No Nama Peserta NPWP Harga Penawaran Harga Terkoreksi Harga Negosiasi  
1 PT Jasamedika Saranatama 02.084.083.1-422.000 Rp. 99.519.750,00 Rp. 99.519.750,00 Rp. 99.519.750,00