| N | Jenis | Tarif Rp. | 
| O | Pelayanan | |
| 1 | Pelayanan Ruang Rawat Inap | 800.000 | 
| 2 | Pelayanan Visite Dokter Spesialis  / Sub Spesialis | 120.000 | 
| 3 | Pelayanan Visite Dokter Umum | 50.000 | 
| 4 | Jasa ASKEP | 50.000 | 
| * | Tarif pelayanan Instalasi Rawat Inap, dikenakan biaya administrasi sebesar 3% ( tiga persen) | |
| GAWAT DARURAT 24 JAM | |
|  | 0251-8240736 | 
| OPERATOR | |
|  | 0251-8240797 | 
| SMS GATEWAY | |
|  | 081111113622 (SPGDT) | 
|  |