Title 35 Public Health and Safety

35-2-1502. Definitions.

(a) As used in this act: (i) "Department" means the department of health; (ii) "De-identified maximum negotiated charge" means the highest charge a facility has negotiated with any third party payors for a facility item or service; (iii) "De-identified minimum negotiated charge" means the lowest charge a facility has negotiated with any third party payors for a facility item or service; (iv) "Discounted cash price" means the charge that applies to a person who pays cash, or a cash equivalent, for a facility item or service; (v) "Facility" means a hospital located within the state and licensed under title 35, chapter 2, article 9 of the Wyoming statutes; (vi) "Facility item or service" 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, including: (A) Supplies and procedures; (B) Room and board; (C) Use of the facility and other areas, generally referred to as facility fees; (D) Services of health care providers, generally referred to as professional charges; (E) Any other item or service offered by the facility. (vii) "Gross charge" means the charge for a facility item or service that is reflected on a facility's list, less any discounts; (viii) "Machine-readable format" means a digital representation of information that can be imported or read into a computer system for processing; (ix) "Payor-specific negotiated charge" means the charge that a facility has negotiated with a third party payor for a facility item or service; (x) "Shoppable service" means a facility item or service that may be scheduled by a patient in advance; (xi) "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: (A) The gross charge; (B) The payor-specific negotiated charge; (C) The de-identified minimum negotiated charge; (D) The de-identified maximum negotiated charge; (E) The discounted cash price. (xii) "Third party payor" means a person who is, by statute, contract or agreement, legally responsible for payment of a claim for a facility item or service; (xiii) "This act" means W.S. 35-2-1501 through 35-2-1507.