No Nama Peserta NPWP Harga Penawaran Harga Terkoreksi Harga Negosiasi  
1 PT. MEDMAX GLOBAL INDOTAMA 84.887.251.1-617.000 Rp. 69.410.000,00 Rp. 69.410.000,00 Rp. 67.327.700,00