OBJECTIVES: To obtain information on provider payment scheme for complicated delivery care (nearmiss cases) and compared with cost of treatment. METHODS: Crosssectional study was conducted and interview with 372 discharged patients with nearmiss  (life threatening) cases in Banten province was done. Information was also captured from hospital records, including charges for consultation fees and other fees, drugs and supplies, and other expenses. Other variables were also collected from hospital documents and a statistical model was developed to learn factors affecting the cost. We combined information with additional data from other districts to obtain information on hospital’s perspective, how they accept the scheme for provider payment.  RESULTS: Subsidy for the poor has been started since 2004 and provider payment scheme has been improving to respond the need of quality services with adequate funding. Hospital type C (4 specialists only), however, is not happy with payment under DRG system and it was found that claims for nearmiss cases were below its costs. Medical staffs were  unhappy with incentive systems and proposing ‘free delivery’ for all type of nearmiss cases would add burden for the hospitals. Cost of treatment was ranging from USD 172 to USD 272. Costs of drugs and supply constituted the major proportion (20% - 48%) varies with severity. Private hospital suggested that payment is too low and they are not interested in joining the scheme for the poor. Statistical analysis showed that severe cases increased cost of treatment. Hospital claimed that the expected cost recovery was still not achieved. CONCLUSIONS: Provider payment scheme was not well accepted for severe cases since it was found below the cost. Realistic cost estimates is expected to be assessed and more fair scheme to any type of hospital is expected to undertake.