> For the complete documentation index, see [llms.txt](https://docs.payerset.com/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://docs.payerset.com/using-the-payerset-platform/data-dictionary/hospital-transparency.md).

# Hospital Transparency

<table><thead><tr><th width="229.10479736328125">Field Name</th><th>Description / Sample Values</th><th>Original Source</th></tr></thead><tbody><tr><td><strong>Payer</strong></td><td>Payerset-standardized payer name (mapped across hospitals).</td><td>Payerset</td></tr><tr><td><strong>Plan Name</strong></td><td>Payerset-standardized plan/network name.</td><td>Payerset</td></tr><tr><td><strong>Additional Payer Notes</strong></td><td>Free-text notes hospitals sometimes include for a payer or plan. <em>e.g., “Only applicable to self-pay patients seen in ER,” “BCBS rates exclude lab fees”</em></td><td>Hospital MRF</td></tr><tr><td><strong>Billing Code Category</strong></td><td>Broad clinical grouping of the billing code. <em>“Imaging”, “Surgery–Outpatient”, “Lab &#x26; Pathology”</em></td><td>Payerset</td></tr><tr><td><strong>Billing Code Type</strong></td><td>Coding system. <em>“CPT”, “HCPCS”, “MS-DRG”, “APC”, “NDC”</em></td><td>Hospital MRF</td></tr><tr><td><strong>Billing Code</strong></td><td>Billing code exactly as published. <em>“99213”, “0274”, “J9206”, “30145”</em></td><td>Hospital MRF</td></tr><tr><td><strong>Billing Code Description</strong></td><td>Description from file (often truncated/abbreviated). <em>“Office/outpatient visit est low-level”, “Knee arthroscopy w/ meniscus repair”</em></td><td>Hospital MRF</td></tr><tr><td><strong>Drug Category</strong></td><td>Therapeutic class if row represents a drug. <em>“Antineoplastic Agents”, “Analgesics”</em></td><td>Hospital MRF</td></tr><tr><td><strong>Drug Unit Type</strong></td><td>Brand / generic / biosimilar flag. <em>“Brand”, “Generic”, “Biosimilar”</em></td><td>Hospital MRF</td></tr><tr><td><strong>Drug Unit</strong></td><td>Unit of measure for drug price. <em>“mg”, “mL”, “tablet”</em></td><td>Hospital MRF</td></tr><tr><td><strong>Gross</strong></td><td>Hospital’s standard (chargemaster) price.</td><td>Hospital MRF</td></tr><tr><td><strong>Discounted Cash</strong></td><td>Hospital’s cash price offered to self-pay patients.</td><td>Hospital MRF</td></tr><tr><td><strong>Methodology</strong></td><td>Hospital’s narrative on how standard charges were derived. <em>“Cost-to-charge ratio”, “Rate-setting committee approved”</em></td><td>Hospital MRF</td></tr><tr><td><strong>Maximum</strong></td><td>Highest negotiated rate among all payers/plans for this code.</td><td>Hospital MRF</td></tr><tr><td><strong>Minimum</strong></td><td>Lowest negotiated rate among all payers/plans for this code.</td><td>Hospital MRF</td></tr><tr><td><strong>Setting</strong></td><td>Care setting or place of service (hospital-reported). <em>“Inpatient”, “Outpatient”, “Emergency Dept”, “Ambulatory Surgery”</em></td><td>Hospital MRF</td></tr><tr><td><strong>Standard Charge Algorithm</strong></td><td>Text describing how <strong>STANDARD_CHARGE_PERCENTAGE</strong> or <strong>STANDARD_CHARGE_DOLLAR</strong> was calculated. <em>“Gross × 25%”, “Average of top 3 commercial contracts”</em></td><td>Hospital MRF</td></tr><tr><td><strong>Standard Charge Amount Dollar</strong></td><td>A flat-dollar “standard charge” (CMS-defined).</td><td>Hospital MRF</td></tr><tr><td><strong>Standard Charge Percentage</strong></td><td>Percent-based standard charge, if reported. <em>“150% of Medicare OPPS”</em></td><td>Hospital MRF</td></tr></tbody></table>


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