| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 1881 | Debulking | Rp15.200.000 | Prosedur Non Bedah |
| 1882 | Histerectomy Radikal | Rp15.800.000 | Prosedur Non Bedah |
| 1883 | Hysterectomy Supravaginal | Rp15.800.000 | Prosedur Non Bedah |
| 1884 | Laparascopy Operatif | Rp15.800.000 | Prosedur Non Bedah |
| 1885 | Operasi Tumor Ganas Ovarium | Rp15.800.000 | Prosedur Non Bedah |
| 1886 | Rekonstruksi Urogenitalia | Rp15.800.000 | Prosedur Non Bedah |
| 1887 | SC dengan B Lynch | Rp15.800.000 | Prosedur Non Bedah |
| 1888 | SC dengan HT subtotal | Rp15.800.000 | Prosedur Non Bedah |
| 1889 | SC dengan Ligasi Arteri Uterine | Rp15.800.000 | Prosedur Non Bedah |
| 1890 | SC dengan SO (Torsi Kista) | Rp15.800.000 | Prosedur Non Bedah |
