- health-care facility charges
(1)Intentionally left blank —Ed.
(a)A health-care facility shall make available to the public, in a single document, either electronically or by posting conspicuously on its website if one exists, the health-care prices for at least:
(I)The fifty most used, diagnosis-related group codes or other codes for in-patient health-care services used by the health-care facility for billing or, if those codes are not used, the codes under another coding system for in-patient health-care services commonly used by the facility and accepted as a national standard for billing; and
(II)The twenty-five most used out-patient CPT codes or health-care services procedure codes used for billing or, if those codes are not used, the codes under another coding system for out-patient health-care services commonly used by the facility and accepted as a national standard for billing.
(b)If a health-care facility did not use fifty codes for in-patient health-care services at least eleven times in the previous twelve months or did not use twenty-five codes for out-patient health-care services at least eleven times in the previous twelve months, the health-care facility shall make available the health-care price for only those most common in-patient and out-patient health-care services or procedure codes that the health-care facility used at least eleven times in the previous twelve months.
(c)A health-care facility shall include with the health-care price provided pursuant to this subsection (1) a plain English description of the service for which the health-care price is provided.
(d)The health-care facility shall update the document as frequently as it deems appropriate, but at least annually.
(2)The health-care facility shall include:
(a)A disclosure specifying that the health-care price for any given health-care service is an estimate and that the actual charges for the health-care service are dependent on the circumstances at the time the service is rendered; and
(b)The following statement or a statement containing substantially similar information:
(3)A health-care facility may disclose the basis for its health-care prices and may take into consideration all payer sources when determining a health-care price.
Section 25-49-104 — Transparency - health-care facility charges,
https://leg.colorado.gov/sites/default/files/images/olls/crs2023-title-25.pdf (accessed Oct. 20, 2023).