OBJECTIVES: China has entered the era of universal health insurance,and Urban Employee Basic Medical Insurance Scheme (UEBMIS) is one of the most important parts. Cancer is the first cause of death, but there is a lack of data on its status in health care system.This study analyzed hospitalization utilization among tertiary General Hospital (GH),Traditional Chinese Medical Hospital (TCMH),Specialized Hospital (SH) within UEBMIS in Beijing,and identified an Oncology Specialized Hospital (OSH) for typical case. METHODS: We used official database released by Municipal Bureau to disclose the status from 2013 to 2016 (The year 2016 only contained the first three quarters).Indicators covered average hospitalization expense (AHE),drug proportion (DP) and actual compensation rate (ACR).Two-way ANOVA test was adopted on comparison among different types of medical institutions. RESULTS: There were 53 GH,21 TCMH and 18 SH tertiary hospitals in 2015,and respectively the number of hospitalized patients were 637,130,90 thousand,the hospitalization costs were 12.65,2.37,1.94 billion RMB.The average annual growth rate among SH,GH,TCMH and OSH were 2.44%,2.98%,4.07% and 4.16% in AHE,and cost ranged in 20909-22479,19008-20756,16958-19113,and 17163-19949 RMB respectively;by ANOVA test,R=0.946,year F=12.66(P=0.001),institutional type F=39.46(P=0.000).SNK test showed that institutions can be divided into three levels of OSH&TCMH,GH and SH in AHE(P<0.001).The average annual descending rate among OSH,TCMH,SH and GH were 0.13%,1.54%,1.75% and 3.00% in DP,and the ratio ranged in 49.3%-50.0%,42.0%-44.0%,31.2%-32.9% and 38.7%-42.5% respectively;R=0.992,year F=5.02(P=0.026),institutional type F=20.36(P=0.000).The average annual descending rate of TCMH,GH,SH and OSH were 0.05%,1.06%,1.57% and 3.04% in ACR,and the ratio ranged in 80.4%-80.9%,71.5%-73.8%,66.1%-69.3% and 57.9%-63.57% respectively;R =0.986,year F=4.36(P=0.037),institutional type F=36.51(P=0.000).SNK showed that there were significant differences among all four groups in DP and ACR(P<0.001).As for OSH,75.6-78.4% accounted for out-of-pocket payment. CONCLUSIONS: The GH took the predominant role in UEBMIS medical service market.The TCMH had the lowest AHE but the highest ACR.The AHE and DR of SH were relatively high,but had the lowest ACR.The out-of-pocket expenditure of OSH concentrated on drugs.