If it is medical it is submitted on the CMS1500 (rev 02-12) form, or 837 format if electronic. Medicare allowed amounts are available on their websites. Private fees are not usually available. You need to develop a fee schedule for the services provided. Many use the Medicare allowed amount as a gauge and bill based on that. For example if the Medicare allowed amount is $100 for a certain service, then you may choose to have a fee of $140 for that service. Then adjust off any amount that is disallowed as over the contracted rate (if you are in network).