Emergency Services Billing Rates - Code Rates

The Texas Department of Insurance (TDI) collects and reports information about billing rates for emergency service providers by procedure code as set by the political subdivisions. The procedure codes include Healthcare Common Procedure Coding System (HCPCS) Codes and any other codes reported by the political subdivisions. This dataset lists the codes and the rates for residents of that political subdivision and for non-residents if that rate differs. There is a row for each procedure code and the rates set by a political subdivision. Political subdivisions with more than one code with a rate set will be listed in multiple rows. The data includes the year and quarter the information applies to as well as the date the political subdivision submitted their report.

The Texas Legislature amended <a href="https://statutes.capitol.texas.gov/Docs/IN/htm/IN.38.htm" target="_blank"><u>Texas Insurance Code Chapter 38</u></a> via <a href="https://capitol.texas.gov/tlodocs/88R/billtext/html/SB02476F.htm" target="_blank"><u>Senate Bill 2476</u></a> during the 88th session to add reporting “relating to consumer protections against certain medical and health care billing by emergency medical services providers. A political subdivision may submit to the department a rate set, controlled, or regulated by the political subdivision for emergency services.”

► For contact information, refer to dataset:  <a href="https://data.texas.gov/dataset/Emergency-Services-Billing-Rates-Contact-List/xgca-u3qh" target="_blank"><u>Emergency Services Billing Rates - Contact List</u></a>.

► For National Provider Identifier Standard (NPI) information reported in each political subdivision, refer to dataset: <a href="https://data.texas.gov/dataset/Emergency-Services-Billing-Rates-NPIs/w2yx-y2ra" target="_blank"><u>Emergency Services Billing Rates - NPI</u></a>.

► For ZIP codes within political subdivisions, refer to dataset:  <a href="https://data.texas.gov/dataset/Emergency-Services-Billing-Rates-ZIPs/iyci-uypg" target="_blank"><u>Emergency Services Billing Rates - ZIPs</u></a>.

Users are responsible for reviewing and updating data before the submission deadlines. Information entered or found in this dataset is subject to change. Visit <a href="https://www.tdi.texas.gov/general/disclaim.html" target="_blank"><u>TDI’s web site disclaimer</u></a> for more information.

For more information related to this data, visit <a href="https://www.tdi.texas.gov/health/esbindex.html" target="_blank"><u>TDI’s FAQ page</u></a>.

德克萨斯州保险部（TDI）根据政治分区的规定，通过程序代码收集并报告紧急服务提供商的计费标准信息。程序代码包括医疗通用程序编码系统（HCPCS）代码以及政治分区报告的任何其他代码。该数据集列出了代码及其对应的政治分区居民及非居民的费用标准。每项程序代码及其由政治分区设定的费用标准均占一行。数据中还包括了信息适用的年份和季度，以及政治分区提交报告的日期。德克萨斯州立法机构在第88届会议期间，通过《德克萨斯州保险法》第38章的修订案《参议院法案2476》，增加了有关消费者保护免受紧急医疗服务提供商特定医疗和健康保健计费的规定。政治分区可以向部门提交由其设定、控制或监管的紧急服务费用标准。有关联系信息，请参阅数据集：紧急服务计费标准-联系名单。关于每个政治分区报告的国家提供者识别标准（NPI）信息，请参阅数据集：紧急服务计费标准-NPI。关于政治分区内的ZIP代码，请参阅数据集：紧急服务计费标准-ZIPs。用户负责在提交截止日期前审查和更新数据。此数据集中的信息或输入内容可能发生变化。有关更多信息，请访问TDI网站免责声明。有关此数据的更多信息，请访问TDI常见问题解答页面。