Alamat :
Jalan Sunter Permai Raya, Jakarta utara 14340 Indonesia
Email :
rspiss.info@gmail.com
No. Telepon :
(021) 6506559

Tarif Layanan

No. Jenis Pelayanan Satuan Tarif
1Rawat Inap  
1.1AkomodasiPerhari 126,000.00
1.2Visite/KonsulPerhari 72,000.00
1.3Asuhan keperawatanPerhari 28,000.00
2Tindakan Medis Non Operatif Rawat Inap  
2.1KecilPer Tindakan23,000.00sd153,000.00
2.2sedangPer Tindakan101,000.00sd600,000.00
2.3besarPer Tindakan531,000.00sd1,000,000.00
3Poliklinik Rawat Jalan  
3.1Poli Penyakit Dalam  
3.1.1Tindakan Medis Non Operatif  
3.1.1.1kecilPer Tindakan20,000.00sd80,000.00
3.1.1.2sedangPer Tindakan120,000.00sd540,000.00
3.1.1.3besarPer Tindakan599,000.00sd3,600,000.00
3.2Poli Bedah  
3.2.1Tindakan Medis Non Operatif  
3.2.1.1kecilPer Tindakan20,000.00sd139,000.00
3.2.1.2sedangPer Tindakan158,000.00sd573,000.00
3.2.1.3besarPer Tindakan500,000.00sd648,000.00
3.2.1.4SedangPer Tindakan105,000.00sd331,000.00
3.3Poli Anak  
3.3.1Tindakan Medis Non Operatif  
3.3.1.1kecilPer Tindakan20,000.00sd166,000.00
3.4Poli Kebidanaan  
3.4.1Tindakan Medis Non Operatif  
3.4.1.1KecilPer Tindakan20,000.00sd142,000.00
3.4.1.2SedangPer Tindakan180,000.00sd485,000.00
3.5Poli Paru  
3.5.1Tindakan Medis Non Operatif  
3.5.1.1KecilPer Tindakan17,000.00sd270,000.00
3.5.1.2SedangPer Tindakan150,000.00sd2,543,000.00
3.5.1.3KhususPer Tindakan13,000.00sd719,000.00
3.6Poli THT  
3.6.1Mulut dan Leher  
3.6.1.1Tindakan Medis Non Operatif  
3.6.1.1.1KecilPer Tindakan9,000.00sd75,000.00
3.6.1.1.2SedangPer Tindakan110,000.00sd456,000.00
3.6.1.1.3BesarPer Tindakan450,000.00sd597,000.00
3.6.2Hidung  
3.6.2.1Tindakan Medis Non Operatif  
3.6.2.1.1KecilPer Tindakan53,000.00sd99,000.00
3.6.2.1.2SedangPer Tindakan100,000.00sd456,000.00
3.6.3Telinga  
3.6.3.1Tindakan Medis Non Operatif  
3.6.3.1.1KecilPer Tindakan42,000.00sd456,000.00
3.6.3.1.2SedangPer Tindakan150,000.00sd457,000.00
3.7Poli Kulit dan Kelamin  
3.7.1Tindakan Medis Non Operatif  
3.7.1.1KecilPer Tindakan20,000.00sd125,000.00
3.7.1.2SedangPer Tindakan200,000.00sd561,000.00
3.7.1.3BesarPer Tindakan540,000.00sd840,000.00
3.7.2Bedah Listrik Tindakan Medis Operatif  
3.7.2.1KecilPer Tindakan 100,000.00
3.7.2.2SedangPer Tindakan 200,000.00
3.7.2.3BesarPer Tindakan 250,000.00
3.7.3Bedah Beku Tindakan Medis Operatif  
3.7.3.1KecilPer Tindakan 100,000.00
3.7.3.2SedangPer Tindakan 200,000.00
3.7.3.3BesarPer Tindakan 250,000.00
3.7.4Bedah Kimia Tindakan Medis Operatif  
3.7.4.1KecilPer Tindakan89,000.00sd125,000.00
3.7.4.2SedangPer Tindakan150,000.00sd200,000.00
3.7.4.3BesarPer Tindakan270,000.00sd414,000.00
3.8Poli Syaraf  
3.8.1Tindakan Medis Non Operatif  
3.8.1.1KecilPer Tindakan20,000.00sd161,000.00
3.8.1.2SedangPer Tindakan202,000.00sd400,000.00
3.9Poli Gigi  
3.9.1Tindakan Medis Non Operatif  
3.9.1.1KecilPer Tindakan20,000.00sd263,000.00
3.9.1.2SedangPer Tindakan240,000.00sd363,000.00
3.9.1.3BesarPer Tindakan540,000.00sd1,200,000.00
3.10Poli Gizi Klinik  
3.10.1Tindakan Medis Non Operatif  
3.10.1.1Pemeriksaan FisikPer Tindakan 20,000.00
3.10.1.2Paket KonsultasiPer Tindakan 40,000.00
3.10.1.3NutriclinPer Tindakan 48,000.00
3.10.1.4SkinfoldPer Tindakan 48,000.00
3.10.1.5Bio Impedant Analise ( BIA )Per Tindakan 120,000.00
3.10.1.6Food ProcessorPer Tindakan 120,000.00
4Poli Mata  
4.1Tindakan Medis Non Operatif  
4.1.1KecilPer Tindakan12,000.00sd131,000.00
4.1.2SedangPer Tindakan168,000.00sd456,000.00
4.1.3BesarPer Tindakan480,000.00sd648,000.00
5Poli Sore  
5.1Pemeriksaan FisikPer Tindakan 80,000.00
5.2USG Whole Abdomen NormalPer Tindakan 250,000.00
5.3USG OrganPer Tindakan 250,000.00
6ICU/PICU/NICU  
6.1Tindakan Medis Non Operatif  
6.1.1KecilPer Tindakan31,000.00sd219,000.00
6.1.2SedangPer Tindakan259,000.00sd627,000.00
6.1.3BesarPer Tindakan500,000.00sd4,487,000.00
6.2Akomodasi ICU/PICU/NICUPer Hari 1,326,000.00
6.3Visite/Konsul ICU/NICU/PICUPerkunjugan 120,000.00
6.4Askep ICU/PICU/NICUPer Hari 120,000.00
7HCU  
7.1AkomodasiPer Hari 199,000.00
7.2Visite/Konsul HCUPerkunjugan 84,000.00
7.3Askep HCUPer Hari 36,000.00
8Perinatologi  
8.1Akomodasi PerinatologiPer Hari 259,000.00
8.2Visite/Konsul PerinatologiPerkunjugan 110,000.00
8.3Askep PerinatologiPer Hari 47,000.00
9Isolasi Umum  
9.1Akomodasi Isolasi UmumPer Hari 239,000.00
9.2Visite/Konsul Isoloasi UmumPerkunjugan 101,000.00
9.3Askep Isoloasi UmumPer Hari 44,000.00
10Isolasi Ketat  
10.1Akomodasi Isolasi KetatPer Hari 796,000.00
10.2Visite/Konsul/Isolasi KetatPerkunjugan 336,000.00
10.3Askep Isolasi KetatPer Hari 144,000.00
11Rehabilitasi Medis Rawat Jalan  
11.1Tindakan Rehab MedisPer Tindakan27,000.00sd540,000.00
11.2Tindakan FisioterapiPer Tindakan6,000.00sd132,000.00
11.3Tindakan Okupasi TerapiPer Tindakan27,000.00sd33,000.00
11.4Tindakan PsikologiPer Tindakan27,000.00sd198,000.00
12Tindakan IRD  
12.1Tindakan Medis Non Medis Operatif  
12.1.1KecilPer Tindakan20,000.00sd155,000.00
12.1.2SedangPer Tindakan138,000.00sd462,000.00
12.1.3BesarPer Tindakan440,000.00sd1,980,000.00
12.2Pemerikasaan DokterPerkunjugan 14,000.00
12.3Konsul  
12.3.1Pada Jam kerjaPerkunjugan 18,000.00
12.3.2Di luar jam kerjaPerkunjugan 27,000.00
12.4One Day Care  
12.4.1Tindakan MedisPer Tindakan 120,000.00
12.4.2AkomodasiPer Hari 66,000.00
12.4.3VisitePer Hari 34,000.00
12.4.4Asuhan KeperawatanPer Hari 15,000.00
13Layanan Penunjang Medis  
13.1Tarif Tindakan Radiologi ( Tarif Non Kelas )  
13.1.1RadiologiPer Tindakan100,000.00sd2,254,000.00
13.1.2Foto Ekstremitas Atas 2 posisiPer Tindakan143,000.00sd150,000.00
13.1.3Foto Tulang Belakang 2 posisiPer Tindakan100,000.00sd285,000.00
13.1.4CT Scan Tanpa KontrasPer Tindakan901,000.00sd2,854,000.00
13.1.5Pemeriksaan USGPer Tindakan150,000.00sd451,000.00
13.2Tarif Laboraturium  
13.2.1HematologiPer Tindakan18,000.00sd71,000.00
13.2.2FesesPer Tindakan23,000.00sd32,000.00
13.2.3UrinalisaPer Tindakan23,000.00sd33,000.00
13.2.4Kimia Darah DiabetesPer Tindakan23,000.00sd168,000.00
13.2.5Kimia Darah Fungsi GinjalPer Tindakan20,000.00sd47,000.00
13.2.6Kimia Darah Fungsi HatiPer Tindakan18,000.00sd53,000.00
13.2.7Kimia Darah LemakPer Tindakan28,000.00sd47,000.00
13.2.8Kimia Darah Kimia LainPer Tindakan23,000.00sd180,000.00
13.2.9Immunisero HepatitisPer Tindakan100,000.00sd294,000.00
13.2.10Immunosero TorchPer Tindakan324,000.00sd394,000.00
13.2.11Immunosero LainPer Tindakan29,000.00sd925,000.00
13.2.12Analisa Cairan TubuhPer Tindakan140,000.00sd315,000.00
13.2.13MikrobiologiPer Tindakan34,000.00sd490,000.00
13.2.14HematologiPer Tindakan32,000.00sd525,000.00
13.2.15PCRPer Tindakan1,348,000.00sd2,042,000.00
13.2.16Extrasi DNAPer Tindakan245,000.00sd350,000.00
13.2.17PCR/ESI-MSPer Tindakan7,705,000.00sd10,507,000.00
14Medical Check Up ( MCU )  
14.1Paket Hemat IPer Paket 159,000.00
14.2Paket Hemat IIPer Paket 223,000.00
14.3Paket Hemat IIIPer Paket 388,000.00
14.4Paket Standar IPer Paket 512,000.00
14.5Paket Standar IIPer Paket 674,000.00
14.6Paket Standar IIIPer Paket 774,000.00
14.7Paket NarkobaPer Paket 200,000.00
14.8Paket PMSPer Paket 725,000.00
14.9Paket Haji/UmrohPer Paket 1,233,000.00
14.10Paket Pra NikahPer Paket 1,638,000.00
14.11Paket Pelaut 2,006,000.00
15HemodialisaPer Tindakan400,000.00sd1,200,000.00
16Instalasi Bedah Sentral  
16.1Tindakan Medis Operatif  
16.1.1KecilPer Tindakan613,000.00sd4,093,000.00
16.1.2SedangPer Tindakan3,973,000.00 
16.1.3BesarPer Tindakan45,000,000.00sd5,835,000.00
16.2IBS Kebidanan  
16.2.1Tindakan Medis Operatif  
16.2.1.1KhususPer Tindakan5,835,000.00sd10,323,000.00
16.3IBS Orthopedi  
16.3.1 Tindakan Medis Operatif  
16.3.1.1KecilPer Tindakan938,000.00sd4,943,000.00
16.3.1.2SedangPer Tindakan3,377,000.00sd6,048,000.00
16.3.1.3BesarPer Tindakan4,341,000.00sd8,276,000.00
16.3.1.4KhususPer Tindakan6,810,000.00sd20,430,000.00
17IBS Mata  
17.1Tindakan Medis Operatif  
17.1.1KecilPer Tindakan540,000.00sd3,177,000.00
17.1.2SedangPer Tindakan3,500,000.00sd3,973,000.00
17.1.3BesarPer Tindakan4,500,000.00sd5,108,000.00
17.1.4KhususPer Tindakan6,810,000.00sd21,566,000.00
18IBS THT  
18.1Tindakan Medis OperatifPer Tindakan  
18.1.1KecilPer Tindakan1,703,000.00sd2,838,000.00
18.1.2SedangPer Tindakan3,377,000.00sd7,151,000.00
18.1.3BesarPer Tindakan4,500,000.00sd13,500,000.00
18.1.4KhususPer Tindakan5,788,000.00sd15,323,000.00
19Bedah Umum Anak  
19.1Tindakan Medis Operatif  
19.1.1KecilPer Tindakan600,000.00sd2,667,000.00
19.1.2BesarPer Tindakan4,341,000.00sd5,250,000.00
20IBS Digestif  
20.1Tindakan Medis Operatif  
20.1.1KecilPer Tindakan681,000.00sd2,667,000.00
20.1.2SedangPer Tindakan 3,973,000.00
20.1.3BesarPer Tindakan 5,108,000.00
20.1.4KhususPer Tindakan2,213,000.00sd20,430,000.00
21IBS Onkologi  
21.1Tindakan Medis Operatif  
21.1.1KecilPer Tindakan540,000.00sd1,476,000.00
21.1.2SedangPer Tindakan2,459,000.00sd3,973,000.00
21.1.3BesarPer Tindakan4,341,000.00sd5,108,000.00
21.1.4KhususPer Tindakan5,789,000.00sd13,620,000.00
22IBS Urologi  
22.1Tindakan Medis Operatif  
22.1.1KecilPer Tindakan613,000.00sd2,667,000.00
22.1.2SedangPer Tindakan2,975,000.00sd4,093,000.00
22.1.3BesarPer Tindakan4,341,000.00sd5,108,000.00
23IBS Vaskuler  
23.1Tindakan Medis Operatif  
23.1.1KecilPer Tindakan 2,667,000.00
23.1.2SedangPer Tindakan 4,341,000.00
24Bedah Umum   
24.1Tindakan Medis Operatif  
24.1.1SedangPer Tindakan2,667,000.00sd3,973,000.00
25IBS Gigi dan Mulut  
25.1Tindakan Medis Operatif  
25.1.1KecilPer Tindakan 3,377,000.00
25.1.2SedangPer Tindakan 4,341,000.00
26Tarif Bedah Plastik  
26.1Tindakan Medis Operatif  
26.1.1SedangPer Tindakan3,377,000.00sd3,973,000.00
26.1.2BesarPer Tindakan4,341,000.00sd5,108,000.00
27Penggunaan Ambulance  
27.1Tarif DasarPer 30 KM 200,000.00
27.2Tarif Luar Kota di tambah tarif dasarPer KM 10,000.00
28Tindakan Instalasi Pemulasaran Jenazah  
28.1Sertifikat Medis Penyebab KematianPer Surat 50,000.00
28.2Muslim Laki-lakiPer Tindakan400,000.00sd750,000.00
28.3Muslim PerempuanPer Tindakan400,000.00sd850,000.00
28.4Non Muslim Laki-lakiPer Tindakan400,000.00sd450,000.00
28.5Non Muslim PerempuanPer Tindakan400,000.00sd450,000.00
28.6Perawatan JenazahPer Tindakan93,000.00sd928,000.00
28.7Rumah DukaPer Paket5,000,000.00sd6,000,000.00
28.8Mobil JenazahPer Wilayah371,000.00sd928,000.00
29Pendidikan dan Latihan  
29.1Praktek Klinik Keperawatan dan PKL  
29.1.1Pendidikan S 1Per Orang/hari25,000.00sd50,000.00
29.1.2Pendidikan D-IVPer Orang/hari20,000.00sd30,000.00
29.1.3Pendidikan D-IIIPer Orang/hari20,000.00sd50,000.00
29.2Pelaksanaan Ujian PraktekPer Orang/hari50,000.00sd80,000.00
29.3Orientasi dan Studi BandingPer Orang/hari100,000.00sd2,000,000.00
29.4Pelatihan Skill LabPer Orang/hari125,000.00sd140,000.00
30Pengunaan sarana dan Prasarana  
30.1 Ruang Kuliah/Ruang PelatihanPer Ruangan300,000.00sd750,000.00
30.2 LCDPer hari (max 6 jam) 250,000.00
30.3 ScreenPer hari (max 8 jam) 100,000.00