[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

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

[CITE: 42CFR447.271]



[Page 321]

 

                         TITLE 42--PUBLIC HEALTH

 

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

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 447_PAYMENTS FOR SERVICES--Table of Contents

 

  Subpart C_Payment for Inpatient Hospital and Long-Term Care Facility 

                                Services

 

Sec.  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's charges were equal to or greater than its costs.