| No |
Jenis Pelayanan |
Tarif |
| 1 |
ICU/ICU Anak |
300.000 |
| 2 |
HDU/RR |
255.000 |
| 3 |
Isolasi |
290.000 |
| 4 |
Perinatologi |
50.000 |
| 5 |
Lama |
100.000 |
| 6 |
Baru |
75.000 |
| 7 |
Paru Intensive |
255.000 |
| 8 |
UTM - L |
120.000 |
| 9 |
UTM - B |
155.000 |
| 10 |
ICCU |
300.000 |
Kelas 2
| No |
Jenis Pelayanan |
Tarif |
| 1 |
- |
50.000 |
| 2 |
ICU/ICU Anak |
255.000 |
| 3 |
HDU/RR |
210.000 |
| 4 |
Isolasi |
290.000 |
| 5 |
Perinatologi |
50.000 |
| 6 |
Paru Intensive |
255.000 |
| 7 |
ICCU |
255.000 |
| 8 |
ODC |
75.000 |
Kelas 3
| No |
Jenis Pelayanan |
Tarif |
| 1 |
- |
40.000 |
| 2 |
ICU/ICU Anak |
255.000 |
| 3 |
HDU/RR |
210.000 |
| 4 |
Isolasi |
255.000 |
| 5 |
Perinatologi |
40.000 |
| 6 |
Paru Intensive |
255.000 |
| 7 |
ICCU |
255.000 |
Kelas VIP
| No |
Jenis Pelayanan |
Tarif |
| 1 |
ICU/ICU Anak |
335.000 |
| 2 |
HDU/RR |
300.000 |
| 3 |
Isolasi |
290.000 |
| 4 |
Perinatologi |
50.000 |
| 5 |
Lama |
150.000 |
| 6 |
Baru |
290.000 |
| 7 |
Paru Intensive |
255.000 |
| 8 |
ICCU |
335.000 |
| 9 |
SVIP |
300.000 |
| 10 |
PLUS |
200.000 |
Kelas RR
| No |
Jenis Pelayanan |
Tarif |
| 1 |
- |
210.000 |
Kelas STR
| No |
Jenis Pelayanan |
Tarif |
| 1 |
Isolasi |
210.000 |
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