| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 2501 | Nefro Ureterektomi | Rp15.200.000 | Prosedur Non Bedah |
| 2502 | Nefrostomi Percutan | Rp15.200.000 | Prosedur Non Bedah |
| 2503 | Percutaneous Nephrolithostripst (PNCL) | Rp15.200.000 | Prosedur Non Bedah |
| 2504 | Radikal Cystektomi | Rp15.200.000 | Prosedur Non Bedah |
| 2505 | Radikal Nefroktomi | Rp15.200.000 | Prosedur Non Bedah |
| 2506 | Radikal Prostatektomi | Rp15.200.000 | Prosedur Non Bedah |
| 2507 | Rekontruksi Renovaskuler | Rp15.200.000 | Prosedur Non Bedah |
| 2508 | Repair Vesico Vagina Fistel Complex | Rp15.200.000 | Prosedur Non Bedah |
| 2509 | RPLND | Rp15.200.000 | Prosedur Non Bedah |
| 2510 | TUR Prostat | Rp15.200.000 | Prosedur Non Bedah |
