{"data":{"id":"us/42-cfr-414.21","jurisdiction":"us","citation":"42 CFR 414.21","heading":"Medicare payment basis.","body":"Medicare payment is based on the lesser of the actual charge or the applicable fee schedule amount.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 414—PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES","Subpart B—Physicians and Other Practitioners"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"bced236a615d9ec2af89352f32b7f81475b068de233fb64c74305bc595c086d0","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-414.20","next":"us/42-cfr-414.22"},"notice":"GroundRules: Original legal text. Not legal advice."}