{"data":{"id":"us/42-cfr-418.405","jurisdiction":"us","citation":"42 CFR 418.405","heading":"Effect of coinsurance liability on Medicare payment.","body":"The Medicare payment rates established by CMS in accordance with § 418.306 are not reduced when the individual is liable for coinsurance payments. Instead, when establishing the payment rates, CMS offsets the estimated cost of services by an estimate of average coinsurance amounts hospices collect.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 418—HOSPICE CARE","Subpart H—Coinsurance"],"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":"231d8e4e2ea0e8087e4ef90211c6bf410c1c3c1a04e965e33602d3002be4ab94","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-418.402","next":"us/42-cfr-419.1"},"notice":"GroundRules: Original legal text. Not legal advice."}