SB328,,49491. The list is available free of charge and without having to establish a user account or password.
SB328,,50502. The list is available without having to submit personal identifying information.
SB328,,51513. The list is available without having to overcome any other impediment, including entering a code.
SB328,,52524. The list is accessible to a common commercial operator of an Internet search engine to the extent necessary for the search engine to index the list and display the list as a result in response to a search query of a user of the search engine.
SB328,,53535. The list is formatted in a manner prescribed by the department.
SB328,,54546. The list is digitally searchable.
SB328,,55557. The list uses a naming convention specified by the federal centers for medicare and medicaid services.
SB328,,5656(g) In prescribing the format of the list under par. (f) 5., the department shall do all of the following:
SB328,,57571. Develop a template for each hospital to use in formatting the list.
SB328,,58582. Consider any applicable federal guidelines for formatting similar lists required by federal law or rule and ensure that the design of the template enables health care researchers to compare the charges contained in the lists maintained by each hospital.
SB328,,59593. Design the template under subd. 1. to be substantially similar to the template used by the federal centers for medicare and medicaid services for purposes similar to the purposes of the list required under par. (a) 1. if the department determines that designing the template under subd. 1. to be substantially similar to the template used by the federal centers for medicare and medicaid services benefits the department.
SB328,,6060(h) A hospital shall update the list required under par. (a) 1. at least once each year. The hospital shall clearly indicate the date on which the list was most recently updated, either on the list or in a manner that is clearly associated with the list.
SB328,,6161(4) Consumer-friendly list of shoppable services. (a) Except as provided in par. (c), a hospital shall maintain and make publicly available a list of the standard charges described under sub. (3) (c) 2. b., c., d., and e. for each of at least 300 shoppable services provided by the hospital. The hospital may select the shoppable services to be included in the list, except that the list shall include either the 70 services specified as shoppable services by the federal centers for medicare and medicaid services or, if the hospital does not provide all of the shoppable services specified by the federal centers for medicare and medicaid services, as many of the 70 services specified as shoppable services by the federal centers for medicare and medicaid services as the hospital provides.
SB328,,6262(b) In selecting a shoppable service for inclusion in the list, the hospital shall consider how frequently the hospital provides the services and the hospital’s billing rate for the services and prioritize the selection of services that are among the services most frequently provided by the hospital.
SB328,,6363(c) If a hospital does not provide at least 300 shoppable services, then the hospital shall maintain a list of all shoppable services that the hospital provides consistent with the requirements of this subsection.
SB328,,6464(d) The list required under this subsection shall satisfy all of the following:
SB328,,65651. The list shall include the following information:
SB328,,6666a. A plain-language description of each shoppable service included on the list.
SB328,,6767b. The payor-specific negotiated charge that applies to each shoppable service included on the list and any ancillary service, listed by the name of the 3rd-party payor and plan associated with the negotiated charge and displayed in a manner that clearly associates the negotiated charge with the 3rd-party payor and plan.
SB328,,6868c. The discounted cash price that applies to each shoppable service included on the list and any ancillary service or, if the hospital does not offer a discounted cash price for one or more of the shoppable services on the list or ancillary services, the gross charge for the shoppable service or ancillary service.
SB328,,6969d. The de-identified minimum negotiated charge that applies to each shoppable service included on the list and any ancillary service.
SB328,,7070e. The de-identified maximum negotiated charge that applies to each shoppable service included on the list and any ancillary service.
SB328,,7171f. Any code used by the hospital for purposes of accounting or billing for each shoppable service included on the list and any ancillary service, including the current procedural terminology code, the healthcare common procedure coding system code, the diagnosis related group code, the national drug code, or other common identifier.
SB328,,72722. If applicable, the list shall do all of the following:
SB328,,7373a. State each location at which the hospital provides the shoppable service and whether the standard charges included in the list apply at that location to the provision of that shoppable service in an inpatient setting, an outpatient department setting, or in both of those settings.
SB328,,7474b. Indicate if one or more of the shoppable services specified by the federal centers for medicare and medicaid services is not provided by the hospital.
SB328,,7575(e) The list required under this subsection shall satisfy all of the following criteria:
SB328,,76761. The list is displayed in the manner provided in sub. (3) (e).
SB328,,77772. The list is available free of charge, without having to register or establish a user account or password, without having to submit personal identifying information, and without having to overcome any other impediment, including entering a code to access the list.