Settlement of medical disputes provides ideal cases for us to probe into controversies surrounding pecuniary valuation of the “unevaluable”, like suffering, injury or death. During Maoist China (1950s-1970s), monetary compensation in medical disputes was rare or even prohibited. It was after China’s market reform in the 1980s that economic compensation in medical disputes revived. In contemporary China, the legal procedure for solving medical disputes and deciding monetary compensation is far from complete, while various and often contradictory logics can be found coexist in this area, such as the technical-economic logic, the administrative logic, and the social logic. The main research question for this study is: how is the monetary compensation of injury and death decided in medical disputes when contradictory logics coexist in practice? The more general question is how the monetary valuation of injury and death is constructed institutionally and culturally. Empirical data is collected through ethnographic methods in a hospital in Northern China. This study contributes to the existing literature of legal commensuration and social meaning of money through the China case.