Developing nations often lack accurate information on the cost and use of their healthcare systems. In that situation, if they attempt to use bundled-payment rates (also referred to as DRGs–diagnosis-related groups or package rates), much is left to the imagination when trying to construct these payment rates. However, a thoughtful methodology that involves input from all stakeholders can help national insurance agencies get a much better handle on healthcare costs. With improved representation of the true costs of DRGs or package rates, developing countries can ultimately deliver more efficient care.