NO KODE CBG JUMLAH KODE

1 I-4-17-I 5 I10
2 G-4-14-I 4 I63.9
E-4-10-I
3 17 R73.9
G-4-15-I
4 5 I64
J-4-16-I
5 4 J18.9
DIAGNOSA
HIPERTENSI
CEREBRAL INFARK
Hyperglycaemia, unspecified
Stroke, not specified as haemorrhage or infarction
Pneumonia, unspecified
NO KODE GROUPING BIAYA TARIF RS KODE DIAGNOSA DIAGNOSA
1 O-6-10-I 10,330,900 27,005,000

2 O-6-10-I 10,330,900 26,980,000

3 E-4-10-I 8,355,600 19,920,000

4 J-4-18-I 4,805,100 17,767,000

5 A-4-13-I 4,736,200 16,961,000

6 O-6-10-I 5,201,000 15,842,000

7 O-6-10-I 3,471,700 13,270,000

8 W-4-17-I 4,442,600 13,026,000

9 U-4-12-I 7,252,600 14,172,000

10 E-4-10-I 6,043,900 13,802,000

11 O-6-10-I 7,265,800 13,737,000

12 O-6-10-I 5,187,700 13,651,000

13 O-6-10-I 3,471,700 13,270,000

14 J-4-16-I 6,021,100 13,127,000

15 W-4-17-I 4,442,600 13,026,000

16 A-4-13-I 5,331,100 13,009,000

17 O-6-10-I 3,490,800 12,981,000

18 J-4-16-I 7,809,900 12,943,000

19 K-4-18-I 6,701,400 12,708,000

40,I64,"Stroke, not specified as haemorrhage or infarction",19,4.842105263157895,0,0,17350000,600000,3750000,3000000,9

42,I63.9,"Cerebral infarction, unspecified",17,5.176470588235294,0,0,16050000,900000,3350000,2650000,7920000,1070000
64,M47.96,"Spondylosis, unspecified, lumbar region",9,5.333333333333333,300000,0,7750000,450000,1000000,1700000,245
64,M47.96,"Spondylosis, unspecified, lumbar region",9,5.333333333333333,300000,0,7750000,450000,1000000,1700000,245
98,G44.2,Tension-type headache,4,3.75,0,0,2550000,0,500000,500000,640000,750000,0,0,4000000,0,4283000,122000,0,0,13
0000,3750000,3000000,9165000,8050000,0,1650000,25500000,0,49982000,0,0,0,119047000,72407700
50000,7920000,10700000,0,600000,21400000,0,39661000,292000,200000,1500000,105223000,74300100
00,1000000,1700000,2450000,3750000,0,450000,10300000,0,14668000,233000,0,0,43051000,28197700
00,1000000,1700000,2450000,3750000,0,450000,10300000,0,14668000,233000,0,0,43051000,28197700
0,4283000,122000,0,0,13345000,9436100
SARAF
NO KODE DIAGNOSA JUMLAH LOS
I64 Stroke, not specified as haemorrhage or infarction 19 4.84
I63.9 Cerebral infarction, unspecified 17 5.17
M47.96 Spondylosis, unspecified, lumbar region 9 5.33
G44.2 Tension-type headache 4 3.75
,G51.0 Bell's palsy 1 3
Q-5-44-0 5 Other ill-defined and unspecified cause of mortality DOA
J-3-13-0 4 Other low birth weight BBLR
R99
P07,1
NO KODE TINDAKAN
87.49 Other chest x-ray
Other cesarean section of unspecified type
BANYAK BIAYA RS CBGS
931 4,407,272,000 3,171,498,400
756 4,789,477,000 4,100,286,300
 No Code

1 87.49

2 74.99

3 90.54
4 89.52
5 90.59
6 88.75
7 88.78
8 47.09
9 88.39
10 73.59
11 86.28
12 69.01
13 86.3
14 93.96
15 53.29
16 69.02
17 54.11
18 86.22
19 53.00
20 75.4
 Deskripsi

Other chest x-ray

Other cesarean section of unspecified type

Microscopic examination of blood, Parasitology

Electrocardiogram
Microscopic examination of blood, Other microscopic examination
Diagnostic ultrasound of urinary system
Diagnostic ultrasound of gravid uterus
Other appendectomy
X-ray, other and unspecified
Other manually assisted delivery
Nonexcisional debridement of wound, infection, or burn
Dilation and curettage for termination of pregnancy
Other local excision or destruction of lesion or tissue of skin and
Other oxygen enrichment
Other unilateral femoral herniorrhaphy
Dilation and curettage following delivery or abortion
Exploratory laparotomy
Excisional debridement of wound, infection, or burn
Unilateral repair of inguinal hernia, not otherwise specified
Manual removal of retained placenta
Jumlah ALOS Subtotal RS Subtotal INA-CBG

931 4.56 4,407,272,000 3,171,498,400

756 4.08 4,789,477,000 4,100,286,300

699 4.06 2,259,626,000 1,617,657,800

353 4.13 1,419,074,000 972,016,000
272 4.00 816,814,000 554,112,600
119 4.50 507,780,000 389,508,800
112 3.26 300,959,000 251,995,800
39 6.10 304,333,000 122,759,800
36 4.64 148,375,000 101,642,900
33 1.70 75,283,000 60,651,100
17 6.35 154,938,000 87,948,600
14 2.07 36,048,000 25,119,400
14 3.93 76,695,000 57,031,800
14 4.07 47,470,000 69,428,200
13 4.85 89,607,000 66,090,100
10 2.00 25,465,000 19,346,000
6 7.17 53,460,000 38,138,600
6 5.67 43,169,000 20,506,600
5 6.00 41,516,000 26,436,000
5 1.20 9,298,000 8,306,200