§ 16-21-17-1 — Posting of pricing and information; shoppable services

Indiana § 16-21-17-1

• Jurisdiction: Indiana
• Title 16: HEALTH
• Art. 21: HOSPITALS
• Ch. 17: Health Care Pricing Information

Text

(a) Not later than December 31, 2025, a
hospital and an ambulatory outpatient surgical center shall post on the
website of the hospital or ambulatory outpatient surgical center pricing
and other information specified in this chapter for the following:
(1) For as many of the seventy (70) shoppable services specified
in the final rule of the Centers for Medicare and Medicaid
Services published in 84 FR 65524 that are provided by the
hospital or ambulatory outpatient surgical center.
(2) In addition to the services specified in subdivision (1):
(A) the thirty (30) most common services that are provided by
the hospital or ambulatory outpatient surgical center not
included in subdivision (1); or
(B) if the hospital or ambulatory outpatient surgical center
offers less than thirty (30) services not included under
subdivision (1), all of the services provided by the hospital or
ambulatory outpatient surgical center.
(b) The following information, to the extent applicable, must be
included on the website by a hospital and an ambulatory outpatient
surgical center for the shoppable and common services described in
subsection (a):
(1) A description of the shoppable and common service.
(2) The standard charge per item or service for each of the
following categories:
(A) Any nongovernment sponsored health benefit plan or
insurance plan provided by a health carrier in which the
provider is in the network.
(B) Medicare, including fee for service and Medicare
Advantage.
(C) Self-pay without charitable assistance from the hospital or
ambulatory outpatient surgical center.
(D) The maximum charitable assistance allowed under the
charity or financial assistance policy of the hospital or
ambulatory outpatient surgical center.
(E) Medicaid, including fee for service and risk based managed
care.

Legislative History

As added by P.L.50-2020, SEC.2. Amended by P.L.93-2020, SEC.4; P.L.151-2021, SEC.11; P.L.198-2021, SEC.14; P.L.215-2025, SEC.23.