{"data":{"id":"us/42-cfr-412.83","jurisdiction":"us","citation":"42 CFR 412.83","heading":"Payment for extraordinarily high-cost day outliers.","body":"For discharges occurring before October 1, 1997, if a discharge that qualifies for an additional payment under the provisions of § 412.82 has charges adjusted to costs that exceed the cost outlier threshold criteria for an extraordinarily high-cost case as set forth in § 412.80(a)(1)(ii), the additional payment made for the discharge is the greater of—\n(a) The applicable per diem payment computed under § 412.82 (c) or (d); or\n(b) The payment that would be made under § 412.84 (i) or (j) if the case had not met the day outlier criteria threshold set forth in § 412.80(a)(1)(i).","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 412—PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES","Subpart F—Payments for Outlier Cases, Special Treatment Payment for New Technology, and Payment Adjustment for Certain Replaced Devices"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"d51e1d196073828cc61f46b2c78124df218548a5de3c3d81a162e3dace81bf0d","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-412.85","next":"us/42-cfr-412.86"},"notice":"GroundRules: Original legal text. Not legal advice."}
