§413.35. Limitations on coverage of costs: Charges to beneficiaries if cost limits are applied to services. — Inbound Citations

(3) The amount of any charges that may be made to a beneficiary under § 413.35 of this chapter when cost limits are applied to the services, or under § 489.32 of this chapter when the services are partially covered, but only to the extent that the primary payer is not responsible for those charges.

(iv) Sections 413.64, Payments to providers, and §§ 413.13, 413.30, 413.35, 413.40, 413.74, and §§ 415.55 through 415.70, § 415.162, and § 415.164 of this chapter, Principles of reimbursement for services by hospital-based physicians.

(b) For special provisions that apply when a provider customarily furnishes more expensive services, see § 413.35 of this chapter.