Indiana § 16-21-17-0.3 Definitions

Indiana Statutes

§ 16-21-17-0.3 — Definitions

Indiana § 16-21-17-0.3

Title 16HEALTH

Art. 21HOSPITALS

Ch. 17Health Care Pricing Information

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Bluebook

Ind. Code § 16-21-17-0.3 (2026).

Text

3.

(a)As used in this chapter, "de-identified maximum negotiated charge" means the highest charge that a hospital or an ambulatory outpatient surgical center has negotiated with any third party payer for an item or service.

(b)As used in this chapter, "de-identified minimum negotiated charge" means the lowest charge that a hospital or an ambulatory outpatient surgical center has negotiated with any third party payer for an item or service.

(c)As used in this chapter, "discounted cash price" means the charge that applies to an individual who pays cash or the cash equivalent for a hospital or an ambulatory outpatient surgical center item or service.

(d)As used in this chapter, "gross charge" means the charge for an individual item or service that is reflected on a hospital's or an ambula

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3. (a) As used in this chapter, "de-identified
maximum negotiated charge" means the highest charge that a hospital
or an ambulatory outpatient surgical center has negotiated with any
third party payer for an item or service.
(b) As used in this chapter, "de-identified minimum negotiated
charge" means the lowest charge that a hospital or an ambulatory
outpatient surgical center has negotiated with any third party payer for
an item or service.
(c) As used in this chapter, "discounted cash price" means the
charge that applies to an individual who pays cash or the cash
equivalent for a hospital or an ambulatory outpatient surgical center
item or service.
(d) As used in this chapter, "gross charge" means the charge for an
individual item or service that is reflected on a hospital's or an
ambulatory outpatient surgical center's chargemaster, absent any
discounts.
(e) As used in this chapter, "item or service" means any item or
service, including service packages, that could be provided by a
hospital or an ambulatory outpatient surgical center to a patient for
which the hospital or ambulatory outpatient surgical center has
established a standard charge. The term includes the following:
(1) Supplies.
(2) Procedures.
(3) Use of the facility and other facility fees.
(4) Services of employed physicians and non-physician
practitioners, including professional charges.
(5) Anything that a hospital or an ambulatory outpatient surgical
center has established as a standard charge.
(f) As used in this chapter, "payer-specific negotiated charge" means
the charge that a hospital or an ambulatory outpatient surgical center
has negotiated with a third party payer for an item or service.
(g) As used in this chapter, "standard charge" means the regular rate
established by the hospital or ambulatory outpatient surgical center for
an item or service provided to a specific group of paying patients. The
term includes the following:
(1) Gross charge.
(2) Payer-specific negotiated charge.
(3) De-identified minimum negotiated charge.
(4) De-identified maximum negotiated charge.
(5) Discounted cash price.