| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 1691 | Hemoroidektomi | Rp4.383.000 | Prosedur Bedah |
| 1692 | Herniatomi | Rp4.331.000 | Prosedur Bedah |
| 1693 | Hernioraphi | Rp4.331.000 | Prosedur Bedah |
| 1694 | Kolostomi | Rp4.509.000 | Prosedur Bedah |
| 1695 | Apendektomi Perforata | Rp6.838.000 | Prosedur Bedah |
| 1696 | Eksplorasi Kolekdokus | Rp7.965.000 | Prosedur Bedah |
| 1697 | Hernia Incarcerata | Rp6.936.000 | Prosedur Bedah |
| 1698 | Kolesistektomi | Rp6.888.000 | Prosedur Bedah |
| 1699 | Laparatomi Eksplorasi (Besar. Bedah Urologi) | Rp6.600.000 | Prosedur Bedah |
| 1700 | Laparatomi VC | Rp6.850.000 | Prosedur Bedah |
