Health Secretary Robert F. Kennedy Jr. and CMS Administrator Dr. Mehmet Oz have a message for hospitals that aren't playing ball with federal price transparency rules: comply now, or get ready to pay up.
In a post on X, Kennedy said hospitals have kept Americans "in the dark" about the true cost of care for years, and vowed stricter enforcement. The post featured a video of Kennedy and Oz laying out the administration's crackdown, which has already identified more than 500 facilities as failing to meet the standards.
The federal hospital price transparency requirements, which date back to President Donald Trump's first term, mandate that hospitals publicly post the prices they charge for medical services in a format consumers can actually use. The current administration says it's done with incomplete data and vague estimates—it wants the real numbers.
Enforcement Push
In the video, Oz explained that hospitals were notified that enforcement of updated transparency requirements would begin on April 1. Since then, regulators have reviewed thousands of facilities. "Significant enforcement" started two months ago, and more than 500 hospital facilities have already received letters for failing to comply.
According to an Associated Press report, those letters are either warnings or requests for corrective action plans. Facilities that still don't comply could face penalties of up to $2 million annually, and more hospitals are expected to get notices as the enforcement effort expands.
Kennedy and Oz argue that transparency is essential for helping patients compare costs before they get care and for preventing those nasty surprise medical bills.
"Our message to hospitals is simple," Kennedy said. "Post your real prices. Come into compliance immediately or prepare for serious consequences."
Transparency Debate
This latest action comes amid a broader debate over whether price transparency can actually lower healthcare costs. In May, billionaire entrepreneur Mark Cuban poured some cold water on the idea, arguing that the pricing arrangements between hospitals, insurers, and providers are so complex that most patients can't easily shop around based on price alone.
Still, the Trump administration has made transparency a key part of its healthcare affordability agenda, arguing that better access to pricing information can promote competition and help consumers make smarter choices.
This hospital transparency push follows another enforcement initiative Oz announced in April, when CMS ordered states to submit Medicaid provider revalidation plans and warned of more aggressive audits for noncompliance. It's all part of a broader focus on enforcement and oversight at the agency.