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.

To learn more about Reasonable Charges, please visit the Government Printing Office or links below:

• Reasonable Chgs V3.2 Federal Register Notice, 10/01/08 (PDF)
• Reasonable Chgs V3.1 Federal Register Notice, 01/01/08 (PDF)
• Reasonable Chgs V2.11 Federal Register Notice, 10/01/07 (PDF) pg 55276
• Reasonable Chgs V2.9 Federal Register Notice, 01/01/07 (PDF)
• Reasonable Chgs V2.8 Federal Register Notice, 10/01/06 (PDF)
• Reasonable Chgs V2.7 Federal Register Notice, 08/25/06 (PDF)

• V3.2 Data Tables (Inpatient)
• V3.1 Data Tables
• V2.11 Data Tables (Inpatient)
• 2.9 Data Tables
• 2.8 Data Tables (Inpatient)
• 2.7 Data Tables

• Reasonable Charges V3.2 Data Sources (PDF)
• Reasonable Charges V3.1 Data Sources (PDF)
• Reasonable Charges V2.11 Data Sources (PDF)
• Reasonable Charges V2.9 Data Sources (PDF)
• Reasonable Charges V2.8 Data Sources
• Reasonable Charges V2.7 Data Sources (PDF)

• VA Medical Facility Locations, V3.2 (Oct08)
• VA Medical Facility Locations, V3.1 (Jan08)
• VA Medical Facility Locations, V2.11 (Oct07)
• VA Medical Facility Locations, V2.9 (Jan07)
• VA Medical Facility Locations, V2.8 (Oct06)
• VA Medical Facility Locations, V2.7 (Aug06)

• VHA Directive 2005-058, Cost-Based and Inter-Agency Billing Rates (FY06) (PDF)