| N | Jenis | Tarif Rp. | Tarif Rp. |
| O | Pelayanan | Kelas II | Kelas I |
| 1 | Pelayanan Ruang Rawat Inap | 125.000 | 200.000 |
| 2 | Pelayanan Visite Dokter Spesialis | 40.000 | 60.000 |
| 3 | Pelayanan Visite Dokter Umum | 20.000 | 30.000 |
| 4 | Jasa ASKEP | 12.500 | 12.500 |
| GAWAT DARURAT 24 JAM | |
| 0251-8240736 | |
| OPERATOR | |
| 0251-8240797 | |
| SMS GATEWAY | |
| 081111113622 (SPGDT) | |
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