Jan, 2012

NO.

NAMA RUMAH SAKIT

TELEPON

FAX

0651-41454
0651-47646

0651-47646

0651-7428872
0651-7428873 (Asuransi)
0651-7428871
0651 - 638701

0651-21671

0651-638692

SVIP (Riyadh)
VIP (Jedah)

0645-40300,47010,42617

0645-40300

VIP

UTAMA

VIP

KELAS I

KELAS III

KELAS II

INDONESIA
ACEH
1

RS. Tengku Fakinah

Jl. Jend Sudirman No. 27-29

RS. Permata Hati Aceh

Jl. Sultan Iskandar Muda No. 217
Banda Aceh 23233
RS. Bulan Sabit Merah Indonesia
Jl. Sultan Malikul Saleh No. 17 Lamlagang
Banda Aceh
RS Kesrem Aceh
Jl Samudera No. 53A, Lhokseumawe, Aceh Utara
RS meminta ditutup sementara kerjasamanya.
RS PMI Aceh
Jl Samudera Kota Lhokseumawe

RS. Harapan Bunda Aceh

Jl. Teuku Umar No. 181-211, Banda Aceh

RS. Bhakti Rahayu

Jl. A. Yani (Belakang RRI)

RS Sari Mulia
Jl. Pangeran Antasari
Banjarmasin
Ditutup sementara 10 Juni 2011

RS. Pertamina Balikpapan

Jl. Jend. Sudirman No. 1
Balikpapan

0645-43012

350,000

SVIP
VIP
Sweet Room
SVIP ATAS
SVIP BAWAH
VIP

250,000

200,000

Seulanga

250,000

150,000 Cemara

150,000

500,000
350,000

Mina

300,000 Musdalifah

200,000 Mekah

80,000

175,000

125,000 II

175,000
150,000

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

0651-48114
0651-41278

0651-40856

0911 - 324746
0911 - 311741

0911 - 311741

0511-3261491

0511-266960

Super VIP
VIP +
Cendrawasih
Kenari

690,000
625,000
475,000
425,000

A
B

0542-734020

0542-736134

Executive
Bisnis
Commerce

900,000
625,000
500,000

- IA
IB

75,000

80,000 III

60,000

115,000 II
ICU

90,000 III
200,000

60,000

335,000 II

285,000 III

200,000

400,000

300,000

200,000

325,000 Dewasa II
300,000 Anak II

175,000 Dewasa III

175,000 Anak III

90,000
100,000

425,000
325,000

200,000

145,000

450,000 Amestyst I

320,000 Amethyst II

270,000

450,000 II

250,000

175,000

AMBON
450,000

BANJARMASIN

BALIKPAPAN

Suite
Ket : biaya blm dgn biaya makan

Executive
Bisnis
Comerce
Emerald/Topaz
Ruby

10 RSIA. Permata Hati Balikpapan

Jl. Imam Bonjol No.1

0542-413932

0542-413928

11 RS. Balikpapan Baru

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

0542-877330

0542-877331

VIP

2,000,000
1,800,000
1,600,000
750,000 Saphire
675,000
650,000
550,000

12 RS. Siloam Balikapapan (Balikpapan Husada)

Jl. MT Haryono No. 9
Ring Road Balikpapan 76114

0542-7206509

0542-7206517

VVIP
VIP A
VIP B

1,000,000
660,000
510,000

475,000

325,000

250,000

115,000

13 RS. Awal Bros Batam

Jl. Gajah Mada Kav. 1 Baloi
Pulau Batam
14 Klinik Bersalin Ernes
Jl. Permaisuri No. 8
Tanjung Uban
15 RSB Budi Rosari (Yayasan Budi Rosari)

0778-431777

0778-430777

Pres Suite
VIP

1,200,000
850,000

450,000

260,000

125,000

150,000

80,000

575,000 Topaz

BATAM

0771-483212

0778 - 427854

0771-482738

0778 - 432833

VIP

250,000

Super VIP Tulip

300,000

Anggrek

200,000 Dahlia

150,000 Melati

100,000

Jl. Mahkota Simpang No. 1 Bengkong

Batam
16 RS. Santa Elisabeth Batam
Jl. Anggrek Blok II
Batam

VIP Mawar

250,000
540,000
470,000
420,000

0778-457357
0778-421198

0778-457710

VIP
VIP A
VIP B

0717-95837/93335

0717-953335

Tarif menyusul

VVIP
990,000
VVIP Anak
770,000
VIP A
700,000
VIP A (OBAJA)
560,000
VIP
800,000
VIP B (DEBORA, LCA, PETRA)
460,000
VIP C
205,000
VIP C (NAZARETH, ABEDNEGO)
410,000
Suite
1,150,000
Super VIP A
1,000,000
Super VIP B
900,000
VIP A
850,000
VIP B
775,000
VIP C
700,000
Suite
1,300,000
VVIP
1,100,000
VIP A
1,000,000
VIP B
950,000
VIP C
900,000
Super VIP
700,000
VIP A Plus
600,000
VIP A
525,000
VIP B
400,000

I Anak
I Dws

345,000
320,000

145,000

105,000

BANGKA BELITUNG
1

17 RS. Medika Stannia

Jl. Jend. Sudirman No. 3, Sungai Liat Bangka

18 RS. Immanuel
Jl. Kopo No.161

022-5224214-21
022-501672

022-5224219

19 RS. Advent Bandung

Jl. Cihampelas 161
Bandung 40131

022-2034386-9
022-2038004-6

022-2043167
022-2034346

20 RS. Santo Borromeus

Jl. IR. Juanda No.100
Bandung 40132
humas@borromeus.com

022-2552000

022-2504235

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

022-7301062

022-7323545

22 RS. Al-Islam Bandung

Jl. Soekarno Hatta No. 644

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

022-7563233

23 RS. Santo Yusup

Jl. Cikutra No. 7
Bandung 40124
24 RSUD Islam Al-Ihsan
Jl. Ki Astramanggala Baleendah
Bandung 40281
25 RS. Hermina Pasteur
Jl. Dr. Djunjunan No. 107
Bandung 40173
26 RSU. Bungsu
Jl. Veteran No. 6
Bandung
27 RS. Mitra Kasih
Jl. Raya Cibabat No. 341
Cimahi
28 RS. Cahya Kawaluyan
Jl. Parahyangan KM. 3
Kota Baru Parahyangan, Padalarang Bandung 40553
29 Santosa Hospital (Santosa Bandung Intl Hosp)
Jl. Kebonjati No. 38
Bandung 40181
30 RS. AMC
Jl. Raya Cileunyi - Rancaekek
Bandung
31 RS Hermina Arcamanik
Jl. A.H Nasution Km 7 no 50, Kecamatan Antapani
Bandung

022-7208172

022-7202419

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

022-5941709

022-6037815

SVIP
VIP

022-4231550
022-4231695

022-4231582

022-6654852
022-6652774

022-6654875

022-6803700
022-70830807

BANDUNG

10

11

12

13

14

BANYUWANGI

VIP A
VIP B
VIP C +
VIP C

I
675,000 IIA
350,000 III A
165,000
I (NAZARETH, MAGDALENA,
360,000PETRA,
IIA (ABEDNEGO,
ABEDNEGO)
DEBORA,210,000
ELISABETH,
III B HANA, LCB, LUKAS, MAGDALENA)
130,000
IA
620,000 IIB
300,000
IA (JOKEBETH)
310,000 IIB (ABEDNEGO, LUKAS, PETRA)
160,000
IB
510,000 IIC
65,000
IB (HANA, PETRA)
260,000 IIC (DEBORA, ELISABETH)130,000
IC
440,000
A
B

800,000 IA Yosef
IA Maria

A
B
C
D

425,000 A
350,000 B
C

210,000 A
185,000 B
160,000 C
D

130,000
110,000
90,000
80,000

450,000 II Yosef
450,000 II Maria

250,000 III A
250,000 III B
III Elisabeth

180,000
180,000
180,000

375,000 II A
350,000 II B
300,000
190,000

165,000
130,000

70,000

800,000 RG VIP A
700,000 RG VIP B
600,000
550,000

400,000 A
350,000 B

350,000 A
300,000 B

250,000
200,000

120,000
100,000

600,000 Utama Plus

550,000 Utama
500,000
500,000

550,000 I Plus
550,000 I
IA
-

475,000
365,000
350,000
250,000 A
B

165,000

135,000

150,000
115,000

70,000

1,000,000
850,000

750,000

440,000 II
II A

260,000
225,000

115,000

PAV. ANGGREK
VIP
VIP A
VIP A
VIP B

550,000
450,000
400,000
600,000
550,000

350,000

250,000

200,000 III A
III B

90,000
85,000

240,000

155,000

85,000

022-6803711

Executive

600,000 Deluxe

400,000 Superior A

220,000 Superior B

160,000 Standar A

120,000

022-4248333
022-4248555

022-4248111

400,000
800,000
600,000
230,000 IIA
IIB

225,000 A
B

150,000
70,000

022-7781629

1,250,000 Isolasi
850,000
650,000
395,000
345,000

700,000
450,000 ICU Suite
ICU I

022-7781630

P.Suite
Suite
Jr Suite
VVIP
VIP

165,000 III A
120,000 III B

022-87242525

022-7271771

SVIP
VIP

1,000,000 Utama
850,000

750,000 I

440,000 II
II A

260,000 III
225,000

Yasinta
Utama Anggrek
Utama Mawar
VIP

97,500
97,500
115,000

32 RS. Al Huda
Jl Raya Gambiran No 225
Gambiran Banyuwangi

33 RS. Mekar Sari

Jl. Mekar Sari No.1
Bekasi 17112
34 RS. Karya Medika I
Jl. Raya Imam Bonjol No. 9B
Cikarang Barat
35 RS. Karya Medika II
Jl. Hasanudin No. 63 Tambun
Bekasi

0333-842033
0333-842118

0333-842037
0333-847682

I
IA

021-8802641
021-8801891

021-8810055

S-VIP
VIP

460,000
390,000

021-8900190

021-89107753

VIP

528,000

021-88324366
021-70207483

021-88327514

VIP
Anak

575,000
445,000

225,000
180,000

125,000

50,000

325,000 A
260,000 B

220,000 A
170,000 B

150,000
100,000

352,000

385,000
385,000 Anak

176,000 A
B
C
195,000
190,000 Anak

110,000
88,000
82,500
110,000
99,000

615,000 A
B

365,000
295,000

145,000

440,000

260,000
225,000

115,000

BEKASI

- A
B

Anak

36 RS. Mitra Keluarga Bekasi Barat

Jl. A. Yani
Bekasi 17144

021-885 3333

021-8842550
021-8855000

Super VIP
VIP

1,595,000
1,085,000

37 RSIA. Hermina Bekasi

Jl. Kemakmuran No. 39
Margajaya, Bekasi
38 RS. Annisa
Jl. Cikarang Baru No. 31
Cikarang Utara Bekasi 17836
39 RS.Siloam Gleneagles Cikarang
Lippo Cikarang Bekasi
Bekasi
40 RS. Bhakti Kartini
Jl. Kartini No. 11 Margahayu
Bekasi
41 RS. Kartika Husada
Jl. Raya Mangunjaya, Kp. Rukem
Tambun-Bekasi
42 RS. Anna
Jl. Pekayon Raya No. 36

021-8842121

021-88952275

SVIP
VIP

1,000,000
850,000

750,000

10

12

13

14

15

16

17

18

19

20

21

Bekasi Selatan
43 RS. Bella
Jl. Ir. H. Juanda No. 141
Bekasi
44 RS. Sentosa
Jl. Pahlawan No. 60
Bekasi Timur
45 RSIA. Setia
Jl. Raya Serang Cibarusah 41
Cikarang Selatan , Bekasi
46 RS Ananda Bekasi
Jl. Sultan Agung No. 173
Bekasi Barat
47 RS. Mitra Keluarga Bekasi Timur
Jl. Pengasinan-Rawa Semut Margahayu
Bekasi Timur 17113
48 RS Hermina Galaxi (Medika Galaxi)
Jl. Gardenia Raya Selatan Blok BA I 11,
Villa Galaxi, Bekasi Selatan 17147
49 RS Sentra Medika Cikarang (Medika Cikarang)
JL. Raya Industri Pasirgombong
Jababeka, Cikarang, Bekasi
50 RS. MULTAZAM MEDIKA (Al-Multazam)
Jl.Raya Perum Jatimulya,
Pengkalan Koasi, K-19, Tambun
51 RSIA. Amanda Serang
Jl. Raya Serang No. 83
Cikarang Selatan 17550
52 RS. (Harapan Keluarga) Hosana Internasional
(RS. Harapan Internasional)
JL Kasuari Raya Kav. 1A & 1B
Jababeka Cikarang Baru

021-8904165
021-8903350
021-8904503
021-8904165/8901962/8904503
021-89901088
021-8972470

VIP

475,000

VVIP
VIP

600,000
450,000

A
- I UTAMA

400,000 A
B

265,000 A
N/A
B

90,000
N/A

250,000

150,000

65,000

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

021-8824228

VIP

550,000

385,000

210,000

100,000

021-88322529

VIP

360,000

285,000 A
B

225,000 A
190,000 B

125,000
100,000

021-82419079

175,000

75,000

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

650,000
550,000
500,000
450,000
450,000

300,000
275,000

021-8801775
021-8801778
021-68617182
021-8806140

Super VIP A
Super VIP B
VIP A
VIP B
VIP

300,000

175,000

100,000

200,000

150,000

90,000

021-8971240

021-8975249

150,000

021-8854338

021-88950141
88855526

VVIP
VIP

850,000
550,000

105,000 III A
III B
III ANAK
175,000 III A
III B

60,000
60,000
70,000
75,000
95,000

021-89999 222
021-881 7777

021-882 0707

SVIP
VIP

1,595,000
1,085,000

021-82417777

021-82414087

VIP

810,000 Utama

021-8904160-64

021-8900751

SVIP
VIP

600,000
450,000

021-8215101/02

021-82416678

VIP

400,000

021-8971643
021-70150228

021-8971643

200,000

021-89840745

021-89835839

500,000

Dewasa
Anak

275,000

300,000

615,000 IIA
IIB

365,000
295,000

145,000

725,000

425,000

255,000

110,000

350,000

300,000

165,000

80,000

300,000 II Dws
II Anak

200,000
200,000

100,000

120,000

90,000

60,000

350,000

200,000

Isolasi A
Isolasi B

95,000
350,000
250,000

22

Bekasi 17550
53 RSIA. Taman Harapan Baru
Jl. Taman Harapan Baru Raya
Blok R1 No. 20, Pejuang Bekasi

021-88871202

021-88871203

23

54 RS. Graha Juanda

JL. IR. H. Juanda, No.326

021- 88346880
021- 8811832

021 - 8821004

24

55 RS. St. Elisabeth Bekasi

Jl. Raya Narogong 202,
Kemang Pratama, Bekasi 17776
56 RS. Medirossa
JL. Industri Tegal Gede
Cikarang 17550
57 RS. Citra Harapan
Jl. Raya Harapan Indah No. 3-5
Medan Satria, Bekasi barat
58 RS. Jati Sampurna
Jl. Raya ANTV Jati Sampurna
Bekasi
59 RS. Citra Medika
Jl. Raya H. Bosih No 117
Desa Wanasari, Kec Cibitung, Kab Bekasi 17150
60 RS. Budi Lestari
Jl. KH Noer Alie No 2
Depan Perumnas II Bekasi 17144
61 RS. Permata Bunda Bekasi
Jl. Grama Puri I Blok CI No. 8-10
Wanasari Cibitung Bekasi
62 RS. Rawa Lumbu
Jl. Dasa Darma No.20-23
Rawa Lumbu, Bekasi
63 RSIA. Ridhoka Salma
Jl. Imam Bonjol No.7 Gardu Sawah
Cikarang Barat - Bekasi
64 RSIA Kartika Husada Cikarang
Jl. Utama B II No. 1 Cibarusah
Cikarang Selatan - Bekasi
65 RS. Hosana Medica Bekasi
Jl. Pramuka No. 12
Rawa Panjang-Rawa Lumbu, Bekasi
66 RB. Harapan Sehat Mega Regency
Perum Mega Regency
Jl. Raya Mega Regency Blok : AI1 No. 3, Serang Baru
Cibarusah - Cikarang
67 RS. Bhakti Husada
Jl. RE Martadinata
Bekasi
68 RS. Juwita
Jl. M Hasibuan No. 78
Bekasi
69 RS. Awal Bros Bekasi (Global Awal Bros)
Jl. KH Noer Alie Kav. 17-18
Kalimalang
Bekasi Selatan
70 RS. Hosana Medica Lippo
Ruko Thamrin Blok C3 Lippo Cikarang
Cikarang
71 RS. Hosana Medika Pilar (Miracle Medika Cikarang)
Jl. Ki Hajar Dewantara 33
Cikarang Utara

021-82430101
021-82432082

021-82432082

021-89833216

021-8934979

021-88870606
021-88870909

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

Diamond/kristal

IA
IB

450,000

400,000

350,000
250,000

200,000 A
B

125,000
100,000

300,000 Anak

200,000 Anak
175,000

100,000
90,000

VVIP A
VVIP B
VIP
SVIP
VIP

1,150,000
985,000
750,000
450,000
400,000

450,000

250,000

120,000

325,000

021-88975555

VVIP
VIP

1,025,000
790,000

395,000

200,000 A
B
C
230,000

90,000
80,000
60,000
120,000

021-8451457

021-8455712

VIP

700,000

350,000

250,000

80,000

021-88372886
021-88320176

021-88372866

200,000

125,000

85,000

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

021-8893487

300,000

200,000

95,000

350,000
280,000

195,000

105,000

250,000 IIA
II B

185,000
140,000

70,000

275,000

165,000

90,000

360,000

285,000 II A
II B

225,000 IIIA
190,000 IIIB

450,000

250,000

175,000

85,000

344,500
300,000
300,000
360,000

185,500

86,500

210,000

100,000

480,000

250,000

128,000

225,000

150,000

80,000

130,000

75,000

021-82422511-12

021-88373157
021-88328001

550,000 A
B
VIP A
VIP B

525,000
445,000

021-82422511
tekan 4

390,000

021-89116527

021-89116528

385,000

021-88327281

021-88338346

021-8221570 ext 405

021-8221574

021-70938708

021-88336674

Tarif Menyusul

021-8900530

021-8900570

VIP
ICU

460,000
460,000

021-8829590

021-8829592

SVIP
VIP

900,000
600,000

021-8868888

021-88855210

SVIP
VIP

1,050,000
835,000

VIP

475,000
425,000

275,000

IA
IB
Perinatologi

021 - 897 2472

021 - 89900769 VIP

400,000

021 - 8911 6177

021 - 89116179

350,000

200,000

72 RSIA. Masmitra
Jl. Kelurahan Jati Makmur No. 40
Pondok Gede

021 - 84999026
021 - 84971766

021 - 8483047

800,000

350,000

73 RS. Permata Bekasi

Jl. Legenda Raya No. 9 Mustika Jaya

021 - 8254748

021 - 8251919

SVIP

300,000

Isolasi
Pernatologi
VVIP
VIP

750,000
600,000

IA

400,000 II A
II B

125,000
100,000

200,000 III
200,000 HCU
200,000

120,000
350,000

250,000
175,000

100,000

Bekasi
43

74 RSIA. Karunia Bunda

Jl. Raya Jatiwaringin No. 133, Pondok Gede
Bekasi 17411

021-8461970
021-8460991

021-8460991

44

75 Klinik dan RB Tiara Bunda

Jl. Perjuangan Rt005/02, Kel. Teluk Pucung
Bekasi

021-89131010

021-8220231

45

76 RS Hermina Grand Wisata

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

021-8265 1212

021-825 2963

46

77 Klinik dan RB Guci Medika

Jl. Pramuka No. 79, Rawalumbu, Bekasi

021-82433158

021-8221921

47

78 RSIA. Puspa Husada

Jl. Pondok Timur Km1, Jatimulya, Tambun Selatan,
Bekasi Timur

021-82618978/79

021-82618977

48

79 RS. Mitra Keluarga Cikarang

Jl. Industri Raya Lemah Abang, Cikarang, Bekasi

49

80 RSIA. Anna Medika

Jl. Raya Perjuangan No. 45, Bekasi

021-88882211

021-88793042

50

81 RSIA. Graha Asri

Jl. Raya Citanduy Blok L 11 No. 1, Cikarang Utara, Bekasi

021-89143036

021-89143860

51

82 RSIA. Mitra Medika

Jl. Kp. Kamurang, Jatiwangi, Cikarang Barat, Bekasi

021-89983575

021-32206555

VIP

52

83 RS. Adam Thalib (RSIA. Adam Thalib)

Jl. Teuku Umar No. 25, Cikarang Barat, Bekasi

021-88332305-06

021-88332308

VIP

53

84 RSIA. Jatimulya Medical center

Jl. Jatimulya Raya, No.14

021-8203785

021-82429343

Tarif menyusul

54

85 RSIA. Amanda Cikarang

Jl. Raya Industri No. 36, Cikarang Utara

021-8900277

021-89110011

021-82435585/7

021-82435586

021-89840500, 898409000 021-89845489

VIP

SVIP
VIP

VIP

SVIP
VIP

VIP

550,000

IA
IB

350,000
450,000

150,000

70,000

200,000 II

150,000 III

75,000

440,000 II
II A

260,000 III
225,000

115,000

200,000 II

150,000 III

100,000

400,000

300,000 II

175,000 III

75,000

1,202,000
820,000

411,000 II

246,000 III

110,000

I
Isolasi

275,000 II

175,000 III

75,000

225,000 II

120,000 III

80,000

350,000 I

300,000 II

200,000 III

100,000

450,000

300,000 II

150,000 III

85,000

225,000 II

145,000 III

90,000

Plus

525,000

350,000

1,000,000 Utama
850,000

475,000

600,000 Isolasi

750,000 I

Tarif menyusul

55

86 RB dan Klinik Kartika Husada

Jl. Swatantra No. 72, Jatiasih, Bekasi

56

87 RS. Harapan Keluarga Cikarang

Jl. MH. Thamrin Kac. 129, Lippo Cikarang, Bekasi

56

88 Klinik dan RB Gizar

Jl. Raya Cibarusah Lippo No. 18 Kp. Pegaulan Sukaresmi
Cikarang Selatan, Bekasi

021-89909232

021-89909232

Tarif menyusul

57

89 RSIA Sritina
Jl. Imam Bonjol No. 80, Sukadanau, Cikarang Barat
Bekasi

021-8910 6317

021-89106633

SVIP
VIP

300,000
270,000

90 RS. Azra

0251-8318456

0251-8331773

VVIP

1,000,000

Tarif Menyusul

021-89905588, 89901927
021-89901860, 89901902
VIP

BOGOR
100,000

Jl. Raya Pajajaran No.219

Bogor 16153

0251-8370349

91 RS. Hospital Cinere

Jl. Maribaya no. 1
Puri Cinere 16514
Kodya Depok-Indonesia

021-7545488

021-7545490

92 RS. Sentra Medika

Jl. Raya Bogor KM. 33
Cisalak - Depok

021-8743790

021-8743230

93 RS. Karya Bhakti

Jl. Dr. Semeru No. 120
Bogor 16111

0251-8312292

0251-8371001

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

0251-8345222

0251-8345444

95 RSIA. Hermina Bogor

Jl. Ring Road I Kav. 3,25,27
Perum Taman Yasmin,Curug Mkr

0251-8382525

0251-8328252
0251-8328254

VIP A
VIP B
VIP C
VIP D
Penthouse
Presidential Suite
Suite Room
Premium
VIP A
Super VIP
VIP

650,000
600,000
550,000
525,000
3,000,000 Super VIP A
2,500,000 Super VIP B
2,000,000 VIP B
1,500,000
800,000
800,000
650,000

Edelweis
Catlea

1,000,000 Vanda
850,000

- A
B

SVIP
VIP

1,000,000
850,000

96 RS. Tugu Ibu

Jl. Raya Bogor Km 29
Cimanggis - Depok 16952

021-8710870

021-8708266

VIP/Anggrek

97 RS. Palang Merah Indonesia (PMI)

Jl. Raya Pajajaran Bogor
PO. BOX 59

0251-8324080
0251-8324656

0251-8324709

VVIP
VVIP
VVIP
VIP

1,250,000 Anggrek A
1,000,000 Anggrek B
700,000
500,000

98 RS. Bogor Medical Center

Jl. Pajajaran Indah V /97
Bogor

0251-8390435/8346002
0251-8338259

0251-8313987

10

99 RS Bina Husada
Jl. Mayor Oking Jaya Admaja No. 101
Cibinong - Bogor

021-8758440
021-8753422

021-8752463

President Suite
Suite
VVIP
VIP
VIP

1,500,000
1,000,000
750,000
600,000
900,000

021-82492222

021-82493902

0251-8316822

0251-8347139

021-8763055/56
021-8765993

021-8755311

021-823 50 52

021 - 823 0686

021-54260635

021-5977581
021-54260635

0251-8611507

0251-8617493

0251 - 8321196
0251 - 8371191

0251 - 8331777 VIP I

VIP II

021-754 54 99

021-753 69 65

11 100 RSIA Mary Cileungsi Hijau

Komp. Cileungsi Hijau
Jl. Raya Narogong Km. 21
Cileungsi - Bogor 16820
12 101 RS. Islam Bogor
Jl. Perdana Raya No. 22
Kedung Badak
Bogor
13 102 RSIA. Trimitra Cibinong
Jl.Raya Cibinong KM.43
Bogor
14 103 RS. Thamrin Cileungsi
Jl. Raya Narogong Km. 16 Limus Nunggal
Cileungsi - Bogor 16820
15 104 RB. Harapan Ibu
Jl. Raya Cikabon No. 108
Parung Panjang; Bogor
16 105 RSIA Citra Insani
Jl. Raya Parung No. 242
Parung - Bogor
17 106 RSIA. Melania
Jl. Pahlawan No. 91
Bogor
18 107 Klinik Utama Jantung Cinere (Kardiovaskuler Hospital Cinere)
Jl. Maribaya No.1, Puri Cinere Depok 16514

Jabal Tsur 1
Jabal Tsur 2-5
Jabal Tsur 6-7

600,000 ICU

400,000 Kebidanan

160,000

450,000 Mawar
450,000 Aster

350,000 Mawar
350,000 Seruni/Aster

150,000
125,000

450,000
350,000

250,000

100,000

480,000 Anyelir A
380,000 Anyelir B

250,000 Flamboyan
180,000

80,000

450,000
195,000 II A PRIA
300,000 Kebidanan dan Anak 170,000 II B WANITA
II A Anak
II B Anak
750,000
440,000
A

100,000 III A (NON AC)

80,000 III B
140,000
110,000
260,000
225,000

70,000
60,000

400,000 IA
IB

375,000 II Babusalam
300,000
II Wijaya Kusuma

250,000 Kelas III A

250,000 Kelas III B
250,000 III Babusasalam

400,000 Anggrek I
325,000 Seruni I
Mawar

400,000 Anggrek II A
350,000 Anggrek II B
300,000 Seruni II A, Aster II A
Kelas II B
Kelas II C
500,000 Kelas IIA
450,000 Kelas IIB

250,000
225,000
225,000
200,000
100,000
300,000
275,000

450,000 AC
Non AC
II Gdg Baru

200,000
150,000
250,000

100,000

1,200,000 Melati
1,000,000 Aster
700,000

- Plus
I

700,000 Pafio
Dahlia

Kelas IA
Kelas IB

VIP I
VIP II

Executive A
SVIP
VIP

100,000
100,000
100,000

III Umum
III Perusahaan

60,000
75,000

Kelas IIIA
Kelas IIIB

100,000
90,000

400,000

300,000

120,000 A
B

100,000
90,000

80,000

450,000 Raudlah
375,000
276,000

402,500 I A Mina
HCU

275,000 Kelas II Marwa

450,000 Kelas II Shafa

130,000 Kelas III Arafah I, II

130,000 Kelas III Badar

75,000
75,000

350,000 Utama

300,000 Plus
250,000

175,000
100,000

400,000

210,000

110,000

60,000

40,000

250,000 Anggrek
Kenanga

155,000
125,000

80,000

300,000 II
II Anak

200,000
250,000

750,000 II

400,000

Utama

VIP

115,000

750,000

350,000
300,000
500,000 Utama
450,000
2,000,000
1,500,000
1,000,000

Melati

600,000

90,000
N/A
200,000

19 108 RS. Sentra Medika Cibinong

Jl. Mayor Oking Jaya Atmaja No. 9, Cibinong
Bogor

021-8790 9999

021-8790 9377

0736-21710

0736-342677

0736-21553

0736-21553

0342-801066

SVIP
VIP Deluxe
VIP

1,250,000 Utama
900,000
700,000

600,000 I

475,000 II

275,000 III

110,000

200,000

180,000

100,000

BENGKULU
1

109 RS. Rafflesia Bengkulu

Jl. Mahoni no. 10
Bengkulu
110 RS. Bhayangkara Bengkulu
Jl. Veteran No. 2 Kel. Jita, Bengkulu

VIP Utama
VIP I
VIP II
Tarif menyusul

270,000
215,000
235,000

0342-806509
0342-804284

VIP

450,000

IA
IB

300,000 II A
250,000 II

175,000 III
80,000

50,000

0353-885978

0353-885978

A
B

285,000
210,000

A
B

150,000 A
120,000 B

115,000 A
85,000 B

85,000
60,000

0265-771650

0265-771650

VIP 2 A & B
VIP 2 C & D

300,000 Parahyangan
250,000

200,000

150,000

110,000

0282-542396
0282-541065

0282-541065

260,000
205,000

170,000

125,000

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

0254-372010

350,000
500,000 Anggrek
I Anak A
I Anak B
IA
IB

Dws
250,000 Anak
275,000
190,000
300,000
225,000

180,000 Dws
150,000 Anak

0254-399988
0254-376888-ADM

0254-376454

200,000 II

150,000 III

100,000

0254-392568

0254-392568

0231-224646
0231-2512116
ext.2181
0231-230024
0231-205657

0231-209328

350,000

225,000
ICU

100,000
500,000

302,500 II A
253,000
II B

187,000 III A

90,000

154,000 III B

80,000

225,000
275,000

140,000

70,000

250,000

150,000

75,000

BLITAR
1

111 RS. Katolik Budi Rahayu

Jl. Jend. Ahmad Yani no 18
Blitar

112 RS. Aisyiyah Bojonegoro

Jl. Hasyim Ashaari No. 17
Bojonegoro

113 RSU. Permata Bunda

Jl. Mr. Iwa Kusumasomantri No. 1
Ciamis

114 RS Islam Fatimah

Jl. Ir. H.Juanda no.20 Cilacap 53231

115 RS. Krakatau Medika

Jl. Semang Raya, Cilegon

116 RSIA. Kurnia

JL. Jombang Masjid No.4

117 RSIA Mutiara Bunda Cilegon

Jl. SA Tirtayasa No. 86, Cilegon

118 Klinik dan RB Afina

Jl. Rambutan No. 12, Pagebangan, Cilegon

119 RS.Pertamina Klayan Cirebon

Jl. Patra Raya Klayan
Cirebon 45151
120 RS. Pelabuhan Cirebon
Jl. Sisingamangaraja, No.45

BOJONEGORO

CIAMIS

CILACAP
Utama I
Utama II

65,000

CILEGON

0254-397023

VIP Dws
VIP Anak
Suite Room
Isolasi
VIP A
VIP B
VVIP A
VVIP B
VIP A
VIP B
Tarif menyusul

775,000 Wijaya
775,000 Flamboyan
1,000,000
450,000
450,000
350,000
500,000
450,000
350,000
300,000

150,000

100,000
75,000

95,000

CIREBON

121 RS. Putera Bahagia

Jl. Ciremai Raya No. 145
Cirebon 45141
122 RSIA. Sumber Kasih
Jl. Siliwangi No. 135
Cirebon

0231-204444

0231-207351
0231-485654

0231-486356

0231-203815

0231-210040

Suite
VVIP
VIP
SVIP I
AVIP II
VIP A
VIP B
VIP C

Pav. A
Pav. B
SVIP I
VIP

1,000,000
700,000
500,000
577,500
715,000
396,000
352,000
302,500
350,000

650,000
500,000
400,000
325,000

IA
IB

I
I Anak

DENPASAR
1

123 RS. Kasih Ibu

Jl. Teuku Umar No. 120
Denpasar
124 RSU Manuaba
Jl. Cokroaminoto 28

0361-223036
0361-237016

0361-238690

VIP Executive
VIP A
VIP B
Sekar
Tunjung/Jempiring

700,000
500,000
375,000
350,000
250,000

175,000

125,000

0361-426393
424099

0361-227228
286183

125 RSU Graha Asih

Jl. I Gusti Ngurah Rai No. 33 X
Kuta - Badung - Bali
126 RSU Dharma Usadha
Jl. PB Sudirman No. 50
Denpasar
127 RS. Prima Medika
JL. PULAU SERANGAN 9X

0361-764860

- Anggrek

225,000 Boungenville

115,000 Cempaka

0361-766565

VIP Anggrek A
VIP Anggrek B

475,000
425,000

- Bougen
ville

375,000 Cempaka

275,000 Dahlia

200,000

0361-227560

0361-234824

VIP A
VIP B

450,000
350,000

175,000

150,000

120,000

0361 - 236225
0361-257445

0361-236203

600,000 Superior
450,000

250,000 Deluxe

150,000

750,000
375,000

225,000

175,000

353,000 Pendet

276,000 Baris

200,000 Janger

110,000

125,000

90,000
125,000

128 RSB. Puri Bunda

Jl. Gatot Subroto VI/19
Denpasar Bali

0361-437999

0361-433988

129 RS. Surya Husadha International

Jl. Pulau Serangan No. 7
Denpasar 80114
Bali
130 RS. Bali Medistra
Jl. Mahendradatta No. 57X
Denpasar
Bali 80117
131 RSU. Puri Raharja
Jl. WR Supratman No. 14-19
Denpasar - Bali

0361-265165
0361 - 233787

0361-265514

0361-484748

0361-484748
0361-8450773

0361-222013
0361-229118

0361-242537

0362-26277-79

0362-22741

0361 - 430245

375,000 Executive I
Executive II
Sita
Kunti
Supraba
Drupadi
Kausalya
Legong

1,500,000 Kunti Anak

750,000 VIP Anak
475,000
375,000
275,000
518,000 Tenun

Suite
Executive
VIP A
VIP B
Super VIP
VIP A
VIP B
VIP C

1,250,000
600,000
450,000
350,000
475,000
325,000
280,000
250,000

Super VIP
VIP

350,000
200,000

0361- 430833

VIP A
VIP B

500,000
400,000

0361-703270

0361-703329

Executive
VIP A
VIP B
VIP C

700,000
500,000
375,000
275,000

0362-29787,32701

0362-29787

14 136 RS. Surya Husadha Ubung (Surya Husadha Group)

Jl. Cokroaminoto No. 356 Denpasar

0361-425744

0361-430557

Dwaraka

15 137 RS. Dharma Kerti

Jalan Teratai No. 16, Dauh Pala Tabanan, Bali

0361-811424

0361-811077

Tarif Menyusul

0262-235751

0262-235751

031-3987840

031-3987842

10 132 RS. Kertha Usada

Jl. Cendrawasih No. 5-7
Singaraja 80116
11 133 RS. Bhakti Rahayu
Jl. Gatot Subroto II / 1
Denpasar
12 134 RS Kasih Ibu Kedonganan
Jl. Uluwatu No. 69A, Kedonganan, Kuta, Bali

13 135 RS Parama Sidhi

Jl. Ahmad Yani No. 171 A, Singaraja, Bali

Kelas A
Kelas B

100,000

80,000

250,000
175,000

210,000

Bayi Patologis

170,000 II A
II B
II C
250,000

150,000 III
110,000 IV
90,000
150,000

80,000
70,000
100,000

Kelas I

175,000 Kelas II

125,000

100,000

400,000

Kosala

200,000 Hastina Pura

130,000 Pancala

85,000

A
B

350,000
310,000

A
B

225,000 A
200,000 B

150,000 A
125,000 B

80,000
50,000

VVIP

650,000

375,000 A

250,000 A

100,000

GARUT
1

138 RS. Tk.IV / Guntur

Jl. Bratayudha No. 101
Garut

139 RS. Semen Gresik

GRESIK

Jl. RA. Kartini, No.280

GRESIK

031-3989478
031-3975847

VIP
VIP Theratai

450,000
400,000

600,000

1,000,000
850,000

750,000

300,000

325,000 B
C

200,000 B
145,000

80,000

DEPOK
1

140 RSU. Bhakti Yudha

Jl. Raya Sawangan
Depok 16436
141 RS. Hermina Depok
Jl. Raya Siliwangi No. 50
Pancoran Mas, Depok
142 RS. Simpangan Depok
Jl. Raya Jakarta Bogor Km 36
Depok
143 RSIA Tumbuh Kembang
Jl. Raya Bogor Km. 31 No. 23 Palsi Gunung
Cimanggis - Kota Depok
144 RSIA. Hasanah Graha Afiah
Jl. Raden Saleh No. 42
Depok 16412
145 RS. Graha Permata Ibu
Jl. KHM Usman No. 168
Kukusan-Depok
146 RS. Mitra Keluarga Depok
Jl. Margonda Raya
Pancoran Mas, Depok
147 RS. Bunda Margonda
JL.Margonda Raya No.28 Pondok Cina-Depok

148 RSIA. Asy-Syifa Medical Center

Jl. Raya Cinere Depok No. 9, Rangkapan Jaya Baru, Depok

149 RS. Sumber Waras

Jl. Kyai Tapa

021-7775861
021-7520082

021-7775862

VIP

021-77202525

021-7763309
77206107

SVIP
VIP

375,000 A
B

275,000
N/A

125,000

260,000
225,000

115,000

250,000

190,000

90,000

420,000

225,000

90,000

I Utama
I

400,000 II
275,000 II Umum

175,000 III
130,000 III Umum

85,000
110,000

650,000 II A
480,000 II B
485,000

295,000 III A
275,000 III B
III C
265,000

125,000
125,000
125,000
145,000

250,000 II

175,000 III

125,000

250,000

170,000

120,000

350,000 A
B
II Nila
350,000 Mawar
Murai
Murai (non AC)
350,000

250,000
200,000
175,000
300,000
300,000
250,000
210,000

475,000
535,000 Pediatrik

280,000
280,000

485,000

275,000
255,000

440,000
A

021-8741549
021-8742916

021-8741549

400,000

021-8701873
021-8701874

021-8701872

620,000

021-77826267
021-77826276

021-77826260

VIP
Eksekutif

021-7778899

021-7778998

021-77212155
021-77206106

2,500,000
985,000
795,000
1,375,000
970,000

Plus

021-77210700
021-77210800

President Suite
VIP Perdana
VIP
Super VIP
VIP

021-78890551

021-78889958

SVIP
VIP

1,500,000
500,000

021-77883905

021-77885454

VIP

N/A

5682011 tekan 9

5673122
5605791-ADM

VIP

700,000

5350085 - Keuangan
5480608
5306901
5668284

5483145

Teratai
Wijaya

5601816

VIP A
VIP B

530 5288
5347411

5305291

Super VIP
VIP

5408989

5449869

SVIP
VIP

5300888
Opr. 0
o
54372874-6

5321775

Suite Room
VIP

5828299

5828499

SVIP
VIP

5308981-84

5346387

A
B

56958338
56967788

56958589

25695222

25695205

SVIP
Deluxe
VIP
Suite Room
VIP

1,250,000
855,000
580,000
1,800,000
995,000

5681111

5684230
5684130

CVCU
Executive

ICU
1,000,000 Executive

650,000
500,000

JAKARTA BARAT

150 RS. Pelni

Jl. AIP II KS Tubun 92-94
Jakarta 11410
3 151 RSAB Harapan Kita
Jl. Let Jend S. Parman
NB. Ada penambahan biaya makan perhari
4 152 RS. Medika Permata Hijau
Jl. Raya Kebayoran Lama No. 64
Jak-Bar 11560
5 153 RS. Hermina Daan Mogot
Jl. Kintamani Raya No. 2
Perumahan Daan Mogot Baru
6 154 Siloam Hospital Kebun Jeruk
Jl. Raya Perjuangan Kav. 8
Kebon Jeruk, Jakarta
7 155 RSUD. Cengkareng
Jl. Kamal Raya, Bumi Cengkareng Indah
Cengkareng Timur, Jakarta Barat 11730
8 156 RS. Puri Mandiri Kedoya
Jl. Raya Kedoya No. 2
Kebon Jeruk, Jak-bar 11520
9 157 RS. Patria IKKT
Jl. Cendrawasih No. 1 KomplekDephan
Mabes TNI Slipi, JakBar 11480
10 158 RS. Royal Taruma
Jl. Daan Mogot No. 34
Grogol Jakarta Barat 11470
11 159 RS. Puri Indah
Jl. Puri Indah Raya, Blok S-2
Kembangan Selatan, Jakarta Barat
12 160 RS. Jantung dan Pembuluh Darah Harapan Kita
Jl. Letjend. S. Parman Kav. 87, Slipi

1,100,000 Merak
890,000

500,000

450,000 Melati

880,000
670,000
1,150,000
805,000

I
Pediatrik I

Umum
III Nila

80,000
110,000

Kenanga
Cempaka
Khusus

150,000
150,000
195,000
85,000

145,000
Isolasi

5442693

N/A
925,000

825,000

2,300,000
1,100,000

550,000

350,000
ICU
HCU

435,000
120,000

140,000
1,200,000
950,000

500,000

400,000

225,000

150,000

850,000
700,000
875,000
250,000
200,000

450,000

375,000 A
Isolasi

225,000
250,000

150,000

125,000 A

455,000

280,000

120,000

500,000

350,000

140,000

600,000 II

400,000 III

250,000

I
1,500,000

125,000

90,000
60,000

Jakarta Barat

Standart

800,000 Standart

1,250,000

JAKARTA PUSAT
1

161 RS. PGI Cikini

Jl. Raden Saleh 40
Jakarta 10330

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

38997778

162 RS. Abdi Waluyo

Jl. HOS Cokroaminoto 31-33
Kav. C21 Kuningan

3144989

31930866

163 RSPAD Gatot Soebroto

Jl. Abdul Rachman Saleh 24

3840484

3843101

3441008
3500004 - Darmawan

164 RS. St. Carolus

Jl. Salemba Raya No. 41
Jakarta 10440

165 RS. Islam Jakarta

Jl. Cempaka Putih Tengah I/1

3904441
Telp RJ; 23567902

Super VIP Anggrek

1,750,000
Super VIP Mawar
1,750,000
VIP Anggrek
1,250,000
VIP A
900,000
VIP B
800,000
Semi VIP
700,000
Semi VIP A
650,000
Super VIP (K100-102 dan K204-205)
2,250,000
Super VIP (K107)
2,250,000
VIP
1,500,000

4206681

Musdalifah
Bawah
Atas

166 RS. Husada

Jl. Raya Mangga Besar No. 137-139
Jakarta 10370

6260108
6490090
6010500

6497494

Super VIP
VIP Graha
VIP Anggrek
VIP Putra
Exe Cempaka
Exe Cempaka H-S
Exe Gladiola V-Z
Exe Gladiola Q-T

1,100,000
900,000
850,000
600,000
750,000
625,000
600,000
475,000

167 RS. MH. Thamrin

Jl. Salemba Tengah
No. 26-26A-28
168 RS. Mitra Kemayoran
Jl. Landas Pacu Timur
Jakarta 10630

3904422

3107816

6545555
6545888

6545959

President Suite
VVIP
VIP
SVIP
VIP

3,000,000
975,000
750,000
1,850,000
1,325,000

3900002

3900947

Super VIP
VIP Utama
VIP

1,600,000
1,100,000
1,000,000

10 170 RS. TNI-AL Dr. Mintohardjo

Jl. Bendungan Hilir No. 17
Jakarta Pusat

5749037
5703081

11 171 RS. Menteng Mitra Afia

Jl. Kalipasir No. 9
Jakarta Pusat 10340

3154050

12 172 RS. Kramat 128

Jl. Kramat Raya 128
Jakarta 10430

3909513
3909514
3918287

450,000 II A
II B
II C

1,000,000

PAV. KARTIKA
SUPER VIP
1,750,000
VIP
1,500,000
PAV. DARMAWAN
VIP A
950,000
VIP B
750,000
VIP C
600,000
3103226
SVIP A
1,145,000
Fak RJ 23567972 SVIP B
1,045,000
SVIP C
975,000
VIP A
930,000
VIP B
780,000
VIP C
630,000

021-4250451
021-42801567

169 RS. Khusus THT-Bedah Proklamasi

Jl. Proklamasi 43
Jakarta Pusat

IA

800,000 Arafah
800,000 Bawah
750,000 Atas

Cempaka
Cempaka
Hati
I Utama
I Utama
Gladiola A-P
Gladiola G-N

VVIP A
VIP A
VIP B

700,000
650,000
550,000

3146309

S-VIP
VIP

N/A
650,000

3909125

S-VIP
VIP
VIP A

950,000 Teratai
850,000 Aster
700,000

300,000 A
250,000 B
200,000
Isolasi A
Isolasi B
Isolasi C

500,000

125,000
90,000
200,000
125,000
90,000

250,000

PAV. KARTIKA
500,000 A

A
B

PAV. DARMAWAN
400,000 A
350,000 B

PAV. KARTIKA
350,000
PAV. DARMAWAN
275,000
250,000

480,000 A
B
C

430,000 A
380,000 B
330,000 C
NON AC

280,000
250,000 Non Ac
200,000
165,000

110,000
75,000

Multazam
600,000 Bawah
750,000 Atas

II A (Shafa-shafa)
600,000 II B (Shafa-shafa)
375,000 Marwah Bawah (Wanita)
Marwah Atas (Pria)
Arafah Atas

275,000 Marwah Bawah (Wanita)

200,000 Marwah Atas (Pria)
200,000 Matahari Dua (Pria)
200,000
300,000

135,000
135,000
100,000

700,000
650,000
450,000
500,000
425,000
600,000
550,000

400,000
350,000
300,000
400,000
300,000
300,000

275,000 Isolasi
275,000 III
275,000
250,000
275,000
250,000
200,000

175,000
75,000

400,000 PLUS

275,000 Plus
200,000

150,000
125,000

575,000 A
B

350,000
325,000

140,000

- A
B
C

900,000 A
850,000 B
725,000

500,000
400,000

160,000

- A
B
C
D
IA Anak
IB Anak

380,000
310,000
285,000
240,000
180,000
150,000

120,000

90,000

350,000

200,000

100,000

450,000
400,000

250,000

100,000

Graha Utama
Nusa Indah
Soka (E)
Lantai Stroke
Jantung
Putra

N/A

N/A

500,000 Aster
550,000 Teratai

Graha Utama
Nusa Indah
Jantung
Putra
Lantai Stroke
Soka D, F
Mawar

13 173 RS. Bunda Jakarta

Jl. Teuku Cik Ditiro No. 28
Jakarta Pusat
14 174 RSIA. Tambak
Jl. Tambak No. 18
Jakarta Pusat 10320
15 175 RS. Pertamina Jaya
JL. A. Yani No.2
Jak-Pus 10510
16 176 RSIA. Budi kemuliaan
Jl. Budi kemuliaan No. 25
Jakarta Pusat
17 177 RS. Khusus Bedah Salemba Satu
Jl. Salemba I no. 11
Jakarta Pusat 10430
18 178 RS. Jakarta Eye Center
Jl. Cik Di Tiro No. 46, Menteng Jakarta

31922005
3143215

3101313
3928588

021-2303444

021-3902550

021-4204056
021-4211911

021-4211913

021-3842828

021-3501012

021- 3913336

CDC
Perdana "Suite"
Perdana A
Perdana B
SVIP
VIP

2,000,000
1,000,000
850,000
750,000
1,075,000 UTAMA PLUS
875,000 Utama

600,000

350,000

250,000

700,000
600,000

520,000

300,000

100,000

850,000 A
300,000 B

475,000
450,000

320,000 III A
Gakin

150,000
70,000

696,000

478,000

303,000

190,000

SVIP
VVIP
VIP
Ibu
Bayi

850,000 ICCU
750,000 Isolasi
650,000
880,000
405,000

021-3926687

Super VIP
VIP

700,000
500,000

400,000

200,000

100,000

021-3150360

021-3904601

Tarif Menyusul

19 179 RSIA. Evasari

Jl. Rawamangun No.47

021-4202851

021-4244490
021-4209725

275,000

100,000

021-3909725

021-3909806

850,000
700,000
600,000
1,500,000
1,000,000

350,000

20 180 RSIA. YPK Mandiri

Jl. Gereja Theresia No. 22
Jakarta 10350
21 181 Sahid Sahirman Memorial Hospital
Jl. Jenderal Sudirman No. 86
Jakarta 10220

Catlia
Melati
VIP
SVIP
VIP

450,000

250,000

175,000

021 - 57853911

021-57853922

Sahid Suite
Sahirman Suite
VIP A
VIP B

3,500,000
2,500,000
1,000,000
900,000

500,000 Standart B

250,000

021-3503435

021-34834982

Tarif menyusul

425,000 II UTAMA
II BIASA

300,000
225,000 Kebidanan

90,000
100,000

350,000
300,000
250,000
240,000

175,000
150,000 III Srikandi
125,000
150,000 Buana

85,000
100,000

100,000

22 182 RS. Bedah THT Prof Nizar

Jl. Kesehatan No. 9, Jakarta Pusat

TANGERANG
183 RS. Honoris (Mayapada Hospital)
Jl. Honoris Raya Kav. 6
Kota Modern Tangerang 15117
184 RS. Usada Insani
Jl. KH. Hasyim Ashari
No. 24 Tangerang
185 RS. QADR
Komplek Islamic Village Desa Kelapa Dua
PO Box 492 Tangerang 15001
186 RS. Premier Bintaro (Internasional Bintaro)
Jl. M.H.Thamrin Blok B3
No.1 Sektor 7
187 RS. Sari Asih Karawaci
Jl. Imam Bonjol No. 38
Tangerang 15113
188 RS. Sari Asih Ciledug
Jl. HOS Cokroaminoto (JL.Raya
Cileduk) No.38 Ciledug
189 RS. Islam Asshobirin
Jl. Raya Serpong KM 1
Pondok Jagung, Tangerang
190 RSIA. Putra Dalima
Bumi Serpong Damai Sektor 1-2
Blok UA/26-27 Tangerang
191 RS Siloam Gleneagles
Jl. Siloam No.6, Lippo Karawaci 1600
Tangerang 15811

10 192 RS. Bhinneka Bhakti Husada

Jl. Cabe Raya No. 17 Pondok Cabe
Pamulang Tangerang

5529035

5521270
55752575
55755665
5464466
5521025
5463094
7455500
7455600
7455700
5522794
5523239
/ 73457727
021-7333430
021-7332758

5529036
VIP Exec.
ADM RI 5529495 VIP A
VIP B Kebidanan
55754335
VIP
Penagihan
5470775

7455800

5525214

557990404
7333441

5384253
5384314

5384338

021-5380375
021-5376002
021-5374126
5460055/51

021-5381220

7490018

5460921
54210094

7499157

Citra
VIP
SVIP
VIP
VIP Anak
SVIP
VVIP
VIP
VVIP
VIP

1,500,000
1,000,000
650,000
650,000

880,000
660,000
1,750,000
1,000,000
1,275,000
N/A
900,000
650,000
900,000
700,000

VIP
ICU

420,000
360,000

VIP

325,000

Presidential Suite
Siloam Suite
Executive Suite
SVIP
VIP

3,500,000
2,950,000
2,600,000
1,300,000
1,050,000

750,000

Standart A

400,000 A
B Utama
B
Nuansa

II UTAMA
A
B
Mega

75,000

Anak

500,000
725,000 II Anak

300,000
475,000 Untuk Anak Tidak ada kelas III

A
B

375,000
250,000

170,000

90,000

375,000

170,000

90,000

215,000

160,000

I Utama
I

Isolasi
225,000

Kelas IA

330,000 A
B

575,000
450,000 Kelas II A

280,000 A
200,000 B

72,000
90,000

175,000

100,000

350,000 III
N/A
III B

130,000
75,000

130,000 A
90,000 B

70,000
65,000

11 193 RSIA. IMC Bintaro

Jl. Raya Jombang No 56
Bintaro Jaya Sektor IX
12 194 RS. Melati
Jl. Merdeka No.92 Tangerang
13 195 RS. Aminah
Jl.Hos Cokroaminoto (Ciledug Raya) No. 4A
Kreo Selatan - Larangan Tangerang
14 196 RS. An-Nisa
Jl. Gatot Subroto No. 96
KM.3, Cibodas, Tangerang
15 197 RS. AWAL BROS TANGERANG (Global Medika)
Jl. MH Thamrin No. 3 Kebon Nanas
Cikokol Tangerang 15117
16 198 RS. Sari Asih Sangiang
Jl. Raya Moh. Toha Km, 35
Sangiang Tangerang Banten 15530
17 199 RS. Omni BSD
Jl. Alam Sutera Boulevard Kav. 25
Serpong - Tangerang
18 200 RSIA. Bunda Sejati
Jl. Prabu Siliwangi No. 11
Jati Uwung - Tangerang
19 201 RS. Dinda
Jl. Galuh No. 2
Kel. Jatiuwung
Taman Cibodas - Tangerang
20 202 RS. Ariya Medika
Jl. Industri Raya I Blok A No. 1-10
Jatake
Tangerang
21 203 EKA Hospital
Central Business Distric Lot IX BSD City
Tangerang
22 204 Klinik & RB Bunda Mulia (Hj. Upen)
Jl. Sumantri No. 11 Mekar Mulya
Parung Panjang
Tangerang
23 205 RS. Mulya
Jl. KH. Hasyim Ashari No. 18
Sudimara Pinang
Kota - Tangerang
24 206 RS. Tiara
Jl. Raya Serang KM 14.5 No. 1 Cikupa
Tangerang

7456379
7456386

7450819

021-5523 945

021-552 5604
5520028

VIP Dewasa
VIP Anak

595,000
495,000

Bersalin

450,000
465,000

021-7371919
021-7371818

021-7371333

021-5525564

021-55791563

VIP

500,000

021-55780888

021-55781520

Super VIP
VIP

990,000
720,000

5582732

55791307

VIP

550,000

021-53125555
021-53128555

021-53128666

Super VIP
VIP

021-5900136
021-5900056

021-5900056

VIP

021-55650577

021-55652149

Utama

N/A

350,000

1,018,000
788,000
300,000

250,000
195,000

80,000

200,000
250,000

110,000

70,000

350,000 Mawar
Melati
Isolasi
350,000 II Dws
II Anak

150,000
145,000
150,000
165,000
132,000

415,000

195,000

105,000
82,500
93,500
95,000

280,000

130,000

80,000

398,000

218,000

98,000

200,000 A
B

130,000
110,000

70,000

200,000

120,000

Mawar
Melati
Kelas III A
Kelas III B
Kelas III Anak

Kamar Bayi
Perinatologi
021-5902229
021-5902232

021-2565 5555
Opr 0

021-5902223

75,000

021 - 2564 5544 President Suite

F:53164410
Super VIP
VIP

4,900,000
3,500,000
2,000,000

021-5978058

021-5978058

Tarif Menyusul

021-7322443
021-7322445

021-7310721

VIP

021-5961999
021-59401999

021-590699

25 207 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

26 208 RSIA. Buah Hati

Jl.Aria Putra No. 399, Serua Indah Ciputat
Tangerang

021-74632222

021-74638568

VIP

650,000

27 209 RSIA Pratiwi

Jl RHM Noeraji No. 42, Karawaci, Tangerang

021-5520692

021-5524139

28 210 RS. Hermina Tangerang

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

021-55772525

021-5582705

SVIP
VIP

021-53154447/8/9

021-5385062

VIP

29 211 RS. Bunda Dalima

Nusa Loka Sektor XIV Blok J11, No.1

Bersalin

400,000 Kelas II Dewasa

Kelas II Anak

Standart Plus
Standart

65,000

1,300,000
900,000

220,000

125,000

400,000

200,000

120,000

I Anak
I Ibu

1,000,000 Utama
850,000

590,000

750,000 I

550,000

65,000

Perinatologi

Lili
Bayi Lili

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

Basic

360,000

95,000
85,000

75,000
120,000

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

470,000

380,000

280,000

150,000 II Anak
200,000 II Ibu

120,000 III Anak

150,000 III Ibu
III Utama

440,000 II
II A

260,000 III
225,000

115,000

350,000 II

175,000

100,000

90,000
80,000
90,000

30 212 RS. Bhakti Asih

Jl. Raden Saleh No. 10, Karang tengah
Ciledug, Tangerang

021-7305662

021-7305652

VIP

550,000 Utama

31 213 RS. Mulia Insani

Jl. Raya Serang Km 16.8, Cikupa, Tangerang

021-5962790

021-5963099

VIP

600,000

32 214 RS. Medika BSD

Jl. Letnan Soetopo Kav. Kom IIIA No. 7 Tangerang

021-5372296

021-5380096

VIP
SVIP

33 215 RSIA. Keluarga Kita

Jl. Raya PLP Curug No. 8 KM 4, Curug Tangerang

021-59491011

021-5982788

VIP

34 216 RSIA. Mutiara Bunda Ciledug

Jl. Dr. Cipto Mangunkusumo No. 3, Ciledug

021-7301365

021-73454952

Tarif Menyusul

35 217 RSIA. Murni Asih

Jl. Raya Bojongnangka, Medang Pagedangan, Tangerang

021-5470263
021-54200982

021-5470263

36 218 RS. Sari Asih Ciputat

021-7410808
Jl. Otista Raya No. 3, Sasak Tinggi, Ciputat, Tangerang Selatan

021-7424445

VIP
SVIP

37 219 RS. Syarif Hidayatullah

Jl. IR. H. Juanda, No.95, Ciputat

021-7402718

021-7493532

SVIP
VIP

38 220 RSIA. Vitalaya

Jl. Siliwangi No. 1, Kelurahan Benda, Pamulang, Tangerang

021-74703313

300,000 I A
IB
IC

275,000 A
300,000 B
350,000 C

130,000 III A
150,000 III B
175,000

300,000 II

150,000 III

ICU

450,000
750,000 Isolasi

250,000
450,000

250,000 II

125,000 III

85,000

200,000 II

125,000 III

55,000

375,000 II

170,000 III

90,000

500,000 I

350,000 II

200,000 III

90,000

300,000

250,000 III
200,000

150,000

600,000

400,000

140,000

650,000 Maternity

425,000 Maternity
ICU
ICCU
NICU

525,000 II A
II B

450,000
350,000

700,000

400,000

900,000
1,200,000

350,000

700,000
900,000

Utama

VIP

90,000
100,000

75,000

100,000

JAKARTA SELATAN
1

221 RS. Pondok Indah

Jl. Metro Duta Kav. UE
Pondok Indah Jkt 12310

7502324

Suite
Junior Suite
Suite Maternity
VVIP
VIP Plus
VIP A
VIP B
VIP A Maternity
VIP

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

021-5719870
021-5741830

224 RS. Agung

Jl. Sultan Agung No. 67

8294955

8305791

225 RSIA. Budhi Jaya

Jl. Dr. Saharjo No. 120

8292672
8311722

8301901

226 RS. Tria Dipa

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

7974071-73

7974074

VIP

8307540
8291540

8311760

Edelwiess
Super VIP
VIP

222 RS. Jakarta

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

7657525

5203417

VIP Superior
VIP Deluxe
VIP Std
VIP Wing B
Super VIP
VIP
ICU
VIP Utama
VIP

3,500,000 VIP Wing A

2,250,000
3,900,000
1,800,000
1,250,000
1,250,000
1,150,000
1,250,000
1,000,000 Utama

975,000
Maternity

900,000 I

150,000

2,900,000
1,800,000
1,200,000
1,050,000
665,000
560,000
500,000
790,000
630,000

425,000

370,000

195,000

95,000

600,000

400,000

300,000

100,000

700,000
700,000
600,000

400,000

300,000

130,000

1,200,000 Mawar
1,050,000 Melati
920,000 Executive

140,000
1,575,000
1,575,000
1,900,000

325,000

Isolasi

150,000
700,000

Isolasi

105,000
110,000

245,000

228 RS. Pusat Pertamina

Jl. Kyai Maja No. 43
Kebayoran Baru Jakarta Selatan
9 229 RS. Medistra
Jl. Jend. Gatot Subroto
Kav.59 Jakarta 12950
10 230 RS. Siaga Raya
Jl. Siaga Raya Kav 4-8
Pejaten Barat, Pasar Minggu
11 231 RUMKITAL Marinir Cilandak
Jl. Raya KKO Cilandak
Jakarta Selatan

12 232 RS. Gandaria

Jl. Gandaria Tengah II/6-14
Jakarta Selatan 12130
13 233 RS. Yadika Kebayoran
Jl. Ciputat Raya No. 5
Jakarta Selatan
14 234 RS. Prikasih
Jl. RS.Fatmawati, No.74,
Pondok Labu - Cilandak
15 235 RS. Setia Mitra
Jl. R.S Fatmawati No.80-82
Jakarta Selatan
16 236 RS. Zahirah (RSIA. Zahirah)
Jl. Sirsak No. 21
Jakarta selatan
17 237 RS. Mata AINI
JL.H.R.Rasuna Said
(Kuningan) Jakarta 12920
18 238 RSIA. Muhammadiyah Taman Puring
Jl. Gandaria I No. 20
Kebayoran Baru
19 239 RSIA. Brawijaya Hospital
Jl. Taman Brawijaya No. 1
Cipete Utara Kebayoran Baru

021-720 0290
021-7219400

720 3540

5210200

5210184

7972750

7970494

7805296

7812764

7250718
7203311

7222038
7248175

7291074
7291076
7291078
021-7501192
7504669

72895046

Casablanca
Anggrek
Bougenvile
Pres. Suite
VVIP
VIP
Executive Suite
SVIP
Mini SVIP
S-VIP
VIP

800,000
800,000
700,000
2,650,000
2,150,000
1,150,000
3,900,000
2,900,000
2,400,000
1,000,000
750,000

7656875

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

VIP Plus
VIP Standart
Mini VIP

VIP A Anyelir
VIP A Bougenvile
VIP B Bougenvile
VIP C 1 Cempaka
VIP C 2 Cempaka
VIP D Dahlia
VIP E1, E2 Edelweis
VIP E3 Edelweis
VIP A (Kenanga I,III)
VIP A (Kenanga II)
VIP A (Kenanga IV)

310,000
325,000
310,000
325,000
570,000
310,000
350,000
310,000
975,000 VIP B
950,000
925,000

Super VIP
VIP

700,000
650,000
Flamboyan

021-7505148

7656000

Executive

Super VIP
VIP

900,000
775,000

021-7872210
021-7270013

VIP

700,000

021-5224288

VIP

950,000

800,000 Deluxe

1,500,000 I Utama Plus

1,250,000 I Utama
1,000,000
-

650,000 Superior

1,000,000
900,000 Isolasi
650,000 ICU
350,000

450,000 Standart Plus

Standart
350,000
460,000
1,000,000
200,000

140,000

100,000

- Pav Anyelir, Pav Edelweis,

210,000
PavPav
Dahlia
Anyelir, Edelweis,Cempaka
110,000 Pav Anyelir, Bougenvile,Cempaka75,000
Kelas IA atau B Cempaka
250,000 Kelas II Utama Pav Flamboyan
155,000

775,000 I ( Melati IV)

I (Melati V)
I (Melati VII)
I (Melati VIII)

550,000 IA Flamboyan
IB Mawar
I Bedah
625,000 Kelas I Flamboyan

A
B

495,000
475,000
450,000
675,000
350,000

II Atas
II Bawah
IIB
IIC

380,000
350,000
300,000
150,000
240,000

100,000

425,000 Teratai
400,000 IIB
440,000
350,000 A
B

200,000
170,000

90,000

325,000
210,000

130,000

500,000
400,000

200,000

100,000

650,000

450,000

120,000

Isolasi
021-7208358

021-7234823

VIP

550,000

021-7211337

021-7211364

Suite
Junior Suite

20 240 RS. Khusus THT-Bedah Ciranjang

Jl. Ciranjang No. 20-22
Kebayoran Baru Jkt 12180

021-7243366
021-7208192

021-7398837
021-7264038

Super VIP
VIP

800,000
600,000

21 241 RSB. Duren Tiga

Jl. Duren Tiga Raya No. 5

021-7993817
021-7941843

021-7901050

Anggrek A
Anggrek B
Anggrek C

750,000
600,000
475,000

22 242 RS. Asri

Jl. Duren Tiga Raya No. 5
Pancoran Jak-Sel

021- 7992211
021-7941843

021-79198733

SVIP
VIP

1,500,000 Utama
1,250,000

23 243 RSIA Kemang Medical Care

Jl Ampera Raya No. 34, Jakarta

021-27545454
021-27545400

021-78843548

VVIP
VIP

2,250,000
1,100,000

24 244 RS Jakarta Medical Center

Jl. Buncit Raya No. 15, Jakarta

021-7980888
021-7940836

021-7940838

SVIP
VIP

775,000
725,000

500,000 I
550,000
575,000

25 245 RS. MRCCC

Jl Garnisun Kav. 2-3, Karet Semanggi,

021-29962888

021-29962778

President Suite
SVIP

2,250,000
1,250,000

2,800,000 ICU
2,500,000 NICU

200,000
75,000

Melati

850,000

1,250,000
550,000

150,000
250,000

325,000 II A
II B Umum
II B Kebidanan
750,000

250,000
200,000
225,000
375,000

100,000

500,000

300,000

100,000

355,000 Mawar

200,000 Cempaka

100,000

550,000

400,000 IIIA
IIIB

250,000
125,000

660,000 II

275,000 III

110,000

300,000 II
II ANAk

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

100,000
90,000

550,000

350,000

150,000

125,000

Setiabudi, Jakarta Selatan

VIP

1,250,000

JAKARTA TIMUR
1

246 RS. Harum Sisma Medika

Jl. Inspeksi Saluran Tarum

247 RS. Omni Medical Center

Jl. Pulo Mas Barat VI

248 RS. Premier Jatinegara

Jl. Raya Jatinegara Timur 85-87
Jakarta 13310
249 RSIA. Hermina Jatinegara
Jl. Raya Jatinegara Barat No. 126

10

11

12

13

14

15

16

250 RS. FK.UKI

Jl. Mayjen Soetoyo
Cawang, Jakarta Timur
251 RS. Haji Jakarta
Jl. Raya Pondok Gede

252 RS. Mediros

Jl. Perintis Kemerdekaan
Kav. 149
253 RS. Islam Jakarta Timur
Jl. Raya Pondok Kopi
254 RS. Yadika Pondok bambu
Jl. Pahlawan Revolusi No. 47
Pondok Bambu, Jakarta Timur
255 RS. Kepolisian Pusat Raden Said Sukanto
Jl. Raya Bogor Kramat Jati
Jakarta Timur
256 RS. Dharma Nugraha
Jl. Balai Pustaka Baru No. 19
Rawamangun Jakarta Timur
257 RS. Kartika Pulo Mas
Jl. Pulo Mas Timur No. 2
Jakarta Timur
258 RS. Harapan Bunda
Jl. Raya Bogor Km.22 No.44
Jakarta Timur 13830
259 RS. Meilia
Jl. Alternatif Cibubur,
Cileungsi Km. 1
260 RSIA. Permata Cibubur
Jl Alternatif Cibubur-Cileungsi No.6A
Bekasi 17435
261 RS. Bina Waluya Cardiac Center
Jl.TB Simatupang No.71

17 262 RS. Rawamangun

Jl. Balai Pustaka Raya No. 29-31
Rawamangun
18 263 RSIA. Bunda Aliyah
Jl. Pahlawan Revolusi No. 100
Jakarta Timur 13620
19 264 RS. Harapan Jayakarta
Jl. Bekasi Timur Raya No. 6
KM 18, Pulo Gadung

8617212
8617213
8601037
4723332
4722719

8601030

VIP A
VIP B

4718081

2800888
2800999
2800666/ 2800777
8191223

2800755
2800837

Super
VIP
VIP Std
Super
VIP
Mini VIP
SVIP
VIP

8092317
8092831
8010523
8000693-5
8000695
8000701
4750042
4897415

8560601
8196157
8092445

Super VIP
VIP
ICU
8000702
Super VIP Sakinah)
8000152 (ADM RI) SVIP (Istiqomah)
VIP (Sakinah)
VIP (Istiqomah)
4891937
SVIP
VIP

695,000
630,000
1,210,000
685,000
580,000
1,750,000
1,250,000
750,000
1,225,000
950,000
700,000
500,000
750,000
1,150,000 Utama
1,300,000 I Utama
1,000,000
1,100,000
800,000
500,000

510,000 A
B
-

465,000 IIA
365,000 IIB
340,000

- I Umum
I Bedah
ICU
850,000

- IA
IB
600,000
750,000

600,000 II Umum
650,000 II Bedah
1,050,000
500,000
A
300,000 II A
N/A
IIB
450,000
II Utama

- A
B

245,000 Kelas III A

195,000 Kelas III B
Isolasi
230,000

130,000
75,000
410,000
75,000

390,000 III Utama

420,000 III Standard

140,000
120,000

300,000
N/A

125,000

200,000
N/A

90,000

300,000
350,000 III Utama

110,000
130,000

250,000 A
200,000 B

150,000
100,000

80,000

300,000 A
B

200,000 A
175,000

80,000

360,000

200,000

105,000

260,000

135,000

60,000

425,000

325,000

90,000

600,000 Sakura

400,000 Alicia

250,000 Lily

110,000

500,000
450,000

380,000

275,000

125,000

8610471
8630654

8611101
86604256

VIP

8615754
8610756

8631708

8093288

8094005

4707433
ibu Rani

4707428

4714973
4703333

4723402

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

8400257

8412977

021-8444 444
021-84598954

021-84598952
021-8448393

VIP

1,000,000

750,000

500,000

300,000

110,000

021-8458806

021-84592146

475,000

300,000

110,000

021-8404652

880,000 1
2

770,000
550,000

440,000

110,000

021-4893531

021-4710918

1,475,000
1,090,000
875,000
1,870,000 VIP III
1,320,000
1,100,000
500,000

705,000

021-87781605
021-87781606

VVIP
VIP Utama
VIP
VVIP
VIP I
VIP II
VIP

385,000 II A
II B

021- 86602525

021-86600712

Suite Room
VVIP
VIP

110,000
165,000
275,000
100,000

021-4608886
021-4603916
021-46822879

021-4608863

1,000,000
650,000
500,000
450,000

300,000 III Umum

275,000 III Kebidanan
Isolasi
200,000

250,000
300,000

125,000

70,000
100,000

021-8093602

021-8092235

250,000

125,000

300,000

250,000 Kelas III A

125,000

250,000 Anak A

225,000 Kelas III B

100,000

Super VIP
VIP

550,000

725,000
575,000
525,000
630,000
510,000
445,000
1,800,000
850,000
800,000
900,000 Tulip
VIP
825,000
725,000 I Utama

320,000

I Plus

Isolasi

Jakarta Timur
20 265 RS. MH Thamrin Pondok Gede

VIP

400,000

75,000

Jl. Raya Pondok Gede No. 23-25

Jakarta Timur 13510
21 266 RSIA. Resti Mulya
Jl. Pahlawan Komarudin Raya No. 5

021 - 4802192
021 - 4803707

021 - 48701488 VVIP

VIP

600,000
500,000

Anak

Penggilingan - Jakarta Timur 13940

021 - 4803839

Anak B

200,000 Anak A
Anak B

22 267 RSIA Restu

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

23 268 RS. Kesdam Cijantung

021 - 8002166

021 - 80882753 VIP Dewasa

021 - 8001177

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

80,000
100,000
550,000

125,000 II A

90,000 III

Kebidanan A

125,000 II B

75,000

Kecamatan Pasar Rebo, Jakarta Timur

Kebidanan B

100,000

485,000 II

265,000 III

145,000

475,000

285,000
240,000

120,000

425,000

300,000

110,000

350,000 II Djaja Sepoetra

II Cempaka/Melahirkan
II Soka/Anak
575,000

250,000 III Melati/Mawar/Soka

250,000 III Cempaka
190,000
350,000
ICCU
Isolasi
325,000
270,000 III Bayi

Jl. Alternatif Transyogi, Cibubur, Jakarta Timur

021 8431 1777

021-8400535

I Dewasa

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

24 269 RS. Mitra Keluarga Cibubur

021-87793332

400,000

125,000

021 -8431 1775 SVIP

021-8431 1771

VIP

1,375,000

55,000

970,000

JAKARTA UTARA
1

270 RSIA. Hermina Podomoro

Jl. Danau Agung II Blok E3
No. 28 - 30
271 RS. Pantai Indah Kapuk
Jl. Pantai Indah Utara 3
Pantai Indah Kapuk, Jakarta 14460
272 RS. Atma Jaya
Jl. Pluit Raya No. 2
Jakarta 14440
273 RS. Mitra Keluarga Kelapa Gading
Jl. Bukit Gading Raya Kav. 2
Kelapa Gading Permai 14240
274 RS. Pluit
Jl. Raya Pluit Selatan No. 2
Jakarta Utara 14550

6404910
6404911

021-6518720

SVIP
VIP

1,165,000
900,000

800,000

5880911
5885074/5075
5885074/5075
6606127
6691909

5880910
5881414

Exe
S-VIP

6606122

VIP

1,500,000
1,200,000
850,000
570,000

45852800
45852700

45852727

021-6685070
021-6685006

021-6684878
6630660 -ADM

Suite Room
SVIP
VIP
Executive
Super VIP
VIP

2,750,000
1,800,000
1,275,000
2,750,000 Utama Anak
1,200,000
850,000

610,000 Anak
- Kebidanan
Dws

10

11

12

13

14

275 RS. Gading Pluit

Boulevard Timur Raya
Kelapa Gading, Jakarta 14250
276 RS. Family
Jl. Pluit Mas I Blok A No. 2A - 5A
Jakarta Utara
277 RS. Satya Negara (Sunter Agung)
Jl. Agung Utara Raya, Blok A, No.1
278 RS Sukmul Sisma Medika
Jl. Tawes No. 18-20 Tanjung Priok
Jakarta Utara
279 RS Islam Jakarta Utara
Jl. Tipar - Cakung No.5, Sukapura
Jakarta Utara 14140
280 RS Royal Progress (Medika Gria)
Jl. Danau Sunter Utara
Sunter Paradise Real Estate Jak-Ut
281 RS. Pelabuhan Jakarta
Jln. Kramat Jaya Tanjung Priok
Jakarta Utara 14260
282 RS. Puri Medika
Jl. Sungai Bambu Raya No. 5
Tanjung Priok 14330
283 RS. Port Medical Center
Jl. Enggano No. 10, Tanjung Priuk, Jakarta Utara

15 384 RS. Mulyasari

Jl. Raya Plumpang Semper No. 19, Jakarta Utara

021-4521001
021-4520201

021-4520578
45866163 F/

6694990

6615563

021-64715200
021-687813-14
021-685200
021-4301269

021-64717813

4400781
4400782
4400778
6400261

4403026
4405118

Executive
Super VIP
VIP
Executive A
Executive B
VIP
LOTUS
CASABLANCA
VIP

021-4301272

VIP

6400778
686240
4403551

VVIP
VDLX
VIP
VIP Utama
VIP Melati
VIP Dahlia

2,000,000
940,000
690,000
800,000
700,000
600,000
1,000,000 Utama A
1,000,000 Utama B
700,000 Vanda & Catlea
425,000

550,000

375,000

500,000
400,000
950,000
300,000

600,000 A
B

200,000

150,000
880,000
560,000
110,000
200,000

245,000

85,000

200,000

150,000

350,000

200,000

95,000

210,000

150,000 A
B

90,000
60,000

325,000

200,000

98,000

276,000 A
199,000 B
N/A
290,000

109,000
98,000

350,000

575,000

1,250,000 VIP B
849,000
550,000
750,000
650,000
650,000
300,000

410,000
425,000 Anak
375,000
400,000

95,000
65,000

420,000 A
350,000 B
C
450,000

150,000 A
B

ICU
95,000 A
85,000 B

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

021-43903355

021-43903388

021-43902350

021-43902302

VIP

616,000

495,000 II

275,000 III

110,000

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

0331-485912

0331-485912

Super VIP

775,000

240,000

165,000

JEMBER
1

385 RS Perkebunan (PTPN X) Jember

80,000

Jl. Bedadung No. 2

Jember
386 RS. Kaliwates
Jl. Diah Pitaloka 4A
Jember
387 RSU. Bina Sehat
Jl. Jayanegara No. 7
Jember

0331-487226
0331-486614
0331-485967
0331-488964
0331-483505
0331 - 421713
0331 - 422701
0331 - 424304

VIP A
VIP B

475,000
440,000

0331-483805

Isolasi
Utama A
Utama B

0331 - 424304

126,500

300,000
225,000

125,000 Kelas II A
Kelas II B

100,000
75,000

50,000

350,000

200,000

180,000 Utama

150,000
125,000

48,000

350,000

250,000

80,000

80,000

30,000

150,000

75,000

600,000
450,000

250,000

80,000

100,000

70,000

JAMBI
1

288 RS. ST. Theresia

Jl. Dr. Sutomo No. 19
Jambi
289 DKT Jambi
Jl. R. Mattaher No. 33 Jambi
Ket : biaya blm dgn biaya makan
DITUTUP
290 RS. Siloam Hospital Jambi (Asia Medika)
Jl. Soekarno-Hatta
Palmerah Jambi
291 RS. Mayang Medical Center
Jl. Ir. H. JuandaNo. 58 Simpang III, Sipin,
Mayang Mengurai, Jambi

0741-23119

0741-20832

S-VIP
VIP

750,000
500,000

0741 - 34566
0741-23088

0741 - 324473

VIP A
VIP B

200,000
190,000

0741-573333

0741-573271
0741-573238

0741-671222/66528

0741-61468

President Room
S VIP
VIP
Tarif menyusul

0967 - 572123
0967 - 573479

0967 - 573362

VIP

750,000

0967 - 532491

0967 - 537735

S. VIP
VIP

500,000
300,000

150,000

0321-492200
0321-495093

0321-495440

300,000
200,000

150,000

ICU

1,500,000
900,000
750,000

350,000

Tarif Menyusul

JAYAPURA
1

292 RS. Dian Harapan Waena

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

- IA
IB

JOMBANG
1

294 RS. Kristen Mojowarno

Jl. Merdeka No. 59 Mojowarno
Jombang Jawa Timur

75,000 A

40,000

KEDIRI
1

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

0354-391047
0354-391145
Yusi

0354 - 392883

A
B

450,000
350,000

Anggrek/Melati A
Bougenville

300,000 Sakura /Melati B

200,000 Cempaka

130,000 Melati C
95,000 Mawar

60,000
75,000

296 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

VVIP
VIP

875,000
700,000

A
B
I A Diborong
I B diborong

395,000
375,000
650,000
530,000

175,000 A
B

120,000
80,000

297 RS. Dewi Sri

Jl. Arief Rahman Hakim 1 A

0267-402855

0267-404010

Pav. D
Pav. B-C
VVIP
VIP

I Utama
I

400,000 A
350,000 B

225,000
175,000

110,000

298 RS. Islam Karawang

Jl. Pangkal Perjuangan KM2

0267-414520

0267-413277

850,000
650,000
750,000
700,000
300,000

180,000 A

135,000 A
B

299 RS. Karya Husada

Jl. Ahmad Yani No. 98
Cikampek-Karawang 41373
300 RS. Bayukarta
Jl. Kertabumi No. 44
Karawang 41311
301 RS. Cito Karawang
Jl. Arteri Tol Karawang Barat
Teluk Jambe Karawang
302 RSIA. Delima Asih Sisma Medika
Jl. Wirasaba No. 54

0264-316188
0264-316189

0264-312834

110,000
95,000

0267-404472

VVIP
VIP

300,000
350,000
750,000
395,000 Kelas II A
350,000 Kelas II B

175,000 III A
III B

0267-401817
0267-401818

NICU
ICU
IA
IB

225,000
175,000

100,000

0267-414245
0267-414264

0267-414306

325,000
250,000 ICU

130,000
425,000

80,000

Isolasi

0267-403073

0267-405598

SVIP
VIP
VIP A
VIP

A
B

250,000
180,000

150,000 A
B

90,000
80,000

KARAWANG

VIP

500,000

750,000
600,000
550,000
700,000
500,000
450,000
350,000

80,000
70,000

Johar - Karawang
303 RSU. Saraswati
Jl. A. Yani No. 27
Cikampek
304 RSU. Aqma
Jl. Raya Ciselang
Cikampek Utara
Kec. Kota Baru, Kab. Karawang
305 Klinik Nafila Medika
Perumnas Bumi Telukjambe Blok J-47
Karawang

10 306 RS. Fikri Medika

Jl. Raya Kosambi Telagasari - Kosambi
Klari - Karawang

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

350,000 IIA
325,000 IIB

Isolasi
200,000 III A
175,000 III B

250,000

175,000

75,000

250,000

175,000

75,000

400,000

250,000

150,000

80,000

350,000

250,000

150,000

60,000

180,000
150,000

100,000

60,000

90,000

60,000

0264-301540

VIP

450,000

0264-8386829

VIP A
VIP B

350,000
325,000

IA
IB

0267 - 8456419

0267 - 861 5555

0267 - 861 5577
0267 - 861 5566
0267-8615555/8615566

180,000
150,000
100,000

11 307 RSIA. Djoko Pramono

Jl. Panatayuda I No. 44 Nagasari
Karawang 41312

0267 - 403009
0267 - 403744

0267 - 411744

12 308 RS. Citra Sari Husada

Jl. Raya Kosambi - Telagasari Km. 3 Klari
Karawang

0267-437507

0267 - 438681

13 309 Klinik Sehat

Jl. Pawarengan No. 37
Karawang

0264-8385103

0264-8385103

14 310 RSB dan Apotek Puri Asih (Puri Asih Group)

Jl. Peruri No. 99 Pinayungan, Teluk Jambe, Karawang

0267-646845

15 311 RS. Puri Asih Jati Sari (Puri Asih Group)

Jl. Raya Jatisari No. 3, Mekarsari, Jatisari
Karawang

0264-361459

0264-8375276

VIP

350,000

250,000 II

150,000 III A
III

125,000
100,000

16 312 RS. Lamaran Medical Center

Jl. Syech Quro No. 14 Palumbonsari, Lamaran, Karawang

0267-405752

0267-405752

VIP

N/A

295,000 II A
II B

195,000 III A
15,000 III B

95,000
75,000

0291-434707
0291-434708

0291-434711

350,000 Bethesda
280,000 Kana/Eva
240,000

240,000 Immanuel
160,000 Kana/Eva
Betani

350,000 IIA
300,000 IIB

170,000
150,000

70,000

240,000

135,000

50,000

A
B

305,000 A
235,000 B

170,000
125,000

70,000

200,000 II

125,000 III

55,000

325,000

200,000
125,000

75,000

Kelas I A
Kelas I B

KUDUS
1

313 RS. Mardi Rahayu Kudus

Jl. R. Agil Kusumadiya 110
Kudus 59301

314 RS. Bumi Waras

Jl. Wolter Monginsidi 62 / 235

450,000

425,000 Bethesda
Maranatha
Kana/Eva

100,000
70,000
100,000

BANDAR LAMPUNG
0721-254499

0721-264904
0721-257926

0721-704 900

0721-704 807

0721-703459

0721-786349

317 RS. Mardi Waluyo

0725-42512
Jl. Jend. Sudirman 156 PO. BOX 110 Kota Metro Lampung 34111

0725-43053

318 RS. Santa Clara

Jl. Biliton No. 15, Madiun

315 RS Immanuel Way Halim

Jl. Soekarno-Hatta , Tanjung Karang
Bandar Lampung 25131
316 RS. Advent Bandar Lampung
Jl. Teuku Umar No. 48
Bandar Lampung 35148

Super VIP
VIP A
VIP B

SVIP
TAPIS
A
B
Edelweis (VIP)

750,000
500,000
400,000
425,000

- A
B
350,000

530,000
430,000
370,000
325,000
450,000
250,000
165,000

MADIUN

MADURA

0351-462127
0351-462688

0351-455780

500,000

319 RS. Larasati

Jl. Mandilaras, No.74,
Pamekasan

320 RS. Luramay

Jl. A P Pettarani Blok E 19/11
Makassar 90222
321 RS. Grestelina
Jl. Letjen Hertasning Raya
Makassar 90231
322 RS. Islam Faisal
Jl. Andi Pangerang
Pettarani
323 RS. Stella Maris
Jl. Somba Opu No. 273
Makassar

0324-328305

0324-328305

SVIP
VIP

200,000
130,000

0411-867581
0411-867618

0411-889564

Pav
VIP

665,000
475,000

0411-448855

0411-448854

0411-871942
853364

0411-857010

S-VIP
VVIP
VIP A
VIP A
VIP B

900,000 VIP B
800,000 SVIP Obsgyn
700,000
450,000
350,000

0411-854341
0411-871391
0411-873346

0411-859545

0411-3622536
0411-2328470 (Pak Ali)
0411-2863977
0411-317343
0411-3613054
0411-3613071

0411 - 323434

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

850,000
600,000
500,000
400,000
205,000
190,000

175,000

135,000

100,000

320,000

230,000

105,000

500,000
300,000

250,000

125,000

250,000

200,000

100,000

300,000
N/A

200,000

75,000

120,000

100,000

55,000

225,000 Cempaka

200,000 A
B

125,000
100,000

300,000

200,000

150,000

450,000
425,000
375,000
325,000

275,000 Dewasa
250,000 Anak
225,000

150,000
125,000

100,000

525,000 A
B
Anak

450,000 A
370,000 B dan Anak
275,000 Anna
Kebidanan

220,000
160,000 Anak
200,000 St. Anna
220,000

80,000
80,000
110,000

350,000 II A/E
400,000 IIB
II C

250,000 III A Isolasi

200,000 III
175,000

125,000
100,000

275,000 A
B

150,000
120,000

60,000

225,000 II
160,000

110,000 III

60,000

275,000
400,000

150,000

65,000

300,000 A
B

225,000
100,000

100,000
70,000

475,000 A
375,000 B

300,000
250,000 Kelas IV

100,000
75,000

180,000

125,000 III A
III B

100,000
65,000

450,000

300,000

150,000

100,000

MAKASSAR

324 RS. Pelamonia Makassar

Jl. Jend. Sudirman No. 27

325 RS. Akademis Jaury Jusuf Putera

Jl. G. Bulusaraung No. 37
Makasar

326 RS. Hikmah

Jl. Yosef Latumahina No. 1
Makasar

0411-872284
0411-835202
0411-871403

0411-871096
870964

327 RSIA Catherine Booth

Jl. Arief Rate No. 15, Makasar

0411-873803

0411-858607

328 RS. Panti Nirmala

Jl. Kebalen Wetan No. 2-8

0341-331100
0341-362459

0341-327930

VVIP
VIP

600,000 Utama
575,000

329 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

600,000
500,000
400,000

330 RS Islam Aisyiyah

Jl. Sulawesi 16 Malang

0341-326773

0341-368883

0341-458974

0341-451579

0341-594161
0341-598193

0341-598911

0341-325249
0341-341357

0341-325249

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

0341-354068

A
B

625,000
550,000

0341-398398

0341-325082
0341-354844/8

0341-354843

VVIP
VIP A
VIP B
VVIP
VIP

700,000
350,000
250,000
575,000 Utama
550,000

0341-566972
0341-554082

0341-580169

VVIP
Super VIP
VIP Melati
VIP Anggrek
VIP I Anggrek
Super VIP Utama
Super VIP Biasa
VIP Utama
VIP Biasa
VIP Dewasa
VIP anak

N/A A
B

0411-3613914

600,000 A
1,300,000 B

1,150,000
900,000
550,000
500,000
350,000
700,000
600,000
500,000
400,000
600,000 Utama
600,000

MALANG

331 RS Marsudi Waluyo

Jl. Raya Mondoroko Singosari
Malang - Jawa Timur
5 332 RS. Baptis Batu
Jl. Raya Tlekung No. 1
Junrejo, Batu-Tromol pos 100
6 333 RSIA. Melati husada
Jl. Kawi, No.32
Malang
7 334 RS. Panti Waluya Sawahan
Jl. Nusakambangan 56
PO Box 99, Malang 65117
8 335 RS. Wava Husada
Jl. Panglima Sudirman No. 99A
Kepanjen-Malang
9 336 RSIA. Hermina Tangkuban Perahu
Jl. Tangkuban Prahu, No.33
Malang
10 337 RSIA. Husada Bunda
JL. Pahlawan Trip No. 2

- IB
IA

400,000

I Utama

VVIP
VIP

650,000
500,000

I Diborong
Melati A
Melati B

Tarif Menyusul

300,000 I A
IB

400,000
350,000
A
B

Malang
11 338 RS Permata Bunda Malang
JL. Soekarno Hatta No. 75, Lowokwaru, Malang

0341-569634
0341-487487/407462

0341-474242

VVIP
VIP

400,000
325,000

0293-364033
0293-364035

0293-364037

VIP A
VIP B

500,000
480,000

0370-632400

Harga Bersalin Normal

Super VIP

IA
IB

225,000
175,000

150,000

75,000

400,000

250,000

130,000

MAGELANG
1

339 RS. Harapan Magelang

Jl. P. Senopati 11
Magelang 56123

340 RB. Tresna Mataram

Jl. Bung Karno No. 28 Mataram
07/10/11 pihak RS meminta penutupan sementara kerjasama

0370-637965

341 RS. Katolik Santo Antonius

Jl. Koperasi No. 61
Ampenan Utara 83111
Lombok Barat NTB
342 RSB. Exonero
Jl. Pemuda No. 16
Mataram

0370-621397
0370-636767

0370-636577

VIP A
VIP B

300,000
275,000

0370-636454

0370-647023

A
B

225,000
200,000

343 RS. TK IV Wira Bhakti Mataram

Jl. HOS Cokroaminoto No. 7
Mataram

0370-631280

0370-640149

345 RS. Risa Sentra Medika

Jl. Penjanggik No. 115 - Cakranegara
Mataram Lombok, NTB 83231

0370 - 625560

0370 - 625559

346 Klinik Namira

Jl. KH Ahmad Dahlan
Kel. Majidi, Kec. Selong
Lombok Timur
347 RS Biomedika
Jl. Bung Karno 143, Mataram, NTB

0376-21004

MATARAM

Harga Bersalin Normal

Harga Bersalin Normal

Harga Bersalin Normal
1,800,000

2,500,000
2,300,000

A
B

103,000

Harga Bersalin Normal

1,500,000

150,000

90,000

40,000

175,000
160,000

100,000

51,000

40,500

20,500

186,000
N/A

123,500

Super VIP
VIP A
VIP B

684,250
385,250
345,000

Kelas I A
Kelas I B

270,250 Kelas II A
235,000 Kelas II B

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
VIP
Isolasi

370,000
275,000

240,000 II

180,000 III

0370-631999
0370-6668888

0370-632999

VVIP
VIP

688,000
528,000

268,000

148,000

Super VIP A
Super VIP B
Suite Room
VIP A

440,000

258,000 Umum
Kebidanan

300,000

150,000

75,000

225,000

175,000

85,000

348 RSB. Permata Hati Mataram

Jl. Majapahit No. 8 Mataram

349 RS. Materna

Jl. Teuku Umar No. 11
Medan 20112

061-4514222

061-4155392

350 RSU Martha Friska

Jl. Kol. Yos Sudarso Km. 6
No. 91 P. Brayan
Medan
351 RS. Islam Malahayati
Jl. Diponegoro No. 2 - 4

061-6610910

061-6612005

061-4518766

061-4518489

155,000

N/A

MEDAN

VIP B
Super VIP
VIP

470,000
500,000
450,000

VIP Utama
VIP TA/NA
VIP Andalusia

395,000
345,000
285,000

352 RS. Permata Bunda

061 -736 2777
061-732 0222 Super Executive
Jl. Sisingamangaraja No. 7
Executive Baru
Medan 20215
Executive
28 Maret 2011, pihak RS meminta untuk ditutup dahulu kerjasama ini. (Ada permasalahan internal RS)
353 RS. Herna
061-4510766
061-553955
S-VIP A
Jl. Majapahit No. 118 A
547715
081375280559 S-VIP B
VIP
354 RS. Colombo Asia (Gleni Medan)
Jl. Listrik 2A

061-4566368

061-4566585

1,400,000
785,000
715,000
565,000

Super VIP
VIP

120,000
175,000

750,000 A
650,000 B
600,000

550,000 A
360,000 B

305,000
220,000

165,000

115,000

950,000 Executive
600,000 Utama
500,000 Superior

425,000 Single Bed

400,000 Double Bed
310,000

200,000 3 Bed
185,000

125,000 5 Bed

100,000

825,000

625,000
415,000

275,000

105,000

1,825,000
1,100,000

Medan 20112

8
9
10

11

12

13

Glenes Suite
Dipl Suite
Exec Suite

355 RSU. Dewi Maya

061-4551333
Jl. Surakarta No. 2 Medan
Pihak RS memutuskan kerjasama sehubungan fasilitas tidak lengkap (Ibu Sonti - TU )
356 RS. Martha Friska Multatuli
061-4149666
061-4154761
Jl. Multatuli Kompleks, Taman Multatuli Indah No. 1, Medan
357 RSIA. Stella Maris Medan
061-4158388
061-4157088
Jl. Samanhudi No. 20, Medan
358 RS. TNI AD Binjai
061-8821927
Jl. Bandung No. 4
Medan
359 RS. Advent Medan
061-4524875
061-4154839
Jl. Jend. Gatot Subroto Km. 4
Kel. Sei Sikambing D,
Kec. Medan Petisah, Medan 20119
360 RS Santa Elisabeth
061-4144737
061-4143168
Jl. Haji Misbah No. 7 Medan
061-4144164
061-4144240
361 RSU Sarah Medan
061-4528744
061-4529454
Jl. Baja Raya No. 10 Medan
061-4528044

14 362 RS. Horas Insani

Jl. Medan KM 2.5
Pematangsiantar
15 363 RS. Sari Mutiara
Jl. Kapten Muslin No. 79
Medan
16 364 RSU. Mitra Sejati
Jl. AH Nasution No. 7
Pangkalan Masyhur
Medan
17 365 RS. Latersia Binjai
Jl. Soekarno Hatta Km 18, No. 452, Binjai

S-VIP
VIP

3,400,000
2,850,000
2,300,000
200,000
100,000

Tarif menyusul

VIP

VIP

SUPER VIP
VIP
VIP Melati A dan B
VIP Cemara
SUPER VIP
EXECUTIVE
VIP
SUPER VIP
VIP A
VIP B
SUITE ROOM
SUITE ROOM
EXECUTIVE
VIP
EXECUTIVE
SVIP

75,000

600,000
500,000
400,000
400,000
550,000
600,000
500,000
975,000
700,000
500,000

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

Dws
Anak
Kebidanan

80,000

60,000

40,000

22,500

17,500

10,000

400,000 Melati 7
375,000 Anggrek 1, 2, 3
350,000 Mawar 1
Mawar 2, 3, 4
400,000

200,000
275,000
175,000
120,000
200,000

75,000

300,000
250,000 Kebidanan

275,000
275,000

315,000

145,000 III A
III B

350,000
295,000

200,000

150,000

250,000

150,000

80,000

195,000

200,000

80,000

110,000

130,000

0622-433444
0622-460200

0622-433611

061-8451812

061-8452134

061-7875967
061- 7881682

061-7850261

SUPER VIP
VIP

850,000
650,000
450,000
750,000
600,000
500,000
450,000
350,000

061-8829588

061-8822565

VIP
SVIP

395,000
495,000

VVIP
A
B

425,000 A
375,000 B
350,000

300,000
250,000

175,000 Plus

150,000 A
125,000 B

75,000
60,000

600,000

472,500

346,500 A
B
C

204,750
178,500
177,250

63,000

295,000 Kelas II A
Kelas II B

195,000
150,000

75,000

I Plus
I

80,000
65,000

MANADO
1

366 RS. TKT III TNI-AD TELING

Jl. 14 February Teling Atas
Manado

0431-852250
0431-853035
0431853035

0431-853035

367 RSU Pancaran Kasih

Jl. Sam Ratulangi XIII
Titiwungen - Manado 95113

0431-863237
0431-865800
0431-857628

0431-857628

0431-847950

0431-850012

Super VIP
VIP A
VIP B

685,000
565,000
455,000

0321-592261

0321595569

VIP

150,000

95,000

60,000

30,000

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

0321-321684

SVIP
VIP

550,000
350,000

300,000

175,000

70,000

0321-598624

VIP

300,000 Raden wijaya plus

Raden wijaya

220,000

65,000

25,000

0321-328737

0321 - 334021

VIP

225,000

125,000 I IA
150,000 II B + IIC

65,000
75,000

40,000

NB: Tarif ini merupankan Tarif

Rumah Sakit + Pelayanan
368 RS. Advent Manado
Jl. 14 Februari No. 1
Teling Atas
Manado
MOJOKERTO

369 RS. Kartini

Jl. Airlangga 137
Mojokerto
370 RS. Gatoel
Jl. Raden Wijaya No. 56
Mojokerto
371 RS. Sido Waras
Jl. Raya Pasar Sawahan KM 10
Bangsal Mojokerto
372 RS. Emma
Jl. Raya Ijen No. 67
Mojokerto

200,000
125,000
I A + IC
IB

0321-322170

0321-322511

0321-321635, 321823

0321-324242

VIP A
VIP B
VIP C

275,000
250,000
200,000

375 RS. Yos Sudarso

Jl. Situjuh No. 1
Padang Sumatera Barat
25129

0751-33230
0751-33231

0751-31811

Tulip
Rose
Ade Irma

550,000
450,000
435,000

376 RS. Selaguri

Jl. Jend. A. Yani no. 26
Padang 25112

0751-33010
0751-21953

0751-840051

377 RSU. C BMC Padang (RSU. Restu Ibu)

JL. Proklamasi No. 31-33-37
Padang 25211

0751 - 23164
0751-21151

0751-23200

378 RS. Selasih Padang

Jl. Khatib Sulaiman No 72
Padang

0751-7051405

0751-7051395

379 RS. Islam Ibnu Sina Bukittinggi

Jl. Batang Agam - Belakang Balok
Bukittinggi

0752-21185

0752-34009

380 RSB Cicik Padang

Jl. Dr. Sutomo No. 94 Padang

0751-38846

381 RS. R.K. Charitas

Jl. Jend. Sudirman No. 1054
Palembang 30129
382 RS. PT. Pusri
Jl. Mayor Zen
Palembang 30118
383 RS. Islam Siti Khadijah
Jl. Demang Lebar Daun, Lorong Pakjo
Palembang

373 RS. Reksa Waluya

Jl. Mojopahit no. 422
Mojokerto
374 RS. Islam Hasanah
Jl. HOS Cokroaminoto No. 26-28, Mojokerto

Utama A
Utama B

450,000 I A
350,000 I B

250,000 II A
175,000 II B

125,000 A
75,000 B

50,000
30,000

175,000 II A

150,000 III A
III B
III C

75,000
60,000
50,000

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

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

PADANG
1

350,000

Executive A
Executive B
Perdana A
Perdana B
Super VIP
VIP Kasuari
VIP Cendrawasih 1-7
VIP Cendrawasih 8-9
VVIP
VIP

360,000 A
280,000 B
250,000
200,000
450,000
320,000
250,000
230,000
500,000
400,000

0751-841286

VVIP
VIP

500,000
350,000

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

0711-362205

Suite
VVIP
VIP

1,500,000
1,000,000
850,000
450,000

0711-356008

0711-311884

Utama
Khusus

800,000 ICU
550,000 Isolaso

0421-21847

0421-24100

VIP

115,000

VIP Utama

250,000

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

300,000

175,000
145,000

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

250,000

Madya A
Madya B

IA
IB
IC

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

125,000 Pratama
85,000

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

125,000

55,000

210,000 II A
195,000 II B
180,000

140,000 III A
115,000 III B
Bangsal Gelatik

200,000

120,000

Akasia

250,000 Anggrek

200,000 Anyelir

150,000

A
B
C

250,000 A
200,000 B
125,000
125,000

100,000
50,000

350,000

700,000 II
500,000 IIA
375,000 IIB
250,000

400,000 A
70,000 B

350,000
300,000

200,000

70,000

72,000

50,000

30,000

197,500 A
175,000 B

125,000

45,000

345,000 II Plus

200,000

85,000

199,000

109,000

69,000

300,000

100,000
90,000
80,000
65,000

PALEMBANG

0711-712071

60,000

PARE-PARE
1

384 RS. Fatima

Jl. Thamrin 5-7
Sulawesi Selatan
Ditutup sementara sejak 13 Desember 2010

385 RS. Budi Agung Palu

Jl. Maluku No. 44
Palu-Sulteng
386 RSU " WOODWARD "
Jl.L.H Woodward No. 1 Palu
Palu-Sulteng

PALU

0451-421360
422460
0451-421769
426361

0451-423744

VIP

575,000 ICU
ICCU

0343-741018

0343-742425

VIP

349,000

0295-386111

0295-384422

Suite Room Perawat Khusus 800,000 Stroke Unit

Suite Room
700,000
VVIP
425,000

A
B
230,000
287,500

PASURUAN
1

387 RS. Masyithoh

Jl. A. Yani, No.6-7
Bangil 67153 Pasuruan Ja-Tim

388 RS Keluarga Sehat Pati

Jl. Panglima Sudirman No. 9, Margoredjo, Pati

PATI
350,000 I

145,000 II
II A

80,000 III
65,000

30,000

VIP
VIP A

350,000
230,000

PEKALONGAN
1

389 RS. Siti Khodijah Pekalongan

Jl. Bandung No. 39-47
PEKALONGAN

0285-422845
0285-425138

0285-425138

390 RSU. Budi Rahayu

Jl. Barito 5
Pekalongan 51116

0285 - 423491
0285 - 432003
0285 - 424340

0285 - 432002

391 RS. Awal Bros

Jl. Jend. Sudirman No. 117
Pekanbaru-Riau 28282
392 RS. Santa Maria
Jl. Jend. Ahmad Yani No. 68
Pekan Baru 28127
393 RS. Lancang Kuning
Jl. Ronggowarsito Ujung No. 5A Gobah
Pekanbaru
394 RS Ibnu Sina
Jl. Melati No.60 Pekanbaru

0761-47333

0761-47222

0761-22213

0761-26071

0761 - 859 273

0761 - 859 274

S-VIP
VIP

350,000
225,000

0761-24242

0761-35698

SVIP
VIP

VVIP
VIP/Lotus

500,000
300,000

200,000 I

275,000 II

120,000 III A
III B

75,000
70,000

400,000 Kelas I A
Kelas I C

200,000 St Rita dan St Anna

150,000 St Yosef dan St Angela

100,000
75,000

375,000

250,000

100,000

350,000

200,000

125,000

75,000

185,000

135,000

85,000

PEKAN BARU

President Suite
Junior Suite
VIP
Super VIP
VVIP

1,100,000
850,000
600,000
600,000 VIP
450,000

395 RS. Pekanbaru Medical Center

Jl. Lembaga Pemasyarakatan No. 25
Gobah, Pekanbaru, Riau

0761-848100

0761-859510

President Suite
Super VIP
VIP

425,000 Superior A
300,000 Superior B
Superior C
800,000
500,000
400,000

396 RSIA. Eria Bunda

Jl. KH. A. Dahlan 163
Sukajadi
Pekanbaru - Riau
397 RS. Permata Hati Duri
Jl. Jend Sudirman No. 37
Duri - Riau 28884

0761-23100
0761-20722

0761-47235

President Suite
VIP

0765 - 598101
0765 - 596799

0765 - 595799

398 EKA HOSPITAL

Jl. Soekarno - Hatta Km. 6,5
Pekanbaru 28282

399 RS. Thursina

Jl. Hangtuah No. 93 Duri

0761 - 698 9999

135,000 A
B

N/A
75,000

150,000

90,000

800,000
500,000

300,000

200,000

100,000

President Suite
Super VIP
VIP

N/A
475,000
350,000

225,000

165,000

90,000

0761 - 698 9944 President Suite

Suite
VIP

4,900,000
3,500,000
2,000,000

900,000

550,000

0765-597773

Tarif menyusul

0284-321251

0284-322335

VIP A
VIP B

300,000
200,000

0352-481784
0352-461560

0352-484218

VIP
Firdaus
Babusallam

400,000 Utama
500,000
500,000

402 RSU. St. Antonius

Jl. K.H. Wahid Hasyim No. 249
Pontianak 78112
403 RSIA. Anugerah Bunda Khatulistiwa
Jl. A. Yani
Pontianak

0561-732101

0561-733623

0561-581818

0561-584100

S-VIP
VIP
VIP Mini
Suite (Ibu)

917,200
624,000
511,900
900,000 Master

404 RS. Promedika

Jl. Gusti S. Lelanang Blok EA No. 2-5
Pontianak Mall, Kal-Bar

0561-739042

0561-738692

VIP

550,000

PONOROGO
401 RSU. Aisyiyah Ponorogo
Jl. Dr. Sutomo No. 18-24
Ponorogo

N/A

250,000

0765-597782

PEMALANG
400 RSU "Santa Maria" Pemalang
Jl. Pemuda No. 24
Pemalang

270,000
240,000
200,000

Standart

1,300,000 Basic

Anggrek V
Mawar I, II, III, IV
Melati II A (Anak)

125,000 Anggrek VI
125,000 Melati IV, V, VI, VII
85,000 Melati II B (Anak)

Marwa

160,000
200,000 Marwa

80,000
120,000 Marwa/Masithah

399,800 II AC
II AC PLUS
II Non AC
400,000 Deluxe

260,800
330,300
189,800
300,000 Standart

300,000

65,000 Anggrek VII

65,000 Mawar V, VI, VII, VIII
54,000 Melati I, VIII, IX

40,000
40,000
35,000

40,000
70,000

PONTIANAK
1

500,000 Superior

340,000 II

114,900

100,000

150,000

PRABUMULIH
1

405 RS. Pertamina Prabumulih

Jl. Kesehatan No. 100
Prabumulih Sum-Sel
406 RS. AR. Bunda Prabumulih
Jl. Angkatan 45
Prabumulih 31121

0713-7000600
0713-382230
0713-382742
0713-322954

0713-325181
0713-321903

VIP

500,000

0713-325980

PAVILIUM
VIP

0335-846500

0335-846500

0281-635424

0281-638832

0281-631761
0281-635278

0281-640005

0281-636417
0281-631435

0281-640226

VVIP
VIP

A
B

375,000 II A
300,000 II B

225,000
165,000

75,000

450,000
300,000

250,000

120,000

65,000

250,000

150,000

100,000

70,000

180,000

160,000

120,000

75,000

350,000
225,000

200,000

115,000

80,000

150,000
160,000

125,000

100,000

200,000

150,000

75,000

200,000 Anak
150,000 Ibu

125,000 Anak
100,000 Anak

80,000
75,000

330,000

210,000

90,000

250,000

175,000

75,000

250,000 II

170,000 III

70,000

95,000 III

60,000

PROBOLINGGO
1

407 RS. Graha Sehat

Jl. Raya Panglima Sudirman No. 2
Kraksaan - Probolinggo
PURWOKERTO
408 RS. Bunda
Jl. Pramuka No. 249
Purwokerto
409 RS. St. Elisabeth
Jl. Jend Gatot Subroto 44
Purwokerto 53115
410 RS Ananda Purwokerto
Jl. Pemuda No. 30, Purwokerto

A
B

250,000
200,000
UTAMA I
UTAMA II
225,000
175,000

I
I Plus

PURWAKARTA
1

411 RS. Efarina Etaham

JL. Bungursari - Purwakarta

0264-219168
0264-231273

0264-212674

President
SVIP
VIP

1,100,000
1,000,000
400,000

412 RSIA. Asri Purwakarta

Jl. Veteran Sadang No. 15
Purwakarta
413 RS. MH. Thamrin Purwakarta
Jl. Purwakarta Cikampek
Desa Cibening
Kecamatan Bungur Sari
Purwakarta
414 RS. AMIRA
Jl. Ipik Gandamanah RT 35 RW 03
Kelurahan Munjul Jaya
Kecamatan Purwakarta

0264-211680

0264-219046
0264-219047

VIP Anak
VIP Ibu

425,000
325,000

415 RS. Khusus Bedah Rama Hadi

Jl. Sadang Ciwangi - Bungursari
Purwakarta
416 RS. Bhakti Husada II
Jl. Raya Sadang Subang Kp. Kiara, RT01/01, Ds. Cikumpay
Kec. Cempaka, Purwakarta

Anak
Ibu

0264 - 8222222

0264 - 8222221 VIP A

VIP B

550,000 Utama
N/A

0264 - 8221191
0264 - 8221192

0264 - 8221193 Super VIP

VIP

450,000
350,000

0264-202136

0264-202136

0264-8225 344

455,000

Tarif Menyusul

VIP

320,000

PURWODADI
1

417 RS. Panti Rahayu

Jl R. Suprapto No. 6 Purwodadi
Jawa Tengah

418 RS. Misi Lebak

Jl. Multatuli No. 41
Rangkasbitung 42311 Banten

419 RSU. PURI ASIH

Jl. Jenderal Sudirman No. 169
Salatiga 50743

0292-421087

F:0292-421370,425095

0252-201014

0252-203390

0298 - 323209

0298 - 311466

Utama

350,000 I
Dws

125,000 Dws
165,000

Lukas A
Lukas B
Anna

302,500 Anna/Lukas
275,000 Elisabeth
247,500 Hyasinta

192,500 Anna
165,000 Elisabeth/Hyasinta
159,500

150,000

140,000

RANGKASBITUNG
110,000 Anna
104,500 Fransiskus/Hyasinta

88,000
71,500

SALATIGA

SAMARINDA

VIP UTAMA
VIP

300,000 PRATAMA
200,000

90,000

75,000

420 RS. Islam Samarinda

Jl. Gurami No. 18,
Samarinda 75115
421 RS. H. Darjad
Jl. Dahlia, No.4

0541-741510
731857

0541 - 731856

VIP A
VIP B

700,000 Utama A
600,000 Utama B

0541-732698

0541-732562

VVIP
VIP Plus
VIP

0549-22005
0549-24555

0549-25927

VIP

0549-23417

0549-23417

VIP

024-8446000
024-8446444

024-8317410
024-8450333

024-8310035
024-8310076
024-448566
024-3546040
024-3556691

024-8413373

VVIP Anna
VVIP

024-3546042

VIP

500,000

024-3542224
3546043

024-3561514

VIP A
VIP B
Isolasi

425,000 Utama
375,000 ICU
300,000
Utama

500,000
270,000

150,000

125,000

70,000

I Plus
I

390,000 II Plus
355,000 II

300,000
225,000

75,000

470,000

Exclusive
Ekonomi

445,000 Exclusive
176,000 Ekonomi/Kebidanan

295,000
151,000

91,000

300,000

Kelas I

200,000 Kelas II

125,000 Kelas III

80,000

475,000
310,000
525,000
550,000
450,000
350,000
275,000
250,000

275,000 III
200,000 III A

110,000
70,000

260,000

110,000

1,000,000
550,000
495,000

SANGATTA
1

422 RS. Prima Sangatta

Jln. Yos Sudarso I No.1
Sangatta - Kutai Timur
Kalimantan Timur
423 RS. Khusus Bedah SOHC Sengata
Jl Yos Sudarso IV No.1
Sengata-Kutai Timur
Kalimantan Timur 75611
SEMARANG

424 RS. Telogorejo

Jl. KH. Ahmad Dahlan
Semarang
2 425 RS. ST. Elisabeth
Jl. Kawi No. 1
Semarang 50231
3 426 RS. Panti Wilasa "Dr. Cipto"
Jl. Dr. Cipto No. 50
Semarang
4 427 RS. Panti Wilasa "Citarum"
Jl. Citarum No. 98
Semarang
5 428 RS. Roemani Muhammadiyah
Jl. Wonodiri No. 22
Semarang
6 429 RS. Islam Sultan Agung
Jl. Raya Kaligawe kotak pos 1235
Semarang
7 430 RS. William Booth
Jl. Jawa No. 20
Semarang
8 431 RS. Banyumanik
Jl. Bina Remaja 61
Semarang
9 432 RS. Hermina Pandanaran
Jl. Pandanaran No.24
Semarang
10 433 RS. Permata Medika
Jl. Moc. Ihsan No. 97 Ngaliyan
Semarang

024-8415752

A
B
C
1,800,000 VIP Anna
750,000 VIP Maria

024-8444623
024-6580019
024-70780040

024-6581928

024-8411800

VIP

350,000

A
B

300,000
275,000

024-7471519

024-7462181

024-8411112/
8442525

024-8450818

SVIP
VIP

820,000
685,000

024 - 7625005, 7618800

024 - 762 6571

024 - 7621733

Suite Room
VVIP
VIP

450,000
400,000
350,000

0254-212484

0254-213091
0254-208583

VIP

450,000

(0254) 220022

(0254) 220345

VVIP
VIP

775,000 Utama
575,000

675,000
575,000
550,000
700,000
600,000

I
IA
I Plus
IA
IB
IC
400,000 IA
IB
0 I
250,000
485,000 A
451,000 B
A
B
C
I

II
II A

A
B
C
325,000 A
B

125,000
110,000
90,000
200,000
150,000

A
B

80,000
55,000

III A
III B

60,000
0

390,000 II
260,000 II A
II B
300,000
250,000
200,000
175,000 II A
II B

225,000
130,000
105,000
135,000

87,500

100,000 III A
75,000 III B

60,000
40,000

98,000 III A
III

85,000
70,000

75,000

250,000

190,000

580,000

350,000 II
II A Anak

250,000
220,000

300,000
200,000

125,000 Kelas III A

Kelas III B

300,000

200,000

300,000 II

135,000 III

300,000 A
B

200,000
150,000

750,000

375,000 A
225,000 B
Isolasi Dws
100,000
85,000

175,000
110,000 Isolasi Dws
100,000
60,000

70,000
100,000

Kelas I A
Kelas I B

100,000

70,000
N/A

SERANG
1

434 RSIA. Budi Asih Serang

Jl. KH. Sohari No. 39
Serang 42118

435 RS. Sari Asih Serang

Jalan Jend. Sudirman No. 38, Penancangan,
Serang, Banten

436 RS. Delta Surya

Jl. Pahlawan No.9

031-8961271
031-8961272

437 RS Islam Siti Hajar

Jl. Raden Patah No. 70-72,
Sidoarjo
438 RSU. Anwar Medika
Jl. Bypass Krian Km. 33 Semawut - Balongbendo
Sidoarjo

031-8921233
031-8961570

031-8944991

VVIP
VIP

500,000
450,000

A
B

031-8972052
031-8974943

031-8988313

Deluxe
SVIP
VIP

350,000
185,000
175,000

A
B

135,000

75,000

SIDOARJO

031-8961281
Super VIP
031-8963120 ADM VIP

600,000
450,000

50,000

439 RS. Siti Khodijah

Jl. Pahlawan no. 260
Sepanjang
440 RS Citra Medika Sidoardjo
Jl. Surabaya Mojokerto Km 44

031-7881130
031-7872081,60134373

031-7876064

0321-361000

0321-361666

441 RS Mitra Keluarga Waru

Jl. Raya Waru No. 8, Sidoardjo

031-8543111

031-8534333

442 RSAB. Soerya

Jl. Raya Kalijaten 11-15, Taman Sidoarjo

031-7885011

031-7885011

443 RSU. Santo Vincentius

Jl. P. Diponegoro No. 5
Singkawang 79123

0562-631008

0562-633881

250,000

444 RS. Perkebunan Nusantara 8

JL. Otto Iskandardinata No.1
Subang

0260-420406
0260-411632/4

0260-420391

280,000

445 RS Islam Assyifa

Jl. Jend. Sudirman No. 3
Sukabumi 43123
446 RS. Hermina Sukabumi
Jl. Raya Sukaraja
Sukabumi
447 RS. Bhakti Medicare
Jl. Raya Siliwangi No. 186 B Cicurug
Sukabumi
448 RS. Kartika Medical Center
Jl. Jendral Ahmad Yani No. 18A
Sukabumi

0266-222663
0266-222827

0266-213433

0266-6252525

VIP A
VIP B
VIP C
VVIP
VIP

450,000
400,000
300,000
500,000
400,000

SVIP
VIP A
VIP B

1,150,000
750,000
600,000

IA

250,000 II A
300,000 II B

IA
IB

275,000 II A
175,000 II B

I Utama
I

325,000 II
275,000 II Anak

150,000 III A
125,000 III B
III C
150,000
100,000
200,000 III A
275,000 III
III Anak
Tarif Menyusul

90,000
80,000
70,000
50,000

120,000
70,000
200,000

SINGKAWANG
195,000 A
B

175,000
115,000

65,000

45,000

195,000 A
B1
B2

155,000
130,000
120,000

65,000

250,000 II

175,000

SUBANG

SUKABUMI

VVIP
VIP

575,000 Utama
525,000

375,000 I

0266-235020

VIP

600,000

500,000

310,000 Kelas II

210,000

85,000

0266-731555

0266-731899

VIP

450,000

375,000

325,000 Kelas II

175,000

90,000

0266-6250903-905

0266-6250901

VIP

330,000

246,000 II

135,000 III

48,000

031-5676253-6
5618824

031-5620690

VIP
VIP Anak

950,000
850,000

IA
IB

VIP A
VIP B
VIP C
VIP

800,000 A
Tanpa Jaga

475,000
400,000
350,000
360,000
240,000

150,000

031-5474837
031-5484554
031-5321081
031-3764666

750,000 II
600,000 A
B
600,000 A
425,000 B

475,000 IA
IB

350,000
300,000

200,000 III Anak

III Dws

125,000
115,000

Isolasi

75,000
150,000

SURABAYA
1

449 RS. Darmo

Jl. Raya Darmo No.90

450 RS. Adi Husada Undaan W.

Jl. Undaan Wetan No.40-44
Surabaya
451 RS. Adi Husada Kapasari
Jl. Kapasari 97 - 101

031-5318000
08123101639

452 RS. William Booth

031-5678917

031-3764555

Jl. Diponegoro No.34

5

1,250,000
1,100,000
950,000
600,000

031-5671380

550,000

350,000 A

150,000 A

50,000

130,000 B

40,000

031-5624868

453 RS. Mitra Keluarga Surabaya

Jl. Satelit Indah
Darmo Satelit

031-7345333
7345111

031-7345955

454 RS. Premier Surabaya (Surabaya International)

Jl. Nginden Intan Barat Blok B
Surabaya 60118

031-5993211

031-5993214

S-VIP
VIP

1,950,000
975,000

Gold VIP
Junior Suite
VIP

N/A
1,000,000
750,000

700,000

115,000

500,000 II A
550,000 II Anak
II A Kebidanan
II
II Kebidanan
425,000 A

350,000
450,000
425,000
300,000
275,000
275,000
250,000

400,000

200,000

100,000

650,000 Kelas I
550,000 Kelas I Anak

400,000 II A
550,000 II A1
II B
II Anak

300,000
225,000 III Ruang Bayi
150,000
300,000

Anak/Kebidanan

III A Dws
III A Anak
III A Kebidanan
Kelas III
Kelas III Kebidanan

250,000
200,000
250,000
120,000
130,000
80,000

Suite

455 RSAL. Dr. Ramelan

Jl. Gadung No. 1 Surabaya

031-8438153

456 RS. St. Vincentius A. Paulo

Jl. Diponegoro No. 51
Surabaya

031-5677562

Gold SVIP
SVIP
Vip A
Vip B
031-5674748

S-VIP
VIP A
VIP B
VIP Anak

N/A
1,300,000
600,000
500,000
1,100,000 Utama A
1,000,000 Utama B
900,000
1,000,000

70,000
60,000
100,000
150,000

457 RS. Siloam Hospital Surabaya

Jl. Raya Gubeng No. 70
Surabaya 60281

10 458 RS. Islam Surabaya

Jl. Ahmad Yani No. 2-4
Surabaya
11 459 RS. Islam II Surabaya
Jl. Jemur Sari 51-57
Surabaya
12 460 RS. PHC Surabaya
Jl. Prapat kurung Selatan No. 1
Tanjung Perak
Surabaya 60165
13 461 RS. Al Irsyad Surabaya
Jl K.H.M. Mansyur 210-214
Surabaya

031-5031333

031-5031533
S-VIP
ADM 031-5039313 VVIP
VIP A
VIB B
Muzdalifah
Muzdalifah Kebidanan
Tanim

1,300,000
1,000,000
750,000
750,000

425,000
350,000

Sofa
Tanim

300,000 IIA
II B

275,000 A
B
III

031-8284486

031-8471877

031-8414877

031-3294801
031-3294802
031-3294803

031-3294804

031-3531223

031-3541517

14 462 RS. Bunda Surabaya

Jl. Raya Kandangan No. 23-24
Surabaya

031-70078670
031-7440077

031-7442133

15 463 RS. Husada Utama

Jl. MayJend. Prof DR Moestopo
31-33-35
Surabaya 60131
16 464 RS. Orthopaedic Center
JL. Bawean 40
Surabaya, Jawa Timur
17 465 RS. Onkologi Surabaya
Araya Galaxy Bumi Permai Blok A-2 No. 7
Jl. Arief Rahman Hakim 182 Surabaya 60111
18 466 RS. Bhakti Rahayu
Jl. Ketintang Barat I / 16
Surabaya

031-5018335

031-50183337

031-5021224

031-5023554

031- 5914855

031-5914855

Jawa Room

750,000

031- 8295922

031-8293839

VIP

450,000

350,000

150,000

75,000

0261-210834
0261-210932

0261-210932

VIP A
VIP B

450,000
350,000

200,000

130,000

100,000

550,000
352,000

137,000 A
N/A
B

55,000
66,000

975,000
650,000
525,000

- 1A
1B
475,000 1A
1B

A
B

375,000

Suite
VVIP
VIP

1,500,000
900,000
700,000
Satu Kelas

2,000,000
150,000

170,000
110,000
95,000

031-8284505

VVIP
VIP A
VIP B

450,000
350,000
400,000
-

IA
IB

100,000

350,000
250,000

150,000 A
B

100,000
60,000

350,000 II A
300,000 II B

225,000 Phyrus
175,000 Safir
Mirah

150,000
150,000
95,000

350,000 A+
300,000 A
B
C
250,000

200,000
175,000
125,000
75,000
150,000

60,000

400,000 IIA
IIB

300,000
275,000

150,000

60,000

250,000

Kelas 1A (Bali & Lombok

500,000
RoomSumba
)
& Halmahera Room225,000 Flores Room
Kelas 1B ( Sulawesi Room
400,000
)

125,000

SUMEDANG
1

467 RS. Pakuwon

Jl. Raden Dewi Sartika No. 17
Sumedang 45311

468 RS. Panti Waluyo

Jl. Jend. A Yani 1-2
Surakarta
469 RS. Dr. Oen Surakarta
Jl. Brigjen Katamso No. 55

0271-712077

0271-712077

VIP
VIP

0271-643139
643076

0271-642026

470 RS. Kasih Ibu

Jl. Brigjen Slamet Riyadi 404
Surakarta 57142
471 RS. Islam Klaten
Jl. Raya Klaten-Solo Km4
Klaten 57436
472 RS. Oen Solo Baru
Perumahan Solo Baru, PO Box 130
Solo Sukoharjo 57552
473 RS. Islam Surakarta (YARSIS)
Jl. Achmad Yani, Pabelan, Kartasura
Sukoharjo Surakarta, 57162
474 RS. PKU Muhammadiyah Surakarta
JL. Ronggowarsito No. 130
Surakarta

0271-714422

0271-717722

SVIP Kebidanan
550,000
VIP Kebidanan
450,000
VIP Triganda, Cempaka, Teratai
400,000
VIP Triganda S5 & S6
350,000
SVIP Gd Baru
700,000 VIP Lama
SVIP Lama
600,000 VIP Baru

0272-322252

0272-332422

0271-620220

0271-622555
0271-652411

0271-710571

0271-710572

0271-714578

0271-718745

SURAKARTA

475 RS. Islam Kustati

0271-643013

0271-634823

President
VVIP
VIP
VVIP
VIP
VIP Yunior
President Suite
Super VIP
VIP
VIP (Firdaus 1-5)
VIP (Firdaus 6-9)
Gedung Baru
VVIP
VIP

495,000
395,000
345,000
950,000 VVIP
675,000 VIP
550,000
1,000,000
600,000
450,000
360,000
330,000
900,000 A
450,000 B
Utama A

242,000 A
B

325,000 Kebidanan
Probo & Teratai
Triganda

325,000 II Kebidanan
250,000 Seruni, Teratai
185,000 Cempaka

225,000 III Kebidanan

165,000
135,000

80,000
65,000

425,000 Ismaya/Shinta
490,000 Wirata

300,000 Ratih
250,000 Narada

200,000 Kamajaya
130,000 Srikandi

70,000
70,000

275,000 A
225,000 Berdua

125,000
65,000

80,000
35,000

390,000 A
B
C
300,000
250,000 ICU
ICCU
210,000
200,000
Gedung Baru
210,000

265,000
155,000

77,500

125,000
400,000 Unit Stroke A
500,000 Unit Stroke B
120,000

275,000 Kelas II A

155,000

A
Non AC
850,000
550,000
Kelas IA
Kelas IB

Gedung Baru
360,000
360,000
400,000 I A

60,000
350,000
400,000
65,000

150,000
65,000

Jl. Kapten Mulyadi No. 249

Surakarta
476 RSU. Brayat Minulya
Jl. Dr. Setiabudi No. 106
Surakarta

Utama B
0271-716646

0271-727309

VVIP
VIP

0771-21428
0771-316743
0771-25805

0771-25805

Tarif Menyusul

0551-31403/31665

0551-33310

0265-331641
0265-331808

0265-331114

0265-344477-Opr

0265-342496

0265-345650

0265-345650

0265-334154

300,000 I B

275,000 Kelas II B

130,000

500,000
400,000

350,000 II
II A

200,000 III
250,000 III A

150,000
100,000

Suite Room
VIP

600,000
500,000

400,000 II A
IIB

225,000 II
125,000

75,000

VVIP
VIP A
VIP B
President Suite (VVIP)

225,000 Plus
A
B
400,000
250,000
300,000
I

200,000
175,000
150,000
175,000

110,000

60,000

125,000 III A
III B

90,000
75,000

VVIP
VIP

550,000
450,000
325,000
500,000 Executive A
Executive B
Executive C
450,000
350,000

200,000 II

150,000 III

100,000

0265-332951

Tulip A
Tulip
Tulip B

250,000 Gladiol
275,000 Lily
300,000

225,000 Cempaka
250,000 Anyelir

150,000 Lili
150,000 Anyelir

175,000 Cempaka
115,000 Anyelir
Anyelir Plus

115,000
90,000
115,000

330,000 Melati
275,000 Dahlia
Teladan
480,000 Utama

250,000 A
220,000 B
165,000
379,000

TANJUNG PINANG
1

477 RS. TNI AL Dr. Midiyanto S

Jl. Ciptadi No. 01
Tanjung Pinang
Provider ini ditutup atas permintaan RS

478 RS Pertamedika Tarakan

JL. Mulawarman No. 14, Tarakan, Kalimantan Timur

479 RS. Jasa Kartini

Jl. Oto Iskandardinata No. 15/Sarianingrat No. 2
Tasikmalaya 46113
480 RS. Prasetya Bunda
Jl. Ir H. Juanda No.1
Tasikmalaya
481 RS. Permata Bunda Tasikmalaya
Jl. Brigjen Wasitakusumah No. 1, Tasikmalaya

TARAKAN

TASIKMALAYA

482 RSIA. Widaningsih

Jl. Sutisna Senjaya No. 130, Tasikmalaya

483 RSU. Islam Harapan Anda

Jl. Ababil No.42 Kota Tegal 52131

0283-358244

0283-351263

Anggrek
Alamanda

484 RS Mitra Keluarga Tegal

Jl. Sipelem, Kemandungan
Tegal

0283-340 999
340 399

0283-340 902

VIP

485 RS. Kristen "Ngesti Waluyo"

Jl. Pahlawan, PO BOX 1
Parakan - Temanggung 56254

0293-596008

0293-596410

486 RS. Bethesda Tomohon

0431-351046/351065
JL. Raya Tomohon, Kel.Talete 1, Kec. Tomohon Tengah, Tomohon

487 RS. Medika Mulia

Jl. Mojopahit 699
Tuban - Jawa Timur

488 RS. Islam Orpeha Tulungagung

Jl. KHR. Abdul Fatah
Batangsaren Kauman
Tulung Agung 66261

489 RS. Bethesda Yogyakarta

Jl. Jend. Sudirman 70

490 RS. Panti Rapih

TEGAL
95,000
90,000

45,000

30,000

213,000

112,000

91,000

250,000

150,000

100,000

50,000

300,000
240,000
180,000

200,000 IIA
IIB

100,000
80,000

50,000

TEMANGGUNG

TOMOHON
0431-352712

Tarif Menyusul

0356-322744
0356-324618

0356-322666

Mawar
Melati
Anggrek

0355-323186

0355-327691

0274-586688
521249 (Pendaftaran)
586695 (Sekretariat)

0274-563312
Piutang

0274-514014

0274-564583

TUBAN

TULUNG AGUNG
IA
IB
IC

160,000 Muzdalifah
100,000
70,000

60,000 Zaal Minaa

35,000

YOGYAKARTA
- A
B
C

VVIP

1,250,000 Maria/Yosef

1,053,000 I A
792,000 I B
609,000 I C
ID
500,000 Lukas I

495,000 A
393,000 B
324,000 C
D
289,000
350,000 Elisabeth

297,000
176,000
163,000
149,000
140,000

A
B
C
D
Galiliea

137,000
99,000
90,000
82,000
104,000
75,000

Jl. Cik Ditiro No. 30

Yogyakarta 55223

0274-514845
0274-563333

VIP
VIP Carolus
VIP Carolus IV

491 RS. Panti Nugroho

Jl. Kaliurang Km. 17
Yogyakarta

0274-895186
897231

0274-897232

492 RSU. PKU Muhammadiyah

Jl. KH.A. Dahlan No. 20
Yogyakarta

0274-512653

0274-566129

493 RS. Ludira Husada Tama

Jl. Wiratama No.4 Tegalrejo,
Yogyakarta

0274-589087
0274-563669

494 Jogja Internasional Hospital

Jl. Ring Road Utara No. 160
Condong Catur, Depok Sleman
Yogyakarta 55283
495 RS. Panti Rini
Jl. Solo KM 12.5 - Kalasan
Yogyakarta

0274-620333
0274-620091-cs
0274-620373
0274-620282
0274-4463555-UGD
0274-4463535/4463190

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

MKT
0274-4463581 VVIP
Billing 4462939 VIP
MKT 4463444

0274 - 496022
0274 - 496264
0274 - 497323

0274 - 497206

0274-6499704, 6499706

0274-6499727

800,000 Carolus Utama

600,000
350,000

325,000
300,000
275,000
300,000
275,000
250,000
325,000
600,000
325,000
325,000

500,000 Carolus I

165,000 A
B

450,000 Carolus II dan IV

Elisabeth AC
Elisabeth Non AC
150,000 A
125,000 B

175,000 Carolus II Anak

170,000
140,000
75,000
65,000

Marwa 1,2
Ibnu Shina

300,000 Sakinah
230,000 Ibnu Shina
Muzdalifah
Muzdalifah 1 Plus

200,000
100,000
125,000
135,000

125,000
75,000
100,000
90,000

A
B
C1
C2

310,000 1a
270,000 1b
235,000 1c
200,000

180,000
165,000
140,000

75,000

350,000

175,000

1,000,000
600,000

Sakinah
Ibnu Shina
Multazam
Raudhah

Marwa
Sakinah
Ibnu Shina
Arofah

260,000
235,000

210,000

496 RS. PKU Muhammadiyah Sleman

Jl. Raya Wates Km 5.5 Gamping , Sleman

497 Raffles Hospital Singapore

065-6311-1166
065-6311-1570 Raffles Suite, Victoria Suite S$ 2000 Deluxe Room
S$ 480
2 Bed Room
S$ 238
585 North Bridge Road
065-6311-1888
Nicoll Suite, Ophir Suite
S$ 1200 Single Room
S$ 408
Singapore 188770
Executive Suite
S$ 800
Note : Bagi yang hendak melakukan perawatan di Raffles Hospital Singapore, harap menghubungi Customer Service PT AJ Manulife Indonesia terlebih dahulu untuk mendapatkan surat jaminan

498 Penang Adventist Hospital

465 Jalan Burma 10350 Penang, Malaysia

32,500

50,000
50,000
50,000
50,000

60,000

Alamanda

Utama I
Utama II

95,000

98,000

90,000
450,000

55,000

Tarif meyusul

SINGAPORE
4 Bed Room

S$ 188

6 Bed Room

S$ 128

MALAYSIA

Note :
Ket : Warna Pink Provider baru
Ket : ada perubahan tarif
Ditutup Kerjasamanya

604-2227250

498

Note :
Bagi peserta AJMI yang hendak melakukan perawatan di RS Luar Negeri,
Mohon melakukan konfirmasi ke bagian Penjaminan Rawat Inap AJMI

604-2278512

New Wing
Diamond Suite
VIP suite
Executive
Heritage Wing
Isolasi

RM 720 Private
RM 570
RM 200
RM 80

RM 200

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