| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 1361 | Sterilitas Alat | Rp510.000 | Laboratorium |
| 1362 | CMV Darah | Rp615.000 | Laboratorium |
| 1363 | CMV Urine | Rp615.000 | Laboratorium |
| 1364 | CMV Darah dan Urine | Rp974.000 | Laboratorium |
| 1365 | MH / Kusta / BTA Kulit | Rp565.000 | Laboratorium |
| 1366 | Tes Cepat Molekuler (TCM) | Rp270.000 | Laboratorium |
| 1367 | Aspirasi jarum halus | Rp203.000 | Prosedur Bedah |
| 1368 | Sitologi | Rp187.000 | Prosedur Bedah |
| 1369 | PAP Smear | Rp135.000 | Prosedur Bedah |
| 1370 | Histopatologi | Rp270.000 | Prosedur Bedah |