CY 2026 Proposed Requirements
for Hospitals to Make Public a List of Their Standard Charges
(CMS-10707)
Reinstatement with change of a previously approved collection
No
Regular
07/21/2025
Requested
Previously Approved
36 Months From Approved
7,416
0
400,464
0
0
0
In the 2026 IPPS/LTCH PPS proposed
rule, we propose amendments to the HPT regulations to enhance
clarity and standardization in hospital pricing disclosures.
Specifically, we propose revisions to § 180.20 to remove the
definition for "estimated allowed amount" and add definitions for
"median allowed amount", “tenth percentile allowed amount”, and
"ninetieth percentile allowed amount", to help ensure greater
precision in cost sharing calculations. Furthermore, we propose
revisions to § 180.50 to require hospitals, beginning January 1,
2026, to disclose the median, tenth and ninetieth percentile
allowed amounts in MRFs when standard charges are based on
percentages or algorithms, as well as the count of allowed amounts.
We also propose that hospitals should use EDI 835 transaction
remittance data to calculate and encode these values, and we
propose specific instructions to hospitals with regard to the
methodology, including lookback period, that should be used to
calculate the median, tenth and ninetieth percentile allowed
amounts. We propose revisions to § 180.50(a)(3) to replace the
affirmation statement in the MRF with an attestation statement that
would also contain new specifications (relative to existing
affirmation requirements) and to require hospitals to encode the
name of the chief executive officer, president or senior official
designated to oversee the encoding of true, accurate and complete
data in the MRF. Additionally, we propose adding a standard
identifier, specifically the National Provider Identifier (NPI) to
the MRFs.
The previously approved
requirements and burden associated with 0938-1369 lapsed due to
administrative oversight. Specifically, CMS failed to submit the
revisions to 0938-1369 that pertained to the 2024 final rule
(CMS-1786-FC) (88 FR 81540). Therefore, CMS has included the
finalized burden mentioned in the 2024 OPPS Final Rule
(CMS-1786-FC) and the new proposed 2026 OPPS rule in the request
for reinstatement. The accurate annual burden has increased by
17,172 hours (from 383,292 hours to 400,464 hours). This is
primarily due to an increase in the number of respondents required
to post the required standard charge data and updated wage rates.
We also note the additional one-time burden of 37,080 hours related
to the implementation of the requirements in the 2026 CY OPPS/ASC
proposed rule.
$3,596,110
No
No
No
Yes
No
No
No
Stephan McKenzie 410 786-1943
stephan.mckenzie@cms.hhs.gov
No
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
CMS-10707 Supporting Statement A_CMS-1834-P.docx
Requirements for Hospitals to Make Public a List of Their Standard Charges