Becker's Healthcare May 22, 2025
CMS updated its hospital price transparency guidance May 22, requiring hospitals to post the actual prices of items and services, not estimates. The update comes after President Donald Trump issued an executive order Feb. 25 aimed at boosting healthcare price transparency.
In the updated guidance, CMS said hospitals must display payer-specific standard charges as dollar amounts in their machine-readable files (MRFs) whenever calculable. This includes the amount negotiated for the item or service, the base rate negotiated for a service package and a dollar amount if the standard charge is based on a percentage of a known fee schedule.
CMS also said hospitals should discontinue encoding “999999999” (nine 9s) in the estimated allowed amount data element within the MRF,...
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