Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.

Community Care

Menu
Menu

Quick Links

Veterans Crisis Line Badge
My healthevet badge
EBenefits Badge
 

Payer Rates and Charges

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.

Reasonable Charges Rules, Notices, & Federal Register

Reasonable Charges Data Tables

Reasonable Charges Data Sources

VA Medical Facility Locations

Third Party Pharmacy Prescription Administrative Charge

Average national administrative costs prescriptions for CY2014 through CY2018 can be viewed at Average Administrative Cost for Prescriptions.

Average Administrative Cost for Prescriptions

Cost-Based and Interagency Rates

Reviewed/Updated Date: December 31, 2017
return to top go