Actual Charge

What Does Actual Charge Mean?

An actual charge is the amount of money that a healthcare provider charges for a specific service or treatment.

Insuranceopedia Explains Actual Charge

Actual charges differ from allowable charges. If the actual charges exceed the allowable charges, the policyholder will be responsible for paying the excess amount out of pocket. In certain cases, the costs exceeding the allowable charges can be significant, particularly with cosmetic or elective surgeries, which may carry high costs and limited or no coverage.