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As described earlier, we are revising 180.50(b)(2)(ii)(C) to require, at new 180.50(b)(2)(ii)(C)( 2 ), that, beginning January 1, 2026, if a payer-specific negotiated charge is based on a percentage or algorithm, the hospital must calculate and encode the 10th percentile, median, and 90th percentile allowed amounts in dollars for that item or service, but delaying enforcement until April 1, 2026

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