For 13 of the 26 hospitals CMS fined under the price transparency rule from June 2022 to June 2026, the first letter was a notice of violation with a request for a corrective action plan (CAP), with no warning notice before it, by Kent Applied's count of the penalty notices.
13 of 26
of the hospitals CMS fined under the price transparency rule got a CAP request with no warning notice first
For 13 of the 26 hospitals CMS fined under the price transparency rule from June 2022 to June 2026, the first letter was a notice of violation with a request for a corrective action plan (CAP), with no warning notice before it, by Kent Applied's count of the penalty notices.
In each of those 13 hospitals' first letters, CMS said it had found no machine-readable file, no consumer-friendly list, or neither. Since April 2023, CMS has said it skips the warning for a hospital that has posted neither a machine-readable file nor a shoppable services list. Six of the 13 first letters found neither.
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; CMS, Hospital Price Transparency Enforcement Updates (fact sheet, April 26, 2023) (opens in a new tab), Streamlining the compliance process. Verified October 2026.
Related charts
- 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
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
CMS has fined hospitals in 15 states and Puerto Rico; Texas has the most, with 5
CMS, Hospital Price Transparency enforcement actions
Related facts
55 days
median time from a hospital's first price transparency fine to CMS's closure notice
For 25 of the 26 hospitals CMS fined under the price transparency rule from June 2022 to June 2026, CMS's enforcement dataset records a closure notice 8 to 425 days after the first fine, with a median of 55 days, by Kent Applied's count.
Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes.
KentApplied45 days
to submit a corrective action plan after CMS's request, as CMS's April 2023 fact sheet describes its process
CMS's April 26, 2023 fact sheet says CMS will continue to require a hospital to submit a corrective action plan (CAP) within 45 days of the request, and will now require full compliance within 90 days of the request.
Source: CMS, Hospital Price Transparency Enforcement Updates (fact sheet).
KentApplied164 days
median time from CMS's first request for a corrective action plan to a hospital's first price transparency fine
Across the 26 hospitals CMS fined under the price transparency rule from June 2022 to June 2026, the first penalty notice came 68 to 626 days after CMS's first request for a corrective action plan, with a median of 164 days, by Kent Applied's count of the notices.
Source: CMS, Hospital Price Transparency enforcement actions.
KentApplied
Sources for the figures above: CMS, Hospital Price Transparency Enforcement Updates (fact sheet, April 26, 2023) (opens in a new tab).
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