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CMS Requires Hospitals to Publish Standard Charges on the Internet

September 25, 2018 by Victoria R. Glidden
Section 2718(e) of the Public Health Service Act, which was enacted as part of the Affordable Care Act, updated Medicare payment policies to require that “each hospital operating within the United States, for each year, establish (and update) and make public (in accordance with guidelines developed by the Secretary) a list of the hospital’s standard charges for items and services provided by the hospital.” CMS provided guidance for implementation and stated hospitals are required to make the list of their standard charges, or their policies for public access to the list, available upon inquiry.

CMS has updated its guidance in a final rule published for the Hospital Inpatient Prospective Payment System and available online at

Effective January 1, 2019, hospitals are required to make a list of their current charges available via the Internet in a machine readable format and to update the list at least annually, or more often as needed to reflect current charges. The rule provides the list may be in the form of the chargemaster itself or another machine readable format of the hospital’s choosing.

Originally published on the Hinshaw Healthcare Bulletin blog ( and republished here with permission.


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