§ 23-103-1. Definitions.
As used 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 hospital licensed under chapter 17 of this title.
(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:
(i) Supplies and procedures;
(ii) Room and board;
(iii) Use of the facility and other areas, the charges for which are generally referred
to as facility fees;
(iv) Services of physicians and non-physician practitioners, employed by the facility,
the charges for which are generally referred to as professional charges; and
(v) 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 healthcare 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:
(i) The gross charge;
(ii) The payor-specific negotiated charge;
(iii) The de-identified minimum negotiated charge;
(iv) The de-identified maximum negotiated charge; and
(v) 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.