Based on the relevant documents of establishing the dynamic adjustment mechanism of medical service price in pilot cities,the evaluation indexes and classification adjustment rules of the price dynamic adjustment of general and complex items in pilot cities were sorted out to introduce the operation progress of the dynamic adjustment mechanism of medical service price in pilot cities,and obtain some inspirations for other provinces and cities to actively and steadily promote the dynamic adjustment of medical service price.It sets up the quantitative comprehensive evaluation index system and assigning points,and unifies the trigger standard of dynamic price adjustment to improve the mechanism,clarifies pricing rules for complex projects and supports public hospitals' quotation suggestions based on cost accounting data.