{"data":{"id":"us/42-cfr-417.546","jurisdiction":"us","citation":"42 CFR 417.546","heading":"Physicians' services and other Part B supplier services furnished under arrangements.","body":"General principle. The amount paid by an HMO or CMP for physicians' services and other Part B supplier services furnished under arrangements is an allowable cost to the extent it is reasonable. Costs are considered reasonable if they—\n(a) Do not exceed those that a prudent and cost-conscious buyer would incur to purchase those services; and\n(b) Are comparable to costs incurred for similar services furnished by similar physicians or other suppliers in the same or a similar geographic area.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 417—HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS","Subpart O—Medicare Payment: Cost Basis"],"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":"ac3c69be7fc57ee0e15c08755a103b46c4eb1078d6962ad485cd5650e2fcdd7b","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-417.544","next":"us/42-cfr-417.548"},"notice":"GroundRules: Original legal text. Not legal advice."}