---
kind: "section"
citation: "42 C.F.R. § 413.176"
title: "42"
number: "413.176"
heading: "Amount of payments."
url: "https://uscodex.org/cfr/42/413.176"
---

# §413.176. Amount of payments.


For items and services, for which payment is made under [section 1881(b)(7)](/cfr/42/1881.md?p=b-7), [section 1881(b)(12)](/cfr/42/1881.md?p=b-12), and section 1881(b)(14) of the Act:

- (a) If the beneficiary has incurred the full deductible applicable under Part B of Medicare before the dialysis treatment, Medicare pays the ESRD facility 80 percent of its prospective rate.
- (b) If the beneficiary has not incurred the full deductible applicable under Part B of Medicare before the dialysis treatment, CMS subtracts the amount applicable to the deductible from the ESRD facility's prospective rate and pays the facility 80 percent of the remainder, if any.

## Notes

### Amendments

[75 FR 49199, Aug. 12, 2010]

### Source

Source: 62 FR 43668, Aug. 15, 1997, as amended at 86 FR 73515, Dec. 27, 2021, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302, 1395d(d), 1395f(b), 1395g, 1395l(a), (i), and (n), 1395m, 1395x(v), 1395x(kkk), 1395hh, 1395rr, 1395tt, and 1395ww.

### Source

Source: 51 FR 34793, Sept. 30, 1986, unless otherwise noted.

### Amendments

[75 FR 49199, Aug. 12, 2010]