Section 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;(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:(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.Tex. Health and Safety Code § 327.001
Added by Acts 2021, Texas Acts of the 87th Leg. - Regular Session, ch. 1044,Sec. 1, eff. 9/1/2021.