Determining the per treatment payment amount.

The per-treatment payment amount is the sum of: (a) The per treatment base rate established in § 413.220, adjusted for wages as described in § 413.231, and adjusted for facility-level and patient-level characteristics described in §§ 413.232, 413.233, and 413.235 of this part; (b) Any outlier payment under § 413.237; (c) Any training adjustment add-on under § 413.235(c); (d) Any transitional drug add-on payment adjustment under § 413.234(c); (e) Any transitional add-on payment adjustment for new and innovative equipment and supplies under § 413.236(d); and (f) Any add-on payment adjustment for new renal dialysis drugs or biological products in existing ESRD PPS functional categories after the payment period for the transitional drug add-on payment adjustment has ended, as described in § 413.234(c)(3) and (g). [75 FR 49200, Aug. 12, 2010, as amended at 84 FR 60803, Nov. 8, 2019; 88 FR 76505, Nov. 6, 2023; 90 FR 53139, Nov. 24, 2025]