But competent nurses who charge less than the customary fee will be hard to find.

Under current law, doctors are reimbursed on the basis of "reasonable and customary fees."

Under the deal, the boy was not given his customary fee but a percentage of the gross.

The computer also shows that the doctor charged twice the customary fee for another procedure.

They then pay 20 percent or more of a provider's usual, customary and reasonable fee.

For example, a plan might set $750 as its "customary" fee on a bill of $1,000.

The plan would pay 70 percent of "customary" fees, or $525, leaving the consumer with a bill of $475.

Her plan will save some money by eliminating the customary fees paid to investment bankers.

Her bill would authorize Medicaid to pay doctors their customary fees.

For decades, they had been paying physicians according to what were called "usual, customary, and reasonable fees."