Section 414IAC1-1-2. Ambulatory outpatient surgical center license fees  


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  •    (a) Each ambulatory outpatient surgical center licensed under IC 16-21-2 and 410 IAC 15 shall pay a license fee or annual renewal fee.

      (b) Ambulatory outpatient surgical center license fees will be due upon initial application for and annual renewal of the ambulatory outpatient surgical center's license based upon total annual procedures performed as reported to the state department of health in section III, total patients and procedures, on the fourth quarter quarterly utilization review report/ambulatory surgery center (State Form 49933). The fee schedule shall be as follows:

    Total Annual Procedures

    Fee

    0 – 799

    $500

    800 – 3,499

    $1,000

    3,500 – 6,999

    $2,000

    7,000 and above

    $3,000

    (Hospital Council; 414 IAC 1-1-2; filed Apr 16, 2004, 10:30 a.m.: 27 IR 2723; readopted filed Nov 3, 2010, 10:41 a.m.: 20101201-IR-414100262RFA)