A large bed count or a long period made the three largest price transparency fines
Each of the 27 penalty notices: the days it counts against its total, sized by the amount it charges per day. A hospital with 31 to 550 beds is charged per bed, so its daily amount grows with its bed count
Show the numbers as a table
| Item | Days the notice counts | Total penalty in the notice | Amount charged per day | Note |
|---|---|---|---|---|
| Northside Hospital Atlanta, June 7, 2022 | 279 | $883,180 | $5,360 | $300 a day x 121 days (2021) + $10 a bed a day x 536 beds x 158 days (2022) = $883,180 |
| Northside Hospital Cherokee, June 7, 2022 | 272 | $214,320 | $1,140 | $300 a day x 114 days (2021) + $10 a bed a day x 114 beds x 158 days (2022) = $214,320 |
| Frisbie Memorial Hospital, April 19, 2023 | 177 | $102,660 | $580 | $10 a bed a day x 58 beds x 177 days = $102,660 |
| Kell West Regional Hospital, April 19, 2023 | 286 | $117,260 | $410 | $10 a bed a day x 41 beds x 286 days = $117,260 |
| Falls Community Hospital & Clinic, July 20, 2023 | 196 | $70,560 | $360 | $10 a bed a day x 36 beds x 196 days = $70,560 |
| Fulton County Hospital, July 20, 2023 | 213 | $63,900 | $300 | $300 a day x 213 days = $63,900 |
| Community First Medical Center, July 24, 2023 | 398 | $847,740 | $2,130 | $10 a bed a day x 213 beds x 398 days = $847,740 |
| Doctors' Center Hospital Bayamón, August 22, 2023 | 70 | $102,200 | $1,460 | $10 a bed a day x 146 beds x 70 days = $102,200 |
| Hospital General Castaner, August 22, 2023 | 338 | $101,400 | $300 | $300 a day x 338 days = $101,400 |
| Samaritan Hospital - Albany Memorial Campus, August 22, 2023 | 78 | $56,940 | $730 | $10 a bed a day x 73 beds x 78 days = $56,940 |
| Betsy Johnson Hospital, August 23, 2023 | 79 | $99,540 | $1,260 | $10 a bed a day x 126 beds x 79 days = $99,540 |
| West Covina Medical Center, September 27, 2023 | 197 | $59,100 | $300 | $300 a day x 197 days = $59,100 |
| Jackson Memorial Hospital, July 3, 2024 | 147 | $871,122 | $5,926 | $5,926 a day x 147 days = $871,122 |
| Baytown Medical Center, December 19, 2024 | 157 | $50,711 | $323 | $323 a day x 157 days = $50,711 |
| West Chase Houston Hospital, December 19, 2024 | 137 | $44,251 | $323 | $323 a day x 137 days = $44,251 |
| First Surgical Hospital, January 16, 2025 | 192 | $62,016 | $323 | $323 a day x 192 days = $62,016 |
| CCM Health, February 11, 2025 | 167 | $55,611 | $333 | $333 a day x 167 days = $55,611 |
| D.W. McMillan Memorial Hospital, February 11, 2025 | 142 | $71,852 | $506 | $11 a bed a day x 46 beds x 142 days = $71,852 |
| Southeast Regional Medical Center, February 11, 2025 | 97 | $32,301 | $333 | $333 a day x 97 days = $32,301 |
| Lawrence Rehabilitation Hospital, February 24, 2025 | 182 | $120,120 | $660 | $11 a bed a day x 60 beds x 182 days = $120,120 |
| Bucktail Medical Center, February 27, 2025 | 234 | $75,582 | $323 | $323 a day x 234 days = $75,582 |
| Hill Hospital of Sumter County, February 27, 2025 | 232 | $84,216 | $363 | $11 a bed a day x 33 beds x 232 days = $84,216 |
| Northlake Behavioral Health System, March 17, 2025 | 167 | $257,180 | $1,540 | $11 a bed a day x 140 beds x 167 days = $257,180 |
| Arkansas Methodist Medical Center, May 13, 2025 | 247 | $309,738 | $1,254 | $11 a bed a day x 114 beds x 247 days = $309,738 |
| Community Care Hospital, May 13, 2025 | 223 | $93,214 | $418 | $11 a bed a day x 38 beds x 223 days = $93,214 |
| Pinnacle Hospital, February 4, 2026 | 155 | $51,615 | $333 | $333 a day x 155 days = $51,615 |
| Pinnacle Hospital, June 3, 2026 | 118 | $40,356 | $342 | $342 a day x 118 days = $40,356 |
About the data
- Sources
- CMS, Hospital Price Transparency enforcement actions (opens in a new tab)The list of civil monetary penalty notices and the notice each entry links (page last modified June 11, 2026; read October 17, 2026)
- 45 CFR 180.90, civil monetary penalties (eCFR) (opens in a new tab)180.90(c)(2), the maximum daily amounts
- Method
- Days, daily amounts and beds are copied from each notice; the total is the notice's own. The two 2022 notices count days in 2021 at $300 a day and days in 2022 per bed, so their size is the 2022 daily amount.
- Published
Free to share and embed with credit to Kent Applied (CC BY 4.0). The source data keeps its own terms.
Facts from this chart
27 of 27
price transparency penalty notices that charged the maximum daily amount in force on the first day counted
All 27 hospital price transparency penalty notices CMS posted from June 7, 2022 to June 3, 2026 charged the maximum daily amount in force on the first day each counts, by Kent Applied's check of every notice's arithmetic against 45 CFR 180.90 and 45 CFR 102.3.
Source: CMS, Hospital Price Transparency enforcement actions.
KentApplied35%
off a hospital price transparency penalty when the hospital waives its right to a hearing within 30 days
Since January 1, 2026, CMS reduces a hospital price transparency penalty by 35 percent if the hospital asks in writing, within 30 days, to waive its right to a hearing, under 45 CFR 180.90(c)(4).
Source: 45 CFR 180.90(c)(4), civil monetary penalties (eCFR).
KentApplied
Sources for the figures above: 45 CFR 180.90(c)(4), civil monetary penalties (eCFR) (opens in a new tab); CMS, CY 2026 outpatient payment final rule, hospital price transparency policy changes (fact sheet) (opens in a new tab).
Related charts
- From research
The .txt file was the requirement CMS cited most often in its 27 price transparency fines
CMS, Hospital Price Transparency enforcement actions - From research
Since late 2024, CMS's price transparency fines cite how the file is built and found
CMS, Hospital Price Transparency enforcement actions; 45 CFR 180.50, requirements for making public hospital standard charges (eCFR) - From research
A fine came 68 to 626 days after CMS asked the hospital for a corrective action plan
CMS, Hospital Price Transparency enforcement actions; CMS, Hospital Price Transparency Enforcement Activities and Outcomes (data.cms.gov) - From research
CMS has fined hospitals in 15 states and Puerto Rico; Texas has the most, with 5
CMS, Hospital Price Transparency enforcement actions
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