Private payor rate,

Private payor rate, with respect to applicable information:
(1) Is the final amount that is paid by a private payor for a CDLT after all private payor price concessions are applied and does not include price concessions applied by a laboratory.
(2) Includes any patient cost sharing amounts, if applicable.
(3) Does not include information about denied payments.


42 CFR § 414.502

Scoping language

For purposes of this subpart -

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