1. 1. Except as otherwise provided in subsection 6, a hospital shall compile, publish in accordance with NRS 439B.2827 and update annually:

   1. (a) A list of shoppable services provided by the hospital and, for each such shoppable service, the information required by subsection 3. The list must include at least 300 shoppable services or, if the hospital provides fewer than 300 shoppable services, each shoppable service that the hospital provides. Such shoppable services must include, without limitation, each shoppable service provided by the hospital that appears on the list of 70 shoppable services specified by the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services pursuant to 45 C.F.R. § 180.60.
   2. (b) A list of each shoppable service that appears on the list of 70 shoppable services specified by the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services pursuant to 45 C.F.R. § 180.60 that is not offered by the hospital.

2. 2. In deciding whether to include a shoppable service on the list compiled pursuant to paragraph (a) of subsection 1, a hospital shall:

   1. (a) Consider the frequency with which the hospital provides the shoppable service and the rate that the hospital charges for the shoppable service; and
   2. (b) Prioritize for inclusion on the list the shoppable services that the hospital most frequently provides.

3. 3. The list compiled pursuant to paragraph (a) of subsection 1 must include, for each shoppable service:

   1. (a) A description, in plain language, of the shoppable service;
   2. (b) Except as otherwise provided in subsection 5, the amount, in dollars, of each charge negotiated with a third party for the shoppable service and any services ancillary to the shoppable service, listed in a manner that clearly associates the negotiated charge with the third party and any applicable health benefit plan offered by the third party;
   3. (c) The amount, in dollars, that the hospital charges a natural person who pays immediately in cash for the shoppable service and any services ancillary to the shoppable service;
   4. (d) The amount, in dollars, of the highest charge that the hospital has negotiated with a third party for the shoppable service and any services ancillary to the shoppable service, listed without identifying the third party;
   5. (e) The amount, in dollars, of the lowest charge that the hospital has negotiated with a third party for the shoppable service and any services ancillary to the shoppable service, listed without identifying the third party;

   6. (f) Any code or similar identifier that the hospital uses for the purpose of accounting or billing for the shoppable service, which may include, without limitation:

      1. (1) The code set forth in Current Procedural Terminology published by the American Medical Association;
      2. (2) The code set forth in the Healthcare Common Procedure Coding System published by the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services;
      3. (3) The diagnosis-related group; and
      4. (4) The National Drug Code; and
   7. (g) If the hospital provides the shoppable service to both inpatients and outpatients, whether each charge specified pursuant to paragraphs (b) to (e), inclusive, applies to the shoppable service when provided to an inpatient or an outpatient.
4. 4. If a hospital operates multiple facilities in this State, the hospital shall compile separate lists pursuant to subsection 1, to the extent required by this section, for each facility.
5. 5. A hospital is not required to include the information described in paragraph (b) of subsection 3 as part of the list compiled and published pursuant to paragraph (a) of subsection 1 if such information is not required to be included in the information published pursuant to 42 U.S.C. § 300gg-18(e) and the regulations adopted pursuant thereto.

6. 6. A hospital is not required to compile and publish the list of shoppable services described in paragraph (a) of subsection 1 if the hospital maintains a price-estimator tool that:

   1. (a) Allows a user to obtain an estimate of the amount that the user will be obligated to pay to the hospital if the person receives a shoppable service or service ancillary to the shoppable service that would otherwise be included on a list compiled and published pursuant to subsection 1.
   2. (b) Is available in a prominent location on the most prominent publicly available Internet website operated by the hospital. If a hospital operates multiple facilities with separate Internet websites, the price-estimator tool must be available on the most prominent publicly available Internet website of each such facility.
   3. (c) Is available at all times and free of charge, without having to establish a user account or password and without having to submit personally identifiable information, enter a code or overcome any other impediment.
   4. (d) Is accessible to a common commercial operator of an Internet search engine to the extent necessary for the search engine to index the price-estimator tool and display the price-estimator tool in response to a search by a user of the search engine.
7. 7. Any price-estimator tool that is deemed by the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services to meet the requirements of 45 C.F.R. § 180.60(a)(2) shall be deemed to also meet the requirements of subsection 6.
8. 8. As used in this section, “shoppable service” means a service that a patient may schedule in advance.

(Added to NRS by 2025, 1648)