{"data":{"id":"us/42-cfr-424.126","jurisdiction":"us","citation":"42 CFR 424.126","heading":"Payment to the hospital.","body":"(a) Conditions for payment. Medicare pays the hospital if it—\n(1) Has in effect an election that—\n(i) Meets the requirements set forth in § 424.104; and\n(ii) Reflects the hospital's intent to claim for all covered services furnished during a calendar year.\n(2) Claims payment in accordance with §§ 424.32 and 413.74 of this chapter; and\n(3) Submits evidence requested by CMS to establish that the services meet the requirements of this subpart.\n(b) Amount of payment. Payment is made (in accordance with § 413.74 of this chapter) on the basis of 100 percent of the hospital's customary charges, subject to the applicable deductible and coinsurance provisions set forth elsewhere in this chapter.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 424—CONDITIONS FOR MEDICARE PAYMENT","Subpart H—Special Conditions: Services Furnished in a Foreign Country"],"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":"a9e3518d41154aa1ee6f184f514c2571155364c81c1d9546b184d28aeb9bf5c9","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-424.124","next":"us/42-cfr-424.127"},"notice":"GroundRules: Original legal text. Not legal advice."}