or nonparticipating facility (as applicable). (II) To the extent practicable, the estimated amount that such nonparticipating facility or nonparticipating provider may charge the individual for such item or service. (III) A statement that the individual may seek such item or service from a provider that is a participating provider or a hospital or independent freestanding emergency department that is a participating facility and a list, if feasible, of participating facilities or participating providers, as applicable, who are able to furnish such item or service. (ii) Such individual is in a condition to receive (as determined in accordance with guidance issued by the Secretary) the information described in clause (i) and to confirm notice of receipt of such notice, in accordance with applicable State law. (iii) The individual signs and dates such notice confirming receipt of the notice before such item or service is furnished. (6) Health plan The term health plan means a group health plan, including any group health plan that is a grandfathered health plan (as defined in section 1251(e) of the Patient Protection and Affordable Care Act). (7) Independent freestanding emergency department The term independent freestanding emergency department means a health care facility that— (A) is geographically separate and distinct and licensed separately from a hospital under applicable State law