Usual, Customary, And Reasonable Charge

What Does Usual, Customary, And Reasonable Charge Mean?

Usual, customary, and reasonable charges (UCR) are the amount of money that health practitioners bill for a particular healthcare service in a given area.

Health insurance companies base their coverage on this amount.

Insuranceopedia Explains Usual, Customary, And Reasonable Charge

Healthcare facilities that are part of an insurance company's preferred provider network usually charge the usual, customary, and reasonable charge for their services.

When a healthcare facility that is not a part of the network charges more than the UCR, the insured usually pays out of pocket for the amount in excess of the UCR.