{"data":{"id":"us/42-cfr-413.233","jurisdiction":"us","citation":"42 CFR 413.233","heading":"Additional facility-level adjustments.","body":"(a) CMS adjusts the base rate for facilities in rural areas, as defined in § 413.231(b)(2).\n(b) CMS adjusts the non-labor-related portion of the base rate for facilities in Alaska, Hawaii, Guam, American Samoa, and the Northern Mariana Islands.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 413—PRINCIPLES OF REASONABLE COST REIMBURSEMENT; PAYMENT FOR END-STAGE RENAL DISEASE SERVICES; PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES; PAYMENT FOR ACUTE KIDNEY INJURY DIALYSIS","Subpart H—Payment for End-Stage Renal Disease (ESRD) Services"],"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":"88b69c73992287698be78043b69021a3e4113f61f4c4dc58b5c5a1e6336a7d26","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-413.232","next":"us/42-cfr-413.234"},"notice":"GroundRules: Original legal text. Not legal advice."}