Regulations last checked for updates: Feb 12, 2026

Title 42 - Public Health last revised: Feb 02, 2026
All TitlesTitle 42Chapter IVPart 414Subpart B - Subpart B—Physicians and Other Practitioners
View all text of Subpart B [§ 414.20 - § 414.94]
§ 414.21 - Medicare payment basis.

Medicare payment is based on the lesser of the actual charge or the applicable fee schedule amount.

[62 FR 59101, Oct. 31, 1997]
authority: 42 U.S.C. 1302,1395hh,and
source: 55 FR 23441, June 8, 1990, unless otherwise noted.
cite as: 42 CFR 414.21
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