§413.230. Determining the per treatment payment amount.
42 C.F.R. § 413.230
The per-treatment payment amount is the sum of:
The per treatment base rate established in § 413.220, adjusted for wages as described in § 413.231, and adjusted for facility-level and patient-level characteristics described in §§ 413.232, 413.233, and 413.235 of this part;
Any outlier payment under § 413.237;
Any training adjustment add-on under § 413.235(c);
Any transitional drug add-on payment adjustment under § 413.234(c);
Any transitional add-on payment adjustment for new and innovative equipment and supplies under § 413.236(d); and
Any add-on payment adjustment for new renal dialysis drugs or biological products in existing ESRD PPS functional categories after the payment period for the transitional drug add-on payment adjustment has ended, as described in § 413.234(c)(3) and (g).
Notes, amendments, and revision history
Amendments
[75 FR 49200, Aug. 12, 2010, as amended at 84 FR 60803, Nov. 8, 2019; 88 FR 76505, Nov. 6, 2023; 90 FR 53139, Nov. 24, 2025]
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 84 FR 60803, Nov. 8, 2019; 88 FR 76505, Nov. 6, 2023; 90 FR 53139, Nov. 24, 2025]