Abstract: We collected the medical expenses of 1592 cases of TB inpatients covered by new rural cooperative medical care system (referred to as “NCMS”) and of 722 cases covered by medical insurance, found the highest of reimbursement rate for inpatient covered by NCMS was up to 70.00% and the lowest was 35.52%,the outpatient cost for TB patients themselves were full at their own expenses;the reimbursement rate by workers medical insu-rance was up to 71.69% for TB patients, 53.6% for patients covered by resident care insurance, and the outpatient reimbursement rate was only 20.45%. Therefore the TB patients still bear large proportion of cost for TB diagnosis and treatment, the medical burden for them is still heavy. The TB institutions should do the calculation and coordination, perform the government duties, and establish the fund raising mechanism, take the advantage for multi-ways of fund raising system to compensate for TB prevention and treatment, protect the TB patients, promote TB prevention and treatment and further serve for public health equalization.