Background & aim: Tariff is effective on equity, efficiency, quality and accountability in the provision of services and it can affect the availability and use of services. In our country, for several years, the tariff of health care is due to an increasing base and has not clear and defensible base. This matter creates different challenges in our health system. This study aimed to identify challenges and damages resulting from incorrect medical services.

Method: This study was a qualitative study .Sampling was Purposeful and continued until data saturation was obtained. Research Society were 12 people of Health Managers of cities including Tehran, Isfahan and Tabriz, that in the purpose of the study, these people were investigated with deep interview. Analysis of the data in the present study was based on a thematic analysis. Criteria such as "reliable information", "trustworthy", "reliability" and "ability tocon solidation" of data were considered.

Results: according to the findings, inefficiency of tariffs for medical services have caused challenges in the current situation that this damages were divided to three general categories and challenges, dissatisfaction, economic, and behavioral of Ministry of Health, doctors, patients and insurers.

Conclusion: Dissatisfaction with stakeholders, especially health providers, the first factor is that a real so following other challenges including; economic and behavioral challenges. Challenges of incorrect tariffs and their Bad effects on the health system stakeholders are a warning to administrators and policy makers of this system, finding causes and attempting to fix the challenges. Although incorrect medical tariff is introduced as one of the challenges causes, but it is necessary in addition to that are note other structural and Rooty problems in the health system, as noted tariff reforms to fully be able to solve the created challenges.