What term refers to the amount the provider normally charges for a service?

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Multiple Choice

What term refers to the amount the provider normally charges for a service?

The provider charge is the amount a clinician or clinic normally bills for a service, i.e., the standard or list price before any discounts or insurance adjustments. In contrast, the allowed amount is what the insurer has negotiated as payable for that service, and the reimbursement amount is the actual payment the insurer makes after applying that contract and patient responsibility. COBRA relates to continuation of coverage rights, not pricing. So the term that matches “the amount the provider normally charges for a service” is the provider charge.

The provider charge is the amount a clinician or clinic normally bills for a service, i.e., the standard or list price before any discounts or insurance adjustments. In contrast, the allowed amount is what the insurer has negotiated as payable for that service, and the reimbursement amount is the actual payment the insurer makes after applying that contract and patient responsibility. COBRA relates to continuation of coverage rights, not pricing. So the term that matches “the amount the provider normally charges for a service” is the provider charge.

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