| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 1871 | Myomectomy | Rp6.700.000 | Prosedur Non Bedah |
| 1872 | Operasi Manchester Fortegil | Rp6.700.000 | Prosedur Non Bedah |
| 1873 | Operasi Perineum | Rp6.700.000 | Prosedur Non Bedah |
| 1874 | Operasi Tumor Jinak Ovarium | Rp6.700.000 | Prosedur Non Bedah |
| 1875 | Repair Fistel | Rp6.700.000 | Prosedur Non Bedah |
| 1876 | Reseksi Adenomiosis | Rp7.644.000 | Prosedur Non Bedah |
| 1877 | Salpingo Ophorectomy Bilateral | Rp6.700.000 | Prosedur Non Bedah |
| 1878 | Salpingo Ovarektomi | Rp6.700.000 | Prosedur Non Bedah |
| 1879 | Seksio Sesaria | Rp6.700.000 | Prosedur Bedah |
| 1880 | Adenolisis | Rp15.800.000 | Prosedur Non Bedah |
