42 CFR 412.88 - Additional payment for new medical service or technology.
(1) One of the following:
(i) The full DRG payment (including adjustments for indirect medical education and disproportionate share but excluding outlier payments);
(i) 50 percent of the costs of the new medical service or technology; or
(ii) 50 percent of the amount by which the costs of the case exceed the standard DRG payment.
(b) Unless a discharge case qualifies for outlier payment under § 412.84, Medicare will not pay any additional amount beyond the DRG payment plus 50 percent of the estimated costs of the new medical service or technology.