Price Transparency

Patients need relevant and meaningful information to understand the cost of care and their financial responsibilities. Hospitals across Illinois have committed to IHA’s price transparency principles.

IHA Principles

Price Transparency graphic

IHA developed these principles with input from our CFO Forum to help focus and shape discussion as the healthcare industry moves toward greater transparency. 191 IHA member hospitals, or 92 percent, have pledged to adopt these principles.

Learn More
  • Hospital Prices
  • Laws
  • IRS Section 510(r)
  • Resources
Oct 12, 2021

IHA Comments on Surprise Billing Enforcement Proposed Rule

IHA again urges deferred enforcement of surprise billing regulations, as well as increased transparency on how payers calculate qualifying payment amounts.

Sep 03, 2021

IHA Comments on Surprise Billing Regulations

IHA urges delayed enforcement of surprise billing regulations, citing the need for additional guidance, clarification, and resources to realize the goals of the No Surprises Act.

Aug 12, 2021

IHA Comments on Surprise Billing Notice and Consent and Model Disclosure Documents

IHA urges HHS to use consistent language throughout these documents and to ensure these documents mirror the required content and guidelines described in the final rule.

Jul 26, 2021

IHA Summary of No Surprises Act, Implementing Regulations Part 1

IHA summarizes the first of several regulations implementing the No Surprises Act, including how this law interacts with the State’s surprise billing law.

May 04, 2021

CMS Begins Enforcing Hospital Price Transparency Rule

CMS is auditing acute care hospitals for compliance with the hospital price transparency rule, which took effect January 1, 2021.

Feb 02, 2021

Federal “No Surprises Act” Addresses Surprise Billing – IHA Summary

The No Surprises Act, found on page 1629, outlines new patient protections from surprise medical bills and new requirements for healthcare providers and plans. See IHA's summary.

Dec 23, 2020

CMS Price Transparency Requirements Effective Jan. 1, 2021

CMS issued final price transparency requirements for hospitals, requiring all hospitals to make public their negotiated rates in specific file formats on their websites

Oct 29, 2020

Health Plan Price Transparency Rule Finalized

On Oct. 29, the U.S. Department of Health and Human Services, the U.S. Department of Labor and the U.S. Department of the Treasury released the Transparency in Coverage final rule. 

Jan 29, 2020

IHA Comment Letter to CMS on Transparency in Coverage Proposed Rule

IHA strongly supports providing patients with meaningful health coverage information, but has significant concerns with the proposed requirement for issuers to publicly disclosed negotiated rates.

Nov 21, 2019

IHA Summary: CMS Final Hospital Price Transparency Requirements

On Nov. 15, the Centers for Medicare & Medicaid Services issued final price transparency requirements for hospitals, including making public their negotiated rates.

Sep 27, 2019

IHA Comment Letter to CMS on Price Transparency

IHA appreciates the opportunity to comment on the proposed rule that would establish new price transparency requirements.

Aug 23, 2019

Federal Proposed Price Transparency Requirements

IHA's member memo summarizes the proposed price transparency requirements contained in the Medicare outpatient proposed rule.

Jun 03, 2019

IHA Comment Letter to HFS on price transparency questions in the 21st Century Cures Act

The 21st Century Cures Act raises questions about price transparency. IHA comments on the proposed rule and describes the price transparency principles that Illinois hospitals have already adopted.

Jul 10, 2019

The Hospital Uninsured Patient Discount Act

The Hospital Uninsured Patient Discount Act requires hospitals to provide free and discounted care to eligible uninsured patients.

Jul 10, 2019

Fair Patient Billing Act

Per The Fair Patient Billing Act, hospitals must notify patients about the availability of financial assistance and comply with specific requirements regarding billing and collections.

Jul 16, 2019

IRS Section 510(r)

Nonprofit hospitals cannot charge patients eligible for financial assistance more than the amounts generally billed to patients with health insurance. Learn about the specific requirements.

IHA Price Transparency Webinar (9/15/20)

IHA Price Transparency Webinar (11/4/20)

Talking Points on Final Price Transparency Rule – January 1, 2021

IHA Infographic (12/22/20)

Insurance Plan Estimators

  • IHA's Provider Health Plan Education Information has cost estimators and other tools for patients covered by private insurance. This document contains information for: Aetna, BlueCross BlueShield of Illinois, Cigna, Humana and UnitedHealthCare.

Average Charges for Illinois Hospitals

  • The Illinois Department of Public Health collects inpatient and outpatient charge information from hospitals. Hospital-specific average charges for more than 50 major diagnoses are available on the Hospital Report Card and Consumer Guide to Health Care website.

Checklist for Price Inquiries

  • Since the 1980s, Illinois law has required hospitals to make available to prospective patients information on the normal charge incurred for any procedure or operation the prospective patient is considering, as well as post current charges for 18 specific services. See IHA's checklist for price inquiries (password required).

Healthcare Financial Management Association Resources

Hospital Handout: Patient FAQs

Hospital Handout: Patient Request to View Standard Charges

American Hospital Association Resources