INDONESIA ACEH RS. Tengku Fakinah , , ,000 75,000 Jl. Jend Sudirman No

List Provider RS Rekanan AJMI Rawat Inap Periode Juni 2016

Untuk Pelayanan RSIA : Hanya Melayani Perawatan Ibu dan Anak, dan Tidak Untuk Perawatan Pria Dewasa. Untuk Pelayanan RB : Hanya Melayani Persalinan Normal dan Rawat Inap dengan Komplikasi Pada Masa Kehamilan. Untuk Pelayanan RSB : Dapat Melayani Persalinan Normal dan Caesar Dan Rawat Inap dengan Komplikasi pada Masa Kehamilan.

NO.

NAMA RUMAH SAKIT

CODE

TELEPON

FAX

VIP

UTAMA

KELAS I

KELAS II

KELAS III

INDONESIA ACEH 1

1

04901 RS. Tengku Fakinah Jl. Jend Sudirman No. 27-29

0651-41454 0651-47646

0651-47646

2

2

0651 - 638701

0651-638692

3

3

04903 RS. Bulan Sabit Merah Indonesia Jl. Sultan Malikul Saleh No. 17 Lamlagang Banda Aceh 04905 RS PMI Aceh Jl Samudera Kota Lhokseumawe

4

4

04906 RS. Harapan Bunda Aceh Jl. Teuku Umar No. 181-211, Banda Aceh

0651-48114 0651-41278

0651-40856

0911 - 324746 0911 - 311741

0911 - 311741

0542-734020

0542-736134

0645-43012

350,000

250,000

200,000

75,000

500,000 350,000

Mina

300,000 Musdalifah

200,000 Mekah

80,000

175,000 150,000

I

115,000 II ICU

90,000 III 200,000

60,000

VIP

I

335,000 II

285,000 III

200,000

SVIP ATAS SVIP BAWAH VIP

850,000 525,000 450,000 365,000

400,000

300,000

200,000

450,000 350,000

250,000

175,000

SVIP (Riyadh) VIP (Jedah) SVIP

Sweet Room

AMBON 1

5

16001 RS. Bhakti Rahayu Jl. A. Yani (Belakang RRI)

1

6

03201 RS. Pertamina Balikpapan Jl. Jend. Sudirman No. 1 Balikpapan

450,000

BALIKPAPAN Executive Bisnis Commerce

950,000 700,000 600,000

- IA IB

Suite Ket : biaya blm dgn biaya makan

2

7

03203 RSIA. Permata Hati Balikpapan Jl. Imam Bonjol No.1

0542-413932 0542-413928

0542-413928

3

8

03205 RS. Balikpapan Baru Komp.Balikpapan Baru Jl. MT.Haryono Blok.A-A3

0542-877330

0542-877331

4

9

03204 RS. Siloam Balikpapan (Balikpapan Husada) Jl. MT. Haryono Dalam No. 23 RT. 30, Kelurahan Sungai Nangka Kec. Balikpapan- BALIKPAPAN 76114 03206 RS Restu Ibu Balikpapan Jl jend A. Yani No 12 GSI Balikpapan-76121

0542-7206509 0542-8862999

0542-7206517

5

10

6

11

27330 RS SUMATERA EYE CENTER BALIKPAPAN RUKO SENTRA EROPA BLOK AA 2B NO.16 BALIKPAPAN BARU

1

12

04504 RS. Sari Mulia Jl. Pangeran Antasari 139 Banjarmasin Kalimantan Selatan

0542-427342/43/44

0542-441494/734181

(0542) 876732/876941

0542 - 876 941

0511-3252570-3261491 0511-3254341 0511-3274447

0511-3257889

Executive Bisnis Comerce Emerald Topaz SVIP Diamond VIP

2,000,000 1,800,000 1,600,000 812,500 Saphire 937,500 1,125,000 550,000

Suite VVIP

1,750,000 1,250,000

Vip SVIP VVIP VIP A VIP VIP

1,000,000 1,185,000 Meranti 958,000 888,000 808,000 1,000,000 N/A

812,500 Kls I A Zamrud Kls I B Pyrus

593,750 Kls II Ruby 531,250

400,000 Kls III Amethiz

212,500 Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn)

I

450,000 II

250,000

175,000

Deluxe A Deluxe B

750,000 II 500,000

350,000 III

150,000

545,000 Cemara

375,000 Pinus

245,000

595,000 Asoka

Isolasi 650,000

250,000

350,000

300,000

325,000 175,000

BANJARMASIN

2

13

3

14

22003 RSU. Mawar Jl. Panglima Batur No.52 Banjarbaru Kalimantan Selatan 04503 RS. Islam Banjarmasin Jl. S. Parman No. 88 Banjamasin-77115 27048 RSIA Lembayung Husada Jl A Yani KM 37,7 RT 021/04 Banjarbaru-Kalimantan Selatan

4

15

1

16

22002 RSIA Mutiara Bunda Martapura Jl. Taisir No. 2 Martapura 70614

2

17

27024 RS Pelita Insani Jl Sekumpul No 66 Martapura - Kalimantan Selatan

0511-4780717

(0511) 477 2629

SVIP VIP A VIP Plus VIP B

800,000 Utama A 800,000 Utama B 750,000 700,000

VIP A VIP B

350,000 300,000

Kls I

250,000 Kls II

175,000 Kls III

SVIP VIP A VIP B VIP

900,000 650,000 500,000 600,000

Kelas I A Kelas I B

450,000 Kelas II A 400,000 kelas II C 500,000

350,000 Kelas III A Kelas III B 200,000 ICU/ICCU 300,000

90,000 75,000 400,000 175,000 Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn)

Kelas I

430,000 II Ibu II Anak

375,000 III Ibu 375,000 III A Anak

325,000 Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn) 325,000

480,000

325,000

170,000

0511-3354896/3350332/

0511-3351690/ 3350335

0511-4777115/0511-4774982

0511-4773280

0511-4721901

0511-4720664

VVIP Anak VIP Ibu

525,000 475,000

0511-4722210/4722220

0511-4722230

VVIP VIP A VIP B

700,000 600,000 550,000 ICU NICU / PICU

475,000 425,000

175,000 ICU

600,000

90,000

MARTAPURA

495,000 375,000

BATAM 1

18

3

19

4

20

5

21

6

22

02902 RS. Awal Bros Batam Jl. Gajah Mada Kav. 1 Baloi Pulau Batam 02907 RSB Budi Rosari (Yayasan Budi Rosari) Jl. Mahkota Simpang No. 1 Bengkong Batam 02905 RS. Santa Elisabeth Batam Jl. Anggrek Blok II Batam 02906 RS Graha Hermine Jl. R. Suprapto Komp. Ruko Asih Raya Blok B 9-15 Batu Aji, Batam 02901 RS Harapan Bunda Batam

0778-431777

0778-430777

Pres Suite VIP

550,000

310,000

150,000

0778 - 427854

0778 - 432833

Super VIP Tulip VIP Mawar

1,450,000 1,000,000 300,000 250,000

-

Anggrek

200,000 Dahlia

150,000 Melati

100,000

0778-457357 0778-421198

0778-457710

VIP VIP A VIP B

675,000 590,000 525,000

I Anak I Dws

435,000 Kelas II 390,000

185,000 Kelas III

115,000

0778-363127 0778-363318

0778-363164

VIP

600,000

Kls I

400,000 Kls II

200,000 Kls III

150,000

0778-457333/456444/458808

0778-456800

VIP Khusus

650,000

A

400,000 A

250,000

125,000

JL. SERAYA NO.1 Batam

VIP

550,000

B

325,000 B

175,000

400,000 Kelas I

310,000 Kelas II

200,000 Kelas III

135,000

A 650,000 B 600,000

620,000 A 620,000 B

400,000 III A 380,000 III B

210,000 180,000

800,000

625,000 A B 525,000 450,000 375,000

325,000 A 275,000 B

130,000 110,000

NICU/PICU ICU

500,000 600,000

Utama

Isolasi

250,000

BANGKA BELITUNG 1

23

20001 RS. Medika Stannia Jl. Jend. Sudirman No. 3, Sungai Liat Bangka

1

24

01302 RS. Immanuel Jl. Kopo No.161

0717-95837/93335

0717-953335

022-5224214-21 022-501672

022-5224219

BANDUNG

2

3

4

25

26

27

01301 RS. Advent Bandung Jl. Cihampelas 161 Bandung 40131

022-2034386-9 022-2038004-6

01303 RS. Santo Borromeus Jl. IR. Juanda No.100 Bandung 40132 [email protected]

022-2552000

01304 RS. Muhamadiyah Jl. KH. Ahmad Dahlan No. 53

022-7301062

Super VIP

A 900,000 B 995,000

Isolasi

700,000

022-2043167 022-2034346

Suite Super VIP A

1,500,000 1,300,000

022-2504235

VIP A VIP B VIP C VVIP VIP A VIP B VIP C

1,150,000 1,050,000 950,000 2,000,000 1,500,000 1,300,000 Isolasi A 1,200,000 Isolasi B Isolasi C 1,210,000 A B 1,100,000 990,000 ICU

022-7323545

VVIP VIP A VIP B

5

28

6

29

7

30

8

31

9

32

10

33

11

34

12

35

13

36

14

37

15

38

16

39

17

40

01305 RS. Al-Islam Bandung Jl. Soekarno Hatta No. 644

01306 RS. Santo Yusup Jl. Cikutra No. 7 Bandung 40124 01307 RSUD Al-Ihsan Jl. Ki Astramanggala Baleendah Bandung 40281 01308 RSIA. Hermina Pasteur Jl. Dr. Djunjunan No. 107 Bandung 40173 01309 RSU. Bungsu Jl. Veteran No. 6 Bandung 01310 RS. Mitra Kasih Jl. Raya Cibabat No. 341 Cimahi 01311 RS. Cahya Kawaluyan Jl. Parahyangan KM. 3 Kota Baru Parahyangan, Padalarang Bandung 40553 01312 Santosa Hospital (Santosa Bandung Intl Hosp) Jl. Kebonjati No. 38 Bandung 40181 01313 RS. AMC Jl. Raya Cileunyi - Rancaekek Bandung 01314 RS Hermina Arcamanik Jl. A.H Nasution Km 7 no 50, Kecamatan Antapani Bandung 27102 RSIA Melinda JL. PAJAJARAN, NO.46 BANDUNG 27103 RS Khusus Bedah Melinda II Jl. Cipto No 1 Rt 05/02, Kel. Pasirkaliki, Kec Cicendo BANDUNG 27117 RSU Pindad JL GATOT SUBROTO NO. 517 PAPANGGUNGAN BANDUNG

1,350,000

VIP A VIP

022-7562046 (Opr) 022-7565588 022-7563233 022-7563235

022-7563233

022-7208172 022-7279858

022-7202419

022-5940872 022-5941719 022-5940875 022-6072525

022-5941709

022-4231550 022-4231695

022-4231582

022-6654852 022-6652774

022-6654875

022-6803700 022-70830807

022-6803711

022-4248333 022-4248555

022-4248111

022-7781630 70804777,70805777

022-7781629

022-6037815

022-87242525

022-7271771

022-4222788,4222388

022-4215700

022-4267888/4233777

022-4247888

022-7322877

022-7322468

VIP A VIP B VIP C + VIP C Yasinta Utama Anggrek Utama Mawar VIP

Suite Room SVIP VIP PAV. ANGGREK VIP VIP A SVIP Vip A Vip B Suite Executive P.Suite Suite Jr Suite VVIP VIP

A B C 950,000 Kebidanan 700,000 600,000 ICU 550,000 850,000 A 770,000 B C 700,000 D

900,000 RG VIP A 800,000 RG VIP B 700,000 600,000

450,000 Kls I A 400,000 Kls I B

600,000 Utama Plus 550,000 Utama 500,000 575,000

550,000 I Plus 550,000 I IA - Kls I

1,612,000 1,250,000 1,119,000 ICU/PICU/NICU 550,000 450,000 400,000 850,000 700,000 650,000 1,000,000 800,000 ICU HCU 1,750,000 990,000 790,000 400,000 350,000

Suite Room SVIP VIP Tarif Menyusul

1,612,000 1,250,000 1,119,000

Suite VVIP VIP VIP A VIP B

2,500,000 Cluster 2,100,000 1,400,000 650,000 495,000

600,000 550,000 Kebidanan 1,200,000 PICU

400,000 450,000 Kebidanan 1,100,000 NICU

550,000 II A 450,000 II B 385,000 295,000

300,000 245,000

440,000 Kls II A 330,000 Kls II B

275,000 Kls III 220,000 Kls III (Kont)

200,000

Isolasi

I 855,000 ISOLASI 350,000

475,000 365,000 350,000 300,000 Kls II A Kls II B

165,000

658,000 II

395,000 III

658,000 250,000

41

27136 RS Santosa Hospital Bandung Kopo JL KH WAHID HASYIM KOPO NO 461-463 KOPO-BANDUNG

022-54280333

022-54280365

19

42

27299 RSIA GRHA BUNDA BANDUNG JL TERUSAN JAKARTA NO. 15-17 BANDUNG

022-87256789

022-87256000

20

43

01315 RSIA Limijati JL. LAKS L RE MARTADINATA 33-39

022 - 4207770

022 - 84469469

President Suite Suite Junior Suite Premier Suite Junior Suite VIP A VIP B SVIP VIP A VIP

135,000 170,000 300,000 135,000

200,000 Kls III 140,000

85,000


200,000 III A III B

90,000 85,000

Kls I

370,000 Kls II

220,000 Kls III

125,000

Deluxe

700,000 Superior A (Kls II A) Superior B (Kls II B)

400,000 Standar 275,000

160,000

290,000 A B Isolasi 170,000 III A 125,000 III B

200,000 80,000 495,000 102,500 102,500

395,000 III Intermediate ICU/PICU/NICU

165,000 724,000 855,000

600,000 350,000 675,000 ICU Suite ICU I

475,000 1,300,000 1,100,000 235,000 IIA IIB

I

658,000 II

Isolasi

658,000

Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn)

775,000

A B

600,000

450,000

420,000 320,000

265,000

350,000

165,000 HCU

18

250,000 300,000 1,000,000

2,500,000 1,250,000 950,000 675,000 1,200,000 900,000 700,000 550,000 1,936,000 1,250,000 1,089,000

Isolasi ICU PICU NICU

PICU/ICU/NICU

650,000 650,000 550,000 700,000

300,000

475,000

290,000 A B

200,000 160,000

400,000

250,000


968,000

450,000


225,000 180,000

125,000

1,000,000

BANYUWANGI 1

44

2

45

3

46

06501 RS. Al Huda Jl Raya Gambiran No 225 Gambiran Banyuwangi 06502 RSI Fatimah Banyuwangi Jl. Jember No 25 Banyuwangi 06503 Rs Yasmin Banyuwangi Jl Letkol Istiqlal No 80-84 Banyuwangi

0333-842033 0333-842118

0333-842037 0333-847682

0333-425559

0333-424304

VIP

290,000 I Utama

I IA

0333-424671

0333-418219

VVIP A VVIP B VIP A VIP B

560,000 420,000 Isolasi 260,000 ICU 145,000

600,000 450,000 Isolasi A Isolasi B 700,000 600,000

215,000 Kelas I

195,000 Kelas II

145,000 260,000 517,500

50,000

90,000 Kelas III

130,000 A B

70,000

80,000 N/A

BEKASI 1

47

2

48

00702 RS. Mekar Sari Jl. Mekar Sari No.1 Bekasi 17112 00775 RS. Karya Medika I Jl. Raya Imam Bonjol No. 9B

021-8802641 021-8801891

021-8810055

S-VIP VIP

021-8900190

021-89107753

Vip A Vip B

250,000 165,000 Kls I A Kls I B

350,000 Kls IIA (Kenanga/Anyelir) Kls IIB (Kenanga)

225,000 Kls III Anyelir/Anggrek 165,000 Kls III Kenanga

110,000 100,000

600,000 Kls II A 405,000 Kls II B

252,000 Kls III A 205,000 Kls III B

130,000 100,000

Cikarang Barat 00725 RS. Karya Medika II Jl. Hasanudin No. 63 Tambun Bekasi

3

49

4

50

00701 RS. Mitra Keluarga Bekasi Barat Jl. A. Yani Bekasi 17144

021-885 3333

021-8842550 021-8855000

5

51

00704 RS. Hermina Bekasi Jl. Kemakmuran No. 39 Margajaya, Bekasi 00705 RS. Annisa Jl. Cikarang Baru No. 31 Cikarang Utara Bekasi 17836 00707 RS.Siloam Hospital Lippo Cikarang Lippo Cikarang Bekasi Bekasi 00708 RS. Bhakti Kartini Jl. R. A. Kartini No. 11 Margahayu Bekasi 00716 RS. Kartika Husada Tambun Jl. Raya Mangunjaya, No. 7, Kp. Rukem Tambun-Bekasi 00715 RS. Anna Pekayon Jl. Pekayon Raya No. 36 Bekasi Selatan

021-8842121

021-88952275

6

52

7

53

8

54

9

55

10

56

12

57

13

58

14

59

15

60

16

61

17

62

18

63

19

64

20

65

21

66

22

67

23

68

24

69

25

70

26

71

27

72

28

73

29

74

30

75

31

76

33

77

34

78

35

79

36

80

37

81

021-88324366 021-70207483

021-8904165 021-8904503 021-8904165/8901962/8904503 021-89901088

021-88327514

021-8903350

021-8972470

VVIP VIP Plus Vip A Vip B Super VIP VIP

800,000 675,000 650,000 575,000 2,600,000 1,700,000 ICU/ICCU NICU

Suite Room SVIP VIP VVIP VIP (Safa, Multazam) Eksekutif VIP Plus VIP

1,612,000 1,250,000 1,119,000 900,000 850,000 700,000 ICU 1,100,000 1,000,000

021-8801954 Ext 37 88348492 8802231 021-88327281 021-9172736 021-88338346 021-82432211

021-8824228

VIP

875,000 Utama

021-88322529

VIP

500,000

021-82419079

00717 RS. Bella Jl. Ir. H. Juanda No. 141 Bekasi 00719 RS. Sentosa Jl. Pahlawan No. 60, Duren Jaya Bekasi Timur 00720 RSIA. Setia Jl. Raya Serang Cibarusah 41 Cikarang Selatan , Bekasi 00713 RS Ananda Bekasi Jl. Sultan Agung No. 173 Bekasi Barat

021-8801775 021-8801778 021-88351772 021-8806140

021-88342438 021-88352506 021-88351772 021-8804950

Super VIP A Super VIP B VIP A VIP B Suite Room SVIP VIP

021-8971240

021-8975249

021-8854338 ext 152/153

021-88950141 88855526

VVIP VIP

1,200,000 ICU 825,000 HCU

00718 RS. Mitra Keluarga Bekasi Timur Jl. Pengasinan-Rawa Semut Margahayu Bekasi Timur 17113 00714 RS Hermina Galaxi (Medika Galaxi) Jl. Gardenia Raya Selatan Blok BA I 11, Villa Galaxi, Bekasi Selatan 17147 00711 RS Sentra Medika Cikarang (Medika Cikarang) JL. Raya Industri Pasirgombong Jababeka, Cikarang, Bekasi 00709 RS. MULTAZAM MEDIKA (Al-Multazam) Jl.Raya Perum Jatimulya, Pengkalan Koasi, K-19, Tambun 00723 RS. Amanda Cikarang Selatan Jl. Raya Serang No. 38 Cikarang Selatan 17550 00724 RS. Harapan Keluarga (Hosana Internasional) (RS. Harapan Keluarga Jababeka) JL Kasuari Raya Kav. 1A & 1B Jababeka Cikarang Baru Bekasi 17550 00726 RSB. Taman Harapan Baru Jl. Taman Harapan Baru Raya Blok R1 No. 20, Pejuang Bekasi

021-89999 222 021-881 7777

021-882 0707

SVIP VIP

2,600,000 1,700,000 ICU/ICCU NICU 1,612,000 1,250,000 1,119,000 999,000 700,000 ICU/ICCU 600,000 NICU/PICU 500,000

021-82414087

021-8904160-64

021-8900751

021-8215101/02

021-82416678

021-8971643 021-70150228

021-8971643

021-89840745

021-89835839

ICU/NICU 970,000 940,000 750,000 700,000 1,400,000 1,500,000 Utama 1,150,000

021-88871203

00721 RS. Graha Juanda JL. IR. H. Juanda, No.326

021- 88346880 021- 8811832

021 - 8821004

00728 RS. St. Elisabeth Bekasi Jl. Raya Narogong 202, Kemang Pratama, Bekasi 17776 00729 RS. Medirossa JL. Industri Tegal Gede Cikarang 17550 00727 RS. Citra Harapan Jl. Raya Harapan Indah No. 3-5 Medan Satria, Bekasi barat 00730 RS. Jati Sampurna Jl. Raya ANTV Jati Sampurna Bekasi 00733 RS. Budi Lestari Jl. KH Noer Alie No 2 Depan Perumnas II Bekasi 17144 00731 RS. Permata Bunda Bekasi Jl. Grama Puri I Blok CI No. 8-10 Tamansari Cibitung Bekasi 00734 RS. Rawa Lumbu Jl. Dasa Darma No.20-23 Rawa Lumbu, Bekasi 00735 RS. Ridhoka Salma Jl. Imam Bonjol No.7 Gardu Sawah Cikarang Barat - Bekasi 00737 RS. Hosana Medica Bekasi Jl. Pramuka No. 12 Rawa Panjang-Rawa Lumbu, Bekasi 11002 RB. Harapan Sehat Mega Regency Perum Mega Regency Jl. Raya Mega Regency Blok : AI1 No. 3, Serang Baru Cibarusah - Cikarang 00738 RS. Bhakti Husada Cikarang Jl. RE Martadinata, By Pass Cikarang Utara Bekasi 00739 RS. Juwita Jl. M Hasibuan No. 78 Bekasi 00740 RS. Awal Bros Bekasi (Global Awal Bros) Jl. KH Noer Alie Kav. 17-18

021-82430101 021-82432082

021-82432082

800,000 Utama

Suite Room SVIP VIP SVIP VIP Junior VIP VIP

VVIP VIP

658,000 Kls II

165,000 855,000 724,000 175,000

VIP

500,000

650,000

460,000

315,000

165,000

550,000

Isolasi 350,000 A B Isolasi 300,000

460,000 150,000 130,000 325,000 110,000

Isolasi

500,000

950,000 Kelas I

650,000

350,000

550,000 kelas I

400,000

200,000

750,000 100,000

150,000

105,000 III A III B III ANAK 210,000 III B Isolasi

60,000 Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn) 60,000 70,000 130,000 95,000 500,000

470,000

180,000 860,000 165,000 724,000 855,000 120,000

500,000

800,000 676,000

425,000

850,000 1,280,000 720,000

150,000

I

658,000 II

Isolasi

658,000 500,000

Isolasi 395,000 III Intermediate ICU/PICU/NICU 333,000

533,000 Isolasi II 350,000 II (Mekkah I) II Anak II (Arafah IV) 120,000

400,000 Isolasi III 350,000 150,000 250,000 90,000

267,000 150,000

IA I

550,000 Kelas II 400,000

250,000 Kelas III

125,000

IA IB

400,000 300,000

225,000 A B

175,000 125,000

450,000

270,000

140,000

713,000 713,000 Isolasi I I

021-88975555

VVIP VIP

930,000 670,000

021-8451457

021-8455712

VIP

850,000

021-88373157 021-88328001

VIP A VIP B

680,000 A B ICU/HCU 525,000 445,000

Isolasi

021-8893487

021-82422511 tekan 4

VIP

709,500

021-89116527

021-89116528

VIP

450,000

021-8221570 ext 405

021-8221574

ICU/NICU/PICU HCU

800,000 500,000 ICU / NICU

650,000 650,000 600,000 Isolasi II 357,500 Kls II Kls Isolasi Lt 2 Kls Isolasi Lt 3 380,000

350,000 A B 390,000 220,000 Kls III A 220,000 Kls III B 137,500 Kls III C 250,000

170,000 160,000

Isolasi I Kls I

Kls I

500,000 Kls II R Isolasi (Kls II)

350,000 Kls III 400,000

125,000

345,000 A B

230,000 140,000

110,000

350,000 280,000

195,000

396,000

225,500

396,000 325,000 A B

275,000 250,000

400,000 600,000 HCU

525,000 475,000 525,000

Isolasi A

600,000 385,000 Isolasi

ICU/NICU 021-88336674

Tarif Menyusul

021-8900530

021-8900570

021-8829590

021-8829592

VIP ICU NICU VVIP VIP

021-8868888

021-88855210

SVIP DELUXE SVIP

99,000 88,000 66,000 120,000

470,000

650,000

021-29281838

60,000

700,000 600,000

1,750,000 1,385,000 1,090,000 440,000

021-88870606 021-88870909

225,000 150,000

275,000

750,000

VVIP UTAMA VVIP VIP VIP

900,000

658,000 425,000 A 400,000 B

500,000

ICU/NICU Isolasi

180,000

Isolasi 550,000 A B 650,000 -

800,000 750,000

021-8934979

021-82422511-12

225,000 165,000 145,000

395,000 Kls III ICU/NICU/PICU Intermediate 385,000 250,000 Isolasi 350,000

200,000

021-89833216

021-8842336 021-8893486 www.rsbudilestari.com 021-8832 8001

Kls I

110,000 Isolasi 270,000 Kls III Umum 260,000 Kls III Anak 285,000 260,000 480,000 420,000 Isolasi

Isolasi VIP

NICU HCU 021-88871202

1,350,000 720,000

Kls II C 515,000 Kls II Anak A 480,000 Kls II Anak B 345,000 Kls II Umum A Kls II Umum B 850,000 A B

400,000

Isolasi

021-82417777

- Kls Umum A Kls Umum B Isolasi

250,000 105,000

120,000 ICU/NICU/PICU

489,000 140,000

Isolasi 250,000

350,000 110,000

500,000 Isolasi


750,000 533,500 Isolasi 497,000 990,000 660,000 1,900,000 1,600,000

Kelas I 302,500 I B Perinatologi Kls I

486,000 II 371,000 II B 300,000 435,000 Kls II

331,500 Kelas III 246,500

122,000

255,000 Kls III

125,000

775,000 A B

390,000 A 340,000 B

215,000 205,000

38

82

39

83

40

84

41

42

85

86

Kalimalang Bekasi Selatan 00742 RS. Hosana Medica Lippo JL. UTAMA BIIE NO 01 LIPPO CIKARANG Cikarang 00741 Rs Dr Sander B (Rs Hosana Medika Pilar) Jl. Ki Hajar Dewantara 33 Cikarang Utara

021 - 897 2472

021 - 89900769

021 - 8911 6177

021 - 89116179

00743 RS. Masmitra Jl. Kelurahan Jati Makmur No. 40 Pondok Gede

021 - 84999026 021 - 84971766

021 - 8483047

00744 RS. Permata Bekasi Jl. Legenda Raya No. 9 Mustika Jaya Bekasi

021 - 8254748

021 - 8251919

00745 RSIA. Karunia Bunda (RSIA Karunia Kasih) Jl. Raya Jatiwaringin No. 133, Pondok Gede Bekasi 17411

021-8461970 021-8460991

VIP DELUXE VIP VVIP VIP

1,400,000 1,150,000 1,100,000 800,000 ICU/NICU/PICU

500,000 Isolasi

021-8460991

43

87

00328 Klinik dan RB Tiara Bunda Jl. Perjuangan Rt005/02, Kel. Teluk Pucung Bekasi

021-89131010

021-8220231

44

88

00747 RS Hermina Grand Wisata JL. Festival Boulevard Blok JA No. 1, Grand Wisata, Bekasi

021-8265 1212

021-825 2963

SVIP VIP

VVIP VIP

Eksekutif VIP

Suite Room SVIP VIP

400,000 A B

750,000

350,000

950,000 750,000

500,000 200,000

130,000

400,000

75,000

250,000 III 400,000 HCU

125,000 750,000

300,000 III

125,000

625,000 II

350,000 III


I

200,000 II

Isolasi 150,000 III

325,000 75,000 Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn)

I

658,000 II

395,000 III

165,000

Isolasi I

658,000 200,000 II

Intermediate ICU/PICU/NICU 150,000 III

724,000 855,000 100,000 Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn)

100,000

Isolasi

1,000,000 Utama 850,000 ICU/NICU/PICU HCU 750,000 675,000 HCU

180,000 160,000

650,000 I

500,000 II

650,000 ISOLASI 450,000 I

400,000

500,000

1,612,000 1,250,000 1,119,000

45

89

00746 Klinik dan RB Guci Medika Jl. Pramuka No. 79, Rawalumbu, Bekasi

021-82433158

021-8221921

46

90

00763 RS Tiara Bekasi Jl. Raya Babelan No. 63 Kebalen, Bekasi 17160

021-8913 1111

8913 2039

VIP

450,000

Kelas I

300,000 Kelas II

160,000 Kelas III

47

91

00748 RSIA. Puspa Husada Jl. Pondok Timur Km1, Jatimulya, Tambun Selatan, Bekasi Timur

021-82618978/79

021-82618977

VIP

400,000

I

300,000 II

175,000 III

48

92

00757 RS. Mitra Keluarga Cikarang Jl. Industri Raya Lemah Abang, Cikarang, Bekasi

021-89840500, 898409000

021-89845489

SVIP VIP

2,169,000 1,076,000

I

486,000 II

322,000 III

140,000

Kls I A Kls I B

500,000 Kls II A 400,000 Kls II B

Isolasi ICU/ICCU 300,000 Kls III 250,000

659,000 963,000 110,000

I

225,000 II

120,000 III

80,000

350,000 I

300,000 II

200,000 III

100,000

Kls I

265,000 Kls II

215,000 Kls III


Kls I

275,000 Kls II

200,000 Kls III


475,000 Kls I 325,000 450,000

450,000 Kls II

300,000 Kls III

125,000

I

475,000 II

300,000 III

150,000

Kls I

150,000

225,000 II

49

93

00750 RS. Anna Medika Jl. Raya Perjuangan No. 45, Bekasi

021-88882211

021-88793042

50

94

00749 RS Asri Medika ex RSIA Graha Asri Jl. Raya Citanduy Blok L 11 No. 1, Cikarang Utara, Bekasi

021-89143036

021-89143860

51

95

021- 89983575/71691709/98213879 021-89983575 00751 RS. Mitra Medika Jl Desa Jatiwangi-Cikedokan/ Sebelah Selatan Kawasan MM 2100 Kp Kamurang Rt 01/01- Cikarang Barat

Tarif Menyusul

52

96

00753 RS. Adam Thalib Jl. Teuku Umar No. 25, Cikarang Barat, Bekasi

VIP

53

97

00752 RSIA. Jatimulya Medical center Jl. Jatimulya Raya, No.14

54

98

00754 RSIA. Amanda Cikarang Utara Jl. Raya Industri No. 36, Cikarang Utara

55

99

56 100

00755 RS Kartika Husada JL. SWANTARA NO 72 JATI ASIH, BEKASI

00756 RS Permata Keluarga Lippo Cikarang Jl. MH. Thamrin Kac. 129, Lippo Cikarang, Bekasi

021-88332305-06

021-88332308

021-8203785

021-82429343

021-8900277

021-89110011

021-82435585/7

021-82435586

President Suite SVIP VIP

VIP

VVIP VIP

021-89905588, 89901927 021-89901860, 89901902 VIP ICU/NICU HCU

1,000,000 900,000 750,000

600,000 Isolasi

375,000

1,100,000 ICU/NICU/PICU 650,000 Intermediate/HCU Isolasi 750,000 800,000 Isolasi 650,000

475,000

57 101

00758 Klinik dan RB Gizar Jl. Raya Cibarusah Lippo No. 18 Kp. Pegaulan Sukaresmi Cikarang Selatan, Bekasi

021-89909232

021-89909232

58 102

00759 RS Bunda Mulia ex RSIA Sritina Jl. Imam Bonjol No. 80, Sukadanau, Cikarang Barat Bekasi

021-8910 6317

021-89106633

SVIP VIP

300,000 270,000

I

59 103

00762 Klinik Dan Rumah Bersalin Amira Jl Raya By Pass Lemah Abang, Sinyar Barat Cikarang Timur Bekasi 00332 CMC Clinic & rumah Bersalin Shophouse Blok A No. 14-15, 28-29 Jl Jababeka Raya, Kawasan Industri Jababeka Cikarang-Bekasi

021-89142719

021-89142719

VIP

250,000

Kls I

021-8934371

021-8934035

01020 RB & Praktek DR Bersama Khanza Medika Perum Kota Serang Baru Blok B 72 No.25-26, Cibarusah, Cikarang 00765 RSIA Siti Zachroh Jl. Sulthan Hasanudin No. 84 Tambun, Bekasi

021-89953117/91263025

021-89953117

021-8806506 021-8803843

021-8806506

00766 RS Kartika Husada Setu Kp. Burangkeng RT 01/06 Setu Bekasi

021-82610003

021-82610005

00767 RS Taman Harapan Baru Jl. Kali Abang Tengah RT 04 / 023 Bekasi-Barat, 17131

021-88981055

60 104

61 105

62 106

63 107

64 108

VIP

600,000 Utama Isolasi ICU/NICU/PICU

021-88981055

VVIP VIP

850,000 600,000 ICU Isolasi


Kls III


145,000 III

90,000

Kls II

100,000 Kls III

75,000

Kls I

300,000 Kls II

150,000 Kls III

100,000

Kelas I

250,000 Kelas II

150,000 Kelas III


300,000

200,000


375,000 A 375,000 B

275,000 250,000

150,000

320,000 Kelas II

205,000 Kelas III

105,000

550,000 A B 550,000 550,000 Kelas I 600,000 320,000

65 109

00768 RS Cibitung Medika Jl. Raya H. Bosih No. 117 Cibitung Bekasi

021-88323444

021-88323449

Suite

600,000 Executive HCU ICU/ICCU/PICU

00769 RS Aprilia Medika Jl Raya Setu No. 99 Desa Lubang Buaya, Kec Setu Bekasi 00797 Klinik & RB Asyifa Husada Medical Center Perumahan Bekasi Regency I Blok K1 No. 1-2 Cibitung Bekasi

021-82611565

021-82611565

021-88333535

021-88332152

Tarif Menyusul

68 112

00771 RSIA Nurul Annisa Jl Raya Cikarang Cibarusah No 88 Sukaresmi Cikarang Selatan

021-8974854/55

021-8971122

VIP

69 113

27030 RSIA Gizar Villa Mutiara Cikarang 1, Pasadena Blok RA No 3,5,6 Cikarang-Bekasi

021-89677240

021-89677239

70 114

27068 RS Hosana Medika Lippo Cikarang Baru JL. ANGGREK I B2/2 RT.01/11 DS. MEKARMUKTI - CIKARANG

(021) 89835223

021-89830442

VVIP VIP

71 115

00776 RSB BUNDA AUNI VILLA NUSA INDAH, BLOK D5, NO.19 CIKARANG

021-82402286/82420366 021-82403873

021-82410136

Tarif Menyusul

72 116

27314 Klinik & RB Permata Bunda Setu PERUM GRAHA MUSTIKA MEDIA, BLOK A5, NO.15, SETU

82611729 / 88328001

82611729

73 117

27316 Klinik & RB Permata Bunda Fudholi JL. KH.FUDHOLY NO 11 KARANG ASIH, CIKARANG UTARA

74 118

27317 Klinik & RB Permata Bunda Cikarang RUKO GRAMA NIAGA H2 NO. 15/15A, KARANG ASIH CIKARANG UTARA

75 119

021 - 8936940 / 66 27362 RSB MEKAR MULIA JL.KASUARI IV SEKTOR MEKAR, PASSIMAL CIKARANG BARU KECAMATAN CIKARANG UTARA

76 120

27391 RS KARYA MEDIKA BANTAR GEBANG JL. NAROGONG RAYA, KM.11 BANTAR GEBANG

021-8254629/8254630

27395 RB & KLINIK KELUARGA SEHAT BEKASI JL. ALAMANDA INDAH BLOK QK NO 1 HARAPAN INDAH-BEKASI

021-88870768/8873112

66 110

67 111

77 121

78 122

400,000 Superior (4 Bed)

400,000 Isolasi (2 Bed) 500,000 Kelas I

400,000 350,000 Kelas II

250,000 Standart (8 Bed)

120,000

250,000 Kelas III

175,000


700,000 Utama

450,000

750,000 600,000

300,000

150,000


275,000

225,000


400,000

250,000

110,000

N/A

N/A

Kelas I

350,000 Kelas II

195,000 Kelas III


021-8910080

N/A

N/A

Kelas I

350,000 Kelas II

195,000 Kelas III


021 2928 2166

N/A

N/A

Kelas I

350,000 Kelas II

195,000 Kelas III


450,000

270,000

165,000

021 - 89830523

021-8254629

Tarif Menyusul

VIP

650,000 ICU NICU ISOLASI

RB & KLINIK PUTRA MEDIKA JL. N. PERUM VILA MUTIARA KAMPUNG KUKUN CIKARANG NO.115 RT.012/06 DS.CIANTAR CIKARANG

500,000 Deluxe (2 Bed)

700,000 650,000 350,000

021-88980724

VIP

325,000

300,000

021-89677215

021-89677216

VIP

450,000

350,000

225,000


VVIP VIP A VIP B VIP C VIP D Suite Room SVIP A Anggrek SVIP A Melati SVIP B Anggrek

1,100,000 900,000 800,000 650,000 575,000 2,300,000 1,700,000 1,700,000 1,500,000

475,000

400,000

150,000

450,000 Aster 450,000 Mawar 450,000 Seruni

175,000 175,000 200,000

1,000,000 Isolasi 310,000

900,000 130,000

N/A

N/A


BOGOR 1

123

00901 RS. Azra Jl. Raya Pajajaran No.219 Bogor 16153

0251-8318456 0251-8370349

0251-8331773

2

124

00902 RS Puri Cinere Jl. Maribaya Blok F2 Puri Cinere, Sawangan 16514 Kodya Depok-Indonesia

021-7545488

021-7545490

3

125

00903 RS. Sentra Medika Jl. Raya Bogor KM. 33 Cisalak - Depok

021-8743790

021-8743230

Super VIP VIP

4

126

00904 RS. Karya Bhakti Jl. Dr. Semeru No. 120 Bogor 16111

0251-8312292 0251-8313489

0251-8371001

Edelweis Catlea

5

127

00905 RS. Salak Jl. Jendral Sudirman No. 8 Bogor 16151

0251-8385480/8344627 0251-8344609

0251-8345444

6

128

00906 RS. Hermina Bogor Jl. Ring Road I Kav. 3,25,27 Perum Taman Yasmin,Curug Mkr

0251-8382525

0251-8328252 0251-8328254

Isolasi VIP Anggrek, Aster VIP Melati VIP B Seruni

940,000 770,000

1,000,000 Vanda 850,000

- A B

Suite Room SVIP VIP

1,612,000 1,250,000 1,119,000

7

129

00413 RS. Tugu Ibu Jl. Raya Bogor Km 29 Cimanggis - Depok 16952

021-8710870

021-8708266

VIP

8

130

00907 RS. Palang Merah Indonesia (PMI) Jl. Raya Pajajaran Bogor PO. BOX 59

0251-8324080 0251-8324656

0251-8324709

VVIP A VVIP B VVIP C VIP

Isolasi 1,500,000 Anggrek A 1,000,000 Anggrek B 800,000 750,000

9

131

00909 RS. Bogor Medical Center Jl. Pajajaran Indah V /97 Bogor

0251-8390435/8346002 0251-8338259

0251-8313987

00908 RS Bina Husada Jl. Mayor Oking Jaya Admaja Km 1 No. 101 Cibinong - Bogor

021-8758440 (UGD) 021-8753422 (Operator)

021-8752463

President Suite Suite VVIP VIP VIP

1,500,000 1,000,000 750,000 600,000 950,000

021-82492222

021-82493902

VIP

325,000

0251-8316822

0251-8347139

Suite Room VVIP VIP

950,000 750,000 600,000

10 132

11 133

12 134

00712 RS Mary Cileungsi Hijau Komp. Cileungsi Hijau Jl. Raya Narogong Km. 21 Cileungsi - Bogor 16820 00910 RS. Islam Bogor Jl. Perdana Raya No. 22 Kedung Badak

900,000 ICU HCU

350,000 PICU NICU 1,200,000 Melati 1,200,000 Aster Mawar 950,000 ICU HCU - Plus I

650,000 550,000 600,000 600,000 600,000 1,000,000 900,000 550,000 430,000

Melati Aster Mawar Picu/Nicu

750,000 Pafio Dahlia

500,000 Anyelir A 400,000 Anyelir B

275,000 Flamboyan 200,000

450,000 300,000 Kebidanan dan Anak

195,000 II A PRIA 170,000 II B WANITA II A Anak II B Anak 658,000 II

100,000 III A (NON AC) 80,000 III B 140,000 110,000 395,000 III

165,000

658,000 550,000 Kelas II

Intermediate ICU/PICU/NICU 350,000 Kelas III

724,000 855,000 175,000

450,000 A 375,000 B

350,000 300,000

150,000

500,000 Kelas IIA 450,000 Kelas IIB

300,000 Kelas IIIA 275,000 Kelas IIIB

100,000 90,000

525,000

300,000

150,000 600,000 425,000

I

Isolasi 2,890,000 Kelas I 1,440,000 350,000 550,000 Anggrek I 550,000 Seruni I

Kelas IA Kelas IB

ICU / ICCU Perina Isolasi

Muzdalifah HCU

100,000

70,000 60,000

125,000

105,000

85,000

375,000 II Mina 600,000 II Marwa

300,000 250,000

125,000

13 135

14 136

15 137

16 138

17 139

Bogor 00911 RS. Trimitra Cibinong Jl.Raya Cibinong KM.43 Bogor 00710 RS. Thamrin Cileungsi Jl. Raya Narogong Km. 16 Limus Nunggal Cileungsi - Bogor 16820 00912 RB. Harapan Ibu Jl. Raya Cikabon No. 108 Parung Panjang; Bogor 00913 RSIA Citra Insani Jl. Raya Parung No. 242 Parung - Bogor 00914 RS. Melania Jl. Pahlawan No. 91 Bogor 00915 Klinik Utama Jantung Cinere (Kardiovaskuler Hospital Cinere) Jl. Maribaya No.1, Puri Cinere Depok 16514

021-8763055/56 021-8765993

021-8755311

021-823 50 52

021 - 823 0686

021-54260635

021-5977581 021-54260635

0251-8611507

0251-8617493

VVIP A VVIP B VIP A VIP B VIP Emerald

VIP I VIP II

450,000 350,000 Isolasi

0251 - 8321196 0251 - 8371191

0251 - 8331777

021-754 54 99

021-753 69 65

00916 RS. Sentra Medika Cibinong Jl. Mayor Oking Jaya Atmaja No. 9, Cibinong Bogor

021-8790 9999 021-87911212 021-87905444

021-8790 9377

00919 Klinik & RB. Pelita Sehat Jl. Raya Cibuluh Ruko No. 9 Simpang Pomad Bogor 00920 RSIA. Sentosa Jl. Raya Kemang No. 18 Bogor 00921 RS Hermina Mekarsari Jl Raya Cileungsi Jonggol KM 1, Cileungsi Kab. Bogor

0251-8658811

0251-8652628

Vip Dewasa Vip Anak

0251-7541900

0251- 7541900 0251-7534704

VVIP VIP

1,075,000 740,000

021-29232525

021-29232770

Suite Room SVIP VIP

1,482,000 1,150,000 1,029,000

23 146

00922 RS Medika Dramaga Jl Raya Dramaga Km 7,3 Margajaya Bogor 16680

0251-8308900 0251- 8625577

0251-862557

VIP

24 147

27023 RSIA UMMI Jl Empang No II Bogor

0251-8341600

0251-8341606

President Suite Suite Junior Suite Deluxe

25 148

27065 RSIA Juliana JL. Raya Tajur No 75A- Bogor

0251 - 8339593

0251-8339591

Tarif Menyusul

26 149

27069 RS Pertamedika Sentul City JL. MH THAMRIN KAV 57 SENTUL CITY - BOGOR 16810

021-29672990/29672977

021-29672990

VVIP VIP

27 150

27073 RSIA Kenari Graha Medika GRIYA KENARI MAS BLOK B2 CILEUNGSI

18 140

19 141

20 142

21 143

22 144

28 151

021-8230426/82499885/96684076

VVIP VIP A VIP B Executive SVIP VIP SVIP VIP Deluxe VIP

900,000 800,000 Isolasi 650,000 HCU/NICU 450,000 ICU 825,000

750,000 600,000 500,000 2,000,000 1,500,000 1,000,000 1,300,000 Utama 1,000,000 850,000

Kelas I

I Saphire

Melati 120,000

175,000 300,000 Kelas III

150,000

440,000 II Rubby II Rubby Anak

230,000 III Topaz 220,000 III Anak

120,000 130,000

60,000


300,000 Anggrek Kenanga

185,000 150,000


350,000

275,000

150,000 N/A

I

750,000 II

400,000

200,000

700,000 I

500,000 II

350,000 III Isolasi ICU/NICU/PICU

350,000 300,000

450,000 Utama

II Badar (Isolasi) 350,000 Kelas II

350,000 500,000 750,000

250,000 250,000

200,000

Kls I Kls I (Anak) Isolasi I

538,000 Kls II 471,000 II Anak 855,000 605,000 II

337,000 Kls III 404,000 III Anak Picu/Nicu 363,000 III

Isolasi

605,000 250,000

200,000

500,000

300,000

350,000

1,950,000 1,100,000 900,000 650,000

Standart I

150,000 350,000 1,000,000 125,000 Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn)

160,000 Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn) 160,000 673,000 151,000

Intermediate ICU/PICU/NICU

666,000 787,000 100,000

Isolasi


Isolasi


1,550,000 950,000 ICU NICU/PICU

600,000 600,000 600,000 ICCU

400,000

175,000

700,000

Tarif Menyusul 021-8231829

27100 RS Family Medical Center JL.RAYA BOGOR KM.51 CIMANDALA-SUKARAJA, BOGOR

(0251) 8652391

29 152

27116 RSUD Kota Bogor JL DR SUMERU NO 120 MENTENG BOGOR BARAT

0251-8312292

0251-8371001

VVIP VIP

768,000 668,000

30 153

27080 RS KARYA BHAKTI PRATIWI Jl. Raya Dramaga Km. 7 Dramaga Bogor - Jawa Barat

(0251) 8626868

(0251) 8626969

VVIP VIP

1,000,000 750,000

27129 RS Mulia Pajajaran JL. RAYA PAJAJARAN NO. 98 BOGOR

0251-8379898

32 155

27144 RS Citama JL RAYA PABUARAN NO 52 BOJONG GEDE BOGOR

021-87985555

33 156

27145 KLINIK & RB CITAMA KEDUNG WARINGIN JL BOJONG GEDE BOGOR

021-87983434

34 157

27127 RS Permata Jonggol JL RAYA JONGGOL NO 1A SUKAMANAH JONGGOL BOGOR

021-89931222

021-89931836

VVIP VIP

1,475,000 875,000

450,000

275,000

140,000

35 158

27149 RSIA Bunda Suryatni JL KH SOLEH ISKANDAR RT004/004 NO 21 CIBADAK TANAH SAREAL BOGOR-16161 27157 RS Vania JL SILIWANGI NO 11 BOGOR

0251-7543882

0251-7543883

Suite Room SVIP VIP

1,300,000 980,000 900,000

550,000

330,000


0251/8380601/05

0251-8380612

President Suite Suite Room VIP

1,500,000 1,250,000 Isolasi 900,000

550,000

350,000 A B

135,000 150,000

650,000 Kls I 400,000 275,000 Kelas I

300,000 Kls II

245,000 Kls III

150,000

165,000 Kelas II

140,000 Kelas III

115,000

600,000 Kelas I

400,000 Kelas II

300,000 Kelas III

150,000

300,000 II A 250,000 II

175,000 III 80,000

31 154

36 159

0251-8661 605

VVIP VIP

950,000 700,000 Isolasi HCU

ICU HCU 0251-8378800

021-87986666

President Suite Suite VVIP VIP Tarif Menyusul

1,600,000 1,350,000 1,100,000 ICU 950,000 HCU

400,000

300,000

115,000

300,000 900,000 568,000 A B

528,000 A 428,000 B

285,000 215,000

80,000

550,000

400,000

275,000

100,000

850,000 400,000 500,000

350,000

275,000

150,000

1,000,000 750,000

Tarif Menyusul


350,000

BENGKULU 1

160

2

161

3

162

06801 RS. Rafflesia Bengkulu Jl. Mahoni no. 10 Bengkulu 06802 RS. Bhayangkara Bengkulu Jl. Veteran No. 2 Kel. Jitra, Bengkulu 06803 RS Tiara Sella Bengkulu Graha Bernoza, Jl. S. Parman No. 61 Padang Jati Bengkulu

0736-21710

0736-342677 VIP

0736-341086

0736-21553

VIP

0736-20350

0736-20626

President Suite Junior Suite VVIP

ICU 600,000 NICU Isolasi 300,000

1,400,000 VIP 1,350,000 700,000 ICU

750,000

BLITAR 1

163

06701 RS. Katolik Budi Rahayu Jl. Jend. Ahmad Yani no 18 Blitar

0342-801066

0342-806509 0342-804284

VIP

450,000

IA IB

50,000

BOJONEGORO 1

164

05505 RS. Aisyiyah Bojonegoro Jl. Hasyim Ashaari No. 17 Bojonegoro

0353-881748/887829

0353-885978

VVIP VIP

725,000 385,000

192,500

145,000

137,500 A B C

1

165

08001 RSU. Permata Bunda Jl. Mr. Iwa Kusumasomantri No. 1 Ciamis

0265-771650

0265-771650

VIP A & B VIP C & D

350,000 Parahyangan 300,000

250,000

200,000

150,000

1

166

27064 RSU Kasih Bunda Cimahi 022- 6614221/ 6630585 JL. MAHAR MARTANEGARA NO.166 LEUWIGAJAH - CIMAHI 40521

022- 6630583

VIP

550,000

110,000 100,000 70,000

CIAMIS

CIMAHI 350,000 HCU/NICU

400,000

250,000 Isolasi

100,000

250,000

CILACAP 1

167

04201 RS Islam Fatimah Cilacap Jl. Ir. H.Juanda no.20 Cilacap 53231

0282-542396 0282-541065

0282-541065

VIP

650,000 Utama I Utama II

400,000 I 325,000

275,000

250,000

100,000 ICU

450,000

CILEGON 1

168

01501 RS. Krakatau Medika Jl. Semang Raya, Cilegon

2

169

01502 RSIA. Kurnia JL. Jombang Masjid No.4-Cilegon Banten 42411

3

170

01504 RSIA Mutiara Bunda Cilegon Jl. SA Tirtayasa No. 86, Cilegon

4

171

01503 Klinik dan RB Afina Jl. Rambutan No. 12, Pagebangan, Cilegon

1

172

01401 RS.Pertamina Cirebon Jl. Patra Raya Klayan Cirebon 45151

2

173

01402 RS. Pelabuhan Cirebon Jl. Sisingamangaraja, No.45

0254-396333 0254-373011 0254-373013 0254-372180 (ADM RI) 0254-391161

0254-372010

0254-399988 0254-376888-ADM

0254-376454

0254-392568

0254-392568

0231-224646 0231-2512116 ext.2181

0231-209328

0231-230024 0231-205657 0231-208948/208680

0231-204444

0254-397023

VIP Flamboyan (Dws) VIP Wijayakusuma (Anak) Suite Flamboyan VIP Anak VIP

Junior Suite VVIP VIP

775,000 Wijayakusuma 650,000 Flamboyan 1,000,000 650,000 750,000 HCU Isolasi 525,000 Utama 450,000 380,000

350,000 Seruni 500,000 Anggrek I Anak A Melati I Anak B Melati 650,000 Kelas I 550,000 550,000 300,000 I

250,000 Cempaka / Seruni 250,000 Melati Anak 350,000 250,000 550,000 Kelas II

180,000 Dws 190,000 Melati Anak

100,000 125,000

350,000 Kelas III


200,000 II

150,000 III


250,000 Isolasi 300,000 Kelas II

185,000 Isolasi 200,000 Kelas III


450,000 Kls II

275,000 Kls III ICU

125,000 800,000

I

380,000 II A

270,000 III A

175,000

Isolasi I

II B 400,000 Isolasi II

230,000 III B 300,000 Isolasi III

150,000 200,000

Kls I Kls I A Anak

350,000 Kls II (Dewasa+Anak) 350,000

250,000 Kls III (Dewasa+Anak)

150,000

Kls I

350,000 Kls II

250,000 Kls III

150,000

Isolasi Kelas I

CIREBON

3

4

174

175

01403 RS. Putera Bahagia Jl. Ciremai Raya No. 145 Cirebon 45141

0231-207351 0231-485654

0231-486356

01404 RS. Sumber Kasih Jl. Siliwangi No. 135 Cirebon

0231-203815

0231-210040

Suite Super VIP Vip A Vip B SVIP I SVIP II & III VIP A VIP B VIP C VIP 1 VIP 2 VIP 3 Paviliun Kasih Pav. A Pav. B SVIP VIP

1,100,000 900,000 700,000 550,000 750,000 850,000 550,000 500,000 425,000

- Kls I

800,000 675,000 550,000 1,100,000 725,000 575,000 475,000 400,000

R. Isolasi

ICU

5

176

27007 RS Mitra Plumbon Jl Raya Plumbon KM 11

0231-323100

0231-322355/322066

Tarif Menyusul

6

177

27138 RSIA Cahaya Bunda Cirebon JL RAYA PERJUANGAN NO. 8 SURYARAGI KESAMBI CIREBON

0231-482121

0231-482121

Tarif Menyusul

7

178

27300 RSIA KHALISHAH JL SETIABUDI NO 8 PALIMANAN-CIREBON

0231-342440

0231-343362

VIP B VIP A VVIP

8

179

27402 RS. PERMATA CIREBON JL. TUPAREV NO. 117 KEDAWUNG KAB. CIREBON

(0231) 883 8877; 833 8899

0231-8293698

Suite Utama Suite VVIP

1

180

27405 RS. JUANDA KUNINGAN JL. IR. H. JUANDA NO.207 KUNINGAN-JAWA BARAT

0232-876433/875871

0232-876433/875871

350,000

675,000


495,000 770,000 990,000

Kls I

2,200,000 1,900,000 1,000,000

330,000 Kls 2 B Kls 2 A

220,000 275,000


500,000 A B

300,000 250,000

150,000

185,000 160,000 170,000

125,000

100,000

KUNINGAN VVIP A VVIP B VVIP C VIP A VIP B

615,000 UTAMA A 515,000 UTAMA B 565,000 455,000 405,000

270,000 A 220,000 B C

ISOLASI

160,000

DENPASAR 1

181

03101 RS. Kasih Ibu Jl. Teuku Umar No. 120 Denpasar

2

182

03102 RSU Manuaba Jl. Cokroaminoto 28

3

183

4

184

5

185

03103 RSU Graha Asih Jl. I Gusti Ngurah Rai No. 33 X Kuta - Badung - Bali 03104 RSU Dharma Usadha Jl. PB Sudirman No. 50 Denpasar 03106 RS. Prima Medika Jl Pulau Serangan 9x Denpasar-Bali 03105 RSIA. Puri Bunda Jl. Gatot Subroto VI/19

6

186

0361-223036

0361-238690

Suite Room Superior Executive Executive VIP A VIP B VIP C VIP A VIP B VIP C VIP Anggrek A VIP Anggrek B

0361-237016 0361-3003030 0361-426393 437143

0361-227228 286183

0361-764860

0361-766565

0361-227560

0361-234824

VIP A VIP B

0361-236203

Suite

0361 - 236225 0361-257445 0361-257445, 0361-257446 0361-437999

0361-433988

Sita Kunti

1,920,000 1,440,000 1,200,000 750,000 600,000 480,000 650,000 500,000 350,000 500,000 450,000

- A B

198,000

180,000

Isolasi ICU ICU/ICCU

840,000 720,000

- Kls I A Kls I B

275,000 Kls II 200,000

125,000 Kls III

80,000

- Bougenville

375,000 Cempaka

275,000 Dahlia

180,000

250,000

175,000

125,000

600,000 Deluxe

ICU 450,000 Junior

300,000 Kelas Madri

ICU/ICCU/PICU/NICU 235,000 Kelas Srikandi

500,000 400,000 3,000,000 Executive I Executive II VIP 2,200,000 Kunti Anak 950,000 VIP Anak

390,000 270,000

1,275,000 Superior 1,050,000 825,000 950,000 Kelas Shakuntala 550,000

500,000 300,000 1,125,000 175,000 Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn)

Denpasar Bali

7

187

03122 RS. Surya Husadha International Jl. Pulau Serangan No. 7 Denpasar 80114 Bali 03108 RS. Bali Medistra Jl. Mahendradatta No. 57X Denpasar Bali 80117 03109 RSU. Puri Raharja Jl. WR Supratman No. 14-19 Denpasar - Bali

0361-265165 0361 - 233787

0361-265514

8

188

0361-484748

0361-484748 0361-8450773

9

189

0361-222013 0361-229118

0361-242537

10 190

03110 RS. Kertha Usada Jl. Cendrawasih No. 5-7 Singaraja 80116

0362-26277-79

0362-22741

11 191

03111 RS. Bhakti Rahayu Jl. Gatot Subroto II / 1 Denpasar 03112 RS Kasih Ibu Kedonganan Jl. Uluwatu No. 69A, Kedonganan, Kuta, Bali

0361 - 430245

0361- 430833

0361-703270

0362-29787,32701

12 192

13 193

03113 RS Parama Sidhi Jl. Ahmad Yani No. 171 A, Singaraja, Bali

Supraba

550,000

Kausalya Jasmine

350,000 525,000

Suite Executive VIP A VIP B Super VIP / Puri Wijaya Kusuma VIP A / Puri Jempiring VIP B / Puri Angsoka VIP C / Puri Bougenvile

1,250,000 600,000 450,000 375,000 800,000 750,000 700,000 635,000

Super VIP VIP A VIP B VIP C VIP D VIP A VIP B

600,000 225,000 300,000 350,000 400,000 500,000 400,000

0361-703329

Executive VIP A VIP B VIP C

750,000 550,000 425,000 340,000

0362-29787

Maharloka

300,000

Puri Cempaka Wisma Seruni Wisma Sakura Wisma Sandat ICU

03114 RS. Surya Husadha Ubung (Surya Husadha Group) Jl. Cokroaminoto No. 356 Denpasar

0361-425744

0361-430557

15 195

03115 RS. Dharma Kerti Jalan Teratai No. 16, Dauh Pala Tabanan, Bali

0361-811424

0361-811077

16 196

03116 Siloam Hospital Bali Jl. Sunset Road No. 818, Kuta Bali 80361

0361-779900/11

0361-779944

17 197

03117 Bali Royal Hospital Jl Tantular No 6 Renon-Denpasar

0361-247499/222588

0361-226051/52

Dwaraka

2,350,000 1,790,000 1,370,000

Super VVIP VVIP VIP A VIP B VIP C

2,000,000 1,500,000 750,000 600,000 500,000

200,000 Gardenia

115,000

Kls I

300,000 Kls II

195,000

150,000

250,000 Wisma Dahlia

200,000 Wisma Tununga

150,000

170,000

115,000

85,000

250,000

90,000 150,000

100,000

Kelas I

225,000 Kelas II

175,000

135,000

Svarloka

250,000 Bvarloka A Bvarloka B

ICU 200,000 Bhurloka A 150,000 Bhurloka C Isolasi

550,000 120,000 90,000 115,000

Kosala

200,000 Hastina Pura

130,000 Pancala

Kls I A Kls I B Kls I C

250,000 Kls II 215,000 170,000

150,000 Kls III

115,000

A B

940,000 630,000

430,000

200,000

300,000

225,000

180,000

560,000 Wisma Suli 510,000 425,000 325,000 725,000

650,000

400,000

Suite VVIP VIP

300,000 Frangipani

II C

ICU

14 194

Orchid

ICU/ICCU

85,000

1,000,000

NUSA DUA 1

198

27306 RS. Surya Husada Nusadua JL. SILIGITA BLOK I NO.14 NUSA DUA

1

199

27049 RSU Kasih Ibu Tabanan Jl Flamboyan No 9 Kampung Kodok Tabanan-Bali

1

200

06901 RS. Tk.IV / Guntur Jl. Bratayudha No. 101 Garut

1

201

07001 RS. Semen Gresik Jl. RA. Kartini, No.280 GRESIK

2

202

3

203

27026 Rs Wates Husada Jl Raya Wates Utara Kedungpring Balongpanggang Gresik Jawa Timur 27088 RS Petrokimia Gresik JL. JEND. A.YANI NO.69 Gresik-Jawa Timur

1

204

2

205

3

206

4

207

5

208

6

209

0361-775827

VIP

525,000

Kelas I

300,000 Kls II

200,000 Kls III

110,000

125,000

TABANAN 0361-3005757

0361-3005758

Executive VIP A VIP B

900,000 500,000 375,000

A B

275,000 200,000

150,000

0262-235751 0262-232325 / 243080

0262-235751

A B

350,000 310,000

A B

225,000 A 200,000 B

150,000 A 125,000 B

80,000 50,000

031-3987840 031-3989478 031-3975847

031-3987842

VVIP VIP

730,000 530,000

A B

430,000 A 400,000 B C

300,000 A 250,000 B 200,000

120,000 100,000

VIP

350,000

200,000

150,000

70,000

VVIP VIP A VIP B

800,000 475,000 400,000

280,000

225,000

190,000

475,000

400,000

225,000

658,000 II II A

165,000

271,500 Kls II

395,000 III 296,000 Isolasi 217,000 Kls III

700,000 Kls II

400,000 Kls III


600,000

300,000

150,000

700,000 II 700,000 Anak

420,000 III 420,000 III Anak

250,000 250,000

Isolasi 450,000 Kls III

650,000 200,000

GARUT

GRESIK

031-7922351

031-7922351

031-3988877/3990994

031-3980008/3981232

Isolasi

100,000

DEPOK

7

8

210

211

00601 RSU. Bhakti Yudha Jl. Raya Sawangan Depok 16436 00602 RS. Hermina Depok Jl. Raya Siliwangi No. 50 Pancoran Mas, Depok 00604 RS. Simpangan Depok Jl. Raya Jakarta Bogor Km 36 Depok 00603 RSIA Tumbuh Kembang Jl. Raya Bogor Km. 31 No. 23 Palsi Gunung Cimanggis - Kota Depok 00605 RS. Hasanah Graha Afiah Jl. Raden Saleh No. 42 Depok 16412 00606 RS. Graha Permata Ibu Jl. KHM Usman No. 168 Kukusan-Depok 00608 RS. Mitra Keluarga Depok Jl. Margonda Raya Pancoran Mas, Depok 00607 RS. Bunda Margonda JL.Margonda Raya No.28 Pondok Cina-Depok

021-7775861 021-7520082

021-7775862

VIP

021-77202525

021-7763309 77206107

021-8741549 021-8742916

021-8741549

Suite Room SVIP VIP Kls Vip

1,612,000 1,250,000 ICU/NICU/PICU 1,119,000 Intermediate 434,000 Kls I Utama

021-8701873 021-8701874

021-8701872

SVIP VIP

1,200,000 Utama 1,100,000

021-77826267 021-77826276

021-77826260

021-7778899

021-7778998

VVIP VIP Deluxe VIP VVIP VIP Perdana VIP Anak VIP Super VIP VIP

1,300,000 1,100,000 1,000,000 2,500,000 1,400,000 1,150,000 1,100,000 2,500,000 1,600,000

021-77210700 021-77210800 021-78890551 021- 51436697

850,000 ICU

021-77212155 021-77206106 021-78889958

CDC CDC Anak

ICU/HCU/NICU Isolasi

850,000 I 855,000 724,000 380,000 Kls I

800,000 Kls I

1,000,000 600,000 Kelas I Anak

ICU HCU Isolasi

1,925,000 Perdana 1,650,000

658,000 119,500

1,100,000 950,000 A 1,000,000 B C 1,200,000 Utama

1,300,000 Kls II 1,000,000 900,000 ICU/ICCU 600,000 II

1,350,000 NICU 400,000 III

750,000 275,000

9

212

00609 RSIA. Asy-Syifa Medical Center Jl. Raya Cinere Depok No. 9, Rangkapan Jaya Baru, Depok

021- 971 37391 021-77883905

Isolasi 021-77885454

VIP

10 213

00903 RS Sentra Medika Cisalak Jl. Raya Bogor Km.33 Cisalak - Depok

021-874 3790

021-8743230/87744013 SVIP VIP

11 214

27041 RS Permata Depok Jl. Raya Muchtar No.22 Sawangan Depok

021-29669000

VVIP VIP

12 215

27099 RS Citra Medika Depok Jln. Raya Kali Mulia no.68 Kota Kembang Cilodong, Depok - Jawa Barat

13 216

217

021-29671000/5000/7000

021-29678000

VVIP VIP

27108 Klinik Rawat Inap Mitra Ananda JL H YUSUF RAYA NO. 4-5 Depok II

021-2944148

021-77820099

Tarif Menyusul

27113 RS Jantung Diagram Depok JL. MARIBAYA NO.1 PURI CINERE

021-7545499

021-7536965

Tarif Menyusul

021-87989203/5

021-87986666

Tarif Menyusul

VIP

14 218

27146 KLINIK & RB CITAMA CIPAYUNG JL RAYA CIPAYUNG NO 27 PANCORAN MAS DEPOK

1

219

00103 RS. Sumber Waras Jl. Kyai Tapa

2

220

3

221

4

222

5

223

6

224

00102 RS. Pelni Jl. AIP II KS Tubun 92-94 Jakarta 11410 00101 RSAB Harapan Kita Jl. Let Jend S. Parman NB. Ada penambahan biaya makan perhari 00104 RS. Medika Permata Hijau Jl. Raya Kebayoran Lama No. 64 Jak-Bar 11560 00105 RS. Hermina Daan Mogot Jl. Kintamani Raya No. 2 Perumahan Daan Mogot Baru 00106 Siloam Hospital Kebun Jeruk Jl. Raya Perjuangan Kav. 8 Kebon Jeruk, Jakarta

7

225

8

226

9

227

N/A Utama

900,000 I Plus 800,000 Isolasi 1,500,000 880,000 ICU Isolasi 1,100,000 950,000

450,000

860,000 325,000

250,000


600,000 I

450,000 II

350,000 III

150,000

350,000 KELAS 3

165,000

360,000

180,000

350,000 ICU/ICCU/NICU/PICU Kelas I 900,000 NICU 700,000 HCU 750,000

1,000,000 550,000 KELAS II 500,000 700,000 540,000


JAKARTA BARAT

10 228

11 229

13 230

14 231

15 232

01608 RSUD. Cengkareng Jl. Kamal Raya, Bumi Cengkareng Indah Cengkareng Timur, Jakarta Barat 11730 00108 RS. Puri Mandiri Kedoya Jl. Raya Kedoya No. 2 Kebon Jeruk, Jak-bar 11520 00109 RS. Patria IKKT Jl. Cendrawasih No. 1 KomplekDephan Mabes TNI Slipi, JakBar 11480 00110 RS. Royal Taruma Jl. Daan Mogot No. 34 Grogol Jakarta Barat 11470 00325 RS. Pondok Indah Puri Indah Jl. Puri Indah Raya, Blok S-2 Kembangan Selatan, Jakarta Barat 00111 RS Kanker Dharmais Jl Letjen S. Parman Kav.84-86 Slipi, Jakarta Barat 00112 RS Grha Kedoya Jl. Panjang Arteri No. 26, Kedoya Utara Jakarta-Barat, 11520 27322 RS MITRA KELUARGA KALIDERES JL. PETA SELATAN NO.1, RT.007 RW.011, KEL. KALIDERES, KEC. KALIDERES, JAKARTA BARAT

16 233

00107 RS. Jantung dan Pembuluh Darah Harapan Kita Jl. Letjend. S. Parman Kav. 87, Slipi Jakarta Barat

1

00206 RS. PGI Cikini Jl. Raden Saleh 40 Jakarta 10330

5682011 tekan 9

5673122 5605791-ADM

5350085 - Keuangan 5480608 5306901 5668284

5483145

Teratai Wijaya

700,000

500,000

5601816

VIP A VIP B

530 5288 5347411

5305291

Super VIP VIP

1,500,000 925,000

5408989

5449869

021-25677888

5321775

Opr. 0 o 54372874-6

5442693

Suite Room SVIP VIP Junior Suite SVIP VIP Grand VIP Deluxe VIP

1,752,000 1,359,000 1,216,000 2,900,000 2,600,000 1,400,000 1,250,000 600,000 Utama

1,250,000 Merak 1,050,000

650,000 Melati

5828299

5828499

SVIP VIP

5346387

VIP

56958338 56967788

56958589

SVIP SVIP Saphire Executive Saphire Suite Room VIP

1,550,000 1,650,000 1,300,000 2,750,000 1,500,000

25695222

25695205

021-5681577

VVIP Anggrek Vip Anggrek

1,450,000 950,000

Presidential Suites SVIP VIP SVIP VIP

3,500,000 2,000,000 1,250,000 2,000,000 1,450,000

Umum III Nila

80,000 110,000

Kenanga Cempaka Khusus

350,000

210,000

I Sigle Bed Pediatrik I

475,000 725,000 Pediatrik 535,000 715,000 II

Isolasi I

715,000 650,000 II

280,000 280,000 ICU Isolasi 429,000 III Intermediate ICU/PICU/NICU 450,000 III

145,000 925,000 435,000 179,000 787,000 930,000 200,000

500,000 Kls I

350,000 Kls II

250,000

450,000

375,000 A Isolasi

225,000 250,000

125,000

425,000 Kls II 300,000

225,000 Kls III A Kls III B

150,000 95,000

1,100,000 Kls I Kls I Saphire 1,200,000 1,400,000 I 1,500,000 1,500,000 I Mawar I Anak

550,000 Kls II 600,000 Kls II A

400,000 Kls III 220,000

160,000

650,000 II

450,000 III

250,000

525,000 II Melati 515,000 II Anak

Kelas Utama

1,000,000 Kelas I

650,000 Kelas II

375,000 III A Cempaka 375,000 III B Cempaka III A Anak III B Anak 400,000 Kelas III

225,000 142,000 275,000 125,000 200,000

ICU/ICCU/HCU Utama ICU/ICCU Intermediate NICU

1,100,000 HCU 1,150,000 Kelas I 990,000 910,000 735,000

850,000 680,000 Kelas II

375,000 Kelas III

160,000

2,600,000 I

750,000 II

500,000 III

400,000

500,000

350,000

125,000

500,000 Isolasi

350,000 Isolasi

125,000

850,000 700,000 875,000 600,000

021-5681570

250,000 200,000 175,000 330,000 330,000

165,000 165,000 215,000 85,000

880,000 670,000

5308981-84

350,000 A B II Nila 490,000 Mawar Murai

ICU HCU

Kls I A Kls I B I Khusus VIP NICU ICU Isolasi

021-29910999

021-29910987

021 - 22523700 ext.6062

021 - 22523702

5681111

5684230 5684130

CVCU Executive SVIP

2,500,000 ICU 1,300,000 1,650,000

38997777 38997799 (Rawat Jalan) 38997788 (Rawat Inap) 38997744 (IGD)

38997778

Super VIP Anggrek Super VIP Mawar VIP A VIP B Semi VIP

2,100,000 A 2,100,000 B 1,400,000 C 1,000,000 Isolasi 850,000

Suite Super VIP (K102) VIP

4,250,000 I Utama 4,000,000 3,000,000

1,200,000 950,000

JAKARTA PUSAT

2

234

235

00207 RS. Abdi Waluyo Jl. HOS Cokroaminoto 31-33 Kav. C21 Kuningan

3144989

31930866

650,000 Kelas I 600,000 550,000 Isolasi 550,000

1,500,000 I

800,000 II

500,000

Isolasi B 3

236

00201 RSPAD Gatot Soebroto / Yanmasum Pav. Gatot Subroto Jl. Abdul Rachman Saleh 24

3840484

3843101

4

237

00205 RS. St. Carolus Jl. Salemba Raya No. 41 Jakarta 10440

PAV. KARTIKA SUPER VIP VIP

3441008 3500004 - Darmawan

3904441 Telp RJ; 23567902

PAV. KARTIKA 2,000,000 1,500,000

A

PAV. DARMAWAN

3103226 Fak RJ 23567972

VIP A VIP B VIP C SVIP VIP VIP B

PAV. KARTIKA 500,000 A ICU

PAV. DARMAWAN 1,000,000 750,000 600,000 1,600,000 1,250,000 900,000

N/A

1,500,000

350,000 1,500,000 PAV. DARMAWAN

A B

400,000 A 350,000 B

275,000 250,000

Kls I

590,000 Kls II

370,000 Kls III III Non AC

185,000 85,000

R Khusus

415,000

5

238

00204 RS. Islam Jakarta (Cempaka Putih) Jl. Cempaka Putih Tengah I/1

021-4250451 021-42801567

4206681

6

239

00208 RS. Husada Jl. Raya Mangga Besar No. 137-139 Jakarta 10370

6260108 6490090 6010500

6497494

7

240

3107816

241

00210 RS. MH. Thamrin Jl. Salemba Tengah No. 26-26A-28 00209 RS. Mitra Kemayoran Jl. Landas Pacu Timur Jakarta 10630

3904422

8

6545555 6545888

6545959

9

242

00211 RS. Khusus THT-Bedah Proklamasi Jl. Proklamasi 43 Jakarta Pusat

3900002

3900947

10 243

00212 RS. TNI-AL Dr. Mintohardjo Jl. Bendungan Hilir No. 17 Jakarta Pusat

5749037 5703081

11 244

00213 RS. Menteng Mitra Afia Jl. Kalipasir No. 9 Jakarta Pusat 10340

3154050

3146309

S-VIP VIP

12 245

00214 RS. Kramat 128 Jl. Kramat Raya 128 Jakarta 10430 00216 RSIA. Bunda Jakarta Jl. Teuku Cik Ditiro No. 28 Jakarta Pusat

3909513 3909514 3918287 31922005 3143215

3909125

S-VIP VIP VIP A CDC CDC Executive Perdana

1,100,000 Teratai 1,000,000 Aster 800,000 2,500,000 Utama 3,500,000 1,600,000

021-2303444

021-3902550

SVIP VIP

1,300,000 UTAMA PLUS 1,150,000 Utama

850,000 780,000

021-4204056 021-4211911

021-4211913

850,000 A 425,000 B

021-3501012

1,100,000 950,000 825,000 1,113,000 497,000

ICCU Isolasi

021-3842828

SVIP VVIP VIP VIP Ibu (Tribhuana Tunggadewi) VIP Bayi (Tribhuana Tunggadewi)

Mahendradata Ibu Mahendradata bayi

877,000 Subadra Ibu 459,000 Subadra Bayi

021- 3913336

021-3926687

Super VIP VIP

13 246

14 247

15 248

16 249

17 250

18 251

00217 RSIA. Tambak Jl. Tambak No. 18, Menteng Jakarta Pusat 10320 00215 RS. Pertamina Jaya JL. A. Yani No.2 Jak-Pus 10510 00218 RSIA. Budi kemuliaan Jl. Budi kemuliaan No. 25 Jakarta Pusat 00221 RS. Khusus Bedah Salemba Satu (RS Bedah SS Medika) Jl. Salemba I no. 11 Jakarta Pusat 10430 00227 RS. Jakarta Eye Center Jl. Cik Di Tiro No. 46, Menteng Jakarta

3101313 3928588

Musdalifah Bawah Atas

Arafah 1,250,000 Bawah 1,200,000 Atas

ICU VIP ICU Standart HCU Super VIP VIP GH 608,609,610,611 VIP 601,602,603,604 VIP Putra VIP Cempaka AS VIP Cempaka H-S VIP Cempaka A-G VIP GH 501 Anggrek President Suite VVIP VIP SVIP VIP

1,700,000 1,400,000 1,000,000 1,700,000 1,250,000 1,000,000 950,000 1,200,000 900,000 1,000,000 900,000 1,200,000 3,300,000 1,300,000 1,050,000 2,400,000 1,625,000

SVIP A SVIP B VIP A VIP B VVIP A VIP A VIP B

2,000,000 1,750,000 1,350,000 1,200,000 700,000 650,000 550,000

NICU

1,200,000

I Exe (Cempaka) A-G I Exe (Cempaka) H-S Hati I Utama Kls I Utama teratai Gladiola A-N Gladiola Q-Z Anggrek Teratai

1,000,000 900,000 750,000 600,000 650,000 750,000 875,000 750,000 650,000

Isolasi ICU NICU

N/A 850,000 ICU Isolasi

021-3150360 021-29221000

021-3904601

VVIP VIP

2,600,000 1,600,000

00220 RS. Evasari Jl. Rawamangun No.47

021 -420 1515

021-4244490 021-4209725

20 253

00222 RSIA. YPK Mandiri Jl. Gereja Theresia No. 22 Jakarta 10350 00224 Sahid Sahirman Memorial Hospital Jl. Jenderal Sudirman No. 86 Jakarta 10220

021-3909725

021-3909806

SVIP A SVIP B VIP SVIP VIP

2,000,000 1,500,000 HCU 1,075,000 ICU 1,890,000 1,320,000

021 - 57853911

021-57853922

Sahid Suite Sahirman Suite VIP

3,500,000 2,500,000 1,200,000

22 255

00225 RS. Bedah THT Prof Nizar Jl. Kesehatan No. 9, Jakarta Pusat

021-3503435

021-34834982

23 256

00228 RSU Bunda Jakarta Jl Teuku Cik Di Tiro No 21 Menteng-Jakarta Pusat

021-31923344 ext 6517

021-31905915

5529035 5578 1888

5529036 ADM RI 5529495

5521270 55752575 55755665 5464466

Penagihan 5470775

5463094 7455500

7455800

1

257

2

258

3

259

4

5

260

261

6

262

7

263

TANGERANG 00801 RS Mayapada Jl. Honoris Raya Kav. 6 Kota Modern Tangerang 15117 00803 RS. Usada Insani Jl. KH. Hasyim Ashari No. 24 Tangerang 00804 RS. QADR Komplek Islamic Village Desa Kelapa Dua PO Box 492 Tangerang 15001 00805 RS. Premier Bintaro (Internasional Bintaro) Jl. M.H.Thamrin Blok B3 No.1 Sektor 7 00806 RS. Sari Asih Karawaci Jl. Imam Bonjol No. 38 Tangerang 15113 00809 RS. Sari Asih Ciledug Jl. HOS Cokroaminoto (JL.Raya Cileduk) No.38 Ciledug 00807 RS. Islam Asshobirin Jl. Raya Serpong KM 1

7455600 7455700 5522794 5523239 / 73457727 021-7333430 021-7332758 5384253 5384314

55754335

5525214

557990404 7333441 5384338

SVIP NEW WING VVIP (OLD WING) VIP (NEW WING) VIP VVIP VIP

1,750,000 Junior VIP 1,500,000 1,100,000 1,500,000 1,205,000 1,095,000 Isolasi

Citra / SVIP VIP

1,078,000 825,000

New SVIP SVIP VIP VIP Anak SVIP VVIP VIP VVIP Double VVIP VIP VIP ICU

2,950,000 2,500,000 1,750,000 1,750,000 N/A 900,000 800,000 1,800,000 1,000,000 800,000 420,000 360,000

ICU Isolasi ICU Isolasi

325,000 575,000 575,000 500,000 500,000 400,000 400,000 300,000 300,000

550,000 R. Ruby R. Ruby Plus 550,000 Kamar Anak 750,000 A B

120,000 Kls III Isolasi

90,000 120,000

250,000

125,000

300,000 350,000

175,000

Isolasi 550,000 Kelas III


675,000

400,000

200,000

650,000 525,000

375,000

540,000 Larasati Ibu 308,000 Larasati Bayi

365,000 Srikandi Ibu 222,000 Srikandi Bayi


400,000

200,000

100,000

880,000

550,000

150,000

696,000 Kelas II

500,000 Kelas III

200,000

885,000 ISOLASI 750,000

700,000 400,000


750,000 Standart B

300,000

495,000

275,000

175,000

550,000

300,000

350,000 Kls III

140,000

Kls III

130,000

Kls III (Dewasa) Kls III (Anak) Isolasi Kelas III III Kebidanan Untuk Anak Tidak ada kelas III Isolasi

88,000 96,000 165,000 250,000 250,000

750,000

1,100,000

Kelas II 750,000

1,150,000

A 290,000

875,000 Kelas I 825,000 I Kebidanan 2,500,000 Kelas I Anak 1,750,000 500,000 700,000 440,000 500,000 700,000 440,000 I Utama I

300,000 150,000 130,000 130,000

200,000

450,000 500,000 Aster

650,000 Kls I

Isolasi III Pav. Soka Mawar, Melati Nusa Indah

550,000

1,155,000 Kelas II 1,050,000 900,000

600,000 Aster 650,000 Teratai

890,000 Kelas I 759,000 1,012,000 NICU/PICU 1,100,000

185,000 185,000 185,000 375,000 200,000

165,000 195,000 165,000 180,000

400,000 Kls II 325,000 300,000 250,000 400,000 375,000 300,000 250,000 180,000 150,000 180,000 250,000 375,000

Isolasi

Marwah Bawah (Wanita) Kls III Marwah Atas (Pria) Kls III Matahari Dua (Anak) Kls III Matahari Dua (Anak) Isolasi A Matahari Dua (Anak) Isolasi B

275,000 Topaz 385,000 Topaz Plus 385,000 Kamar Anak 450,000 425,000

- A Marore B Selayar C Selayar D Selayar I A Bintan I B Bintan I C Bunyu I Pagai I A P. Laut I B P. Laut I B P. Subi I P. Bangkalis N/A 950,000 375,000 HCU

B Nuansa / Kls I

Utama A Utama B SVIP Kebidanan VIP Kebidanan

Isolasi GH Pratama Nusa Indah Jantung Putra Lantai Stroke Nusa Indah A & B Soka Mawar, Melati

R. Saphire Kamar Anak N/A 800,000 1,100,000 940,000 - A B C

605,000

3,500,000 Utama 1,725,000

400,000 330,000 320,000 320,000 400,000

750,000 350,000 400,000 450,000 500,000 500,000 575,000

Standart A

Mitra Suite Junior Suite

II A (Shafa-shafa) 850,000 II B (Shafa-shafa) 525,000 Marwah Bawah (Wanita) Marwah Atas (Pria/Wanita) Arafah Atas

Anggrek Nusa Indah Soka (E) Lantai Stroke Jantung Putra Hati

700,000 500,000

19 252

21 254

Multazam 850,000 Bawah 400,000 Atas

500,000 II UTAMA

190,000 70,000

Gakin

495,000 A 405,000 B 297,000 Kls II (Dewasa) Kls II (Anak) Isolasi 950,000 Kelas II 950,000 II Kebidanan 950,000 Kelas II Anak

290,000 230,000 181,000 176,000 214,000 600,000 600,000 600,000

450,000

245,000

1,350,000 125,000

450,000

245,000

125,000

215,000

160,000 Isolasi

-

72,000 90,000

8

264

9

265

10 266

11 267

12 268

Pondok Jagung, Tangerang 00808 RSIA. Putra Dalima Bumi Serpong Damai Sektor 1-2 Blok UA/26-27 Tangerang 00802 SILOAM HOSPITAL LIPPO KARAWACI TANGERANG Jl. Siloam No.6, Lippo Karawaci 1600 Tangerang 15811

00811 RS. Bhineka Bakti Husada Jl. Cabe Raya No. 17 Pondok Cabe Pamulang Tangerang 00810 RS. Ichsan Medical Centre (IMC) Jl. Raya Jombang No 56 Bintaro Jaya Sektor IX 00812 RS. Melati Jl. Merdeka No.92 Tangerang

021-5380375 021-5381220 021-5376002 021-5374126 021-5460055/51/66 5460921 ext 2606/2603 54210094 (021) 2963-4777 / (021) 2566-8000

7490018

7499157

7456379 7456386

7450819

021-5523 945

021-552 5604 5520028

021-7371919 021-7371818

021-7371333

VIP

325,000

Presidential Siloam Suite SVIP VIP

3,900,000 Deluxe 2,800,000 2,500,000 1,900,000 1,400,000 Utama (Muzdalifah)

750,000

VVIP VIP Anak VIP VVIP VIP

1,050,000 800,000 800,000 700,000 Utama 600,000 ICU

450,000 500,000

Utama

600,000

Isolasi

210,000

550,000 A B Kelas I A Kelas I B Kelas I Anak

225,000

175,000


650,000

450,000

220,000

450,000 A 375,000 B

300,000 225,000 ICU / HCU

90,000 875,000

550,000 Kelas II A 550,000 Kelas II B 550,000 Kelas II Anak 400,000

350,000 Kelas III A 350,000 Kelas III B 350,000 Kelas III Anak 200,000

140,000 140,000 140,000 125,000

375,000

200,000

400,000 130,000

500,000

225,000

175,000

600,000

300,000

175,000

375,000

185,000

650,000

425,000

200,000 A B

130,000 110,000

200,000

120,000

Isolasi 13 269

14 270

15 271

16 272

17 273

18 274

19 275

20 276

21 277

23 278

24 279

00813 RS. Aminah Jl.Hos Cokroaminoto (Ciledug Raya) No. 4A Kreo Selatan - Larangan Tangerang 00814 RS. Annisa Tangerang Jl. Gatot Subroto No. 96 KM.3, Cibodas, Tangerang 00815 RS. AWAL BROS TANGERANG Jl. MH Thamrin No. 3 Kebon Nanas Cikokol Tangerang 15117 00816 RSU. Sari Asih Sangiang JL. Raya Mauk.KM.3,5 SIMPANG TIGA SANGIANG Sangiang Tangerang Banten 15530 00817 RS. Omni Alam Sutera Jl. Alam Sutera Boulevard Kav. 25 Serpong - Tangerang 00818 RSIA. Bunda Sejati Jl. Prabu Siliwangi No. 11 Jati Uwung - Tangerang 00819 RS. Dinda Jl. Galuh No. 2 Kel. Jatiuwung Taman Cibodas - Tangerang 00820 RS. Ariya Medika Jl. Industri Raya I Blok A No. 1-10 Jatake Tangerang 00822 EKA Hospital Central Business Distric Lot IX BSD City Tangerang,15321 00824 RS. Mulya Jl. KH. Hasyim Ashari No. 18 Sudimara Pinang Kota - Tangerang 00823 RSIA. Tiara Jl. Raya Serang KM 14.5 No. 1 Cikupa Tangerang

021-5525564

021-55791563

VIP

021-55780888

021-55781520

Super VIP VIP VIP A VIP B VIP

5582732

55791307

021-53125555 021-53128555

021-53128666

021-5900136 021-5900056

021-5900056

021-55650577

021-55652149

Suite VIP Deluxe VIP

800,000 HCU ICU/NICU 1,500,000 1,000,000 Isolasi 650,000 700,000 600,000 ICU Isolasi 2,100,000 Premium 1,450,000 1,100,000 HCU 300,000

375,000 500,000 650,000 ICU 450,000 I 500,000 325,000 850,000 900,000

170,000 Isolasi

Kamar Bayi Perinatologi 021-5902229 021-5902232

021-5902223

021-2565 5555 Opr 0

021 - 2564 5544 F:53164410

75,000

President Suite Suite VIP

021-7322443 021-7322445

021-7310721

VIP

021-5961999 021-59401999

021-590699

Paviliun Atas VIP Paviliun Bawah VVIP VIP

3,000,000 2,000,000 1,200,000 ICU/HCU/PICU NICU 360,000

350,000 690,000 500,000

Standart Plus Standart

65,000

800,000 550,000


90,000 75,000 90,000 50,000

Basic

1,500,000 1,200,000

750,000 100,000

Isolasi 220,000

125,000

Paviliun Atas A B Paviliun Bawah A B

Paviliun Atas 300,000 A 250,000 B Paviliun Bawah 300,000 A 250,000 B

Paviliun Atas 175,000 A 125,000 B Paviliun Bawah 200,000 A 200,000 B

250,000 1,200,000 65,000

Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn) 100,000 85,000 150,000 100,000

25 280

00825 RSB. Permata Sarana Husada Jl. Pamulang Permai D3 No. 1-2 Kelurahan Pamulang Barat Kecamatan Ciputat, Kabupaten Tangerang

021- 7407422

021-7407421

Super VIP Edelweis VIP Anggrek Bayi Super VIP Edelweis Vayi VIP Anggrek

550,000 440,000 126,500 121,000

Lili Bayi Lili

330,000 Tulip 93,500 Anak Azalea Bayi Tulip

205,700 Kenanga 205,700 Perinatologi 90,750 Bayi Kenanga

127,050 120,000 72,600

26 281

00833 RSIA. Buah Hati Ciputat Jl.Aria Putra No. 399, Serua Indah Ciputat Tangerang

021-74632222

021-74638568

SVIP VIP

850,000 750,000

Kelas I

550,000 Kelas II

400,000 Kelas III


27 282

00826 RSIA Pratiwi Jl RHM Noeraji No. 42, Karawaci, Tangerang

021-5520692

021-5524139

I Anak I Ibu

150,000 II Anak 200,000 II Ibu

120,000 III Anak 150,000 III Ibu III Utama

90,000 Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn) 80,000 90,000

28 283

00830 RS. Hermina Tangerang Jl. KS Tubun No. 10, Kel. Pasar baru, Kec. Karawaci Tangerang 15112

021-55772525

021-5582705

I

658,000 II

395,000 III

29 284

00827 Bunda Dalima Hospital BUMI SERPONG DAMAI, SEKTOR XIV, BLOK J.11, NO.1

30 285

00828 RS. Bhakti Asih Jl. Raden Saleh No. 10, Karang tengah Ciledug, Tangerang

31 286

00829 RS. Mulia Insani Jl. Raya Serang Km 16.8, Cikupa, Tangerang

Suite Room SVIP VIP

1,612,000 1,250,000 1,119,000

021-53154447/8/9

021-5385062

VIP

590,000

021-7305662/63

021-7305652

VIP Dewasa VIP Anak

600,000 A 550,000 B

021-5962790

021-5963099

VIP

900,000

32 287

00831 RS. Medika BSD Jl. Letnan Soetopo Kav. Kom IIIA No. 7 Tangerang

021-5372296

021-5380096

VIP SVIP

900,000 1,300,000

33 288

00832 RSIA. Keluarga Kita Jl. Raya PLP Curug No. 8 KM 4, Curug Tangerang

021-59491011

021-5982788

VIP

525,000 Utama

34 289

00834 RSIA. Mutiara Bunda Ciledug Jl. Dr. Cipto Mangunkusumo No. 3, Ciledug

021-7301365

021-73454952

SVIP VIP

550,000 375,000

35 290

00835 RSIA. Murni Asih Jl. Raya Bojongnangka, Medang Pagedangan, Tangerang

021-5470263 021-54200982

021-5470263

Intermediate ICU/PICU/NICU Isolasi I

450,000 A 500,000 B

I

Kls I ICU NICU 350,000 I

165,000 724,000 855,000

658,000 350,000 II

175,000

100,000

375,000 400,000

275,000 A B

150,000 200,000

525,000 II

300,000 III

135,000

Isolasi ICU (HCU) 250,000 Kls III 450,000

425,000 950,000 100,000

400,000 Kls II / Perawatan Anak 950,000 Isolasi 650,000 275,000 II

175,000 III

Kelas I

275,000 Kelas II

225,000 Kelas III

I

200,000 II

125,000 III




36 291

00836 RS. Sari Asih Ciputat Jl. Otista Raya No. 3, Sasak Tinggi, Ciputat, Tangerang Selatan

021-7410808

021-7424445

VVIP Double VVIP VIP

37 292

00838 RS. Syarif Hidayatullah Jl. IR. H. Juanda, No.95, Ciputat

021-7402718

021-7493532

VVIP

1,800,000 1,000,000 ICU 800,000 Isolasi 900,000 Anggrek Utama ICU/HCU NICU/PICU

38 293

00837 RSIA. Vitalaya Jl. Siliwangi No. 1, Kelurahan Benda, Pamulang, Tangerang

021-74703313

39 294

00839 RS Hermina Ciputat Jln. Ciputat Raya No 2/Kertamukti Tangerang Selatan

021-74702525

021-74700999

Suite Room SVIP VIP

00840 RSIA Buah Hati Pamulang Jl. Raya Siliwangi No. 189, Banda Baru Pamulang, Tanggerang

021-7414488

021-7420322

SVIP VIP

1,000,000 850,000

41 296

00841 RS ST Carolus Summarecon Serpong Gading Golf Boulevard Kav. 08, Gading Serpong Tangerang

021-54220811

021-54220810

VVIP VIP

1,650,000 1,150,000

00842 RSIA Bunda Sejahtera Jl Raya Puri Agung No. 3 Pondok Makmur Kotabaru Pasar Kemis Tangerang 00849 RB Diana Permata Medika Jl MH Thamrin Kav. 87 C Tangerang

021-5925889

021-5925889

VIP

021-5397314

021-53124105

Tarif Mennyusul

44 299

00843 Klinik & Bersalin 24 Jam Keluargaku Jl Verdi Timur K5/25 Citra Raya Tangerang, Banten

021-59402572

021-5962371

45 300

00845 RS THT Proklamasi BSD Commercial Park Central Business of District Bumi Serpong Damai Kav.No.7 Tangerang 00844 RS Karang Tengah Medika (Yadika Group) Jl. Karyawan IV, Karang Tengah Ciledug, Tangerang 00854 Klinik&RB Metta Medika Jl.Lio Baru No.1 Batujaya, Batu Ceper

021-29002929

021-29002930

VIP

43 298

46 301

Tarif Menyusul

00846 Ciputra Hospital 021-59405555 Jl. Citra Raya Boulevard Blok VOO/08 Sektor 3.4 Citra Raya Tangerang 00847 RS Permata Pamulang 021-74704999/74709079 Jl. Raya Siliwangi No. 1A, Pamulang Tangerang Selatan

021-59405678

VIP A VIP B VIP C VVIP VIP

1,000,000 900,000 650,000 Isolasi 1,100,000 HCU 750,000 ICU Isolasi

00848 Bethsaida Hospital District Tivolli No. 1 Paramount Serpong JL. Boulevard Gading Serpong, Tangerang

021-29309999

021-29305999

President Suite SVIP VIP

51 306

00850 RSIA Dhia Jl. Cendrawasih No. 90, Ciputat Sawah Lama, Tangerang Selatan 15413

021-7494550

021-7494551

Diamond Ruby

3,000,000 1,500,000 1,100,000 ICU/NICU/PICU ISOLASI 695,000 390,000

52 307

27013 Rs Permata Ibu Tangerang Jl KH Mas Mansyur No 2 Kunciran - Tangerang

021-7334343/ 7300883

021-7300883

SVIP VIP

1,150,000 1,000,000

53 308

27025 RSIA Cinta Kasih Jl Ciputat Baru Raya No 10 Ciputat

021 - 74706020 / 7424639

021 - 74707986

Tarif Menyusul

54 309

27071 RS Hermina Serpong (021) 7588 4999 JL. RAYA PUSPITEK KM.8 NO.99, SERPONG, TANGERANG SELATAN

021 - 75883704

Suite Room SVIP VIP

55 310

27151 RSIA BUN JL RAYA KOSAMBI TIMUR NO 2 Tangerang

021-29031299

021-29031659

56 311

27153 RSIA RP SOEROSO JL ARIA PUTRA NO 9 KEDAUNG PAMULANG TANGERANG SELATAN 00874 RB Mulya Rahayu JL.Raya Plp Curug - Tangerang

021-7499199

021-7400956

57 312

58 313

59 314

27375 RS HERMINA BITUNG JL. RAYA SERANG KM.10 POS BITUNG KECAMATAN CURUG KABUPATEN TANGERANG, BANTEN 27369 RB & KLINIK KELUARGA SEHAT JL. VILLA REGENCY IIBLOK AD. 2 NO.1-2 PASAR KEMIS TANGERANG

295,000 III

110,000

I

300,000

250,000 III 200,000


Kelas I

658,000 Kelas II

395,000 Kelas III

165,000

Isolasi Kls I

658,000 475,000 Kls II

Intermediate ICU/PICU/NICU 250,000 Kls III

724,000 855,000 150,000 Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn)

Kls I

550,000 Kls II

350,000 Kls III

150,000

Isolasi

600,000 Isolasi

450,000 Isolasi

250,000

Kls I

275,000 Kls II

125,000 Kls III

A B

VVIP VIP

50 305

475,000 II

775,000 775,000

2,200,000

021-5534237

021-74709073

775,000 I

Kls I

021-7335599

49 304

125,000

VIP

850,000 600,000

Kelas I

021-5980952

021 - 59497525

021 - 59497690

Tarif Menyusul

021-5921864

021-5901474

Tarif Menyusul

7657525

7502324

021-5732241 021-5732243 021-5719868 5203435 5203441 5203445

021-5719870 021-5741830

100,000 Kls II

1,450,000 1,090,000 300,000 Kelas II

100,000 Kls III

100,000

605,000

205,000

150,000 Kelas III

90,000


550,000 Kelas I 550,000 ICU/PICU 1,000,000 Kelas I 1,200,000 450,000

325,000 Kelas II

160,000 Kelas III

120,000

800,000 HCU/NICU 450,000 Kelas II

650,000 275,000 Kelas III

130,000

500,000

350,000

150,000

390,000 Saphire

220,000 Crystal


600,000

300,000 A B

175,000 135,000

900,000 500,000 Emerald

750,000


1,482,000 1,150,000 ICU/NICU/PICU 1,029,000 Isolasi

I

N/A

605,000 II

363,000 III

151,000

350,000

250,000

150,000

423,500

272,800


350,000

250,000


787,000 605,000

759,000 ICU/NICU/PICU

021-5980952



021-7335599 021-7336699

48 303

245,000 III

375,000

021-5522007 & 55776826

47 302

450,000 II

1,612,000 1,250,000 1,119,000

40 295

42 297

500,000 I 700,000 440,000

858,000

N/A


JAKARTA SELATAN 1

315

00303 RS. Pondok Indah Jl. Metro Duta Kav. UE Pondok Indah Jkt 12310

2

316

3

317

00301 RS. Jakarta Jl. Jend. Sudirman Kav.49 Jakarta 12930 00302 RS. Metropolitan Medical Center (MMC) Jl. HR. Rasuna Said Kav. C21 Kuningan

5203417

Suite Junior Suite VVIP B VVIP A VIP

5,500,000 Isolasi VIP 4,000,000 2,500,000 3,000,000 1,900,000

VIP A VIP B

1,225,000 1,075,000

VIP Superior VIP Deluxe VIP Std

4,500,000 VIP Wing A 3,000,000 VIP Wing B 1,750,000 Isolasi

1,950,000

950,000

Isolasi ICU

1,950,000

I

635,000 II A II B 875,000 Isolasi 1,000,000 Kelas II

Isolasi 2,200,000 Kelas I 3,600,000 1,000,000

650,000

250,000

ICCU NICU 535,000 435,000 675,000 Isolasi 650,000 kelas III

1,950,000 1,950,000 200,000 450,000 300,000

4

318

00304 RS. Agung Jl. Sultan Agung No. 67

8294955

8305791

5

319

00306 RSIA. Budhi Jaya Jl. Dr. Saharjo No. 120

8292672 8311722

8301901

6

320

7974071-73

7

321

00307 RS. Tria Dipa Jl. Raya Pasar Minggu 3A Pancoran Jak-Sel 00308 RS. Tebet Jl. Let Jen Haryono MT No.8 Jakarta Selatan 12810

8

322

9

323

00309 RS. Pusat Pertamina Jl. Kyai Maja No. 43 Kebayoran Baru Jakarta Selatan 00305 RS. Medistra Jl. Jend. Gatot Subroto Kav.59 Jakarta 12950 00310 RS. Siaga Raya Jl. Siaga Raya Kav 4-8 Pejaten Barat, Pasar Minggu 00315 RUMKITAL Marinir Cilandak Jl. Raya KKO Cilandak Jakarta Selatan

10 324

11 325

12 326

00313 RS. Gandaria Jl. Gandaria Tengah II/6-14 Jakarta Selatan 12130

13 327

00316 RS. Yadika Kebayoran Lama Jl. Ciputat Raya No. 5 Jakarta Selatan 00311 RS. Prikasih Jl. RS.Fatmawati, No.74, Pondok Labu - Cilandak 00312 RS. Setia Mitra Jl. R.S Fatmawati No.80-82 Jakarta Selatan 00318 RS. Zahirah Jl. Sirsak No. 21 Jakarta selatan 00319 RS. Mata AINI JL.H.R.Rasuna Said (Kuningan) Jakarta 12920 00320 RSU. Muhammadiyah Taman Puring Jl. Gandaria I No. 20 Kebayoran Baru 00321 RSIA. Brawijaya Hospital Jl. Taman Brawijaya No. 1, Cipete, Kebayoran Baru

14 328

15 329

16 330

17 331

18 332

19 333

Super VIP VIP ICU VVIP VIP

850,000 750,000 690,000 1,200,000 900,000

7974074

VIP

1,000,000

8307540 8291540

8311760

SVIP VIP

Isolasi ICU 1,500,000 Executive 1,100,000

021-7219000 021-7219400 021-7219367 5210200

720 3540

7972750

7970494

Pres. Suite VVIP VIP Executive Suite SVIP Standart Mini SVIP S-VIP VIP

2,750,000 Executive 2,250,000 1,350,000 5,800,000 VIP Plus 4,500,000 VIP Standart 3,500,000 1,500,000 850,000

7805296

7812764

7250718 7203311

7222038 7248175

VIP A Anyelir VIP B1 Bougenvile VIP B2 Bougenvile VIP C Cempaka VIP M1Cempaka Mandiri VIP M2 Cempaka Mandiri VIP D Dahlia Vip E1 Edelweis VIP E2 Edelweis VIP E3 Edelweis VIP A (Kenanga I,III) VIP A (Kenanga II) VIP A (Kenanga IV)

315,000 342,000 315,000 578,000 368,000 315,000 315,000 368,000 368,000 315,000 1,025,000 VIP B (Melati I, II, III) 1,100,000 1,000,000

7291074 7291076 7291078 021-7501192 7504669

72895046

VIP

1,072,500

5210184

Super VIP VIP

ICU 1,000,000 Utama 900,000

021-7872210 021-7270013

Suite Room VIP

1,500,000 850,000

021-5224288

VIP

1,100,000

7656875

021-7872210 021-78888723 021-70481197 021-5271675

425,000

350,000

-

540,000

300,000


600,000

400,000

175,000

500,000

350,000

140,000

650,000 Superior

550,000 Standart Plus Standart

300,000 200,000

Isolasi

Isolasi Utama

021-7505148

7656000

590,000

850,000 750,000 700,000

1,100,000 Superior

2,750,000 I Utama Plus 1,800,000 I Utama I Standart - Kelas I

1,500,000 Kelas II 1,350,000 Isolasi 950,000 500,000 Kelas II

- Pav Anyelir, Pav Edelweis, Pav Dahlia 210,000 Pav Anyelir, Edelweis,Cempaka Kelas IA atau B Cempaka 263,000 Kelas II Utama Pav Flamboyan Kelas I Dahlia 210,000

875,000 I I I I 900,000

( Melati IV, IX) (Melati V, VII) (Melati VI) (Melati VIII)

750,000 850,000 A B 850,000 750,000 Kelas I A Kelas I B A B

595,000 550,000 495,000 745,000 660,000

II II II II

A (Melati X) (Mawar I, II) (Mawar III) (Mawar V, VI)

650,000 Kelas III 900,000 NICU 325,000 Kelas III Anak 110,000 Pav Anyelir, Bougenvile,Cempaka 184,000

021-7208358

021-7234823

VIP

'021-7211364

Suite Junior Suite Suite Pediatric Junior Suite Pediatric Super VIP VIP

3,200,000 2,200,000 1,800,000 1,500,000 800,000 600,000

750,000 Utama 1 Utama 2 Deluxe Plus Deluxe Deluxe Plus Pediatric Deluxe Pediatric

20 334

00322 RS. Khusus THT-Bedah Ciranjang Jl. Ciranjang No. 20-22 Kebayoran Baru Jkt 12180

021-7243366 021-7208192

021-7398837 021-7264038

21 335

00323 RSB. Duren Tiga Jl. Duren Tiga Raya No. 5 Pancoran Jakarta 12780

021-7993817 021-7941843 021-7948696

021-7901050

Anggrek A Anggrek B Anggrek C

1,125,000 Edelweis (Utama Anak) 925,000 Flamboyan (Utama Anak) 725,000

22 336

00324 RS. Siloam Asri (ex RS Asri) Jl. Duren Tiga Raya No. 20 Pancoran Jak-Sel

021- 27837900

021-27837999

SVIP VIP A Vip B

2,370,000 1,790,000 1,370,000

23 337

00327 RSIA Kemang Medical Care Jl Ampera Raya No. 34, Jakarta

021-27545454 021-27545400

021-78843548

VVIP VIP

2,350,000 Utama 1,350,000

600,000 475,000 1,500,000 Standart 2 Bedded 1,400,000 1,200,000 Pediatric 1,000,000

725,000 Melati 555,000

Kls I

1,000,000 I

00329 RS Jakarta Medical Center Jl. Buncit Raya No. 15, Jakarta

021-7980888 021-7940836

021-7940838

SVIP VIP

25 339

00330 RS. MRCCC Jl Garnisun Kav. 2-3, Karet Semanggi, Setiabudi, Jakarta Selatan

021-29962888

021-29962778

Executive SVIP VIP VIP Minus

3,900,000 ICU 2,500,000 NICU 1,400,000 1,100,000

26 340

00331 RSIA ASIH Jl Panglima Polim I No. 34 Kebayoran Baru

021-2700610 / 2700609/ 021-7254052

021-7254054

27 341

00334 RSIA Andhika Jl. Warung Sila No. 8 Gudang Baru Ciganjur, Jagakarsa

021-78887087/7863408

021-78887087

Suite Room SVIP VIP Medium VIP

1,300,000 VIP Standart 975,000 850,000 450,000 Utama

28 342

00335 Siloam Hospital Simatupang Jl RA Kartini No 8 Cilandak Jakarta Selatan 12430

021-29531900

021-75916997

Suite VVIP VIP

2,200,000 1,700,000 1,400,000

29 343

27009 Mayapada Hospital Jakarta Selatan (MHJS) Jl Lebak Bulus I Kav 29 Jakarta Selatan

021-29217777

021-29216666

30 344

00301 RS JAKARTA JL. Garnisun No.1, JL JEND SUDIRMAN KAV 49

021-5732241

021-5719870

SVIP VVIP VIP VIP A VIP B

4,500,000 2,650,000 Isolasi 1,650,000 PICU/NICU/ICU 1,325,000 1,175,000

31 345

27379 RS Petukangan JL. CILEDUG RAYA NO.8A PETUKANGAN SELATAN JAKARTA SELATAN

021-7340906

021-73889956

VIP

775,000 725,000

750,000

500,000 I 550,000 575,000

95,000

125,000

525,000 475,000

275,000

125,000

Isolasi 550,000 kls II A Kenanga 425,000 Kls II A Teratai Kls II B 600,000 475,000

300,000 375,000 Kelas III 400,000 240,000 275,000

750,000

500,000

450,000 II A II B Umum II B Kebidanan 825,000 Standart 3 Bedded

400,000 350,000 325,000 275,000 Standart 4 Bedded General Ward

187,500

140,000

160,000

175,000 275,000 275,000 150,000


600,000 ICU/NICU 500,000

300,000

2,100,000 100,000

550,000 Mawar

300,000 Cempaka

150,000

630,000 Kls II

430,000 IIIA IIIB Isolasi

300,000 200,000 900,000

800,000 II

425,000 III ICU/PICU/NICU

24 338

275,000 1,500,000 200,000 215,000

400,000 Mawar IV 375,000 325,000 275,000 397,500

Isolasi K. Anak

'021-7211337

130,000 150,000

150,000 Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn) 1,600,000

300,000 II II ANAk

200,000 III 175,000 III Anak 190,000

100,000 90,000

675,000 II

375,000 III

175,000

800,000 Kls I

440,000 Kls II

245,000 Kls III

400,000

350,000

250,000


650,000 Deluxe 600,000

450,000 Standart

220,000

850,000

600,000

200,000

685,000 Kls II A Kls II B

585,000 Kls III 485,000

225,000

500,000

250,000

150,000

1,250,000 I 550,000

Super Deluxe A Super Deluxe B


1,000,000 1,000,000 Kls I

JAKARTA TIMUR 1

346

2

347

3

348

4

349

5

350

6

351

7

352

8

353

9

354

00401 RS. Harum Sisma Medika Jl. Tarum Barat Kalimalang Jakarta Timur 00403 RS. Omni Pulo Mas Jl. Pulo Mas Barat VI 00402 RS. Premier Jatinegara Jl. Raya Jatinegara Timur 85-87 Jakarta 13310 00406 RS. Hermina Jatinegara Jl. Raya Jatinegara Barat No. 126 00404 RS. FK.UKI Jl. Mayjen Soetoyo Cawang, Jakarta Timur 00405 RS. Haji Jakarta Jl. Raya Pondok Gede Jakarta Timur 00408 RS. Mediros Jl. Perintis Kemerdekaan Kav. 149 00407 RS. Islam Jakarta Timur (Pondok Kopi) Jl. Raya Pondok Kopi

8617212 8617213 8601037 4723332 4722719 2800888 2800999 2800666/ 2800777 021-8191223

8092317 8092831 8010523 8000694-5

8601030

VIP A VIP B

4718081

Suite SVIP VIP SVIP Non Bedah VIP Non Bedah VIP Non Bedah

2800755 2800837

8560601 8196157 8092445

8000702 8000152 (ADM RI)

Suite Room SVIP VIP Super VIP VIP ICU VVIP VIP B VIP A

925,000 750,000 ICU 2,000,000 1,450,000 HCU 1,100,000 2,300,000 SVIP Bedah 1,700,000 VIP Bedah 1,700,000 Mini VIP 1,752,000 1,359,000 1,216,000 1,200,000 1,100,000 1,500,000 1,500,000 1,250,000 1,000,000 1,150,000 650,000

8000701 4750042 4897415

4891937

SVIP VIP

8610471 8630654

8611101 86604256

VIP

8615754 8610756

8631708

S-VIP VIP A VIP B Super VIP I Super VIP II VIP Super VIP VIP Utama VIP VVIP VIP

725,000 575,000 525,000 630,000 510,000 445,000 3,120,000 1,600,000 1,450,000 1,250,000 900,000

Super VIP VIP A VIP B VIP

1,000,000 850,000 650,000 Isolasi 1,000,000

VVIP Berlian Suite VVIP Berlian VIP Utama VIP VVIP VIP I VIP II VIP

ICU/NICU/PICU 2,575,000 2,090,000 Utama Anak 1,690,000 1,390,000 1,870,000 VIP III 1,320,000 1,100,000 500,000

Suite Room VVIP VIP VIP

1,600,000 1,000,000 800,000 935,000

500,000

400,000

250,000

700,000 750,000

750,000

500,000

900,000 II Umum 950,000 II Bedah

Isolasi 550,000 III Umum 600,000 III Bedah

2,300,000 I Umum 1,600,000 I Bedah 1,100,000 ICU Kelas I ISOLASI Kelas I Standart

Isolasi - A B

949,000

150,000 Isolasi

665,000

1,100,000 715,000 Kelas II 715,000 600,000 Kelas II 500,000 Isolasi

429,000 Kelas III Intermediate ICU/PICU/NICU 300,000 Kelas III 300,000

179,000 787,000 930,000 150,000

750,000

500,000

250,000

850,000 Isolasi

600,000

300,000 A 275,000 B

200,000 150,000

530,000

339,000

360,000

200,000

260,000

135,000

775,000 II A II B 750,000 Alicia

600,000 475,000 Isolasi ICU/ICCU 350,000 Lily

485,000

360,000

165,000

1,100,000 550,000

350,000

165,000

390,000 Isolasi Dewasa 450,000 450,000 NICU ICU 440,000

650,000 190,000

100,000

180,000 Isolasi

10 355

11 356

12 357

13 358

14 359

15 360

00409 RS. Yadika Pondok bambu Jl. Pahlawan Revolusi No. 47 Pondok Bambu, Jakarta Timur 00410 RS. POLRI SUKANTO Jl. Raya Bogor Kramat Jati Jakarta Timur 00411 RS Dharma Nugraha Jl. Balai Pustaka Baru No. 19 Rawamangun Jakarta Timur 00415 RS. Kartika Pulo Mas Jl. Pulo Mas Timur No. 2 Jakarta Timur 00412 RS. Harapan Bunda Jakarta Jl. Raya Bogor Km.22 No.44 Jakarta Timur 13830 00416 RS. Meilia Jl. Alternatif Cibubur, Cileungsi Km. 1 00417 RS. Permata Cibubur Jl Alternatif Cibubur-Cileungsi No.6A Bekasi 17435

16 361

00418 Rs Jantung Bina Waluya Jl.TB Simatupang No.71

17 362

00419 RS.Bedah Rawamangun Jl. Balai Pustaka Raya No. 29-31 Rawamangun 00420 RSIA. Bunda Aliyah Jl. Pahlawan Revolusi No. 100 Jakarta Timur 13620 00421 RS. Harapan Jayakarta Jl. Bekasi Timur Raya No. 6 KM 18, Pulo Gadung

18 363

19 364

8093288

8094005

021-4707433 ibu Rani

4707428

4714973 4703333

4723402

8400257

8412977

021-8444 444 021-84598954

021-84598952 021-8448393

021-8458806

021-84592146

021-87781605 021-87781606

021-8404652

021-4893531

021-4710918

021- 86602525

021-86600712

021-4608886 021-4603916 021-46822879

021-4608863

021-8093602

021-8092235

021 - 4802192

021 - 48701488

Sakura

600,000 485,000 ICU/ICCU 850,000 1,250,000 990,000 850,000

Isolasi Anak 790,000 II Anak

880,000 I Utama I Biasa

500,000 250,000 1,500,000 240,000 250,000

770,000 550,000

I

385,000 II A II B

Kelas I

450,000 Kelas II

I Plus

504,000 105,000

60,000

175,000 725,000 1,200,000 175,000

690,000 1,190,000 220,000

300,000 III Umum 275,000 III Kebidanan Isolasi 300,000 Kelas III

110,000 165,000 275,000 160,000 Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn)

550,000 715,000

275,000

175,000

250,000

125,000

Jakarta Timur 20 365

00422 Klinik & RB. MH Thamrin Pondok Gede

VIP

400,000

VVIP

600,000

VIP

500,000


Jl. Raya Pondok Gede No. 23-25 Jakarta Timur 13510 21 366

00423 RSIA. Resti Mulya Jl. Pahlawan Komarudin Raya No. 5

021 - 4803707

Penggilingan - Jakarta Timur 13940

021 - 4803839

300,000 Anak

250,000 Anak A Anak B

250,000 Kelas III A


225,000 Kelas III B

100,000

200,000 Anak A

125,000

Anak B 22 367

00424 RSIA Restu Kasih

VIP Dewasa

400,000

I Dewasa

250,000 II Dewasa

150,000 III Dewasa

VIP Anak

400,000

I Anak

250,000 II Anak

150,000

VIP Bersalin

950,000

I Bersalin

800,000 II Bersalin

650,000 III Bersalin

VIP

150,000

I

125,000 II A

90,000 III

Jl. Mahoni No. 1, RT 005/04, Kelurahan Gedong,

Kebidanan A

125,000 II B

75,000

Kecamatan Pasar Rebo, Jakarta Timur

Kebidanan B

100,000

Jl. Raya Bogor Km 19, No. 3A, Kramatjati, Jakarta Timur

23 368

24 369

00414 RS. Kesdam Cijantung

00425 RS. Mitra Keluarga Cibubur Jl. Alternatif Transyogi, Cibubur, Jakarta Timur

021 - 8002166

021 - 80882753

021 - 8001177

021-87793332

021 – 8431 1777

021-8400535

021 -8431 1775

021-8431 1771

SVIP

2,500,000

VIP

1,600,000 Isolasi

25 370

00426 RSIA Jakarta Islamic Hospital Jl. Pedati No. 3 Rt 05/07, Kramat Jati

021-87780318

021-8402821

VIP

021-86902950/8655179

021-8649886

Tarif Menyusul

021-29378939

021-29378941

A

1,300,000 II

B

1,000,000

C

900,000

450,000 III ICU/ICCU

1,000,000

575,000

NICU Kelas I

410,000 Kelas II

300,000 Kelas III

80,000 100,000 Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn) 550,000 55,000

200,000 1,350,000 750,000 250,000 Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn)

021-8402821

Jakarta-Timur 26 371

00428 RSIA Sayyidah


Jl. Taman Malaka Selatan No. 6 Pondok Kelapa, Duren Sawit Jakarta Timur 13450 27 372

00430 RS Antam Medika

President Suite

1,800,000

Jl Pemuda Raya No 1A

Suite

1,400,000 ICU/NICU/PICU/HCU

Pulogadung Jakarta-Timur

VIP

1,000,000 Isolasi

28 373

00432 RS Jantung Jakarta

29 374

27006 RSIA Sammarie Basra

021-29360698

021-29360697

VIP

1,500,000

021-86613145

021-86613145

VVIP

1,400,000

Jl Basuki Rachmat No 31

VIP

1,050,000

Pondok Bambu - Duren Sawit

Semi VIP

600,000

400,000

650,000 Charity

300,000

600,000

500,000

750,000

500,000 N/A

200,000

1,000,000 600,000 Cluster

Jl Matraman Raya No 23 Jakarta Timur

30 375

27333 RS SUMATERA EYE CENTER JAKARTA JL. PEMUDA NO. 36, RAWAMANGUN JAKARTA TIMUR

(021) 4714848

(021) 4755703

VIP

945,000 1,500,000


31 376

27394 RS. COLUMBIA ASIA PULOMAS

(021) 29559400

(021) 2955 9477

VIP

1,250,000

JL. KAYU PUTIH RAYA NO.1

ICU

900,000

PULOMAS - JAKARTA TIMUR 13210

NICU

800,000

ISOLASI

800,000

950,000

700,000

350,000

715,000 II II A 715,000 650,000

429,000 III 322,000 INTERMEDIATE PICU/NICU/ICU 450,000

179,000 787,000 930,000 200,000

350,000 Kls II Dajaya Saputra II Cempaka/Melahirkan II Soka/Anak 720,000

550,000 600,000 Anak

300,000 III Melati/Mawar/Soka/Cempaka 300,000 300,000 Isolasi 410,000 ICCU Isolasi 400,000 430,000 III Bayi

600,000

400,000

170,000

200,000


JAKARTA UTARA 1

377

2

378

3

379

4

380

5

381

6

382

7

383

8

384

9

385

10 386

11 387

12 388

13 389

14 390

00502 RS. Hermina Podomoro Jl. Danau Agung II Blok E3 No. 28 - 30 00503 RS. Pantai Indah Kapuk Jl. Pantai Indah Utara 3 Pantai Indah Kapuk, Jakarta 14460 00504 RS. Atma Jaya Jl. Pluit Raya No. 2 Jakarta 14440 00505 RS. Mitra Keluarga Kelapa Gading Jl. Bukit Gading Raya Kav. 2 Kelapa Gading Permai 14240 00509 RS. Pluit Jl. Raya Pluit Selatan No. 2 Jakarta Utara 14550

00511 RS. Gading Pluit Boulevard Timur Raya Kelapa Gading, Jakarta 14250 00512 RSIA. Family Jl. Pluit Mas I Blok A No. 2A - 5A Jakarta Utara 00501 RS. Satya Negara (Sunter Agung) Jl. Agung Utara Raya, Blok A, No.1

00510 RS Sukmul Sisma Medika Jl. Tawes No. 18-20 Tanjung Priok Jakarta Utara 00507 RS Islam Jakarta Utara (RSI. Jakarta Sukapura) Jl. Tipar - Cakung No.5, Sukapura Jakarta Utara 14140 00506 RS Royal Progress (Medika Gria) Jl. Danau Sunter Utara Sunter Paradise Real Estate Jak-Ut 00508 RS. Pelabuhan Jakarta Jln. Kramat Jaya Tanjung Priok Jakarta Utara 14260 00513 RS. Puri Medika Jl. Sungai Bambu Raya No. 5 Tanjung Priok 14330 00515 RS. Port Medical Center Jl. Enggano No. 10, Tanjung Priuk, Jakarta Utara

6404910 6404911

021-6518720

5880911 5885074/5075 5885074/5075 6606127 6691909

5880910 5881414

45852800 45852700

45852727

021-6685070 021-6685006

021-6684878 6630660 -ADM

021-4521001 021-4520201

6606122

021-4520578 45866163 F/

021-6694990

6615563

021-64717813

4400781 4400782 4400778 6400261

1,752,000 1,359,000 1,216,000 2,400,000 1,800,000 1,350,000 600,000

I

Suite Room SVIP VIP Executive Super VIP VIP

3,250,000 2,060,000 1,450,000 3,100,000 Utama Anak 1,600,000 1,150,000 Isolasi

ISOLASI 900,000

-

021-64715200 021-687813-14

021-685200 021-4301269

Suite Room SVIP VIP Exe S-VIP VIP VIP

Executive Super VIP Deluxe VIP Executive A Executive B VIP LOTUS CASABLANCA VIP VIP A VIP B VIP C

021-4301272

VIP

6400778 686240

4403026 4405118

4403551

021-43903355

021-43903388

VVIP VDLX VIP VIP Utama VIP Melati VIP Dahlia

800,000 - Anak

125,000 150,000 180,000 960,000 1,100,000 170,000 200,000

600,000

3,100,000 1,600,000 2,100,000 1,150,000 800,000 700,000 600,000 1,200,000 Utama A 1,000,000 Utama B 750,000 650,000 750,000 850,000 425,000

880,000

300,000

210,000

150,000 A B

890,000 Utama

600,000

516,000 A 560,000 B Anak 483,000 Kls II A 413,000 Kls II B

336,000 296,000 430,000 343,000 Kls III A 251,000 Kls III B

190,000

450,000

290,000

135,000 70,000 850,000 70,000 60,000

Isolasi 1,287,000 Superior 912,000 737,000 750,000 650,000 650,000 300,000

350,000

500,000 450,000

400,000

250,000

100,000

Isolasi ICU

Anak 700,000 562,000 Kls I A Kls I B

200,000

150,000 A B

ICU 95,000 A 85,000 B

300,000 750,000 90,000 60,000

147,000 113,000

021-43902350

021-43902302

VIP

660,000

I

495,000 II

302,500 III

126,500

15 391

00514 RS. Mulyasari Jl. Raya Plumpang Semper No. 19, Jakarta Utara

021-43931111

021-43934369

VVIP VIP

750,000 550,000

IA IB

450,000 IIA 375,000 IIB

275,000 III A 250,000 III B

120,000 85,000

16 392

27062 RSIA Grand Family Jl. Pantai Indah Selatan 1 Komplek Elang Laut Boulevard Kav.1 No.1 Penjaringan - Jakarta Utara 27311 RS Duta Indah JL. TELUK GONG RAYA NO 12

021-296333777

021-29673756

Eksekutif VIP

(021) 666 7 6188

(021) 6667 6190

021 - 43902350/51

021 - 43902302

0331-485912 0331-487226 0331-486614

0331-485912

17 393

18 394

00515 RS PORT MEDICAL CENTER JL ENGGANO NO 10, TANJUNG PRIOK JAKARTA UTARA

1

01601 RS Perkebunan (PTPN X) Jember Jl. Bedadung No. 2


2,350,000 1,250,000

850,000

400,000

350,000 N/A

VVIP VIP

800,000 690,000

550,000

400,000

290,000

165,000

VIP

726,000 R.HCU

770,000 KELAS I

544,500 KELAS II

332,750 KELAS III

126,500

400,000

240,000

210,000

110,000 260,000

260,000 PICU/NICU

475,000

JEMBER 395

Jember 01602 RS. Kaliwates Jl. Diah Pitaloka 4A Jember 05506 RSU. Bina Sehat Jl. Jayanegara No. 7 Jember 01603 RS Citra Husada Jl Teratai No 22 Gebang Jember Jawa Timur

2

396

3

397

4

398

1

399

2

400

3

401

4

402

5

403

27105 RSU Baiturrahim Jambi JL. PROF. M. YAMIN SH NO. 30 LEBAK BANDUNG, Jambi

1

404

15002 RS. Dian Harapan Waena

SVIP A SVIP B VIP A VIP B

0331-483805

1,200,000 VIP C 750,000 590,000 Utama 490,000 Utama A Utama B

0331-485967 0331-488964 0331-483505 0331 - 421713 0331 - 422701 0331 - 424304 0331-486200

0331 - 424304

0331-427088

Vip

350,000

0741-23119

0741-20832

S-VIP VIP

915,000 765,000

President Room S VIP VIP VVIP VIP

350,000

Isolasi ICU/ICCU

475,000 50,000

300,000 225,000

125,000 Kelas II A Kelas II B

100,000 75,000

200,000

180,000 Utama

150,000 125,000

48,000

250,000 II A II B

150,000 III 125,000

75,000

300,000

175,000

110,000

I

350,000

150,000

75,000

Kelas I Executive Kelas I A Kelas I B

350,000 Kelas II Biasa 250,000 Kelas II Executive 225,000 300,000

185,000 Kelas III 275,000 175,000

100,000

300,000

200,000

95,000

600,000

250,000

80,000

I

JAMBI 02502 RS. ST. Theresia Jl. Dr. Sutomo No. 19 Jambi 02503 RS. Siloam Hospital Jambi (Asia Medika) Jl. Soekarno-Hatta Palmerah Jambi 02504 RS. Mayang Medical Center Jl. Ir. H. Juanda No. 58 Simpang III, Sipin, Mayang Mengurai, Jambi 27114 RS Royal Prima Jambi JL RADEN WIJAYA RT 35 KEL. KEBUN KOPI KEC. JAMBI SELATAN

0741-573333

0741-573271 0741-573238

0741-671222/66528

0741-61468

0741-41010

0741-43295

0741-5911096/97/98

0741-5911099/97

0967 - 572123

0967 - 573362

VIP

415,000

1,500,000 900,000 750,000 750,000 475,000 500,000 ICU Isolasi

VVIP VIP

85,000

400,000 350,000

1,000,000 750,000

JAYAPURA VIP

750,000

- IA

Jl. Taruna Bhakti Waena 99358 Jayapura - Papua 15001 RS. TNI AD TK III Marthen Indey Jl. Diponegoro No. 57 Kel. Gurabesi Jayapura 91112

2

405

1

406

05901 RS. Kristen Mojowarno Jl. Merdeka No. 59 Mojowarno Jombang Jawa Timur

2

407

3

4

0967-5763773 0967-572325 0967 - 532491 0967-5128829 Ibu Ade (081298017266)

IB 0967 - 537735

S. VIP VIP

500,000 300,000

0321-495093

0321-495440 0321-492200

VIP ICU HCU

550,000 350,000 325,000

27085 RS Airlangga Jombang JL. AIRLANGGA NO 50 C JELAKOMBO JOMBANG

0321-861577

0321-862194

Suite VIP A VIP B

600,000 400,000 350,000

408

05901 RS KRISTEN MOJOWARNO JL MERDEKA NO 59, MOJOWARNO JOMBANG

0321-495093

0321-495440

409

27392 RS. DR. MOEDJITO DWIDJOSISWOJO JL. HAYAM WURUK, NO.9 JOMBANG JAWA TIMUR

0321-864308,6977788,855555

0321-877276

HCU HCU Utama VIP VIP Utama VVIP VIP A VIP B

325,000 I Utama 375,000 II Utama 450,000 550,000 500,000 400,000 350,000 HCU

SVIP VIP A VIP B VIP C VIP D

600,000 500,000 ICU 400,000 NICU 325,000 250,000

VVIP VIP

900,000 700,000

450,000 150,000

100,000

70,000

450,000 Kelas II 275,000

125,000 Kelas III

70,000

300,000

250,000

200,000

400,000 Kls I 325,000

275,000 Kls II

125,000 Kls III

220,000

160,000

100,000

225,000

175,000

90,000

A

500,000 Kls II

IB

400,000

200,000 A B Ruang Isolasi

130,000 80,000 200,000

100,000 100,000 150,000 300,000 100,000

JOMBANG A B

100,000

70,000

300,000

KEDIRI 1

2

3

410

411

412

05001 RS HVA Toeloengredjo Jl. A. Yani No. 25 Pare Kediri - Jawa Timur

0354-391047 0354-391145 Yusi

0354 - 392883

05002 RS. Baptis Kediri Kotak pos 1, Jl. Brigjen Pol. I.B.H Pranoto No.1-7 Kediri - Jawa Timur 64102

0354-682170 0354-683578 0354-684172

0354-681173

0354-773115/ 776182/770182

0354-773736

0354-671939

05003 RS. Muhammadiyah Ahmad Dahlan Kediri Jl. Gatot Subroto No. 84 Kediri

300,000 200,000 Isolasi

125,000

VVIP VIP A VIP B

600,000 A 400,000 B 350,000

300,000 225,000

175,000

125,000

0354-696033

VIP

400,000 Utama

325,000 Kls I

250,000 Kls II

Nifas Isolasi ICU 175,000 Kls III

0267-402855 0267- 4021475/ 4

0267-404010

Pav dr H Yunanto1-B,C, E Pav dr H YunantoII-A,D, F VIP 1 dan 3 VIP 2 dan 4

650,000 I Utama I

600,000 A 480,000 B

380,000 345,000

180,000 A

135,000 A B

80,000 70,000

345,000 350,000 750,000 575,000

210,000 III

115,000

395,000

210,000 195,000

425,000

215,000

120,000

325,000 ICU HCU

990,000 840,000

400,000

250,000

150,000

450,000 IIA 400,000 IIB

275,000 III A 225,000 III B

150,000 100,000

250,000

175,000

75,000

275,000 Kls II

150,000 Kls III

80,000

500,000 Kelas IIA Kelas IIB

350,000 Kelas III 300,000


450,000

300,000

150,000

4

413

27373 RS Aura Syifa JL. JOYOBOYO NO.42 DLOPO NGASEM KEDIRI

1

414

01000 RS. Dewi Sri Jl. Arief Rahman Hakim 1 A

2

415

01002 RS. Islam Karawang Jl. Pangkal Perjuangan KM2

0267-414520 0267-414524

0267-414520

3

416

0264-316188 0264-316189

0264-312834

VIP

4

417

01003 RS. Karya Husada Jl. Ahmad Yani No. 98 Cikampek-Karawang 41373 01004 RS. Bayukarta Jl. Kertabumi No. 44 Karawang 41311

0267-401817 0267-401818

0267-404472

VVIP VIP Superior

01005 RS. Cito Karawang Jl. Arteri Tol Karawang Barat Teluk Jambe Karawang

0267-414245 0267-414264

KARAWANG

5

418

6

419

7

420

8

421

9

422

01006 RS. Delima Asih Sisma Medika Jl. Wirasaba No. 54 Johar - Karawang 12001 RSU. Saraswati Jl. A. Yani No. 27 Cikampek 12002 RSU. IZZA (Aqma Cikampek) Jl. Raya Ciselang Cikampek Utara Kec. Kota Baru, Kab. Karawang 01008 RS. Fikri Medika Jl. Raya Kosambi Telagasari - Kosambi Klari - Karawang

1,200,000 Pav dr H YunantoIII G,H 950,000 850,000 850,000 300,000

-

650,000 NICU ICU

0267-414306

SVIP VIP A VIP B VIP C

1,100,000 950,000 750,000 Isolasi ICU 1,100,000 VIP 725,000 Utama 850,000 975,000

0267-403073

0267-405598

VIP

675,000

0264-311531 0264-311541 0264-311514 0264-319307

0264-301540

VIP

600,000

0264-8386829

VIP A VIP B

350,000 325,000

0267 - 861 5577

Isolasi

500,000 Isolasi

0267 - 861 5555 0267 - 861 5566 0267-8615555/8615566

575,000 650,000 780,000 675,000

500,000 Kls I Utama

160,000

Isolasi

400,000 IA IB

350,000 Kls I

10 423

01009 RSIA. Djoko Pramono Jl. Panatayuda I No. 44 Nagasari Karawang 41312

0267 - 403009 0267 - 403744

0267 - 411744

SVIP VIP

910,000 700,000

11 424

01010 RS. Citra Sari Husada Jl. Raya Kosambi - Telagasari Km. 3 Klari Karawang

0267-437507

0267 - 438681

VVIP VIP

650,000 550,000

12 425

12003 Klinik Sehat Jl. Pawarengan No. 37 Karawang, Cikampek

0264-8385103

0264-8385103

VIP A VIP B

385,000 300,000

Kelas I

190,000 Kelas II

135,000 Kelas III

115,000

13 426

01019 RSB dan Apotek Puri Asih (Puri Asih Group) Jl. Stasiun No. 2, Krajan Remaja, Cikampek

0264-303558

14 427

01017 RS. Puri Asih Jati Sari (Puri Asih Group) Jl. Raya Jatisari No. 3, Mekarsari, Jatisari Karawang

0264-361459

0264-8375276

VIP

450,000

I

360,000 II

240,000 III A III

150,000 120,000

15 428

01011 RS. Lamaran Medical Center Jl. Syech Quro No. 14 Palumbonsari, Lamaran, Karawang

0267-405752

0267-405752

VIP

N/A

I

295,000 II A II B

195,000 III A 150,000 III B

95,000 75,000

16 429

12005 Klinik & RB Putra Medika Jl. Ir. H Juanda No. 19 Sukaseuri, Cikampek

0264-301652

0264-8387129

Kelas I

110,000 Kelas II

17 430

27008 RSIA Mitra Family

0267-8458327/8458328

0267-8458330

SVIP

850,000

Kelas I

500,000

75,000 Kelas III

300,000



18 431

Jl Raya Galuh Mas Teluk Jambe - Karawang

0267/8452329

27043 RS Titian Bunda Jl IR. H Juanda No 123 Cikampek

(0264) 8385999/8386222

(0264) 8388936

VIP VIP Anak

700,000 650,000

VIP

800,000 NICU Isolasi

19 432

27047 RS Rosela Jl Interchange Tol Karawang Barat No 3 Ds Wadas Kec teluk Jambe

(0267) 8637207/8637205

20 433

27074 RS Lira Medika (0267) 405 752 JL. SYECH QURO NO.14 LAMARAN, KARAWANG - JAWA BARAT

0267 8367205

VIP

700,000

(0267) 405 752

VIP

650,000 HCU ICU

500,000

300,000 A B

130,000 110,000

425,000

325,000

175,000

400,000 600,000 900,000

325,000

200,000

125,000

215,000 II 210,000

150,000 A B

120,000 105,000

205,000

176,000

131,000

600,000 500,000 475,000

GOMBONG 1

434

27319 RS PALANG BIRU JL. KARTINI, NO.37 GOMBONG-JAWA TENGAH

0287-471290/471762

0287-473221/471762

VIP

330,000 Utama

ICU

440,000 Isolasi

275,000 A B 145,000

VIP A VIP B VIP C

390,000 323,000 278,000 Isolasi

191,000

650,000 A 580,000 B

380,000 330,000

250,000

200,000

80,000

-

400,000

300,000

100,000

KEBUMEN 1

435

27321 RS PERMATA MEDIKA KEBUMEN JL. INDRAKILA NO.17 KEBUMEN-JAWA TENGAH

0287-3870779

0287-384418

KUDUS 1

436

01701 RS. Mardi Rahayu Kudus Jl. R. Agil Kusumadiya 110 Kudus 59301

0291-434707 0291-434708

0291-434711

VIP A VIP B

1

437

02401 RS. Bumi Waras Jl. Wolter Monginsidi No. 235 Teluk Betung, Bandar Lampung 26119

0721-263851 0721-254499

0721-264904 0721-257926

02402 RS Immanuel Way Halim Jl. Soekarno-Hatta , Tanjung Karang Bandar Lampung 25131 02403 RS. Advent Bandar Lampung Jl. Teuku Umar No. 48 Bandar Lampung 35148

0721-704 900

0721-704 807

Super VIP VIP A VIP B VIP C VVIP VIP

0721-703459

0721-786349

BANDAR LAMPUNG

2

438

3

439

3

440

02404 RS. Mardi Waluyo Jl. Jend. Sudirman 156 PO. BOX 110 Kota Metro Lampung 34111

4

441

5

442

02405 RS Natar Medika Lampung (Yadika Group) Jl. Raya Natar No. 4 Muara Putih-Lampung Selatan, 35562 02406 RS Urip Sumoharjo Jl. Urip Sumoharjo No. 200, Sukarame, Bandar Lampung

6

443

7

444

8

445

9

446

0725-42512

0725-43053

SVIP A SVIP B VIP A VIP B Gardenia

0721-92521

0721-92521

VVIP VIP

0721-771322

0721-771321

02407 Rs Pertamina Bintang Amin Jl Pramuka No 27 Bandar Lampung 27015 Rs Mitra Husada Pringsewu Jl Jend A. Yani No 14 Pringsewu - Lampung

0721-273601

0721-273597

0729-23792

0729-23836

Suite VIP A VIP B VIP C President Suite VVIP VIP VVIP PRIMA VIP PRIMA

27109 RSIA Puri Betik Hati JL PAJAJARAN NO. 109 JAGABAYA II KEC. WAY HALIM BANDAR LAMPUNG 27318 RS GRAHA HUSADA JL GAJAH MADA NO.6 GH TANJUNG AGUNG Bandar Lampung

0721-787799

0721-787999

0721-240000

0721-263181

10 447

27366 RSIA ANUGERAH MEDIKA JL. TULANG BAWANG NO. 21/23 ENGGAL BANDAR LAMPUNG

1

448

05601 RS. Santa Clara Jl. Biliton No. 15, Madiun

1

449

06101 RS. Larasati Jl. Mandilaras, No.74-80 Pamekasan Pamekasan

1

450

2

451

3

452

4

453

5

454

03304 RS. Pelamonia Makassar Jl. Jend. Sudirman No. 27

6

455

03306 RS. Akademis Jaury Jusuf Putera Jl. G. Bulusaraung No. 37

1,200,000 750,000 550,000 450,000 1,000,000 Utama 650,000 950,000 A 850,000 B C 750,000 600,000 550,000

400,000 A B

275,000 250,000

550,000 Kls I A 500,000 400,000 Kls I B

300,000 Kls II A

200,000 Kls III

250,000 Kls II B

180,000

500,000 400,000 1,200,000 1,000,000 750,000 650,000 2,150,000 1,000,000 750,000 700,000 550,000

400,000 1,500,000 70,000

110,000

Isolasi

160,000

Edelweis A+Cempaka+Bougenville 250,000 II Edelweis B+Anggrek 155,000 Wijaya Kesuma 200,000

125,000 III Teratai

55,000 60,000

Kelas I

300,000 Kelas II

175,000 Kelas III A Kelas III B

110,000 65,000

A B C

550,000 450,000 400,000

300,000

175,000

100,000

VIP (Gedung C) Executive A Executive B

400,000 I A (Gedung C) 500,000 I B (Gedung C) 400,000 I

250,000 II 250,000

200,000 III

60,000

300,000 II

200,000 III

100,000

350,000 A B

225,000 185,000


400,000 Kls II

200,000 Kls III

75,000

400,000

350,000


360,000 II Bersalin II

250,000 225,000

100,000

325,000 A 300,000 B 275,000 C

250,000 225,000 200,000

125,000

390,000 kelas II

290,000 kelas III

130,000

600,000 350,000

250,000

150,000

416,750 Kelas II

315,625 Kelas III

113,750

350,000 N/A

200,000

125,000

355,000

262,500

152,500

325,000 Dahlia, Seruni 200,000 Cempaka

200,000 Dahlia 200,000 III A Cempaka

100,000 125,000

ICU

0721 - 240488 / 262310

ICCU

HCU 900,000 ICU 150,000

VIP PERAWATAN STROKE P. Suite VVIP VIP

400,000 910,000 560,000 450,000

VIP VIP B VIP A

600,000 700,000 900,000

VVIP VIP A VIP B VIP C

800,000 N/A 550,000 500,000 450,000

450,000

Kls I

MADIUN 0351-462127 0351-462688

0351-455780

Utama I Utama II

0324-328305

0324-328305

VVIP A VVIP B VIP A VIP B-C

03301 RS. Luramay Jl. A P Pettarani Blok E 19/11 Makassar 90222 03302 RS. Grestelina Jl. Letjen Hertasning Raya Makassar 90231

0411-867581 0411-867618

0411-889564

Pav VIP

0411-448855

0411-448854

03303 RS. Islam Faisal Jl. Andi Pangerang Pettarani 03305 RS. Stella Maris Jl. Somba Opu No. 273 Makassar

0411-871942 853364

0411-857010 0411-851707

Tulip Suite SVIP Cendana SVIP Palem VVIP VIP A

2,000,000 VIP A 1,500,000 VIP B 1,000,000 850,000 721,250

0411-854341 0411-871391 0411-873346

0411-859545

0411-3622536 0411-2328470 (Pak Ali) 0411-2863977 0411-317343 0411-3613054

0411 - 323434

Super VIP VIP A VIP B VIP C SVIP VIP A VIP B Paviliun

1,250,000 800,000 650,000 500,000 970,000 NICU 605,000 ICU 513,750 Isolasi 1,250,000

550,000 500,000

MADURA 450,000 400,000 375,000 350,000

A B C

MAKASSAR

0411-3613914

880,000 650,000

- kelas I

800,000 A 700,000 B

- Kelas I

N/A A B

720,000 830,000 390,000 Anggrek Mawar

Makasar

0411-3613071

VIP Melati VIP Anggrek VIP Dahlia, Seruni SVIP Utama SVIP Biasa VIP Utama VIP Biasa VIP Utama VIP Anak VIP A Anak VIP B Anak VIP A Kebidanan VIP B Kebidanan SVIP VIP Utama VIP A VIP B Suite VVIP VIP

550,000 475,000 475,000 750,000 750,000 600,000 500,000 1,000,000 850,000 650,000 550,000 750,000 650,000 1,500,000 1,000,000 700,000 Isolasi 600,000 2,000,000 999,000 810,000

7

456

03307 RS. Hikmah Jl. Yosef Latumahina No. 1 Makasar

0411-872284 0411-835202 0411-871403

0411-871096 870964

8

457

03308 RSIA Catherine Booth Jl. Arief Rate No. 15, Makasar

0411-873803

0411-858607

9

458

03309 RS. Awal Bros Makassar Jl. Jend. Urip Sumoharjo No.43 Makassar

0411-454567 0411-459700

0411-455123

10 459

03310 Siloam Hospital Makassar Jl. Metro Tanjung Bunga Kav. 9 Makassar 90134

0411-3662900

0411-8117911

11 460

03311 RS Ibnu Sina YW-UMI Makassar Jl Urip Sumoharjo KM. 5 No 264 Makassar

0411-452917/452958

0411-425397/420235

SVIP VIP

975,000 500,000

12 461

27106 RS Univ.Hasanuddin JL PERINTIS KEMERDEKAAN KM. 11 MAKASSAR SULAWESI SELATAN 27112 RSIA Sitti Khadijah 1 JL. KARTINI NO.15-17 MAKASSAR

0411-591331

0411-591332

VVIP VIP

1,019,000 814,000

13 462

ICU NICU 0411-3624554/8614661

0411-3627119

VIP Utama VIP A VIP B

Dahlia Seruni

325,000 325,000

III B Cempaka Seruni

100,000 150,000

400,000

250,000

150,000

A

500,000 Bersalin

375,000 Bersalin


B

350,000 Anak

200,000 Anak

150,000

350,000 Kls III

200,000

Twin

550,000 450,000

Deluxe A Deluxe B

650,000 Standart 450,000

350,000 Basic

200,000

300,000

250,000

100,000

523,500

335,000

284,000

637,000

536,000


400,000

250,000

100,000

283,000

198,000

132,000

300,000

150,000

90,000

150,000

80,000

50,000

700,000

1,560,000 1,500,000

1,698,000 1,110,000 968,000

SULAWESI UTARA BITUNG 1

463

2

464

27168 RSUD Bitung Manembo-Nembo Jl. S.H Sarundajang Kel.Manembo-Nembo Tengah Kec.Matuari Bitung 27310 RS TNI AL dr Wahyu Slamet Bitung JL. YOS SUDARSO NO.26 BITUNG

0438-38066

0438-21264

Tarif Menyusul

0438-35983

VVIP VIP

750,000 550,000 ICU Isolasi

400,000 200,000

VVIP VIP Utama VIP

550,000 420,000 358,000 Isolasi

198,000

VIP A VIP B

450,000 425,000

ICU

425,000 Isolasi

vip

400,000

SVIP VIP Utama A VIP Utama B VIP Standart A VIP Standart B

600,000 520,000 470,000 380,000 350,000

SULAWESI TENGGARA KENDARI 1

2

465

466

26001 RS TNI AD Dr. Ismoyo Kendari Jl. Laute No. 1 Kendari Mandonga 26002 RS ST. Anna Kendari Jl. Dr. Moh. Hatta 65 A Kendari Sulawesi Tenggara

0401-3124716/3124713

0401-3123092

0401-3122029

0401-3124872

200,000

SULAWESI TENGAH LUWUK 1

467

27084 RSUD Luwuk Kab.Banggai JL IMAM BONJOL NO 14 KM.3 SULAWESI TENGAH

1

468

25001 RS AT-Medika Palopo Jl. Andi Djemma No. 6 Kota Palopo

0461-21820

0461-21820

0471-21596

0471-326077/23008

SULAWESI SELATAN PALOPO I

175,000 II

140,000 III Isolasi

110,000 180,000

MALANG 1

469

02201 RS. Panti Nirmala Jl. Kebalen Wetan No. 2-8 Malang

0341-331100 0341-362459

0341-327930

VVIP VIP A VIP B VIP C

2

470

02301 RSU Lavalette (PTPN XI) Jl. WR. Supratman No. 10

0341-470805 482612

0341-470804 0341-481960

VIP Shapire 7,8,9 VIP Shapire 1 sd 6 Shapire I

750,000 650,000 450,000

3

471

02202 RS Islam Aisyiyah Jl. Sulawesi 16 Malang

0341-326773

0341-368883

VVIP VIP Baru VIP Lama

472

0341-458974

0341-451579

300,000 I A IB

5

473

0341-594161 0341-598193

0341-598911

900,000 750,000

6

474

0341-325249 0341-341357

0341-325249

7

475

476

0341-366033 0341-361507 0341-362017 0341-393000

0341-354068

8

02203 RS Marsudi Waluyo Jl. Raya Mondoroko Singosari Malang - Jawa Timur 02205 RS. Baptis Batu Jl. Raya Tlekung No. 1 Junrejo, Batu-Tromol pos 100 02206 RS. Melati husada Jl. Kawi, No.32 Malang 02204 RS. Panti Waluya Sawahan Jl. Nusakambangan 56 PO Box 99, Malang 65117 02303 RS. Wava Husada Jl. Panglima Sudirman No. 99A Kepanjen-Malang 65163 02302 RS. Hermina Tangkuban Perahu Jl. Tangkuban Prahu, No.33 Malang 02304 RSIA. Husada Bunda JL. Pahlawan Trip No. 2 Malang 02305 RS Permata Bunda Malang

800,000 UPI VVIP 650,000 UPI VIP 500,000 I Utama

600,000 UPI-I 500,000

4

9

477

10 478

11 479

VVIP VIP

0341-325082 0341-354844/8

0341-354843

0341-566972 0341-554082 0341-569634 0341-487487/407462

0341-580169

0341-474242

VVIP

900,000 Utama 800,000 Isolasi 700,000 850,000 450,000 400,000 1,400,000 1,150,000 980,000 550,000 Kelas I A+ (Anggrek)

500,000

700,000 A B C

680,000 A 600,000 B 235,000 C

350,000 A 290,000 C 200,000

240,000 110,000

300,000 II A/E 450,000 IIB II C

ISOLASI 250,000 III A Isolasi 200,000 III 175,000

290,000 125,000 110,000

400,000 UPI-II

375,000 UPI-III UPI-IV

325,000 200,000

225,000 II 160,000

110,000 III

60,000

650,000 A B

400,000 350,000

225,000 A B

135,000 85,000

400,000 350,000

300,000 A B

225,000 100,000

100,000 70,000

650,000 250,000

550,000 A B 600,000 250,000

500,000 A 300,000 B

175,000 100,000

- IB IA

Melati A Melati B VIP A VIP B VIP C VVIP VIP A VIP B Suite Room SVIP VIP VIP

0341-398398

1,250,000 Utama 840,000 800,000 750,000

ICU -

I Isolasi 400,000 Kelas I A Kelas I B Kelas I C IA

650,000 II 650,000 350,000 Kelas II A 325,000 Kelas II B 275,000 325,000

150,000 III Isolasi 4,250,000 III Intermediate ICU/PICU/NICU 250,000 Kelas III Mawar 225,000 Kelas III A Kelas III B 250,000

80,000 200,000 151,000 715,000 845,000 100,000 Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn) 90,000 65,000 150,000

VIP

400,000

IB

275,000

02306 RSIA Ganesha Medika Malang Jl. Mayjend Panjaitan No. 176 Malang 02307 RSIA Puri Malang Jl. Taman Slamet No. 20 Malang

JL. Soekarno Hatta No. 75, Lowokwaru, Malang 0341-552955

0341-572478

VVIP VIP

350,000 325,000

Kelas I

225,000 Kelas II

175,000 Kelas III


0341-325329

0341-342322

VVIP VIP A VIP B

750,000 600,000 500,000

350,000 300,000

250,000


14 482

02308 RS Prima Husada Malang Banjararum Selatan No 3B Mondoroko Singosari-Malang

0341-458679 0341-458916

0341-441874

Vip A Vip B

550,000 475,000

350,000 A B C

275,000 A 200,000 B 150,000

15 483

27067 Persada Hospital Malang Komplek Araya Business Center Kav.2-4 Jl. Panji Suroso Kota Malang 65126

0341-2996333/2996500

0341-2993773

VVIP VIP

1,350,000 1,000,000 ICU/NICU Isolasi

750,000

450,000

225,000

1,000,000 700,000

450,000 A 350,000 B

325,000 275,000

225,000 125,000

575,000 650,000 Kebidanan 215,000

350,000 400,000 Kebidanan Isolasi 105,000

200,000 300,000 350,000 90,000

335,000 II Pratama 340,000 II Graha

225,000 III Pratama 210,000 III Graha

110,000 125,000

12 480

13 481

16 484

27147 RSU Universitas Muhammadiyah malang JL RAYA TLOGOMAS NO 45 MALANG

0341-561666

0341-561627

VVIP VIP

1

485

2

486

3

487

03501 RS. Harapan Magelang Jl. P. Senopati 11 Magelang 56123 27160 RS Aisyiyah Muntilan JL KH AHMAD DAHLAN NO 24 KENDAL GROWONG PUCUNG REJO MUNTILAN-MAGELANG 27325 RS. LESTARI RAHARJA JL. MAYJEN SUTOPO NO.5 MAGELANG

0293-364033 0293-364035

0293-364037

VIP A VIP B

0293-587372

0293-587723

0293-362225

0293-362649/311512

1

488

27161 RS PKU Aisyiyah Boyolali JL PASAR SAPI BARU SINGKIL BOYOLALI

0276-3293400

1

489

04702 RS. Katolik Santo Antonius Jl. Koperasi No. 61 Ampenan Utara 83111 Lombok Barat NTB 04709 RSB. Exonero Jl. Pemuda No. 16 Mataram

0370-621397 0370-636767

0370-636454

0370-647023

400,000 A B

75,000 65,000

500,000 750,000 A B

MAGELANG 700,000 650,000 ICU PICU N/A

800,000 Kebidanan 450,000 270,000

VIP Pratama VIP Graha

450,000 440,000

I Pratama I Graha

0276-3293400

Eksekutif VIP A VIP B VIP C

295,000 240,000 190,000 160,000

95,000

85,000

0370-636577

VIP A VIP B

350,000 325,000

225,000

150,000

BOYOLALI 55,000

MATARAM

2

490

3

491

04704 RS. TK IV Wira Bhakti Mataram Jl. HOS Cokroaminoto No. 7 Mataram

0370-631280

0370-640149

4

492

04706 RS. Risa Sentra Medika Jl. Penjanggik No. 115 - Cakranegara Mataram Lombok, NTB 83231

0370 - 625560

0370 - 625559

5

493

0376-21004

6

494

04705 Klinik Namira Jl. KH Ahmad Dahlan Kel. Majidi, Kec. Selong Lombok Timur 04707 RS Biomedika Jl. Bung Karno 143, Mataram, NTB

7

495

8

496

9

497

90,000 Anak-Anak

A B

225,000 200,000

A B

103,000

175,000 160,000

100,000

51,000

40,500

115,000 _

20,500

Super VIP VIP A VIP B

684,250 385,250 345,000

Kelas I A Kelas I B

270,250 Kelas II 235,000

186,000 Kelas III

0376-21004

VIP A VIP B

150,000 130,000

Kelas I A Kelas I B

110,000 Kelas II 100,000

100,000

0370-645137

0370-645138

VIP Plus A VIP A Isolasi

425,000 350,000

I

300,000 II

180,000 III

04708 RS. Permata Hati Mataram Jl. Majapahit No. 8 Mataram

0370-631999 0370-6668888

0370-632999

VVIP VIP

268,000

148,000

04710 RS Harapan Keluarga Jl Ahmad yani No.9 Selagalas Mataram Lombok

0370-6177027 0370-670000

0370-673666

SVIP VIP

500,000 Kls II (Standart B)

250,000 Kls III (Standart C)

150,000

R. Isolasi

500,000

04711 RS Islam Namira Jl. KH Ahmad Dahlan No. 17 Pancor Lombok Timur-NTB

10 498

27305 RS Grha Ultima Medika Lombok JL. MAJAPAHIT NO. 10 KELURAHAN PAGESANGAN BARAT KOTA MATARAM

1

499

04712 RS Risa Sentra Medika Lombok Timur Jl. Pejanggik No. 78 A Rakam Selong Lombok-Timur

1

500

2

501

0376-21004

0376-22693

(0370) 623999; 628111

Vip A Vip B Vip C

688,000 528,000 2,500,000 Superior 1,000,000 ICU PICU/NICU HCU 250,000 200,000 170,000

700,000 Kls I (Standart A) 1,000,000 750,000 1,000,000 Kls I

150,000 Kls II

100,000

123,500

155,000

N/A

VVIP A VVIP B VIP

725,000 475,000 425,000

250,000

200,000

150,000

245,000 195,000

155,000

115,000

105,000

-

440,000

258,000 Umum Kebidanan

120,000 175,000

- Kelas I

450,000 Kelas II

250,000 Kelas III

150,000

LOMBOK TIMUR 0370-23888

0370-23999

VIP A VIP B

03001 RS. Materna Jl. Teuku Umar No. 11 Medan 20112

061-4514222

061-4155392

Super VIP A Super VIP B Suite Room VIP A

03002 RSU Martha Friska Jl. Kol. Yos Sudarso Km. 6 No. 91 P. Brayan Medan 03003 RS. Islam Malahayati Jl. Diponegoro No. 2 - 4

061-6610910

061-6612005

061-4518766

061-4518489

VIP Utama VIP TA/NA VIP Andalusia

395,000 345,000 285,000

03004 RS. Permata Bunda Jl. Sisingamangaraja No. 7 Medan 20215

061 -736 2777

061-732 0222

Super Executive Executive Baru Executive

850,000 A 750,000 650,000

MEDAN

3

502

4

503

VIP B Super VIP VIP

1,400,000 785,000 715,000 565,000 470,000 660,000 540,000

ICU -

600,000 A B

225,000

175,000

350,000 240,000

175,000

500,000 85,000

120,000 ICU Isolasi

550,000 240,000

5

504

03005 RS. Herna Jl. Majapahit No. 118 A

061-4510766 547715

061-553955 081375280559

6

505

03006 RS. Colombia Asia (Gleni Medan) Jl. Listrik 2A Medan 20112

061-4566368

061-4566585

7

506

8

507

9

508

10 509

03020 RS. Martha Friska Multatuli Jl. Multatuli Kompleks, Taman Multatuli Indah No. 1, Medan 03019 RSIA. Stella Maris Medan Jl. Samanhudi No. 20, Medan 03015 RS. Advent Medan Jl. Jend. Gatot Subroto Km. 4 Kel. Sei Sikambing D, Kec. Medan Petisah, Medan 20119 03012 RS Santa Elisabeth Jl. Haji Misbah No. 7 Medan

11 510

03013 RSU Sarah Medan Jl. Baja Raya No. 10 Medan

12 511

03016 RS. Horas Insani Jl. Medan KM 2.5 Pematang siantar 03017 RS. Sari Mutiara Jl. Kapten Muslin No. 79 Medan 03018 RSU. Mitra Sejati Jl. AH Nasution No. 7 Pangkalan Masyhur Medan 21001 RS. Latersia Binjai Jl. Soekarno Hatta Km 18, No. 452, Binjai

13 512

14 513

15 514

061-4149666

061-4154761

061-4158383

061-4157088 061-4154839 -

061-4524875

S-VIP A S-VIP B VIP Super VIP (Premier Room) VIP (Deluxe Bed)

SVIP VIP SVIP VIP SUPER VIP VIP Zamrud VIP Mutiara VIP Cemara SVIP St. Fransiskus SVIP Laura VIP SUPER VIP VIP A VIP B SUITE ROOM SUITE ROOM EXECUTIVE VIP EXECUTIVE SVIP

950,000 Executive 600,000 Utama 500,000 Superior 1,460,000 Superior 880,000

600,000 500,000 888,000 618,000 900,000 550,000 450,000 375,000 850,000 750,000 600,000 975,000 700,000 500,000

061-8830757

061-80501800

President Suite Executive Suite VVIP VIP SVIP VIP

Executive SVIP VIP

03025 RSUD Deli Serdang Jl Thamrin Lubuk Pakam Deli Serdang, 205111

061-7952068

061-7952068

Tarif Menyusul

22 521

03026 RSU Deli Medan Jl Merbabu No 18-20A Medan

061-4565229

061-4552361

Executive VIP

061-7861771

061-7866660

061-4553928,88813615,4557318

061-4558218

061-88881900

061-88881911

061 88813182/83

061 88813181

Jl. Ayahanda No. 68 A Medan

529

03604 RS Bethesda Tomohon Jl Raya Tomohon, Talete I Kec. Tomohon

4

530

03605 Siloam Hospital Manado JL. SAM RATULANGI NO 22 MANADO Manado 95114

130,000

400,000

200,000 III A III B

110,000 95,000

350,000 295,000

200,000

150,000

250,000

150,000

80,000

200,000

80,000

Kelas I Kelas I Anak Dws Anak Kebidanan

I Plus I

ICU/NICU

21 520

3

275,000 275,000

120,000 Kelas II

061-8827677/8828167/ 061-8820387

528

300,000 250,000 Kebidanan

Kelas I

061-7950313

2

100,000

195,000

061-7950449

03602 RSU Pancaran Kasih Jl. Sam Ratulangi XIII Titiwungen - Manado 95113

200,000 200,000 200,000 200,000 300,000 Kelas III 250,000

I

03024 RS Patar Asih Jl. Bakaran Batu Dusun Manggis Desa Tumpatan, Kec.Beringin Lubuk Pakam 21002 RSU Artha Medica Jl. Samanhudi No. 22 Binjai-20714

527


300,000 Melati 7 300,000 Anggrek 1, 2, 3 300,000 Mawar 1 Mawar 2, 3, 4 500,000 Kelas II 400,000 Kelas II Anak

Mutiara 1, 2, 3, 4 Mutiara 5 Melati 1, 2, 3, 4

395,000 495,000

061-80501888

1

298,000 8 Bed

VIP SVIP

03023 Murni Teguh Memorial Hospital Jl. Jawa No. 2 Simpang Veteran Medan

27328 RS SUMATERA EYE CENTER MEDAN JL. ISKANDAR NO. 278 - 280 MEDAN

388,000 3 Bed

061-8822565

600,000 500,000

27 526

100,000

- 2 Bed

061-8829588

SVIP VIP

27169 RS ROYAL PRIMA MEDAN

200,000 Kelas III

SUPER VIP VIP

061-7950114

26 525

400,000 Kelas II

061-7850261

061-7955114

27135 RS SILOAM MEDAN JL IMAM BONJOL NO. 6 KEL PETISAH-MEDAN

691,600 570,000

- Kelas I

061-8452134

03022 RS Grand Medistra Lubuk Pakam Jl. Medan Lubuk Pakam KM 25 No. 66 Lubuk Pakam Deli Serdang Medan 20514

27066 RS Bunda Thamrin Medan JL. SEI BATANG HARI NO. 28/30 MEDAN SUNGGAL

112,000

ICU/PICU NICU

061-7875967 061- 7881682

17 516

25 524

220,000 6 Bedded

061-8451812

190,000

24 523

332,000 4 Bedded

980,000 710,000 570,000 750,000 600,000 500,000 450,000 350,000

VIP

27044 RS Estomihi Jl Sisingamaraja No 235 Medan

500,000 2 Bedded

0622-433611 0622-21384

061-7951344

23 522

100,000

0622-433444 0622-460200

061-4529454

061-7951339

20 519

125,000 5 Bed

061-4143168

03021 RS Sari Mutiara Lubuk Pakam Jl Medan No 17 Lubuk Pakam

19 518

200,000 3 Bed 185,000

061-4144737 061-4144164 061-4144240 061-4528744 061-4528044

16 515

18 517

425,000 Single Bed 400,000 Double Bed 310,000

SVIP VIP

061-4510978

500,000 I Plus 350,000 300,000

1,500,000 I Plus

Kelas I

200,000

60,000

400,000 Kelas II Non AC 300,000 275,000

220,000 Kelas III

110,000

415,000 Kelas II

250,000 Kelas III

140,000

175,000 Kelas II

110,000 Kelas III

75,000

150,000

125,000

415,000

100,000 ICU

620,000 I

400,000

415,000 II AC II Non AC

300,000 III 200,000

100,000

200,000

140,000

100,000

428,000 II

350,000 III

245,000

480,000

340,000

150,000

425,000

350,000

275,000

500,000

375,000

250,000

330,000 A B C

230,000 200,000 175,000

125,000

IA IB IC

650,000 II Kebidanan 495,000 II Lt 3 350,000 II Lt 2

250,000 III 250,000 230,000

140,000

600,000 500,000

A B C

400,000 A 350,000 B 300,000 C

225,000 A 200,000 B 175,000

75,000 70,000

1,750,000 1,250,000 1,000,000

A B

750,000 Kelas II 500,000

350,000 Kelas III

ICU

700,000

ICU

600,000

450,000 400,000

1,100,000 ICU 688,000 NICU 608,000 1,350,000 1,000,000

Executive

1,000,000

VIP

Kelas I 750,000 Isolasi

80,000 Kelas III

720,000

Eksekutif Super VIP VIP SVIP VIP

SVIP VIP 061-4525058 ; 4518222

3,000,000 1,800,000 1,100,000 ICU/ICCU/PICU 625,000 450,000 300,000

Kelas I AC (1 Bed) Kelas I AC (2 Bed) 350,000 Kelas I Non AC

150,000

550,000 ICU/NICU 485,000

715,000 I 660,000

700,000

1,250,000 N/A

MANADO

NB: Tarif ini merupankan Tarif Rumah Sakit + Pelayanan 03603 RS. Advent Manado Jl. 14 Februari No. 1 Teling Atas Manado

0431-865800/857628/863237/868084 0431-857628

VVIP

0431-847950 0431-858429 0431-858428

0431-850012

Gold Seruni VVIP Seruni Vip A Seruni Vip B Seruni

0431-351046/351065 0431-351024

0431-352712

VIP A VIP B

0431- 729 0900

0431-8883133

Presidential VVIP VIP

650,000

1,400,000 1,100,000 910,000 740,000

450,000

150,000

5

531

27122 Rs Permata Bunda Manado JL PINGKAN MATINDAS NO.7 PANDENGAN DALAM MANADO

0431-873732/842055

0431-873735

VIP Utama VVIP VIP Utama

0431-8894030

0431-8894030

Hanya Rawat Jalan Khusus PT Meares Soputan Mining

400,000 350,000 300,000

250,000

1

532

27128 KLINIK DR DAVID SEMBOR Likupang 1 Jaga 1 Kec. Likupang Timur Minahasa Utara-Sulawesi

1

533

2

534

3

535

4

536

5

537

6

538

01904 RS. Kartini Jl. Airlangga 137 Mojokerto 05201 RS. Gatoel Jl. Raden Wijaya No. 56 Mojokerto 05202 RS. Sido Waras Jl. Raya Pasar Sawahan KM 10 Bangsal Mojokerto 05203 RS. Emma Jl. Raya Ijen No. 67 Mojokerto 05204 RS. Reksa Waluya Jl. Mojopahit no. 422 Mojokerto 05205 RS. Islam Hasanah Muhammadiyah Mojokerto Jl. HOS Cokroaminoto No. 26-28, Mojokerto

7

539

27131 RS Mutiara Hati Mojokerto JL RAYA KEMANTREN WETAN NO. 49 GEDEG MOJOKERTO

1

540

02701 RS. Yos Sudarso Jl. Situjuh No. 1 Padang Sumatera Barat 25129

0751-33230 0751-33231

0751-31811

2

541

02704 RS. Selaguri Jl. Jend. A. Yani no. 26 Padang 25112

0751-33010 0751-21953

0751-840051

3

542

02710 RSU. BMC Padang (RSU. Restu Ibu) JL. Proklamasi No. 31-33-37 Padang 25211

0751 - 23164 0751-2115129536/-24750

0751-23200

Mitra Suite Room VIP Suite VIP Suite

4

543

02706 RS. Islam Ibnu Sina Bukittinggi Jl. Batang Agam - Belakang Balok Bukittinggi

0752-21185

0752-34009

Executive Plus Executive Pav.Khusus VIP

850,000 Kls Utama 750,000 550,000 650,000

5

544

02707 RSIA Cicik Padang Jl. Dr. Sutomo No. 94 Padang

0751-38846

0751-841286

VVIP VIP

500,000 350,000

0752-21388/626669

0752-626677

VIP A VIP B

425,000 325,000

VVIP VIP

1,500,000 750,000

200,000

150,000

LIKUPANG

MOJOKERTO 0321-592261

0321595569

VIP

150,000

0321-321681 0321-322329 0321-399772 0321-598621

0321-321684

SVIP VIP A VIP B VIP A VIP B

900,000 600,000 550,000 350,000 300,000

0321-328737

0321 - 334021

VIP Blok B VIP Blok C

350,000 335,000

0321-322170

0321-322511

VVIP

675,000 Utama A Utama B

0321-321635, 321823

0321-324242

VIP A VIP B VIP C

350,000 300,000 275,000 N/A

0321-598624

95,000

Isolasi

0321-363442

60,000

30,000

350,000 A B

300,000 250,000

120,000

200,000

Isolasi 125,000 A B

150,000 75,000 50,000

325,000 Kelas II A 250,000 Kelas II B

100,000 III A-B 115,000 III C Isolasi 200,000 kelas III A 150,000 Kelas III B

65,000 75,000 115,000 125,000 100,000

I

250,000 II A II B II C 350,000

200,000 III A 200,000 III B 200,000 III C 250,000

80,000 70,000 60,000 100,000

Widelia (IB) Salvia (IA) Sudirman (IA) Ade Irma (IA) Ade Irma (Ib)

360,000 350,000 375,000 250,000 330,000

65,000 I A + IC IB 575,000 Kelas I A 475,000 Kelas I B

N/A

200,000 I IA 225,000 II B + IIC

PADANG Tulip Rose Ade Irma

550,000 450,000 435,000

350,000

Chrysant (IIB) Sudirman (IIB) Herlina Thamrin (IIA) Sartika Wahidin (IIA) Ade Irma (IIA)

240,000 N/A N/A 200,000 200,000

Lavender (IIIB) Herlina Thamrin (IIIB) Sartika Wahidin (IIIB) Ade Irma (IIIB)

150,000 N/A 160,000 150,000

300,000

250,000

125,000

600,000

400,000

200,000

350,000 Kls II

250,000 Kls III

150,000

Akasia

250,000 Anggrek

200,000 Anyelir

Kelas I

185,000 Kelas II

135,000 Tidak tersedia

350,000

250,000

1,650,000 1,000,000 750,000 450,000 Kls I

ICU


6

545

02708 RSU. Madina Jl. Guru Hamzah No 17 Bukittinngi Sumatera Barat

7

546

27052 Semen Padang Hospital (0751) 202873, 4782999. 777888, 4782997 (0751) 4782990 JL. BY PASS KM 7 KEL. PISANG, KEC. PAUH PADANG - SUMBAR

Isolasi

Isolasi 8

547

27367 RS Islam Siti Rahmah JL. RAYA BY PASS KM.15 AIR PACAH PADANG, SUMATERA BARAT

0751 - 463059 / 463899

9

548

27393 RS NAILI DBS PADANG 0751 - 8951900/8951901 JALAN RATULANGI NO.24 KEL.KAMPUNG JAO KEC. PADANG BARAT KOTA PADANG, SUMATERA BARAT

1

549

04402 RS Pertamina Pangkalan Brandan Jl. Wahidin Pangkalan Brandan, Kab. Langkat Sumatera Utara

1

550

27329 RS SUMATERA EYE CENTER KABANJAHE BRASTAGI JL. PERWIRA NO. 1-2 KABANJAHE-BRASTAGI

2

551

27380 RS. EFARINA ETAHAM BRASTAGI JL. JAMIN GINTING NO.1, DESA RAYA BRASTAGI-SUMATERA UTARA

0751 - 463531 / 463873 SVIP VIP

1,000,000 600,000

0751 - 8951902

VIP

500,000

0620-323392

VIP

400,000

400,000

200,000 200,000

ICU HCU

450,000

150,000

500,000 400,000 100,000

350,000 A B

250,000 175,000

300,000

225,000

150,000

350,000 Kelas II

250,000 Kelas III

120,000

200,000

120,000

295,000

195,000

BRANDAN 0620-322455

Kelas I

BRASTAGI 0628- 323916/ 0628- 324912

0628-323716/17

Tarif Menyusul

0628-213718

SVIP VIP

1,200,000 600,000 ICU/NICU ISOLASI

90,000

700,000 200,000

SIBOLGA 1

552

27360 RS. METTA MEDIKA JL. SUTOYO SISWOMIHARJO NO.34 PASAR BARU-SIBOLGA KOTA

0631-25006/25007/25008

0631-25006

Metta Suite President Suite Executive Suite VIP

695,000 575,000 460,000 ICU/NICU 395,000

Anak

125,000 150,000

550,000

MUARA ENIM 1

553

27077 RS Puspa Muara Enim JL. AK GANI NO 102 MUARA ENIM Sumatera Selatan

1

554

27368 RS AR BUNDA LUBUKLINGGAU JL. GARUDA G.DELIMA NO.245 RT.03 KEL. BANDUNG KIRI KEC. LUBUKLINGGAU BARAT I

0734-451146

0734-422353

Tarif Menyusul

0733 - 324963

0733 - 321892

President Suite VVIP VIP

LUBUK LINGGAU 927,000 618,000 566,500 Isolasi

463,500 154,500

360,500

206,000

128,750

KOTA LUBUK LINGGAU-SUMATERA SELATAN BATU RAJA 1

555

27382 RS. SANTO ANTONIO JL. KOMISARIS UMAR NO. 33 BATURAJA-SUMATERA SELATAN

0735-320395/322418/324700

0735-320201

VIP UTAMA VIP A VIP B

700,000 550,000 425,000 ICU

325,000

175,000

100,000

875,000 II 750,000 IIA 525,000 IIB 400,000 350,000

350,000 A 300,000 B 200,000 200,000

170,000 80,000


400,000 700,000

800,000

PALEMBANG 1

556

02801 RS. R.K. Charitas Jl. Jend. Sudirman No. 1054 Palembang 30129 02802 RS. PT. Pusri Jl. Mayor Zen Palembang 30118 02803 RS. Islam Siti Khadijah Jl. Demang Lebar Daun, Lorong Pakjo Palembang 02804 Siloam Hospital Palembang Jl. POM IX Kel. Lorok Pakjo Kec. Ilir Barat I, 30137

2

557

0711-350426 0711-353374 0711-353375 0711-712222 0711-712071

0711-362205

3

558

0711-356008

0711-311884

4

559

5

560

02805 RS Hermina Palembang Jl. Basuki Rahmat No. 897, Kemuning Palembang

0711-5229100/5603911

0711-5649099

0711-352525

0711-366945

6

561

27004 Rs Bunda Palembang Jl Demang Lebar Daun Palembang

0711-312866,311866 0711-311866

0711-355553

7

562

27072 RS MYRIA PALEMBANG JL. KOL. H. BURLIAN KM. 7 NO 228 PALEMBANG

0711-411610/412433 0711-421914

0711-414052

0711-712071

Suite VVIP VIP SVIP VIP 1 VIP 2 VIP Utama VIP Khusus

2,000,000 1,500,000 1,200,000 800,000 650,000 ICU/ICCU 550,000 1,698,000 ICU 1,300,000 Isolasi

President Suite SVIP VIP Suite Room SVIP VIP SVIP VIP

1,750,000 1,250,000 1,000,000 1,612,000 1,250,000 1,119,000 1,000,000 800,000

VVIP VIP

A B C A 1,500,000 B 400,000 Kelas I A 70,000 Kelas I B

950,000 750,000 ISOLASI

1,100,000 Kelas II 1,000,000

150,000

A B

750,000 500,000

260,000 Kelas III

150,000

Kelas I

658,000 Kelas II

Isolasi A B

658,000 500,000 350,000

395,000 Kelas III Intermediate ICU/PICU/NICU 250,000

165,000 724,000 855,000 100,000

I

600,000 II

400,000 III A III B

170,000 85,000

A Srikandi B I Anak

450,000 II Dewasa 350,000 II Anak 400,000 345,000 II Plus

225,000 III Dewasa 225,000 III Anak

100,000 100,000

Kelas I

330,000 Kelas II

180,000 Kelas III

120,000

450,000

PALU 1

563

2

564

1

565

03401 RS. Budi Agung Palu Jl. Maluku No. 44 Palu-Sulteng 03402 RSU " WOODWARD " Jl.L.H Woodward No. 1 Palu Palu-Sulteng

0451-421360 422460 0451-421769 426361

0451-423744

0343-741018 0343-749123

0343-742425

SVIP VIP A & B (Kartika, Bima) VIP B Arjuna/Krisna VIP

1,150,000 550,000 500,000 575,000 ICU ICCU

230,000 287,500

200,000

85,000

PASURUAN 05501 RS. Masyithoh Jl. A. Yani, No.6-7 Bangil 67153 Pasuruan Ja-Tim

VVIP VIP

750,000 600,000 ICU

2

566

10002 RS. Mitra Sehat Medika Jl Raya By Pass No. 6 Pandaan Pasuruan

1

567

05507 RS Muhammadiyah Lamongan JL. Jaksa Agung Suprapto No 76 Lamongan Jawa Timur

1

568

27358 RS. WIJAYA KUSUMA JL. A. YANI, NO.149 LUMAJANG-JAWA TIMUR

715,000

0343-636064

0343-636083

VIP

485,000

Kls I

300,000 Kls II

250,000 Kls III A Kls III B

175,000 90,000

0322-322834

0322-314048

VVIP VIP A VIP C

695,000 555,000 405,000

Kelas I


105,000 Kelas III 175,000

65,000

0334-891325

0334-888844

VIP A VIP B

400,000 300,000

175,000

125,000

60,000

225,000

150,000

75,000

220,000 II 200,000 II A

100,000 III 90,000 Isolasi

LAMONGAN

LUMAJANG 200,000 ICU/NICU ISOLASI

300,000 100,000

NGAWI 1

569

27110 RS Islam At-Tin Husada JL RAYA NGAWI SOLO KM4 DS WATUALANG KEC. NGAWI KABUPATEN NGAWI JAWA TIMUR

0351-747888

0351-747666

VVIP A VVIP B VIP

550,000 500,000 ICU/NICU/PICU 300,000

300,000

PATI 1

570

19001 RS Keluarga Sehat Pati Jl. Panglima Sudirman No. 9, Margoredjo, Pati

2

571

27361 RS FASTABIQ SEHAT PKU MUHAMMADIYAH JL. RAYA PATI - TAYU KM.03 TAMBAHARJO, PATI

3

572

27372 RS Mitra Bangsa Pati JL. KOL.SUGIYONO, NO.75 Jawa-Tengah

0295-386111

0295-384422

Suite Room Gladiol Perawat Khusus Suite Room Gladiol Suite Room Perawat Khusus Suite Room

1,500,000 1,100,000 1,300,000 900,000

0295 - 4199008

0295 - 4101177

VIP

395,000

0295-382555

0295-4191994

VVIP VIP

400,000 250,000

VVIP Gladiol Perawat Khusus VVIP Gladiol VIP Perawat Khusus VVIP VIP Gladio/Fressia VIP VIP A

ICU Isolasi

950,000 I Edelweis 650,000 Kelas I 850,000 550,000 450,000 395,000 350,000

40,000 200,000

200,000

100,000

50,000

150,000

130,000

90,000

500,000 A 400,000 B C 360,000 Kelas I A Kelas I B

300,000 A 280,000 B 250,000 C

225,000 A 205,000 B 200,000

155,000 130,000

400,000 Kls II A 350,000 Kls II B Kls II C

300,000 Kls III A 200,000 150,000

100,000

275,000 Kelas I 224,000


114,500 Kelas III 90,000

60,000

750,000 500,000

425,000

280,000

130,000

300,000 Kls II

200,000 Kls III A

100,000

400,000 225,000

PEKALONGAN 1

573

14001 RS. Siti Khodijah Pekalongan Jl. Bandung No. 39-47 PEKALONGAN

0285-422845 0285-425138

0285-425138

500,000 A B

2

574

14002 RSU. Budi Rahayu Jl. Barito 5 Pekalongan 51116

0285 - 423491 0285 - 432003 0285 - 424340

0285 - 432002

VVIP (Santa Maria) VVIP (Santa Angela) VIP

650,000 750,000 500,000

3

575

14003 RSI PKU Muhammadiyah Pekajangan JL. Raya Ambokembang NO 42-44, Pekalongan

0285-785133/785367

0285-785681

VIP I VIP II

345,000 Utama I 238,500 Utama II

1

576

02603 RS. Awal Bros Jl. Jend. Sudirman No. 117 Pekanbaru-Riau 28282

0761-47333

0761-47222

President Suite Junior Suite VIP

2

577

02601 RS. Santa Maria

0761-22213

0761-26071

Isolasi

PEKAN BARU 1,300,000 1,000,000 ICU 800,000 Intermediate

Kls I

3

578

4

579

5

580

6

581

7

582

8

9

583

584

10 585

Jl. Jend. Ahmad Yani No. 68 Pekan Baru 28127 02602 RS. Lancang Kuning Jl. Ronggowarsito Ujung No. 5A Gobah Pekanbaru 02604 RS Ibnu Sina Jl. Melati No.60 Pekanbaru

VVIP VIP S-VIP VIP

700,000 Isolasi 600,000 350,000 225,000

400,000

0761-35698

SVIP VIP

300,000 270,000 240,000 250,000

0761-848100

0761-859510

President Suite Super VIP VIP

475,000 Superior A (Mina, Muzdalifah) 350,000 Superior A (Madinah) Superior B (Madinah) Superior B (Ar-Rahman) 800,000 500,000 400,000

0761-23100 0761-20722

0761-47235

President Suite VIP

800,000 500,000

0765 - 598101 0765 - 596799

0765 - 595799

President Suite Super VIP VIP

N/A 495,000 370,000 Isolasi

0761 - 859 273

0761 - 859 274

0761-24242

02606 RS. Pekanbaru Medical Center Jl. Lembaga Pemasyarakatan No. 25 Gobah, Pekanbaru, Riau 02607 RSIA. Eria Bunda Jl. KH. A. Dahlan 163 Sukajadi Pekanbaru - Riau 02605 RS. Permata Hati Duri Jl. Jend Sudirman No. 37 Duri - Riau 28884 02608 EKA HOSPITAL Jl. Soekarno - Hatta Km. 6,5 Pekanbaru 28282 02617 RS. Thursina Jl. Hangtuah No. 93 Duri

02609 RS Syafira Jl. Jend Sudirman No. 134 Pekanbaru-Riau

0761 - 698 9999

0761 - 698 9944

0765-597782

0765-597773

0761-3061000/856517

0761-41887

President Suite Suite VIP A VIP B Standart Class VIP

2,000,000 1,500,000 850,000 700,000 350,000 500,000

President Suite VIP

1,200,000 750,000

Kls III B

-

185,000

N/A

85,000

150,000 A B Isolasi

N/A 85,000

250,000

150,000

250,000 90,000

300,000

200,000


275,000 Kls II

205,000 Kls III

125,000

400,000

300,000

Kelas I

250,000 Kelas II

Isolasi ICU/ICCU/PICU NICU 150,000 Kelas III

A B

350,000 A 300,000

200,000 175,000

100,000

Kls I 275,000 450,000

Isolasi A Isolasi B

75,000

135,000

150,000 500,000 1,200,000 800,000 100,000

450,000 300,000

11 586

02610 RSIA Sarrah Jl. Soekarno Hatta No. 107 Pekanbaru-Riau

0761-566795/7057844/587789

0761-587789

VIP

400,000

300,000

200,000


12 587

02611 RSIA Andini Jl. Tuanku Tambusai No. 55 Pekanbaru

0761-33612

0761-33649

President Suite VVIP VIP

700,000 500,000 450,000

275,000

175,000


13 588

02613 RSIA Budhi Mulia Jl Soekarno Hatta No 226-228 Pekanbaru-Riau 27079 RS Awal Bros Panam JL. HR. SOEBRANTAS RT. 01/RW. 03 NO 88 KEL. TUAH KARYA KEC. TAMPAN PANAM, PEKANBARU

0761-3069900

-

President Suite VIP

700,000 500,000

300,000

200,000


0761-586 888

0761 586111

VIP

488,000

288,000

188,000

118,000

27364 RSIA. MUTIA SARI JL. BATHIN BETUAH NO.1 A SIMPANG PADANG DURI, RIAU 27331 SUMATERA EYE CENTER PEKANBARU JL. ARIFIN AHMAD NO.58 PEKANBARU

0765 - 92080

0765-597972/55979

VIP

450,000

350,000 A 300,000 B

250,000 200,000


0761 - 565 686

0761 - 565 786

Tarif Menyusul

0762-7363329

0762-7363334

VVIP VIP

325,000

225,000

14 589

15 590

16 591

A B

ROKAN HULU-RIAU 1

592

02612 RS Awal Bros Ujung Batu Jl Jendral Sudirman 314 ujung Batu Rokan Hulu-Riau

500,000 425,000

125,000 ICU

500,000

PEMALANG 1

593

09001 RSU "Santa Maria" Pemalang Jl. Pemuda No. 24 Pemalang

2

594

09002 RS Prima Medika Pemalang Jl. Slamet Riyadi No. 321 Pemalang

1

595

1

596

2

597

3

598

4

599

0284-321251

0284-322335

VIP A VIP B

385,000 275,000

Kls I AC Kls I Non AC

0284-324221/324208

0284-324713

VIP

250,000

I

0352-481784 0352-461560

0352-484218

VIP Firdaus Babusallam

350,000 Utama 475,000 475,000

0561-732101

0561-733623

0561-581818

0561-584100

S-VIP VIP VIP Mini Suite (Ibu)

917,200 650,000 550,000 900,000 Master

0561-739082/042

0561-738692

VIP

550,000

0561-584888

0561-576100

VVIP VIP

160,000 Kls II AC 121,000 III Anggrek, Mawar 105,000 Kls II Non AC (Anggrek, Mawar, Alamanda)) 82,500 III Melati Isolasi Melati Non AC (Melati) 69,000 Isolasi Mawar, Alamanda, Anggrek 250,000 II 80,000 III

ICU PONOROGO 05503 RSU. Aisyiyah Ponorogo Jl. Dr. Sutomo No. 18-24 Ponorogo

300,000 Masithah Marwa

55,000 46,500 50,500 60,500 40,000

150,000

200,000 Masithah 200,000 Marwa

120,000 Masithah 120,000 Marwa/Masithah

70,000 70,000

420,000 II AC II AC PLUS

350,000 385,000

195,000

400,000 Deluxe

300,000 Standart


340,000 II

200,000

150,000

700,000

400,000

250,000

225,000

175,000

75,000

350,000 Kelas II 300,000 Kelas II Kebidanan

250,000 Kelas III 250,000

150,000

100,000

345,000 Kls II

245,000 Kls III

PONTIANAK 05802 RSU. St. Antonius Jl. K.H. Wahid Hasyim No. 249 Pontianak 78112 05803 RSIA. Anugerah Bunda Khatulistiwa Jl. A. Yani Pontianak 05804 RS. Promedika Jl. Gusti S. Lelanang Blok EA No. 2-5 Pontianak Mall, Kal-Bar 27137 RS Mitra Medika Pontianak JL SULTAN ABDURRAHMAN NO 25 PONTIANAK

500,000 Superior

I

1,100,000 Isolasi 900,000 ICU/ICCU NICU HCU/PICU

650,000 650,000 450,000 650,000

PRABUMULIH 1

600

04401 RS. Pertamina Prabumulih Jl. Kesehatan No. 100 Prabumulih Sum-Sel

2

601

06602 RS. AR. Bunda Prabumulih Jl. Angkatan 45 Prabumulih 31121

1

602

03803 RS. Graha Sehat Jl. Raya Panglima Sudirman No. 2 Kraksaan - Probolinggo

1

603

0713-7000600 0713-382230

0713-325181 0713-321903

0713-382742 0713-322954

0713-325980

0335-846500

0335-846500

0281-635424

0281-638832

VVIP VIP A VIP B VIP C VVIP A VVIP B VIP

650,000 500,000 375,000 300,000 600,000 450,000 400,000

Kelas I A Kelas I B

175,000

PROBOLINGGO

PURWOKERTO 04802 RS. Bunda

250,000

VVIP

575,000 Utama

425,000 Kls I

70,000

175,000

Jl. Pramuka No. 249 Purwokerto 04801 RS. St. Elisabeth Jl. Dr. Angka No. 40 Purwokerto 53115 04803 RS Ananda Purwokerto Jl. Pemuda No. 30, Purwokerto

2

604

3

605

4

606

04805 RS Khusus Bedah Jatiwinangun Jl. Jatiwinangun No. 54 Purwokerto 53114

5

607

04804 RS ORTHOPAEDI PURWOKERTO JL SOEPARDJO ROESTAM NO 99 PURWOKERTO

1

608

0281-627384 0281-623771 0281-632833,625857 0281-636417 0281-631435

VIP

475,000

0281-627824

VVIP VIP

750,000 570,000

0281-640226

VVIP VIP

350,000 285,000

Kls I A (Kebidanan) Kls I B (Kebidanan) I I Plus

350,000 350,000 Kls II A (Kebidanan) 250,000 Kls II B (Kebidanan) 200,000 Kls II 225,000

200,000 200,000 Kls III A (Kebidanan) 160,000 Kls III B (Kebidanan) 175,000 Kls III

125,000 125,000 100,000 125,000

I

300,000 II

200,000 III

125,000

0281-5747373/638169

0281-623938

0281-6844166

0281-6844188

Tarif Menyusul

0275 - 641425 / 641650

0275 - 642560

VIP

427,000

325,000 A B

ICU

480,000 Isolasi

225,000

1,100,000 ICU 1,000,000 NICU 750,000 Isolasi

ICU

PURWOREJO 27374 RS PALANG BIRU KUTOARJO JL. MADITOMO NO.17 KUTOARJO-PURWOREJO JAWA-TENGAH

175,000 150,000

120,000 A B

800,000 750,000 250,000

495,000

250,000

750,000 Kls I 650,000 550,000 HCU 450,000

227,500 Kls II

150,000 Kls III

350,000

80,000 65,000

PURWAKARTA 1

609

06001 Siloam Hospital Purwakarta (ex RS. Efarina Etaham) JL. Bungursari - Purwakarta

2

610

06002 RSIA. Asri Purwakarta Jl. Veteran Sadang No. 15 Purwakarta 06003 RS. MH. Thamrin Purwakarta Jl. Purwakarta Cikampek Desa Cibening Kecamatan Bungur Sari Purwakarta 06004 RS. AMIRA Jl. Ipik Gandamanah RT 35 RW 03 Kelurahan Munjul Jaya Kecamatan Purwakarta

3

611

4

612

5

613

6

614

1

615

06005 RS. Khusus Bedah Rama Hadi Jl. Sadang Ciwangi - Bungursari Purwakarta 06006 RS. Bhakti Husada II Jl. Raya Sadang Subang Kp. Kiara, RT01/01, Ds. Cikumpay Kec. Cempaka, Purwakarta

0264- 219 168/ 0264-911 0843 0264-862 8900

0264-212674

President SVIP VIP

0264-211680

0264-219046 0264-219047

VVIP VIP

0264 - 8222222

0264 - 8222221

540,000 ICU 420,000 NICU PICU 650,000 Utama 550,000

VIP A VIP B

ICU NICU/PICU 0264 - 8221191 0264 - 8221192

0264 - 8221193

0264-202136

0264-202136

0264-8225 344

0264-8225255

0292-421087

F:0292-421370,425095

500,000 375,000

150,000


Isolasi

150,000 120,000

Isolasi

225,000

225,000

990,000 625,000

Super VIP VIP

605,000 495,000

Kls I

330,000 Kls II

209,000 Kls III Isolasi Perinatal

88,000 250,000 90,000

Paviliun VIP A VIP B VIP

600,000 375,000 275,000 320,000

I AC I Non AC

200,000 II A 150,000 II B

120,000 III 90,000

60,000

I

250,000 II

170,000 III

70,000

425,000 I Dws 250,000

200,000 Dws 250,000

125,000 III

90,000

250,000 175,000

150,000

110,000

70,000

403,000 Anna 357,000 Elisabeth/Frasiskus 345,000 Hyasinta

277,000 Anna 238,000 Elisabeth/Hyasinta 230,000 Isolasi Anna/Hyashinta

152,000 Anna 144,000 Fransiskus/Hyasinta

121,000 99,000

123,000 Isolasi Elisabeth

180,000

300,000 Kls II 350,000 200,000 200,000 195,000 170,000

150,000 Kls III

100,000

PURWODADI 01811 RS. Panti Rahayu Jl R. Suprapto No. 6 Purwodadi Jawa Tengah

Utama hcu

CEPU 1

616

05206 RS PKU Muhammadiyah Cepu Jl Ronggolawe No 137, Cepu Jawa Tengah

1

617

05101 RS. Misi Lebak Jl. Multatuli No. 41 Rangkasbitung 42311 Banten

0296-421727

0296-424678

0252-201014

0252-203390

VIP A VIP B

425,000 Utama A 300,000 Utama B

RANGKASBITUNG Lukas Anna Elisabeth

SALATIGA 1

618

17001 RSU. PURI ASIH Jl. Jenderal Sudirman No. 169 Salatiga 50743

2

619

27003 Rs Ananda Salatiga Jl Ki Penjawi No 5, Salatiga

0298 - 323209

0298 - 311466

0298-314151/314141

0298-322598

VVIP A VVIP B VIP A VIP B VIP

550,000 650,000 400,000 450,000 245,000

Kls I Kls I Kls I Kls I I AC I

A (Gdng Lama) A (Gdng Baru) B (Gdng Lama) B (Gdng Baru)

110,000

90,000 HCU

170,000

SAMARINDA 1

620

2

621

04002 RS. Islam Samarinda Jl. Gurami No. 18, Samarinda 75115 04003 RS. H. Darjad Jl. Dahlia, No.4 Samarinda

0541-741510 731857

0541 - 731856

0541-732698 0541-732648

0541-732562

VIP

600,000 Utama

550,000

622

04001 RS Dirgahayu Samarinda Jl Gn Merbabu No 62 Samarinda

4

623

27039 RS PKT Siaga Ramania Jl Ramania No 3 Samarinda-Kalimantan Timur

5

624

27087 RS Samarinda Medika Citra JL. KADRIE OENING NO.81 RT.35 SAMARINDA 75124

6

625

27332 RS SUMATERA EYE CENTER SAMARINDA JL. A. YANI NO. 6 A-B SAMARINDA

1

626

PANGKALAN BUN 27130 Klinik Kesuma Pangkalan Bun

175,000

90,000 Isolasi

SVIP VIP Plus VIP

Gedung Depan 3,900,000 1,100,000 1,000,000

IA IB

0541-742161/748309/748310

0541-744636

SVIP VIP Plus VIP Nilam VVIP VIP

2,500,000 850,000 775,000 1,500,000 1,150,000 Isolasi

Gedung Belakang

150,000 Gedung Belakang

750,000 II A 700,000 II B II Plus 465,000 435,000

295,000 Biduri 245,000 380,000

IA IB

I Tunggal (St Theresia) I Ganda (P. Gemma)

850,000 600,000

350,000 P. Gemma ST Yakobus, ST Michael ST Theresia

230,000 230,000 230,000

Gedung Belakang

Gedung Belakang

3

350,000

Gedung Depan

350,000

95,000

0541-739772

0541-7272667

VIP A VIP B

600,000 500,000

350,000

250,000

175,000

(0541) 7273000

(0541) 7272888

VVIP VIP

885,000 792,000

466,000

280,000

117,000

400,000

340,000

275,000

(0541) 200257, 200258

(0532) 23935

Tarif Menyusul

(0532) 23935

VIP

450,000

2

1

627

628

JL. ISKANDAR NO. 12 A Pangkalan Bun Kalimantan 27148 RS Citra Husada Pangkalan Bun Jl. Malijo Madurejo Arut Selatan Kota Waringin Barat Kalimantan Tengah

0532-2070777

0532-2070789

VVIP VIP

600,000 500,000

400,000

HCU

SANGATTA 06201 RS. PKT Prima Sangatta Jln. Yos Sudarso I No.1 Sangatta - Kutai Timur Kalimantan Timur 06205 RS. Khusus Bedah SOHC Sangata Jl Yos Sudarso IV No.1 Sangata-Kutai Timur Kalimantan Timur 75611 27014 RSUD Sangatta Kabupaten Kutai Timur Jl Soekarno Hatta Sangatta - Kabupaten Kutai Timur

300,000

525,000

200,000

Isolasi

200,000

0549-25927 0549-22005

VIP

470,000

Exclusive Ekonomi

445,000 Exclusive 176,000 Ekonomi/Kebidanan

295,000 151,000

91,000

0549-23417

0549-23417

VIP

300,000

Kelas I

200,000 Kelas II

125,000 Kelas III

80,000

0549-5501391

0549-5501391

0549-24222

VIP

350,000

300,000

250,000

150,000

Pavilliun I Pavilliun II VIP Tarif Menyusul

575,000 550,000 400,000

350,000

270,000


350,000

150,000

350,000

375,000 300,000

170,000

200,000

155,000

50,000

0549-24555 0549-5523333/5555

2

629

3

630

4

631

27031 RS Meloy Sangatta Jl Komp L Yos Sudarso 101 Kota Sangatta

0549-2026258

5

632

27035 RSIA Cahaya Sangatta Jl Yos Sudarso III Teluk Lingga

0549-5502490

0549-23928

6

633

27089 RS Pertamedika Aulia Sangatta JL KARYA ETAM 79 SANGATTA KALIMANTAN TIMUR

0549-2029456

0549-2029404

1

634

27038 RS PKT Bontang Jl Oxygen No 1 Bontang -Kalimantan Timur

0548-41118

0548-41555/0548-41188

Tarif Menyusul

BONTANG 700,000

600,000

500,000

Isolasi 2

3

635

636

27078 RS Amalia Bontang JL. R. SOEPRAPTO NO. 22 BONTANG BARU KOTA BONTANG KALTIM

0548-25050

27036 RSUD Taman Husada Bontang JL LETJEND S PARMAN NO 1 BONTANG KALIMANTAN TIMUR

0548-22111

0548-23275

0548-29111

VVIP VIP

VVIP VIP

650,000 450,000 ICU Isolasi 400,000 ICU/PICU/NICU 300,000 ISOLASI

450,000 350,000 500,000 150,000

TARAKAN 1

637

06203 RS Pertamina Medika Tarakan (PERTAMEDIKA) JL. Mulawarman No. 14, Tarakan Kalimantan Timur

1

638

1

639

06204 RSU Fatima Ketapang Jl Jend Sudirman No 27 Ketapang Kalimantan Barat

1

640

01801 RS. Telogorejo Jl. KH. Ahmad Dahlan

PALANGKARAYA 27381 RS. ISLAM PKU MUHAMMADIYAH PALANGKARAYA JL. RTA MILONO KM.2,5 MENTENG JEKAN RAYA PALANGKA RAYA KALIMANTAN TENGAH

0551-31403/31665

0551-33310

VIP Sweet Room

750,000 850,000

500,000

250,000

175,000

0536-3244801-4803

0536-3239444

VIP

490,000

347,000

232,000

173,000

0534-32814

0534-31649

VVIP VIP

1,180,000 687,000

388,000

245,000 III Anak III Dewasa Isolasi

120,000 90,000 390,000

024-8446000 024-8446444

024-8317410 024-8450333

VVIP VIP A VIP B VIP C VVIP A VIP A VIP B VIP

1,950,000 1,250,000 890,000 790,000 ICU/ICCU/PICU/NICU 2,178,000 847,000 726,000 600,000 A B

690,000 II

425,000 III

210,000

KETAPANG

SEMARANG

2

641

01802

3

642

01803

4

643

01804

5

644

01805

6

645

01806

7

646

01807

8

647

01808

9

648

01809

10 649

01810

11 650

12 651

13 652

Semarang RS. ST. Elisabeth Jl. Kawi No. 1 Semarang 50231 RS. Panti Wilasa "Dr. Cipto" Jl. Dr. Cipto No. 50 Semarang RS. Panti Wilasa "Citarum" Jl. Citarum No. 98 Semarang RS. Roemani Muhammadiyah Jl. Wonodiri No. 22 Semarang RS. Islam Sultan Agung Jl. Raya Kaligawe Km. 4 kotak pos 1235 Semarang RS. William Booth Jl. Jawa No. 20 Semarang RS. Banyumanik Jl. Bina Remaja 61 Semarang RS. Hermina Pandanaran Jl. Pandanaran No.24 Semarang RS. Permata Medika Jl. Moc. Ihsan No. 97 Ngaliyan Semarang

024-86466000 024-8310035 024-8310076 024-448566 024-3546040 024-3556691

024-8413373

024-3546042

024-3542224 3546043

024-3542063/3561514

024-8444623

024-8415752

024-6580019 024-70780040

024-6581928

024-8411800

024-7471519

VIP HCU VVIP VIP A VIP B VVIP VIP A VIP B A B

700,000 ICU/PICU/NICU 450,000 ICU Khusus 1,800,000 Utama 850,000 600,000 1,400,000 800,000 600,000 300,000 275,000

024-7462181

024-8411112/ 8442525

024-8450818

024 - 7625005, 7618800 024 - 762 6571

024 - 7621733

01812 RS Ken Saras Jl Raya Soekarno Hatta Km. 29 Bergas Ungaran Kab. Semarang

024-6922269

0298-522706

27076 RS Hermina Banyumanik Jl Jend. Polisi Anton Soedjarwo No 195 A, Kel Srondol Wetan Banyumanik

024-76488989

024-76479080

27297 RSIA Anugerah Semarang

024-8313543

024-8443016

I

775,000 665,500

Isolasi 544,500

333,000

750,000 145,000

475,000 IA 400,000 I B

375,000 A 350,000 B

550,000 550,000 650,000 Isolasi 550,000

475,000 Kls II A Kls II B 475,000 Isolasi 350,000

210,000 A 180,000 B Isolasi 275,000 Kls III 250,000 275,000 275,000

125,000 75,000 400,000 100,000

ICU/PICU

600,000 Isolasi 400,000

350,000 225,000

I

175,000 II A II B

100,000 III A 75,000 III B

60,000 40,000

225,000 Melati

150,000 III A III

125,000 100,000

605,000 II II A 605,000 250,000

363,000 III 272,000 Intermediate ICU/PICU/NICU 200,000 III

151,000 666,000 787,000 80,000

420,000

240,000

120,000

I

605,000 II

363,000 III

151,000

A

600,000

375,000


300,000 Dahlia

Suite Room SVIP VIP Suite Room VVIP VIP A VIP B VVIP VIP A VIP B

1,482,000 1,150,000 1,029,000 700,000 600,000 500,000 450,000 1,500,000 900,000 720,000

Suite Room SVIP VIP

1,482,000 1,150,000 1,029,000 ICU/PICU/NICU Isolasi 700,000

VIP

I Isolasi I

175,000

150,000

787,000 605,000

JL KALISARI BARU NO. 5-7 BARUSARI SEMARANG SELATAN JAWA TENGAH

B

500,000

SERANG 1

2

3

653

654

655

11001 RSIA. Budi Asih Serang Jl. KH. Sohari No. 39 Serang 42118

0254-212484

11003 RS. Sari Asih Serang Jalan Jend. Sudirman No. 38, Penancangan, Serang, Banten 27133 RS Hermina Ciruas JL. RAYA SERANG KM.9 DS.RANJENG CIRUAS

(0254) 220022

0254-213091 0254-208583

VVIP VIP

1,100,000 715,000

500,000

440,000


330,000 Isolasi

0254-281829

(0254) 220345

0254-281845

VVIP Double VVIP VIP SUITE ROOM SVIP VIP

1,700,000 950,000 800,000 1,482,000 1,150,000 1,029,000

ICU Isolasi INTERMEDIATE ICU/PICU/NICU

500,000 I 700,000 440,000 666,000 I 787,000

550,000

450,000 II

245,000 III

125,000

605,000 II

363,000 III

151,000

ISOLASI

605,000

A B

580,000 A 480,000 B

340,000 240,000

135,000

365,000

275,000

120,000

SIDOARJO 1

656

01901 RS. Delta Surya Jl. Pahlawan No.9

031-8961271 031-8961272

031-8961281 031-8963120 ADM

2

657

01903 RS Islam Siti Hajar Jl. Raden Patah No. 70-72, Sidoarjo

031-8921233 031-8961570

031-8944991

3

658

4

659

5

660

6

661

7

662

8

9

Super VVIP VVIP VIP A VIP B Deluxe SVIP VIP VVIP VIP A VIP B VVIP VIP

031-8972052 031-8974943

031-8988313

031-7881130 031-7872081,60134373

031-7876064

0321-361000

0321-361666

01907 RS Mitra Keluarga Waru Jl. Raya Letjen S. Parman No. 8

031-8543111

031-8534333

01910 RSAB. Soerya Jl. Raya Kalijaten 11-15, Taman Sidoarjo

031-7885011

031-7885011

663

01908 RSU Jasem Sidoarjo Jl. KH Samanhudi No 85 A Sidoarjo, 61216

031-8962129

031-8962129

VVIP VIP

664

01909 RSIA Kirana Sidoarjo Jl. Raya Ngelom No. 87 Taman Sidoarjo

031-7881623

031-7873010

VIP

10 665

27045 RSIA Prima Husada Sidoarjo Jl Letjen Suprapto No 3 Kepuh Kririman Waru-Sidoarjo

031-8672303

031-8684193

11 666

27101 RSU Bunda Sidoarjo JL KUNDI NO 70 KEPUH KIRIMAN WARU SIDOARJO 27304 RSIA MITRA HUSADA Jl. Raya Seruni 159 Gedangan Sidoarjo

031-8668880

031-8688218

12 667

01902 RSU. Anwar Medika Jl. Bypass Krian Km. 33 Semawut - Balongbendo Sidoarjo 01905 RS. Siti Khodijah Jl. Pahlawan no. 260 Sepanjang 01906 RS Citra Medika Sidoardjo Jl. Surabaya Mojokerto Km 44

Super VIP VIP

SVIP VIP A VIP B SVIP VIP

800,000 680,000 990,000 PAV A 825,000 PAV B 660,000 600,000 350,000 250,000 200,000 600,000 500,000 400,000 750,000 600,000 ICU NICU 1,950,000 1,400,000 1,100,000 650,000 500,000

485,000 425,000

125,000

150,000 Kelas II

Kelas I I Anak

300,000 II 250,000

200,000 Kelas III

225,000 175,000 175,000 600,000 II 625,000 II Anak

125,000

200,000 60,000

400,000 III 475,000 III Anak

265,000 350,000

Kelas I A Kelas I B


200,000 Kelas III 180,000

120,000

300,000 200,000

Kelas I

150,000 Kelas II

100,000 Kelas III

350,000

Kelas I Dewasa

275,000 Kelas II Dewasa

215,000 Kelas III Dewasa

Kelas I Anak

165,000 Kelas II Anak

115,000 Kelas III Anak

150,000

130,000 A B


420,000

300,000

102,000

250,000

200,000


Isolasi 400,000 I A 500,000 I B 550,000 Isolasi Kls I Dewasa Kls I Anak

540,000 HCU Isolasi

VIP

145,000 60,000

Kelas I

200,000

VIP


75,000


480,000 240,000

031-8917479

031-8918187

300,000

0562-631008

0562-633881

250,000

195,000 A B

175,000 115,000

65,000

45,000

0562-631791

0562-633359

Paviliun

500,000

340,000

210,000

120,000

75,000

0260-420406 0260-411632/4

0260-420391

VIP A VIP B VIP Parahyangan

450,000 360,000 385,000

250,000

200,000 A B

110,000 93,000

0266-222663 0266-222827

0266-213433

Suite Room VVIP Executive VVIP Deluxe VIP Suite Room SVIP VIP VIP

980,000 Utama 880,000 780,000 650,000 ICU 1,452,000 1,127,000 1,008,000 450,000

500,000 I

350,000 II

250,000 Isolasi

100,000 200,000

I

593,000 II

Isolasi 375,000

593,000 325,000 Kelas II

356,000 III Intermediate ICU/PICU/NICU 175,000

148,000 652,000 771,000 90,000

650,000 I

425,000 II

300,000 III

145,000

900,000 425,000

Isolasi 300,000

200,000

425,000 100,000

650,000

550,000 500,000 450,000 HCU 500,000 300,000 330,000 Isolasi

250,000

A B 800,000 A 550,000 B Isolasi 450,000

400,000

125,000

550,000 A 490,000 B

320,000 A 250,000 B

180,000 168,000

625,000 II A II

425,000 III A Dws 375,000 III

300,000 140,000

SINGKAWANG 1

668

05801 RSU. Santo Vincentius Jl. P. Diponegoro No. 5 Singkawang 79123 27001 RS Harapan Bersama Jl Pulau Belitung No. 61 Singkawang Kalimantan Barat

2

669

1

670

05701 RS. Perkebunan Nusantara 8 JL. Otto Iskandardinata No.1 Subang

1

671

01202 RS Islam Assyifa Jl. Jend. Sudirman No. 3 Sukabumi 43123

SUBANG

SUKABUMI

2

672

3

673

01203 RS. Hermina Sukabumi Jl. Raya Sukaraja Sukabumi 01204 RS. Bhakti Medicare Jl. Raya Siliwangi No. 186 B Cicurug Sukabumi 01205 RS. Kartika Medical Center Jl. Jendral Ahmad Yani No. 18A Sukabumi 27075 RS Kartika Cibadak JL. SILIWANGI NO.139, CIBADAK, SUKABUMI

4

674

5

675

1

676

02101 RS. Darmo Jl. Raya Darmo No.90

2

677

02102 RS. Adi Husada Undaan W. Jl. Undaan Wetan No.40-44 Surabaya

3

678

02104 RS. Adi Husada Kapasari

0266-6252525

0266-235020

0266-731555

0266-731899

0266-6250903-905

0266-6250901

SVIP VIP

1,100,000 900,000

(0266) 7160071

(0266) 535586

SVIP VIP

825,000 725,000

031-5676253-6 5618824

031-5620690

VIP A VIP B

1,150,000 1,000,000

031-5318000 08123101639

031-5474837 031-5484554 031-5321081

VIP A VIP B VIP C

1,650,000 1,450,000 1,200,000

031-3764555

031-3764666

VVIP

850,000

VIP

700,000 800,000

ICU

350,000

SURABAYA

Isolasi

Jl. Kapasari 97 - 101 4

679

02103 RS. William Booth Jl. Diponegoro No.34

031-5678917

031-5671380 031-5624868

VIP

5

680

02105 RS. Mitra Keluarga Surabaya Jl. Satelit Indah II

031-7345333 7345111

031-7345955

S-VIP VIP

I

Isolasi ICU 2,250,000 1,200,000

850,000 1,000,000 A B

A 182,000 B 700,000 1,000,000

500,000 170,000 200,000

Darmo Satelit

6

681

02108 RS. Premier Surabaya (Surabaya International) Jl. Nginden Intan Barat Blok B Surabaya 60118

ICU/ICCU HCU 031-5993211

031-5993214

Gold VIP Junior Suite VIP

800,000 Isolasi 700,000

1,800,000 1,325,000 1,050,000

Kelas I

650,000

600,000 Kelas II A Kelas II

400,000 Kelas III 350,000

150,000

400,000

200,000

100,000

70,000 60,000

900,000 A 750,000 B 550,000

450,000 A 350,000 B

280,000 250,000

160,000

425,000 350,000

275,000 A B III

170,000 110,000 95,000

450,000

300,000

150,000

600,000 II

150,000 100,000 300,000 90,000

Suite Gold SVIP SVIP Vip A Vip B

1,800,000 1,600,000 600,000 500,000

031-5674748

S-VIP VIP A VIP B

1,300,000 Utama A 1,200,000 Utama B 1,100,000

031-5031333 031-5031821

031-5031533 ADM 031-5039313

S-VIP VVIP VIP A VIB B

1,300,000 1,000,000 750,000 750,000

031-8284505

031-8284486

Muzdalifah Shofa

031-8471877

031-8414877

031-3294801 031-3294802 031-3294803

031-3294804

031-3531223

031-3541517

VVIP A VVIP B VIP SVIP VVIP VIP A VIP B VIP A VIP B

7

682

02106 RSAL. Dr. Ramelan Jl. Gadung No. 1 Surabaya

031-8438153

8

683

02109 RS. St. Vincentius A. Paulo Jl. Diponegoro No. 51 Surabaya

031-5677562

9

684

02107 RS. Siloam Hospital Surabaya Jl. Raya Gubeng No. 70 Surabaya 60281

02110 RS. Islam Surabaya Jl. Ahmad Yani No. 2-4 Surabaya 02111 RS. Islam Surabaya Jemur Sari (Islam II Surabaya) Jl. Jemur Sari 51-57 Surabaya 02112 RS. PHC Surabaya Jl. Prapat kurung Selatan No. 1 Tanjung Perak Surabaya 60165 02113 RS. Al Irsyad Surabaya Jl K.H.M. Mansyur 210-214 Surabaya

10 685

11 686

12 687

13 688

14 689

15 690

16 691

17 692

18 693

19 694

20 695

21 696

22 697

02114 RS. Bunda Surabaya Jl. Raya Kandangan No. 23-24 Surabaya

031-70078670 031-7440077

031-7442133

02115 RS. Husada Utama Jl. MayJend. Prof DR Moestopo 31-33-35 Surabaya 60131 02116 RS. Orthopaedic Center JL. Bawean 40 Surabaya, Jawa Timur 02117 RS. Onkologi Surabaya Araya Galaxy Bumi Permai Blok A-2 No. 7 Jl. Arief Rahman Hakim 182 Surabaya 60111 02120 RS Orthopedi dan Traumatologi Surabaya Emerald Mansion TX 10 Citraland Surabaya 02118 RS. Bhakti Rahayu Jl. Ketintang Barat I / 16 Surabaya 02121 RS Bedah Surabaya Jl. Raya Manyar No. 9 Surabaya, 60282 02119 RSIA. Kendang Sari Jl. Raya Kendang Sari No. 38 Surabaya 02122 RSIA. Tegal Sari (Pusura Group) Jl. Tegalsari 59 Surabaya

031-5018335

031-50183337

VVIP VIP

Suite VVIP VIP

900,000 600,000 1,200,000 1,000,000 800,000 1,750,000 1,500,000 980,000 850,000 450,000 400,000

031-5023554

031-5914855

Jawa Room

031-57431299

031-57431255

Suite Mansion

031- 8295922

031-8293839

VIP

031-5999369, 5999669

031-5995284

VVIP VIP

2,500,000 1,000,000

031-8436200

031-8494484

VVIP VIP

750,000 550,000

031-5473452

031-5462033

031-8476111

031-8476211/8476203

24 699

02124 National Hospital Jl Boulevard Famili Selatan Kav 1 Graha Family, Surabaya

031-2975777

031-2975789

25 700

27050 RS Mata Undaan Jl Undaan Kulon 19 Surabaya-60274

031-5343806/5319619

031-5317503

26 701

27051 RS Pura Raharja JL PUCANG ADI NO 12-14

031-5019898

031-5024591

VIP

27 702

27070 RS Surabaya Medical Service Jl Kapuas No 2 Surabaya

031-5686161

031-5633010

VIP

28 703

27086 RS Mitra Keluarga Kenjeran JL. KENJERAN 506 SURABAYA 60114

(031) 99000880

(031) 99000885

SVIP VIP

29 704

27150 RS Wiyung Sejahtera JL. KARANGAN PDAM NO.1-3 WIYUNG SURABAYA

(031) 7532653

(031) 7533726

VIP A VIP B

30 705

27359 RSIA PUTRI JL. ARIF RAHMAN HAKIM, NO.122 KEPUTIH,SUKOLILO

031-5999987

031-5997215

VVIP VIP

1

06401 RS. Pakuwon Jl. Raden Dewi Sartika No. 17 Sumedang 45311

0261-210834 0261-210932

0261-210932

VIP

Isolasi

700,000 Superior A Superior B 675,000 Superior C

525,000 Standart I 400,000 Standart II 225,000

300,000 A B Isolasi 320,000 Standart III 220,000 ICU/HCU

Utama A Utama B

300,000 275,000

225,000

200,000

125,000

Isolasi ICU/HCU 200,000 A B

150,000 250,000 100,000 85,000

350,000

200,000

200,000

150,000

225,000 Flores Room

125,000

I Utama

1,800,000 1,300,000 900,000 ICU/NICU/PICU Intermediate N/A

031-5021224

02123 RS Royal Surabaya Rungkut Industri I/1, Surabaya

- I

450,000 370,000 Isolasi ICU

031- 5914855

23 698

IA IB

250,000 250,000 450,000 700,000 1,000,000 Isolasi 800,000 N/A

750,000

1,250,000 Executive Mansion Superior

1,350,000 900,000

Suite Room VVIP VIP Executive SVIP VIP

3,950,000 Isolasi 2,950,000 2,450,000 1,950,000 1,100,000 900,000

300,000

350,000

150,000

Kelas I

500,000 Kelas II

300,000 Kelas III

150,000

Kelas I

400,000 Kelas II

250,000 Kelas III A III B


375,000

200,000


500,000

350,000

200,000

475,000 Kelas III

250,000

750,000

500,000 A B

300,000 125,000

A B

400,000 II 350,000

275,000 III

200,000

A B

360,000 A 260,000 B

225,000 A 200,000 B HCU 475,000

120,000 110,000 500,000 225,000

1,450,000 Kelas I Kelas IB

600,000

720,000

1,925,000 Utama 1,225,000 ICU/ICCU

300,000

400,000 Standart

450,000

VVIP VIP

700,000

Kelas 1A (Bali & Lombok Room ) 500,000 Sumba & Halmahera Room Kelas 1B ( Sulawesi Room ) 400,000 900,000 Deluxe 700,000

850,000

975,000

1,450,000 Kelas II 750,000

875,000

75,000

625,000 Isolasi A B C

700,000 600,000

1,000,000 800,000

675,000 475,000 375,000 310,000

185,000 A B

650,000

400,000


320,000 Kelas III

210,000

520,000 Isolasi

210,000

220,000 198,000 264,000 340,000

87,000 75,000 145,000 130,000

85,000 75,000

SUMEDANG 706

750,000 Utama

550,000 Kelas I

450,000 kelas II HCU

SURAKARTA 1

707

2

708

01101 RS. Panti Waluyo Jl. Jend. A Yani 1-2 Surakarta 01102 RS. Dr. Oen Surakarta

0271-712077

0271-729125

0271-643139

0271-642026

SVIP VVIP VIP SVIP Kebidanan

800,000 489,000 420,000 975,000 A

-

550,000 A

335,000 A B Isolasi 385,000 A

A B Isolasi A

Jl. Brigjen Katamso No. 55

3

709

4

710

5

711

6

712

7

713

8

714

9

715

10 716

01104 RS. Kasih Ibu Jl. Brigjen Slamet Riyadi 404

643076

0271-714422

0271-717722

0271-620220

0271-622555 0271-652411

0271-710571

0271-710572

0271-714578

0271-718745

01108 RS. Islam Kustati Jl. Kapten Mulyadi No. 249 Surakarta

0271-643013

0271-634823

01109 RSU. Brayat Minulya Jl. Dr. Setiabudi No. 106 Surakarta 01110 RS. Ortopedi Prof. DR. R Soeharso Jl. Jend. A Yani Pabelan Surakarta

0271-716646

0271-727309

0271-714458

0271-714058

27132 RS Hermina Solo JL KOLONEL SUTARTO NO. 16 KEL. JEBRES SURAKARTA JAWA TENGAH

0271-638989

0271-644525

Surakarta 57142 01103 RS. Oen Solo Baru Perumahan Solo Baru, PO Box 130 Solo Sukoharjo 57552 01105 RS. Islam Surakarta (YARSIS) Jl. Achmad Yani, Pabelan, Kartasura Sukoharjo Surakarta, 57162 01106 RS. PKU Muhammadiyah Surakarta JL. Ronggowarsito No. 130 Surakarta

VIP Kebidanan 685,000 B VIP A -Triganda 685,000 C VIP B - Triganda S5,S6, Teratai T5, Cempaka 620,000 K3,K4 SVIP 900,000 VIP A 650,000 VIP B 450,000 VIP B 400,000 VVIP Ibu dan Anak 1,650,000 VVIP Kwee Han Tiong VIP Ibu dan Anak 915,000 VIP Kwee Han Tiong VIP Yunior 780,000 Utama President Suite 1,500,000 VIP A Super VIP 750,000 VIP B 450,000 VVIP 950,000 VIP 650,000

Utama A Utama B VVIP VIP VIP Anak VIP Flamboyan VIP Sido Mukti VIP Sido Luhur SUITE ROOM SVIP VIP

795,000 620,000 545,000 300,000 400000 500,000

Anak Isolasi VIP Sekar Jagad VIP Sekar Asih

450,000 B 415,000 Isolasi Kls I

370,000 B C 465,000 Isolasi 330,000 Kls II

Isolasi 1,375,000 Kls I 450,000 Kls II Kebidanan 770,000 Kls I Kebidanan 520,000 550,000 Kls I (Gdg Drg Tjan Khee Swan) 410,000 Kls II (Gdg Drg Tjan Khee Swan) 500,000 300,000 400,000 ICU ICCU 500,000 400,000

400,000 I A 300,000 I B

105,000

200,000 Isolasi 365,000 Kls III Kebidanan Kls III (Gdg Drg Tjan Khee Swan) 225,000 150,000 500,000 Unit Stroke A 500,000 Unit Stroke B 275,000 Isolasi

200,000 150,000 115,000

165,000 125,000

75,000 500,000 400,000 150,000 225,000


155,000 130,000

360,000 II 360,000 Anak

260,000 III 200,000 Anak

115,000 100,000

225,000 Kls II

100,000 Kls III

50,000

I

593,000 II

356,000 III

148,000

ISOLASI

593,000

I Plus I

200,000 II 175,000

140,000 III

125,000

325,000 A

135,000

90,000

A 215,000 B 200,000 C 175,000

125,000 75,000 50,000 125,000 III A III B

90,000 75,000

200,000 II

150,000 III

100,000

150,000 Lili 150,000 Anyelir

175,000 Cempaka 115,000 Anyelir Anyelir Plus 200,000 Kelas III

115,000 Rawat Inap Tidak Untuk Pria Dewasa (> 18 thn) 90,000 115,000 100,000

Isolasi 500,000 ICU

200,000 650,000

450,000 I 425,000 Anak 360,000 300,000 Kls I 350,000

1,452,000 1,127,000 1,008,000

320,000 B 275,000 400,000 Isolasi 250,000 Kls III

65,000

KLATEN 1

717

27363 RS. CAKRA HUSADA JL. MERBABU NO.07, KLATEN

2

718

01107 RS. Islam Klaten Jl. Raya Klaten-Solo Km4 Klaten 57436

1

719

2

720

3

721

06301 RS. Jasa Kartini Jl. Oto Iskandardinata No. 15/Sarianingrat No. 2 Tasikmalaya 46113 06302 RS. Prasetya Bunda Jl. Ir H. Juanda No.1 Tasikmalaya 06303 RS. Permata Bunda Tasikmalaya Jl. Brigjen Wasitakusumah No. 1, Tasikmalaya

4

722

06304 RSIA. Widaningsih Jl. Sutisna Senjaya No. 130, Tasikmalaya

5

723

06305 RS Tasik Medika Citratama (TMC) Jl. KH Zaenal Mustofa No. 310 Tasikmalaya

0272-321123-322386

0272-329029

SVIP VIP Plus VIP

450,000 350,000 250,000 ICU

0272-322252

0272-332422

VIP Roudhloh VVIP VIP Zam-Zam VIP Siti Hajar

595,000 450,000 375,000 365,000

VVIP VIP A VIP B President Suite (VVIP)

600,000 500,000 350,000 500,000 Executive A Executive B Executive C 450,000 350,000

325,000

TASIKMALAYA 0265-331641 0265-331808

0265-331114

0265-344477-Opr

0265-342496

0265-345650

0265-345650

VVIP VIP

0265-334154

0265-332951

0265-322333

0265-326767

Tulip A Tulip Tulip B Suite Room VVIP VIP Super Deluxe

250,000 Gladiol 275,000 Lily 300,000 1,000,000 900,000 650,000 500,000

250,000 A B 400,000 250,000 300,000 I

225,000 Cempaka 250,000 Anyelir Kelas I

300,000 Kelas II

HCU

TEGAL 1

724

05401 RSU. Islam Harapan Anda Jl. Ababil No.42 Kota Tegal 52131

0283-358244

0283-351263

Anggrek Alamanda

2

725

0283-340 999 340 399

0283-340 902

SVIP VIP

330,000 Melati 275,000 Dahlia Teladan 889,000 Utama A 591,000 Utama B

3

726

05402 RS Mitra Keluarga Tegal Jl. Sipelem, Kemandungan Tegal 05403 RS Adella Jl. Prof. Moh. Yamin No. 77 Kudaile, Slawi Tegal

0283-491154/491773

0283-491354

VVIP VIP

323,850 269,450

4

727

05404 RS Mitra Siaga Tegal Jl. Pala Raya No. 54 Tegal, 52101

0283-322550 0283-341933

0283-351518

1

728

13001 RS. Kristen "Ngesti Waluyo" Jl. Pahlawan, PO BOX 1 Parakan - Temanggung 56254

0293-596008

0293-596410

1

729

0356-322744 0356-324618

0356-322666

Pav.Kenanga Mawar

700,000 Melati 400,000 Anyelir

2

730

05502 RS. Medika Mulia Jl. Mojopahit 699 Tuban - Jawa Timur 27320 RS NAHDATUL ULAMA JL. LETDA SUCIPTO NO.211 TUBAN-JAWA TIMUR

0356-328299

0356-712072

VVIP VIP

525,000 425,000

250,000 A 220,000 B 165,000 451,000 471,000 Kls I

Anggrek A Anggrek B Anggrek C

300,000 Bougenville 280,000 210,000

95,000 90,000

45,000

30,000

276,000

150,000

200,000 Kls II

Isolasi ICU/ICCU 124,000 Kls III

120,000 286,000 660,000 87,000

175,000 Aster I Aster II

100,000 Melati 70,000

55,000

150,000

100,000

50,000

TEMANGGUNG 250,000

TUBAN

Isolasi ICU

350,000 270,000

225,000 IIA IIB

170,000 140,000

A B

325,000 A 285,000 B

185,000 110,000

100,000

IA IB IC

160,000 Muzdalifah 100,000 70,000

A B C

250,000 175,000 150,000

100,000

60,000

IA IB IC

485,000 A 450,000 B 415,000 C

395,000 375,000 285,000

165,000

ICU

400,000 75,000

60,000 Zaal Minaa

35,000

185,000 200,000

TULUNG AGUNG 1

731

2

732

1

733

05504 RS. Islam Orpeha Tulungagung Jl. KHR. Abdul Fatah Batangsaren Kauman Tulung Agung 66261 27154 RS ERA MEDIKA TULUNGAGUNG JL RAYA PULOSARI NGUNUT TULUNGAGUNG 66292

0355-323186

0355-327691

0355-398706/396566

0355-398706

0274-586688 521249 (Pendaftaran) 586695 (Sekretariat)

0274-563312 Piutang

VIP A VIP B VIP C

400,000 350,000 300,000

VIP A VIP B

1,650,000 995,000

YOGYAKARTA 02002 RS. Bethesda Yogyakarta Jl. Jend. Sudirman 70

2

734

02001 RS. Panti Rapih Jl. Cik Ditiro No. 30 Yogyakarta 55223

0274-514014 0274-514845 0274-563333

0274-564583

VIP C VIP D VIP E VVIP VIP A VIP B VIP C

3

735

02003 RS. Panti Nugroho Jl. Kaliurang Km. 17 Yogyakarta

0274-895186 897231

0274-897232

VIP

715,000 550,000 475,500 1,500,000 Maria/Yosef 950,000 Carolus Utama 750,000 650,000

ID 800,000 A 500,000 B

Carolus I A Carolus I B

4

736

02006 RSU. PKU Muhammadiyah Jl. KH.A. Dahlan No. 20 Yogyakarta

5

737

02004 RS. Ludira Husada Tama Jl. Wiratama No.4 Tegalrejo, Yogyakarta

6

738

7

739

8

740

9

741

10 742

02007 Jogja Internasional Hospital Jl. Ring Road Utara No. 160 Condong Catur, Depok Sleman Yogyakarta 55283 02008 RS. Panti Rini Jl. Solo KM 12.5 - Kalasan Yogyakarta

0274-512653

0274-566129

0274-620333 0274-620091-cs 0274-620373 0274-620282 0274-4463555-UGD 0274-4463535/4463190

0274-589087 0274-563669 MKT 0274-4463581 Billing 4462939 MKT 4463444

Zam-Zam 1 Zam-Zam 5 Zam-Zam 2,3,4,6,7,8,9 Shofa 6,9,10 Shofa 5,7,8 Shofa 1,2,3,4 Sakinah 1,2,3 Suite A Suite B Suite C VVIP VIP

300,000

325,000 300,000 275,000 300,000 275,000 250,000 325,000 950,000 525,000 525,000

D E 289,000 650,000 II Isolasi 550,000 Carolus II dan IV

245,000 197,200 315,000 240,000 Elisabeth

140,000 120,000

990,000 Elisabeth AC 860,000 Elisabeth Non AC 230,000 A (AC) A (NON AC) II B

280,000 III Isolasi 210,000 185,000 140,000 120,000 HCU 125,000 Marwa 75,000 Sakinah 100,000 Ibnu Shina 90,000 Arofah

315,000

Marwa 1,2 Ibnu Shina

300,000 Sakinah 230,000 Ibnu Shina Muzdalifah Muzdalifah 1 Plus

200,000 100,000 125,000 135,000

A B C1 C2

450,000 1a 390,000 1b 330,000 1c 300,000

285,000 260,000 200,000

150,000

350,000

175,000

ICU Standart Room A ICU Standart Room B Utama I Utama II

400,000 550,000 260,000 235,000

1,000,000 600,000

Sakinah Ibnu Shina Multazam Raudhah

95,000

Alamanda

98,000

90,000 450,000

0274 - 496022 0274 - 496264 0274 - 497323

0274 - 497206

02010 RS PKU Muhammadiyah Unit II Gamping Sleman Jl. Raya Wates Km 5.5 Gamping , Sleman Yogyakarta

0274-6499704, 6499706

0274-6499727

VIP

410,000

Kelas I

250,000 Kelas II

175,000 Kelas III

100,000

02009 RS Queen Latifa Jl. Ring Road Barat, Mlangi Nogotirto Gamping, Sleman 27172 RS HERMINA JOGJA JL MATARAM HERMINA RINGINSARI RT 06/05 MAGUWOHARJO DEPOK SLEMAN JOGJAKARTA

0274-581402

0274-626309

VIP

350,000

Kelas I

235,000 Kelas II

160,000 Kelas III

110,000

0274-2800808

0274-2800909

Suite SVIP VIP

I

593,000 II

356,000 III

148,000

ISOLASI

593,000

1,452,000 1,127,000 INTERMEDIATE 1,008,000 ICU/PICU/NICU

210,000

60,000

300,000 50,000 50,000 50,000 50,000

55,000

652,000 771,000

NTT KUPANG 1

743

04703 RS. ST. Borromeus Kupang Jl. HR. Koroh KM. 8 Bello Kupang

0380-8030530

Tarif Menyusul

2

744

04713 RSIA Dedari Kupang Jl. Rantai Damai No. 69D Oebufu Kupang-NTT

0380-8081278 0380-8553914 0380-826774

0380-8553914

SVIP VIP

3

745

27134 RS SILOAM KUPANG JL RW MONGINSIDI RT 014/004 FATULULI-KUPANG

0380-8530900

0380-8530933

1

746

23001 RS Mutiara Sorong Jl. Maleo No. 2-A HBM Remu Utara Kota Sorong, Papua

0951-327433/324593

2

747 23002

3

748

23003 RS Pertamina Sorong Jl. A.Yani No. 13 Kota Sorong

1

749

00326 Raffles Hospital Singapore

550,000 350,000

250,000

200,000


Presidential VVIP VIP

1,200,000 960,000 810,000

410,000

300,000

120,000

0951-327433

VIP Utama Vip 1-2

1,000,000 I Utama M1, M2, M3 900,000 I Utama M4, M5, M6 I Utama M8, M9, M10

0951-321946

0951-323823

VIP

400,000

Kelas I

500,000 A3, A4, A7, A8, A9 B4, B5, B6 Jamrud 1-4 jamrud 5 Jamrud 2-3 Jamrud 6-7 300,000 Kelas II

400,000 400,000 300,000 350,000 275,000 250,000 225,000

Kelas III

120,000

0951-321326

0951-326110

VVIP VIP

750,000 600,000

Kelas I

375,000 Kelas II

250,000 Kelas III

150,000

065-6311-1166

065-6311-1570

Raffles Suite, Victoria Suite

S$ 3032 Deluxe Room

S$ 859

Nicoll Suite, Ophir Suite

S$ 1974 Single Room

S$ 588

Executive Suite

S$ 1474

PAPUA

RS TNI AL dr. R. Oetojo Sorong Jl. A. Yani Klademak III Sorong Papua-Barat

650,000 700,000 750,000

Intan Intan Intan Intan

Anak Pria Wanita Umum

215,000 215,000 215,000 215,000

SINGAPORE 585 North Bridge Road

065-6311-1888

Singapore 188770

2 Bed Room

S$ 300

4 Bed Room

S$ 231

6 Bed Room

S$ 168

2 Bed

RM 100

3 Bed

RM 80

4 Bed Isolasi ICU

RM 80 RM 150 RM 240

2 bed

RM 70

3 bedded

RM 60

Open Ward

RM 50

MALAYSIA 1

750

18001 Penang Adventist Hospital 465 Jalan Burma 10350 Penang, Malaysia

604-2227250

604-2278512

New Wing Diamond Suite VIP suite Executive Heritage Wing Isolasi

RM 720 Private RM 570 RM 200

RM 200

RM 80

Note : Bagi yang hendak melakukan perawatan di Raffles Hospital Singapore, harap menghubungi Customer Service PT AJ Manulife Indonesia terlebih dahulu untuk mendapatkan surat jaminan Bagi peserta AJMI yang hendak melakukan perawatan di RS Luar Negeri, Mohon melakukan konfirmasi ke bagian Penjaminan Rawat Inap AJMI Note : (*) Kerjasama dengan Mount Elizabeth Orchard, Novena, Gleneagles dan Parkway hanya berlaku untuk dokter-dokter tertentu dengan list terlampir dan harap menghubungi Customer Service 021-2555 7788 Note : Ket : Warna Pink Provider baru Ket : BOLD ada perubahan tarif RS MEDISTRA

DENPASAR

DENPASAR

DENPASAR

DENPASAR

DENPASAR

DENPASAR

DENPASAR

DENPASAR

DENPASAR

DENPASAR

DENPASAR

DENPASAR

INDONESIA ACEH RS. Tengku Fakinah , , ,000 75,000 Jl. Jend Sudirman No

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