---
kind: "section"
citation: "42 C.F.R. § 413.215"
title: "42"
number: "413.215"
heading: "Basis of payment."
url: "https://uscodex.org/cfr/42/413.215"
---

# §413.215. Basis of payment.

- (a) Except as otherwise provided under [§ 413.235](/cfr/42/413.235.md) or [§ 413.174(f)](/cfr/42/413.174.md?p=f) of this part, effective January 1, 2011, ESRD facilities receive a predetermined per treatment payment amount described in [§ 413.230](/cfr/42/413.230.md) of this part, for renal dialysis services, specified under section 1881(b)(14) of the Act and as defined in [§ 413.217](/cfr/42/413.217.md) of this part, furnished to Medicare Part B fee-for-service beneficiaries.
- (b) In addition to the per-treatment payment amount, as described in [paragraph (a)](#a) of this section, the ESRD facility may receive payment for bad debts of Medicare beneficiaries as specified in [§ 413.89(h)(3)](/cfr/42/413.89.md?p=h-3).

## Notes

### Amendments

[75 FR 49200, Aug. 12, 2010, as amended at 81 FR 77965, Nov. 4, 2016]

### 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 49200, Aug. 12, 2010, as amended at 81 FR 77965, Nov. 4, 2016]