| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 2411 | Hidrokel per scrotal | Rp4.350.000 | Prosedur Non Bedah |
| 2412 | Meatotomi | Rp4.146.000 | Prosedur Non Bedah |
| 2413 | Operasi Priapismus (Prosedur Winter) | Rp4.350.000 | Prosedur Non Bedah |
| 2414 | Orchidektomi/Orchidektomi Subkapsuler | Rp4.350.000 | Prosedur Non Bedah |
| 2415 | Pasang Kateter Tenckhoff untuk CAPD | Rp4.350.000 | Prosedur Non Bedah |
| 2416 | Sirkumsisi dengan Phymosis | Rp4.350.000 | Prosedur Non Bedah |
| 2417 | Sistokopi ODS | Rp4.350.000 | Prosedur Non Bedah |
| 2418 | Sistoskopi | Rp4.350.000 | Prosedur Non Bedah |
| 2419 | Sistostomi perkutan | Rp4.350.000 | Prosedur Non Bedah |
| 2420 | Sitostomi Terbuka | Rp4.350.000 | Prosedur Non Bedah |
