CMS Hospital Price Transparency
Enforcement Data
11,440 enforcement actions in the committed CMS-derived snapshot, spanning January 2021 through March 2026. 4,988 hospital review cases across all 50 states; this page does not claim a newer load from publisher cadence.
Dataset at a glance
11,440
Total records
Enforcement actions
4,988
Hospital cases
Unique review cases
28
Civil Monetary Penalties
Most severe action
Monthly
CMS publisher cadence
Page snapshot through March 2026
2021–2026
Temporal coverage
Snapshot 2026-03-31
7
Fields
Case_ID · Hosp_Name · State · Action · Action_Date · +
Field reference
| Field | Type | Description |
|---|---|---|
| case_id | text | CMS-assigned case identifier. One hospital may have multiple Case_IDs across separate review cycles. |
| hosp_name | text | Hospital name as published by CMS. |
| hosp_address | text | Hospital address as published by CMS. |
| state | text (2-char) | Two-letter state abbreviation for the hospital's location. |
| action | text (enum) | Enforcement action type: Warning Notice, CAP Request, CMP Notice, Met Requirements, Closure Notice, Administrative Closure, Appealed. |
| action_date | date | Date CMS issued the enforcement action. Parsed from MM/DD/YYYY to ISO-8601. |
| closure_reason | text (nullable) | Reason for administrative closure when applicable. |
Source fields: CMS exports Case_ID, Hosp_Name, Hosp_Address, State, Action, Action_Date, Closure_Reason. No NPI or CCN field in the CMS export.
Known limitations
- Hospital identity is name + address string — no NPI or CCN. Cross-referencing to NPPES or Care Compare requires fuzzy matching.
- CMP dollar amounts are not published in this dataset; it records the existence of a CMP Notice, not a separately signature-linked fact.
- A hospital may have multiple Case_IDs across separate review cycles; compliance status must be inferred from the action sequence.
- Federal enforcement only — state-level enforcement actions are not included.
- Does not contain the hospitals' actual charge files (MRFs) or pricing data.
Frequently asked questions
- What fields are included in the CMS Hospital Price Transparency enforcement dataset?
- The CMS export includes 7 fields: Case_ID, Hosp_Name, Hosp_Address, State, Action, Action_Date, and Closure_Reason. No NPI or CCN field is present in the raw CMS data.
- How often is the price transparency enforcement data updated?
- CMS declares a monthly publication cadence. This page's committed snapshot spans through March 2026; the publisher cadence does not establish a newer Fonteum load or universal signature coverage.
- Does this dataset include the actual hospital prices or charge files?
- No. This dataset records CMS enforcement actions only — it does not contain the hospitals' machine-readable files (MRFs) or the price data itself. For actual hospital charge data, see the hospitals' published MRFs under 45 CFR Part 180.
- What is a Civil Monetary Penalty under the price transparency rule?
- A Civil Monetary Penalty (CMP) is the most severe enforcement action available to CMS under 45 CFR § 180.90. The committed snapshot through March 2026 contains 28 CMP Notice rows; it does not publish penalty amounts.
- Can I access the full price transparency enforcement dataset via API?
- Yes. CMS publishes the source data on data.cms.gov as a public JSON API and bulk download; the dataset identifier is listed in the Source & provenance section below. The data is U.S. government works (17 U.S.C. § 105) and in the public domain.
Source & provenance
Primary source: CMS Hospital Price Transparency Enforcement Activities and Outcomes — Centers for Medicare & Medicaid Services. Dataset ID: 6a3aa708-3c9d-411a-a1a4-e046d3ade7ef.
License: U.S. government works (17 U.S.C. § 105) — public domain. Attribution: “Source: CMS Hospital Price Transparency Enforcement · Snapshot 2026-03-31”.
Methodology version: price-transparency/v1
Snapshot date: 2026-03-31. Consult CMS for a later release.