| Mow Kls. 1 umum | Rp. 3.449.000,- |
| Sc Gemeli kls 1 umum | Rp. 4.480.000,- |
| Sc + Mow Gemeli Kls 1 umum | Rp. 5.405.000,- |
| Mow Kls. 2 umum | Rp. 3.204.000,- |
| Patologis Gemeli kls 2 umum | Rp. 2.525.000,- |
| Sc Gemeli kls 3 umum | Rp. 3.905.000,- |
| Sc + Mow Gemeli Kls 3 umum | Rp. 4.607.000,- |
| Sc Gemeli kls VIP umum | Rp. 5.121.000,- |
| Sc + Mow Gemeli Kls VIP umum | Rp. 5.859.000,- |
| Laparatomi VIP umum | Rp. 6.596.000,- |
| Patologis Gemeli kls 1 umum | Rp. 2.665.000,- |
| Laparatomi Kls. 1 umum | Rp. 5.595.000,- |
| Sc Gemeli kls 2 umum | Rp. 4.224.000,- |
| Sc + Mow Gemeli Kls 2 umum | Rp. 5.006.000,- |
| Laparatomi Kls. 2 umum | Rp. 5.091.500,- |
| Patologis Gemeli kls 3 umum | Rp. 2.360.000,- |
| Mow Kls. VIP umum | Rp. 3.749.000,- |
| Laparatomi Kls. 3 umum | Rp. 4.550.000,- |
| Patologis Gemeli kls VIP umum | Rp. 2.935.000,- |
| Sc + Mow Kls. 1 umum | Rp. 7.700.000,- |
| Sc Kls. 1 umum | Rp. 6.323.000,- |
| Sc Kls. 2 umum | Rp. 6.148.000,- |
| Sc + Mow Kls. 2 umum | Rp. 7.350.000,- |
| Sc + Mow Kls. 3 umum | Rp. 6.700.000,- |
| Sc Kls. 3 umum | Rp. 5.314.000,- |
| Sc + Mow VIP umum | Rp. 9.000.000,- |
