Sentence examples for customary charges from inspiring English sources

That's because insurers often pay based on usual and customary charges for a specific treatment in your geographical area.

They claim that health insurers and Ingenix disproportionately eliminate high charges, thus skewing the numbers for customary charges downward.

In addition, the rule says, states should compare Medicaid payment rates with the amounts paid by Medicare or commercial insurers, with providers' costs or with their customary charges.

P.P.O.'s generally cover some percentage of out-of-network fees, usually 70 or 80 percent of so-called usual and customary charges.

Mr. Moy said the society's only other significant continuing suit against an insurer was also against United, challenging its definitions of "usual and customary" charges for medical care.

Whatever that investigation unearths, it is already clear that the system for calculating "reasonable and customary" charges ought to be reformed by making it truly independent and objective.

Peter V. Lee, a health policy expert at the Pacific Business Group on Health, an employers' group, said, "The whole mythology that there is a usual and customary charge has been part of what has made insurance hard to understand for patients as well as doctors".

To determine how much of the medical bill they will pay, insurers calculate the so-called reasonable and customary charge for a given procedure or medical service and then pay a percentage of that amount, which is frequently much less than the doctor's or hospital's actual bill.

And as the convention unfolded, more than 1,800 people were arrested, mostly for minor violations, and many were herded into pens at a Hudson River pier and fingerprinted instead of being released on summonses or desk appearance tickets, which are more customary for charges that amount to little more than a traffic ticket.

The Payne Whitney residence displays more of his customary flamboyance, charging out beyond the lot line like a royal coach, encrusted with ornamental sculpture around the door and windows.

When patients visit an out-of-network doctor, insurers typically agree to pay 80percentt of the reasonable and customary rate charged by doctors in the same geographic area.