42 CFR 424.51
§ 424.51 Payment to the provider.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 424.51, § 424.51 Payment to the provider, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/205184
- Permanent ID
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Full text
(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.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.