Description Harga

Alat suntik 1 ml 5,000

Alat suntik 10 cc 10,000
Alat suntik 2,5 ml 5,000
Alat suntik 20 cc 10,000
Alat suntik 3 ml 5,000
Alat suntik 5 ml 5,000
Albendazole 400 mg 4,060
Alprazolam 1 mg 12,000
Ambroksol Sirup 7,000
Ambroksol Tablet 3,500
Aminofillin inj. 24 mg/ml 33,450
Aminofillin 200 mg 800
Amitripilin Tablet Salut 25 mg (HCL) 5,000
Amlodipin Tablet 10 mg 7,500
Amlodipin Tablet 5 mg 6,000
Amoksilin syrup kering 125 mg/5ml 6,000
Amoksilin syrup kering forte 8,000
Amoksilin Tablet 500 mg 10,000
Analog insulin long acting 5,000

Analog insulin mix acting 5,000

Antacida DOEN Suspensi 5,000

Antacida DOEN Tablet 2,500
Anti Bakteri DOEN 7,000
Anti Parkinson 15,000
Aqua Pro injeksi 3,500
Asam Asetilsalisilat 100mg 4,000
Asam askorbat 50 mg 2,000
Asam Folat 4,000
Asam Fusidat 8,000
Asam mefenamat 3,000
Asam Tranexamat 20,000
Asering Infus 15,000
Asiklovir 200 mg 5,000
Asiklovir 400 mg 6,000
Atropin inj 4,000
Aximed Foleycatheter 20,000
Bisakodil Suppositoria 5 mg 12,000
Bisoprolol 2,5 mg 6,500
Captopril 12,5 mg 2,500
Captopril 25 mg 3,000
Carbamazepin 200 mg 4,500
catgut 2/0 12,000
catgut 3/0 15,000
Catheter jelly 5,000
Cefadroxil 500 mg 10,000
Cetirizin kapsul 3,500
Cetirizin sirup 5 mg/5ml 4,500
Clobazam Tablet 10 mg 7,000
Deksametason Injeksi 6,000
Deksametason Tablet 0,5 mg 3,000
Demetech Silk 3/0 75 c+jarum 1/2 4,500
Diazepam Injeksi 2 ml 12,000
Diazepam Larutan Rektal 2 mg/ml 15,000
Diazepam Tablet 2 mg 4,500
Difenhidramin Inj. I.V/I.M 10 mg 4,500
Digoksin 0,25 mg 2,500
Diltiazem 30 mg Tablet 2,500
Doksiksiklin Kapsul/Kaplet 10 mg 3,400
Domperidon Tablet 10 mg 6,000
E Care film I.V Dressing 2,500
E care film Surgical Mask Tie On 2,500
Efedrin HCL Tablet 2 mg 3,000
Efineprin Hcl Injeksi 3,000
Eritromisin Sirup 9,000
Etanol 70 % 100 ml 6,000
Ethyl khlorida Semprot 12,000
Fenitoin Kapsul 100 mg 4,000
Fenobarbital Inj. I.V 100 mg/ml 12,500
fenobarbital tab 7,000
Fitomenadion (Vit K1) Neo K 12,000
Fitomenadion Tablet 10 mg 4,500
Folley Catheter No. 14 20,000
Furosemide Injeksi 7,000
Garam Oralit 2,000
Gemfibrozil 300 mg Tablet 3,000
Gentamicin Salep Kulit 6,000
Gentamicin Salep Mata0,3 % 6,000
Glibenclamide Tablet 5 mg 5,000
Gliklazid 80 mg Tablet 5,000
Glimepirid Tablet 2 mg 6,000
Gliseril Guaikolat Tablet 100 mg 2,000
Griseofulvin Tablet 125 mg 3,000
Griseofulvin Tablet 500 mg 12,000
Haloferidol 2 mg Tablet 3,000
Haloferidol 5 mg Tablet 4,000
Hidroclorotiazide Tablet 25 mg 3,000
Hidrokortison krim 2,5 % 7,000
I.V Catheter No. 20 15,000
I.V Catheter No. 22 15,000
I.V Catheter No. 26 20,000
I.VCatheter No. 24 15,000
Ibuprofen Suspensi 4,000
Ibuprofen Tablet 200 mg 3,000
Imunomodulator Sirup 20,000
Infusion Set Anak 15,000
Infusion Set Dewasa 20,000
Infusion Set Dewasa ( Otsuka ) 20,000
Isoniazid 300 mg 3,000
Jarum Insulin 5,000
KA EN 3B Infus 12,000
Kalsium Glukonat Injeksi I.V 10 % 12,500
Kalsium Laktat (Kalk) 500 mg Tablet 2,500
Kapas Pembalut/berlemak 250 gr 12,500
Karbamazepin 200 mg 5,000
Kasa 4 m x 10 cm 15,000
Kasa Kompres steril 16 x 16 cm 5,500
Ketokonazol Krim 10 % 10 g 7,000
Ketorolac Inj. 30 mg 12,500
Klorampenikol Kapsul 500 mg 9,000
Klorampenikol Suspensi 125 mg/5 ml 4,000
Klorampeniokol Kapsul 250 mg 5,000
Klorfeniramin maleat (CTM) 2,000
Klorpromazin Hcl Tablet 100 mg 4,000
Klorpromazin Tablet Salut 25 mg 4,000
Klozapin Tablet 25 mg 12,000
Koorampenikol salep mata 1 % 6,000
Kotrimoksazole Suspensi 4,500
Kotrimoksazole Tablet 480 mg 2,500
Lacto Basillus Serbuk 20,000
Lidokain + Epinefrin 2 % Inj. 5,000
Lidokain Inj. I.V 2 % HCL 6,500
Lisinopril 10 mg Tablet 5,000
Lisinopril 5 mg Tablet 7,500
Loperamide Tablet 2 mg 3,000
Magnesium Sulfat Inj. 25 ml 12,000
Masker 2,500
Metformin Hcl tablet 5,000
Metil Prednisolon Tablet 8 mg 12,000
Metilergometrin maleat Inj. 0,200 mg 7,500
Metilergometrin Tablet 5,000
Metoklopramid Sirup 5 mg/5ml 7,000
Metoklopramid Tablet 5,000
Metronidazol sirup 125 mg/ 5 ml 4,500
Metronidazol Tablet 500 mg 5,000
Mikonazol krim/salep 2 % (Nitrat) 7,000
Multivitamin Anak Sirup 20,000
Multivitamin dewasa 15,000
Natrium Diclofenak tablet 25 mg 6,000
Natrium klroda infus steril 12,500
Nifedipin Tablet 10 mg 7,500
Nistatin tablet 5,000
Obat Anti Diare Tablet 3,000
Ofloksasin tetes telinga 3 % 20,000
Oksitosin Inj. 10 IU/ml 9,000
Omeprazole inj. 40 mg/10 ml 17,500
Omeprazole Kapsul 20 mg 8,500
Ondansetron Inj. 4 mg/2 ml 12,000
Ondansetron tablet 4 mg 6,500
Parasetamol 500 mg Tablet 3,000
Parasetamol Drop 8,500
Parasetamol sirup 120 mg/5 ml 5,500
Permetrin krim 5 % 10 gr 15,000
Pirantel sirup 7,500
Pirantel tablet 125 mg 4,000
Piridoksin (Vit. B6) Tablet 10 mg (HCL) 3,000
Piroxicam 10 mg 3,500
Prednison Tablet 5 mg 3,000
Primakuin Tablet 15 mg 4,000
Probenesid Tablet 500 mg 5,000
Propanolol Tablet 10 mg (Hcl) 5,000
Ranitidin inj. 25 mg/2 ml 15,000
Ranitidin Tablet 150 mg 3,500
Ringer Laktat 20,000
Risperidon Tablet 2 mg 4,000
SANBE KIDS 15,000
Salbutamol Nebulizer 15,000
Salbutamol tablet 2 mg 3,000
Salbutamol Tablet 4 mg 3,500
Salep 2-4 7,000
Salisil bedak 2 % 4,500
Sarung Tangan No. 6 1/2 5,000
Sarung Tangan No. 6.5 steril 5,000
Sarung Tangan No. 7 4,500
Sarung Tangan No. 7 steril 7,000
Sefiksim Kapsul 100 mg 20,000
Sefiksim sirup 100 mg/5 ml 17,500
Sefotaksim serbuk inj. 1 g 17,500
Serum Anti Bisa Ular 400,000
Serum Anti Tetanus 10.000 IU 35,000
Sianokobalamin (vit.12) inj. 500 mg 2,500
Simvastatin Tablet 20 mg 6,000
Sukrafat Tablet 500 mg 8,500
Tetrasiklin Kaplet 250 mg 2,000
Tetrasiklin kaplet 500 mg 3,000
Triheksifenidil Tablet 2 mg 4,500
Underpad 17,500
Urine Bag 15,000
Vitamin B komplek Tablet 5,000
Zinc Sirup 20 mg/5 ml 15,000
Zinc Tablet Dispersibel 20 mg 5,000
Abocath 10,000
AP- PIMTRAKOL SY 15,000
AP- BRONCHITIN 150,000
AP- HISTIGO 15,000
AP- SANMOL 25,000
AP- SKOPMA PLUS 17,000
AP- SPAMINAL 17,000
AP- DANEURON 10,000
AP- VITAZYM 17,000
AP- RANITIDINE INJ 10,000
AP- NEO K 25,000
AP- ERLA TT 15,000
AP- ERLA TM 20,000
AP- ACYCLOVIR SLP 15,000
AP- BIOPLASENTON 18,000
AP- PEMBALUT MATERNITI 15,000
AP- NEUROBION INJ 18,000
AP- PACDINE SY 12,000
AP- ULSAFAT 65,000
AP- PAMPERS 10,000
AP- PRORIS SY 15,000
AP- Abocat No 18,20,22,24,26 25,000
AP-INFUSET 20,000
AP-RL/ASERING/GLUKOSA/NACL 20,000
AP-SELANG KATETER 50,000
AP-LIDOCAIN 10,000
AP-PEHACAIN 15,000
AP-RANITIDIN INJEK 25,000
AP-ONDANSETRON INJEK 25,000
AP-KETOROLAK INJEK 25,000
AP-STESOLID SUP 50,000
AP-ETAMOXUL 15,000
AP-ETAMOX TAB 500 MG 12,500
AP-CIPRO/HUFAFLOK TAB 15,000
AP-TESPEX 15,000
AP-HUFAGESIC TAB 8,500
AP-OMEDOM TAB 8,500
AP-BABY COUGH SIRUP 12,500
AP-ORAPROFEN/IBU PROPEN SP 17,000
AP-OMEDOM SIRUP 11,000
AP-CAVICUT VITAMIN SIRUP ANAK 15,000
AP-HUFAFIT SIRUP VITAMIN ANAK 12,000
AP-HUFAM CETIN SIRUP 17,000
AP-YUSIMOX SIRUP 15,000
AP-ANASTAN TABLET 8,500
AP-GRAFACHLOR TABLET 8,500
Retribusi Umum ( Jam kerja )
Retribusi Umum ( diluar Jam kerja ) + 4000
Surat Rujukan Umum ( Poli ) + 4000
Surat Rujukan Online ( Poli )
KIR Dokter/Sehat + 4000
Surat Sakit ( Tidak dirawat/berobat ) + 4000
Administrasi Status Rawat
O2 / Jam ( BPJS )
O2 / Jam ( Umum )
TPRS/24 Jam
UP Infus
Pasang Infus Dewasa
Pasang Infus Anak
Menyuntik IM/IV/SC/IC
Visit Perawat/Bidan
Visit Dokter
Konsul Dokter
Perawatan Infus/Spuling
Paket Nebulizer
Memasang O2
Mengganti Cairan Infus
Kamar/Ruangan AC
Kamar/Ruangan Non AC
EKG
Pasang Kateter
Up Kateter
Pasang NGT
Up NGT
Perawatan Luka Dan post Up
Perawatan Luka Bakar Ringan
Perawatan Luka Bakar Sedang
Perawatan Luka Bakar Berat
Irigasi Mata
Irigasi Telinga
Hecting /Jahitan
Up Hecting/jahitan
Suction
Pencabutan Gigi Sulung Tupikal
Pencabutan Gigi Sulung Suntik
Pencabutan Gigi Tetap
Pencabutan Gigi Tetap dengan komplikasi
ANC
Digital Abortus
Persalinan Normal
Persalinan Patologis
PP Tes
USG
Darah Lengkap
Golongan Darah
Widal Tes
GDS
Cholesterol
Asam Urat
BTA
Tes DBD
HBSAG
Protein Urin
Pasang Inflan ( Umum )
Buka Inflan
Paket Kejang ( Retrbusi, dan obat )
Paket ABU ( RL,Abocat,Infuset,ABU )
Paket KLL Ringan
Paket KLL Sedang
Paket KLL Berat
Paket Kholic (Tanpa Infus )
Suntik KB ( Di luar retribusi )
Rp 4,000
Rp 10,000
Rp 10,000
Rp 10,000
Rp 15,000
Rp 10,000
Rp 20,000
Rp 5,000
Rp 10,000
Rp 15,000
Rp 10,000
Rp 15,000
Rp 20,000
Rp 5,000
Rp 20,000
Rp 25,000
Rp 20,000
Rp 5,000
Rp 35,000
Rp 5,000
Rp 5,000
Rp 100,000
Rp 75,000
Rp 50,000
Rp 25,000
Rp 15,000
Rp 100,000
Rp 20,000
Rp 25,000
Rp 50,000
Rp 75,000
Rp 100,000
Rp 25,000
Rp 25,000
Rp 5,000
Rp 2,000
Rp 50,000
Rp 35,000
Rp 30,000
Rp 35,000
Rp 50,000
Rp 30,000
Rp 350,000
Rp 700,000
Rp 900,000
Rp 20,000
Rp 50,000
Rp 35,000
Rp 15,000
Rp 40,000
Rp 25,000
Rp 35,000
Rp 30,000
Rp 30,000
Rp 25,000
Rp 50,000
Rp 20,000
Rp 100,000
Rp 50,000
Rp 70,000
Rp 500,000
Rp 70,000
Rp 100,000
Rp 150,000
Rp 50,000
Rp 20,000