Source: http://www.healthinfolaw.org/comparative-analysis/health-care-providers-must-disclose-charge-information-patients-upon-request-50
Timestamp: 2019-04-25 16:41:55+00:00

Document:
Hospital charge data is available to consumers in a number of different ways. State law governs the disclosure of hospital charge data in a variety of ways. For example, states may require disclosure of the most common diagnoses, disclosure of charge information upon a patient’s request, or disclosure or posting of the hospital’s “charge master." The most common requirement is for certain health care providers, including hospitals and physicians, to disclose charge information to patients upon request. The map below shows the states that have such requirements and exactly how consumers may access to the charge information.
A.R.S. § 36-125.06: Director must publish a brochure containing simple comparisons of hospitals and emergency departments in the same geographic area by average per confinement charges for the most common diagnoses and procedures for inpatient and emergency department services. Each hospital must obtain copies of the brochure for its geographic region and make them available in the hospital’s reception area. There must be enough so that they can be provided for free upon request to any individual who requests one.
A.R.S. § 36-436.01: The rate schedule required under A.R.S. § 36-436 to be printed and must contain a list of all services performed and commodities furnished for which a separate charge is made, with the charges for each. Another copy must be kept in the reception area to be available for public inspection upon request.
A.R.S. § 36-436.03: A home health agency, supervisory care home, and hospice must furnish the institution’s rates and charges to the public upon request.
Health & Safety Code § 1339.56: Each hospital must compile a list of 25 common outpatient procedures and annually submit to the Office of Statewide Health Planning and Development the hospital’s average charges for those procedures. Hospitals must provide the lists above to any person who requests them.
C.R.S. § 6-20-101: A hospital must inform a patient or person seeing treatment of the right to receive notice of the average charge for the treatment or procedure being sought (if it is a common inpatient procedure) before admission for that procedure. The hospital must provide the price information to the person upon request before admission.
F.S.A. § 381.026: A primary care provider may publish a schedule of charges for the services it offers, including prices that an uninsured individual would pay paying by different modes (cash, check, credit card). The schedule must be posted conspicuously in the primary care provider’s office and must include the 50 most commonly performed procedures. A health care provider or facility must furnish a reasonable estimate of the charges for service before it begins, if a patient requests in an easy to understand manner.
F.S.A. § 395.301: A licensed facility not operated by the state must inform patient at admission and discharge of their right to receive an itemized bill upon request. If requested, the licensed facility not operated by the state must provide the itemized bill within 7 business days from the patient’s discharge in an easy to understand language.
F.S.A. § 395.107: An urgent care center must publish and post a schedule of charges for medical services offered to patients. The schedule of charges must be easy to understand, and include prices for an uninsured individual paying by cash, check or credit card. The schedule must be conspicuously posted in the reception area and must include the 50 most frequently provided services.
ILCS § 2215/4-4: Hospitals must make the normal charge of a procedure available to any patient who is considering that procedure.
M.G.L.A. 111 § 228: A health care provider must disclose the allowed amount and charge of admission or a procedure and facility charges before a patient is admitted or a procedure is done if the patient requests this information. If the provider is unable to predict the specific treatment or diagnostic code, the provider must give the patient an estimate of the maximum charge allowed.
M.S.A. § 62J.052: Each pharmacy must provide the pharmacy’s usual and customary price for a prescription drug to a patient upon request.
Neb. Rev. Stat. § 71-2075: Hospitals and ambulatory surgical centers must provide a written estimate of the average charges for health services related to a particular diagnostic condition or medical procedure to a patient or prospective patient upon written request within 7 days.
N.R.S. § 449.490: A complete charge master must be available at each hospital for inspection by the Director of the Department of Health and Human Services, payors with contracts with the hospital, any payor who has received a bill from the hospital, and any state agency.
Ohio Rev. Code § 3727.42: Each hospital must inform each patient of the price information list and provide the list for free to the patient if requested, upon the patient’s admission.
SDCL § 34-12E-8: A health care provider must disclose all fees and charges for health care procedures to a patient upon request.
U.C.A. § 26-21-27: All licensed health care facilities must, upon a consumer’ request, make available a list of prices charged by the facility for inpatient procedures, outpatient procedures, 50 most commonly prescribed drugs in the facility, imaging services, and implants.
W.S.A. § 146.903: Health care providers must disclose to a health care consumer the median billed charge for a health care service, upon the consumer’s request and within a reasonable time from when the request was made. Health care providers must submit a single document that lists thecharge information for the 25 most common conditions the provider treats, and prominently display in the practice area, a notice informing the patient of their right to receive charge information and comparative quality information noted above.
Each hospital must prepare a single document containing charge information for 75 specific diagnosis-related groups for inpatient care and 75 specific outpatient surgical procedures, which must also be provided to a consumer upon request and at no charge, but does not constitute a legally binding estimate of the charge.

References: § 36
 § 36
 § 36
 § 36
 § 1339
 § 6
 § 381
 § 395
 § 395
 § 2215
 § 228
 § 62
 § 71
 § 449
 § 3727
 § 34
 § 26
 § 146