42 CFR § 418.405 - Effect of coinsurance liability on Medicare payment.
---
identifier: "/us/cfr/t42/s418.405"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 418.405 - Effect of coinsurance liability on Medicare payment."
title_number: 42
title_name: "Public Health"
section_number: "418.405"
section_name: "Effect of coinsurance liability on Medicare payment."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "B"
subchapter_name: "MEDICARE PROGRAM"
part_number: "418"
part_name: "HOSPICE CARE"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302 and 1395hh."
regulatory_source: "48 FR 56026, Dec. 16, 1983, unless otherwise noted."
cfr_part: "418"
---
# 418.405 Effect of coinsurance liability on Medicare payment.
The Medicare payment rates established by CMS in accordance with § 418.306 are not reduced when the individual is liable for coinsurance payments. Instead, when establishing the payment rates, CMS offsets the estimated cost of services by an estimate of average coinsurance amounts hospices collect.
[56 FR 26919, June 12, 1991]