Tex.
Health & Safety Code Section 327.001
Definitions
(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 (Hospitals).(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.
Source:
Section 327.001 — Definitions, https://statutes.capitol.texas.gov/Docs/HS/htm/HS.327.htm#327.001 (accessed Jun. 5, 2024).
