OBJECTIVES: :By estimating the direct medical cost of hemorrhagic stroke inpatients with urban basic health insurance scheme(exclude new rural cooperative medical care system )from 2010 to 2012  in China, we try to provide evidence for the government to manage the illness more effectively. METHODS: The inpatients  with discharge diagnosis disease coded with ICD-10 (I60,I61,I62) were extracted from the China Health Insurance Research Association claim database which includes a nationwide, cross-sectional sampling of inpatients from 2010 to 2012.In this paper, the descriptive statistical analysis  was used. RESULTS: The analysis included 6715 patients(male:63.49%), patients with older than 50 years accounted for 82.87%(n=5565). From 2010 to 2012, the average hospitalization expenses of each visits were 24656.0,23131.4 and 24995.0 yuan(the average hospitalization expenses in the whole country:8849,8852and 9732 yuan).Third-level hospitals, second-level hospitals and under second-level hospitals accounted for 57.85%,34.22% and 9.41%, respectively;total hospitalization expenses accounted for 71.35%, 22.69% and 5.85%; the average hospitalization expenses were 30303.49, 16446.19 and 18624.96 yuan.78.78% of inpatient hospital expenses were occupied by patients who were over 50 years old. Reimbursement by urban basic health insurance scheme in 2010, 2011 and 2012 was 66.47%, 70.59% and 65.08%, respectively; while the corresponding patient co-pay burden was 33.53%, 29.41% and 34.92%.  CONCLUSIONS: The average hospitalization expenses of each visits of  hemorrhagic stroke was greater than the national average inpatients costs, although the reimbursement by urban basic health insurance scheme had increase dramatically, but the out-of-pocket  spending was still high, especially for the poor.60% of inpatiens went to third-level hospital,needing to establish patient grading care system at once, going back to community hospitals after recovery, which may reduce the burden of medical institutions and patients .