---
kind: "section"
citation: "42 C.F.R. § 413.74"
title: "42"
number: "413.74"
heading: "Payment to a foreign hospital."
url: "https://uscodex.org/cfr/42/413.74"
---

# §413.74. Payment to a foreign hospital.

- (a) **Principle.** Section 1814(f) of the Act provides for the payment of emergency and nonemergency inpatient hospitals services furnished by foreign hospitals to Medicare beneficiaries. [Subpart H of part 424](/cfr/42/part424-subpartH.md) of this chapter, together with this section, specifies the conditions for payment.
- (b) **Amount of payment.** Effective with admissions on or after January 1, 1980, the reasonable cost for services covered under the Medicare program furnished to beneficiaries by a foreign hospital will be equal to 100 percent of the hospital's customary charges (as defined in [§ 413.13(b)](/cfr/42/413.13.md?p=b)) for the services.
- (c) **Submittal of claims.** The hospital must establish its customary charges for the services by submitting an itemized bill with each claim it files in accordance with its election under [§ 424.104](/cfr/42/424.104.md) of this chapter.
- (d) **Exchange rate.** Payment to the hospital will be subject to the official exchange rate on the date the patient is discharged and to the applicable deductible and coinsurance amounts described in [§§ 409.80 through 409.83](/cfr/42/409.80..409.83.md).

## Notes

### Amendments

[51 FR 34793, Sept. 30, 1986, as amended at 51 FR 41351, Nov. 14, 1986; 53 FR 6648, Mar. 2, 1988; 53 FR 12945, Apr. 20, 1988; 71 FR 48141, Aug. 18, 2006]

### 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

[51 FR 34793, Sept. 30, 1986, as amended at 51 FR 41351, Nov. 14, 1986; 53 FR 6648, Mar. 2, 1988; 53 FR 12945, Apr. 20, 1988; 71 FR 48141, Aug. 18, 2006]