410 IAC 15-5-2 Ambulatory outpatient surgical center license fees

Sec. 2. (a) Each ambulatory outpatient surgical center licensed under IC 16-21-2 and this article 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 Indiana department of health in section III, total patients and procedures, on the annual utilization review report (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