List Provider RS Rekanan
AJMI Rawat Inap Periode
Desember 2013
No te : Un tuk Pel NO. NAMA RUMAH SAKIT TELEPON FAX VIP UTAMA KELAS I KELAS II KELAS III
INDONESIA
ACEH1 1 RS. Tengku Fakinah 0651-41454 0651-47646 350,000 250,000 200,000 75,000
Jl. Jend Sudirman No. 27-29 0651-47646
2 2 RS. Permata Hati Aceh 0651-7428872 0651-21671 Seulanga 250,000 150,000Cemara 150,000
Jl. Sultan Iskandar Muda No. 217 0651-7428873 (Asuransi)
Banda Aceh 23233 0651-7428871
3 3 RS. Bulan Sabit Merah Indonesia 0651 - 638701 0651-638692 SVIP (Riyadh) 500,000 Mina 300,000Musdalifah 200,000Mekah 80,000
Jl. Sultan Malikul Saleh No. 17 Lamlagang VIP (Jedah) 350,000
Banda Aceh
4 4 RS PMI Aceh 0645-43012 SVIP 175,000 I 115,000II 90,000III 60,000
Jl Samudera Kota Lhokseumawe VIP 150,000 ICU 200,000
5 5 RS. Harapan Bunda Aceh 0651-48114 0651-40856 Sweet Room 850,000 I 335,000II 285,000III 200,000
Jl. Teuku Umar No. 181-211, Banda Aceh 0651-41278 SVIP ATAS 525,000
SVIP BAWAH 450,000
VIP 365,000
AMBON
1 6 RS. Bhakti Rahayu 0911 - 324746 0911 - 311741 450,000 400,000 300,000 200,000
Jl. A. Yani (Belakang RRI) 0911 - 311741
BALIKPAPAN
1 7 RS. Pertamina Balikpapan 0542-734020 0542-736134 Executive 950,000 -I A 450,000 250,000 175,000
Jl. Jend. Sudirman No. 1 Bisnis 700,000 I B 350,000
Balikpapan Commerce 600,000
Suite
Ket : biaya blm dgn biaya makan Executive 2,000,000
Bisnis 1,800,000
Comerce 1,600,000
2 8 RSIA. Permata Hati Balikpapan 0542-413932 0542-413928 Emerald 812,500Saphire 812,500Kls I A Zamrud 593,750Kls II Ruby 400,000Kls III Amethiz 212,500
Jl. Imam Bonjol No.1 0542-413928 Topaz 937,500 Kls I B Pyrus 531,250
SVIP Diamond 1,125,000
3 9 RS. Balikpapan Baru 0542-877330 0542-877331 VIP 550,000 I 450,000II 250,000 175,000
Komp.Balikpapan Baru Jl. MT.Haryono Blok.A-A3
4 10 RS. Siloam Balikpapan (Balikpapan Husada) 0542-7206509 0542-7206517 Suite 1,500,000 I Single 650,000II 375,000III 250,000
Jl. MT Haryono No. 9 Svip 1,200,000 I Twin 450,000
Ring Road Balikpapan 76114 Vip 950,000
BANJARMASIN
1 11 RS. Sari Mulia 0511-3252570-3261491 0511-3257889 SVIP 750,000
VIP Gdng Baru Lt
3-6 650,000Kls I A Nuri 360,000Kls II (Anak+Deasa) 200,000Kls III Ank 120,000
Open Pelayanan 1 Juli 2013 Hanya Rawat Inap
Jl. Pangeran Antasari 139 0511-3254341 VIP Plus 675,000 Kls I B Merpati 330,000 Kls III Dws 100,000
Banjarmasin 0511-3274447 VIP Cendrawasih 525,000
Kls I Gdng Baru Lt 3 375,000 VIP Merpati 525,000 Kls I Gdng Baru Lt 7 400,000 VIP Kenari 475,000
Jl. Panglima Batur No.52 Banjarbaru VIP B 300,000 Kalimantan Selatan
3 13 RS. Islam Banjarmasin 0511-3354896/3350332/ 0511-3351690/ SVIP 750,000 Kelas I A 350,000Kelas II A 250,000Kelas III A 90,000
check out lebih dari pukul 14.00akan di kenakan tambahan biaya 25%
Jl. S. Parman No. 88 3350335 VIP A 500,000 Kelas I B 300,000
Kelas II Ibnu Rusyid/ Al
Biruni 250,000Kelas III B 75,000
check out lebih dari pukul 16.00 akan di kenakan tambahan biaya 50%
Banjamasin-77115 VIP B 400,000 kelas II C 175,000ICU/ICCU 300,000
4 14 RSIA Mutiara Bunda Martapura 0511-4721901 0511-4720664 VVIP Anak 525,000 Kelas I 430,000II Ibu 375,000III Ibu 325,000
Jl. Taisir No. 2 VIP Ibu 475,000 II Anak 375,000III A Anak 325,000
Martapura 70614
BATAM
1 15 RS. Awal Bros Batam 0778-431777 0778-430777 Pres Suite 1,450,000 - 550,000 310,000 150,000
Jl. Gajah Mada Kav. 1 Baloi VIP 1,000,000
Pulau Batam
2 16 Klinik Bersalin Ernes 0771-483212 0771-482738 VIP ( manggo,anggrek ) 250,000 Dahlia 1+ 150,000 80,000
Jl. Permaisuri No. 8 VIP 200,000 125,000
Tanjung Uban
3 17 RSB Budi Rosari (Yayasan Budi Rosari) 0778 - 427854 0778 - 432833 Super VIP Tulip 300,000 Anggrek 200,000Dahlia 150,000Melati 100,000
Jl. Mahkota Simpang No. 1 Bengkong VIP Mawar 250,000
Batam
4 18 RS. Santa Elisabeth Batam 0778-457357 0778-457710 VIP 675,000 I Anak 435,000Kelas II 185,000Kelas III 115,000
Jl. Anggrek Blok II 0778-421198 VIP A 590,000 I Dws 390,000
Batam VIP B 525,000
5 19 RS dan Bersalin Graha Hermine 0778-363127 0778-363164 VIP 600,000 Kls I 400,000Kls II 200,000Kls III 150,000
Jl. R. Suprapto Komp. Ruko Asih Raya Blok B 9-15 0778-363318 Batu Aji, Batam
BANGKA BELITUNG
1 20 RS. Medika Stannia 0717-95837/93335 0717-953335 Utama 400,000Kelas I 310,000Kelas II 200,000Kelas III 135,000
Jl. Jend. Sudirman No. 3, Sungai Liat Bangka BANDUNG
1 21 RS. Immanuel 022-5224214-21 022-5224219 Super VIP 990,000 I 710,000IIA 350,000III A 175,000Adm 2.5 % Maksimal
300.000.-Jl. Kopo No.161 022-501672 I (NAZARETH, MAGDALENA, PETRA, ABEDNEGO) 360,000 IIA (ABEDNEGO, DEBORA, ELISABETH, HANA, LCB, LUKAS, MAGDALENA) 210,000III B 145,000 VIP A 750,000 IA 670,000IIB 320,000
VIP A (OBAJA) 560,000 IA (JOKEBETH) 310,000
IIB (ABEDNEGO, LUKAS,
PETRA) 160,000
VIP 800,000 IB 545,000IIC 65,000
VIP B (DEBORA, LCA, PETRA) 460,000
IB (HANA,
PETRA) 260,000
IIC (DEBORA,
ELISABETH) 130,000
VIP C 205,000 I C 460,000II B Anak 250,000
VIP C (NAZARETH, ABEDNEGO) 410,000
2 22 RS. Advent Bandung 022-2034386-9 022-2043167 Suite 1,150,000 A 425,000A 210,000A 130,000
Jl. Cihampelas 161 022-2038004-6 022-2034346 Super VIP A 1,000,000 B 350,000B 185,000B 110,000
Bandung 40131 Super VIP B 900,000 C 160,000C 90,000
VIP A 850,000 D 80,000
VIP B 775,000
VIP C 700,000
3 23 RS. Santo Borromeus 022-2552000 022-2504235 Suite 1,300,000 875,000IA Yosef 500,000II Yosef 350,000III A 220,000
Jl. IR. Juanda No.100 VVIP 1,500,000 IA Maria 500,000II Maria 350,000III Kebidanan 110,000
Bandung 40132 VIP A 1,300,000
humas@borromeus.com VIP B 1,200,000
VIP C 1,100,000
4 24 RS. Muhamadiyah 022-7301062 022-7323545 Super VIP 700,000 A 375,000II A 165,000 70,000
Jl. KH. Ahmad Dahlan No. 53 VIP A Plus 600,000 B 350,000II B 130,000
VIP A 525,000 C 300,000
VIP B 400,000 D 190,000
5 25 RS. Al-Islam Bandung 022-7562046 (Opr) 022-7563233 VIP A 900,000RG VIP A 450,000Kls I A 440,000Kls II A 275,000Kls III 135,000
Jl. Soekarno Hatta No. 644 022-7565588 VIP B 800,000RG VIP B 400,000Kls I B 330,000Kls II B 220,000Kls III (Kont) 170,000
022-7563233 VIP C + 700,000
022-7563235 VIP C 600,000 Isolasi 300,000
Jl. Cikutra No. 7 022-7279858 Utama Anggrek 550,000Utama 550,000I 365,000
Bandung 40124 Utama Mawar 500,000 I A 350,000
7 27 RSUD Al-Ihsan 022-5940872 022-5941709 VIP 575,000 -Kls I 300,000Kls II A 200,000Kls III 85,000
Jl. Ki Astramanggala Baleendah 022-5941719 Kls II B 140,000
Bandung 40281 022-5940875
8 28 RSIA. Hermina Pasteur 022-6072525 022-6037815 Suite Room 1,240,000 506,000II 304,000 127,000
Jl. Dr. Djunjunan No. 107 SVIP 962,000
Bandung 40173 VIP 861,000
9 29 RSU. Bungsu 022-4231550 022-4231582 PAV. ANGGREK 550,000 350,000 250,000 200,000III A 90,000
Jl. Veteran No. 6 022-4231695 VIP 450,000 III B 85,000
Bandung VIP A 400,000
10 30 RS. Mitra Kasih 022-6654852 022-6654875 SVIP 800,000 Kls I 350,000Kls II 190,000Kls III 100,000
Jl. Raya Cibabat No. 341 022-6652774 Vip A 650,000
Cimahi Vip B 600,000
11 31 RS. Cahya Kawaluyan 022-6803700 022-6803711 Executive 700,000 Deluxe 475,000Superior A (Kls II A) 260,000Standar 137,500
Jl. Parahyangan KM. 3 022-70830807 Superior B (Kls II B) 190,000
Kota Baru Parahyangan, Padalarang Bandung 40553
12 32 Santosa Hospital (Santosa Bandung Intl Hosp) 022-4248333 022-4248111 P.Suite 1,500,000Isolasi 700,000 450,000 275,000A 185,000
Jl. Kebonjati No. 38 022-4248555 Suite 900,000 450,000ICU Suite 850,000 B 70,000
Bandung 40181 Jr Suite 750,000 ICU I 650,000
13 33 RS. AMC 022-7781630 022-7781629 VVIP 400,000 235,000IIA 170,000III A 102,500
Jl. Raya Cileunyi - Rancaekek 70804777,70805777 VIP 350,000 IIB 125,000III B 102,500
Bandung
14 34 RS Hermina Arcamanik 022-87242525 022-7271771 Suite Room 1,240,000 I 506,000II 304,000III 127,000
Jl. A.H Nasution Km 7 no 50, Kecamatan Antapani SVIP 962,000
Bandung VIP 861,000
BANYUWANGI
1 35 RS. Al Huda 0333-842033 0333-842037 I 225,000 125,000 50,000
Jl Raya Gambiran No 225 0333-842118 0333-847682 IA 180,000
Gambiran Banyuwangi
2 36 RSI Fatimah Banyuwangi 0333-425559 0333-424304 VIP 290,000I Utama 215,000Kelas I 195,000Kelas II 90,000Kelas III 70,000
Jl. Jember No 25 Banyuwangi
3 37 Rs Yasmin Banyuwangi 0333-424671 0333-418219 VIP Utama 420,000 A 200,000A 125,000A 60,000
Jl Letkol Istiqlal No 80-84 VIP 315,000 B 170,000B 100,000B N/A
Banyuwangi
BEKASI
1 38 RS. Mekar Sari 021-8802641 021-8810055 S-VIP 460,000 -A 325,000Kls IIA (Kenanga/Anyelir) 195,000Kls III Anyelir/Anggrek 100,000
Adm 5 % dari Total Biaya Perawatan
Jl. Mekar Sari No.1 021-8801891 VIP 390,000 B 260,000Kls IIB (Kenanga) 155,000Kls III Kenanga 100,000
Bekasi 17112 I Anggrek 250,000Kls II Anggrek 185,000
2 39 RS. Karya Medika I 021-8900190 021-89107753 Vip A 700,000 Kls I A 600,000Kls II A 252,000Kls III A 130,000
Jl. Raya Imam Bonjol No. 9B Vip B 600,000 Kls I B 405,000Kls II B 205,000Kls III B 100,000
Cikarang Barat Kls II C 110,000Isolasi 225,000
3 40 RS. Karya Medika II 021-88324366 021-88327514 Vvip 700,000 -Kls Umum A 450,000Kls II Anak A 235,000Kls III Umum 150,000
Jl. Hasanudin No. 63 Tambun 021-70207483 Vip Plus 600,000 Kls Umum B 425,000Kls II Anak B 230,000Kls III Anak 130,000
Bekasi Vip A 575,000 Isolasi 300,000Kls II Umum A 250,000
Vip B 500,000 Kls II Umum B 230,000
4 41 RS. Mitra Keluarga Bekasi Barat 021-885 3333 021-8842550 Super VIP 1,925,000 - 685,000A 395,000 150,000
Jl. A. Yani 021-8855000 VIP 1,315,000 B 340,000
Bekasi 17144
5 42 RS. Hermina Bekasi 021-8842121 021-88952275 Suite Room 1,240,000 506,000 304,000 127,000
Jl. Kemakmuran No. 39 SVIP 962,000 A 249,000ICU/NICU/PICU 646,000
Margajaya, Bekasi VIP 861,000 Isolasi 497,000 Intermediate 538,000
6 43 RS. Annisa 021-8904165 021-8903350 VVIP 850,000 -Kls I Safa 495,000Safa 335,000
(Safa, Marwah, Madinah,
Arofah) 125,000
Jl. Cikarang Baru No. 31 021-8904503 VIP (Safa, Multazam) 700,000 Marwah 400,000Marwah 235,000Mina 105,000
Cikarang Utara Bekasi 17836 021-8904165/8901962/8904503 Madinah 435,000Arofah 345,000
7 44 RS.Siloam Gleneagles Cikarang 021-89901088 021-8972470 VVIP 600,000 - 250,000 150,000 65,000
Lippo Cikarang Bekasi VIP 450,000
Bekasi
8 45 RS. Bhakti Kartini 021-8801954 Ext 37 021-8824228 VIP 750,000Utama 550,000 385,000 250,000 110,000
Adm 5 % dari Total Biaya Perawatan
Jl. Kartini No. 11 Margahayu 88348492
Bekasi 8802231 Isolasi 385,000
9 46 RS. Kartika Husada 021-88327281 021-88322529 VIP 400,000 325,000A 285,000A 130,000
Jl. Raya Mangunjaya, No. 7, Kp. Rukem 021-9172736 B 225,000B-C 100,000
Tambun-Bekasi 021-88338346 ICU/NICU 400,000 Anak 200,000Isolasi 250,000
10 47 RS. Anna 021-82432211 021-82419079 Super VIP A 800,000 Kls I A 420,000Kls II A 275,000Kls III 100,000
Bekasi Selatan VIP A 600,000 Isolasi 100,000
VIP B 540,000
Suite Room 1,050,000
12 48 RS. Bella 021-8801775 021-88342438 SVIP 1,250,000Utama 850,000Kelas I 550,000 275,000 135,000
Jl. Ir. H. Juanda No. 141 021-8801778 021-88352506 VIP 950,000
Bekasi 021-88351772 021-88351772
13 49 RS. Sentosa 021-8806140 021-8804950 VIP 400,000Utama 275,000kelas I 225,000Kelas II Dewasa 200,000Kelas III Dewasa 85,000
Jl. Pahlawan No. 60, Duren Jaya Kelas III Anak 85,000
Bekasi Timur Kelas II Anak 150,000Kelas III Obgyn 110,000
14 50 RSIA. Setia 021-8971240 021-8975249 150,000 105,000III A 60,000
Jl. Raya Serang Cibarusah 41 III B 60,000
Cikarang Selatan , Bekasi III ANAK 70,000
15 51 RS Ananda Bekasi 021-8854338 021-88950141 VVIP 950,000ICU 650,000 350,000 195,000 95,000
Jl. Sultan Agung No. 173 ext 152/153 88855526 VIP 650,000
Bekasi Barat
16 52 RS. Mitra Keluarga Bekasi Timur 021-89999 222 021-882 0707 SVIP 1,750,000 650,000IIA 365,000 150,000
Jl. Pengasinan-Rawa Semut Margahayu 021-881 7777 VIP 1,195,000
Bekasi Timur 17113
17 53 RS Hermina Galaxi (Medika Galaxi) 021-82417777 021-82414087 Suite Room 1,240,000 506,000 304,000 127,000
Jl. Gardenia Raya Selatan Blok BA I 11, SVIP 962,000
Villa Galaxi, Bekasi Selatan 17147 VIP 861,000
18 54 RS Sentra Medika Cikarang (Medika Cikarang) 021-8904160-64 021-8900751 SVIP 600,000 350,000 300,000 165,000 80,000
JL. Raya Industri Pasirgombong VIP 450,000
Jababeka, Cikarang, Bekasi
19 55 RS. MULTAZAM MEDIKA (Al-Multazam) 021-8215101/02 021-82416678 VIP 400,000 I 300,000II Dws 200,000 100,000
Pertanggal 01 Agustus 2010 berubah menjadi RS
Jl.Raya Perum Jatimulya, II Anak 200,000
Pengkalan Koasi, K-19, Tambun
20 56 RS. Amanda Serang 021-8971643 021-8971643 200,000 120,000 90,000 60,000
Jl. Raya Serang No. 83 021-70150228
Cikarang Selatan 17550
21 57 RS. Harapan Keluarga (Hosana Internasional) 021-89840745 021-89835839 VVIP 750,000 Kelas I 400,000Kelas II 250,000Kelas III 100,000
(RS. Harapan Keluarga Jababeka) VIP 650,000 Isolasi A 400,000
JL Kasuari Raya Kav. 1A & 1B Isolasi B 320,000
Jababeka Cikarang Baru ICU 700,000
Bekasi 17550 HCU 600,000
22 58 RSB. Taman Harapan Baru 021-88871202 021-88871203 Diamond/kristal 450,000 I A 350,000 200,000A 125,000
Jl. Taman Harapan Baru Raya I B 250,000 B 100,000
Blok R1 No. 20, Pejuang Bekasi
23 59 RS. Graha Juanda 021- 88346880 021 - 8821004 550,000 350,000Anak 220,000Anak 120,000
JL. IR. H. Juanda, No.326 021- 8811832 200,000 110,000
ICU / NICU 650,000 Isolasi 250,000
24 60 RS. St. Elisabeth Bekasi 021-82430101 021-82432082 VVIP A 1,115,000 450,000 250,000 120,000
Jl. Raya Narogong 202, 021-82432082 VVIP B 985,000
Kemang Pratama, Bekasi 17776 VIP 750,000 Isolasi I 437,500Isolasi II 240,000
25 61 RS. Medirossa 021-89833216 021-8934979 VIP 440,000 Kls I 357,500Kls II 220,000Kls III A 99,000
JL. Industri Tegal Gede Kls Isolasi Lt 2 220,000Kls III B 88,000
Cikarang 17550 Kls Isolasi Lt 3 137,500Kls III C 66,000
26 62 RS. Citra Harapan 021-88870606 021-88975555 VVIP 880,000 325,000 200,000 95,000
Jl. Raya Harapan Indah No. 3-5 021-88870909 VIP 580,000
Medan Satria, Bekasi barat Isolasi 400,000 Isolasi 400,000
27 63 RS. Jati Sampurna 021-8451457 021-8455712 VIP 700,000 Kls I 400,000Kls II 250,000Kls III 95,000
Jl. Raya ANTV Jati Sampurna R Isolasi (Kls II) 350,000
Bekasi
28 64 RS. Budi Lestari 021-8842336 021-8893487 650,000A 500,000 330,000A 220,000 105,000
Jl. KH Noer Alie No 2 021-8893486 B 450,000 B 130,000
Depan Perumnas II Bekasi 17144 www.rsbudilestari.com
29 65 RS. Permata Bunda Bekasi 021-8832 8001 021-88373157 VIP A 525,000 350,000 195,000 105,000
Jl. Grama Puri I Blok CI No. 8-10 021-88328001 VIP B 445,000 A 280,000
Wanasari Cibitung Bekasi
30 66 RS. Rawa Lumbu 021-82422511-12 021-82422511 VIP 564,000 312,000IIA 234,000 95,000
Jl. Dasa Darma No.20-23 tekan 4 II B 180,000
Rawa Lumbu, Bekasi ICU/NICU/PICU 426,000
31 67 RS. Ridhoka Salma 021-89116527 021-89116528 VIP 450,000 325,000A 275,000 140,000
Jl. Imam Bonjol No.7 Gardu Sawah B 250,000
Cikarang Barat - Bekasi Isolasi 350,000
33 68 RS. Hosana Medica Bekasi 021-8221570 ext 405 021-8221574 650,000 400,000 250,000 110,000
Jl. Pramuka No. 12
Rawa Panjang-Rawa Lumbu, Bekasi ICU/NICU 600,000HCU 500,000Isolasi 400,000
34 69 RB. Harapan Sehat Mega Regency 021-70938708 021-88336674 Tarif Menyusul
Jl. Raya Mega Regency Blok : AI1 No. 3, Serang Baru Cibarusah - Cikarang
35 70 RS. Bhakti Husada 021-8900530 021-8900570 VIP 485,000 Kelas I 360,000Kelas II 195,000Kelas III 100,000
Jl. RE Martadinata, By Pass Cikarang Utara ICU 485,000
Bekasi Perinatologi 300,000
36 71 RS. Juwita 021-8829590 021-8829592 VVIP 990,000 Kls I 435,000Kls II 255,000Kls III 125,000Adm 5 % dari TB
Jl. M Hasibuan No. 78 VIP 660,000
Bekasi
37 72 RS. Awal Bros Bekasi (Global Awal Bros) 021-8868888 021-88855210 SVIP 1,050,000 480,000 250,000 128,000
Jl. KH Noer Alie Kav. 17-18 VIP 835,000
Kalimalang Bekasi Selatan
38 73 RS. Hosana Medica Lippo 021 - 897 2472 021 - 89900769 VIP 400,000 300,000 225,000 150,000 80,000
Ruko Thamrin Blok C3 Lippo Cikarang Cikarang
39 74 RS. Hosana Medika Pilar (Miracle Medika Cikarang) 021 - 8911 6177 021 - 89116179 350,000 200,000 130,000 75,000
Jl. Ki Hajar Dewantara 33 Cikarang Utara
40 75 RSIA. Masmitra 021 - 84999026 021 - 8483047 SVIP 800,000 350,000 200,000III 120,000
Jl. Kelurahan Jati Makmur No. 40 021 - 84971766 Isolasi 200,000HCU 350,000
Pondok Gede Pernatologi 200,000
41 76 RS. Permata Bekasi 021 - 8254748 021 - 8251919 VVIP 750,000 I A 400,000II A 250,000 100,000
Jl. Legenda Raya No. 9 Mustika Jaya VIP 600,000 II B 175,000
Bekasi
42 77 RSIA. Karunia Bunda 021-8461970 021-8460991 Suite Room 800,000 I 500,000II 200,000III 100,000
Jl. Raya Jatiwaringin No. 133, Pondok Gede 021-8460991 VVIP 700,000
Bekasi 17411 VIP 600,000
43 78 Klinik dan RB Tiara Bunda 021-89131010 021-8220231 I 200,000II 150,000III 75,000
Jl. Perjuangan Rt005/02, Kel. Teluk Pucung Bekasi
44 79 RS Hermina Grand Wisata 021-8265 1212 021-825 2963 Suite Room 1,240,000 I 506,000II 304,000III 127,000
JL. Festival Boulevard Blok JA No. 1, Grand Wisata,
Bekasi SVIP 962,000 II A 249,000
VIP 861,000
45 80 Klinik dan RB Guci Medika 021-82433158 021-8221921 I 200,000II 150,000III 100,000
Jl. Pramuka No. 79, Rawalumbu, Bekasi
46 81 RS Tiara Bekasi 021-8913 1111 8913 2039 VIP 450,000 Kelas I 300,000Kelas II 160,000Kelas III 100,000
Jl. Raya Babelan No. 63 Kebalen, Bekasi 17160
47 82 RSIA. Puspa Husada 021-82618978/79 021-82618977 VIP 400,000 I 300,000II 175,000III 75,000
Jl. Pondok Timur Km1, Jatimulya, Tambun Selatan, Bekasi Timur
48 83 RS. Mitra Keluarga Cikarang 021-89840500, 898409000 021-89845489 SVIP 1,251,000 I 420,000II 266,000III 115,000
Jl. Industri Raya Lemah Abang, Cikarang, Bekasi VIP 853,000
49 84 RS. Anna Medika 021-88882211 021-88793042 President Suite 800,000 Kls I A 330,000Kls II A 230,000Kls III 80,000
Jl. Raya Perjuangan No. 45, Bekasi SVIP 700,000 Kls I B 280,000Kls II B 180,000
VIP 550,000
50 85 RSIA. Graha Asri 021-89143036 021-89143860 I 225,000II 120,000III 80,000
Jl. Raya Citanduy Blok L 11 No. 1, Cikarang Utara, Bekasi
51 86
RS. Mitra Medika 021-
89983575/71691709/98213879 021-89983575 Tarif Menyusul Jl Desa Jatiwangi-Cikedokan/ Sebelah Selatan Kawasan
MM 2100
Kp Kamurang Rt 01/01- Cikarang Barat
Jl. Teuku Umar No. 25, Cikarang Barat, Bekasi
53 88 RSIA. Jatimulya Medical center 021-8203785 021-82429343 Kls I 265,000Kls II 215,000Kls III 180,000
Jl. Jatimulya Raya, No.14
54 89 RS. Amanda Cikarang VIP 375,000 Kls I 275,000Kls II 200,000Kls III 100,000
Jl. Raya Industri No. 36, Cikarang Utara 021-8900277 021-89110011
55 90 RB dan Klinik Kartika Husada 021-82435585/7 021-82435586 I Utama 450,000Kls I 250,000Kls II 150,000Kls III 80,000
Jl. Swatantra No. 72, Jatiasih, Bekasi
56 91
RS. Harapan Keluarga Cikarang (RS Permata Keluarga
Lippo Cikarang) 021-89905588, 89901927
021-89901860, 89901902 VIP
450,000 I 300,000II 150,000III 85,000
Perubahan Nama Rumah
Sakit per tgl 13 April 2013
Jl. MH. Thamrin Kac. 129, Lippo Cikarang, Bekasi57 92 Klinik dan RB Gizar 021-89909232 021-89909232 Kls I 150,000 Kls III 100,000
Jl. Raya Cibarusah Lippo No. 18 Kp. Pegaulan Sukaresmi
Cikarang Selatan, Bekasi
58 93 RSIA Sritina 021-8910 6317 021-89106633 SVIP 300,000 I 225,000II 145,000III 90,000
Jl. Imam Bonjol No. 80, Sukadanau, Cikarang Barat VIP
270,000 Bekasi
59 94 Klinik Dan Rumah Bersalin Amira 021-89142719 021-89142719 VIP 250,000 Kls I Kls II 100,000Kls III 75,000
Jl Raya By Pass Lemah Abang, Sinyar Barat Cikarang Timur
Bekasi
60 95 CMC Clinic & rumah Bersalin 021-8934371 021-8934035 Kls I 300,000Kls II 150,000Kls III 100,000
Shophouse Blok A No. 14-15, 28-29
Jl Jababeka Raya, Kawasan Industri Jababeka Cikarang-Bekasi
61 96 RB & Praktek DR Bersama Khanza Medika 021-89953117/91263025 021-89953117 Kelas I 250,000Kelas II 150,000Kelas III 100,000
Perum Kota Serang Baru Blok B 72 No.25-26, Cibarusah, Cikarang
62 97 RSIA Siti Zachroh 021-8806506 021-8806506 300,000 200,000 125,000
Jl. Sulthan Hasanudin No. 84 Tambun, 021-8803843 Bekasi
63 98 RS Kartika Husada Setu 021-82610003 021-82610005 Utama 350,000Kelas I 250,000Kelas II 175,000Kelas III 100,000
Kp. Burangkeng RT 01/06 II Anak 200,000III Anak 110,000
Setu Bekasi
64 99 RS Taman Harapan Baru 021-88981055 021-88981055 VIP 485,000 Kelas I 315,000Kelas II 195,000Kelas III 90,000
Jl. Kali Abang Tengah RT 04 / 023 Bekasi-Barat, 17131
65 100 RS Cibitung Medika 021-88323444 021-88323449 Executive (1 Bed) 400,000 Deluxe (2 Bed) 300,000Superior (4 Bed) 200,000Standart (8 Bed) 100,000
Jl. Raya H. Bosih No. 117 Cibitung Bekasi
66 101 RS Aprilia Medika 021-82611565 021-82611565 Kelas I 250,000Kelas II 185,000Kelas III 125,000
Jl Raya Setu No. 99
Desa Lubang Buaya, Kec Setu Bekasi
67 102 Klinik & RB Asyifa Husada Medical Center 021-88333535 021-88332152 Tarif Menyusul Perumahan Bekasi Regency I Blok K1 No. 1-2
Cibitung Bekasi
68 103 RSIA Nurul Annisa 021-8974854/55 021-8971122 VIP 700,000Utama 450,000 300,000 150,000 115,000
Jl Raya Cikarang Cibarusah Sukaresmi Cikarang Selatan
69 104 RSIA Gizar 021-89677240 021-89677239 275,000 225,000 175,000
Villa Mutiara Cikarang 1, Pasadena Blok RA No 3,5,6
BOGOR
1 105 RS. Azra 0251-8318456 0251-8331773 VVIP 800,000 Plus 525,000 350,000 100,000
Jl. Raya Pajajaran No.219 0251-8370349 VIP A 650,000 400,000Kebidanan 160,000
Bogor 16153 VIP B 600,000
VIP C 550,000
VIP D 525,000
2 106 RS Puri Cinere 021-7545488 021-7545490 Suite Room 2,000,000
VIP Anggrek,
Aster 1,000,000Melati 600,000Melati 450,000Aster 175,000
Jl. Maribaya Blok F2 SVIP A Anggrek 1,500,000VIP Melati 950,000Aster 600,000Aster 450,000Mawar 175,000
Puri Cinere, Sawangan 16514 SVIP A Melati 1,400,000 Mawar 600,000Mawar 450,000Seruni 200,000
Kodya Depok-Indonesia SVIP B Anggrek 1,400,000VIP B Seruni 950,000ICU 1,000,000
SVIP B Melati 1,300,000 HCU 900,000Picu/Nicu 1,000,000Isolasi 700,000
3 107 RS. Sentra Medika 021-8743790 021-8743230 Super VIP 940,000 -Plus 550,000 310,000 130,000
Jl. Raya Bogor KM. 33 VIP 770,000 I 430,000
Cisalak - Depok
4 108 RS. Karya Bhakti 0251-8312292 0251-8371001 Edelweis 1,000,000Vanda 700,000Pafio 480,000Anyelir A 250,000Flamboyan 80,000
Jl. Dr. Semeru No. 120 0251-8313489 Catlea 850,000 Dahlia 380,000Anyelir B 180,000
Bogor 16111
5 109 RS. Salak 0251-8345222 0251-8345444 -A 450,000 195,000II A PRIA 100,000III A (NON AC) 70,000
Jl. Jendral Sudirman No. 8 B 300,000
Kebidanan dan
Anak 170,000II B WANITA 80,000III B 60,000
Bogor 16151 II A Anak 140,000
II B Anak 110,000
6 110 RSIA. Hermina Bogor Suite Room 1,240,000 506,000 304,000 127,000
Jl. Ring Road I Kav. 3,25,27 0251-8382525 0251-8328252 SVIP 962,000 A 249,000
Perum Taman Yasmin,Curug Mkr 0251-8328254 VIP 861,000
7 111 RS. Tugu Ibu 021-8710870 021-8708266 VIP 825,000ICU 825,000Kelas I 500,000Kelas II 325,000Kelas III 175,000
Jl. Raya Bogor Km 29 Cimanggis - Depok 16952
8 112 RS. Palang Merah Indonesia (PMI) 0251-8324080 0251-8324709 VVIP A 1,250,000Anggrek A 400,000Anggrek I 400,000Anggrek II A 250,000III Umum 60,000
Jl. Raya Pajajaran Bogor 0251-8324656 VVIP B 1,000,000Anggrek B 325,000Seruni I 350,000Anggrek II B 225,000III Perusahaan 75,000
PO. BOX 59 VVIP C 700,000 Mawar 300,000Seruni II A, Aster II A 225,000
VIP 500,000 Kelas II B 200,000
Kelas II C 100,000
9 113 RS. Bogor Medical Center 0251-8390435/8346002 0251-8313987 President Suite 1,500,000 Kelas IA 500,000Kelas IIA 300,000Kelas IIIA 100,000
Jl. Pajajaran Indah V /97 0251-8338259 Suite 1,000,000 Kelas IB 450,000Kelas IIB 275,000Kelas IIIB 90,000
Bogor VVIP 750,000
VIP 600,000
10 114 RS Bina Husada 021-8758440 (UGD) 021-8752463 VIP 900,000 500,000II A 275,000 100,000
Jl. Mayor Oking Jaya Admaja Km 1 No. 101 021-8753422 (Operator) II B 225,000ICU / ICCU 500,000
Cibinong - Bogor Perina Isolasi 350,000
11 115 RS Mary Cileungsi Hijau 021-82492222 021-82493902 VIP 325,000 125,000 105,000 85,000
Komp. Cileungsi Hijau Jl. Raya Narogong Km. 21 Cileungsi - Bogor 16820
12 116 RS. Islam Bogor 0251-8316822 0251-8347139 Jabal Rahmah (Suite Room) 900,000Jabal Tsur 450,000Muzdalifah 375,000II Mina 275,000Kelas III Arafah I, II 90,000
Jl. Perdana Raya No. 22 Jabal Wustho 700,000 HCU 450,000II Marwa 225,000Kelas III Badar 90,000
Kedung Badak VIP 550,000
Bogor II Badar (Isolasi) 175,000
13 117 RS. Trimitra Cibinong 021-8763055/56 021-8755311 Vip I 750,000 Kelas I 450,000Kelas II A 350,000Kelas III Dewasa 150,000
Jl.Raya Cibinong KM.43 021-8765993 Vip II 650,000 Kelas II B 250,000Kelas III Anak 125,000
Bogor
14 118 RS. Thamrin Cileungsi 021-823 50 52 021 - 823 0686 VIP Emerald 825,000 I Saphire 440,000II Rubby 230,000III Topaz 120,000
Jl. Raya Narogong Km. 16 Limus Nunggal II Rubby Anak 220,000III Anak 130,000
Cileungsi - Bogor 16820
15 119 RB. Harapan Ibu 021-54260635 021-5977581 60,000 40,000
Jl. Raya Cikabon No. 108 021-54260635
Parung Panjang; Bogor
16 120 RSIA Citra Insani 0251-8611507 0251-8617493 VIP I 350,000 Melati 250,000Anggrek 155,000 80,000
Jl. Raya Parung No. 242 VIP II 300,000 Kenanga 125,000
Parung - Bogor
17 121 RSIA. Melania 0251 - 8321196 0251 - 8331777 VIP I 500,000Utama 600,000 300,000II 200,000 90,000
Jl. Pahlawan No. 91 0251 - 8371191 VIP II 450,000 II Anak 250,000 N/A
Bogor 18 122
Klinik Utama Jantung Cinere (Kardiovaskuler Hospital
Jl. Maribaya No.1, Puri Cinere Depok 16514 SVIP 1,500,000
VIP 1,000,000
19 123 RS. Sentra Medika Cibinong 021-8790 9999 021-8790 9377 SVIP 1,250,000Utama 650,000I 475,000II 295,000III 130,000
Jl. Mayor Oking Jaya Atmaja No. 9, Cibinong 021-87911212 VIP Deluxe 950,000
Bogor 021-87905444 VIP 750,000 Isolasi 295,000
ICU/NICU/PICU 1,000,000
20 124 Klinik & RB. Pelita Sehat 0251-8658811 0251-8652628 Vip Dewasa 350,000 250,000 200,000 125,000
Jl. Raya Cibuluh Ruko No. 9 Vip Anak 300,000 250,000
Simpang Pomad Bogor
21 125 RSIA. Sentosa 0251-7541900 0251- 7541900 VVIP 900,000 Kls I 550,000Kls II 450,000Kls III 175,000
Biaya Administrasi 3% dari total tagihan RI, Max Rp. 500.000.- dan 1 % dari total tagihan
Jl. Raya Kemang No. 18 0251-7534704 VIP 675,000 Kls I (Anak) 450,000II Anak 400,000III Anak 150,000
Bogor Isolasi 550,000 Picu/Nicu 550,000
22 126 RS Hermina Mekarsari 021-29232525 021-29232770 VIP 792,000 466,000 280,000 117,000
Jl Raya Cileungsi Jonggol KM 1, Cileungsi
Kab. Bogor Isolasi 466,000
ICU 605,000
23 127 RS Medika Dramaga 0251-8308900 0251-862557 VIP 450,000Utama 350,000 250,000 200,000 100,000
Jl Raya Dramaga Km 7,3 Margajaya Bogor 16680
Isolasi 250,000
BENGKULU
1 128 RS. Rafflesia Bengkulu 0736-21710 0736-342677 SVIP 495,000 Kls I 220,000Kls II 198,000Kls III 110,000
Biaya kamar terlampir, belum termasuk biaya makan 3x
Jl. Mahoni no. 10 VIP 337,500
Bengkulu VIP Utama 387,500
2 129 RS. Bhayangkara Bengkulu 0736-341086 0736-21553 VIP 300,000 Kelas I 165,000Kelas II 140,000Kelas III 115,000
Jl. Veteran No. 2 Kel. Jitra, Bengkulu
3 130 RS Tiara Sella Bengkulu 0736-20350 0736-20626 President Suite 1,200,000VIP 400,000Kelas I 275,000Kelas II 200,000Kelas III 100,000
Graha Bernoza, Jl. S. Parman No. 61 Padang Jati Junior Suite 1,000,000
Bengkulu VVIP 550,000
BLITAR
1 131 RS. Katolik Budi Rahayu 0342-801066 0342-806509 VIP 450,000 IA 300,000II A 175,000III 50,000
Jl. Jend. Ahmad Yani no 18 0342-804284 IB 250,000II 80,000
Blitar
BOJONEGORO
1 132 RS. Aisyiyah Bojonegoro 0353-881748/887829 0353-885978 VVIP 650,000 175,000 137,500A 110,000
Jl. Hasyim Ashaari No. 17 VIP 350,000 B 100,000
Bojonegoro C 70,000
CIAMIS
1 133 RSU. Permata Bunda 0265-771650 0265-771650 VIP A & B 350,000Parahyangan 250,000 200,000 150,000
untuk kls III hanya di berlakukan untuk Kesmas (pelayanan umum), tidak asuransi.
Jl. Mr. Iwa Kusumasomantri No. 1 VIP C & D 300,000
Ciamis CILACAP
1 134 RS Islam Fatimah 0282-542396 0282-541065 Utama I 325,000I 205,000 150,000 75,000
Jl. Ir. H.Juanda no.20 Cilacap 53231 0282-541065 Utama II 265,000
HCU 360,000
CILEGON
1 135 RS. Krakatau Medika 0254-396333 0254-372010 VIP Flamboyan (Dws) 775,000Wijayakusuma 350,000Seruni 250,000Cempaka / Seruni 180,000Dws 100,000
Biaya adm 5 % dari total biaya RI, setelah di kurangi biaya obat.
Jl. Semang Raya, Cilegon 0254-373011 VIP Wijayakusuma (Anak) 650,000Flamboyan 500,000Anggrek 250,000Melati Anak 190,000Melati Anak 125,000
0254-373013 Suite Flamboyan 1,000,000 I Anak A Melati 350,000
0254-372180 (ADM RI) VIP Anak 650,000 I Anak B Melati 250,000
2 136 RSIA. Kurnia 0254-391161 0254-397023 VIP 450,000 Kelas I 250,000Kelas II 180,000Kelas III 100,000
JL. Jombang Masjid No.4
3 137 RSIA Mutiara Bunda Cilegon 0254-399988 0254-376454 VVIP A 500,000 I 200,000II 150,000III 100,000
Jl. SA Tirtayasa No. 86, Cilegon 0254-376888-ADM VVIP B 450,000
VIP B 300,000
4 138 Klinik dan RB Afina 0254-392568 0254-392568 Kelas I 300,000Kelas II 200,000Kelas III 100,000
Jl. Rambutan No. 12, Pagebangan, Cilegon
CIREBON
1 139 RS.Pertamina Cirebon 0231-224646 0231-209328 Suite 1,000,000 -Kls I 400,000Kls II 250,000Kls III 125,000
Jl. Patra Raya Klayan 0231-2512116 Super VIP 800,000 ICU 700,000
Cirebon 45151 ext.2181 VIP 600,000
2 140 RS. Pelabuhan Cirebon 0231-230024 0231-204444 SVIP I 577,500 I A 302,500II A 187,000III A 90,000
Jl. Sisingamangaraja, No.45 0231-205657 AVIP II 715,000 I B 253,000
VIP A 396,000 II B 154,000III B 80,000
VIP B 352,000
VIP C 302,500
3 141 RS. Putera Bahagia 0231-207351 0231-486356 SVIP 800,000 Kls I 275,000Kls II (Dewasa+Anak) 175,000Kls III (Dewasa+Anak) 100,000
Jl. Ciremai Raya No. 145 0231-485654 VIP (Dewasa + Anak) 450,000 Kls I A Anak 325,000
Cirebon 45141
4 142 RS. Sumber Kasih 0231-203815 0231-210040 Paviliun Kasih 1,500,000 Kls I 275,000Kls II 175,000Kls III 85,000
Jl. Siliwangi No. 135 Pav. A 675,000
Cirebon Pav. B 525,000 R. Isolasi 175,000
SVIP 425,000
VIP 350,000
DENPASAR
1 143 RS. Kasih Ibu 0361-223036 0361-238690 VIP Executive 700,000 - 175,000 125,000 100,000
Jl. Teuku Umar No. 120 0361-237016 VIP A 500,000
Denpasar VIP B 375,000
2 144 RSU Manuaba 0361-426393 0361-227228 VIP A 650,000 -Kls I A 275,000Kls II 125,000Kls III 80,000
Jl. Cokroaminoto 28 437143 286183 VIP B 500,000 Kls I B 200,000
VIP C 350,000
3 145 RSU Graha Asih 0361-764860 0361-766565 VIP Anggrek A 500,000 -Bougenville 375,000Cempaka 275,000Dahlia 180,000
Jl. I Gusti Ngurah Rai No. 33 X VIP Anggrek B 450,000
Kuta - Badung - Bali
4 146 RSU Dharma Usadha 0361-227560 0361-234824 VIP A 500,000 250,000 175,000 125,000
Jl. PB Sudirman No. 50 VIP B 400,000
Denpasar ICU 500,000
5 147 RS. Prima Medika 0361 - 236225 0361-236203 Suite 1,500,000Executive I 800,000Superior 400,000Deluxe 300,000Junior 200,000
Jl Pulau Serangan 9x 0361-257445 Executive II 600,000
Denpasar-Bali VIP 500,000 ICU 650,000
6 148 RSIA. Puri Bunda 0361-437999 0361-433988 Sita 1,800,000Kunti Anak 800,000 275,000 225,000 150,000
Jl. Gatot Subroto VI/19 Kunti 800,000VIP Anak 400,000
Denpasar Bali Supraba 475,000 I Anak 275,000
Drupadi 400,000
Kausalya 325,000
7 149 RS. Surya Husadha International 0361-265165 0361-265514 Legong 518,000Tenun 353,000Pendet 276,000Baris 200,000Janger 110,000
Jl. Pulau Serangan No. 7 0361 - 233787
Denpasar 80114 Bali
8 150 RS. Bali Medistra 0361-484748 0361-484748 Suite 1,250,000 Kls I 300,000Kls II 195,000 150,000
Jl. Mahendradatta No. 57X 0361-8450773 Executive 600,000
Denpasar VIP A 450,000
Bali 80117 VIP B 375,000
9 151 RSU. Puri Raharja 0361-222013 0361-242537 Super VIP / Puri Wijaya Kusuma 550,000 Puri Cempaka 300,000Wisma Seruni 275,000Kls III Wisma Dahlia 150,000
Jl. WR Supratman No. 14-19 0361-229118 VIP A / Puri Jempiring 475,000 Kls III Wisma Tunjung 90,000
Denpasar - Bali VIP B / Puri Angsoka 350,000 Bayi Patologis 125,000
VIP C / Puri Bougenvile 325,000
10 152 RS. Kertha Usada 0362-26277-79 0362-22741 Super VIP 350,000 170,000II A 150,000III 80,000
Jl. Cendrawasih No. 5-7 VIP 200,000 II B 110,000IV 70,000
Singaraja 80116 II C 90,000
11 153 RS. Bhakti Rahayu 0361 - 430245 0361- 430833 VIP A 500,000 250,000 150,000 100,000
Jl. Gatot Subroto II / 1 VIP B 400,000
Denpasar
12 154 RS Kasih Ibu Kedonganan 0361-703270 0361-703329 Executive 750,000 Kelas I 225,000Kelas II 175,000 135,000
Jl. Uluwatu No. 69A, Kedonganan, Kuta, Bali VIP A 550,000
VIP B 425,000
VIP C 340,000
ICU 550,000
13 155 RS Parama Sidhi 0362-29787,32701 0362-29787 Maharloka 300,000 Svarloka 250,000Bvarloka A 200,000Bhurloka 120,000
Jl. Ahmad Yani No. 171 A, Singaraja, Bali Bvarloka B 150,000
14 156 RS. Surya Husadha Ubung (Surya Husadha Group) 0361-425744 0361-430557 Dwaraka 400,000 Kosala 200,000Hastina Pura 130,000Pancala 85,000
Jl. Cokroaminoto No. 356 Denpasar
15 157 RS. Dharma Kerti 0361-811424 0361-811077 Kls I A 250,000Kls II 150,000Kls III 115,000
Jalan Teratai No. 16, Dauh Pala Tabanan, Bali Kls I B 215,000
Kls I C 170,000
16 158 Siloam Hospital Bali 0361-779900/11 0361-779944 Tarif Menyusul
Jl. Sunset Road No. 818, Kuta Bali 80361
17 159 Bali Royal Hospital 0361-247499/222588 0361-226051/52 Super VVIP 2,000,000 300,000 225,000 180,000
Jl Tantular No 6 VVIP 1,500,000 Renon-Denpasar VIP A 650,000 VIP B 550,000 ICU/ICCU 1,000,000 VIP C 450,000 GARUT 1 160 RS. Tk.IV / Guntur 0262-235751 0262-235751 A 350,000 A 225,000A 150,000A 80,000 Jl. Bratayudha No. 101 0262-232325 / 243080 B 310,000 B 200,000B 125,000B 50,000 Garut GRESIK
1 161 RS. Semen Gresik 031-3987840 031-3987842 VVIP 650,000 A 375,000A 250,000A 100,000
Jl. RA. Kartini, No.280 031-3989478 VIP 450,000 B 325,000B 200,000B 80,000
GRESIK 031-3975847 VIP Theratai 400,000 C 145,000
DEPOK
1 162 RSU. Bhakti Yudha 021-7775861 021-7775862 VIP 700,000 -Kls I 400,000Kls II 300,000Kls III 150,000
Jl. Raya Sawangan 021-7520082 ICU 600,000
Depok 16436
2 163 RS. Hermina Depok 021-77202525 021-7763309 Suite Room 1,240,000 506,000 304,000 127,000
Jl. Raya Siliwangi No. 50 77206107 SVIP 962,000ICU/NICU/PICU 646,000 A 249,000
Pancoran Mas, Depok VIP 861,000Intermediate 538,000 Isolasi 497,000
3 164 RS. Simpangan Depok 021-8741549 021-8741549 Kls Vip 434,000Kls I Utama 380,000Kls I 271,500Kls II 217,000Kls III 119,500
Jl. Raya Jakarta Bogor Km 36 021-8742916
Depok
4 165 RSIA Tumbuh Kembang 021-8701873 021-8701872 SVIP 900,000Utama 620,000Kls I 500,000Kls II 350,000Kls III 150,000
Jl. Raya Bogor Km. 31 No. 23 Palsi Gunung 021-8701874 VIP 800,000
Cimanggis - Kota Depok
5 166 RS. Hasanah Graha Afiah 021-77826267 021-77826260 VIP 650,000 I Utama 400,000II 175,000III 85,000
Jl. Raden Saleh No. 42 021-77826276 Eksekutif 500,000 I 275,000II Umum 130,000III Umum 110,000
Depok 16412
6 167 RS. Graha Permata Ibu 021-7778899 021-7778998 VVIP 2,500,000I Utama 650,000Kelas I 480,000II A 300,000III A 150,000
Jl. KHM Usman No. 168 VIP Perdana 1,100,000 I Children Ward 500,000II B 275,000III B 160,000
VIP Anak 850,000 II Children Ward 300,000
Kukusan-Depok VIP 850,000 Isolasi 550,000
7 168 RS. Mitra Keluarga Depok 021-77210700 021-77212155 Super VIP 1,600,000 Kls I 640,000Kls II 330,000Kls III 160,000Biaya adm 5 % dari total tagihan
Jl. Margonda Raya 021-77210800 021-77206106 VIP 1,100,000
Pancoran Mas, Depok
8 169 RS. Bunda Margonda 021-78890551 021-78889958 VIP 1,750,000Perdana 1,000,000Utama 500,000II 350,000III 250,000
JL.Margonda Raya No.28 Pondok Cina-Depok 021- 51436697
021- 971 37391 Isolasi 600,000
9 170 RSIA. Asy-Syifa Medical Center 021-77883905 021-77885454 VIP N/AUtama 450,000 325,000 250,000 130,000
Jl. Raya Cinere Depok No. 9, Rangkapan Jaya Baru, Depok
10 171 RS Sentra Medika Cisalak 021-874 3790
021-8743230/87744013 SVIP 940,000I Plus 550,000I 430,000II 310,000III 130,000
Jl. Raya Bogor Km.33 Cisalak - Depok VIP 770,000
JAKARTA BARAT
1 172 RS. Sumber Waras 5682011 tekan 9 5673122 VIP 700,000 500,000 350,000A 250,000Umum 80,000
Jl. Kyai Tapa 5605791-ADM B 200,000III Nila 110,000
II Nila 175,000
2 173 RS. Pelni 5350085 - Keuangan 5483145 Teratai 1,250,000Merak 495,000Melati 385,000Mawar 330,000Kenanga 165,000
Biaya Adm 5 % dari Total Biaya Perawatan
Jl. AIP II KS Tubun 92-94 5480608 Wijaya 980,000 Murai 330,000Cempaka 165,000
Jakarta 11410 5306901 Khusus 215,000
3 174 RSAB Harapan Kita 5668284 5601816 VIP A 880,000 350,000 210,000 85,000
Jl. Let Jend S. Parman VIP B 670,000
NB. Ada penambahan biaya makan perhari
4 175 RS. Medika Permata Hijau 530 5288 5305291 Super VIP 1,500,000 I 475,000 280,000 145,000
Jl. Raya Kebayoran Lama No. 64 5347411 VIP 925,000 Sigle Bed 725,000Pediatrik 280,000ICU 925,000
Jak-Bar 11560 Pediatrik 535,000 Isolasi 435,000
5 176 RS. Hermina Daan Mogot 5408989 5449869 Suite Room 1,348,000 550,000 330,000 138,000
Jl. Kintamani Raya No. 2 SVIP 1,045,000
Perumahan Daan Mogot Baru VIP 935,000
6 177 Siloam Hospital Kebun Jeruk 5300888 5321775 Junior Suite 2,600,000 550,000 350,000 140,000
Jl. Raya Perjuangan Kav. 8 Opr. 0 Suite Room 2,300,000 ICU 1,200,000
Kebon Jeruk, Jakarta o VIP 1,100,000 HCU 950,000
7 178 RSUD. Cengkareng 54372874-6 5442693 VIP 600,000Utama 500,000Kls I 350,000Kls II 250,000
untuk kls III hanya di berlakukan untuk Kesmas (pelayanan umum), tidak asuransi.
Jl. Kamal Raya, Bumi Cengkareng Indah Cengkareng Timur, Jakarta Barat 11730
8 179 RS. Puri Mandiri Kedoya 5828299 5828499 SVIP 850,000 450,000 375,000A 225,000 125,000
Jl. Raya Kedoya No. 2 VIP 700,000 Isolasi 250,000
Kebon Jeruk, Jak-bar 11520 875,000
9 180 RS. Patria IKKT 5308981-84 5346387 VIP 600,000 Kls I A 425,000Kls II 225,000Kls III A 150,000
Jl. Cendrawasih No. 1 KomplekDephan Kls I B 300,000 Kls III B 95,000
Mabes TNI Slipi, JakBar 11480
10 181 RS. Royal Taruma 56958338 56958589 SVIP 1,250,000Utama 880,000Kls I 440,000Kls II 330,000Kls III 130,000ADM 8 % dari TB RI Maksimal 2 jt
Jl. Daan Mogot No. 34 56967788 SVIP Saphire 1,375,000 Kls I Saphire 495,000Kls II A 185,000
Grogol Jakarta Barat 11470 Executive Saphire 1,100,000VIP 990,000
11 182 RS. Pondok Indah Puri Indah 25695222 25695205 Suite Room 2,100,000 550,000 400,000 150,000
Jl. Puri Indah Raya, Blok S-2 VIP 1,100,000
Kembangan Selatan, Jakarta Barat
12 183 RS. Jantung dan Pembuluh Darah Harapan Kita 5681111 5684230 CVCU ICU I 600,000II 400,000III 250,000
Jl. Letjend. S. Parman Kav. 87, Slipi 5684130 Executive 1,000,000Executive 1,500,000
Jakarta Barat Standart 800,000Standart 1,250,000
13 184 RS Kanker Dharmais 021-5681570 021-5681577 VVIP Anggrek 1,450,000 I Mawar 525,000II Melati 375,000III A Cempaka 225,000
Untuk planing BPJS, rumah sakit tidak memberlakukan kelas III dan kelas II untuk peserta Asuransi
Jl Letjen S. Parman Kav.84-86 Vip Anggrek 950,000 I Anak 515,000II Anak 375,000III B Cempaka 142,000
Slipi, Jakarta Barat III A Anak 275,000
III B Anak 125,000
14 185 RS Grha Kedoya 021-29910999 021-29910987 Presidential Suites 2,500,000Kelas Utama 1,000,000Kelas I 650,000Kelas II 400,000Kelas III 180,000
Jl. Panjang Arteri No. 26, Kedoya Utara VVIP 2,000,000
Jakarta-Barat, 11520 VIP 1,250,000
JAKARTA PUSAT
1 186 RS. PGI Cikini 38997777 38997778 Super VIP Anggrek 1,800,000 Kelas I 500,000II A 350,000A 125,000
Jl. Raden Saleh 40 38997799 (Rawat Jalan) Super VIP Mawar 1,800,000 I A 400,000II B 300,000B 90,000
Jakarta 10330 38997788 (Rawat Inap) VIP Anggrek 1,250,000 II C 250,000
38997744 (IGD) VIP A 900,000 Isolasi A 200,000
Isolasi A 250,000Isolasi B 125,000
Semi VIP 750,000 Isolasi B 175,000Isolasi C 90,000
Semi VIP A 700,000 Isolasi C 250,000
2 187 RS. Abdi Waluyo 3144989 31930866 Super VIP (K100-102 ) 2,500,000 1,200,000 800,000 500,000 Biaya Adm 8 % dari Total Biaya
Jl. HOS Cokroaminoto 31-33 Super VIP (K107) 2,500,000
Kav. C21 Kuningan VIP 1,800,000
Suite 3,750,000
SVIP (K204,205) & JR Suite 3,000,000 3 188
RSPAD Gatot Soebroto / Yanmasum Pav. Gatot
Subroto 3840484 3843101 PAV. KARTIKA PAV. KARTIKA PAV. KARTIKA
Biaya ADM 5 %, dan maximum
2.500.000.-Jl. Abdul Rachman Saleh 24 SUPER VIP 1,750,000 A 500,000A 350,000
VIP 1,500,000
3441008 PAV. DARMAWAN
PAV.
DARMAWAN PAV. DARMAWAN
3500004 - Darmawan VIP A 950,000 A 400,000A 275,000
VIP B 750,000 B 350,000B 250,000
VIP C 600,000
4 189 RS. St. Carolus 3904441 3103226 SVIP 1,250,000 Kls I 480,000Kls II 305,000Kls III 150,000
Jl. Salemba Raya No. 41 Telp RJ; 23567902 Fak RJ 23567972 VIP 975,000 III Non AC 85,000
R Khusus 350,000
5 190 RS. Islam Jakarta 021-4250451 4206681 Musdalifah Arafah Multazam II A (Shafa-shafa) 330,000
Marwah Bawah (Wanita)
Kls III 160,000
Jl. Cempaka Putih Tengah I/1 021-42801567 Bawah 950,000Bawah 650,000Bawah 650,000II B (Shafa-shafa) 250,000Marwah Atas (Pria) Kls III 160,000
Atas 850,000Atas 330,000Atas 435,000
Marwah Bawah (Wanita)
Isolasi 250,000
Matahari Dua (Anak) Kls
III 140,000
Marwah Atas (Pria) Isolasi 250,000
Matahari Dua (Anak)
Isolasi A 315,000
Arafah Atas 330,000
Matahari Dua (Anak)
Isolasi B 165,000
Matahari Dua (Anak)
Isolasi C 100,000
6 191 RS. Husada 6260108 6497494 Super VIP 1,700,000
I Exe (Cempaka)
A-G 1,000,000Anggrek 750,000GH Pratama 575,000Isolasi 300,000
Jl. Raya Mangga Besar No. 137-139 6490090 VIP GH 608,609,610,611 1,250,000
I Exe (Cempaka)
H-S 900,000Nusa Indah 350,000Nusa Indah 575,000III Pav. Soka 150,000
Jakarta 10370 6010500 VIP 601,602,603,604 1,000,000Hati 750,000Soka (E) 400,000Jantung 500,000Mawar, Melati 130,000
VIP Putra 950,000I Utama 600,000Lantai Stroke 450,000Putra 500,000Nusa Indah 130,000
VIP Cempaka AS 1,200,000
Kls I Utama
teratai 650,000Jantung 500,000Lantai Stroke 400,000
VIP Cempaka H-S 900,000Gladiola A-N 750,000Putra 400,000Nusa Indah A & B 400,000
VIP Cempaka A-G 1,000,000Gladiola Q-Z 875,000Hati 575,000Soka 300,000
VIP GH 501 900,000Anggrek 750,000 Mawar, Melati 300,000
Anggrek 1,200,000Teratai 650,000
7 192 RS. MH. Thamrin 3904422 3107816 President Suite 3,000,000 R. Saphire 500,000R. Ruby 250,000Topaz 150,000
Jl. Salemba Tengah VVIP 1,200,000 R. Ruby Plus 325,000Topaz Plus 175,000
No. 26-26A-28 VIP 950,000 Kamar Anak 500,000Kamar Anak 350,000Kamar Anak 150,000
8 193 RS. Mitra Kemayoran 6545555 6545959 SVIP 1,900,000 N/A 600,000A 375,000 150,000Adm 7 % Maksimum 5 jt
Jl. Landas Pacu Timur 6545888 VIP 1,350,000 B 350,000
Jakarta 10630
9 194 RS. Khusus THT-Bedah Proklamasi 3900002 3900947 SVIP A 2,000,000 -A 1,155,000Kelas II 550,000 200,000
Jl. Proklamasi 43 SVIP B 1,750,000 B 1,050,000
Jakarta Pusat VIP A 1,350,000 C 900,000
VIP B 1,200,000
10 195 RS. TNI-AL Dr. Mintohardjo 5749037 VVIP A 700,000 -A Marore 400,000Kls II 120,000Kls III 90,000
Jl. Bendungan Hilir No. 17 5703081 VIP A 650,000 B Selayar 325,000 Isolasi 120,000
Jakarta Pusat VIP B 550,000 C Selayar 300,000
D Selayar 250,000 I A Bintan 400,000 I B Bintan 375,000 I C Bunyu 300,000 I Pagai 250,000 I A P. Laut 180,000 I B P. Laut 150,000 I B P. Subi 180,000 I P. Bangkalis 250,000
11 196 RS. Menteng Mitra Afia 3154050 3146309 S-VIP N/A N/A 350,000 200,000 100,000
Jl. Kalipasir No. 9 VIP 650,000
Jakarta Pusat 10340
12 197 RS. Kramat 128 3909513 3909125 S-VIP 950,000Teratai 500,000Aster 450,000 250,000 100,000
Jl. Kramat Raya 128 3909514 VIP 850,000Aster 550,000Teratai 400,000
Jakarta 10430 3918287 VIP A 700,000
13 198 RSIA. Bunda Jakarta 31922005 3101313 CDC 2,500,000Utama 1,000,000 Kelas II 550,000Kelas III 300,000
Jl. Teuku Cik Ditiro No. 28 3143215 3928588 CDC Executive 3,500,000
Jakarta Pusat Perdana 1,400,000 Isolasi 750,000
14 199 RSIA. Tambak 021-2303444 021-3902550 SVIP 1,150,000UTAMA PLUS 750,000 570,000 325,000 125,000
Jl. Tambak No. 18, Menteng VIP 950,000Utama 650,000
Jakarta Pusat 10320
15 200 RS. Pertamina Jaya 021-4204056 021-4211913 SVIP 850,000ICCU 850,000A 475,000 320,000III A 150,000
JL. A. Yani No.2 021-4211911 VVIP 750,000Isolasi 300,000B 450,000 Gakin 70,000
Jak-Pus 10510 VIP 650,000
16 201 RSIA. Budi kemuliaan 021-3842828 021-3501012 VIP Ibu (Tribhuana Tunggadewi) 1,020,000Mahendradata Ibu 805,000Subadra Ibu 525,000Larasati Ibu 335,000Srikandi Ibu 270,000
Jl. Budi kemuliaan No. 25 VIP Bayi (Tribhuana Tunggadewi) 460,000
Mahendradata
bayi 425,000Subadra Bayi 285,000Larasati Bayi 205,000Srikandi Bayi 160,000
17 202
RS. Khusus Bedah Salemba Satu (RS Bedah SS
Medika) 021- 3913336 021-3926687 Super VIP 700,000 400,000 200,000 100,000
Jl. Salemba I no. 11 VIP 500,000
Jakarta Pusat 10430
18 203 RS. Jakarta Eye Center 021-3150360 021-3904601 Anggrek 1,000,000 Bougenville 500,000Cempaka 300,000Dahlia 150,000
Jl. Cik Di Tiro No. 46, Menteng Jakarta 021-29221000
19 204 RSIA. Evasari 021-4202851 021-4244490 Catlia 1,250,000 Kelas I 500,000Kelas II 375,000Kelas III 110,000
Jl. Rawamangun No.47 021-4209725 Melati 1,100,000
VIP 800,000
20 205 RSIA. YPK Mandiri 021-3909725 021-3909806 SVIP 1,500,000 900,000 650,000 350,000 200,000
Jl. Gereja Theresia No. 22 VIP 1,000,000
Jakarta 10350
21 206 Sahid Sahirman Memorial Hospital 021 - 57853911 021-57853922 Sahid Suite 3,500,000 Standart A 750,000Standart B 300,000
Jl. Jenderal Sudirman No. 86 Sahirman Suite 2,500,000
Jakarta 10220 VIP 1,200,000
22 207 RS. Bedah THT Prof Nizar 021-3503435 021-34834982 605,000 495,000 275,000 175,000
Jl. Kesehatan No. 9, Jakarta Pusat
23 208 RSU Bunda Jakarta 021-31923344 021-31905915 Mitra Suite 3,500,000Utama 1,000,000 550,000 300,000
Jl Teuku Cik Di Tiro No 21 ext 6517 Perdana 1,400,000
Menteng-Jakarta Pusat TANGERANG
1 209 RS. Honoris (Mayapada Hospital) 5529035 5529036 SVIP NEW WING 2,500,000Kls I Utama 650,000Kls I 500,000II UTAMA 350,000Kls III 120,000
Jl. Honoris Raya Kav. 6 5578 1888 ADM RI 5529495 VVIP (OLD WING) 1,800,000 II BIASA 270,000
Kota Modern Tangerang 15117 VIP (NEW WING) 1,500,000
VIP 1,500,000
2 210 RS. Usada Insani 5521270 55754335 VIP 700,000Utama 400,000A 370,000II UTAMA 185,000Kls III 90,000
Jl. KH. Hasyim Ashari 55752575 B Utama 330,000A 165,000III Srikandi 110,000
No. 24 Tangerang 55755665 Penagihan B 275,000B 140,000
3 211 RS. QADR 5464466 5470775 Citra / SVIP 980,000 Nuansa / Kls I 270,000Kls II (Dewasa) 165,000Kls III (Dewasa) 80,000
Komplek Islamic Village Desa Kelapa Dua 5521025 VIP 750,000 Kls II (Anak) 160,000Kls III (Anak) 88,000
PO Box 492 Tangerang 15001 5463094 Isolasi 195,000Isolasi 150,000
4 212 RS. Premier Bintaro (Internasional Bintaro) 7455500 7455800 New SVIP 2,475,000Utama A 700,000Kelas I 800,000Kelas II 500,000Kelas III 175,000
Jl. M.H.Thamrin Blok B3 SVIP 2,100,000Utama B 650,000I Kebidanan 800,000II Kebidanan 500,000III Kebidanan 175,000
No.1 Sektor 7 7455600 VIP 1,500,000SVIP Kebidanan 2,100,000Kelas I Anak 800,000Kelas II Anak 500,000
Untuk Anak Tidak ada kelas III
7455700 VIP Anak 1,500,000VIP Kebidanan 1,500,000 Isolasi 1,150,000
5 213 RS. Sari Asih Karawaci 5522794 5525214 SVIP N/A A 375,000 170,000 90,000
Jl. Imam Bonjol No. 38 5523239 VVIP 900,000 B 250,000
Tangerang 15113 / 73457727 VIP 650,000
6 214 RS. Sari Asih Ciledug 021-7333430 557990404 VVIP 900,000 375,000 170,000 90,000
Jl. HOS Cokroaminoto (JL.Raya 021-7332758 7333441 VIP 700,000
Cileduk) No.38 Ciledug
7 215 RS. Islam Asshobirin 5384253 5384338 VIP 420,000 I Utama 215,000 160,000 72,000
Jl. Raya Serpong KM 1 5384314 ICU 360,000 I Isolasi 90,000
Pondok Jagung, Tangerang
8 216 RSIA. Putra Dalima 021-5380375 021-5381220 VIP 325,000 225,000 175,000 100,000
Bumi Serpong Damai Sektor 1-2 021-5376002
Blok UA/26-27 Tangerang 021-5374126
9 217 RS Siloam Gleneagles lippo Village 021-5460055/51/66 5460921 Presidential 3,000,000 575,000 375,000III 140,000
Jl. Siloam No.6, Lippo Karawaci 1600 ext 2606/2603 54210094 Siloam 2,000,000 Kelas IA 450,000
Tangerang 15811 Suite 1,850,000
SVIP 1,500,000
VIP 1,150,000
10 218 RS. Bhineka Bakti Husada 7490018 7499157
Utama
(Muzdalifah) 550,000A 450,000A 300,000 90,000
Jl. Cabe Raya No. 17 Pondok Cabe B 375,000B 225,000ICU / HCU 875,000
Pamulang Tangerang
11 219 RS. Ichsan Medical Centre (IMC) 7456379 7450819 VVIP 940,000 Kelas I A 500,000Kelas II A 280,000Kelas III A 140,000
Jl. Raya Jombang No 56 7456386 VIP Anak 610,000 Kelas I B 390,000Kelas II B 230,000Kelas III B 100,000
Bintaro Jaya Sektor IX VIP 720,000 Kelas I Anak 420,000Kelas II Anak 280,000Kelas III Anak 140,000
12 220 RS. Melati 021-5523 945 021-552 5604 450,000 200,000 110,000 70,000
Jl. Merdeka No.92 Tangerang 5520028 Bersalin 465,000 Bersalin 250,000
13 221 RS. Aminah 021-7371919 021-7371333 Utama N/AFlamboyan 375,000Mawar 175,000Mawar 115,000
Jl.Hos Cokroaminoto (Ciledug Raya) No. 4A 021-7371818 Anggrek 325,000Anggrek 150,000Melati 100,000
Kreo Selatan - Larangan Tangerang II B Melati 150,000Anggrek 100,000
14 222 RS. Annisa Tangerang 021-5525564 021-55791563 VIP 500,000 350,000 350,000II Dws 165,000Kelas III A 105,000
Jl. Gatot Subroto No. 96 II Anak 132,000Kelas III B 82,500
15 223 RS. AWAL BROS TANGERANG 021-55780888 021-55781520 Super VIP 1,100,000 440,000 220,000 110,000Biaya Adm 6 %, dan max 1 jt
Jl. MH Thamrin No. 3 Kebon Nanas VIP 800,000
Cikokol Tangerang 15117 ICU 750,000
16 224 RSU. Sari Asih Sangiang 5582732 55791307 VIP 550,000 I 280,000 130,000 80,000
JL. Raya Mauk.KM.3,5 SIMPANG TIGA SANGIANG Sangiang Tangerang Banten 15530
17 225 RS. Omni Alam Sutera 021-53125555 021-53128666 Super VIP 1,500,000 500,000 350,000 135,000
Jl. Alam Sutera Boulevard Kav. 25 021-53128555 VIP 1,200,000
Serpong - Tangerang VIP General 600,000 Isolasi 600,000
18 226 RSIA. Bunda Sejati 021-5900136 021-5900056 VIP 300,000 200,000A 130,000 70,000
Jl. Prabu Siliwangi No. 11 021-5900056 B 110,000
Jati Uwung - Tangerang
19 227 RS. Dinda 021-55650577 021-55652149 200,000 120,000 90,000
Jl. Galuh No. 2 Kamar Bayi 75,000
Kel. Jatiuwung Perinatologi 90,000
Taman Cibodas - Tangerang
20 228 RS. Ariya Medika 021-5902229 021-5902223 75,000 65,000 50,000
Jl. Industri Raya I Blok A No. 1-10 021-5902232
Jatake Tangerang
21 229 EKA Hospital 021-2565 5555 021 - 2564 5544 President Suite 4,000,000 Standart Plus 700,000 Basic 150,000
Central Business Distric Lot IX BSD City Opr 0 F:53164410 Suite 2,600,000 Standart 450,000
Tangerang,15321 VIP 1,100,000
23 230 RS. Mulya 021-7322443 021-7310721 VIP 360,000 220,000 125,000 65,000
Jl. KH. Hasyim Ashari No. 18 021-7322445
Sudimara Pinang Kota - Tangerang
24 231 RSIA. Tiara 021-5961999 021-590699 400,000 200,000 120,000 75,000
Jl. Raya Serang KM 14.5 No. 1 Cikupa 021-59401999 Perinatologi 120,000
Tangerang
25 232 RSB. Permata Sarana Husada 021- 7407422 021-7407421 Super VIP Edelweis 550,000 Lili 330,000Tulip 205,700Kenanga 127,050
Jl. Pamulang Permai D3 No. 1-2 VIP Anggrek 440,000 Bayi Lili 93,500Anak Azalea 205,700Perinatologi 120,000
Kelurahan Pamulang Barat Bayi Super VIP Edelweis 126,500 Bayi Tulip 90,750Bayi Kenanga 72,600
Kecamatan Ciputat, Kabupaten Tangerang Vayi VIP Anggrek 121,000
26 233 RSIA. Buah Hati Ciputat 021-74632222 021-74638568 SVIP 650,000 Kelas I 400,000Kelas II 300,000Kelas III 150,000
Jl.Aria Putra No. 399, Serua Indah Ciputat VIP 500,000
Tangerang
27 234 RSIA Pratiwi 021-5520692 021-5524139 I Anak 150,000II Anak 120,000III Anak 90,000
Jl RHM Noeraji No. 42, Karawaci, Tangerang I Ibu 200,000II Ibu 150,000III Ibu 80,000
III Utama 90,000
28 235 RS. Hermina Tangerang 021-55772525 021-5582705 Suite Room 1,240,000 I 506,000II 304,000III 127,000
Jl. KS Tubun No. 10, Kel. Pasar baru, Kec. Karawaci SVIP 962,000
Tangerang 15112 VIP 861,000
29 236 Bunda Dalima Hospital 021-53154447/8/9 021-5385062 VIP 590,000 I 350,000II 175,000 100,000
BUMI SERPONG DAMAI, SEKTOR XIV, BLOK J.11, NO.1
30 237 RS. Bhakti Asih 021-7305662 021-7305652 VIP 550,000Utama 300,000I A 275,000A 130,000III A 90,000
Jl. Raden Saleh No. 10, Karang tengah I B 300,000B 150,000III B 100,000
Ciledug, Tangerang I C 350,000C 175,000
31 238 RS. Mulia Insani 021-5962790 021-5963099 VIP 775,000 I 450,000II 250,000III 100,000
Jl. Raya Serang Km 16.8, Cikupa, Tangerang
Isolasi 350,000
ICU (HCU) 950,000
32 239 RS. Medika BSD 021-5372296 021-5380096 VIP 900,000 Kls I 350,000Kls II / Perawatan Anak 250,000Kls III 100,000
Jl. Letnan Soetopo Kav. Kom IIIA No. 7 Tangerang SVIP 1,200,000 ICU 750,000Isolasi 450,000
NICU 650,000
33 240 RSIA. Keluarga Kita 021-59491011 021-5982788 VIP 525,000Utama 350,000I 275,000II 175,000III 95,000
34 241 RSIA. Mutiara Bunda Ciledug 021-7301365 021-73454952 SVIP 550,000 Kelas I 275,000Kelas II 225,000Kelas III 175,000
Jl. Dr. Cipto Mangunkusumo No. 3, Ciledug VIP 375,000
35 242 RSIA. Murni Asih 021-5470263 021-5470263 I 200,000II 125,000III 55,000
Jl. Raya Bojongnangka, Medang Pagedangan,
Tangerang 021-54200982
36 243 RS. Sari Asih Ciputat 021-7410808 021-7424445 VIP 700,000 I 375,000II 170,000III 90,000
Jl. Otista Raya No. 3, Sasak Tinggi, Ciputat, Tangerang
Selatan SVIP 900,000
37 244 RS. Syarif Hidayatullah 021-7402718 021-7493532 Utama 500,000I 400,000II 250,000III 90,000
Jl. IR. H. Juanda, No.95, Ciputat Anggrek Utama 650,000
38 245 RSIA. Vitalaya 021-74703313 I 300,000 250,000III 150,000
Jl. Siliwangi No. 1, Kelurahan Benda, Pamulang,
Tangerang 200,000
39 246 RS Hermina Ciputat 021-74702525 021-74700999 Suite Room 1,140,000 Kelas I 466,000Kelas II 280,000Kelas III 117,000
Jln. Ciputat Raya No 2/Kertamukti SVIP 885,000 II A 229,000
Tangerang Selatan VIP 792,000
40 247 RSIA Buah Hati Pamulang 021-7414488 021-7420322 SVIP 850,000 Kls I 350,000Kls II 170,000Kls III 100,000
Jl. Raya Siliwangi No. 189, Banda Baru VIP 650,000
Pamulang, Tanggerang
41 248 RSIA ST Carolus Summarecon Serpong 021-54220811 021-54220810 VVIP 1,500,000 Kls I 450,000Kls II 300,000Kls III 100,000
Gading Golf Boulevard Kav. 08, Gading Serpong VIP 1,000,000
Tangerang Isolasi 600,000Isolasi 450,000Isolasi 250,000
42 249 RS Bunda Sejahtera 021-5925889 021-5925889 VIP 375,000 Kls I 275,000Kls II 125,000Kls III 75,000
Jl Raya Puri Agung No. 3 Pondok Makmur Kotabaru Pasar Kemis
Tangerang
43 250 RB Diana Permata Medika 021-5397314 021-53124105 Tarif Mennyusul
Jl MH Thamrin Kav. 87 C Tangerang
44 251 Klinik & Bersalin 24 Jam Keluargaku 021-59402572 021-5962371 Kls I 100,000Kls II 100,000Kls III 100,000
Jl Verdi Timur K5/25 Citra Raya Tangerang, Banten
45 252 RS THT Proklamasi BSD 021-29002929 021-29002930 VIP 1,540,000 Gold 550,000Silver 176,000
Commercial Park Central Business of District Platinum A 1,320,000
Bumi Serpong Damai Kav.No.7 Tangerang Platinum B 990,000
46 253 RS Karang Tengah Medika (Yadika Group) 021-7335599 021-7335599 VVIP 850,000 Kelas I 300,000Kelas II 150,000Kelas III 90,000
Jl. Karyawan IV, Karang Tengah 021-7336699 VIP 600,000
Ciledug, Tangerang
47 254 Klinik&RB Metta Medika 021-5522007 & 55776826 021-5534237 Tarif Menyusul Jl.Lio Baru No.1 Batujaya, Batu Ceper
48 255 Ciputra Hospital 021-59405555 021-59405678 VIP A 700,000 Kelas I 450,000Kelas II 250,000Kelas III 95,000
Jl. Citra Raya Boulevard Blok VOO/08 Sektor 3.4 Citra
Raya VIP B 650,000
Tangerang
49 256 RS Permata Pamulang 021-74704999/74709079 021-74709073 VVIP 950,000 Kelas I 375,000Kelas II 200,000Kelas III 130,000
Jl. Raya Siliwangi No. 1A, Pamulang VIP 700,000
Tangerang Selatan
50 257 Bethsaida Hospital 021-29309999 021-29305999 President Suite 2,500,000 500,000 300,000 120,000
District Tivolli No. 1 Paramount Serpong SVIP 1,500,000
JL. Boulevard Gading Serpong, Tangerang VIP 1,000,000
51 258 RSIA Dhia 021-7494550 021-7494551 Diamond 695,000 Emerald 390,000Saphire 220,000Crystal 140,000
Jl. Cendrawasih No. 90, Ciputat Sawah Lama, Ruby 390,000
JAKARTA SELATAN
1 259 RS. Pondok Indah 7657525 7502324 Suite 4,200,000Isolasi VIP 1,500,000Kls I A 750,000Kls II B 475,000Kls III C 175,000
Jl. Metro Duta Kav. UE Junior Suite 2,800,000
Pondok Indah Jkt 12310 VVIP B 1,850,000 Isolasi I-III 950,000 ICU
VVIP A 2,200,000 Isolasi ICU 1,700,000 ICCU
VIP 1,450,000 NICU
2 260 RS. Jakarta 021-5732241 021-5719870 VIP 1,075,000Utama 975,000I 575,000II A 475,000 175,000
Admin 7.5% dari Total Tagihan dengan batasan Maximum 5 jt
Jl. Jend. Sudirman Kav.49 021-5732243 021-5741830 II B 375,000
Jakarta 12930 021-5719868
3 261 RS. Metropolitan Medical Center (MMC) 5203435 5203417 VIP Superior 3,500,000VIP Wing A 2,000,000Kelas I 800,000Kelas II 500,000kelas III 250,000
untuk kls III hanya di berlakukan untuk Kesmas (pelayanan umum), tidak asuransi.
Jl. HR. Rasuna Said Kav. C21 5203441 VIP Deluxe 2,500,000VIP Wing B 1,200,000 Isolasi 800,000
Kuningan 5203445 VIP Std 1,500,000
4 262 RS. Agung 8294955 8305791 Super VIP 850,000 590,000 425,000 350,000 130,000
Jl. Sultan Agung No. 67 VIP 750,000 Isolasi 150,000
ICU 690,000
5 263 RSIA. Budhi Jaya 8292672 8301901 VIP Utama 790,000 - 370,000 195,000 95,000
Jl. Dr. Saharjo No. 120 8311722 VIP 630,000
6 264 RS. Tria Dipa 7974071-73 7974074 VIP 750,000 - 500,000 350,000 150,000
Jl. Raya Pasar Minggu 3A R. Isolasi 850,000R. Isolasi 600,000R. Isolasi 350,000
Pancoran Jak-Sel
7 265 RS. Tebet 8307540 8311760 SVIP 1,500,000Executive 700,000 500,000 350,000 140,000
Jl. Let Jen Haryono MT No.8 8291540 VIP 1,100,000
Jakarta Selatan 12810
8 266 RS. Pusat Pertamina 021-7219000 720 3540 Pres. Suite 2,750,000Executive 1,100,000Superior 650,000Superior 550,000Standart Plus 300,000
Jl. Kyai Maja No. 43 021-7219400 VVIP 2,250,000 Standart 200,000
Kebayoran Baru Jakarta Selatan 021-7219367 VIP 1,350,000
9 267 RS. Medistra 5210200 5210184 Executive Suite 3,900,000VIP Plus 1,500,000I Utama Plus 1,000,000Kelas II 350,000Kelas III 140,000
Jl. Jend. Gatot Subroto SVIP 2,900,000VIP Standart 1,250,000I Utama 900,000Isolasi 500,000
Kav.59 Jakarta 12950 Mini SVIP 2,400,000 I Standart 650,000ICU 1,000,000
10 268 RS. Siaga Raya 7972750 7970494 S-VIP 1,250,000 - 350,000 200,000 100,000Biaya Adm 10 % dari total tagihan
Jl. Siaga Raya Kav 4-8 VIP 750,000 Anak 200,000
Pejaten Barat, Pasar Minggu Isolasi 300,000
11 269 RUMKITAL Marinir Cilandak 7805296 7812764 VIP A Anyelir 315,000
-Pav Anyelir, -Pav Edelweis, Pav Dahlia 210,000 Pav Anyelir, Edelweis,Cempaka 110,000 Pav Anyelir, Bougenvile,Cempaka 95,000
Jl. Raya KKO Cilandak VIP B1 Bougenvile 342,000
Kelas IA atau B
Cempaka 263,000
Kelas II Utama Pav
Flamboyan 184,000
Jakarta Selatan VIP B2 Bougenvile 315,000 Kelas I Dahlia 210,000
VIP C Cempaka 578,000
VIP M1Cempaka Mandiri 368,000 VIP M2 Cempaka Mandiri 315,000
VIP D Dahlia 315,000
Vip E1 Edelweis 368,000
VIP E2 Edelweis 368,000
VIP E3 Edelweis 315,000
12 270 RS. Gandaria 7250718 7222038 VIP A (Kenanga I,III) 1,025,000
VIP B (Melati I, II,
III) 875,000I ( Melati IV, IX) 595,000II A (Melati X) 400,000Mawar IV 125,000
Jl. Gandaria Tengah II/6-14 7203311 7248175 VIP A (Kenanga II) 1,100,000 I (Melati V, VII) 550,000II (Mawar I, II) 375,000
Jakarta Selatan 12130 VIP A (Kenanga IV) 1,000,000 I (Melati VI) 495,000II (Mawar III) 325,000
I (Melati VIII) 745,000II (Mawar V, VI) 275,000
13 271 RSIA. Yadika Kebayoran Lama 7291074 72895046 Super VIP 990,000 440,000 265,000 120,000
Jl. Ciputat Raya No. 5 7291076 VIP 715,000
Jakarta Selatan 7291078
14 272 RS. Prikasih 021-7501192 021-7505148 Utama 650,000Kelas I 475,000Kelas II 200,000Kelas III 110,000
Jl. RS.Fatmawati, No.74, 7504669
Pondok Labu - Cilandak
15 273 RS. Setia Mitra 7656000 7656875 Super VIP 1,000,000Utama 750,000Kelas I A 550,000kls II A Kenanga 375,000Kelas III 140,000
Jl. R.S Fatmawati No.80-82 VIP 900,000 Kelas I B 425,000Kls II A Teratai 400,000
Jakarta Selatan Kls II B 240,000
16 274 RS. Zahirah (RSIA. Zahirah) 021-7872210 021-7872210 VIP 700,000 A 500,000 200,000 100,000
Jl. Sirsak No. 21 021-78888723 021-7270013 B 400,000
Jakarta selatan 021-70481197
JL.H.R.Rasuna Said Isolasi 250,000
(Kuningan) Jakarta 12920 K. Anak 250,000
18 276 RSU. Muhammadiyah Taman Puring 021-7208358 021-7234823 VIP 750,000Utama 1 600,000 450,000II A 400,000 150,000
Jl. Gandaria I No. 20 Utama 2 475,000 II B Umum 350,000
Kebayoran Baru II B Kebidanan 325,000
19 277 RSIA. Brawijaya Hospital '021-7211337 '021-7211364 Suite 2,600,000Deluxe Plus 1,200,000Standart 2 Bedded 475,000Standart 3 Bedded 275,000Standart 4 Bedded 100,000
Open Pelayanan kembali per tgl 11 Des 2012
Jl. Taman Brawijaya No. 1, Cipete, Kebayoran Baru Junior Suite 1,850,000Deluxe 1,100,000 General Ward 150,000
Semi Private 625,000
ICU/NICU 2,100,000
20 278 RS. Khusus THT-Bedah Ciranjang 021-7243366 021-7398837 Super VIP 800,000 500,000 300,000 100,000
Jl. Ciranjang No. 20-22 021-7208192 021-7264038 VIP 600,000
Kebayoran Baru Jkt 12180
21 279 RSB. Duren Tiga 021-7993817 021-7901050 Anggrek A 925,000 Melati 450,000Mawar 250,000Cempaka 125,000
Jl. Duren Tiga Raya No. 5 021-7941843 Anggrek B 750,000
Anggrek C 600,000
22 280 RS. Asri 021- 7992211 021-79198733 SVIP 2,000,000 Kls I 600,000Kls II 400,000IIIA 250,000
Jl. Duren Tiga Raya No. 5 VIP A 1,500,000 IIIB 150,000
Pancoran Jak-Sel Vip B 1,100,000 Isolasi 850,000
23 281 RSIA Kemang Medical Care 021-27545454 021-78843548 VVIP 2,350,000Utama 1,000,000I 800,000II 425,000III 150,000
Jl Ampera Raya No. 34, Jakarta 021-27545400 VIP 1,350,000
ICU 1,600,000
24 282 RS Jakarta Medical Center 021-7980888 021-7940838 SVIP 775,000 500,000I 300,000II 200,000III 100,000
Jl. Buncit Raya No. 15, Jakarta 021-7940836 VIP 725,000 550,000 II ANAk 175,000III Anak 90,000
575,000 190,000
25 283 RS. MRCCC 021-29962888 021-29962778 Executive 3,900,000ICU 1,250,000 675,000 375,000 175,000
Jl Garnisun Kav. 2-3, Karet Semanggi, SVIP 2,500,000NICU 550,000
Setiabudi, Jakarta Selatan VIP 1,400,000
VIP Minus 1,100,000
26 284 RSB ASIH 021-2700610 / 2700609/ 021-7254054 Suite Room 1,300,000VIP Standart 800,000Kls I 440,000Kls II 245,000Kls III 95,000
Jl Panglima Polim I No. 34 Kebayoran Baru 021-7254052 SVIP 975,000
VIP Medium 850,000
27 285 RSIA Andhika 021-78887087/7863408 021-78887087 VIP 450,000Utama 400,000 350,000 250,000 150,000
Jl. Warung Sila No. 8 Gudang Baru Ciganjur, Jagakarsa
28 286 Siloam Hospital Simatupang 021-29531900 021-75916997 VVIP 1,250,000 430,000 290,000 140,000
Jl RA Kartini No 8 Cilandak VIP 980,000
Jakarta Selatan 12430
JAKARTA TIMUR
1 287 RS. Harum Sisma Medika 8617212 8601030 VIP A 800,000 560,000A 510,000IIA 270,000Kelas III A 145,000
Jl. Tarum Barat Kalimalang 8617213 VIP B 695,000 B 400,000IIB 215,000Kelas III B 75,000
Jakarta Timur 8601037 HCU 605,000 Isolasi 450,000
2 288 RS. Omni Medical Center 4723332 4718081 SVIP Gardenia 1,400,000 - 650,000 400,000 150,000
Biaya ADM 6 % dari jumlah tagihan RI
Jl. Pulo Mas Barat VI 4722719 VIP Gardenia 1,200,000
VIPTeratai, Anggrek, Flamboyan,
Tulip 1,100,000 Isolasi 1,000,000
3 289 RS. Premier Jatinegara 2800888 2800755 SVIP Non Bedah 1,900,000SVIP Bedah 2,000,000I Umum 700,000II Umum 475,000III Utama 195,000
Biaya ADM 6 % dari jumlah tagihan RI
Jl. Raya Jatinegara Timur 85-87 2800999 2800837 VIP Non Bedah 1,350,000VIP bedah 1,400,000I Bedah 750,000II Bedah 500,000III Standard 180,000
Jakarta 13310 2800666/ 2800777 Mini VIP 900,000ICU 1,100,000
4 290 RSIA. Hermina Jatinegara 021-8191223 8560601 Suite Room 1,348,000 550,000 330,000 138,000
Jl. Raya Jatinegara Barat No. 126 8196157 SVIP 1,045,000
VIP 935,000
5 291 RS. FK.UKI 8092317 8092445 Super VIP 1,200,000Kelas I Istiqomah 600,000Kelas I 500,000Kelas II 350,000Kelas III 130,000
Jl. Mayjen Soetoyo 8092831 VIP 1,100,000I Utama Syifa 800,000 Isolasi 450,000Isolasi 200,000
Cawang, Jakarta Timur 8010523 ICU 750,000
6 292 RS. Haji Jakarta 8000694-5 8000702 Super VIP Sakinah) 1,150,000Utama 600,000 450,000 300,000 110,000
Jl. Raya Pondok Gede 8000152 (ADM RI) SVIP (Istiqomah) 1,300,000I Utama 750,000 II Utama 350,000III Utama 130,000
VIP (Sakinah) 1,000,000
