Reference Source

Penalty for any physician who charges more than 125% for a non-participating referral. (Penalties are assessed in the same manner as 42 U.S.C. 1320a-7a(a) )

For Penalty for any physician who charges more than 125% for a non-participating referral. (Penalties are assessed in the same manner as 42 U.S.C. 1320a-7a(a) ), agency is HHS; statutory authority is 1395u(j)(2)(B); maximum penalty is 19,940, recorded from its source on 2026-08-10.

Agency
HHS our reading
Violation
Penalty for any physician who charges more than 125% for a non-participating referral. (Penalties are assessed in the same manner as 42 U.S.C. 1320a-7a(a) ) verified
Statutory authority
1395u(j)(2)(B) verified
Maximum penalty
19,940 verified
Sourceecfr.gov
Verified
Review by
DatasetFederal civil penalty maximums — current inflation-adjusted amounts across agencies

Values marked our reading are our classification of what the source says — the source does not print them in those words. The quote below is the evidence for each one; judge it yourself.

What the source says

1395u(j)(2)(B) | <https://www.ecfr.gov/current/title-42/section-402.1#p-402.1(c)> 42 CFR 402.1(c) | CMS | Penalty for any physician who charges more than 125% for a non-participating referral. (Penalties are assessed in the same manner as <https://www.govinfo.gov/link/uscode/42/1320a-7a> 42 U.S.C. 1320a-7a(a) ) | 2024 | 19,435 | 19,940

ecfr.gov, retrieved 2026-08-10

Source

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