Finance & Revenue Cycle
Royal Puri & Karawang · Senin, 16 September 2024
Perkiraan Biaya Operasi (PBO)
Auto-generated dari diagnosa + Clinical Pathway + master pricing
Budi Hartono · MR-2019-0847
BH
55L · BPJS Kelas 1 + Personal · Royal Puri · Today 09:00Diabetes Mellitus Tipe 2 (E11.9) ×Hipertensi Esensial (I10) ×
- Konsultasi dokter spesialis (45 min)
- Lab panel: HbA1c, Lipid, BUN/Creatinine
- ECG 12-lead
- MRI Jantung dengan kontras
- EKG stress test (optional)
- Echocardiography (optional)
DM-Cardio-001 · DM Tipe 2 dengan risiko CVD
BPJS Kelas 1 + Personal Top-up
BPJS 56%Patient 44%
PBO · Budi Hartono · MR-2019-0847
Draft · pending finance reviewTotal estimasi
Rp 3,247,000
BPJS coverage est: Rp 1,820,000 (56%) · Patient share: Rp 1,427,000 (44%)
| Kategori | Item | Unit price | Qty | Sub-total |
|---|---|---|---|---|
| Konsultasi | dr. Siti Rahmawati · Internal Medicine (45 min) | Rp 350,000 | 1 | Rp 350,000 |
| Lab | HbA1c | Rp 165,000 | 1 | Rp 165,000 |
| Lab | Lipid Panel | Rp 215,000 | 1 | Rp 215,000 |
| Lab | BUN + Kreatinin | Rp 95,000 | 1 | Rp 95,000 |
| Diagnostik | ECG 12-lead | Rp 280,000 | 1 | Rp 280,000 |
| Diagnostik | MRI Jantung dengan kontras | Rp 2,100,000 | 1 | Rp 2,100,000 |
| Farmasi (est) | Metformin XR 1000mg #60 | Rp 42,000 | 1 | Rp 42,000 |
BPJS coverage
- Konsultasi spesialis
- HbA1c · Lipid · BUN+Kreatinin
- ECG 12-lead
- Metformin XR (formularium)
- MRI Cardio partial (kuota tahunan)
Total Rp 1,820,000
Patient share
- MRI Cardio out-of-pocket portion
Total Rp 1,427,000
Pasien serupa: 12% overrun rata-rata pada paket ini (n=47). Pertimbangkan buffer biaya.