No Nama Peserta NPWP Harga Penawaran Harga Terkoreksi Harga Negosiasi  
1 PT. MEDMAX GLOBAL INDOTAMA 84.887.251.1-617.000 Rp. 235.367.550,00 Rp. 235.367.550,00 Rp. 230.940.875,00