# 5 C.F.R. § 890.905 (2026): Limits on inpatient hospital and physician charges

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/CFR_T5_P890_S890_905

## Section

- **Citation:** 5 C.F.R. § 890.905 (2026)
- **Heading:** Limits on inpatient hospital and physician charges
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Title 5 CFR: Administrative Personnel / Chapter I: OFFICE OF PERSONNEL MANAGEMENT / Part 890: FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM / Subpart I: Limit on Inpatient Hospital Charges, Physician Charges, and FEHB Benefit Payments / § 890.905: § 890.905   Limits on inpatient hospital and physician charges.

## Text

(a) Hospitals may not collect from FEHB plans and retired enrolled individuals for inpatient hospital services more than the amount determined to be equivalent to the Medicare part A payment under the DRG-based PPS.
(b) Medicare participating providers may not collect from FEHB plans and retired enrolled individuals for physician services more than the amount determined to be equivalent to the Medicare part B payment under the Medicare Participating Physician Fee Schedule.
(c) Medicare nonparticipating providers may not collect from FEHB plans and retired enrolled individuals for physician services more than the amount determined to be equivalent to the Medicare limiting charge amount.
[60 FR 26668, May 18, 1995; 60 FR 28019, May 26, 1995]

## Nearby sections

- [5 C.F.R. § 890.901 (2026) § 890.901   Purpose.](https://www.frixlaw.com/law-library/statutes/CFR_T5_P890_S890_901.md)
- [5 C.F.R. § 890.902 (2026) § 890.902   Definition.](https://www.frixlaw.com/law-library/statutes/CFR_T5_P890_S890_902.md)
- [5 C.F.R. § 890.903 (2026) § 890.903   Covered services.](https://www.frixlaw.com/law-library/statutes/CFR_T5_P890_S890_903.md)
- [5 C.F.R. § 890.904 (2026) § 890.904   Determination of FEHB benefit payment.](https://www.frixlaw.com/law-library/statutes/CFR_T5_P890_S890_904.md)
- [5 C.F.R. § 890.905 (2026) § 890.905   Limits on inpatient hospital and physician charges.](https://www.frixlaw.com/law-library/statutes/CFR_T5_P890_S890_905.md)
- [5 C.F.R. § 890.906 (2026) § 890.906   Retired enrolled individuals coinsurance payments.](https://www.frixlaw.com/law-library/statutes/CFR_T5_P890_S890_906.md)
- [5 C.F.R. § 890.907 (2026) § 890.907   Effective dates.](https://www.frixlaw.com/law-library/statutes/CFR_T5_P890_S890_907.md)
- [5 C.F.R. § 890.908 (2026) § 890.908   Notification of HHS.](https://www.frixlaw.com/law-library/statutes/CFR_T5_P890_S890_908.md)
- [5 C.F.R. § 890.909 (2026) § 890.909   End-of-year settlements.](https://www.frixlaw.com/law-library/statutes/CFR_T5_P890_S890_909.md)
- [5 C.F.R. § 890.910 (2026) § 890.910   Provider information.](https://www.frixlaw.com/law-library/statutes/CFR_T5_P890_S890_910.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/CFR_T5_P890_S890_905. Check the current official text before relying on it. Not legal advice.