1. School Location: Qiqihar is located in the middle of Heilongjiang Province and is a relatively developed city. Compared with Mudanjiang, the cost of living and prices are higher, so the tuition is relatively high.

2. School conditions and teaching facilities: Qiqihar Medical College has invested heavily in teaching facilities, laboratories, libraries, etc., and needs higher tuition fees to maintain and improve these facilities.

3. School reputation and ranking: Qiqihar Medical College enjoys a high reputation and ranking in the field of medical education in China, which will also lead to higher tuition fees. Qiqihar is located in the northeast of Heilongjiang Province, China. It is the second largest city in the province and an important industrial and commercial city.