, PHSM , PHBU , PHMA , PHPK , PHPC , PHBW , PEVH , PHTA , PHSB , PHKA , PHBB , PHBT 
Administrasi Rawat Jalan," 50,000 "," 50,000 "," 50,000 "," 50,000 "," 50,000 "," 25,000 "," 50,000 "," 50,000 "," 50,000 "," 50,000 "," 50,000 "," 50,000 "
Konsultasi Dokter Umum," 66,000 "," 100,000 "," 110,000 "," 110,000 "," 100,000 "," 60,000 "," 120,000 "," 125,000 "," 90,000 "," 100,000 "," 100,000 "," 100,000 "
Konsultasi Dokter Spesialis," 165,000 "," 230,000 "," 300,000 "," 220,000 "," 300,000 "," 130,000 "," 270,000 "," 300,000 "," 195,000 "," 215,000 "," 230,000 "," 230,000 "
Konsultasi Dokter Sub Spesialis / Konsultan," 275,000 "," 329,000 "," 370,000 "," 303,000 "," 400,000 "," 140,000 "," 350,000 "," 385,000 "," 250,000 "," 305,000 "," 329,000 "," 329,000 "
Telekonsultasi Dokter Umum," 56,000 "," 85,000 "," 94,000 "," 94,000 "," 60,000 "," 51,000 "," 102,000 "," 106,000 "," 77,000 "," 85,000 "," 85,000 "," 85,000 "
Telekonsultasi Dokter Spesialis," 141,000 "," 196,000 "," 255,000 "," 187,000 "," 265,000 "," 111,000 "," 230,000 "," 255,000 "," 165,000 "," 180,000 "," 115,000 "," 115,000 "
Telekonsultasi Dokter Sub Spesialis," 234,000 "," 280,000 "," 315,000 "," 258,000 "," 359,000 "," 119,000 "," 298,000 "," 327,000 "," 212,000 "," 250,000 "," 165,000 "," 165,000 "
Konsultasi Professor I,,," 370,000 ",," 500,000 ",," 800,000 ",,,,,
Konsultasi Professor II,,," 450,000 ",," 500,000 ",," 600,000 ",,,,,
Konsultasi Dokter Umum (Hari Libur),,," 150,000 ",,,,,," 120,000 ",,,
Konsultasi Dokter Spesialis (Hari Libur),,," 350,000 ",,,," 320,000 ",," 215,000 ",,,
Konsultasi Laktasi,,,," 165,000 ",,," 550,000 "," 150,000 ",," 159,000 ",,