127 • For purposes of determining a medical benefit, a surgical procedure performed in an Ambulatory Surgical Facility that, as determined by the Claims Administrator, is commonly performed in a physician’s office shall be deemed to have been performed in a physician’s office. Ancillary Services are, with respect to a PPO health care facility: • Items and services related to emergency medicine, anesthesiology, pathology, radiology, and neonatology, whether provided by a physician or non-physician practitioner, • Items and services provided by assistant surgeons, hospitalists, and critical care doctors; • Diagnostic services, including radiology and laboratory services and subject to exceptions specified by the Secretary; and • Items and services provided by a Non-PPO Provider if there is no PPO Provider who can furnish such item or service at such facility. Average Semi-Private Room Rate means the rate a Hospital normally charges for semi-private room accommodations for the condition being treated, as identified by the Hospital. However, if a Hospital’s contract provides a negotiated rate that is based on a per diem or case rate rather than billed charges, the negotiated contract rate will supersede individual room and board limits. On the other hand, if the Hospital’s contract provides a discount off billed charges, the individual room and board limits will apply. Birth Center means a facility that meets Professionally Recognized Standards and all of the following tests: • It mainly provides an outpatient setting for childbirth following a normal, uncomplicated Pregnancy. • It has: (1) at least two birthing rooms; (2) all the medical equipment needed to support the services furnished by the facility; (3) laboratory diagnostic facilities; and (4) Emergency equipment, trays, and supplies for use in life threatening events. • It has a medical staff that: (1) is supervised full time by a physician, and (2) includes a registered Nurse at all times when patients are in the facility • It has written agreements with a local Acute Care Hospital and a local ambulance company for the immediate transfer of patients who require greater care than can be furnished at the facility. • It admits only patients who: (1) have undergone an educational program to prepare them for the birth, and (2) have records of adequate prenatal care. • It schedules stays of not more than 24 hours for a birth. • It maintains a medical record for each patient. • It complies with all licensing and other legal requirements that apply. • It is not: (1) the office or clinic of one or more physicians; (2) an Acute Care Hospital; (3) a Specialized Facility other than a Birth Center. Child means your biological child, legally adopted child, legal stepchild, child placed with you for adoption and any other child under your legal guardianship, all of whom are below age 26.