The Centers for Medicare & Medicaid Services (CMS) issued a Price Transparency Mandate, which requires six thousand hospitals in the US to publish their chargemaster prices in a machine-readable format and 300 shoppable services in a consumer-friendly manner on their websites by January 1, 2021. The requirement is the first step to taking complex healthcare pricing information and making it transparent.

According to CMS, the machine-readable file should include the following:

Comprehensive file with all items, services, and service packages which include:
• Gross charges
• Discounted cash prices
• Payer-specific negotiated charges
• De-identified minimum negotiated charges
• De-identified maximum negotiated charges

A consumer-friendly display that includes the following standard charges for at least 300 ‘shoppable’ services:
• Discounted cash prices (use gross charges if cash prices are not available)
• Payer-specific negotiated charges
• De-identified minimum negotiated charges
• De-identified maximum negotiated charges

We checked more than 5000 hospital websites to find machine-readable files and patient estimator tools. We analyzed the data to see if the hospitals are compliant with the CMS requirements and simplified the pricing data into a user-friendly format so that anyone can easily understand.

We want to help hospitals that are non-compliant to become compliant using our price transparency innovative Zeatool. Our goal is to help hospitals take this big pricing data, navigate new ways to cut waste, increase revenue, and bring the antiquated healthcare system into the E-commerce age.

Once healthcare data is shoppable, consumers can know the cost of their healthcare services before receiving care. This pricing information is highly beneficial for uninsured, underinsured consumers and self-insured employers to price shop healthcare services.

This report provides an analysis of the Midwest region of the United States. How Hospitals in the Midwest region comply with CMS Price Transparency Requirements?

We analyzed 1482 hospitals in the Midwest Region, found 535(36%) compliant, and 947(64%) are non-compliant with CMS requirements. As of April 6, 2021, the non-compliant hospitals will face a penalty of $300/day for a total of $27,273,600 and the penalty for each non-compliant hospital is $28,500.

We analyzed 194 hospitals in Illinois, found 94 (48%) hospitals compliant, and 100 (52%) hospitals are non-compliant with CMS price transparency requirements. The 100 non-compliant hospitals will face a total penalty of $2,880,000.

We analyzed 141 hospitals in Indiana, found 67(48%) hospitals compliant, and 74(52%) hospitals are non-compliant with CMS price transparency requirements. The 74 non-compliant hospitals will face a total penalty of $2,131,200.

We analyzed 115 hospitals in Iowa, found 54(47%) hospitals compliant, and 61(53%) hospitals are non-compliant with CMS price transparency requirements. The 61 non-compliant hospitals will face a total penalty of 1,756,800.

We analyzed 138 hospitals in Kansas, found 62(45%) hospitals compliant, and 76(55%) hospitals are non-compliant with CMS price transparency requirements. The 76 non-compliant hospitals will face a total penalty of $2,188,800.

We analyzed 141 hospitals in Michigan, found 68(48%) hospitals compliant, and 73(52%) hospitals are non-compliant with CMS price transparency requirements. The 73 non-compliant hospitals will face a total penalty of $2,102,400.

We analyzed 132 hospitals in Minnesota, found 49(37%) hospitals compliant, and 83(63%) hospitals are non-compliant with CMS price transparency requirements. The 83 non-compliant hospitals will face a total penalty of $2,390,400.

We analyzed 115 hospitals in Missouri, found 21(18%) hospitals compliant, and 94(82%) hospitals are non-compliant with CMS price transparency requirements. The 94 non-compliant hospitals will face a total penalty of $2,707,200.

We analyzed 89 hospitals in Nebraska, found 25(28%) hospitals compliant, and 64(72%) hospitals are non-compliant with CMS price transparency requirements. The 295 non-compliant hospitals will face a total penalty of $1,843,200.

We analyzed 44 hospitals in North Dakota, fund 10(23%) hospitals compliant, and 34(77%) hospitals that are non-compliant with CMS price transparency requirements. The 34 non-compliant hospitals will face a total penalty of $979,200.

We analyzed 188 hospitals in Ohio, found 30(16%) hospitals compliant, and 158(84%) hospitals are non-compliant with CMS price transparency requirements. The 158 non-compliant hospitals will face a total penalty of $4,550,400.

We analyzed 55 hospitals in South Dakota, found 8(15%) hospitals compliant, and 47(85%) hospitals are non-compliant with CMS price transparency requirements. The 47 non-compliant hospitals will face a total penalty of $1,353,600.

We analyzed 130 hospitals in Wisconsin, found 47(36%) hospitals compliant, and 83(64%) hospitals are non-compliant with CMS price transparency requirements. The 295 non-compliant hospitals will face a total penalty of $2,390,400.

The following 124 hospitals have exceeded the CMS requirements by giving Chargemaster MR file, Shoppable Services MR file, and Estimator tools.

CROSSING RIVERS HEALTH MEDICAL CENTER
STOUGHTON HOSPITAL
GOTTLIEB MEMORIAL HOSPITAL
MACNEAL HOSPITAL
VISTA MEDICAL CENTER EAST
GATEWAY REGIONAL MEDICAL CENTER
FHN MEMORIAL HOSPITAL
HEARTLAND REGIONAL MEDICAL CENTER
LOYOLA UNIVERSITY MEDICAL CENTER
CROSSROADS COMMUNITY HOSPITAL
THOMAS H BOYD MEMORIAL HOSPITAL
WARNER HOSPITAL AND HEALTH SERVICES
PARIS COMMUNITY HOSPITAL
HILLSBORO AREA HOSPITAL
ANNA HOSPITAL CORPORATION D/B/A UNION COUNTY HOSPITAL
REDBUD REGIONAL HOSPITAL
JOHNSON MEMORIAL HOSPITAL
MAJOR HOSPITAL
WITHAM HEALTH SERVICES
PULASKI MEMORIAL HOSPITAL
WOODLAWN HOSPITAL
HARRISON COUNTY HOSPITAL
PUTNAM COUNTY HOSPITAL
ST ANTHONY REGIONAL HOSPITAL & NURSING HOME
IOWA SPECIALTY HOSPITAL – BELMOND
IOWA SPECIALTY HOSPITAL-CLARION
FRANKLIN GENERAL HOSPITAL
ADAIR COUNTY MEMORIAL HOSPITAL
GUTHRIE COUNTY HOSPITAL
MANNING REGIONAL HEALTHCARE CENTER
WAVERLY HEALTH CENTER
DECATUR COUNTY HOSPITAL
FLOYD COUNTY MEDICAL CENTER
VIRGINIA GAY HOSPITAL
KOSSUTH REGIONAL HEALTH CENTER
KNOXVILLE HOSPITAL & CLINICS
ORANGE CITY AREA HEALTH SYSTEM
JEFFERSON COUNTY HEALTH CENTER
SHENANDOAH MEDICAL CENTER
CRAWFORD COUNTY MEMORIAL HOSPITAL
BOONE COUNTY HOSPITAL
MYRTUE MEDICAL CENTER
CASS COUNTY MEMORIAL HOSPITAL
SALINA REGIONAL HEALTH CENTER
SUSAN B ALLEN MEMORIAL HOSPITAL
LANE COUNTY HOSPITAL
ASHLAND HEALTH CENTER
WICHITA COUNTY HEALTH CENTER
JEWELL COUNTY HOSPITAL
CHEYENNE COUNTY HOSPITAL
NEMAHA VALLEY COMMUNITY HOSPITAL
HOLTON COMMUNITY HOSPITAL
GRAHAM COUNTY HOSPITAL
ELLSWORTH COUNTY MEDICAL CENTER
OTTAWA COUNTY HEALTH CENTER
HOSPITAL DISTRICT #1 OF RICE COUNTY
KIOWA DISTRICT HOSPITAL
KIOWA COUNTY MEMORIAL HOSPITAL
CLARA BARTON HOSPITAL
HOLTON COMMUNITY HOSPITAL
GRAHAM COUNTY HOSPITAL
ELLSWORTH COUNTY MEDICAL CENTER
OTTAWA COUNTY HEALTH CENTER
HOSPITAL DISTRICT #1 OF RICE COUNTY
KIOWA DISTRICT HOSPITAL
KIOWA COUNTY MEMORIAL HOSPITAL
CLARA BARTON HOSPITAL
MEDICINE LODGE MEMORIAL HOSPITAL
SABETHA COMMUNITY HOSPITAL
GREENWOOD COUNTY HOSPITAL
PATTERSON HEALTH CENTER
CLOUD COUNTY HEALTH CENTER
DECATUR COUNTY HOSPITAL
PHILLIPS COUNTY HOSPITAL
COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS
ST LUKE HOSPITAL & LIVING CENTER
LINDSBORG COMMUNITY HOSPITAL
COMMUNITY MEMORIAL HEALTHCARE, INC.
OSBORNE COUNTY MEMORIAL HOSPITAL
MINNEOLA DISTRICT HOSPITAL
HODGEMAN COUNTY HEALTH CENTER
FREDONIA REGIONAL HOSPITAL
MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS
GIRARD MEDICAL CENTER
SMITH COUNTY MEMORIAL HOSPITAL
MORRIS COUNTY HOSPITAL
MEMORIAL HOSPITAL
MORRIS COUNTY HOSPITAL
MEMORIAL HOSPITAL
CUMBERLAND MEMORIAL HOSPITAL
LAKE REGION HEALTHCARE CORPORATION
MADELIA COMMUNITY HOSPITAL
NORTH VALLEY HEALTH CENTER
LIFECARE MEDICAL CENTER
MEEKER MEMORIAL HOSPITAL
PERHAM HEALTH
TRUMAN MEDICAL CENTER HOSPITAL HILL
TRUMAN MEDICAL CENTER LAKEWOOD
FITZGIBBON MEMORIAL HOSPITAL
HERMANN AREA DISTRICT HOSPITAL
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
CENTERPOINTE HOSPITAL
SIGNATURE PSYCHIATRIC HOSPITAL
REGIONAL WEST MEDICAL CENTER
GREAT PLAINS HEALTH
LINCOLN SURGICAL HOSPITAL
KEARNEY REGIONAL MEDICAL CENTER
BRODSTONE MEMORIAL HOSP
BUTLER COUNTY HEALTH CARE CENTER
YORK GENERAL HOSPITAL
CHERRY COUNTY HOSPITAL
TRI VALLEY HEALTH SYSTEM
PHELPS MEMORIAL HEALTH CENTER
ST ANDREW’S HOSPITAL
ASHLEY MEDICAL CENTER
ST ALOISIUS MEDICAL CENTER
WEST RIVER REGIONAL MEDICAL CENTER-CAH
MOUNT CARMEL ST ANN’S
WILSON MEMORIAL HOSPITAL
MOUNT CARMEL EAST & WEST
UNIVERSITY OF TOLEDO MEDICAL CENTER
CHRIST HOSPITAL
MORROW COUNTY HOSPITAL
BROOKINGS HEALTH SYSTEM

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