42 C.F.R. § 424.51
Payment to the provider.
Cite as 42 C.F.R. § 424.51 (2026)
(a)
Basic rule.
Except as specified in paragraph (b) of this section, Medicare pays the provider for services furnished by a provider.
(b)
Exception.
Medicare pays the beneficiary for outpatient hospital services if the hospital has collected an amount in excess of the unmet deductible and coinsurance, as specified in § 489.30(b)(4) of this chapter.
- Cross-references to the CFR
- 489.30