| 1 | Al-Hakim/Paru/HCU | 1 | 0 | 1 | Rp 400,000 |
| 2 | Al-Hakim/Paru/Isolasi | 1 | 0 | 1 | Rp 250,000 |
| 3 | Al-Hakim/Paru/Kelas 1 | 3 | 2 | 1 | Rp 250,000 |
| 4 | Al-Hakim/Paru/Kelas 2/Infeksi | 2 | 2 | 0 | Rp 150,000 |
| 5 | Al-Hakim/Paru/Kelas 2/Non-Infeksi | 4 | 3 | 1 | Rp 150,000 |
| 6 | Al-Hakim/Paru/Kelas 3/Infeksi | 4 | 3 | 1 | Rp 100,000 |
| 7 | Al-Hakim/Paru/Kelas 3/Non-Infeksi | 4 | 0 | 4 | Rp 100,000 |
| 8 | Al-Khaliq/Obgyn/Isolasi | 1 | 1 | 0 | Rp 250,000 |
| 9 | Al-Khaliq/Obgyn/Kelas 1/Intan | 4 | 1 | 3 | Rp 250,000 |
| 10 | Al-Khaliq/Obgyn/Kelas 2/Intan | 2 | 0 | 2 | Rp 150,000 |
| 11 | Al-Khaliq/Obgyn/Kelas 3/Biduri | 4 | 0 | 4 | Rp 100,000 |
| 12 | Al-Khaliq/Obgyn/Kelas 3/Phyrus | 4 | 3 | 1 | Rp 100,000 |
| 13 | Al-Khaliq/Obgyn/Kelas 3/Yaqut | 4 | 2 | 2 | Rp 100,000 |
| 14 | Al-Khaliq/Obgyn/Kelas 3/Zamrud | 4 | 2 | 2 | Rp 100,000 |
| 15 | Al-Muiz/Bedah/Isolasi | 1 | 0 | 1 | Rp 250,000 |
| 16 | Al-Muiz/Bedah/Kelas 1/Cendrawasih | 5 | 2 | 3 | Rp 250,000 |
| 17 | Al-Muiz/Bedah/Kelas 2A/Merpati | 8 | 6 | 2 | Rp 150,000 |
| 18 | Al-Muiz/Bedah/Kelas 2B/Gelatik-Pria | 3 | 1 | 2 | Rp 150,000 |
| 19 | Al-Muiz/Bedah/Kelas 2B/Gelatik-Wanita | 3 | 1 | 2 | Rp 150,000 |
| 20 | Al-Muiz/Bedah/Kelas 3/Murai-Pria | 4 | 3 | 1 | Rp 100,000 |
| 21 | Al-Muiz/Bedah/Kelas 3/Murai-Wanita | 4 | 4 | 0 | Rp 100,000 |
| 22 | Ar-Rahman/Anak/Kelas 1 | 3 | 2 | 1 | Rp 250,000 |
| 23 | Ar-Rahman/Anak/Kelas 2 | 12 | 9 | 3 | Rp 150,000 |
| 24 | Ar-Rahman/Anak/Kelas 3/GE | 4 | 4 | 0 | Rp 100,000 |
| 25 | Ar-Rahman/Anak/Kelas 3/Infeksi | 4 | 4 | 0 | Rp 100,000 |
| 26 | Ar-Rahman/Anak/Kelas 3/K3 | 3 | 3 | 0 | Rp 100,000 |
| 27 | Ar-Rahman/Anak/Observasi | 2 | 0 | 2 | Rp 250,000 |
| 28 | Ar-Raudah/Atas/Isolasi | 1 | 0 | 1 | Rp 250,000 |
| 29 | Ar-Raudah/Atas/Kelas 1 | 4 | 0 | 4 | Rp 250,000 |
| 30 | Ar-Raudah/Atas/Kelas 2 | 3 | 0 | 3 | Rp 150,000 |
| 31 | Ar-Raudah/Atas/Kelas 3 | 4 | 2 | 2 | Rp 100,000 |
| 32 | Ar-Raudah/Bawah/Kelas 1 | 2 | 2 | 0 | Rp 250,000 |
| 33 | Ar-Raudah/Bawah/Kelas 2 | 4 | 4 | 0 | Rp 150,000 |
| 34 | Ar-Raudah/Bawah/Kelas 3 | 3 | 3 | 0 | Rp 100,000 |
| 35 | Ar-Raudah/SCU | 3 | 2 | 1 | Rp 400,000 |
| 36 | Ar-Razaq/Internist/Kelas 1/Cempaka | 5 | 4 | 1 | Rp 250,000 |
| 37 | Ar-Razaq/Internist/Kelas 2A/Dahlia | 12 | 9 | 3 | Rp 150,000 |
| 38 | Ar-Razaq/Internist/Kelas 2B/Pria | 2 | 2 | 0 | Rp 150,000 |
| 39 | Ar-Razaq/Internist/Kelas 2B/Wanita | 2 | 2 | 0 | Rp 150,000 |
| 40 | Ar-Razaq/Internist/Kelas 3/Pria | 4 | 4 | 0 | Rp 100,000 |
| 41 | Ar-Razaq/Internist/Kelas 3/Wanita | 4 | 3 | 1 | Rp 100,000 |
| 42 | As-Sami/1/Kelas 1 | 3 | 1 | 2 | Rp 250,000 |
| 43 | As-Sami/1/Kelas 2 | 6 | 2 | 4 | Rp 150,000 |
| 44 | As-Sami/1/Kelas 3 | 4 | 4 | 0 | Rp 100,000 |
| 45 | As-Sami/2/Kelas 1 | 3 | 3 | 0 | Rp 250,000 |
| 46 | As-Sami/2/Kelas 2 | 6 | 2 | 4 | Rp 150,000 |
| 47 | As-Sami/2/Kelas 3 | 4 | 4 | 0 | Rp 100,000 |
| 48 | Gedungvip/Ruang SAFIR/Kelas 1 | 9 | 5 | 4 | Rp 250,000 |
| 49 | ICU/ICCU/PICU | 18 | 5 | 13 | Rp 400,000 |
| 50 | Perinatologi/NICU/NICU | 12 | 9 | 3 | Rp 500,000 |
| 51 | VIP-Intan/VIP/General | 9 | 3 | 6 | Rp 600,000 |
| 52 | Zaal/Kelas 3 | 10 | 10 | 0 | Rp 100,000 |