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We also proposed to revise 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 and 90th percentile allowed amounts in dollars for that item or service

However, individual differences and other factors like existing health conditions also play a role