to an individual who pays cash, or cash equivalent, for an item or service. (C) Gross charge The term gross charge means the charge for an individual item or service that is reflected on an applicable laboratory’s chargemaster, absent any discounts. (D) Payer-specific negotiated charge The term payer-specific negotiated charge means the charge that an applicable laboratory has negotiated with a third party payer for an item or service. (E) Specified clinical diagnostic laboratory test the term specified clinical diagnostic laboratory test means a clinical diagnostic laboratory test that is included on the list of shoppable services specified by the Centers for Medicare & Medicaid Services (as described in section 1899C(a)(2)(A)(ii)(I)), other than such a test that is only available to be furnished by a single provider of services or supplier. (F) Third party payer The term third party payer means an entity that is, by statute, contract, or agreement, legally responsible for payment of a claim for a health care item or service. . 103. Imaging price transparency Section 1899C of the Social Security Act, as added by section 101, is amended— (1) by redesignating subsection (b) as subsection (c)