42 CFR 447.325 : Public Health (Part 1 To Parts 1009-1099) — (§ 430.0 To Part 481) — Centers For Medicare & Medicaid Services, Department Of Health And Human Services (Continued) (§ 430.0 To Part 481) — Medical Assistance Programs (§ 430.0 To § 456.725) — Payments For Services (§ 447.1 To § 447.522) — Payment Methods For Other Institutional And Noninstitutional Services (§ 447.300 To § 447.371) — Other Inpatient And Outpatient Facilities (§ 447.325 And § 447.342) — Other inpatient and outpatient facility services: Upper limits of payment.
4 Aug 2016
The agency may pay the customary charges of the provider but must not pay more than the prevailing charges in the locality for comparable services under comparable circumstances.