42 C.F.R. § 447.271 Upper limits based on customary charges.
Title 42 - Public Health
(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.
Title 42: Public Health
PART 447—PAYMENTS FOR SERVICES
Subpart C—Payment for Inpatient Hospital and Long-Term Care Facility Services
Upper Limits
§ 447.271 Upper limits based on customary charges.
