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.

← Outpatient hospital and clinic services: Application of upper payment limits Upper limits of payment: Nonrisk contract →

in view

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Axiom
US Federal
Regulations
Title 42
Part 447
§ 447.325

Other inpatient and outpatient facility services: Upper limits of payment

Official source

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.

← Outpatient hospital and clinic services: Application of upper payment limits Upper limits of payment: Nonrisk contract →

in view

Whole section