December 20, 2024
Rural Health Clinic CY 2025 All-Inclusive Rate
The Centers for Medicare & Medicaid Services (CMS) updated the Rural Health Clinic (RHC) all-inclusive rate for calendar year (CY) 2025. The payment limit per visit for independent and provider based RHCs in hospitals with 50 or more beds is $152.00.
The payment limit per visit for specified provider based RHCs, with an April 1, 2021, established payment limit, that continue to meet the qualifications in section 1833(f)(3)(B) of the Social Security Act is the greater of these amounts:
- Your payment limit per visit starting January 1, 2024, increased by 3.5 percent;
- The national statutory CY 2025 payment limit per visit of $152.00.
For more information see: