42 C.F.R. § 424.126

Payment to the hospital.

Last amended: 2017Year: 2026Length: 114 wordsSubsections: 3Official source

Cite as 42 C.F.R. § 424.126 (2026)

(a) Conditions for payment. Medicare pays the hospital if it— (1) Has in effect an election that— (i) Meets the requirements set forth in § 424.104; and (ii) Reflects the hospital's intent to claim for all covered services furnished during a calendar year. (2) Claims payment in accordance with §§ 424.32 and 413.74 of this chapter; and (3) Submits evidence requested by CMS to establish that the services meet the requirements of this subpart. (b) Amount of payment. Payment is made (in accordance with § 413.74 of this chapter) on the basis of 100 percent of the hospital's customary charges, subject to the applicable deductible and coinsurance provisions set forth elsewhere in this chapter.
Cross-references to the CFR
413.74424.104424.32
42 C.F.R. § 424.126: Payment to the hospital. | Justis AI