Background and Aim Various complaints from hospitals, both at the regional and national levels, stated that they were not satisfied with the rates set by the BPJS. They stated that the tariff set was very unrealistic. The purpose of this study was to examine the effect of medical services fee, workload and work performance assessment on the level of job satisfaction of specialist doctors related to the BPJS service program at Panembahan Senopati District General Hospital, Bantul, D.I Yogyakarta Method This study uses quantitative analytic methods followed by qualitative methods. The population of this study were specialist doctors who worked at Panembahan Senopati District General Hospital, having 38 functional positions. Results The number of respondents who were satisfied with the number of respondents who felt dissatisfied was balanced, namely 19 people each (50%). However, based on an average value of 78.58, it shows that the average respondent felt dissatisfied. This shows that the majority of specialist doctors in Panembahan Senopati Bantul District Hospital are not satisfied with the working conditions in Panembahan Senopati Bantul District Hospital. Conclusion There is a significant relationship between medical service fee variable (X1), workload variable (X2), work performance variable (X3) and job satisfaction of specialist doctors at Panembahan Senopati Hospital Bantul.