TX Health & Safety Code § 327.001 (2021)
2021 Texas Statutes|Health and Safety Code|Title 4 - Health Facilities|Subtitle G - Provision of Services in Certain Facilities|Chapter 327 - Disclosure of Prices|Section 327.001. Definitions

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 hospital licensed under Chapter 241.(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.|Added by Acts 2021, 87th Leg., R.S., Ch. 1044 (S.B. 1137), Sec. 1, eff. September 1, 2021.|