Femur AP/Lat |
150,000 |
18.75 |
17 |
Scapula |
150,000 |
18.75 |
18 |
Angkle AP/Lat |
150,000 |
18.75 |
19 |
Pedis AP/Lat |
150,000 |
18.75 |
20 |
Cruris AP/Lat |
150,000 |
18.75 |
21 |
Water"s |
150,000 |
18.75 |
22 |
Wrist AP/Lat |
150,000 |
18.75 |
23 |
Elbow/Cubiti AP/Lat |
150,000 |
18.75 |
24 |
Genu AP/Lat |
150,000 |
18.75 |
Labaritorium
NO |
TARIEVEN |
RATE
|
|
|
Per onderzoek komt bij deze tarieven nog één keer hospitial fee US$ 6.25 |
RUPIA |
U$ |
|
HEMATOLOGY |
|
|
1 |
Hematology Rutine |
67,500
|
8.44 |
2 |
Haemoglobine |
10,500
|
1.31 |
3 |
Leukocyte |
10,500
|
1.31 |
4 |
Erythrocyte |
10,500
|
1.31 |
5 |
BBS |
10,500
|
1.31 |
6 |
Trombocyte |
12,750
|
1.59 |
7 |
Hematokrit/PCV/HCT |
12,750
|
1.59 |
8 |
Diff.Count |
15,000 |
1.88 |
|
|
|
|
|
HEMOSTASIS
FUNCTION |
|
|
9 |
Hemostasis Function, Complete |
225,000 |
28.13
|
10 |
Bleeding Time |
9,750 |
1.22 |
11 |
Clotting Time |
9,750 |
1.22 |
12 |
Masa Protrombine
Plasma/PPT |
132,000 |
16.50
|
13 |
APTT |
78,750 |
9.84 |
14 |
Blood Group |
15,000 |
1.88 |
15 |
Rh Factor |
22,500 |
2.81 |
|
|
|
|
|
URINE
ANALYSIS |
|
|
16 |
Urine,
Complete |
30,000 |
3.75 |
17 |
Pregnancy
Test |
45,000 |
5.63 |
|
|
|
|
|
FAECES |
|
|
18 |
Faeces, Complete |
27,000 |
3.38 |
19 |
Blood Faeces |
27,000 |
3.38 |
|
|
|
|
|
CSF /LIQUOR |
90,000 |
11.25
|
|
|
|
|
|
RENAL
FUNCTION / RFT |
|
|
20 |
Ureum/Bun |
30,000 |
3.75 |
21 |
Creatinin |
30,000 |
3.75 |
22 |
Uric Acid |
31,500 |
3.94 |
|
|
|
|
|
LIPID PROFILE |
|
|
23 |
Cholesterol
Total |
31,500 |
3.94 |
24 |
Triglyseride |
41,250 |
5.16 |
25 |
HDL-Cholesterol |
41,250 |
5.16 |
26 |
LDL-
Cholesterol |
90,000 |
11.25
|
|
|
|
|
|
BLOOD SUGAR |
|
|
27 |
Fasting Blood
Sugar / 2 hours After Meal |
20,250 |
2.53
|
|
|
|
|
|
SEROLOGY /
IMMUNOLOGY |
|
|
28 |
Widal |
62,250 |
7.78 |
29 |
HBsAG |
63,750 |
7.97 |
30 |
Anti HBsAG |
85,500 |
10.69
|
31 |
VDRL |
550,002 |
68.75
|
|
|
|
|
|
SPERM
ANALYSIS |
75,000 |
9.38 |
|
|
|
|
|
MICROBIOLOGY |
|
|
32 |
Rectal Swab |
75,000 |
9.38 |
33 |
Gram Staining |
24,000 |
3.00 |
34 |
Bacteria Acid
Resistance Stain
|
24,000 |
3.00 |
35 |
Malaria |
22,500 |
2.81 |
36 |
Trichomonas |
22,500 |
2.81 |
37 |
Food Bacteria |
112,500 |
14.06
|
38 |
Water
Bacteria |
112,500 |
14.06
|
39 |
Kitchen Ware
Checking |
112,500 |
14.06
|
40 |
Bacteria
Culture |
112,500 |
14.06
|
41 |
Culture
Resistance |
225,000 |
28.13
|
42 |
Bile Culture |
112,500 |
14.06
|
43 |
Colony Count |
112,500 |
14.06
|
|
|
|
|
|
LEVER
FUNCTION |
|
|
44 |
Total Protein |
30,000 |
3.75 |
45 |
Albumin |
30,000 |
3.75 |
46 |
Globuline |
30,000 |
3.75 |
47 |
Direct Billirubin |
31,500 |
3.94 |
48 |
Total Billirubin |
31,500 |
3.94 |
49 |
SGOT |
30,000 |
3.75 |
50 |
SGPT |
30,000 |
3.75 |
51 |
Gamma GT |
60,000 |
7.50 |
52 |
Alkaline Phosphatase |
34,500 |
4.31 |
Yours sincerely
General Hospital Bali AGA
Director,
Dr. Johnny Irawan, MPH, Akp.
25-04-2004