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Wednesday May 14, 2025

Understanding Price Transparency in 2025

In 2025, price transparency in healthcare isn’t just a policy – it’s an expectation. With a new Executive Order issued by the White House on February 25, hospitals are under strict enforcement to comply with long-standing rules designed to help patients understand what they’ll pay before receiving care. With stiff penalties for non-compliant facilities, it’s important to ensure that your systems, staff, and procedures are aligned so you’re compliant with guidelines.  

What Is Price Transparency? 

Price transparency is about giving patients a clear, upfront view of what their healthcare services will cost—no surprises, no hidden fees. Executive Order 13877, issued in June 2019, set the foundation of these policies, and it aimed to make it easier for patients to compare prices among accessible providers and find the lowest cost.  

The core requirements for hospitals are to: 

  • Ensure their pricing is consistent with their regional facilities. 
  • Collaborate with insurers on stabilizing the cost of prescription drug prices.  
  • Offer a patient-friendly display of shoppable services. 
  • Provide a machine-readable file that shows the actual costs of all services offered

 In addition, hospitals are expected to disclose the full cost of the procedures before they are performed, eliminating surprise bills and reducing patient frustration.  

What’s Changing in 2025? 

The latest Executive Order, signed on February 25, 2025, does not introduce new transparency rules – but it significantly raises the stakes for compliance. The White House has provided a fact sheet that explains how the Departments of Health and Human Services, Labor, and Treasury will work together to lead this effort. This shift marks a move from recommendation to regulation, and hospitals are expected to be in compliance by May 26, 2025.  

How MEDHOST Helps You Comply 

The MEDHOST Price Transparency Solution is designed to help your facility meet the price transparency standards in a reliable way with minimal disruption. Our solution includes: 

  • A public-facing, web-based search page that can be embedded on the hospital’s website, allowing a search of the 300 CMS-defined shoppable services. 
  • Machine-readable file generation with standard charges, updated regularly. 
  • Seamless integration with your contract management tools for accurate pricing estimates. 
  • Minimizes disruption to existing customer workflows  

Using this solution will ensure seamless compliance with the federal price transparency guidelines, taking the burden off your facility. 

Why It Matters Now

The penalty costs have evolved since their creation. The CMS now has the ability to shift penalties based on facility size and severity of violations. The deadline, May 26, 2025, is approaching fast, so it’s imperative to confirm that your facility is compliant. If you’re interested in exploring our price transparency services, visit medhost.com and reach out at inquiries@medhost.com. 

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