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Assume the Rack Rate for an office visit is say $180 (actual rate for my Primary Care Physician). If you walk off the street with no insurance you will get charged $180. Your insurance company (and Medicare is that) can and always does negotiate a cost lower than the Rack Rate. You are not entitled to the Rack Rate of insurance company X, unless you have a policy with insurance company X.

So if you get medical treatment on one of the hundreds of physicians in the medical group I use, will not get the Medicare rates.

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