copy of usulan tarif ina cbg- perki _final revise.xlsx

7/23/2019 Copy of Usulan tarif INA CBG- PERKI _final Revise.xlsx

http://slidepdf.com/reader/full/copy-of-usulan-tarif-ina-cbg-perki-final-revisexlsx 1/98

INA-CBG

I-1-01-I

I-1-01-II

I-1-01-III

I-1-02-I

I-1-02-II

I-1-02-III

I-1-03-I

I-1-03-II

I-1-03-III

I-1-04-I

I-1-04-II

I-1-04-III

I-1-05-I

I-1-05-II

I-1-05-III

I-1-06-I

I-1-06-II

I-1-06-III

I-1-07-I

I-1-07-II

I-1-07-III

I-1-11-I

I-1-11-II

I-1-11-III

I-1-12-I

I-1-12-II

I-1-12-III

I-1-13-I

I-1-13-II

I-1-13-III



I-1-14-I

I-1-14-II

I-1-14-III

I-1-15-I

I-1-15-II

I-1-15-III

I-1-16-I

I-1-16-II

I-1-16-III

I-1-17-I

I-1-17-II

I-1-17-III

I-1-20-I

I-1-20-II

I-1-20-III

I-1-30-I

I-1-30-II

I-1-30-III

I-1-40-I

I-1-40-II

I-1-40-III

I-4-10-I

I-4-10-II

I-4-10-III

I-4-11-I

I-4-11-II

I-4-11-III

I-4-12-I

I-4-12-II

I-4-12-III

I-4-13-I

I-4-13-II

I-4-13-III

I-4-14-I

I-4-14-II

I-4-14-III

I-4-15-I



I-4-15-II

I-4-15-III

I-4-16-I

I-4-16-II

I-4-16-III

I-4-17-I

I-4-17-II

I-4-17-III

I-4-18-I

I-4-18-II

I-4-18-III

I-4-19-I

I-4-19-II

I-4-19-III

I-4-20-I

I-4-20-II

I-4-20-III

I-4-21-I

I-4-21-II

I-4-21-III

I-4-22-I

I-4-22-II

I-4-22-III

I-4-23-I

I-4-23-II

I-4-23-III

I-4-24-I

I-4-24-II

I-4-24-III

I-2-11-0

I-2-12-0

I-2-13-0

I-2-14-0

I-2-15-0

I-2-16-0

I-2-17-0



I-2-21-0

I-2-22-0

I-2-23-0

I-2-31-0

I-2-32-0

I-2-41-0

I-2-42-0

I-3-10-0

I-3-11-0

I-3-12-0

I-3-13-0

I-3-14-0

I-3-15-0

Z-3-12-0

Z-3-15-0

Z-3-16-0

Z-3-17-0

Z-3-18-0

Z-3-19-0

Z-3-21-0

Z-3-22-0

Z-3-23-0

Z-3-24-0

Z-3-26-0



DISKRIPSI

PROSEDUR TRANPLANTASI PARU ATAU/DAN JANTUNG RINGAN

PROSEDUR TRANPLANTASI PARU ATAU/DAN JANTUNG SEDANG

PROSEDUR TRANPLANTASI PARU ATAU/DAN JANTUNG BERAT

PROSEDUR KATUP JANTUNG DENGAN KATETERISASI RINGAN

PROSEDUR KATUP JANTUNG DENGAN KATETERISASI SEDANG

PROSEDUR KATUP JANTUNG DENGAN KATETERISASI BERAT

PROSEDUR OPERASI KARDIOTORASIK KOPLEKS PADA JANTUNG ANOALI RINGAN

PROSEDUR OPERASI KARDIOTORASIK KOPLEKS PADA JANTUNG ANOALI SEDANG

PROSEDUR OPERASI KARDIOTORASIK KOPLEKS PADA JANTUNG ANOALI BERAT

PROSEDUR KATUP JANTUNG TANPA KATETERISASI JANTUNG RINGAN

PROSEDUR KATUP JANTUNG TANPA KATETERISASI JANTUNG SEDANG

PROSEDUR KATUP JANTUNG TANPA KATETERISASI JANTUNG BERAT

PROSEDUR PEBEDA!AN B"PASS PEBULU! KORONER DENGAN KATETERISASI JANTUNG BERAT

PROSEDUR KARDIOTORASIK LAIN RINGAN

PROSEDUR KARDIOTORASIK LAIN SEDANG

PROSEDUR KARDIOTORASIK LAIN BERAT

PROSEDUR PEBEDA!AN B"PASS PEBULU! KORONER TANPA KATETERISASI JANTUNG RINGAN

PROSEDUR PEBEDA!AN B"PASS PEBULU! KORONER TANPA KATETERISASI JANTUNG SEDANG

PROSEDUR PEBEDA!AN B"PASS PEBULU! KORONER TANPA KATETERISASI JANTUNG BERAT

PROSEDUR DE#IBRILATOR JANTUNG DAN PEASANGAN SISTE BANTUAN JANTUNG RINGAN

PROSEDUR DE#IBRILATOR JANTUNG DAN PEASANGAN SISTE BANTUAN JANTUNG SEDANG

PROSEDUR DE#IBRILATOR JANTUNG DAN PEASANGAN SISTE BANTUAN JANTUNG BERAT

PROSEDUR PEBULU! DARA! TORASIK KOPLEKS RINGAN

PROSEDUR PEBULU! DARA! TORASIK KOPLEKS SEDANG

PROSEDUR PEBULU! DARA! TORASIK KOPLEKS BERAT

PROSEDUR PEBULU! DARA! ABDOINAL KOPLEK RINGAN

PROSEDUR PEBULU! DARA! ABDOINAL KOPLEK SEDANG

PROSEDUR PEBULU! DARA! ABDOINAL KOPLEK BERAT

PROSEDUR PEBEDA!AN B"PASS PEBULU! KORONER DENGAN KATETERISASI JANTUNGRINGAN

PROSEDUR PEBEDA!AN B"PASS PEBULU! KORONER DENGAN KATETERISASI JANTUNGSEDANG



PROSEDUR PEASANGAN PACEAKER JANTUNG PERANEN RINGAN

PROSEDUR PEASANGAN PACEAKER JANTUNG PERANEN SEDANG

PROSEDUR PEASANGAN PACEAKER JANTUNG PERANEN BERAT

PROSEDUR KATETERISASI JANTUNG RINGAN

PROSEDUR KATETERISASI JANTUNG SEDANG

PROSEDUR KATETERISASI JANTUNG BERAT

PROSEDUR LIGASI DAN STRIPPING PEBULU! DARA! $ENA RINGAN

PROSEDUR LIGASI DAN STRIPPING PEBULU! DARA! $ENA SEDANG

PROSEDUR LIGASI DAN STRIPPING PEBULU! DARA! $ENA BERAT

PROSEDUR SISTI PEREDARAN DARA! LAIN-LAIN RINGAN

PROSEDUR SISTI PEREDARAN DARA! LAIN-LAIN SEDANG

PROSEDUR SISTI PEREDARAN DARA! LAIN BERAT

PROSEDUR PENGGANTIAN ALAT DE#IBRILATOR DAN PACEAKER JANTUNG RINGAN

PROSEDUR PENGGANTIAN ALAT DE#IBRILATOR DAN PACEAKER JANTUNG SEDANG

PROSEDUR PENGGANTIAN ALAT DE#IBRILATOR DAN PACEAKER JANTUNG BERAT

PROSEDUR KARDIO$ASKULAR PERKUTAN RINGAN

PROSEDUR KARDIO$ASKULAR PERKUTAN SEDANG

PROSEDUR KARDIO$ASKULAR PERKUTAN BERAT

IN#ARK "OKARD AKUT RINGAN

IN#ARK "OKARD AKUT SEDANG

IN#ARK "OKARD AKUT BERAT

ENDOKARDITIS AKUT DAN SUBAKUT RINGAN

ENDOKARDITIS AKUT DAN SUBAKUT SEDANG

ENDOKARDITIS AKUT DAN SUBAKUT BERAT

KEGAGALAN JANTUNG RINGAN

KEGAGALAN JANTUNG SEDANG

KEGAGALAN JANTUNG BERAT

T!ROBOP!LEBITIS PADA PEBULU! DARA! $ENA RINGAN

T!ROBOP!LEBITIS DALA PEBULU! DARA! $ENA SEDANG

T!ROBOP!LEBITIS DALA PEBULU! DARA! $ENA BERAT

CARDIAC ARREST% TIDAK DIKETA!UI RINGAN

CARDIAC ARREST% TIDAK DIKETA!UI SEDANG

CARDIAC ARREST% TIDAK DIKETA!UI BERAT

GANGUAN PEBULU! DARA! PERI#ER LAIN-LAIN &RINGAN'

PROSEDUR RE$ISI DE#IBRILATOR ( PACEAKER JANTUNG TIDAK TERASUK PENGGANTIAN ALAT&RINGAN'

PROSEDUR RE$ISI DE#IBRILATOR ( PACEAKER JANTUNG TIDAK TERASUK PENGGANTIAN ALAT&SEDANG'

PROSEDUR RE$ISI DE#IBRILATOR ( PACEAKER JANTUNG TIDAK TERASUK PENGGANTIAN ALAT&BERAT'



GANGUAN PEBULU! DARA! PERI#ER LAIN-LAIN &SEDANG'

GANGUAN PEBULU! DARA! PERI#ER LAIN-LAIN &BERAT'

AT!EROSKLEROSIS RINGAN

AT!EROSKLEROSIS SEDANG

AT!EROSKLEROSIS BERAT

!IPERTENSI RINGAN

!IPERTENSI SEDANG

!IPERTENSI BERAT

GANGUAN KATUP JANTUNG KONGENITAL RINGAN

GANGUAN KATUP JANTUNG KONGENITAL SEDANG

GANGUAN-PEN"AKIT KATUP JANTUNG KONGENITAL BERAT

GANGGUAN KONDUKSI ( ARITIA JANTUNG RINGAN

GANGGUAN KONDUKSI ( ARITIA JANTUNG SEDANG

GANGGUAN KONDUKSI ( ARITIA JANTUNG BERAT

ANGINA PEKTORIS DAN N"ERI DADA RINGAN

ANGINA PEKTORIS DAN N"ERI DADA SEDANG

ANGINA PEKTORIS DAN N"ERI DADA BERAT

S"NCOPE ( COLLAPSE RINGAN

S"NCOPE ( COLLAPSE SEDANG

S"NCOPE ( COLLAPSE BERAT

KARDIOIOPAT!I RINGAN

KARDIOIOPAT!I SEDANG

KARDIOIOPAT!I BERAT

DIAGNOSIS SISTE PEBULU! DARA! LAIN-LAIN &RINGAN'

DIAGNOSIS SISTE PEBULU! DARA! LAIN-LAIN &SEDANG'

DIAGNOSIS SISTE PEBULU! DARA! LAIN-LAIN &BERAT'

PEASANGAN/PEN"ISIPAN DE#IBRILATOR JANTUNG ( SISTE BANTU JANTUNG

PROSEDUR BESAR PADA PEBULU! DARA! TORASIK

PROSEDUR BESAR PADA PEBULU! DARA! ABDOEN

PROSEDUR PEASANGAN/PEN"ISIPAN ALAT PACU PERANEN PADA JANTUNG

PROSEDUR KATETERISASI JANTUNG

PROSEDUR LIGASI DAN STRIPPING PEBULU! DARA! $ENA

KOPLIKASI% REAKSI% AL#UNGSI DARI PROSEDUR ATAU PEASANGAN ALAT KARDIO$ASKULARRINGAN

KOPLIKASI% REAKSI% AL#UNGSI DARI PROSEDUR ATAU PEASANGAN ALAT KARDIO$ASKULARSEDANG

KOPLIKASI% REAKSI% AL#UNGSI DARI PROSEDUR ATAU PEASANGAN ALAT KARDIO$ASKULARBERAT

PROSEDUR RE$ISI DE#IBRILATOR DAN ALAT PACU JANTUNG TIDAK TERASUK PENGGANTIAN

ALAT



ANGIOGRA#I ARTERI BUKAN JANTUNG

PROSEDUR SEDANG PADA PEBULU! DARA!

PROSEDUR KECIL PADA PEBULU! DARA!

PEASANGAN ATAU PENGGANTIAN ALAT DE#IBRILATOR JANTUNG

PEASANGAN ATAU PENGGANTIAN ALAT PACU JANTUNG

PROSEDUR ELEKTRO#ISIOLOGIK

PROSEDUR ANGIOPLASTI PEBULU! DARA! KORONER DAN KARDIO$ASKULAR PERKUTAN LAIN

PROSEDUR RESUSITASI

PROSEDUR KARDIO$ERSI

PROSEDUR KECIL LAIN-LAIN PADA JANTUNG

PROSEDUR EKOKARDIOGRA#I

PROSEDUR STRESS TESTING

PROSEDUR PENGA)ASAN #UNGSI KARDIO$ASKULAR

PROSEDUR RE!ABILITASI

IAGING NUKLIR JANTUNG

PROSEDUR AGNETIC RESONANCE IAGING &RI'

PENGOBATAN NUKLIR

CT-SCAN KEPALA

CT SCAN LAIN-LAIN

IAGING KONTRAS PEBULU! DARA!

IAGING KONTRAS LAIN-LAIN

PROSEDUR ULTRASOUND LAIN-LAIN

PROSEDUR ULTRASOUND PEBULU! DARA!

PROSEDUR BESAR RADIOGRA#I



USULAN USULAN

TARIF BARU-JTG TARIF BARU-A

KLS-3 KLS-2 KLS-1 KLS-3 KLS-2 KLS-1 KLS-3

-

-

-

-

-

-

81%339%500 73%945%000

96%291%800 87%538%000

159%743%100 145%221%000

85%087%200 77%352%000

135%736%700 123%397%000

170%777%200 155%252%000

80%173%500 72%885%000

148%442%800 134%948%000

153%061%700 139%147%000

58%521%100 53%201%000

101%372%700 92%157%000

129%981%500 118%165%000

108%300%500 98%455%000

115%545%100 105%041%000

156%209%900 142%009%000

65%057%300 59%143%000

86%743%800 78%858%000

108%430%300 98%573%000

45%827%100 41%661%000

63%432%600 57%666%000

90%965%600 82%696%000

52%385%300 47%623%000

56%745%700 51%587%000

92%693%700 84%267%000



52%941%900 48%129%000

66%286%000 60%260%000

68%486%000 62%260%000

12%413%500 11%285%000

14%613%500 13%285%000

19%908%900 18%099%000

16%155%700 14%687%000

39%768%300 36%153%000

43%549%000 39%590%000

22%495%000 20%450%000

35%289%100 32%081%000

39%646%200 36%042%000

32%688%687 29%716%988

40%208%300 36%553%000

56%267%200 51%152%000

47%644%300 43%313%000

65%957%100 59%961%000

69%221%523 62%928%657

65%303%700 59%367%000

65%777%800 59%798%000

71%657%300 65%143%000

8%489%800 7%718%000

10%514%900 9%559%000

14%110%800 12%828%000

2%461%800 2%238%000

21%527%000 19%570%000

25%856%600 23%506%000

4%777%300 4%343%000

7%618%600 6%926%000

12%311%200 11%192%000

9%275%200 8%432%000

13%957%900 12%689%000

17%798%000 16%180%000

3%173%500 2%885%000

6%026%900 5%479%000

12%263%900 11%149%000

11%130%900 10%119%000



16%252%500 14%775%000

17%859%600 16%236%000

6%521%900 5%929%000

7%527%300 6%843%000

16%047%900 14%589%000

5%102%900 4%639%000

5%948%800 5%408%000

10%873%500 9%885%000

5%300%900 4%819%000

7%082%900 6%439%000

12%464%100 11%331%000

6%220%500 5%655%000

10%640%300 9%673%000

32%077%100 29%161%000

6%432%800 5%848%000

7%648%300 6%953%000

9%864%800 8%968%000

3%000%800 2%728%000

3%522%200 3%202%000

4%419%800 4%018%000

3%885%200 3%532%0006%928%900 6%299%000

10%481%900 9%529%000

1%498%200 1%362%000

5%501%100 5%001%000

7%081%800 6%438%000

6%009%300 5%463%000

17%099%500 15%545%000

13%057%000 11%870%000

-

13%321%000 12%110%000

5%174%400 4%704%000

-

6%927%800 6%298%000

-1%554%300 1%413%000



988%076 898%251

9%424%800 8%568%000

1%738%000 1%580%000

-

-

-

5%320%700 4%837%000

1%659%900 1%509%000

1%610%400 1%464%000

1%333%200 1%212%000

679%800 618%000

662%200 602%000

1%225%400 1%114%000

551%000

1%650%000

3%180%000

2%497%000

2%353%000

3%127%000

1%032%000

1%763%0001%186%000

964%000

2%289%000



USULAN USULAN USULAN

ARIF BARU-B TARIF BARU-C TARIF BARU-D

KLS-2 KLS-1 KLS-3 KLS-2 KLS-1 KLS-3 KLS-2

- - -

- - -

- - -

- - -

- - -

- - -

66%550%500 59%895%450 53%905%905

78%784%200 70%905%780 63%815%202

130%698%900 117%629%010 105%866%109

69%616%800 62%655%120 56%389%608

111%057%300 99%951%570 89%956%413

139%726%800 125%754%120 113%178%708

65%596%500 59%036%850 53%133%165

121%453%200 109%307%880 98%377%092

125%232%300 112%709%070 101%438%163

47%880%900 43%092%810 38%783%529

82%941%300 74%647%170 67%182%453

106%348%500 95%713%650 86%142%285

88%609%500 79%748%550 71%773%695

94%536%900 85%083%210 76%574%889

127%808%100 115%027%290 103%524%561

53%228%700 47%905%830 43%115%247

70%972%200 63%874%980 57%487%482

88%715%700 79%844%130 71%859%717

37%494%900 33%745%410 30%370%869

51%899%400 46%709%460 42%038%514

74%426%400 66%983%760 60%285%384

42%860%700 38%574%630 34%717%167

46%428%300 41%785%470 37%606%923

75%840%300 68%256%270 61%430%643



43%316%100 38%984%490 35%086%041

54%234%000 48%810%600 43%929%540

56%034%000 50%430%600 45%387%540

10%156%500 9%140%850 8%226%765

11%956%500 10%760%850 9%684%765

16%289%100 14%660%190 13%194%171

13%218%300 11%896%470 10%706%823

32%537%700 29%283%930 26%355%537

35%631%000 32%067%900 28%861%110

18%405%000 16%564%500 14%908%050

28%872%900 25%985%610 23%387%049

32%437%800 29%194%020 26%274%618

26%745%289 24%070%760 21%663%684

32%897%700 29%607%930 26%647%137

46%036%800 41%433%120 37%289%808

38%981%700 35%083%530 31%575%177

53%964%900 48%568%410 43%711%569

56%635%791 50%972%212 45%874%991

53%430%300 48%087%270 43%278%543

53%818%200 48%436%380 43%592%742

58%628%700 52%765%830 47%489%247

6%946%200 6%251%580 5%626%422

8%603%100 7%742%790 6%968%511

11%545%200 10%390%680 9%351%612

2%014%200 1%812%780 1%631%502

17%613%000 15%851%700 14%266%530

21%155%400 19%039%860 17%135%874

3%908%700 3%517%830 3%166%047

6%233%400 5%610%060 5%049%054

10%072%800 9%065%520 8%158%968

7%588%800 6%829%920 6%146%928

11%420%100 10%278%090 9%250%281

14%562%000 13%105%800 11%795%220

2%596%500 2%336%850 2%103%165

4%931%100 4%437%990 3%994%191

10%034%100 9%030%690 8%127%621

9%107%100 8%196%390 7%376%751



13%297%500 11%967%750 10%770%975

14%612%400 13%151%160 11%836%044

5%336%100 4%802%490 4%322%241

6%158%700 5%542%830 4%988%547

13%130%100 11%817%090 10%635%381

4%175%100 3%757%590 3%381%831

4%867%200 4%380%480 3%942%432

8%896%500 8%006%850 7%206%165

4%337%100 3%903%390 3%513%051

5%795%100 5%215%590 4%694%031

10%197%900 9%178%110 8%260%299

5%089%500 4%580%550 4%122%495

8%705%700 7%835%130 7%051%617

26%244%900 23%620%410 21%258%369

5%263%200 4%736%880 4%263%192

6%257%700 5%631%930 5%068%737

8%071%200 7%264%080 6%537%672

2%455%200 2%209%680 1%988%712

2%881%800 2%593%620 2%334%258

3%616%200 3%254%580 2%929%122

3%178%800 2%860%920 2%574%8285%669%100 5%102%190 4%591%971

8%576%100 7%718%490 6%946%641

1%225%800 1%103%220 992%898

4%500%900 4%050%810 3%645%729

5%794%200 5%214%780 4%693%302

4%916%700 4%425%030 3%982%527

13%990%500 12%591%450 11%332%305

10%683%000 9%614%700 8%653%230

- - -

10%899%000 9%809%100 8%828%190

4%233%600 3%810%240 3%429%216

- - -

5%668%200 5%101%380 4%591%242

- - -

1%271%700 1%144%530 1%030%077



808%426 727%583 654%825

7%711%200 6%940%080 6%246%072

1%422%000 1%279%800 1%151%820

- - -

- - -

- - -

4%353%300 3%917%970 3%526%173

1%358%100 1%222%290 1%100%061

1%317%600 1%185%840 1%067%256

1%090%800 981%720 883%548

556%200 500%580 450%522

541%800 487%620 438%858

1%002%600 902%340 812%106



KLS-3



USULAN T

PER!IPU

INA-CBG

I-1-01-I

I-1-01-II

I-1-01-III

I-1-02-I

I-1-02-II

I-1-02-III

I-1-03-I

I-1-03-II

I-1-03-III

I-1-04-I

I-1-04-II

I-1-04-III

I-1-05-I

I-1-05-II

I-1-05-III

I-1-06-I

I-1-06-II

I-1-06-III

I-1-07-I

I-1-07-II

I-1-07-III

I-1-11-I

I-1-11-II

I-1-11-III

I-1-12-II-1-12-II

I-1-12-III



I-1-13-I

I-1-13-II

I-1-13-III

I-1-14-I

I-1-14-II

I-1-14-III

I-1-15-I

I-1-15-II

I-1-15-III

I-1-16-I

I-1-16-II

I-1-16-III

I-1-17-I

I-1-17-II

I-1-17-III

I-1-20-I

I-1-20-II

I-1-20-III

I-1-30-I

I-1-30-II

I-1-30-III

I-1-40-I

I-1-40-II

I-1-40-III

I-4-10-I

I-4-10-II

I-4-10-III



I-4-11-I

I-4-11-II

I-4-11-III

I-4-12-I

I-4-12-II

I-4-12-III

I-4-13-I

I-4-13-II

I-4-13-III

I-4-14-I

I-4-14-II

I-4-14-III

I-4-15-I

I-4-15-II

I-4-15-III

I-4-16-I

I-4-16-II

I-4-16-III

I-4-17-I

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RI# INA CBG TA!UN 2016

AN DOKTER SPESIALIS KARDIO$ASKULAR INDONESIA &PERKI'

RAWAT INAP

DISKRIPSI

PROSEDUR TRANPLANTASI PARU ATAU/DAN JANTUNG RINGAN

PROSEDUR TRANPLANTASI PARU ATAU/DAN JANTUNG SEDANG

PROSEDUR TRANPLANTASI PARU ATAU/DAN JANTUNG BERAT

PROSEDUR OPERASI KARDIOTORASIK KOPLEKS PADA JANTUNG ANOALI RINGAN

PROSEDUR OPERASI KARDIOTORASIK KOPLEKS PADA JANTUNG ANOALI SEDANG

PROSEDUR OPERASI KARDIOTORASIK KOPLEKS PADA JANTUNG ANOALI BERAT

PROSEDUR KATUP JANTUNG TANPA KATETERISASI JANTUNG RINGAN

PROSEDUR KATUP JANTUNG TANPA KATETERISASI JANTUNG SEDANG

PROSEDUR KATUP JANTUNG TANPA KATETERISASI JANTUNG BERAT

PROSEDUR PEBEDA!AN B"PASS PEBULU! KORONER DENGAN KATETERISASI JANTUNG RINGA

PROSEDUR PEBEDA!AN B"PASS PEBULU! KORONER DENGAN KATETERISASI JANTUNG SEDAN

PROSEDUR PEBEDA!AN B"PASS PEBULU! KORONER DENGAN KATETERISASI JANTUNG BERAT

PROSEDUR KARDIOTORASIK LAIN RINGAN

PROSEDUR KARDIOTORASIK LAIN SEDANG

PROSEDUR KARDIOTORASIK LAIN BERAT

PROSEDUR PEBEDA!AN B"PASS PEBULU! KORONER TANPA KATETERISASI JANTUNG RINGAN

PROSEDUR PEBEDA!AN B"PASS PEBULU! KORONER TANPA KATETERISASI JANTUNG SEDANG

PROSEDUR PEBEDA!AN B"PASS PEBULU! KORONER TANPA KATETERISASI JANTUNG BERAT

PROSEDUR DE#IBRILATOR JANTUNG DAN PEASANGAN SISTE BANTUAN JANTUNG RINGAN

PROSEDUR DE#IBRILATOR JANTUNG DAN PEASANGAN SISTE BANTUAN JANTUNG SEDANG

PROSEDUR DE#IBRILATOR JANTUNG DAN PEASANGAN SISTE BANTUAN JANTUNG BERAT

PROSEDUR PEBULU! DARA! TORASIK KOPLEKS RINGAN PROSEDUR PEBULU! DARA! TORASIK KOPLEKS SEDANG

PROSEDUR PEBULU! DARA! TORASIK KOPLEKS BERAT

PROSEDUR KATUP JANTUNG DENGAN KATETERISASI RINGAN

PROSEDUR KATUP JANTUNG DENGAN KATETERISASI SEDANG

PROSEDUR KATUP JANTUNG DENGAN KATETERISASI BERAT



PROSEDUR PEBULU! DARA! ABDOINAL KOPLEK RINGAN

PROSEDUR PEBULU! DARA! ABDOINAL KOPLEK SEDANG

PROSEDUR PEBULU! DARA! ABDOINAL KOPLEK BERAT

PROSEDUR PEASANGAN PACEAKER JANTUNG PERANEN RINGAN

PROSEDUR PEASANGAN PACEAKER JANTUNG PERANEN SEDANG

PROSEDUR PEASANGAN PACEAKER JANTUNG PERANEN BERAT

PROSEDUR KATETERISASI JANTUNG RINGAN

PROSEDUR KATETERISASI JANTUNG SEDANG

PROSEDUR KATETERISASI JANTUNG BERAT

PROSEDUR RE$ISI DE#IBRILATOR ( PACEAKER JANTUNG TIDAK TERASUK PENGGANTIAN ALAT &



PROSEDUR LIGASI DAN STRIPPING PEBULU! DARA! $ENA RINGAN

PROSEDUR LIGASI DAN STRIPPING PEBULU! DARA! $ENA SEDANG

PROSEDUR LIGASI DAN STRIPPING PEBULU! DARA! $ENA BERAT

PROSEDUR SISTI PEREDARAN DARA! LAIN-LAIN RINGAN

PROSEDUR SISTI PEREDARAN DARA! LAIN-LAIN SEDANG

PROSEDUR SISTI PEREDARAN DARA! LAIN BERAT

PROSEDUR PENGGANTIAN ALAT DE#IBRILATOR DAN PACEAKER JANTUNG RINGAN

PROSEDUR PENGGANTIAN ALAT DE#IBRILATOR DAN PACEAKER JANTUNG SEDANG

PROSEDUR PENGGANTIAN ALAT DE#IBRILATOR DAN PACEAKER JANTUNG BERAT

PROSEDUR KARDIO$ASKULAR PERKUTAN RINGAN

PROSEDUR KARDIO$ASKULAR PERKUTAN SEDANG

PROSEDUR KARDIO$ASKULAR PERKUTAN BERAT

IN#ARK "OKARD AKUT RINGAN

IN#ARK "OKARD AKUT SEDANG

IN#ARK "OKARD AKUT BERAT



ENDOKARDITIS AKUT DAN SUBAKUT RINGAN

ENDOKARDITIS AKUT DAN SUBAKUT SEDANG

ENDOKARDITIS AKUT DAN SUBAKUT BERAT

KEGAGALAN JANTUNG RINGAN

KEGAGALAN JANTUNG SEDANG

KEGAGALAN JANTUNG BERAT

T!ROBOP!LEBITIS PADA PEBULU! DARA! $ENA RINGAN

T!ROBOP!LEBITIS DALA PEBULU! DARA! $ENA SEDANG

T!ROBOP!LEBITIS DALA PEBULU! DARA! $ENA BERAT

CARDIAC ARREST% TIDAK DIKETA!UI RINGAN

CARDIAC ARREST% TIDAK DIKETA!UI SEDANG

CARDIAC ARREST% TIDAK DIKETA!UI BERAT

GANGUAN PEBULU! DARA! PERI#ER LAIN-LAIN &RINGAN'

GANGUAN PEBULU! DARA! PERI#ER LAIN-LAIN &SEDANG'

GANGUAN PEBULU! DARA! PERI#ER LAIN-LAIN &BERAT'

AT!EROSKLEROSIS RINGAN

AT!EROSKLEROSIS SEDANG

AT!EROSKLEROSIS BERAT

!IPERTENSI RINGAN

!IPERTENSI SEDANG

!IPERTENSI BERAT

GANGUAN KATUP JANTUNG KONGENITAL RINGAN

GANGUAN KATUP JANTUNG KONGENITAL SEDANG

GANGUAN-PEN"AKIT KATUP JANTUNG KONGENITAL BERAT

GANGGUAN KONDUKSI ( ARITIA JANTUNG RINGAN

GANGGUAN KONDUKSI ( ARITIA JANTUNG SEDANG

GANGGUAN KONDUKSI ( ARITIA JANTUNG BERAT

ANGINA PEKTORIS DAN N"ERI DADA RINGAN ANGINA PEKTORIS DAN N"ERI DADA SEDANG

ANGINA PEKTORIS DAN N"ERI DADA BERAT



S"NCOPE ( COLLAPSE RINGAN

S"NCOPE ( COLLAPSE SEDANG

S"NCOPE ( COLLAPSE BERAT

KARDIOIOPAT!I RINGAN

KARDIOIOPAT!I SEDANG

KARDIOIOPAT!I BERAT

KOPLIKASI% REAKSI% AL#UNGSI DARI PROSEDUR ATAU PEASANGAN ALAT KARDIO$ASKULAR RI

KOPLIKASI% REAKSI% AL#UNGSI DARI PROSEDUR ATAU PEASANGAN ALAT KARDIO$ASKULAR S

KOPLIKASI% REAKSI% AL#UNGSI DARI PROSEDUR ATAU PEASANGAN ALAT KARDIO$ASKULAR B

DIAGNOSIS SISTE PEBULU! DARA! LAIN-LAIN &RINGAN'

DIAGNOSIS SISTE PEBULU! DARA! LAIN-LAIN &SEDANG'

DIAGNOSIS SISTE PEBULU! DARA! LAIN-LAIN &BERAT'

RAWAT JALAN

PEASANGAN/PEN"ISIPAN DE#IBRILATOR JANTUNG ( SISTE BANTU JANTUNGPROSEDUR BESAR PADA PEBULU! DARA! TORASIK

PROSEDUR BESAR PADA PEBULU! DARA! ABDOEN

PROSEDUR PEASANGAN/PEN"ISIPAN ALAT PACU PERANEN PADA JANTUNG

PROSEDUR KATETERISASI JANTUNG

PROSEDUR RE$ISI DE#IBRILATOR DAN ALAT PACU JANTUNG TIDAK TERASUK PENGGANTIAN ALA

PROSEDUR LIGASI DAN STRIPPING PEBULU! DARA! $ENA

ANGIOGRA#I ARTERI BUKAN JANTUNG

PROSEDUR SEDANG PADA PEBULU! DARA!PROSEDUR KECIL PADA PEBULU! DARA!

PEASANGAN ATAU PENGGANTIAN ALAT DE#IBRILATOR JANTUNG

PEASANGAN ATAU PENGGANTIAN ALAT PACU JANTUNG

PROSEDUR ELEKTRO#ISIOLOGIK

PROSEDUR ANGIOPLASTI PEBULU! DARA! KORONER DAN KARDIO$ASKULAR PERKUTAN LAIN

PROSEDUR RESUSITASI

PROSEDUR KARDIO$ERSI

PROSEDUR KECIL LAIN-LAIN PADA JANTUNG

PROSEDUR EKOKARDIOGRA#I



PROSEDUR STRESS TESTING

PROSEDUR PENGA)ASAN #UNGSI KARDIO$ASKULAR

PROSEDUR RE!ABILITASI

IAGING NUKLIR JANTUNG

PROSEDUR AGNETIC RESONANCE IAGING &RI'

PENGOBATAN NUKLIR

CT-SCAN KEPALA

CT SCAN LAIN-LAIN

IAGING KONTRAS PEBULU! DARA!

IAGING KONTRAS LAIN-LAIN

PROSEDUR ULTRASOUND LAIN-LAIN

PROSEDUR ULTRASOUND PEBULU! DARA!

PROSEDUR BESAR RADIOGRA#I

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RS TYPE KHUSUS

KLS 1 KLS 2 KLS 3 KLS 1

- -

- -

- -

102%375%735 97%500%700 92%625%665 93%068%850

157%867%710 150%350%200 142%832%690 143%516%100

200%220%405 190%686%100 181%151%795 182%018%550

85%406%475 81%339%500 77%272%525 77%642%250

101%106%390 96%291%800 91%477%210 91%914%900

167%730%255 159%743%100 151%755%945 152%482%050

89%341%560 85%087%200 80%832%840 81%219%600

142%523%535 135%736%700 128%949%865 129%566%850

179%316%060 170%777%200 162%238%340 163%014%600

118%832%175 113%173%500 107%514%825 108%029%250155%864%940 148%442%800 141%020%660 141%695%400

160%714%785 153%061%700 145%408%615 146%104%350

61%447%155 58%521%100 55%595%045 55%861%050

106%441%335 101%372%700 96%304%065 96%764%850

136%480%575 129%981%500 123%482%425 124%073%250

113%715%525 108%300%500 102%885%475 103%377%750121%322%355 115%545%100 109%767%845 110%293%050

164%020%395 156%209%900 148%399%405 149%109%450

68%310%165 65%057%300 61%804%435 62%100%150

91%080%990 86%743%800 82%406%610 82%800%900

113%851%815 108%430%300 103%008%785 103%501%650

48%118%455 45%827%100 43%535%745 43%744%05066%604%230 63%432%600 60%260%970 60%549%300

95%513%880 90%965%600 86%417%320 86%830%800



55%004%565 52%385%300 49%766%035 50%004%150

59%582%985 56%745%700 53%908%415 54%166%350

97%328%385 92%693%700 88%059%015 88%480%350

55%588%995 52%941%900 50%294%805 50%535%450

69%600%300 66%286%000 62%971%700 63%273%000

71%910%300 68%486%000 65%061%700 65%373%000

13%034%175 12%413%500 11%792%825 11%849%250

15%344%175 14%613%500 13%882%825 13%949%250

20%904%345 19%908%900 18%913%455 19%003%950

16%963%485 16%155%700 15%347%915 15%421%350

41%756%715 39%768%300 37%779%885 37%960%650

45%726%450 43%549%000 41%371%550 41%569%500

23%619%750 22%495%000 21%370%250 21%472%500

37%053%555 35%289%100 33%524%645 33%685%050

41%628%510 39%646%200 37%663%890 37%844%100

34%323%121 32%688%687 31%054%252 31%202%837

42%218%715 40%208%300 38%197%885 38%380%650

59%080%560 56%267%200 53%453%840 53%709%600

50%026%515 47%644%300 45%262%085 45%478%650

69%254%955 65%957%100 62%659%245 62%959%050

72%682%599 69%221%523 65%760%447 66%075%090

68%568%885 65%303%700 62%038%515 62%335%350

69%066%690 65%777%800 62%488%910 62%787%900

75%240%165 71%657%300 68%074%435 68%400%150

8%914%290 8%489%800 8%065%310 8%103%900

11%040%645 10%514%900 9%989%155 10%036%950

14%816%340 14%110%800 13%405%260 13%469%400



2%584%890 2%461%800 2%338%710 2%349%900

22%603%350 21%527%000 20%450%650 20%548%500

27%149%430 25%856%600 24%563%770 24%681%300

5%016%165 4%777%300 4%538%435 4%560%150

7%999%530 7%618%600 7%237%670 7%272%300

12%926%760 12%311%200 11%695%640 11%751%600

9%738%960 9%275%200 8%811%440 8%853%600

14%655%795 13%957%900 13%260%005 13%323%450

18%687%900 17%798%000 16%908%100 16%989%000

3%332%175 3%173%500 3%014%825 3%029%250

6%328%245 6%026%900 5%725%555 5%752%950

12%877%095 12%263%900 11%650%705 11%706%450

11%687%445 11%130%900 10%574%355 10%624%950

17%065%125 16%252%500 15%439%875 15%513%750

18%752%580 17%859%600 16%966%620 17%047%800

6%847%995 6%521%900 6%195%805 6%225%4507%903%665 7%527%300 7%150%935 7%185%150

16%850%295 16%047%900 15%245%505 15%318%450

5%358%045 5%102%900 4%847%755 4%870%950

6%246%240 5%948%800 5%651%360 5%678%400

11%417%175 10%873%500 10%329%825 10%379%250

5%565%945 5%300%900 5%035%855 5%059%9507%437%045 7%082%900 6%728%755 6%760%950

13%087%305 12%464%100 11%840%895 11%897%550

6%531%525 6%220%500 5%909%475 5%937%750

11%172%315 10%640%300 10%108%285 10%156%650

33%680%955 32%077%100 30%473%245 30%619%050

6%754%440 6%432%800 6%111%160 6%140%4008%030%715 7%648%300 7%265%885 7%300%650

10%358%040 9%864%800 9%371%560 9%416%400



3%150%840 3%000%800 2%850%760 2%864%400

3%698%310 3%522%200 3%346%090 3%362%100

4%640%790 4%419%800 4%198%810 4%218%900

4%079%460 3%885%200 3%690%940 3%708%600

7%275%345 6%928%900 6%582%455 6%613%950

11%005%995 10%481%900 9%957%805 10%005%450

1%573%110 1%498%200 1%423%290 1%430%100

5%776%155 5%501%100 5%226%045 5%251%050

7%435%890 7%081%800 6%727%710 6%759%900

6%309%765 6%009%300 5%708%835 5%736%150

17%954%475 17%099%500 16%244%525 16%322%250

13%709%850 13%057%000 12%404%150 12%463%500

- -13%321%000 -

5%174%400 -

- -

6%927%800 -

- -

1%554%300 -

988%076 -

9%424%800 -1%738%000 -

- -

- -

- -

5%320%700 -

1%659%900 -

1%610%400 -

1%333%200 -679%800 -



662%200 -

1%225%400 -

551%000 -

1%650%000 -

3%180%000 -

2%497%000 -

2%353%000 -

3%127%000 -

1%032%000 -

1%763%000 -

1%186%000 -

964%000 -

2%289%000 -

R+ 132000000



4%523%744%200 4%112%494%727

3%726%993%742

3%441%147%555

285%846%187

8



RS TYPE A RS TYPE B


- -

- -

- -

88%637%000 84%205%150 83%761%965 79%773%300

136%682%000 129%847%900 129%164%490 123%013%800

173%351%000 164%683%450 163%816%695 156%015%900

73%945%000 70%247%750 69%878%025 66%550%500

87%538%000 83%161%100 82%723%410 78%784%200

145%221%000 137%959%950 137%233%845 130%698%900

77%352%000 73%484%400 73%097%640 69%616%800

123%397%000 117%227%150 116%610%165 111%057%300

155%252%000 147%489%400 146%713%140 139%726%800

102%885%000 97%740%750 68%876%325 65%596%500134%948%000 128%200%600 127%525%860 121%453%200

139%147%000 132%189%650 131%493%915 125%232%300

53%201%000 50%540%950 50%274%945 47%880%900

92%157%000 87%549%150 87%088%365 82%941%300

118%165%000 112%256%750 111%665%925 106%348%500

98%455%000 93%532%250 93%039%975 88%609%500105%041%000 99%788%950 99%263%745 94%536%900

142%009%000 134%908%550 134%198%505 127%808%100

59%143%000 56%185%850 55%890%135 53%228%700

78%858%000 74%915%100 74%520%810 70%972%200

98%573%000 93%644%350 93%151%485 88%715%700

41%661%000 39%577%950 39%369%645 37%494%90057%666%000 54%782%700 54%494%370 51%899%400

82%696%000 78%561%200 78%147%720 74%426%400



47%623%000 45%241%850 45%003%735 42%860%700

51%587%000 49%007%650 48%749%715 46%428%300

84%267%000 80%053%650 79%632%315 75%840%300

48%129%000 45%722%550 45%481%905 43%316%100

60%260%000 57%247%000 56%945%700 54%234%000

62%260%000 59%147%000 58%835%700 56%034%000

11%285%000 10%720%750 10%664%325 10%156%500

13%285%000 12%620%750 12%554%325 11%956%500

18%099%000 17%194%050 17%103%555 16%289%100

14%687%000 13%952%650 13%879%215 13%218%300

36%153%000 34%345%350 34%164%585 32%537%700

39%590%000 37%610%500 37%412%550 35%631%000

20%450%000 19%427%500 19%325%250 18%405%000

32%081%000 30%476%950 30%316%545 28%872%900

36%042%000 34%239%900 34%059%690 32%437%800

29%716%988 28%231%139 28%082%554 26%745%289

36%553%000 34%725%350 34%542%585 32%897%700

51%152%000 48%594%400 48%338%640 46%036%800

43%313%000 41%147%350 40%930%785 38%981%700

59%961%000 56%962%950 56%663%145 53%964%900

62%928%657 59%782%224 59%467%581 56%635%791

59%367%000 56%398%650 56%101%815 53%430%300

59%798%000 56%808%100 56%509%110 53%818%200

65%143%000 61%885%850 61%560%135 58%628%700

7%718%000 7%332%100 7%293%510 6%946%200

9%559%000 9%081%050 9%033%255 8%603%100

12%828%000 12%186%600 12%122%460 11%545%200



2%238%000 2%126%100 2%114%910 2%014%200

19%570%000 18%591%500 18%493%650 17%613%000

23%506%000 22%330%700 22%213%170 21%155%400

4%343%000 4%125%850 4%104%135 3%908%700

6%926%000 6%579%700 6%545%070 6%233%400

11%192%000 10%632%400 10%576%440 10%072%800

8%432%000 8%010%400 7%968%240 7%588%800

12%689%000 12%054%550 11%991%105 11%420%100

16%180%000 15%371%000 15%290%100 14%562%000

2%885%000 2%740%750 2%726%325 2%596%500

5%479%000 5%205%050 5%177%655 4%931%100

11%149%000 10%591%550 10%535%805 10%034%100

10%119%000 9%613%050 9%562%455 9%107%100

14%775%000 14%036%250 13%962%375 13%297%500

16%236%000 15%424%200 15%343%020 14%612%400

5%929%000 5%632%550 5%602%905 5%336%1006%843%000 6%500%850 6%466%635 6%158%700

14%589%000 13%859%550 13%786%605 13%130%100

4%639%000 4%407%050 4%383%855 4%175%100

5%408%000 5%137%600 5%110%560 4%867%200

9%885%000 9%390%750 9%341%325 8%896%500

4%819%000 4%578%050 4%553%955 4%337%1006%439%000 6%117%050 6%084%855 5%795%100

11%331%000 10%764%450 10%707%795 10%197%900

5%655%000 5%372%250 5%343%975 5%089%500

9%673%000 9%189%350 9%140%985 8%705%700

29%161%000 27%702%950 27%557%145 26%244%900

5%848%000 5%555%600 5%526%360 5%263%2006%953%000 6%605%350 6%570%585 6%257%700

8%968%000 8%519%600 8%474%760 8%071%200



2%728%000 2%591%600 2%577%960 2%455%200

3%202%000 3%041%900 3%025%890 2%881%800

4%018%000 3%817%100 3%797%010 3%616%200

3%532%000 3%355%400 3%337%740 3%178%800

6%299%000 5%984%050 5%952%555 5%669%100

9%529%000 9%052%550 9%004%905 8%576%100

1%362%000 1%293%900 1%287%090 1%225%800

5%001%000 4%750%950 4%725%945 4%500%900

6%438%000 6%116%100 6%083%910 5%794%200

5%463%000 5%189%850 5%162%535 4%916%700

15%545%000 14%767%750 14%690%025 13%990%500

11%870%000 11%276%500 11%217%150 10%683%000

- - - 12%110%000 - - 10%899%000

4%704%000 - - 4%233%600

- - -

6%298%000 - - 5%668%200

- - -

1%413%000 - - 1%271%700

898%251 - - 808%426

8%568%000 - - 7%711%2001%580%000 - - 1%422%000

- - -

- - -

- - -

4%837%000 - - 4%353%300

1%509%000 - - 1%358%100

1%464%000 - - 1%317%600

1%212%000 - - 1%090%800618%000 - - 556%200



602%000 - - 541%800

1%114%000 - - 1%002%600

495%900 - 446%310

1%485%000 - 1%336%500

2%862%000 - 2%575%800

2%247%300 - 2%022%570

2%117%700 - 1%905%930

2%814%300 - 2%532%870

928%800 - 835%920

1%586%700 - 1%428%030

1%067%400 - 960%660

867%600 - 780%840

2%060%100 - 1%854%090



3%672%895%255

3%441%147%555

1%351%278%255

2%089%869%300

61



RS TYPE C


- -

- -

- -

75%784%635 75%385%769 71%795%970 68%206%172

116%863%110 116%248%041 110%712%420 105%176%799

148%215%105 147%435%026 140%414%310 133%393%595

63%222%975 62%890%223 59%895%450 56%900%678

74%844%990 74%451%069 70%905%780 67%360%491

124%163%955 123%510%461 117%629%010 111%747%560

66%135%960 65%787%876 62%655%120 59%522%364

105%504%435 104%949%149 99%951%570 94%953%992

132%740%460 132%041%826 125%754%120 119%466%414

62%316%675 61%988%693 59%036%850 56%085%008115%380%540 114%773%274 109%307%880 103%842%486

118%970%685 118%344%524 112%709%070 107%073%617

45%486%855 45%247%451 43%092%810 40%938%170

78%794%235 78%379%529 74%647%170 70%914%812

101%031%075 100%499%333 95%713%650 90%927%968

84%179%025 83%735%978 79%748%550 75%761%12389%810%055 89%337%371 85%083%210 80%829%050

121%417%695 120%778%655 115%027%290 109%275%926

50%567%265 50%301%122 47%905%830 45%510%539

67%423%590 67%068%729 63%874%980 60%681%231

84%279%915 83%836%337 79%844%130 75%851%924

35%620%155 35%432%681 33%745%410 32%058%14049%304%430 49%044%933 46%709%460 44%373%987

70%705%080 70%332%948 66%983%760 63%634%572



40%717%665 40%503%362 38%574%630 36%645%899

44%106%885 43%874%744 41%785%470 39%696%197

72%048%285 71%669%084 68%256%270 64%843%457

41%150%295 40%933%715 38%984%490 37%035%266

51%522%300 51%251%130 48%810%600 46%370%070

53%232%300 52%952%130 50%430%600 47%909%070

9%648%675 9%597%893 9%140%850 8%683%808

11%358%675 11%298%893 10%760%850 10%222%808

15%474%645 15%393%200 14%660%190 13%927%181

12%557%385 12%491%294 11%896%470 11%301%647

30%910%815 30%748%127 29%283%930 27%819%734

33%849%450 33%671%295 32%067%900 30%464%505

17%484%750 17%392%725 16%564%500 15%736%275

27%429%255 27%284%891 25%985%610 24%686%330

30%815%910 30%653%721 29%194%020 27%734%319

25%408%025 25%274%298 24%070%760 22%867%222

31%252%815 31%088%327 29%607%930 28%127%534

43%734%960 43%504%776 41%433%120 39%361%464

37%032%615 36%837%707 35%083%530 33%329%354

51%266%655 50%996%831 48%568%410 46%139%990

53%804%002 53%520%823 50%972%212 48%423%602

50%758%785 50%491%634 48%087%270 45%682%907

51%127%290 50%858%199 48%436%380 46%014%561

55%697%265 55%404%122 52%765%830 50%127%539

6%598%890 6%564%159 6%251%580 5%939%001

8%172%945 8%129%930 7%742%790 7%355%651

10%967%940 10%910%214 10%390%680 9%871%146



1%913%490 1%903%419 1%812%780 1%722%141

16%732%350 16%644%285 15%851%700 15%059%115

20%097%630 19%991%853 19%039%860 18%087%867

3%713%265 3%693%722 3%517%830 3%341%939

5%921%730 5%890%563 5%610%060 5%329%557

9%569%160 9%518%796 9%065%520 8%612%244

7%209%360 7%171%416 6%829%920 6%488%424

10%849%095 10%791%995 10%278%090 9%764%186

13%833%900 13%761%090 13%105%800 12%450%510

2%466%675 2%453%693 2%336%850 2%220%008

4%684%545 4%659%890 4%437%990 4%216%091

9%532%395 9%482%225 9%030%690 8%579%156

8%651%745 8%606%210 8%196%390 7%786%571

12%632%625 12%566%138 11%967%750 11%369%363

13%881%780 13%808%718 13%151%160 12%493%602

5%069%295 5%042%615 4%802%490 4%562%3665%850%765 5%819%972 5%542%830 5%265%689

12%473%595 12%407%945 11%817%090 11%226%236

3%966%345 3%945%470 3%757%590 3%569%711

4%623%840 4%599%504 4%380%480 4%161%456

8%451%675 8%407%193 8%006%850 7%606%508

4%120%245 4%098%560 3%903%390 3%708%2215%505%345 5%476%370 5%215%590 4%954%811

9%688%005 9%637%016 9%178%110 8%719%205

4%835%025 4%809%578 4%580%550 4%351%523

8%270%415 8%226%887 7%835%130 7%443%374

24%932%655 24%801%431 23%620%410 22%439%390

5%000%040 4%973%724 4%736%880 4%500%0365%944%815 5%913%527 5%631%930 5%350%334

7%667%640 7%627%284 7%264%080 6%900%876



2%332%440 2%320%164 2%209%680 2%099%196

2%737%710 2%723%301 2%593%620 2%463%939

3%435%390 3%417%309 3%254%580 3%091%851

3%019%860 3%003%966 2%860%920 2%717%874

5%385%645 5%357%300 5%102%190 4%847%081

8%147%295 8%104%415 7%718%490 7%332%566

1%164%510 1%158%381 1%103%220 1%048%059

4%275%855 4%253%351 4%050%810 3%848%270

5%504%490 5%475%519 5%214%780 4%954%041

4%670%865 4%646%282 4%425%030 4%203%779

13%290%975 13%221%023 12%591%450 11%961%878

10%148%850 10%095%435 9%614%700 9%133%965

- - - -- - 9%809%100 -

- - 3%810%240 -

- - - -

- - 5%101%380 -

- - - -

- - 1%144%530 -

- - 727%583 -

- - 6%940%080 -- - 1%279%800 -

- - - -

- - - -

- - - -

- - 3%917%970 -

- - 1%222%290 -

- - 1%185%840 -

- - 981%720 -- - 500%580 -



- - 487%620 -

- - 902%340 -

- 401%679 -

- 1%202%850 -

- 2%318%220 -

- 1%820%313 -

- 1%715%337 -

- 2%279%583 -

- 752%328 -

- 1%285%227 -

- 864%594 -

- 702%756 -

- 1%668%681 -



3%305%605%729



RS TYPE D

KLS-3 KLS2 KLS1

- -

- -

- -

67%847%192 64%616%373 61%385%554

104%623%237 99%641%178 94%659%119

132%691%523 126%372%879 120%054%235

56%601%200 53%905%905 51%210%610

67%005%962 63%815%202 60%624%442

111%159%414 105%866%109 100%572%804

59%209%088 56%389%608 53%570%128

94%454%234 89%956%413 85%458%592

118%837%643 113%178%708 107%519%773

55%789%823 53%133%165 50%476%507103%295%947 98%377%092 93%458%237

106%510%071 101%438%163 96%366%255

40%722%705 38%783%529 36%844%353

70%541%576 67%182%453 63%823%330

90%449%399 86%142%285 81%835%171

75%362%380 71%773%695 68%185%01080%403%633 76%574%889 72%746%145

108%700%789 103%524%561 98%348%333

45%271%009 43%115%247 40%959%485

60%361%856 57%487%482 54%613%108

75%452%703 71%859%717 68%266%731

31%889%412 30%370%869 28%852%32644%140%440 42%038%514 39%936%588

63%299%653 60%285%384 57%271%115



36%453%025 34%717%167 32%981%309

39%487%269 37%606%923 35%726%577

64%502%175 61%430%643 58%359%111

36%840%343 35%086%041 33%331%739

46%126%017 43%929%540 41%733%063

47%656%917 45%387%540 43%118%163

8%638%103 8%226%765 7%815%427

10%169%003 9%684%765 9%200%527

13%853%880 13%194%171 12%534%462

11%242%164 10%706%823 10%171%482

27%673%314 26%355%537 25%037%760

30%304%166 28%861%110 27%418%055

15%653%453 14%908%050 14%162%648

24%556%401 23%387%049 22%217%697

27%588%349 26%274%618 24%960%887

22%746%868 21%663%684 20%580%500

27%979%494 26%647%137 25%314%780

39%154%298 37%289%808 35%425%318

33%153%936 31%575%177 29%996%418

45%897%147 43%711%569 41%525%991

48%168%741 45%874%991 43%581%241

45%442%470 43%278%543 41%114%616

45%772%379 43%592%742 41%413%105

49%863%709 47%489%247 45%114%785

5%907%743 5%626%422 5%345%101

7%316%937 6%968%511 6%620%085

9%819%193 9%351%612 8%884%031



1%713%077 1%631%502 1%549%927

14%979%857 14%266%530 13%553%204

17%992%668 17%135%874 16%279%080

3%324%349 3%166%047 3%007%745

5%301%507 5%049%054 4%796%601

8%566%916 8%158%968 7%751%020

6%454%274 6%146%928 5%839%582

9%712%795 9%250%281 8%787%767

12%384%981 11%795%220 11%205%459

2%208%323 2%103%165 1%998%007

4%193%901 3%994%191 3%794%481

8%534%002 8%127%621 7%721%240

7%745%589 7%376%751 7%007%913

11%309%524 10%770%975 10%232%426

12%427%846 11%836%044 11%244%242

4%538%353 4%322%241 4%106%1295%237%974 4%988%547 4%739%120

11%167%150 10%635%381 10%103%612

3%550%923 3%381%831 3%212%739

4%139%554 3%942%432 3%745%310

7%566%473 7%206%165 6%845%857

3%688%704 3%513%051 3%337%3984%928%733 4%694%031 4%459%329

8%673%314 8%260%299 7%847%284

4%328%620 4%122%495 3%916%370

7%404%198 7%051%617 6%699%036

22%321%287 21%258%369 20%195%451

4%476%352 4%263%192 4%050%0325%322%174 5%068%737 4%815%300

6%864%556 6%537%672 6%210%788



- 438%858 -

- 812%106 -

361%511

1%082%565

2%086%398

1%638%282

1%543%803

2%051%625

677%095

1%156%704

778%135

632%480

1%501%813



2%975%045%156

copy of usulan tarif ina cbg- perki _final revise.xlsx

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