Ariz. Rev. Stat. § 36-437. Health care facilities; charges; public availability; direct payment; notice; definitions: Review of Rates, Rules and Regulations – Arizona

Status: Enacted
Year Enacted: 2014
Year Amended: 2017
File: Download

Directs healthcare facilities to make the direct pay price (the entire price for healthcare services if paid in full directly to the healthcare facility by the person receiving the service) for the specified number of diagnosis-related group codes (DRGs) available on request or online. The service prices must be updated at least annually. The direct pay price may include the cost of treatment for complications or exceptional treatment. A facility must give the required notice and disclaimer to an insured in-network patient attempting to pay directly that, among other things, the patient may not be required to pay the facility directly for the services covered by their plan over and above the cost-sharing amount. See, for example, Mayo Clinic’s pricing information.


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