Section 443.10 - Maximum payment to practitioners for inpatient hospitalizationThe maximum payment made to a practitioner for all services provided to an eligible recipient during any one period of inpatient hospitalization shall be the lowest of the following:
(1) The practitioner's usual charge to the general public for the same service.(2) The medical assistance maximum allowable fee for the service.(3) A maximum payment limit, per recipient per the period of inpatient hospitalization, established by the medical assistance program and published as a notice in the Pennsylvania Bulletin. If the fee for the actual service exceeds the maximum payment limit, the fee for the actual procedure shall be the maximum payment for the period of inpatient hospitalization.1967, June 13, P.L. 31, No. 21, art. 4, § 443.10, added 2008, July 4, P.L. 557, No. 44, §2, effective in 60 days [ 9/2/2008].