CMS Hospital Price Transparency Rule To Begin Public Reveal Of Device-Related Procedure Prices, Test Costs In 2021

20 Nov 2019

• By Sue Darcey

The US Medicare agency on 15 November released a final cost transparency rule calling on hospitals to detail their standard “shoppable services” charges for X-rays, advanced imaging, laboratory tests and an array of other device-related procedures, beginning on 1 January 2021. Meanwhile, an accompanying proposed rule released by the CMS on the same day would require insurance health plans to provide to participants and beneficiaries the insurers’ negotiated rates for all covered health-care items and services.

calculator and stationery items on the table - Image

The US Centers for Medicare and Medicaid Services (CMS) released a rule on 15 November finalizing hospital price transparency policies to make all items and services at every US hospital more transparent to patients, so they can know in advance what they might pay for health-care services.

On the same day, the CMS posted a proposed “Transparency in Coverage” rule to require most employer-based group health plans...