DEFINITIONS
Ancillary service
Means an item or service a hospital customarily provides as part of or in conjunction with a shoppable primary service.
Chargemaster (Charge Description Master or CDM)
Means the list of all individual items and services maintained by a hospital for which the hospital has established a charge.
De-identified maximum negotiated charge
Means the highest charge that a hospital has negotiated with all third-party payers for an item or service.
De-identified minimum negotiated charge
Means the lowest charge that a hospital has negotiated with all third-party payers for an item or service.
Discounted cash price
means the charge that applies to an individual who pays cash (or cash equivalent) for a hospital item or service
Shoppable service
Means a service that can be scheduled by a healthcare consumer in advance.
Standard charge
Means the regular rate established by the hospital for an item or service provided to a specific group of paying patients. This includes all the following as defined under this section: (1) Gross charge. (2) Payer-specific negotiated charge. (3) De-identified minimum negotiated charge. (4) De-identified maximum negotiated charge. (5) Discounted cash price.
Third party payer
Means an entity that is, by statute, contract, or agreement, legally responsible for payment of a claim for a healthcare item or service.