| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 1701 | Reseksi Anastomosis | Rp7.691.000 | Prosedur Bedah |
| 1702 | Transeksi Esofagus | Rp6.692.000 | Prosedur Bedah |
| 1703 | Apendektomi Laparaskopi | Rp15.200.000 | Prosedur Bedah |
| 1704 | Gasterctomi (Bilroth 1 dan 2) | Rp15.200.000 | Prosedur Bedah |
| 1705 | Herniatomi Bilateral | Rp15.200.000 | Prosedur Bedah |
| 1706 | Koledoko Jejunostomi | Rp15.200.000 | Prosedur Bedah |
| 1707 | Laparaskopik Kolesistektomi | Rp15.200.000 | Prosedur Bedah |
| 1708 | Mega Kolon Hierchprung | Rp15.200.000 | Prosedur Bedah |
| 1709 | Miles Operation | Rp15.200.000 | Prosedur Bedah |
| 1710 | Pankreaktektomi | Rp15.200.000 | Prosedur Bedah |
