42 CFR 424.52
§ 424.52 Payment to a nonparticipating hospital.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 424.52, § 424.52 Payment to a nonparticipating hospital, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/205185
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Full text
Medicare pays a nonparticipating hospital for the following services, if covered, in the specified circumstances:
(a) Emergency inpatient and outpatient services furnished by a U.S. hospital, if the hospital has in effect an election to claim payment in accordance with subpart G of this part.
(b) Certain medical and other health services covered under Medicare Part B and furnished by a U.S. hospital, if the hospital meets the requirements of § 424.55 for payment as a supplier.
(c) Emergency or nonemergency inpatient services furnished by a foreign hospital if the hospital has in effect an election to claim payment in accordance with subpart G of this part.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.