TARIF AMBULANCE
1. Tarif Sewa Ambulance Luar Kota
A. Tarif Ambulance Medis dari Jakarta Tujuan ke Luar kota Include ALKES Standard* dan Jasa Tenaga Medis*
| TARIF AMBULANCE ASAL JAKARTA | ||||||||||
| NO | Asal | Tujuan | Jarak tempuh | Waktu tempuh | Harga include tol dan penyeberangan | APV Standart | APV Executive | HIACE | Hyundai H1 | ELF |
| 1 | Jakarta | Kota Bogor | 86 km | 1,5 Jam | Rp1,500,000 | Rp1,700,000 | Rp2,800,000 | Rp2,800,000 | Rp2,400,000 | |
| 2 | Jakarta | Cianjur | 131 Km | 3,5 Jam | Rp1,900,000 | Rp2,100,000 | Rp3,300,000 | Rp3,300,000 | Rp2,800,000 | |
| 3 | Jakarta | Bandung | 165 km | 2,5 Jam | Rp2,000,000 | Rp2,200,000 | Rp3,600,000 | Rp3,600,000 | Rp3,000,000 | |
| 4 | Jakarta | Sukabumi | 140 Km | 3 Jam | Rp1,900,000 | Rp2,100,000 | Rp3,400,000 | Rp3,400,000 | Rp2,900,000 | |
| 5 | Jakarta | Ciamis | 295 Km | 5,5 Jam | Rp2,500,000 | Rp2,200,000 | Rp4,100,000 | Rp4,100,000 | Rp3,500,000 | |
| 6 | Jakarta | Garut | 310 km | 6,5 Jam | Rp3,200,000 | Rp3,150,000 | Rp5,300,000 | Rp5,300,000 | Rp4,100,000 | |
| 7 | Jakarta | Karawang | 100 km | 1,5 Jam | Rp1,600,000 | Rp1,800,000 | Rp3,000,000 | Rp3,000,000 | Rp2,600,000 | |
| 8 | Jakarta | Bekasi | 56 km | 1 Jam | Rp1,400,000 | Rp1,600,000 | Rp2,600,000 | Rp2,600,000 | Rp2,300,000 | |
| 9 | Jakarta | Tasikmalaya | 290 km | 5,5 Jam | Rp3,000,000 | Rp3,100,000 | Rp5,100,000 | Rp5,100,000 | Rp3,900,000 | |
| 10 | Jakarta | Sumedang | 230 km | 3 Jam | Rp2,550,000 | Rp2,700,000 | Rp4,500,000 | Rp4,500,000 | Rp3,500,000 | |
| 11 | Jakarta | Subang | 160 km | 3 Jam | Rp2,100,000 | Rp2,300,000 | Rp3,700,000 | Rp3,700,000 | Rp3,000,000 | |
| 12 | Jakarta | Purwakarta | 123 km | 2,5 Jam | Rp1,900,000 | Rp2,000,000 | Rp3,300,000 | Rp3,300,000 | Rp2,800,000 | |
| 13 | Jakarta | Pangandaran | 364 km | 8 Jam | Rp3,800,000 | Rp4,000,000 | Rp6,300,000 | Rp6,300,000 | Rp4,900,000 | |
| 14 | Jakarta | Majalengka | 232 km | 4 Jam | Rp2,800,000 | Rp3,000,000 | Rp4,800,000 | Rp480,000 | Rp3,900,000 | |
| 15 | Jakarta | Kuningan | 281 km | 5 Jam | Rp3,200,000 | Rp3,300,000 | Rp5,400,000 | Rp5,400,000 | Rp4,200,000 | |
| 16 | Jakarta | Indramayu | 215 km | 4 Jam | Rp2,700,000 | Rp2,900,000 | Rp4,600,000 | Rp4,600,000 | Rp3,800,000 | |
| 17 | Jakarta | Cirebon | 240 km | 4 Jam | Rp2,900,000 | Rp3,100,000 | Rp5,000,000 | Rp5,000,000 | Rp4,000,000 | |
| 18 | Jakarta | Banjarnegara | 420 km | 7 Jam | Rp4,000,000 | Rp4,100,000 | Rp6,700,000 | Rp6,700,000 | Rp5,000,000 | |
| 19 | Jakarta | Banyumas | 377 km | 6 Jam | Rp3,600,000 | Rp3,800,000 | Rp6,200,000 | Rp6,200,000 | Rp4,800,000 | |
| 20 | Jakarta | Batang | 384 km | 5 Jam | Rp3,800,000 | Rp4,000,000 | Rp6,500,000 | Rp6,500,000 | Rp5,000,000 | |
| 21 | Jakarta | Blora | 588 km | 9 Jam | Rp5,700,000 | Rp5,900,000 | Rp9,500,000 | Rp9,500,000 | Rp7,100,000 | |
| 22 | Jakarta | Boyolali | 536 km | 7 Jam | Rp5,200,000 | Rp5,400,000 | Rp8,600,000 | Rp8,600,000 | Rp6,500,000 | |
| 23 | Jakarta | Brebes | 306 km | 4 Jam | Rp3,200,000 | Rp3,400,000 | Rp5,500,000 | Rp5,500,000 | Rp4,300,000 | |
| 24 | Jakarta | Cilacap | 402 km | 7 Jam | Rp3,900,000 | Rp4,100,000 | Rp6,500,000 | Rp6,500,000 | Rp4,900,000 | |
| 25 | Jakarta | Demak | 495 km | 6.5 Jam | Rp4,700,000 | Rp4,900,000 | Rp7,800,000 | Rp7,800,000 | Rp5,800,000 | |
| 26 | Jakarta | Purwodadi | 525 km | 7.5 Jam | Rp5,200,000 | Rp5,400,000 | Rp8,600,000 | Rp8,600,000 | Rp6,400,000 | |
| 27 | Jakarta | Jepara | 544 km | 7.5 Jam | Rp5,200,000 | Rp5,400,000 | Rp8,700,000 | Rp8,700,000 | Rp6,400,000 | |
| 28 | Jakarta | Karanganyar | 578 km | 7 Jam | Rp5,500,000 | Rp5,600,000 | Rp9,200,000 | Rp9,200,000 | Rp6,800,000 | |
| 29 | Jakarta | Kebumen | 457 km | 8 Jam | Rp4,300,000 | Rp4,400,000 | Rp7,100,000 | Rp7,100,000 | Rp5,200,000 | |
| 30 | Jakarta | Kendal | 438 km | 5.5 Jam | Rp4,200,000 | Rp4,300,000 | Rp7,100,000 | Rp7,100,000 | Rp5,400,000 | |
| 31 | Jakarta | Klaten | 572 km | 7.5 Jam | Rp5,500,000 | Rp5,600,000 | Rp9,100,000 | Rp9,100,000 | Rp6,700,000 | |
| 32 | Jakarta | Kudus | 524 km | 7 Jam | Rp5,100,000 | Rp5,200,000 | Rp8,500,000 | Rp8,500,000 | Rp6,300,000 | |
| 33 | Jakarta | Magelang | 538 km | 7 Jam | Rp5,100,000 | Rp5,200,000 | Rp8,600,000 | Rp8,600,000 | Rp6,400,000 | |
| 34 | Jakarta | Pati | 552 km | 7 .5 Jam | Rp5,200,000 | Rp5,400,000 | Rp8,700,000 | Rp8,700,000 | Rp6,500,000 | |
| 35 | Jakarta | Pekalongan | 384 km | 5 Jam | Rp3,800,000 | Rp3,900,000 | Rp6,500,000 | Rp6,500,000 | Rp4,900,000 | |
| 36 | Jakarta | Pemalang | 357 km | 4.5 Jam | Rp3,600,000 | Rp3,700,000 | Rp6,100,000 | Rp6,100,000 | Rp4,700,000 | |
| 37 | Jakarta | Purbalingga | 391 km | 6 Jam | Rp3,800,000 | Rp3,900,000 | Rp6,400,000 | Rp6,400,000 | Rp4,800,000 | |
| 38 | Jakarta | Purworejo | 532 km | 8.5 Jam | Rp5,500,000 | Rp5,600,000 | Rp9,100,000 | Rp9,100,000 | Rp6,900,000 | |
| 39 | Jakarta | Rembang | 588 km | 9 Jam | Rp5,700,000 | Rp5,900,000 | Rp9,500,000 | Rp9,500,000 | Rp7,100,000 | |
| 40 | Jakarta | Semarang | 465 km | 6 Jam | Rp4,500,000 | Rp4,600,000 | Rp7,600,000 | Rp7,600,000 | Rp5,700,000 | |
| 41 | Jakarta | Sragen | 582 km | 7 Jam | Rp5,600,000 | Rp5,700,000 | Rp,300,000 | Rp9,300,000 | Rp6,900,000 | |
| 42 | Jakarta | Sukoharjo | 573 km | 7.5 Jam | Rp5,500,000 | Rp5,600,000 | Rp9,100,000 | Rp9,100,000 | Rp6,700,000 | |
| 43 | Jakarta | Tegal | 311 km | 4 Jam | Rp3,200,000 | Rp1,500,000 | Rp5,600,000 | Rp5,600,000 | Rp4,300,000 | |
| 44 | Jakarta | Temanggung | 481 km | 7 Jam | Rp4,500,000 | Rp4,700,000 | Rp7,600,000 | Rp7,600,000 | Rp5,700,000 | |
| 45 | Jakarta | Wonogiri | 622 km | 8.5 Jam | Rp6,300,000 | Rp6,400,000 | Rp10,400,000 | Rp10,400,000 | Rp7,700,000 | |
| 46 | Jakarta | Wonosobo | 489 km | 7.5 Jam | Rp4,600,000 | Rp4,700,000 | Rp7,700,000 | Rp7,700,000 | Rp5,700,000 | |
| 47 | Jakarta | Salatiga | 506 km | 6.5 Jam | Rp5,000,000 | Rp5,100,000 | Rp8,300,000 | Rp8,300,000 | Rp6,200,000 | |
| 48 | Jakarta | Surakarta | 561 km | 7 Jam | Rp5,400,000 | Rp5,500,000 | Rp9,000,000 | Rp9,000,000 | Rp6,700,000 | |
| 49 | Jakarta | Yogyakarta | 585 km | 8 Jam | Rp5,500,000 | Rp5,600,000 | Rp9,200,000 | Rp9,200,000 | Rp6,800,000 | |
| 50 | Jakarta | Sleman | 591 km | 9 Jam | Rp5,600,000 | Rp5,700,000 | Rp9,300,000 | Rp9,300,000 | Rp6,800,000 | |
| 51 | Jakarta | Bantul | 604 km | 8.5 Jam | Rp6,100,000 | Rp6,300,000 | Rp10,200,000 | Rp10,200,000 | Rp7,600,000 | |
| 52 | Jakarta | Bangkalan | 853 km | 11 Jam | Rp8,600,000 | Rp8,700,000 | Rp14,000,000 | Rp14,000,000 | Rp11,000,000 | |
| 53 | Jakarta | Banyuwangi | 1089 km | 15 Jam | Rp12,000,000 | Rp12,200,000 | Rp19,500,000 | Rp19,500,000 | Rp15,000,000 | |
| 54 | Jakarta | Blitar | 775 km | 10.5 Jam | Rp7,700,000 | Rp7,800,000 | Rp12,700,000 | Rp12,700,000 | Rp9,400,000 | |
| 55 | Jakarta | Bojonegoro | 705 km | 9.5 Jam | Rp7,200,000 | Rp7,300,000 | Rp12,000,000 | Rp12,000,000 | Rp9,000,000 | |
| 56 | Jakarta | Bondowoso | 990 km | 13 Jam | Rp9,800,000 | Rp9,900,000 | Rp16,000,000 | Rp16,000,000 | Rp12,000,000 | |
| 57 | Jakarta | Gresik | 810 km | 10 Jam | Rp8,400,000 | Rp8,500,000 | Rp14,000,000 | Rp14,000,000 | Rp10,200,000 | |
| 58 | Jakarta | Jember | 978 km | 13 Jam | Rp9,600,000 | Rp9,700,000 | Rp16,000,000 | Rp16,000,000 | Rp12,000,000 | |
| 59 | Jakarta | Jombang | 749 km | 9 Jam | Rp7,500,000 | Rp7,600,000 | Rp12,400,000 | Rp12,400,000 | Rp9,200,000 | |
| 60 | Jakarta | Kediri | 741 km | 9.5 Jam | Rp7,500,000 | Rp7,600,000 | Rp12,300,000 | Rp12,300,000 | Rp9,200,000 | |
| 61 | Jakarta | Lamongan | 819 km | 10 Jam | Rp8,300,000 | Rp8,400,000 | Rp13,700,000 | Rp13,700,000 | Rp10,100,000 | |
| 62 | Jakarta | Lumajang | 934 km | 12 Jam | Rp9,500,000 | Rp9,600,000 | Rp15,500,000 | Rp15,500,000 | Rp11,300,000 | |
| 63 | Jakarta | Madiun | 661 km | 8.5 Jam | Rp6,700,000 | Rp6,800,000 | Rp11,100,000 | Rp11,100,000 | Rp8,300,000 | |
| 64 | Jakarta | Magetan | 673 km | 9 Jam | Rp6,800,000 | Rp6,900,000 | Rp11,200,000 | Rp11,200,000 | Rp8,400,000 | |
| 65 | Jakarta | Malang | 867 km | 11 Jam | Rp8,700,000 | Rp8,800,000 | Rp14,300,000 | Rp14,300,000 | Rp10,600,000 | |
| 66 | Jakarta | Mojokerto | 771 km | 10 Jam | Rp7,900,000 | Rp8,000,000 | Rp12,900,000 | Rp12,900,000 | Rp9,600,000 | |
| 67 | Jakarta | Nganjuk | 710 km | 9 Jam | Rp7,300,000 | Rp7,400,000 | Rp12,100,000 | Rp12,100,000 | Rp9,000,000 | |
| 68 | Jakarta | Ngawi | 653 km | 8.5 Jam | Rp6,600,000 | Rp6,800,000 | Rp11,000,000 | Rp11,000,000 | Rp8,200,000 | |
| 69 | Jakarta | Pacitan | 677 km | 10.5 Jam | Rp6,700,000 | Rp6,800,000 | Rp10,900,000 | Rp10,900,000 | Rp8,200,000 | |
| 70 | Jakarta | Pamekasan | 932 km | 13 Jam | Rp9,300,000 | Rp9,400,000 | Rp15,100,000 | Rp15,100,000 | Rp11,100,000 | |
| 71 | Jakarta | Pasuruan | 858 km | 11 Jam | Rp8,800,000 | Rp8,900,000 | Rp14,400,000 | Rp14,400,000 | Rp10,700,000 | |
| 72 | Jakarta | Ponorogo | 699 km | 9.5 Jam | Rp7,000,000 | Rp7,100,000 | Rp11,500,000 | Rp11,500,000 | Rp8,600,000 | |
| 73 | Jakarta | Probolinggo | 890 km | 11.5 Jam | Rp9,000,000 | Rp9,100,000 | Rp14,700,000 | Rp14,700,000 | Rp10,900,000 | |
| 74 | Jakarta | Sampang | 912 km | 13 Jam | Rp9,300,000 | Rp9,400,000 | Rp15,000,000 | Rp15,000,000 | Rp11,000,000 | |
| 75 | Jakarta | Sidoarjo | 809 km | 10.5 Jam | Rp8,400,000 | Rp8,500,000 | Rp13,700,000 | Rp13,700,000 | Rp10,100,000 | |
| 76 | Jakarta | Situbondo | 991 km | 13.5 Jam | Rp11,100,000 | Rp11,300,000 | Rp18,200,000 | Rp18,200,000 | Rp13,700,000 | |
| 77 | Jakarta | Sumenep | 990 km | 14.5 Jam | Rp11,000,000 | Rp11,100,000 | Rp17,900,000 | Rp17,900,000 | Rp14,400,000 | |
| 78 | Jakarta | Trenggalek | 754 km | 10.5 Jam | Rp7,500,000 | Rp7,600,000 | Rp12,400,000 | Rp12,400,000 | Rp10,000,000 | |
| 79 | Jakarta | Tuban | 739 km | 11 Jam | Rp7,500,000 | Rp7,600,000 | Rp12,200,000 | Rp12,200,000 | Rp9,100,000 | |
| 80 | Jakarta | Tulungagung | 771 km | 10.5 Jam | Rp7,700,000 | Rp7,800,000 | Rp12,600,000 | Rp12,600,000 | Rp9,300,000 | |
| 81 | Jakarta | Batu | 810 km | 11.5 Jam | Rp8,300,000 | Rp8,400,000 | Rp13,500,000 | Rp13,500,000 | Rp9,900,000 | |
| 82 | Jakarta | Surabaya | 809 km | 10.5 Jam | Rp8,400,000 | Rp8,500,000 | Rp13,700,000 | Rp13,700,000 | Rp10,100,000 | |
| 83 | Jakarta | Gianyar | 1217 km | 20 Jam | Rp14,600,000 | Rp14,700,000 | Rp23,200,000 | Rp23,200,000 | Rp17,500,000 | |
| 84 | Jakarta | Denpasar | 1212 km | 20 Jam | Rp14,600,000 | Rp14,700,000 | Rp23,200,000 | Rp23,200,000 | Rp17,500,000 | |
| 85 | Jakarta | Palembang | 526 km | 12 Jam | Rp8,600,000 | Rp8,700,000 | Rp13,900,000 | Rp13,900,000 | Rp11,700,000 | |
| 86 | Jakarta | Lubuk Linggau | 813 km | 18 Jam | Rp12,200,000 | Rp12,400,000 | Rp19,700,000 | Rp19,700,000 | Rp16,000,000 | |
| 87 | Jakarta | Pagaralam | 784 km | 17 Jam | Rp11,600,000 | Rp11,800,000 | Rp18,800,000 | Rp18,800,000 | Rp15,300,000 | |
| 88 | Jakarta | Bandar Lampung | 225 km | 8 Jam | Rp6,800,000 | Rp6,700,000 | Rp10,800,000 | Rp10,800,000 | Rp9,900,000 | |
| 89 | Jakarta | Bengkulu | 834 km | 21.5 Jam | Rp13,800,000 | Rp14,100,000 | Rp22,200,000 | Rp22,200,000 | Rp18,400,000 | |
| 90 | Jakarta | Jambi | 947 km | 21.5 Jam | Rp14,700,000 | Rp15,000,000 | Rp23,700,000 | Rp23,700,000 | Rp19,300,000 | |
| 91 | Jakarta | Bukit Tinggi | 1276 km | 30 Jam | Rp20,000,000 | Rp20,300,000 | Rp31,900,000 | Rp31,900,000 | Rp25,500,000 | |
| 92 | Jakarta | Padang | 1268 km | 29 Jam | Rp20,000,000 | Rp20,200,000 | Rp31,700,000 | Rp31,700,000 | Rp25,400,000 | |
| 93 | Jakarta | Pariaman | 1316 km | 31 Jam | Rp20,800,000 | Rp21,200,000 | Rp33,200,000 | Rp33,200,000 | Rp26,500,000 | |
| 94 | Jakarta | Payakumbuh | 1256 km | 29 Jam | Rp19,800,000 | Rp20,200,000 | Rp31,800,000 | Rp31,800,000 | Rp25,400,000 | |
| 95 | Jakarta | Sawahluntok | 1207 km | 27.5 Jam | Rp19,400,000 | Rp19,800,000 | Rp31,100,000 | Rp31,100,000 | Rp25,000,000 | |
| 96 | Jakarta | Solok | 1215 km | 27.5 Jam | Rp19,400,000 | Rp19,800,000 | Rp31,200,000 | Rp31,200,000 | Rp25,000,000 | |
| 97 | Jakarta | Binjai | 1908 km | 41 Jam | Rp32,900,000 | Rp33,400,000 | Rp52,200,000 | Rp52,200,000 | Rp41,200,000 | |
| 98 | Jakarta | Medan | 1881 km | 41 Jam | Rp31,900,000 | Rp32,400,000 | Rp50,700,000 | Rp50,700,000 | Rp40,100,000 | |
| 99 | Jakarta | Tebing Tinggi | 1816 km | 40 Jam | Rp29,200,000 | Rp29,600,000 | Rp46,300,000 | Rp46,300,000 | Rp36,300,000 | |
| 100 | Jakarta | Banda Aceh | 2478 km | 53 Jam | Rp43,900,000 | Rp44,400,000 | Rp69,100,000 | Rp69,100,000 | Rp54,100,000 | |
Note s&k berlaku
Syarat dan Ketentuan :
1. Perhitungan tarif bersifat estimasi, dapat berubah sesuai jarak, rute perjalanan, kenaikan biaya seperti bbm, tol, biaya penyeberangan ferry-sesuai jumlah dan usia penumpang, upah pekerja.
2. Harga tarif di atas tidak mengikat, tidak termasuk PPN dan PPH
3. Ketersediaan unit by confirmation, disarankan untuk membayar DP untuk mengikat ketersediaan unit
4. *Tarif sudah termasuk pinjaman alat kesehatan STANDART
– Patient monitor
– Infus pump
– Syringe pump
– Suction pump
Jenis pinjaman ALKES dipengaruhi oleh negosiasi tarif
5. *Jasa tenaga medis negosiasi menyesuaikan kondisi dan kebutuhan pasien (caregiver/ perawat certificated)
6. Apabila di dalam perjalanan timbul diperlukannya tindakan penanganan darurat ke fasilitas kesehatan terdekat, maka akan ada biaya penyesuaian, biaya di fasilitas kesehatan tersebut merupakan beban pasien.
Penjelasan : perjalanan jakarta ke surabaya via darat, ketika di cirebon, pasien mengalami serangan jantung dan kondisi menurun, maka pihak kami akan mengantar ke
rumah sakit di cirebon untuk penanganan lebih intensif. Penyesuaian biaya timbul atas waktu, perubahan rute, biaya lainnya.
7. Term of Payment
Pemesanan ambulance diwajibkan DP, ketika akan memuat pasien ke ambulance , pelunasan terlebih dahulu.
B. Tarif Ambulance Medis dari Surabaya Tujuan ke Luar kota Include ALKES Standard* dan Jasa Tenaga Medis*
| TARIF AMBULANCE ASAL SURABAYA | ||||||||||
| NO | Asal | Tujuan | Jarak tempuh | Waktu tempuh | Harga include tol & penyeberangan | APV Standart | APV Executive | HIACE | Hyundai H1 | ELF |
| 1 | Surabaya | Jakarta | 809 km | 10.5 Jam | Rp8,400,000.00 | Rp8,500,000.00 | Rp13,700,000.00 | Rp13,700,000.00 | Rp10,100,000.00 | |
| 2 | Surabaya | Kota Bogor | 807 km | 10 Jam | Rp8,300,000.00 | Rp8,400,000.00 | Rp13,600,000.00 | Rp13,600,000.00 | Rp10,100,000.00 | |
| 3 | Surabaya | Cianjur | 755 km | 9.5 Jam | Rp7,700,000.00 | Rp7,800,000.00 | Rp12,600,000.00 | Rp12,600,000.00 | Rp9,400,000.00 | |
| 4 | Surabaya | Bandung | 696 km | 8.5 Jam | Rp7,100,000.00 | Rp7,200,000.00 | Rp11,700,000.00 | Rp11,700,000.00 | Rp8,800,000.00 | |
| 5 | Surabaya | Sukabumi | 786 km | 10.5 Jam | Rp7,900,000.00 | Rp8,000,000.00 | Rp12,900,000.00 | Rp12,900,000.00 | Rp9,600,000.00 | |
| 6 | Surabaya | Ciamis | 664 km | 9 Jam | Rp6,800,000.00 | Rp6,900,000.00 | Rp11,200,000.00 | Rp11,200,000.00 | Rp8,400,000.00 | |
| 7 | Surabaya | Garut | 721 km | 9 Jam | Rp7,500,000.00 | Rp7,600,000.00 | Rp12,300,000.00 | Rp12,300,000.00 | Rp9,200,000.00 | |
| 8 | Surabaya | Karawang | 717 km | 9 Jam | Rp7,600,000.00 | Rp7,700,000.00 | Rp12,400,000.00 | Rp12,400,000.00 | Rp9,400,000.00 | |
| 9 | Surabaya | Bekasi | 733 km | 9 Jam | Rp7,600,000.00 | Rp7,700,000.00 | Rp12,500,000.00 | Rp12,500,000.00 | Rp9,400,000.00 | |
| 10 | Surabaya | Tasikmalaya | 668 km | 9.5 Jam | Rp6,900,000.00 | Rp7,000,000.00 | Rp11,400,000.00 | Rp11,400,000.00 | Rp8,500,000.00 | |
| 11 | Surabaya | Sumedang | 650 km | 8 Jam | Rp6,500,000.00 | Rp6,600,000.00 | Rp10,800,000.00 | Rp10,800,000.00 | Rp8,000,000.00 | |
| 12 | Surabaya | Subang | 661 km | 8 Jam | Rp6,600,000.00 | Rp6,700,000.00 | Rp10,900,000.00 | Rp10,900,000.00 | Rp8,200,000.00 | |
| 13 | Surabaya | Purwakarta | 707 km | 9 Jam | Rp7,500,000.00 | Rp7,600,000.00 | Rp12,300,000.00 | Rp12,300,000.00 | Rp9,300,000.00 | |
| 14 | Surabaya | Pangandaran | 661 km | 10 Jam | Rp6,800,000.00 | Rp6,900,000.00 | Rp11,100,000.00 | Rp11,100,000.00 | Rp8,300,000.00 | |
| 15 | Surabaya | Majalengka | 607 km | 7.5 Jam | Rp6,200,000.00 | Rp6,300,000.00 | Rp10,300,000.00 | Rp10,300,000.00 | Rp7,700,000.00 | |
| 16 | Surabaya | Kuningan | 565 km | 7 Jam | Rp5,700,000.00 | Rp5,800,000.00 | Rp9,500,000.00 | Rp9,500,000.00 | Rp7,100,000.00 | |
| 17 | Surabaya | Indramayu | 626 km | 8 Jam | Rp6,300,000.00 | Rp6,400,000.00 | Rp10,400,000.00 | Rp10,400,000.00 | Rp7,800,000.00 | |
| 18 | Surabaya | Cirebon | 573 km | 7 Jam | Rp5,800,000.00 | Rp5,900,000.00 | Rp9,600,000.00 | Rp9,600,000.00 | Rp7,200,000.00 | |
| 19 | Surabaya | Banjarnegara | 438 km | 6.5 Jam | Rp4,400,000.00 | Rp4,500,000.00 | Rp7,300,000.00 | Rp7,300,000.00 | Rp5,500,000.00 | |
| 20 | Surabaya | Banyumas | 582 km | 8 Jam | Rp5,800,000.00 | Rp5,900,000.00 | Rp9,500,000.00 | Rp9,500,000.00 | Rp7,100,000.00 | |
| 21 | Surabaya | Batang | 422 km | 5 Jam | Rp4,400,000.00 | Rp4,600,000.00 | Rp7,500,000.00 | Rp7,500,000.00 | Rp5,800,000.00 | |
| 22 | Surabaya | Blora | 255 km | 4 Jam | Rp3,000,000.00 | Rp3,100,000.00 | Rp5,100,000.00 | Rp5,100,000.00 | Rp4,100,000.00 | |
| 23 | Surabaya | Boyolali | 276 km | 3 Jam | Rp3,100,000.00 | Rp3,200,000.00 | Rp5,300,000.00 | Rp5,300,000.00 | Rp4,200,000.00 | |
| 24 | Surabaya | Brebes | 503 km | 5.5 Jam | Rp5,200,000.00 | Rp5,300,000.00 | Rp8,700,000.00 | Rp8,700,000.00 | Rp6,600,000.00 | |
| 25 | Surabaya | Cilacap | 512 km | 8.5 Jam | Rp5,800,000.00 | Rp5,900,000.00 | Rp9,500,000.00 | Rp9,500,000.00 | Rp7,400,000.00 | |
| 26 | Surabaya | Demak | 370 km | 4.5 Jam | Rp3,900,000.00 | Rp4,100,000.00 | Rp6,700,000.00 | Rp6,700,000.00 | Rp5,200,000.00 | |
| 27 | Surabaya | Purwodadi | 274 km | 4 Jam | Rp3,200,000.00 | Rp3,400,000.00 | Rp5,500,000.00 | Rp5,500,000.00 | Rp4,400,000.00 | |
| 28 | Surabaya | Jepara | 419 km | 6 Jam | Rp4,300,000.00 | Rp4,500,000.00 | Rp7,300,000.00 | Rp7,300,000.00 | Rp5,600,000.00 | |
| 29 | Surabaya | Karanganyar | 254 km | 3 Jam | Rp2,900,000.00 | Rp3,100,000.00 | Rp5,000,000.00 | Rp5,000,000.00 | Rp4,000,000.00 | |
| 30 | Surabaya | Kebumen | 424 km | 7 Jam | Rp4,300,000.00 | Rp4,500,000.00 | Rp7,200,000.00 | Rp7,200,000.00 | Rp5,500,000.00 | |
| 31 | Surabaya | Kendal | 371 km | 4 Jam | Rp3,900,000.00 | Rp4,100,000.00 | Rp6,700,000.00 | Rp6,700,000.00 | Rp5,200,000.00 | |
| 32 | Surabaya | Klaten | 292 km | 3.5 Jam | Rp3,200,000.00 | Rp3,300,000.00 | Rp5,400,000.00 | Rp5,400,000.00 | Rp4,300,000.00 | |
| 33 | Surabaya | Kudus | 399 km | 5 Jam | Rp4,100,000.00 | Rp4,300,000.00 | Rp7,000,000.00 | Rp7,000,000.00 | Rp5,400,000.00 | |
| 34 | Surabaya | Magelang | 333 km | 4.5 Jam | Rp3,700,000.00 | Rp3,900,000.00 | Rp6,300,000.00 | Rp6,300,000.00 | Rp4,900,000.00 | |
| 35 | Surabaya | Pati | 301 km | 5 Jam | Rp3,400,000.00 | Rp3,500,000.00 | Rp5,700,000.00 | Rp5,700,000.00 | Rp4,500,000.00 | |
| 36 | Surabaya | Pekalongan | 432 km | 5 Jam | Rp4,500,000.00 | Rp4,600,000.00 | Rp7,600,000.00 | Rp7,600,000.00 | Rp5,800,000.00 | |
| 37 | Surabaya | Pemalang | 465 km | 5.5 Jam | Rp4,800,000.00 | Rp4,900,000.00 | Rp8,000,000.00 | Rp8,000,000.00 | Rp6,100,000.00 | |
| 38 | Surabaya | Purbalingga | 530 km | 7 Jam | Rp5,400,000.00 | Rp5,500,000.00 | Rp8,900,000.00 | Rp8,900,000.00 | Rp6,700,000.00 | |
| 39 | Surabaya | Purworejo | 382 km | 5.5 Jam | Rp4,000,000.00 | Rp4,100,000.00 | Rp6,700,000.00 | Rp6,700,000.00 | Rp5,200,000.00 | |
| 40 | Surabaya | Rembang | 206 km | 5 Jam | Rp2,900,000.00 | Rp3,100,000.00 | Rp4,900,000.00 | Rp4,900,000.00 | Rp4,100,000.00 | |
| 41 | Surabaya | Semarang | 344 km | 4 Jam | Rp3,800,000.00 | Rp3,900,000.00 | Rp6,500,000.00 | Rp6,500,000.00 | Rp5,100,000.00 | |
| 42 | Surabaya | Sragen | 229 km | 2.5 Jam | Rp2,700,000.00 | Rp2,900,000.00 | Rp4,700,000.00 | Rp4,700,000.00 | Rp3,800,000.00 | |
| 43 | Surabaya | Sukoharjo | 262 km | 3.5 Jam | Rp3,000,000.00 | Rp3,100,000.00 | Rp5,100,000.00 | Rp5,100,000.00 | Rp4,100,000.00 | |
| 44 | Surabaya | Tegal | 494 km | 5.5 Jam | Rp4,900,000.00 | Rp5,100,000.00 | Rp8,300,000.00 | Rp8,300,000.00 | Rp6,300,000.00 | |
| 45 | Surabaya | Temanggung | 355 km | 4.5 Jam | Rp3,800,000.00 | Rp4,000,000.00 | Rp6,500,000.00 | Rp6,500,000.00 | Rp5,100,000.00 | |
| 46 | Surabaya | Wonogiri | 246 km | 4.5 Jam | Rp2,900,000.00 | Rp3,100,000.00 | Rp5,000,000.00 | Rp5,000,000.00 | Rp4,000,000.00 | |
| 47 | Surabaya | Wonosobo | 394 km | 5.5 Jam | Rp4,100,000.00 | Rp4,200,000.00 | Rp6,900,000.00 | Rp6,900,000.00 | Rp5,300,000.00 | |
| 48 | Surabaya | Salatiga | 300 km | 3.5 Jam | Rp3,300,000.00 | Rp3,400,000.00 | Rp5,600,000.00 | Rp5,600,000.00 | Rp4,400,000.00 | |
| 49 | Surabaya | Surakarta | 252 km | 3 Jam | Rp2,900,000.00 | Rp3,100,000.00 | Rp5,000,000.00 | Rp5,000,000.00 | Rp4,000,000.00 | |
| 50 | Surabaya | Yogyakarta | 319 km | 4.5 Jam | Rp3,600,000.00 | Rp3,700,000.00 | Rp6,100,000.00 | Rp6,100,000.00 | Rp4,800,000.00 | |
| 51 | Surabaya | Sleman | 317 km | 4.5 Jam | Rp3,600,000.00 | Rp3,700,000.00 | Rp6,100,000.00 | Rp6,100,000.00 | Rp4,800,000.00 | |
| 52 | Surabaya | Bantul | 332 km | 5 Jam | Rp3,700,000.00 | Rp3,800,000.00 | Rp6,200,000.00 | Rp6,200,000.00 | Rp4,900,000.00 | |
| 53 | Surabaya | Bangkalan | 54 km | 2 Jam | Rp1,400,000.00 | Rp1,600,000.00 | Rp2,500,000.00 | Rp2,500,000.00 | Rp2,300,000.00 | |
| 54 | Surabaya | Banyuwangi | 298 km | 6.5 Jam | Rp3,200,000.00 | Rp3,400,000.00 | Rp5,400,000.00 | Rp5,400,000.00 | Rp4,200,000.00 | |
| 55 | Surabaya | Blitar | 158 km | 3 Jam | Rp2,100,000.00 | Rp2,300,000.00 | Rp3,700,000.00 | Rp3,700,000.00 | Rp3,000,000.00 | |
| 56 | Surabaya | Bojonegoro | 119 km | 3 Jam | Rp1,800,000.00 | Rp2,000,000.00 | Rp3,200,000.00 | Rp3,200,000.00 | Rp2,700,000.00 | |
| 57 | Surabaya | Bondowoso | 199 km | 3.5 Jam | Rp2,300,000.00 | Rp2,500,000.00 | Rp4,000,000.00 | Rp4,000,000.00 | Rp3,200,000.00 | |
| 58 | Surabaya | Gresik | 29 km | 1 Jam | Rp1,200,000.00 | Rp1,400,000.00 | Rp2,300,000.00 | Rp2,300,000.00 | Rp2,200,000.00 | |
| 59 | Surabaya | Jember | 194 km | 4 Jam | Rp2,500,000.00 | Rp2,700,000.00 | Rp4,400,000.00 | Rp4,400,000.00 | Rp3,600,000.00 | |
| 60 | Surabaya | Jombang | 72 km | 1.5 Jam | Rp1,500,000.00 | Rp1,700,000.00 | Rp2,700,000.00 | Rp2,700,000.00 | Rp2,500,000.00 | |
| 61 | Surabaya | Kediri | 118 km | 2 Jam | Rp1,900,000.00 | Rp2,000,000.00 | Rp3,300,000.00 | Rp3,300,000.00 | Rp2,800,000.00 | |
| 62 | Surabaya | Lamongan | 54 km | 1.5 Jam | Rp1,400,000.00 | Rp1,600,000.00 | Rp2,500,000.00 | Rp2,500,000.00 | Rp2,300,000.00 | |
| 63 | Surabaya | Lumajang | 150 km | 3 Jam | Rp2,100,000.00 | Rp2,300,000.00 | Rp3,700,000.00 | Rp3,700,000.00 | Rp3,000,000.00 | |
| 64 | Surabaya | Madiun | 160 km | 2 Jam | Rp2,200,000.00 | Rp2,300,000.00 | Rp3,800,000.00 | Rp3,800,000.00 | Rp3,200,000.00 | |
| 65 | Surabaya | Magetan | 184 km | 2.5 Jam | Rp2,300,000.00 | Rp2,500,000.00 | Rp4,000,000.00 | Rp4,000,000.00 | Rp3,300,000.00 | |
| 66 | Surabaya | Malang | 90 km | 1.5 Jam | Rp1,600,000.00 | Rp1,800,000.00 | Rp2,900,000.00 | Rp2,900,000.00 | Rp2,600,000.00 | |
| 67 | Surabaya | Mojokerto | 47 km | 1 Jam | Rp1,400,000.00 | Rp1,500,000.00 | Rp2,500,000.00 | Rp2,500,000.00 | Rp2,300,000.00 | |
| 68 | Surabaya | Nganjuk | 109 km | 1.5 Jam | Rp1,800,000.00 | Rp2,000,000.00 | Rp3,300,000.00 | Rp3,300,000.00 | Rp2,800,000.00 | |
| 69 | Surabaya | Ngawi | 189 km | 2.5 Jam | Rp2,400,000.00 | Rp2,600,000.00 | Rp4,200,000.00 | Rp4,200,000.00 | Rp3,400,000.00 | |
| 70 | Surabaya | Pacitan | 257 km | 4.5 Jam | Rp3,000,000.00 | Rp3,100,000.00 | Rp5,100,000.00 | Rp5,100,000.00 | Rp4,000,000.00 | |
| 71 | Surabaya | Pamekasan | 120 km | 3 Jam | Rp1,800,000.00 | Rp1,900,000.00 | Rp3,100,000.00 | Rp3,100,000.00 | Rp2,600,000.00 | |
| 72 | Surabaya | Pasuruan | 64 km | 1 Jam | Rp1,500,000.00 | Rp1,600,000.00 | Rp2,700,000.00 | Rp2,700,000.00 | Rp2,400,000.00 | |
| 73 | Surabaya | Ponorogo | 188 km | 3 Jam | Rp2,400,000.00 | Rp2,600,000.00 | Rp4,100,000.00 | Rp4,100,000.00 | Rp3,400,000.00 | |
| 74 | Surabaya | Probolinggo | 101 km | 1.5 Jam | Rp1,700,000.00 | Rp1,900,000.00 | Rp3,100,000.00 | Rp3,100,000.00 | Rp2,700,000.00 | |
| 75 | Surabaya | Sampang | 89 km | 2.5 Jam | Rp1,600,000.00 | Rp1,800,000.00 | Rp2,800,000.00 | Rp2,800,000.00 | Rp2,500,000.00 | |
| 76 | Surabaya | Sidoarjo | 20 km | 30 mnt | Rp1,100,000.00 | Rp1,300,000.00 | Rp2,100,000.00 | Rp2,100,000.00 | Rp2,100,000.00 | |
| 77 | Surabaya | Situbondo | 202 km | 4 Jam | Rp2,600,000.00 | Rp2,700,000.00 | Rp4,400,000.00 | Rp4,400,000.00 | Rp3,600,000.00 | |
| 78 | Surabaya | Sumenep | 176 km | 4.5 Jam | Rp2,300,000.00 | Rp2,500,000.00 | Rp3,900,000.00 | Rp3,900,000.00 | Rp3,200,000.00 | |
| 79 | Surabaya | Trenggalek | 170 km | 3.5 Jam | Rp2,200,000.00 | Rp2,400,000.00 | Rp3,800,000.00 | Rp3,800,000.00 | Rp3,100,000.00 | |
| 80 | Surabaya | Tuban | 110 km | 2.5 Jam | Rp1,700,000.00 | Rp1,900,000.00 | Rp3,000,000.00 | Rp3,000,000.00 | Rp2,600,000.00 | |
| 81 | Surabaya | Tulungagung | 149 km | 3 Jam | Rp2,100,000.00 | Rp2,200,000.00 | Rp3,600,000.00 | Rp3,600,000.00 | Rp3,000,000.00 | |
| 82 | Surabaya | Batu | 99 km | 2 Jam | Rp1,700,000.00 | Rp1,900,000.00 | Rp3,000,000.00 | Rp3,000,000.00 | Rp2,600,000.00 | |
| 83 | Surabaya | Gianyar | 430 km | 11.5 Jam | Rp5,200,000.00 | Rp5,400,000.00 | Rp8,500,000.00 | Rp8,500,000.00 | Rp6,700,000.00 | |
| 84 | Surabaya | Denpasar | 426 km | 13 Jam | Rp5,800,000.00 | Rp5,900,000.00 | Rp9,000,000.00 | Rp9,000,000.00 | Rp7,300,000.00 | |
| 85 | Surabaya | Palembang | 1229 km | 22 Jam | Rp19,300,000.00 | Rp19,500,000.00 | Rp31,200,000.00 | Rp31,200,000.00 | Rp25,000,000.00 | |
| 86 | Surabaya | Lubuk Linggau | 1591 km | 28 Jam | Rp24,600,000.00 | Rp24,900,000.00 | Rp40,000,000.00 | Rp40,000,000.00 | Rp31,300,000.00 | |
| 87 | Surabaya | Pagaralam | 1562 km | 27 Jam | Rp24,300,000.00 | Rp24,600,000.00 | Rp39,100,000.00 | Rp39,100,000.00 | Rp31,100,000.00 | |
| 88 | Surabaya | Bandar Lampung | 1003 km | 17.5 Jam | Rp15,400,000.00 | Rp15,600,000.00 | Rp24,900,000.00 | Rp24,900,000.00 | Rp20,200,000.00 | |
| 89 | Surabaya | Bengkulu | 1619 km | 31 Jam | Rp25,700,000.00 | Rp25,900,000.00 | Rp40,900,000.00 | Rp40,900,000.00 | Rp32,500,000.00 | |
| 90 | Surabaya | Jambi | 1725 km | 32 Jam | Rp26,800,000.00 | Rp27,000,000.00 | Rp42,600,000.00 | Rp42,600,000.00 | Rp33,600,000.00 | |
| 91 | Surabaya | Bukit Tinggi | 2054 km | 39 Jam | Rp33,200,000.00 | Rp33,600,000.00 | Rp52,700,000.00 | Rp52,700,000.00 | Rp41,400,000.00 | |
| 92 | Surabaya | Padang | 2046 km | 38 Jam | Rp33,100,000.00 | Rp33,400,000.00 | Rp52,500,000.00 | Rp52,500,000.00 | Rp41,300,000.00 | |
| 93 | Surabaya | Pariaman | 2094 km | 40 Jam | Rp33,500,000.00 | Rp33,800,000.00 | Rp53,100,000.00 | Rp53,100,000.00 | Rp41,600,000.00 | |
| 94 | Surabaya | Payakumbuh | 2034 km | 38 Jam | Rp33,000,000.00 | Rp33,400,000.00 | Rp52,500,000.00 | Rp52,500,000.00 | Rp41,200,000.00 | |
| 95 | Surabaya | Sawahluntok | 1986 km | 38 Jam | Rp32,100,000.00 | Rp32,500,000.00 | Rp51,000,000.00 | Rp51,000,000.00 | Rp40,200,000.00 | |
| 96 | Surabaya | Solok | 1994 km | 38 Jam | Rp32,200,000.00 | Rp32,500,000.00 | Rp51,100,000.00 | Rp51,100,000.00 | Rp40,200,000.00 | |
| 97 | Surabaya | Binjai | 2686 km | 51 Jam | Rp48,500,000.00 | Rp48,900,000.00 | Rp76,400,000.00 | Rp76,400,000.00 | Rp60,100,000.00 | |
| 98 | Surabaya | Medan | 2659 km | 51 Jam | Rp48,400,000.00 | Rp48,800,000.00 | Rp76,200,000.00 | Rp76,200,000.00 | Rp60,000,000.00 | |
| 99 | Surabaya | Tebing Tinggi | 2594 km | 50 Jam | Rp47,100,000.00 | Rp47,500,000.00 | Rp74,200,000.00 | Rp74,200,000.00 | Rp58,500,000.00 | |
| 100 | Surabaya | Banda Aceh | 3256 km | 64 Jam | Rp66,400,000.00 | Rp67,000,000.00 | Rp104,000,000.00 | Rp104,000,000.00 | Rp82,000,000.00 | |
Note s&k berlaku
Syarat dan Ketentuan :
1. Perhitungan tarif bersifat estimasi, dapat berubah sesuai jarak, rute perjalanan, kenaikan biaya seperti bbm, tol, biaya penyeberangan ferry-sesuai jumlah dan usia penumpang, upah pekerja.
2. Harga tarif di atas tidak mengikat, tidak termasuk PPN dan PPH
3. Ketersediaan unit by confirmation, disarankan untuk membayar DP untuk mengikat ketersediaan unit
4. *Tarif sudah termasuk pinjaman alat kesehatan STANDART
– Patient monitor
– Infus pump
– Syringe pump
– Suction pump
Jenis pinjaman ALKES dipengaruhi oleh negosiasi tarif
5. *Jasa tenaga medis negosiasi menyesuaikan kondisi dan kebutuhan pasien (caregiver/ perawat certificated)
6. Apabila di dalam perjalanan timbul diperlukannya tindakan penanganan darurat ke fasilitas kesehatan terdekat, maka akan ada biaya penyesuaian, biaya di fasilitas kesehatan tersebut merupakan beban pasien.
Penjelasan : perjalanan jakarta ke surabaya via darat, ketika di cirebon, pasien mengalami serangan jantung dan kondisi menurun, maka pihak kami akan mengantar ke
rumah sakit di cirebon untuk penanganan lebih intensif. Penyesuaian biaya timbul atas waktu, perubahan rute, biaya lainnya.
7. Term of Payment
Pemesanan ambulance diwajibkan DP, ketika akan memuat pasien ke ambulance , pelunasan terlebih dahulu.
2. Jasa Sewa Ambulance Paket Kontrol
Syarat dan Ketentuan :
- Lebih MURAH karena terjadwal
- Berlaku untuk member bulanan (pembayaran member di muka)
- Untuk pasien non kritis,non menular, hanya menerima stroke, kanker, hemodialisis-cuci darah, fisioterapi
- Waktu tunggu penjemputan pasien max 5 menit.
Waktu tunggu penjemputan lebih dari 15 menit akan dikenai denda Rp.100ribu/15 menit. Sebagai kompensasi ke penyewa waktu berikutnya - Area pengantaran max. radius 30 km area rawan macet
Sementara belum melayani rute lintas area (Rute Jakarta ke Tangerang/ Surabaya ke Sidoarjo belum ada) - Harga per 1x/penjemputan. Rute PP akan dihitung 2x penjemputan. Personel tidak menunggu di tempat
- Hanya Include 1 driver
- Pasien disarankan standby 30 menit lebih awal
- Steril karena unit dibersihkan dengan alkohol
- Pemakaian alkes berbayar
- Tarif sudah termasuk biaya tol (Jakarta -JORR 1 & 2), Surabaya tol airport+(tandes-waru) (Sidaorjo belum termasuk biaya tol)
- Pinalti uang admin per bulan Rp.100ribu/bulan untuk free rubah jadwal
- Jasa Sewa Ambulance Paket Kontrol tidak berlaku untuk evakuasi medis
Penggantian jadwal max H-3
| Range waktu | waktu penjemputan |
| A | 04.00 WIB |
| 06.00 WIB | |
| B | 08.00 WIB |
| 10.00 WIB | |
| C | 12.00 WIB |
| 14.00 WIB | |
| 16.00 WIB | |
| D | 20.00 WIB |
| 22.00 WIB |
Area jakarta (domisili jkt-tujuan rs/klinik jkt)
| waktu penjemputan | Tarif (idr/trip) |
| 04.00 WIB | 200 |
| 06.00 WIB | 200 |
| 08.00 WIB | 250 |
| 10.00 WIB | 250 |
| 12.00 WIB | 250 |
| 14.00 WIB | 250 |
| 16.00 WIB | 250 |
| 18.00 WIB | 250 |
| 20.00 WIB | 300 |
| 22.00 WIB | 300 |
Area tangerang (domisili tgr-tujuan rs/klinik tgr)
| waktu penjemputan | Tarif (idr/trip) |
| 04.00 WIB | 200 |
| 06.00 WIB | 200 |
| 08.00 WIB | 250 |
| 10.00 WIB | 250 |
| 12.00 WIB | 250 |
| 14.00 WIB | 250 |
| 16.00 WIB | 250 |
| 18.00 WIB | 250 |
| 20.00 WIB | 300 |
| 22.00 WIB | 300 |
Area surabaya (domisili sby-tujuan rs/klinik sby)
| waktu penjemputan | Tarif (idr/trip) |
| 04.00 WIB | 200 |
| 06.00 WIB | 200 |
| 08.00 WIB | 250 |
| 10.00 WIB | 250 |
| 12.00 WIB | 250 |
| 14.00 WIB | 250 |
| 16.00 WIB | 250 |
| 18.00 WIB | 250 |
| 20.00 WIB | 300 |
| 22.00 WIB | 300 |
Area surabaya (domisili sda-tujuan rs/klinik sda)
| waktu penjemputan | Tarif (idr/trip) |
| 04.00 WIB | 175 |
| 06.00 WIB | 175 |
| 08.00 WIB | 200 |
| 10.00 WIB | 200 |
| 12.00 WIB | 200 |
| 14.00 WIB | 200 |
| 16.00 WIB | 200 |
| 18.00 WIB | 200 |
| 20.00 WIB | 300 |
| 22.00 WIB | 300 |
note: satuan K/1.000
3. Tarif Sewa Ambulance Evakuasi Medis
| TARIF AREA SURABAYA | TARIF AREA JAKARTA |
NON FULL ALAT MEDIS | Mulai dari Rp. 1.000.000,- | Mulai dari Rp. 1.500.000,- |
FULL ALAT MEDIS |
| Mulai dari Rp. 3.500.000,- |
4. Tarif Sewa Ambulance Event
(by confirmation- by enquiry)
LAYANAN DUKA
1. Paket Peti Mati dan Ambulance
1. Peti Mati Golongan A
Peti Mati Casena
Peti Mati Perfecto
Peti Mati Monza
Peti Mati Verona
Peti Mati Ancona
- Berat Max : 150kg
- Harga
Harga paket weekdays-office hour call : Start Rp. 20Juta
Harga paket weekend/holiday /di luar office hour call : Start Rp. 22Juta
2. Peti Mati Golongan B
Peti Mati Emerald
Peti Mati Ruby
Peti Mati Violet
Peti Mati Saphire
Peti Mati Japanese
Peti Mati Onyx
- Berat Max : 100kg
- Harga
Harga paket weekdays-office hour call : Start Rp. 6Juta
Harga paket weekend/holiday /di luar office hour call : Start Rp. 7Juta
3. Peti Mati Golongan C
Peti Mati Blessing
Peti Mati Zircon
Peti Mati Pearl
- Berat maksimal : 100kg
- Harga
Harga paket weekdays-office hour call : Start Rp. 5.5Juta
Harga paket weekend/holiday /di luar office hour call : Start Rp. 6Juta
4. Peti Mati Golongan D
Peti Mati Relio
Peti Mati Ziella
- Berat khusus untuk Balita
- Harga
Harga paket weekdays-office hour call : Start Rp. 5Juta
Harga paket weekend/holiday /di luar office hour call : Start Rp. 6Juta
5. Peti Mati Golongan Jumbo
- Berat : 100-150kg
- Harga
Harga paket weekdays-office hour call : Start Rp. 9Juta
Harga paket weekend/holiday /di luar office hour call : Start Rp.11Juta
Kru
- Kedatangan kru pertama, memandikan-merias (non muslim) dan memasukkan jenazah ke dalam peti
Golongan A, Jumbo : 6-8 anggota kru
Golongan B,C,D : 3-4 anggota kru
- Kedatangan kru kedua, penutupan peti dan pemberangkatan
Golongan A, Jumbo : 6-8 anggota kru
Golongan B,C,D : 3-4 anggota kru
Keterangan Golongan A, B, C, D, Jumbo
- Belum termasuk consumable, perlengkapan, pemakaman, kremasi
- Paket hanya meliputi unit pinjaman, tindakan awal jenazah, penutupan peti, dan pemberangkatan max 50km
- Harga berlaku tahun 2024 untuk penanganan jenazah kondisi umum, penanganan khusus akan dikenai biaya tambahan
- Harga tidak mengikat dapat berubah sewaktu waktu tanpa pemberitahuan
Paket DIAKONIA
- Hanya berlaku untuk yang kerja sama dengan pihak gereja
- Harga
Harga paket weekdays-office hour call : Start Rp. 1.8Juta
Harga paket weekend/holiday /di luar office hour call : Start Rp. 2Juta
- 1Kali jalan maksimal 4 Jam
- Kru 1 orang saja hanya sebagai driver
- Paket hanya meliputi unit pinjaman, pengantaran peti ke tempat alm dan pemberangkatan max 30km untuk kremasi/kubur
2. Paket Peti Mati
- Paket peti standard coklat + kremasi ekonomis = Mulai Dari Rp 8,5 Juta
- Paket peti standard putih + kremasi ekonomis = Mulai Dari Rp 9 Juta
- Zircon = Mulai Dari Rp 8 Juta
- Pearl = Mulai Dari Rp 12 Juta
- Ruby = Mulai Dari Rp 17 Juta
- Emerald = Mulai Dari Rp 20 Juta
- Premium Casena = Mulai Dari Rp 32 Juta
- Premium Perfecto = Mulai Dari Rp 36 Juta
- Premium Verona = Rp 40 Juta
- Premium Monza = Mulai Dari Rp 50 Juta
3. Tarif Cargo Jenazah
TARIF PEMBERANGKATAN CARGO JENAZAH DARI SURABAYA
| NO. | KOTA | PROVINSI | TUJUAN BANDARA | CODE | ESTIMASI BIAYA | |||
| 1 | Ambon | Maluku | Bandar Udara Pattimura | AMQ | Rp29,000,000 | – | Rp36,500,000 | |
| 2 | Balikpapan | Kalimantan Timur | Bandar Udara Sultan Aji Muhammad Sulaiman | BPN | Rp22,000,000 | – | Rp26,000,000 | |
| 3 | Samarinda | Kalimantan Timur | Bandar Udara Internasional Samarinda | AAP | Rp22,000,000 | – | Rp27,900,000 | |
| 4 | Banda Aceh | Aceh | Bandar Udara Internasional Sultan Iskandar Muda | BTJ | Rp27,400,000 | – | Rp34,600,000 | |
| 5 | Bandung | Bandung | Bandar Udara Internasional Husein Sastranegara | BDO | Rp16,800,000 | – | Rp21,600,000 | |
| 6 | Banjarmasin | Kalimantan Selatan | Bandar Udara Internasional Syamsudin Noor | BDJ | Rp21,900,000 | – | Rp21,600,000 | |
| 7 | Batam | Kepulauan Riau | Bandar Udara Internasional Hang Nadim RS. SOETOMO | BTH | Rp19,500,000 | – | Rp24,900,000 | |
| 8 | Bandar Lampung | Lampung | Bandar Udara Internasional Radin Intan II | TKG | Rp14,700,000 | – | Rp19,000,000 | |
| 9 | Kota Bengkulu | Bengkulu | Bandar Udara Fatmawati Soekarno | BKS | Rp15,700,000 | – | Rp20,200,000 | |
| 10 | Denpasar | Bali | Bandar Udara Internasional Ngurah Rai | DPS | Rp13,700,000 | – | Rp18,000,000 | |
| 11 | Kota Gorontalo | Gorontalo | Bandar Udara Jalaluddin | GTO | Rp27,600,000 | – | Rp34,900,000 | |
| 12 | Jakarta | Banten | Bandar Udara Internasional Soekarno–Hatta | CGK | Rp16,800,000 | – | Rp21,600,000 | |
| 13 | Kota Jambi | Jambi | Bandar Udara Sultan Thaha | DJB | Rp15,500,000 | – | Rp19,900,000 | |
| 14 | Jayapura | Papua | Bandar Udara Internasional Sentani | DJJ | Rp36,400,000 | – | Rp45,700,000 | |
| 15 | Kendari | Sulawesi Tenggara | Bandar Udara Haluoleo | KDI | Rp26,600,000 | – | Rp33,600,000 | |
| 16 | Kupang | Nusa Tenggara Timur | Bandar Udara El Tari | KOE | Rp27,100,000 | – | Rp34,300,000 | |
| 17 | Makassar | Sulawesi Selatan | Bandar Udara Internasional Sultan Hasanuddin | UPG | Rp18,900,000 | – | Rp24,200,000 | |
| 18 | Mataram | Lombok | Bandar Udara Internasional Lombok | LOP | Rp16,100,000 | – | Rp20,800,000 | |
| 19 | Medan | Sumatera Utara | Bandar Udara Internasional Kualanamu | KNO | Rp21,800,000 | – | Rp27,700,000 | |
| 20 | Manado | Sulawesi Utara | Bandar Udara Internasional Sam Ratulangi | MDC | Rp31,500,000 | – | Rp39,700,000 | |
| 21 | Palu | Sulawesi Tengah | Bandar Udara Mutiara | PLW | Rp26,900,000 | – | Rp34,000,000 | |
| 22 | Padang | Sumatera Barat | Bandar Udara Internasional Minangkabau | PDG | Rp16,350,000 | – | Rp21,000,000 | |
| 23 | Palangkaraya | Kalimantan Tengah | Bandar Udara Tjilik Riwut | PKY | Rp17,000,000 | – | Rp23,800,000 | |
| 24 | Palembang | Sumatera Selatan | Bandar Udara Internasional Sultan Mahmud Badaruddin II | PLM | Rp17,300,000 | – | Rp22,200,000 | |
| 25 | Pangkal Pinang | Bangka Belitung | Bandar Udara Depati Amir | PGK | Rp19,400,000 | – | Rp24,800,000 | |
| 26 | Pekanbaru | Riau | Bandar Udara Internasional Sultan Syarif Kasim II | PKU | Rp17,700,000 | – | Rp22,700,000 | |
| 27 | Pontianak | Kalimantan Barat | Bandar Udara Internasional Supadio | PNK | Rp17,700,000 | – | Rp22,700,000 | |
| 28 | Sorong | Papua Barat | Bandar Udara Domine Eduard Osok | SOQ | Rp34,900,000 | – | Rp43,900,000 | |
| 29 | Tarakan | Kalimantan Utara | Bandar Udara Internasional Juwata | TRK | Rp26,900,000 | – | Rp34,000,000 | |
| 30 | Ternate | Maluku Utara | Bandar Udara Sultan Babullah | TTE | Rp28,300,000 | – | Rp35,700,000 | |
| 31 | Tanjung Pinang | Kepulauan Riau | Bandar Udara Internasional Raja Haji Fisabilillah | TNJ | Rp26,600,000 | – | Rp33,600,000 | |
| 32 | Tanjung Pandan | Bangka Belitung | Bandar Udara Internasional H.A.S. Hanandjoeddin | TJQ | Rp17,700,000 | – | Rp22,700,000 | |
Note:
- Free Peti Jenazah Standart
- Free Suntik formalin
- Free Pengantaran jenazah khusus berdomisili area Surabaya
- Sudah termasuk SMU & Tiket Jenazah
- Harga tidak mengikat, sewaktu – waktu dapat berubah
- Upgrade peti mati akan disertai penyesuaian total estimasi biaya
- Harga di atas telah termasuk dokumen (khusus kematian normal dengan histori data kesehatan)
- Free Pengantaran ke bandara dengan mobil jenazah (bandara juanda) belum termasuk
biaya penjemutan dari bandara tujuan - Belum termasuk tiket pendamping
HOMECARE
1. Perawat Pendamping
a. Memberikan perawatan dan pendampingan kepada pasien di rumah.
b. Mengoperasikan berbagai alat medis yang digunakan pasien seperti memasang, mengganti atau membersihkan.
c. Melakukan cek terhadap perkembangan kondisi pasien untuk dikoordinasikan dengan dokter.
d. Memberikan personal hygiene seperti memandikan atau membersihkan tubuh pasien.
e. Mangatur jadwal serta melakukan pemberian Makan & Minum Nutrisi/Obat (Mengoperasikan NGT)
f. Memastikan pasien dalam kondisi aman dan nyaman selama proses perawatan di rumah.
g. Rekomendasi untuk pasien dengan kondisi lansia, post operasi ringan dan pasien yang membutuhkan jasa medis pendampingan
Harga harian Rp 100.000,–Rp. 300.000,-
*Belum termasuk biaya admin, transport, makan dan tindakan
2. Paket Perawat Bulanan
- Biaya Perawat Pendamping
Dengan kondisi pasien yang ringan seperti lansia, stroke ringan, diabetes type 1, atau pasien – pasien pasca operasi ringan.
Estimasi biaya Rp. 4.850.000 / Bulan atau sekitar 30 hari kerja di rumah pasien
- Biaya Perawat Ahli
Dengan kondisi pasien yang menggunakan alat bantu jalan atau alat bantu makan, dimana pasien ini biasanya memiliki kondisi yang relatif ringan namun masuk ke dalam kategori sedang
Estimasi biaya Rp. 5.850.000 selama 1 bulan
- Biaya Perawat Intensif
Dengan kondisi pasien yang menggunakan alat bantu jalan, makan, hingga bernafas, pasien yang menggunakan perawat ini biasanya adalah pasien yang memiliki riwayat penyakit yang berat seperti stroke, opearasi kepala, atau bahkan pasca perawatan ICU
Harga mulai dari Rp. 8.250.000 selama sebulan
- Biaya Perawat ICU
Dengan kondisi pasien yang masih menggunakan alat bantu yang ada di ICU. Perawat ini sudah masuk kategori layanan perawat homecare yang tertinggi karena dibutuhkan perawatan yang memiliki kualitas terbaik di bidangnya
Tarif mulai dari Rp. 20.000.000 selama sebulan
- Perawat Ibu dan Anak
Untuk pasien pasien seorang ibu yang telah selesai atau pada saat proses persalinan di mulai. Perawat akan membantu sang ibu dan anak selama proses pemulihan.
Tarif yang dikenakan mulai dari Rp. 11.000.000 selama 1 bulan
Keterangan :
*untuk kategori 2-5 sudah termasuk biaya tindakan max 3 tindakan seperti monitoring oksigen, kateter, infus, NGT, memberikan obat suntik, dan lainnya dalam satu hari.
*Stand by 6-8 Jam sehari
3. Paket Caregiver Bulanan
- Standby 8 jam sehari dengan range harga mulai dari Rp. 3.000.000 – Rp. 7.500.000
- Standby 24 jam sehari dengan range harga mulai dari Rp. 4.000.000 – Rp. 8.500.000
4. Paket Perawatan per Tindakan
a. Perawat Luka
1. Perawatan Luka Kecil < 5cm mulai dari Rp. 275.000
2. Perawatan Luka Sedang 5-10cm mulai dari Rp. 325.000
3. Perawatan Luka Besar > 10cm mulai dari Rp. 375.000
b. Kategori Luka
1. Luka Bakar Mulai dari Rp. 165.000 (tergantung grade)
2. Luka Dekubitus mulai dari Rp. 330.000 (tergantung stadium)
3. Perwatan Luka Pasca Operasi mulai dari Rp. 110.000 (tergantung jenis dan lokasi pembedahan
4. Perawatan Luka Diabetes mulai dari Rp. 330.000
5. Lepas Jahitan Rp. 110.000
6. Ganti Perban Rp. 110.000
c. Tindakan Perawat Visit
1. Infus/Kateter/NGT (harga sesuai jumlah tindakan)
Harga Rp. 349.000/tindakan (semakin banyak tindakan semakin murah)
2. Injeksi (harga sesuai jumlah tindakan )
Harga Rp. 149.000/tindakan (semakin banyak tindakan semakin murah)
3. Rawat Luka Besar (harga sesuai jumlah tindakan) Rp. 349.0000/tindakan (semakin banyak tindakan semakin murah)
4. Cek Gula Darah/Asam Urat/ Kolesterol Rp. 120.000/tindakan (Bisa dijadikan Paket Cek Kesehatan) Harga Paket Rp. 349.000/tindakan
*Note :
1. Harga tarif tidak mengikat dan dapat berubah sewaktu waktu
2. Harga berlaku area JABODETABEK
3. Pasien yang mengambil paket homecare gratis evakuasi medis ambulance selama masa paket kontrak home care
4. Dapat menggunakan paylater/atau cicilan via pembelian voucher di tokopedia