No Nama Peserta NPWP Harga Penawaran Harga Terkoreksi Harga Negosiasi  
1 PT. Multi Sarana Medika 02.057.092.5-043.000 Rp. 3.490.406.266,50 Rp. 3.490.406.266,50 Rp. 3.335.714.800,00