Health Care PRICE Transparency Act

HR 410, the Health Care PRICE Transparency Act, requires hospitals and health insurers to publicly disclose clear pricing information for healthcare services. Hospitals must list standard charges for at least 300 "shoppable services" (commonly scheduled procedures) in plain language, including gross charges, negotiated rates with insurers, discounted cash prices, and average negotiated rates - without requiring subscriptions or personal data. Insurers must provide consumers with online tools and paper summaries showing estimated out-of-pocket costs for in-network and out-of-network care, including balance billing risks. This law directly affects hospitals participating in Medicare and all health insurers offering plans under the Affordable Care Act. The goal is to make healthcare costs transparent before patients receive care, replacing opaque "chargemaster" pricing with accessible, standardized data.