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of this final rule with comment period), to require that hospitals report on the Medicare cost report, beginning January 1, 2026, the median [492] of the payer-specific negotiated charges (hereinafter referred to as the median payer-specific negotiated charge) that the hospital has negotiated with all of its MAOs, by MS-DRG, for use in a market-based MS-DRG relative weight methodology, effective for the relative weights calculated for FY 2029

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