Under the background of deepening the reform of the hospital salary system，by investigating the workload and salary level of tertiary public hospitals，the labor value of medical personnel in the territory was evaluated comprehensively，and the total budget model of the performance wage in tertiary military hospitals was explored in accordance with the principle of "equal quality and effectiveness，equal treatment" . The performance salary level of tertiary military hospitals was determined by comparing the workload in military tertiary hospitals and local tertiary hospitals，and the monthly performance pay amount was determined according to the income of tertiary military hospitals. The goal that the staff pay level is compatible with the development level of the hospital，comparable with the local treatment，matched with the operation situation and consistent with the development strategy was realized，which can effectively improve the work enthusiasm of medical staff in tertiary military hospitals.