|
1011 |
520260124-000027 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1689 |
520260124-000027 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000027 |
|
520260124-000027 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005712 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1012 |
112602260002 |
2026-02-26 07:03:09.000000 |
1.000000000000 |
1994 |
112602260002 |
R000005 |
|
Fluoroscopy Unit |
IDR |
|
0.000000000000 |
1.000000000000 |
4000000.000000000000 |
0.000000000000 |
0.000000000000 |
4000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112602260002 |
|
112602260002 |
|
|
1900-01-01 00:00:00.000000 |
4000000.000000000000 |
0.000000000000 |
ren |
1 |
5639005968 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1013 |
22512180032 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
112 |
22512180032 |
D000010 |
|
Konsultasi Dokter Anak |
IDR |
|
0.000000000000 |
1.000000000000 |
70000.000000000000 |
0.000000000000 |
0.000000000000 |
70000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180032 |
|
22512180032 |
|
|
1900-01-01 00:00:00.000000 |
70000.000000000000 |
0.000000000000 |
ren |
1 |
5639004177 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1014 |
225121900003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
377 |
225121900003 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
225121900003 |
|
225121900003 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004433 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1015 |
32601110001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
659 |
32601110001 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
3.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601110001 |
|
32601110001 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004689 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1016 |
42601150014 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
917 |
42601150014 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
24.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
60000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150014 |
|
42601150014 |
|
|
1900-01-01 00:00:00.000000 |
60000.000000000000 |
0.000000000000 |
ren |
1 |
5639004945 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1017 |
2260123000010 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1178 |
2260123000010 |
D000014 |
|
Konsultasi Dokter Spesialis Saraf |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000010 |
|
2260123000010 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005201 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1018 |
226012300046 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1434 |
226012300046 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226012300046 |
|
226012300046 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005457 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1019 |
520260124-000028 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1690 |
520260124-000028 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000028 |
|
520260124-000028 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005713 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1020 |
112602270001 |
2026-02-27 06:26:34.000000 |
1.000000000000 |
1995 |
112602270001 |
R000010 |
|
Mammografi |
IDR |
|
0.000000000000 |
1.000000000000 |
3000000000.000000000000 |
0.000000000000 |
0.000000000000 |
3000000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112602270001 |
|
112602270001 |
|
|
1900-01-01 00:00:00.000000 |
3000000000.000000000000 |
0.000000000000 |
ren |
1 |
5639005969 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |