The Medicare allowed charge for a procedure is $80. What amount does the participating provider receive from Medicare, and what amount from the patient, assuming the patient deductible has been met?

Question

Quizplus · Accepted Answer

Medicare typically covers 80% of the allowed charge for a procedure, leaving the patient responsible for the remaining 20%. In this case, 80% of $80 is $64, which is what Medicare pays. The patient pays the remaining 20%, which is $16.

The Medicare Allowed Charge for a Procedure Is $80