Sec. 327.001. DEFINITIONS. In this chapter: (1) "Ancillary service" means a facility item or service that a facility customarily provides as part of a shoppable service. (2) "Chargemaster" means the list of all facility items or services maintained by a facility for which the facility has established a charge. (3) "Commission" means the Health and Human Services Commission. (4) "De-identified maximum negotiated charge" means the highest charge that a facility has negotiated with all third party payors for a facility item or service. (5) "De-identified minimum negotiated charge" means the lowest charge that a facility has negotiated with all third party payors for a facility item or service. (6) "Discounted cash price" means the charge that applies to an individual who pays cash, or a cash equivalent, for a facility item or service. (7) "Facility" means: (A) a hospital, including: (i) a general hospital; (ii) a special hospital; (iii) a mental hospital; (iv) a hospital that operates a crisis stabilization unit; (v) a limited services rural hospital; or (vi) a hospital operating under a certificate of public advantage under Chapter 314 or 314A ; (B) an abortion facility; (C) an ambulatory surgical center; (D) a birthing center; (E) a chemical dependency treatment facility; (F) an end stage renal disease facility; (G) a freestanding emergency medical care facility; (H) a narcotic drug treatment program; or (I) a special care facility. (8) "Facility items or services" means all items and services, including individual items and services and service packages, that may be provided by a facility to a patient in connection with an inpatient admission or an outpatient department visit, as applicable, for which the facility has established a standard charge, including: (A) supplies and procedures; (B) room and board; (C) use of the facility and other areas, the charges for which are generally referred to as facility fees; (D) services of physicians and non-physician practitioners, employed by the facility, the charges for which are generally referred to as professional charges; and (E) any other item or service for which a facility has established a standard charge. (9) "Gross charge" means the charge for a facility item or service that is reflected on a facility's chargemaster, absent any discounts. (10) "Machine-readable format" means a digital representation of information in a file that can be imported or read into a computer system for further processing. The term includes.XML,.JSON, and.CSV formats. (11) "Payor-specific negotiated charge" means the charge that a facility has negotiated with a third party payor for a facility item or service. (12) "Service package" means an aggregation of individual facility items or services into a single service with a single charge. (13) "Shoppable service" means a service that may be scheduled by a health care consumer in advance. (14) "Standard charge" means the regular rate established by the facility for a facility item or service provided to a specific group of paying patients. The term includes all of the following, as defined under this section: (A) the gross charge; (B) the payor-specific negotiated charge; (C) the de-identified minimum negotiated charge; (D) the de-identified maximum negotiated charge; and (E) the discounted cash price. (15) "Third party payor" means an entity that is, by statute, contract, or agreement, legally responsible for payment of a claim for a facility item or service.
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