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VA » Health Care » Community Care » Information for Payers » Reasonable Charges Data Tables–Outpatient and Professional
Reasonable Charges Data Tables–Outpatient and Professional
Reasonable Charges are based on amounts that third parties pay for the same services furnished by private-sector health care providers in the same geographic area. In the past, VA used average cost-based, per diem rates for billing insurers. Reasonable charges are calculated for inpatient and outpatient facility charges, and for professional or clinician charges for inpatient and outpatient care.