Abstract: A person whose life highly depends on his health will certainly have a higher demand for health status. Based on the medical records from one of the PublicHospitals in Madiun, it is identified that the score of class II inpatient Bed Occupancy Rate (BOR) in 2016 exceeded the standard score of 85.53%.On the contrary, the score of class I inpatient BOR in 2016 was far below the standard of 27.74%. This study is to examine the correlationbetween patients'ability and willingness to pay in the selection of inpatient class at a Public Hospital in Madiun. The study is an analyticobservational study with a crosssectional study design conducted on 100 patients as respondents. From the results of the chisquare correlation test, there was a significant correlation between the respondents' Ability to Pay and the selection of inpatientclass in PublicHospitalin Madiun (p-valueis less than0.05).With the variables of work, income, and expendituresub-variables are significantly related to the selection of inpatient classes at patients from one of the Public Hospitals in Madiun.From the users'aspect, in this case, the subject that determined the value of the applied tariff, the current tariff is far below the Ability to Pay (ATP) and Willingness to Pay (WTP).Thus, there is flexibility in the calculation for the submission of new tariff values.