| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 1971 | Biopsi dalam Narkose Umum | Rp3.862.000 | Prosedur Non Bedah |
| 1972 | Drainage Kista Pankreas | Rp4.070.000 | Prosedur Non Bedah |
| 1973 | Eksisi Multiple FAM | Rp4.070.000 | Prosedur Non Bedah |
| 1974 | Fibro Adenom Mamae | Rp3.957.000 | Prosedur Non Bedah |
| 1975 | Pemasangan traksi servikal | Rp4.070.000 | Prosedur Non Bedah |
| 1976 | Salphingo oophorektomi unilateral | Rp4.070.000 | Prosedur Non Bedah |
| 1977 | Segmentektomi | Rp6.600.000 | Prosedur Non Bedah |
| 1978 | Breast Conserving Surgery | Rp6.600.000 | Prosedur Non Bedah |
| 1979 | Eksisi Higroma | Rp6.600.000 | Prosedur Non Bedah |
| 1980 | Eksisi Kista Branchiogenik | Rp6.600.000 | Prosedur Non Bedah |
