42 C.F.R. § 447.271
42 C.F.R. § 447.271
US-DOC-26845781
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Code of Federal Regulations
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42 C.F.R. § 447.271
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United States
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Federal
§ 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]