This study is carried out in the Tandala Health Zone, DPS of Sud-Ubangi in the DRC on the impact of flat rate pricing on attendance at the Tandala general referral hospital, In response to this concern that the government of the Democratic Republic of Congo has set up a health project called the PDSS Health System Development Project in acronym created in 2005 and whose official implementation took place in August 2016 reporting directly to the study management and of the planning of the Ministry of Public Health and mainly financed by the World Bank. The results of This study showed that in terms of financing of health services, the impact on improving the use of hospital services remains the flat-rate pricing also called «payment per episode», which constitutes a strict rationalization of care. Heath care based on solidarity between complicated and uncomplicated cases, which allows groups to pay the same price. This especially demonstrated that the flat-rate pricing applied to the Tandala general referral hospital allowed complicated cases which would normally have to pay unaffordable amounts of subsidy for uncomplicated cases, a rationalization of health structures and take into account all acts. To put the patient down without adding additional charges, to promote continuity of care, to keep the population aware of the costs to pay and to ensure the viability and sustainability of the structures providing care.