INVESTIGATION: Hospitals Ignoring Price Transparency Rule Rack Up Billion-Dollar Profits, by Adam Andrzejewski

Wouldn’t you like to have an idea what your medical care is going to cost you before your receive it? From Adam Andrzejewski at


It was an historic, bipartisan healthcare reform. In 2020, President Donald Trump proposed and the Biden Administration finalized the transparency rule whereby hospitals were forced to open their books and post their prices for healthcare services online and in real time.

Blatantly, though, hospitals are refusing to comply. As of January 1, 86-percent of hospitals were not complying with the transparency rule according to an investigation by the organization Patient Rights Advocate.

One year after the rule went into effect, a staggering 857 out of the 1,000 hospitals surveyed refused to open their pricing books or were non-compliant.

In 2021, three of the largest hospital systems in the country – HCA Healthcare, CommonSpirit Health, and Ascension — made a collective $120 billion. Yet, those systems still weren’t posting their prices online by January 2022.

Even smaller “non-profit” hospital groups, like, UPMC in Pittsburgh, were non-compliant. However, in 2020, their CEO made $9 million; between 2016 and 2020, he was paid $34.7 million.

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