| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 121 | ERCP Stent (Drainase Bilier) | Rp8.960.000 | Penunjang |
| 122 | ERCP Biopsy | Rp8.960.000 | Penunjang |
| 123 | ERCP NBD (Nasobiliary Drainage) | Rp8.960.000 | Penunjang |
| 124 | PTBD (Percutaneous Biliary Drainage) | Rp12.086.000 | Penunjang |
| 125 | Percutaneous Endoscopic Gastrostomy (PEG) | Rp8.730.000 | Penunjang |
| 126 | Autis/Anak (1 Jam) | Rp200.000 | Penunjang |
| 127 | Kimwall ( 2 Jam ) | Rp300.000 | Penunjang |
| 128 | OTT | Rp100.000 | Penunjang |
| 129 | Tabel 5 (2 1/2 Jam) | Rp500.000 | Penunjang |
| 130 | Tabel 6 (4 1/2 Jam) | Rp800.000 | Penunjang |
