To amend title XVIII of the Social Security Act to eliminate increases in the prevailing charge levels for certain physicians' services under part B of such title in any case where such an increase would raise a prevailing charge level above the national median prevailing charge level for any such service.

Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to require the Secretary of Health and Human Services to publish a national median prevailing charge level for each of the 100 physician services performed in 1988 for which the greatest number of recognized charges were submitted. Prohibits an increase in the prevailing charge level for such a service on the basis of an increase in the medical economic index to the extent such increase would result in such level exceeding the national prevailing charge level for such service.