[Code of Federal Regulations]

[Title 42, Volume 3]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR489.31]



[Page 951]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 489_PROVIDER AGREEMENTS AND SUPPLIER APPROVAL--Table of Contents

 

                       Subpart C_Allowable Charges

 

Sec. 489.31  Allowable charges: Blood.



    (a) Limitations on charges. (1) A provider may charge the 

beneficiary (or other person on his or her behalf) only for the first 

three pints of blood or units of packed red cells furnished under 

Medicare Part A during a calendar year, or furnished under Medicare Part 

B during a calendar year.

    (2) The charges may not exceed the provider's customary charges.

    (3) The provider may not charge for any whole blood or packed red 

cells in any of the circumstances specified in Sec. 409.87(c)(2) of 

this chapter.

    (b) Offset for excessive charges. If the charge exceeds the cost to 

the provider, that excess will be deducted from any Medicare payments 

due the provider.



[56 FR 23022, May 20, 1991, as amended at 57 FR 36018, Aug. 12, 1992]