What is the maximum amount of money that third-party payers will pay for a specific procedure or service called?

The maximum amount of money that third-party payers will pay for a specific procedure or service is called the "allowed amount" or "maximum allowable charge." This figure is typically predetermined based on agreements between the payer and healthcare providers, and it may vary by insurance plan. It represents the highest reimbursement the payer will provide, regardless of the provider's billed charges.