Actions Required: CMS Finalizes Another Round of Price Transparency Updates

Lexology December 4, 2025
Hall Render Killian Heath & Lyman PC

The Centers for Medicare & Medicaid Services (“CMS”) has released the Calendar Year 2026 Hospital Outpatient Prospective Payment System Final Rule, which includes another round of substantial updates to the Hospital Price Transparency (“HPT”) regulations. The new policies aim to further standardize the data disclosed by hospitals, enhance the utility of the machine-readable files (“MRFs”) for consumers and researchers and streamline enforcement processes.

Key Points and Hospital Action Items

• The changes will require every hospital subject to the HPT regulation to review and update their existing MRFs again.
• The MRFs must meet several new requirements, some of which will require diving into claims payment data.
• Hospitals should begin updating files now in preparation for the January 1, 2026, and...

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