Requirements for Hospitals to Make Public a List of Their Standard Charges (CMS-10707)

Forms and Documents

Document Name	Status
CMS_10707_Supporting_Statement_A_CY_26_CMS-1834F_.docx Supporting Statement A	2025-11-25
HPT_ICR_Summary_of_Comments_and_CMS_Responses__CY_26_Final_Rule_Package_508.pdf Supplementary Document	2025-11-19

IC Document Collections

IC ID	Document Title	Status
237886	Requirements for Hospitals to Make Public a List of Their Standard Charges	Modified

ICR Details

OMB Control No: 0938-1369	ICR Reference No: 202511-0938-007
Status: Received in OIRA	Previous ICR Reference No: 202507-0938-018
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: Requirements for Hospitals to Make Public a List of Their Standard Charges (CMS-10707)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/25/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	7,416	0
Time Burden (Hours)	415,296	0
Cost Burden (Dollars)	0	0

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Abstract: In the 2024 OPPS/ASC final rule, CMS finalized revisions to the regulations at 45 CFR 180.50 related to making public hospital standard charges in a Machine Readable File (MRF), including adding data elements that must be included in the hospital’s MRF and requiring hospitals to conform to a CMS template layout. In this 2026 OPPS/ASC rule, we propose to add additional data elements that must be included in the hospital’s MRF. We are finalizing amendments to the HPT regulations to enhance clarity and standardization in hospital standard charges. Specifically, we are finalizing revisions to §180.20 to remove the definition for "estimated allowed amount" and add definitions for "median allowed amount,” “tenth (10th) percentile allowed amount,” and "ninetieth (90th) percentile allowed amount,” to provide additional context and enhance transparency and comparability of hospital standard charges. Furthermore, we are finalizing revisions to §180.50 to require hospitals, beginning January 1, 2026, to disclose the median, tenth and ninetieth percentile allowed amounts in MRFs when payer-specific negotiated charges are based on percentages or algorithms, as well as the count of allowed amounts used to calculate those allowed amounts.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 1001 Name of Law: Affordable Care Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AV51	Final or interim final rulemaking	90 FR 53448	11/25/2025

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Requirements for Hospitals to Make Public a List of Their Standard Charges

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	7,416	0	0	1,414	0	6,002
Annual Time Burden (Hours)	415,296	0	0	-485,004	0	900,300
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The annual burden has increased by 139,204 hours (from 276,092 hours to 415,296 hours). This is primarily due to an increase in the number of respondents required to post the required standard charge data, the addition of a new burden estimate, and updated wage rates. We also note the additional one-time burden of 88,992 hours related to the implementation of the new requirements in the 2026 CY OPPS/ASC final rule with comment period.

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Annual Cost to Federal Government: $3,136,984

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/25/2025

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