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

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.

The latest form for Requirements for Hospitals to Make Public a List of Their Standard Charges (CMS-10707) expires 2028-12-31 and can be found here.