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Billing News · Tuesday, April 7, 2026

Hospital price transparency enforcement — Week 2 live, 46% non-compliant

CMS, April 2026
CMS

CMS penalties went live April 1. $10/bed/day up to $5,500/day for non-compliance. New requirements: hospitals must disclose median allowed amount plus 10th/90th percentile allowed amounts. Must encode organizational NPIs in machine-readable files. 46% of hospitals were non-compliant under old rules. Payers are already using published pricing data to cross-reference claim amounts — outdated or missing MRFs create denial risk.

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