MSCT has a high radiation dose for patient, to reduce thats high dose, SIEMENS manufacturer made a software called CARE Dose 4D. As one of the radiation protections for patient, a dose indicator is arranged called Diagnostic Reference Level (DRL). The purpose of this study was to create a local DRL value in RSU Haji Surabaya as an efficient and optimal dose management. The research is a cross sectional survey research with an observation approach. Data collection was carried out at Radiology Installation of RSU Haji Surabaya by recording data directly. Data recorded in the form of CTDIvol and Dose Length Product (DLP) values from MSCTexamination with contrast on head, thorax, and abdomen would calculate DRL value of each examination. The results of data collection on CTDIvol and DLP values for each inspection are entered into a table. Data that has been collected is then calculated DRL values. The local DRL value of MSCT examination with contrast in RSU Haji Surabaya was 32 mGy for CTDIvol and 1448 mGy.cm DLP in head examination, 8 mGy for CTDIvol and 907 mGy.cm for DLP in thorax examination, and 6 mGy for CTDIvol and 926 mGy. cm for DLP in abdomen examination.