West Region

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:

1.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

2.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

OR
Hospitals can use a patient estimator tool instead of ‘shoppable’ services.

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

We analyzed 884 hospitals in the West Region, found 247(28%) compliant, and 637(72%) are non-compliant with CMS requirements. As of April 5, 2021, the non-compliant hospitals will face a penalty of $300/day for a total of $18,154,500 and the penalty for each non-compliant hospital is $28,500.

We analyzed 22 hospitals in Alaska, found 8 (36%) hospitals compliant, and 14 (64%) hospitals are non-compliant with CMS price transparency requirements. The 14 non-compliant hospitals will face a total penalty of $399,000.

We analyzed 361 hospitals in California, found 68(19%) hospitals compliant, and 293(81%) hospitals are non-compliant with CMS price transparency requirements. The 293 non-compliant hospitals will face a total penalty of $8,350,500.

We analyzed 91 hospitals in Colorado, found 22(24%) hospitals compliant, and 69(76%) hospitals are non-compliant with CMS price transparency requirements. The 69 non-compliant hospitals will face a total penalty of $1,966,500.

We analyzed 24 hospitals in Hawai, found 10(42%) hospitals compliant, and 14(58%) hospitals are non-compliant with CMS price transparency requirements. The 14 non-compliant hospitals will face a total penalty of $399,000.

We analyzed 45 hospitals in Idaho, found 23(51%) hospitals compliant, and 22(49%) hospitals are non-compliant with CMS price transparency requirements. The 22 non-compliant hospitals will face a total penalty of $627,000.

We analyzed 60 hospitals in Montana, found 23(38%) hospitals compliant, and 37(62%) hospitals are non-compliant with CMS price transparency requirements. The 37 non-compliant hospitals will face a total penalty of $1,054,500.

We analyzed 43 hospitals in Nevada, found 11(26%) hospitals compliant, and 32(74%) hospitals are non-compliant with CMS price transparency requirements. The 32 non-compliant hospitals will face a total penalty of $912,000.

We analyzed 61 hospitals in Oregon, found 22(36%) hospitals compliant, and 39(64%) hospitals are non-compliant with CMS price transparency requirements. The 39 non-compliant hospitals will face a total penalty of $1,111,500.

We analyzed 52 hospitals in Utah, found 26(50%) hospitals compliant, and 26(50%) hospitals are non-compliant with CMS price transparency requirements. The 26 non-compliant hospitals will face a total penalty of $741,000.

We analyzed 97 hospitals in Washington, found 24(25%) hospitals compliant, and 73(75%) hospitals are non-compliant with CMS price transparency requirements. The 73 non-compliant hospitals will face a total penalty of $2,080,500.

We analyzed 28 hospitals in Wyoming, found 10(36%) hospitals compliant, and 18(64%) hospitals are non-compliant with CMS price transparency requirements. The 18 non-compliant hospitals will face a total penalty of $513,000.

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

FAIRBANKS MEMORIAL HOSPITAL
MT EDGECUMBE HOSPITAL
SEARHC WRANGELL MEDICAL CENTER-CAH
ALASKA NATIVE MEDICAL CENTER
CALIFORNIA PACIFIC MEDICAL CENTER – MISSION BERNAL
EL CENTRO REGIONAL MEDICAL CENTER
SUTTER SOLANO MEDICAL CENTER
NOVATO COMMUNITY HOSPITAL
SUTTER AMADOR HOSPITAL
OAK VALLEY HOSPITAL DISTRICT
TRI-CITY MEDICAL CENTER
PENINSULA MEDICAL CENTER
ALTA BATES SUMMIT MEDICAL CENTER
CALIFORNIA PACIFIC MEDICAL CENTER- VAN NESS CAMPUS
SONOMA VALLEY HOSPITAL
SUTTER MEDICAL CENTER, SACRAMENTO
CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP
SUTTER SANTA ROSA REGIONAL HOSPITAL
SUTTER COAST HOSPITAL
SUTTER DAVIS HOSPITAL
SUTTER DELTA MEDICAL CENTER
REDLANDS COMMUNITY HOSPITAL
SUTTER AUBURN FAITH HOSPITAL
EDEN MEDICAL CENTER
MEMORIAL HOSPITAL LOS BANOS
MEMORIAL MEDICAL CENTER
SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ
HAZEL HAWKINS MEMORIAL HOSPITAL
SUTTER ROSEVILLE MEDICAL CENTER
SUTTER TRACY COMMUNITY HOSPITAL
CHINESE HOSPITAL
ALTA BATES SUMMIT MEDICAL CENTER – ALTA BATES CAMP
STANISLAUS SURGICAL HOSPITAL
RANGELY DISTRICT HOSPITAL
SUTTER LAKESIDE HOSPITAL
ORCHARD HOSPITAL
CHAPMAN GLOBAL MEDICAL CENTER
SUTTER SURGICAL HOSPITAL – NORTH VALLEY
MONTROSE MEMORIAL HOSPITAL
CATALINA ISLAND MEDICAL CENTER
SUTTER CENTER FOR PSYCHIATRY
NORTHERN INYO HOSPITAL
SPANISH PEAKS REGIONAL HEALTH CENTER
BINGHAM MEMORIAL HOSPITAL
GROVE CREEK MEDICAL CENTER
CASSIA REGIONAL HOSPITAL
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
CLEARWATER VALLEY HOSPITAL & CLINICS
BOUNDARY COMMUNITY HOSPITAL
SHERIDAN MEMORIAL HOSPITAL
WHEATLAND MEMORIAL HOSPITAL
PONDERA MEDICAL CENTER
WYOMING MEDICAL CENTER
SHERIDAN MEMORIAL HOSPTIAL
NORTHERN ROCKIES MEDICAL CENTER
PIONEER MEDICAL CENTER
CENTRAL MONTANA MEDICAL CENTER
GRANITE COUNTY MEDICAL CENTER
EVANSTON REGIONAL HOSPITAL
MEMORIAL HOSPITAL OF CARBON COUNTY
SOUTHERN COOS HOSPITAL & HEALTH CENTER
ARBOR HEALTH MORTON HOSPITAL
JEFFERSON HEALTHCARE
SKYLINE HOSPITAL
LINCOLN HOSPITAL
OLYMPIC MEDICAL CENTER
GARFIELD COUNTY PUBLIC HOSPITAL DISTRICT #1
MOUNTAIN WEST MEDICAL CENTER
QUINCY VALLEY MEDICAL CENTER
FORKS COMMUNITY HOSPITAL

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