Code of Federal Regulations (Last Updated: July 5, 2024) |
Title 42 - Public Health |
Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
SubChapter C - Medical Assistance Programs |
Part 447 - Payments for Services |
Subpart C - Payment for Inpatient Hospital and Long-Term Care Facility Services |
Upper Limits |
§ 447.271 - Upper limits based on customary charges.
Latest version.
-
§ 447.271 Upper limits based on customary charges.
(a) Except as provided in paragraph (b) of this section, the agency may not pay a provider more for inpatient hospital services under Medicaid than the provider's customary charges to the general public for the services.
(b) The agency may pay a public provider that provides services free or at a nominal charge at the same rate that would be used if the provider charges were equal to or greater than its costs.
[75 FR 73975, Nov. 30, 2010]