The renewal of health services, in particular performance setting processes of physicians is an important variable affecting the level of patient satisfaction. Secondary health care services is the area in which the effects of the performance-based compensation system is most heavily felt . In this context; physicians are able to obtain higher wages as long as they achieve higher productivity . But, despite the low productivity in some branches, efficiency may appear high with the contribution from other departments In this study, performance-based compensation system of secondary line health services, is investigated, and the levels of performance and contributions have been determined by using actual data movement through a health care facility. The results obtained reflect especially the high contribution of surgical branches to , internal branches, however, the surgical branches with lower level of operational activities did not get much benefit from the performance-based compensation system .. However, Another interesting finding of the study is that surgical branches in question, benefited from performance system in a somewhat hidden manner with the contribution of the internal branches.