The development of special medical services is necessary to improve the efficiency of medical resource utilization, better balance the supply and demand of medical services, and safeguard the health rights of the people. After years of practice in various medical institutions, special medical service projects with local characteristics have gradually formed. However, in the actual operation, public hospitals lack clear understanding in terms of application conditions, pricing principles, project admission, reporting procedures, and implementation paths for lack of standardized guidelines. There are problems with the pricing of special medical services, such as emphasizing equipment hardware investment and neglecting technical value, which affect the rationality of project pricing. Project implementation focuses on internal process approval, without standardized guidance on how to register with local medical insurance and price departments, and lacks dynamic monitoring and adjustment of special medical service prices. This article summarizes the pricing principles and implementation paths of special medical services by reviewing the process of implementing special medical services in the sample hospital, and provides insights for improving the management of special medical service projects in public hospitals.