The Trump administration has warned more than 500 hospitals that they are failing to provide the public with enough information about prices.
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The Associated Press obtained exclusively the list of hospitals that since April have either received letters of warning or, in more severe cases, requests to submit plans to provide transparent pricing. Failing to comply with the warnings comes with penalties as high as $2 million annually for each recipient that doesn't create a plan to post clear pricing data.
The letters are meant to fix a fundamental problem that patients, employers and insurers might not know ahead of time the cost of blood work, an imaging test or another form of treatment, and as a result pay more than they should have. AP hasThe warnings are the latest example of Trump leaning into the message that his administration is fixing the problem ofat a time when affordability is a top concern for voters.
But Trump is also vulnerable on this particular issue, as his administration allowed. The president fared slightly worse on that issue in the December survey than on the economy, immigration or his management of the federal government.
Gary Claxton, senior vice president and the director of the program on the healthcare marketplace at KFF, said that the pricing data is more useful for benefit consultants and others in the sector with access to additional information than it would be for consumers. But he said that the standards in reporting pricing data can still create difficulty in making accurate comparisons about the costs and quality of the services being provided.
“There’s a pretty widespread belief that prices are more divergent than they should be in a competitive market — and this is one way of trying to understand that more," Claxton said. “It’s moving in the right direction, but that doesn’t mean it has gotten to where it needs to be.
” The push for price transparency could have a particular impact on Republican strongholds like Texas, Florida, Indiana, Alabama and Louisiana, which are among the states with the highest count of hospitals that have not provided adequate information on the costs of medical services. Texas had 42 hospitals that received warnings, more than any other state.
Baptist Medical Center in San Antonio, Texas, among the state's largest hospitals with 1,585 beds, received a letter, as did the University of Texas MD Anderson Cancer Center in Houston. Missouri-based Ascension, one of the country’s largest hospital systems, had 13 hospitals in multiple states that received letters. The Republican state of Indiana had 34 hospitals that received letters, nearly as many as the 38 in Democratic-led California, even though California has five times more people than Indiana.
Administration officials interviewed for this article noted that Christiana Hospital in Biden's home state of Delaware also received a warning letter. The letters reflect two competing philosophies between Republicans and Democrats over how to handle the ballooning expense of healthcare, which is also a growing risk for the federal government's own balance sheet.that increased the percentage of people with health insurance.
Biden also signed a bill that allowed the government to begin negotiating prices for some Medicare drugs directly with pharmaceutical companies. That program, which has continued into Trump’s second administration, has helped knock down the list prices of some of Medicare’s costliest drugs.
The Trump administration, by contrast, has focused more on trying to find ways to provide details on pricing — such as promoting themight not produce genuine savings for many Americans with insurance, while the administration has estimated savings in excess of $500 billion over 10 years. With the various lists of hospital prices, the administration wants providers to make it easier to access the files and to ensure the information in them is legitimate, instead of being based on estimates or omitting numbers for key procedures.
The House Committee on Energy and Commerce has a hearing planned for Wednesday on price transparency.
“Transparency is the foundation of a healthcare system that rewards competition based on cost and quality,” Shawn Gremminger, CEO of the National Alliance of Healthcare Purchaser Coalitions, plans to say in his prepared remarks. Copyright 2026 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.
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Trump administration warns more than 500 hospitals to provide more price information or face finesThe Trump administration has warned more than 500 hospitals that they are failing to provide the public with enough information about prices.
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Trump administration warns more than 500 hospitals to provide more price information or face finesWASHINGTON (AP) — The Trump administration has warned more than 500 hospitals that they are failing to provide the public with basic pricing information —
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