{"data":{"id":"us/42-cfr-447.271","jurisdiction":"us","citation":"42 CFR 447.271","heading":"Upper limits based on customary charges.","body":"(a) Except as provided in paragraph (b) of this section, the agency may not pay a provider more for inpatient hospital services under Medicaid than the provider's customary charges to the general public for the services.\n(b) The agency may pay a public provider that provides services free or at a nominal charge at the same rate that would be used if the provider charges were equal to or greater than its costs.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS","PART 447—PAYMENTS FOR SERVICES","Subpart C—Payment for Inpatient Hospital and Long-Term Care Facility 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":"ce5f4bd6eb38c6a194736f8b62d6601aad8cb1f555af88890018b8b6de20e8b4","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-447.257","next":"us/42-cfr-447.272"},"notice":"GroundRules: Original legal text. Not legal advice."}