Zamzam Medical Clinic is a reference clinic for examining prospective migrant workers. with current process time Zamzam Medical Clinic has a lot of Non Value Added. Total of cost that expense per year is about Rp 542 million. and non value added about 12%. Elimination process time improvement has been implemented with eliminate Non Value added work element, the result is Zamzam Medical Clinic can save about Rp143 Million. Changes in cheaper prices can expand the customer segment, namely a way to compete in price with medical clinics operating in the same area. This is the way Zamzam Medical Clinic can use the Cost Leadership Porter Strategy by competing with competitors for price without compromising quality.