Are Hospitals Really Transparent about Pricing?

Many hospitals are choosing which parts of the price transparency rule to comply with and which parts to ignore.

We can help your practice get up to date and prepared to minimize breach risks from third-party vendors. Subscribe to stay current and up to date on important matters that will impact your practice.  (To subscribe to our blog ).

The Centers for Medicare and Medicaid Services (“CMS”) created a price transparency rule effective January 1, 2021. The rule was aimed at making it easier for patients to shop and compare prices and estimate hospital costs.

The CMS rule requires hospitals to provide clear, accessible pricing information as a complete machine-readable file and in a display of shoppable services in a consumer-friendly format.

According to a recent study, it was determined that since the rule has been in effect, hospitals have been selectively complying.

The study looked at a random sample of hospitals and the 100 hospitals with the highest gross revenue in 2017.

Selective compliance was widespread among the highest revenue hospitals. Of the requirements that were analyzed, 75 of the 100 hospitals were non-compliant with at least one requirement.

Of the random sample, 83 of 100 hospitals were noncompliant with at least one major requirement.

Selective compliance may be ineffective at achieving the goals articulated by CMS. It may fail to allow for price negotiations or even support analysis of the prices.

What has your experience been regarding price transparency? Have you looked at your hospital’s website to determine prices? Is this a tool you have used? Let us know by commenting below!

We publish vital information on health law topics and news every Wednesday and Friday. To get this important information delivered directly to your mail box, 

Do you need help with updating your Business Associate Agreement or negotiating contracts with third-party vendors?  We can help. To contact us about your Business Associate Agreement, your vendor contracts or your other legal needs:  CLICK HERE.

Related Posts


Recent Posts

Are You Prepared for an Audit?
May 30, 2023
Why Shouldn’t I Use an Online Will?
May 25, 2023
What You Need to Know About Licensing and Credentialing
May 23, 2023
How Do I Get Out of My Non-Compete?
May 16, 2023
What is a Medical Power of Attorney?
May 11, 2023


Subscribe to Our Newsletter

Subscribe and get your FREE copy of Easy Guide to HIPAA Risk Assessments

An essential tool for all healthcare providers, Easy Guide to HIPAA Risk Assessments breaks down the requirements of HIPAA so you can successfully complete your required risk assessment. (an $8.99 value)

Thank you for subscribing to the Rickard & Associates healthcare blog. You'll receive a confirmation email shortly. After verifying your subscription request, you'll be sent to the "Easy Guide to HIPAA Risk Assessments" download page.