{"id":7997,"date":"2023-06-19T23:40:15","date_gmt":"2023-06-19T23:40:15","guid":{"rendered":"https:\/\/pkmtanjungsarinatar.lampungselatankab.go.id\/?page_id=7997"},"modified":"2023-06-21T15:50:55","modified_gmt":"2023-06-21T15:50:55","slug":"tarif-layanan","status":"publish","type":"page","link":"https:\/\/pkmtanjungsarinatar.lampungselatankab.go.id\/?page_id=7997","title":{"rendered":"TARIF LAYANAN"},"content":{"rendered":"\n

Tarif Layanan mengikuti Peraturan Daerah Kabupaten Lampung Selatan Nomor 2 Tahun 2017 Tentang Perubahan Atas Peraturan Daerah Kabupaten Lampung Selatan Nomor 15 Tahun 2011 Tentang Retribusi Pelayanan Kesehatan<\/p>\n\n\n

\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
NO<\/strong><\/td>\nNAMA TINDAKAN<\/strong><\/td>\nTARIF<\/strong><\/td>\n<\/tr>\n
1<\/td>\nGawat darurat : Incisi\/eksisi absces pertindkan<\/td>\n45.000<\/td>\n<\/tr>\n
2<\/td>\nGawat darurat : Jahitan (heachting) per 1 (satu) jahitan<\/td>\n20.000<\/td>\n<\/tr>\n
3<\/td>\nGawat darurat : Keracunan\/kumbah lambung<\/td>\n75.000<\/td>\n<\/tr>\n
4<\/td>\nGawat darurat : Luka bakar berat (>25%)<\/td>\n70.000<\/td>\n<\/tr>\n
5<\/td>\nGawat darurat : Luka Bakar ringan (1-15%)<\/td>\n45.000<\/td>\n<\/tr>\n
6<\/td>\nGawat darurat : Luka bakar sedang (16-25%)<\/td>\n55.000<\/td>\n<\/tr>\n
7<\/td>\nGawat darurat : Luka ringan (tanpa jahitan)<\/td>\n10.000<\/td>\n<\/tr>\n
8<\/td>\nGawat darurat : Oksigen \/ strip<\/td>\n13.000<\/td>\n<\/tr>\n
9<\/td>\nGawat darurat : Pemasangan ETT<\/td>\n70.000<\/td>\n<\/tr>\n
10<\/td>\nGawat darurat : Vena Sectio<\/td>\n200.000<\/td>\n<\/tr>\n
11<\/td>\nGigi & Mulut : Cabut gigi susu<\/td>\n25.000<\/td>\n<\/tr>\n
12<\/td>\nGigi & Mulut : Cabut Gigi Susu Dengan Komplikasi<\/td>\n60.000<\/td>\n<\/tr>\n
13<\/td>\nGigi & Mulut : Cabut gigi tetap<\/td>\n60.000<\/td>\n<\/tr>\n
14<\/td>\nGigi & Mulut : Cabut Gigi tetap dengan komplikasi<\/td>\n150.000<\/td>\n<\/tr>\n
15<\/td>\nGigi & Mulut : insisi \/ kuretase intra oral<\/td>\n100.000<\/td>\n<\/tr>\n
16<\/td>\nGigi & Mulut : Kontrol pasca tindakan<\/td>\n25.000<\/td>\n<\/tr>\n
17<\/td>\nGigi & Mulut : Pembersihan karang gigi per-rahang<\/td>\n100.000<\/td>\n<\/tr>\n
18<\/td>\nGigi & Mulut : Penambalan gigi<\/td>\n75.000<\/td>\n<\/tr>\n
19<\/td>\nGigi & Mulut : Pengisian saluran akar gigi sulung<\/td>\n100.000<\/td>\n<\/tr>\n
20<\/td>\nGigi & Mulut : Pengisian saluran akar gigi tetap<\/td>\n100.000<\/td>\n<\/tr>\n
21<\/td>\nGigi & Mulut : Perawatan saluran akar gigi dan pulpa per-kunjungan<\/td>\n80.000<\/td>\n<\/tr>\n
22<\/td>\nGigi & Mulut : Reposisi dislokkasi sendi mandibula<\/td>\n100.000<\/td>\n<\/tr>\n
23<\/td>\nGigi & Mulut : Tambalan amalgam\/silikat\/ART<\/td>\n120.000<\/td>\n<\/tr>\n
24<\/td>\nGigi & Mulut : Tambalan sinar per-sisi<\/td>\n100.000<\/td>\n<\/tr>\n
25<\/td>\nGigi & Mulut : Tindakan insisi abses<\/td>\n150.000<\/td>\n<\/tr>\n
26<\/td>\nGigi & Mulut : Tumpatan sementara<\/td>\n25.000<\/td>\n<\/tr>\n
27<\/td>\nHaji : Jasa tim pemeriksa kesehatan haji<\/td>\n25.000<\/td>\n<\/tr>\n
28<\/td>\nHaji : Jasa vaksinasi meningitis dan influenza<\/td>\n25.000<\/td>\n<\/tr>\n
29<\/td>\nHaji : Pelacakan kartu kesehatan jamaah haji (K3-JH)<\/td>\n15.000<\/td>\n<\/tr>\n
30<\/td>\nHaji : Rekomendasi dan kelengkapan buku kesehatan jamaah haji (BKJH)<\/td>\n15.000<\/td>\n<\/tr>\n
31<\/td>\nHematologi : Darah Lengkap<\/td>\n50.000<\/td>\n<\/tr>\n
32<\/td>\nHematologi : Diff Count ( Lym, mon, gra )<\/td>\n15.000<\/td>\n<\/tr>\n
33<\/td>\nHematologi : Gol Darah<\/td>\n10.000<\/td>\n<\/tr>\n
34<\/td>\nHematologi : Hematokrit ( HCG )<\/td>\n15.000<\/td>\n<\/tr>\n
35<\/td>\nHematologi : Hemoglobin (HGB )<\/td>\n15.000<\/td>\n<\/tr>\n
36<\/td>\nHematologi : Hitung Jumlah Eritrosit ( RBC )<\/td>\n15.000<\/td>\n<\/tr>\n
37<\/td>\nHematologi : Hitung Jumlah Leokosit ( WBC )<\/td>\n15.000<\/td>\n<\/tr>\n
38<\/td>\nHematologi : LED<\/td>\n15.000<\/td>\n<\/tr>\n
39<\/td>\nHematologi : Masa Pembekuan<\/td>\n15.000<\/td>\n<\/tr>\n
40<\/td>\nHematologi : Masa Pendarahan<\/td>\n15.000<\/td>\n<\/tr>\n
41<\/td>\nHematologi : MCH<\/td>\n15.000<\/td>\n<\/tr>\n
42<\/td>\nHematologi : MCHC<\/td>\n15.000<\/td>\n<\/tr>\n
43<\/td>\nHematologi : MCV<\/td>\n15.000<\/td>\n<\/tr>\n
44<\/td>\nHematologi : Pembendungn ( Rumple Leed )<\/td>\n15.000<\/td>\n<\/tr>\n
45<\/td>\nHematologi : S. Gravity<\/td>\n15.000<\/td>\n<\/tr>\n
46<\/td>\nJenazah : Memandikan jenazah<\/td>\n200.000<\/td>\n<\/tr>\n
47<\/td>\nJenazah : Pembenahan luka mayat Berat (51-100 jahitan)<\/td>\n140.000<\/td>\n<\/tr>\n
48<\/td>\nJenazah : Pembenahan luka mayat Khusus (berantakan)<\/td>\n200.000<\/td>\n<\/tr>\n
49<\/td>\nJenazah : Pembenahan luka mayat Ringan (,20 jahitan)<\/td>\n75.000<\/td>\n<\/tr>\n
50<\/td>\nJenazah : Pembenahan luka mayat Sedang (21-50 jahitan)<\/td>\n120.000<\/td>\n<\/tr>\n
51<\/td>\nKimia Air : Air Raksa<\/td>\n55.000<\/td>\n<\/tr>\n
52<\/td>\nKimia Air : Besi ( Fe )<\/td>\n55.000<\/td>\n<\/tr>\n
53<\/td>\nKimia Air : BOD<\/td>\n250.000<\/td>\n<\/tr>\n
54<\/td>\nKimia Air : Chio Bebas<\/td>\n55.000<\/td>\n<\/tr>\n
55<\/td>\nKimia Air : COD<\/td>\n100.000<\/td>\n<\/tr>\n
56<\/td>\nKimia Air : DO<\/td>\n55.000<\/td>\n<\/tr>\n
57<\/td>\nKimia Air : Florida ( FI )<\/td>\n55.000<\/td>\n<\/tr>\n
58<\/td>\nKimia Air : KesadaHan ( CaCO3 )<\/td>\n55.000<\/td>\n<\/tr>\n
59<\/td>\nKimia Air : Magnesium ( Mg )<\/td>\n55.000<\/td>\n<\/tr>\n
60<\/td>\nKimia Air : Mangan ( Mn )<\/td>\n55.000<\/td>\n<\/tr>\n
61<\/td>\nKimia Air : Natrium ( Na )<\/td>\n55.000<\/td>\n<\/tr>\n
62<\/td>\nKimia Air : Nitrat ( NO3)<\/td>\n55.000<\/td>\n<\/tr>\n
63<\/td>\nKimia Air : Nitrit ( NO2 )<\/td>\n55.000<\/td>\n<\/tr>\n
64<\/td>\nKimia Air : pH<\/td>\n55.000<\/td>\n<\/tr>\n
65<\/td>\nKimia Air : Sianida<\/td>\n55.000<\/td>\n<\/tr>\n
66<\/td>\nKimia Air : Timbal ( Pb )<\/td>\n55.000<\/td>\n<\/tr>\n
67<\/td>\nKimia Air : TSS<\/td>\n55.000<\/td>\n<\/tr>\n
68<\/td>\nKimia Air : Zat Organik ( Kmn )<\/td>\n55.000<\/td>\n<\/tr>\n
69<\/td>\nKimia Air – Fisika : Bau<\/td>\n10.000<\/td>\n<\/tr>\n
70<\/td>\nKimia Air – Fisika : Jumlah Zat Pada Terlarut<\/td>\n10.000<\/td>\n<\/tr>\n
71<\/td>\nKimia Air – Fisika : Keruhan ( Sekala NTU )<\/td>\n10.000<\/td>\n<\/tr>\n
72<\/td>\nKimia Air – Fisika : Suhu<\/td>\n10.000<\/td>\n<\/tr>\n
73<\/td>\nKimia Air – Fisika : Warna ( Skala )<\/td>\n10.000<\/td>\n<\/tr>\n
74<\/td>\nKimia Air – Mikrobiologi : Angka Kuman<\/td>\n130.000<\/td>\n<\/tr>\n
75<\/td>\nKimia Air – Mikrobiologi : Kliform \/ Koli Tinja<\/td>\n100.000<\/td>\n<\/tr>\n
76<\/td>\nKimia Klinik : Albumin<\/td>\n30.000<\/td>\n<\/tr>\n
77<\/td>\nKimia Klinik : Alkali Fosfatase<\/td>\n30.000<\/td>\n<\/tr>\n
78<\/td>\nKimia Klinik : Asam Urat<\/td>\n30.000<\/td>\n<\/tr>\n
79<\/td>\nKimia Klinik : Bilirubin D<\/td>\n30.000<\/td>\n<\/tr>\n
80<\/td>\nKimia Klinik : Bilirubin I<\/td>\n30.000<\/td>\n<\/tr>\n
81<\/td>\nKimia Klinik : Globulin<\/td>\n30.000<\/td>\n<\/tr>\n
82<\/td>\nKimia Klinik : Glokose<\/td>\n30.000<\/td>\n<\/tr>\n
83<\/td>\nKimia Klinik : Hba 1C<\/td>\n150.000<\/td>\n<\/tr>\n
84<\/td>\nKimia Klinik : HDL Kolesterol<\/td>\n30.000<\/td>\n<\/tr>\n
85<\/td>\nKimia Klinik : Kreatin<\/td>\n30.000<\/td>\n<\/tr>\n
86<\/td>\nKimia Klinik : LDL Kolesterol<\/td>\n30.000<\/td>\n<\/tr>\n
87<\/td>\nKimia Klinik : SGOT<\/td>\n30.000<\/td>\n<\/tr>\n
88<\/td>\nKimia Klinik : SGPG<\/td>\n30.000<\/td>\n<\/tr>\n
89<\/td>\nKimia Klinik : Total Kolesterol<\/td>\n30.000<\/td>\n<\/tr>\n
90<\/td>\nKimia Klinik : Total Protein<\/td>\n30.000<\/td>\n<\/tr>\n
91<\/td>\nKimia Klinik : Trigieseride<\/td>\n30.000<\/td>\n<\/tr>\n
92<\/td>\nKimia Klinik : Ureum<\/td>\n30.000<\/td>\n<\/tr>\n
93<\/td>\nKlinik – Mikrobiologi : BTA<\/td>\n20.000<\/td>\n<\/tr>\n
94<\/td>\nKlinik – Mikrobiologi : Filaria<\/td>\n20.000<\/td>\n<\/tr>\n
95<\/td>\nKlinik – Mikrobiologi : Kusta<\/td>\n20.000<\/td>\n<\/tr>\n
96<\/td>\nKlinik – Mikrobiologi : Malaria<\/td>\n20.000<\/td>\n<\/tr>\n
97<\/td>\nKlinik – Mikrobiologi : Mycrobakterium Leprae<\/td>\n20.000<\/td>\n<\/tr>\n
98<\/td>\nKlinik – Mikrobiologi : Telor Cacing<\/td>\n20.000<\/td>\n<\/tr>\n
99<\/td>\nLain – lain : EKG<\/td>\n65.000<\/td>\n<\/tr>\n
100<\/td>\nLain – lain : IVA Tes<\/td>\n35.000<\/td>\n<\/tr>\n
101<\/td>\nLain – lain : Krio Terapi<\/td>\n200.000<\/td>\n<\/tr>\n
102<\/td>\nLain – lain : Pap Smear<\/td>\n160.000<\/td>\n<\/tr>\n
103<\/td>\nLain – lain : SHK<\/td>\n65.000<\/td>\n<\/tr>\n
104<\/td>\nLain – lain : USG Dengan Film<\/td>\n750.000<\/td>\n<\/tr>\n
105<\/td>\nLain – lain : USG Tanpa Film<\/td>\n60.000<\/td>\n<\/tr>\n
106<\/td>\nMakmin : Arsenic<\/td>\n180.000<\/td>\n<\/tr>\n
107<\/td>\nMakmin : Benzonat<\/td>\n120.000<\/td>\n<\/tr>\n
108<\/td>\nMakmin : Borax<\/td>\n75.000<\/td>\n<\/tr>\n
109<\/td>\nMakmin : Cianida<\/td>\n180.000<\/td>\n<\/tr>\n
110<\/td>\nMakmin : Formalin<\/td>\n75.000<\/td>\n<\/tr>\n
111<\/td>\nMakmin : Metilin Yellow<\/td>\n120.000<\/td>\n<\/tr>\n
112<\/td>\nMakmin : Petisida<\/td>\n180.000<\/td>\n<\/tr>\n
113<\/td>\nMakmin : Pewarna<\/td>\n75.000<\/td>\n<\/tr>\n
114<\/td>\nMakmin : Rodamin<\/td>\n120.000<\/td>\n<\/tr>\n
115<\/td>\nMedik Legal : Keterangan Medis Ksusus Asuransi<\/td>\n40.000<\/td>\n<\/tr>\n
116<\/td>\nMedik Legal : KIR kesehatan \/ surat keterangan dokter<\/td>\n20.000<\/td>\n<\/tr>\n
117<\/td>\nMedik Legal : Pembuatan kartu calon pengantin (catin)<\/td>\n25.000<\/td>\n<\/tr>\n
118<\/td>\nMedik Legal : Visum et repertum dan keterangan medis<\/td>\n40.000<\/td>\n<\/tr>\n
119<\/td>\nObgyn : Abses \/ Kista bartolin<\/td>\n100.000<\/td>\n<\/tr>\n
120<\/td>\nObgyn : Manual placenta (termasuk obat)<\/td>\n500.000<\/td>\n<\/tr>\n
121<\/td>\nObgyn : Pasang \/ angkat tampon<\/td>\n30.000<\/td>\n<\/tr>\n
122<\/td>\nObgyn : Punksi Kavum Daouglasi<\/td>\n100.000<\/td>\n<\/tr>\n
123<\/td>\nObgyn : Resisutasi BBL<\/td>\n100.000<\/td>\n<\/tr>\n
124<\/td>\nPersalinan : Kuretase<\/td>\n400.000<\/td>\n<\/tr>\n
125<\/td>\nPersalinan : Mini Laparatomi<\/td>\n750.000<\/td>\n<\/tr>\n
126<\/td>\nPersalinan : Paket persalinan dengan penyulit (pervaginam)<\/td>\n900.000<\/td>\n<\/tr>\n
127<\/td>\nPersalinan : Paket pertolongan persalinan normal<\/td>\n840.000<\/td>\n<\/tr>\n
128<\/td>\nPersalinan : Rectal\/vagina tocher\/in speculo<\/td>\n20.000<\/td>\n<\/tr>\n
129<\/td>\nPersalinan : Tubektomi<\/td>\n750.000<\/td>\n<\/tr>\n
130<\/td>\nPersalinan : Vakum ekstrasksi<\/td>\n550.000<\/td>\n<\/tr>\n
131<\/td>\nRanap : Akomodasi perawatan Dewasa \/ anak<\/td>\n150.000<\/td>\n<\/tr>\n
132<\/td>\nRanap : Akomodasi perawatan Perinatalogi (bayi sakit)<\/td>\n140.000<\/td>\n<\/tr>\n
133<\/td>\nRanap : Asuhan Kebidanan<\/td>\n10.000<\/td>\n<\/tr>\n
134<\/td>\nRanap : Asuhan Keperawatan<\/td>\n10.000<\/td>\n<\/tr>\n
135<\/td>\nRanap : Visite dokter spesialis<\/td>\n40.000<\/td>\n<\/tr>\n
136<\/td>\nRanap : Visite dokter umum<\/td>\n20.000<\/td>\n<\/tr>\n
137<\/td>\nRehabilitasi Medik : Accupressure<\/td>\n30.000<\/td>\n<\/tr>\n
138<\/td>\nRehabilitasi Medik : Fisiotrapi dengan alat ( 4 kali Tindakan )<\/td>\n100.000<\/td>\n<\/tr>\n
139<\/td>\nRJ Luar Kabupaten : Pelayanan Paket Rawat Jalan Spesialistik<\/td>\n35.000<\/td>\n<\/tr>\n
140<\/td>\nRJ Luar Kabupaten : Poliklinik gigi\/perkunjungan tanpa tindakan<\/td>\n15.000<\/td>\n<\/tr>\n
141<\/td>\nRJ Luar Kabupaten : Poliklinik KIA-KB\/perkunjungan tanpa tindakan<\/td>\n15.000<\/td>\n<\/tr>\n
142<\/td>\nRJ Luar Kabupaten : Poliklinik umum\/perkunjungan tanpa tindakan<\/td>\n15.000<\/td>\n<\/tr>\n
143<\/td>\nSerologi : Anti HBs<\/td>\n45.000<\/td>\n<\/tr>\n
144<\/td>\nSerologi : Anti HVC<\/td>\n60.000<\/td>\n<\/tr>\n
145<\/td>\nSerologi : ASTRO<\/td>\n45.000<\/td>\n<\/tr>\n
146<\/td>\nSerologi : CRP<\/td>\n45.000<\/td>\n<\/tr>\n
147<\/td>\nSerologi : Dengue IgD \/ IgM<\/td>\n155.000<\/td>\n<\/tr>\n
148<\/td>\nSerologi : Golda<\/td>\n10.000<\/td>\n<\/tr>\n
149<\/td>\nSerologi : Hbs Ag<\/td>\n45.000<\/td>\n<\/tr>\n
150<\/td>\nSerologi : HIV<\/td>\n45.000<\/td>\n<\/tr>\n
151<\/td>\nSerologi : RF ( Rheimuthoid Faktor )<\/td>\n45.000<\/td>\n<\/tr>\n
152<\/td>\nSerologi : Test Kehamilan<\/td>\n20.000<\/td>\n<\/tr>\n
153<\/td>\nSerologi : VDRL ( Syphilis )<\/td>\n30.000<\/td>\n<\/tr>\n
154<\/td>\nSerologi : Widal ( Typoid )<\/td>\n45.000<\/td>\n<\/tr>\n
155<\/td>\nTHT : Belog tampon<\/td>\n90.000<\/td>\n<\/tr>\n
156<\/td>\nTHT : Corpal hidung<\/td>\n90.000<\/td>\n<\/tr>\n
157<\/td>\nTHT : Corpal Mata<\/td>\n90.000<\/td>\n<\/tr>\n
158<\/td>\nTHT : Corpal telinga<\/td>\n90.000<\/td>\n<\/tr>\n
159<\/td>\nTHT : Ekstirpasi corpus alineum<\/td>\n45.000<\/td>\n<\/tr>\n
160<\/td>\nTHT : Irigasi telinga \/ cerumen telinga<\/td>\n50.000<\/td>\n<\/tr>\n
161<\/td>\nTHT : nebulizer \/ inhalasi (tanpa obat)<\/td>\n50.000<\/td>\n<\/tr>\n
162<\/td>\nTHT : Pengobatan Epistaksis<\/td>\n50.000<\/td>\n<\/tr>\n
163<\/td>\nTindakan Medis : Amputasi ringan dengan anastesi<\/td>\n100.000<\/td>\n<\/tr>\n
164<\/td>\nTindakan Medis : Angka jahitan < 5 jahitan<\/td>\n20.000<\/td>\n<\/tr>\n
165<\/td>\nTindakan Medis : Angka jahitan > 5 jahitan<\/td>\n30.000<\/td>\n<\/tr>\n
166<\/td>\nTindakan Medis : Debridement tanpa anastesi (Nacrotommy)<\/td>\n60.000<\/td>\n<\/tr>\n
167<\/td>\nTindakan Medis : Eksisi Keloid , 3 cm<\/td>\n50.000<\/td>\n<\/tr>\n
168<\/td>\nTindakan Medis : Eksisi keloid > 5 cm<\/td>\n100.000<\/td>\n<\/tr>\n
169<\/td>\nTindakan Medis : Ekstirpasi kista ateroma \/ lipoma\/ganglion , < 2 cm<\/td>\n100.000<\/td>\n<\/tr>\n
170<\/td>\nTindakan Medis : Ekstraksi corpus alenium<\/td>\n75.000<\/td>\n<\/tr>\n
171<\/td>\nTindakan Medis : Ekstrasi kuku<\/td>\n60.000<\/td>\n<\/tr>\n
172<\/td>\nTindakan Medis : Injeksi kenacort \/ ganglion<\/td>\n60.000<\/td>\n<\/tr>\n
173<\/td>\nTindakan Medis : Insisi furunkel \/ abses<\/td>\n60.000<\/td>\n<\/tr>\n
174<\/td>\nTindakan Medis : IVFD<\/td>\n25.000<\/td>\n<\/tr>\n
175<\/td>\nTindakan Medis : jahit 1-5<\/td>\n30.000<\/td>\n<\/tr>\n
176<\/td>\nTindakan Medis : Jahit 11-20<\/td>\n80.000<\/td>\n<\/tr>\n
177<\/td>\nTindakan Medis : Jahit 21-40<\/td>\n80.000<\/td>\n<\/tr>\n
178<\/td>\nTindakan Medis : jahit 6-10<\/td>\n45.000<\/td>\n<\/tr>\n
179<\/td>\nTindakan Medis : Jahit > 40<\/td>\n100.000<\/td>\n<\/tr>\n
180<\/td>\nTindakan Medis : Pasang dan atau cabut AKDR \/ IUD<\/td>\n100.000<\/td>\n<\/tr>\n
181<\/td>\nTindakan Medis : Pasang dan atau pencabutan Implan<\/td>\n150.000<\/td>\n<\/tr>\n
182<\/td>\nTindakan Medis : Pasang kateter urine<\/td>\n25.000<\/td>\n<\/tr>\n
183<\/td>\nTindakan Medis : Sirkumsisi \/ sunat<\/td>\n200.000<\/td>\n<\/tr>\n
184<\/td>\nTindakan Medis : Tindik telinga<\/td>\n25.000<\/td>\n<\/tr>\n
185<\/td>\nUrinalisa : Loucocytes<\/td>\n10.000<\/td>\n<\/tr>\n
186<\/td>\nUrinalisa : Analisa Sperma<\/td>\n65.000<\/td>\n<\/tr>\n
187<\/td>\nUrinalisa : Bilirubin<\/td>\n10.000<\/td>\n<\/tr>\n
188<\/td>\nUrinalisa : Blood<\/td>\n10.000<\/td>\n<\/tr>\n
189<\/td>\nUrinalisa : Glukose<\/td>\n10.000<\/td>\n<\/tr>\n
190<\/td>\nUrinalisa : Keton<\/td>\n10.000<\/td>\n<\/tr>\n
191<\/td>\nUrinalisa : Nitrit<\/td>\n10.000<\/td>\n<\/tr>\n
192<\/td>\nUrinalisa : PH<\/td>\n10.000<\/td>\n<\/tr>\n
193<\/td>\nUrinalisa : Protein<\/td>\n10.000<\/td>\n<\/tr>\n
194<\/td>\nUrinalisa : S. Gravity<\/td>\n10.000<\/td>\n<\/tr>\n
195<\/td>\nUrinalisa : Sedimen<\/td>\n10.000<\/td>\n<\/tr>\n
196<\/td>\nUrinalisa : Urine Lengkap<\/td>\n30.000<\/td>\n<\/tr>\n
197<\/td>\nUrinalisa : Urobilinogen<\/td>\n10.000<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>
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Tarif Layanan mengikuti Peraturan Daerah Kabupaten Lampung Selatan Nomor 2 Tahun 2017 Tentang Perubahan Atas Peraturan Daerah Kabupaten Lampung Selatan Nomor 15 Tahun 2011 Tentang Retribusi Pelayanan Kesehatan NO NAMA TINDAKAN TARIF 1 Gawat darurat : Incisi\/eksisi absces pertindkan 45.000 2 Gawat darurat : Jahitan (heachting) per 1 (satu) jahitan 20.000 3 Gawat darurat :<\/p>\n

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