| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 2461 | Prostatektomi Retropubik | Rp7.836.000 | Prosedur Non Bedah |
| 2462 | Prostatektomi Terbuka | Rp6.600.000 | Prosedur Non Bedah |
| 2463 | Prostatektomi Terbuka dan Sectio Alta | Rp6.600.000 | Prosedur Non Bedah |
| 2464 | Psoas Histch/Boari Flap | Rp8.184.000 | Prosedur Non Bedah |
| 2465 | Pyelolithototomi | Rp7.679.000 | Prosedur Non Bedah |
| 2466 | Rekontruksi Blassemeck/Bladder Neck | Rp7.898.000 | Prosedur Non Bedah |
| 2467 | Rekontruksi Vesika | Rp7.898.000 | Prosedur Non Bedah |
| 2468 | Repair Fistel Vesikokutan | Rp6.600.000 | Prosedur Non Bedah |
| 2469 | Reparasi Fistula Vesiko Vaginal | Rp8.206.000 | Prosedur Non Bedah |
| 2470 | Reseksi Partial Vesika | Rp8.183.000 | Prosedur Non Bedah |
