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
Comment filed on proposed rule
09/16/2025
07/21/2025
In accordance with 5 CFR 1320, the information collection is not approved at this time. Prior to publication of the final rule, the agency should provide to OMB a summary of all comments received on the proposed information collection and identify any changes made in response to these comments.
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Inventory as of this Action
Requested
Previously Approved
36 Months From Approved
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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", âtenth percentile allowed amountâ, 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.
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