Itemized  ·  Glossary  ·  Hospital Price Transparency Rule

Hospital Price Transparency Rule.

45 CFR 180.50 — the rule that makes prices public.

Federal regulation, in effect since January 2021, requiring every US hospital to publish a machine-readable file with every payer-negotiated rate, gross charge, and cash-pay price for every service. CMS enforces. Penalties for non-compliance up to $5,500/day. The data behind every price comparison on Itemized comes from these files.

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Other terms.

CPT Code HCPCS Code MS-DRG Deductible Coinsurance Copay Out-of-pocket maximum EOB MRF Chargemaster