CMS Pub. 100-04, ch. 3, § 90.4.1

A3-3615.1, A3-3615.3

Each transplant facility must develop a standard charge for acquiring a cadaver liver from

costs it expects to incur in the acquisition of livers.

This standard charge is not a charge that represents the acquisition cost of a specific liver.

Rather, it is a charge that reflects the average cost associated with a liver acquisition.

Services associated with liver acquisition are billed from the organ procurement organization

or, in some cases, the excising hospital to the transplant hospital. The excising hospital does

not submit a billing form to the A/B MAC (A). The transplant hospital keeps an itemized

statement that identifies the services furnished, the charges, the person receiving the service

(donor/recipient), and the potential transplant donor. These charges are reflected in the

transplant hospital's liver acquisition cost center and are used in determining the hospital's

standard charge for acquiring a cadaver's liver. The standard charge is not a charge

representing the acquisition cost of a specific liver. Rather, it is a charge that reflects the

average cost associated with liver acquisition. Also, it is an all-inclusive charge for all

services required in acquisition of a liver, e.g., tissue typing, transportation of organ, and

surgeons' retrieval fees.