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US · guidance

CMS Pub. 100-04, ch. 8, § 10.4

Deductible and Coinsurance

activein force · 2026-08-25 – presentas-observed

The beneficiary is responsible for any unmet deductible and for coinsurance.

Eighty percent of the total End Stage Renal Disease Prospective Payment System (ESRD

PPS) payment amount for renal dialysis services furnished by ESRD facilities to ESRD

beneficiaries is paid by Medicare. ESRD beneficiaries are responsible for the remaining

twenty percent after the deductible. Therefore, the beneficiary coinsurance amount under

the ESRD PPS is twenty percent of the total ESRD PPS payment, which includes the

ESRD PPS base rate, all applicable adjustments, any applicable training add-on amounts

and any applicable outlier payments.

History

(Rev. 10640, Issued:08-06-21, Effective:09-07-21, Implementation:09-07-21)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
0d7b115d7a8d208ca4cbc39c2ade49f1e9d599f03ca6ffe00afb1aebd393c44f
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