Legal analysis: In the first-class hospital, the minimum payment standard is 3, yuan, 9% of the basic medical insurance can be paid by the overall fund, and the individual employee needs to pay 1%. If the fluctuation standard exceeds 3,-4, yuan, its overall fund payment is as high as 95%, and individual employees only need to bear about 5%. If the Qifubiaozhun exceeds 4, yuan, the overall fund payment of basic medical insurance is 97%, and the individual payment of employees is 3%.

Legal basis: Measures for the Implementation of Basic Medical Insurance for Urban and Rural Residents

Article 27 The hospitalization medical expenses incurred by insured residents within the policy scope of the designated medical institutions of basic medical insurance in the overall planning area shall be paid by the urban and rural residents' medical insurance fund in proportion: township hospitals and community health service institutions shall not be less than 8%; County-level medical institutions are not less than 7%; Municipal medical institutions are not less than 6%. Each overall planning area reasonably determines the specific payment ratio according to the income and expenditure of urban and rural residents' medical insurance fund.

Article 28 When insured residents are hospitalized in provincial-level designated medical institutions, the minimum payment standard is determined according to about 1% of the average hospitalization expenses of each provincial-level designated medical institution in the previous year, and it is not less than 1,5 yuan. The proportion of hospitalization medical expenses within the policy scope is not less than 5%. The specific payment standard is reasonably determined by the Provincial Department of Human Resources and Social Security in conjunction with the Provincial Department of Finance according to the operation of the medical insurance fund for urban and rural residents and the medical conditions of insured residents in all co-ordination areas.

Article 3 The medical insurance fund for urban and rural residents shall set the maximum payment limit for hospitalization. In a settlement year, the cumulative maximum payment limit of basic medical insurance for urban and rural residents (excluding serious illness insurance for urban and rural residents) is unified to 15 thousand yuan.