Tarif Radiologi

  2. Master Data
  3. Tarif
  4. Tarif Radiologi

Total data 211 Tarif Radiologi

Tambah
No Item Pemeriksaan Tarif Actions
1 Thorax 72,000
2 Clavicula 95,000
3 Scapula 72,000
4 Sendi Bahu 72,000
5 Humerus (Lengan Atas) 95,000
6 Sendi Siku 95,000
7 Antebrachium 95,000
8 Pergelangan Tangan 95,000
9 Tangan (Manus) 95,000
10 Femur 95,000
11 Lutut (Knee Joint) 95,000
12 Cruris 95,000
13 Thorax PA 72,000
14 Pedis 95,000
15 Thoracal Lumbal AP / Lateral 250
16 V.Cervical 95,000
17 V.Thoracal 95,000
18 V.Lumbal 95,000
19 V.Seralis 95,000
20 Abdomen 72,000
21 Pelvis 72,000
22 manus dextra AP / obligh 48,000
23 Ankle Joint Dextra AP/ Lateral 95
24 Ultra Sonografi (USG) 96,000
25 Bone Survey 900,000
26 IVP 600,000
27 Colon Inlop 540,000
28 CMD 540,000
29 USG Massa 180
30 Uretrocystografi 480,000
31 Fistulografi 480,000
32 HSG 480,000
33 BNO 72,000
34 Ankle Joint Sinistra AP/Lateral 72,000
35 Nasal Lateral 48,000
36 Mastoid 48,000
37 TM Joint 60,000
38 Mandibula 60,000
39 Cervical 60,000
40 SPN (Sinus Paranasal) 48,000
41 Orbita 54,000
42 Esophagografi 145,200
43 USG Scrotum dan Testis 300,000
44 Hip Joint 75
45 Lopografi 300,000
46 USG KUB 250
47 Schedel AP / Lateral 150,000
48 Cholangiografi 300,000
49 RPG (Retrograde Pyelografi) 240,000
50 APG (Antegrade Pyelografi) 396,000
51 Dacriografi 1 Mata 323,400
52 ERCP 420,000
53 usg apendiks 150
54 C-ARM 84,000
55 Myelografi-Cervical 384,000
56 Myelografi-Thoracalis 384,000
57 Myelografi-Lumbalis 384,000
58 elbow joint 72
59 Ductulografi 360,000
60 Sialografi 240,000
61 Phlebografi 450,000
62 Eco Cardiografi 120,000
63 EEG 480,000
64 Endoscopy 480,000
65 Kolonoscopy 480,000
66 Shoulder Joint Dextra Ap/ Lateral 130,000
67 Anuscopy 300,000
68 Dopler 26,400
69 USG Payudara/Mammae 300,000
70 Genu Dextra AP / Lateral 130,000
71 Facial Bone Ap / Lateral 150
72 USG Thorax 250,000
73 USG Kranial Pediatrik 320,000
74 USG Leher 300,000
75 Genu Sinistra Ap/ Lateral 130,000
76 USG Abdomen Bawah/Ginjal Buli 250,000
77 USG Testis/Skrotal 300,000
78 USG Lengan 129,600
79 USG Bahu 129,600
80 USG Soft Tissue/Tumor 280,000
81 USG Whole Abdomen 400,000
82 USG Guiding/Operasi 153,600
83 USG Ginjal 150,000
84 USG Gynecology Trans Abdomen 144,000
85 USG Bayi 126,000
86 USG Bayi+Dopler 144,000
87 USG Bayi 4D 180,000
88 USG Doppler Sederhana 180,000
89 Wrist Joint Sinistra PA/ Lateral 130
90 USG Transvaginal 960,000
91 USG Muskuloskeletal Ka/Ki 300,000
92 USG Muskuloskeletal Ka+Ki 550,000
93 CT Scan Kepala Tanpa Kontras 504,000
94 CT Scan Cervical Tanpa Kontras 298,800
95 CT Scan Kepala Axial dan coronal Tanpa Kontras 360,000
96 CT Scan Sinus Coronal Tanpa Kontras 240,000
97 Baby Gram 100
98 CT Scan Mastoid Axial dan Coronal Tanpa Kontras 360,000
99 Abdomen Erect/LLD 72,000
100 CT Scan Larynx Axial dan Coronal Tanpa Kontras 600,000
101 CT Scan Maxilla Axial dan Coronal Tanpa Kontras 480,000
102 CT Scan Orbita Tanpa Kontras 480,000
103 SCT Scan Oropharynx Tanpa Kontras 360,000
104 CT Scan Mandibula Tanpa Kontras 360,000
105 CT Scan Lumbalis Tanpa Kontras 360,000
106 CT Scan Femur Tanpa Kontras 360,000
107 CT Scan Kaki Tanpa Kontras 360,000
108 CT Scan Elbow Tanpa Kontras 360,000
109 CT Scan Angkle Tanpa Kontras 360,000
110 CT Scan Abdomen Tanpa Kontras 480,000
111 CT Scan Pelvis Tanpa Kontras 480,000
112 CT Scan Pelvis + Abdomen Tanpa Kontras 480,000
113 CT Scan Kepala Dengan Kontras 660,000
114 CT Scan Cervical dengan Kontras 943,200
115 CT Scan Kepala Axial dengan Kontras 780,000
116 CT Scan Sinus Coronal dengan Kontras 780,000
117 CT Scan Axial Coronal dengan Kontras 780,000
118 CT Scan Mastoid Axial dan Coronal dengan Kontras 780,000
119 CT Scan Nasopharynx dengan Kontras 780,000
120 CT Scan Larynx Axial dan Coronal dengan Kontras 780,000
121 CT Scan Maxilla Axial dan Coronal dengan Kontras 780,000
122 CT Scan Orbita dengan Kontras 780,000
123 CT Scan O ropharynx dengan Kontras 780,000
124 CT Scan Mandibula dengan Kontras 780,000
125 CT Scan Lumbalis denganKontras 780,000
126 CT Scan Femur dengan Kontras 780,000
127 CT Scan Kaki dengan Kontras 780,000
128 CT Scan Abdomen dengan Kontras 780,000
129 CT Scan Abdomen Pelvis dengan Kontras 780,000
130 CT Scan Thorax dengan Kontras 780,000
131 CTTB 360,000
132 Cranium PA 150,000
133 Cranium PA+Lat 220,000
134 Sella Tursica 180,000
135 Mastoid 180,000
136 Maxilla 180,000
137 Mandibula (Eisler) 180,000
138 NasalBone 150,000
139 Orbita 180,000
140 Foramen Opticum (Rhese) 150,000
141 OsPetrosum 150,000
142 T.M.J (Temporo Mandibull) 340,000
143 OsZygomaticum 180,000
144 Manus 130,000
145 Manus Bilateral 250,000
146 Humerus 140,000
147 Humerus Bilateral 260,000
148 Antebrachii 150,000
149 Antebrachii Bilateral 280,000
150 Artic.Cubiti (CubitiArt) 150,000
151 Artic.Cubiti Bilateral 280,000
152 Shoulder Joint 130,000
153 Shoulder Joint Bilateral 250,000
154 Clavicula 130,000
155 Clavicula Bilateral 250,000
156 Scapula 150,000
157 Scapula Bilateral 280,000
158 Pelvis AP 130,000
159 Femur 130,000
160 Femur Bilateral 250,000
161 Cruris 135,000
162 Cruris Bilateral 260,000
163 Pedis 130,000
164 Pedis Bilateral 250,000
165 Digiti 130,000
166 Digiti Bilateral 250,000
167 Ankle 130,000
168 Ankle Bilateral 250,000
169 Vert.Cervicalis 195,000
170 Vert.Cervicalis Ap+Lat+O 250,000
171 Vert.Cervicalis Ap+Lateral 225,000
172 Vert.Cervicothoracal Ap 195,000
173 Vert.Thoracalis Ap 195,000
174 Vert.Thoracolumbalis Ap 250,000
175 Vert.Lumbosacral Ap 195,000
176 Vert.Lumbosacral Ap+Lat 250,000
177 Vert.Lumbosacral Ap+Lat&O 300,000
178 Vert.Sacral/Coccyx 195,000
179 Bone Age 150,000
180 Bone SurveyI 950,000
181 Thorax AP/PA 140,000
182 Thorax AP+Lateral 195,000
183 Abdomen 3 Position 375,000
184 Abdomen Polos/BNO 145,000
185 Sinus Paranasal 230,000
186 Wrist Joint 130,000
187 S.I.Joint (Ferguson) 260,000
188 Open Mouth Cervical Position 140,000
189 Pillar Cervical Position 130,000
190 Sternum & Costa 230,000
191 Pelvis Lateral 130,000
192 Pelvis Oblique 130,000
193 Frog Lateral 130,000
194 Groin Lateral 130,000
195 Carpal Tunnel Projection 150,000
196 Cystography 840,000
197 Thorax Lateral 130,000
198 Top Lordotik 130,000
199 BNO+IVP 1,050,000
200 Artic.Genu 130,000
201 Artic.Genu Bilateral 250,000
202 Genu Axial Sunrise/Sky Line Patella 145,000
203 abdomensupine 72
204 USG UPPER+LOWER ABDOMEN 500,000
205 USG TIROID 0
206 SKULL/SCHEDEL 0
207 USG Abdomen Atas 250,000
208 USG Prostat 0
209 saya 1,000
210 Wrist Joint Dextra PA/ Lateral 130
211 Manus Sinitra PA /Obligh 130