The CMS Healthcare Price-Transparency Regulation Went into Effect on Jan. 1, 2021.

The Price-Transparency Regulation Requires Hospitals to Post 1) Billed Charges, 2) Maximum and Minimum Negotiated Rates (Prices) with Insurance Carriers, 3) the Cash Price for a Patient that Does Not Have Insurance and 4) the Payor-Specific Negotiated Rates (e.g. for Blue Cross, United Healthcare, Cigna, Aetna, etc.)

Hospitals Will Be Fined $300 Per Day if they Do Not Comply and They Will Be Listed on a CMS Website of Non-Compliant Hospitals.

Hospitals Must Post Prices for 300 Services, 70 of Which Are Dictated by CMS.

An Example Hospital's Price-Transparency Data File is Reviewed... the Findings are Quite Surprising!

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