{"data":{"id":"us-ri/r.i.-gen.-laws-23-103-1","jurisdiction":"us-ri","citation":"R.I. Gen. Laws § 23-103-1","heading":"Definitions.","body":"As used in this chapter:\n(1) “Ancillary service” means a facility item or service that a facility customarily provides as part of a shoppable service.\n(2) “Chargemaster” means the list of all facility items or services maintained by a facility for which the facility has established a charge.\n(3) “Commission” means the health and human services commission.\n(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.\n(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.\n(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.\n(7) “Facility” means a hospital licensed under chapter 17 of this title.\n(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:\n(i) Supplies and procedures;\n(ii) Room and board;\n(iii) Use of the facility and other areas, the charges for which are generally referred to as facility fees;\n(iv) Services of physicians and non-physician practitioners, employed by the facility, the charges for which are generally referred to as professional charges; and\n(v) Any other item or service for which a facility has established a standard charge.\n(9) “Gross charge” means the charge for a facility item or service that is reflected on a facility’s chargemaster, absent any discounts.\n(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.\n(11) “Payor-specific negotiated charge” means the charge that a facility has negotiated with a third-party payor for a facility item or service.\n(12) “Service package” means an aggregation of individual facility items or services into a single service with a single charge.\n(13) “Shoppable service” means a service that may be scheduled by a healthcare consumer in advance.\n(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:\n(i) The gross charge;\n(ii) The payor-specific negotiated charge;\n(iii) The de-identified minimum negotiated charge;\n(iv) The de-identified maximum negotiated charge; and\n(v) The discounted cash price.\n(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.","path":["Title 23 Health and Safety","Chapter 103 Disclosure of Prices — Medical Facility Items"],"source_url":"https://webserver.rilegislature.gov/Statutes/TITLE23/23-103/23-103-1.htm","current_through":"site files published 2025-08-13","vintage":"","retrieved_at":"2026-09-05T19:57:13Z","sha256":"6c2a53ae826eef1b1e8877cf41e08be206a609814b235bd120d191f266e1b289","source_id":"us-ri","stale":true,"prev":"us-ri/r.i.-gen.-laws-23-102-2","next":"us-ri/r.i.-gen.-laws-23-103-2"},"notice":"GroundRules: Original legal text. Not legal advice."}