Every hospital whose price file we could not use as published, and where the process stands. Updated October 6, 2026.
Where it stands. Of the 9 hospitals below, notices sent to 4, 3 awaiting a contact address, 2 closed. While a row is open, every figure on this site that touches that hospital is flagged or excluded. A closed row is a hospital whose file is in use as published.
What the rule requires. Since 2021 every U.S. hospital has had to post a single machine-readable
file of its standard charges, including the rate it has negotiated with each insurer, in a format CMS specifies
(45 CFR 180; the CMS template, currently v3.0). The file has to be free, downloadable without
a login or a bot check, and findable from a cms-hpt.txt file at the hospital’s domain root.
A file that exists but cannot be read is, for a patient trying to compare prices, the same as no file.
What we do about it. When a file fails in our pipeline we first check that the failure is the file’s and
not ours: a second retrieval, a second parser, a read of the raw rows. If it holds, we write to the hospital’s
published price-transparency contact (the one named in its own cms-hpt.txt, or its billing office),
say exactly what is wrong, and ask for a corrected file. We wait ten business days. If there is no fix and no reply,
we file a complaint with CMS through its hospital price transparency complaint form and record the date here.
When a hospital replies, the row says so. When the file is fixed, or the hospital shows us the file was right and
we were wrong, we re-run it and close the row. This page records dates and status only; the correspondence itself
stays between us and the hospital.
The file exists and downloads, but no procedure in our 107-item basket could be matched to a payer-specific dollar amount: codes missing, the payer column empty, or the required columns absent. The hospital appears on the site with no prices.
| Hospital | Where it stands | Status |
|---|---|---|
| Eastern Rio Blanco County Health Service District (Pioneers Medical Center) (no prices on the site) Pioneers Medical Center |
Notice sent Sep 16, 2026 | Notice sent |
| Grand River Hospital District Grand River Health |
Notice sent Sep 16, 2026 | Notice sent |
| Keefe Memorial Hospital (no prices on the site) Keefe Memorial Health Service District |
Notice sent Sep 16, 2026 | Notice sent |
| St Vincent General Hospital District (Leadville) (no prices on the site) St Vincent Health, Leadville |
Notice sent Sep 16, 2026 | Notice sent |
| Wray Community District Hospital (no prices on the site) | Notice written, awaiting a contact address | Notice drafted |
The file parses, but only a handful of the 107 basket procedures carry a commercial dollar amount. The hospital appears on the site with those few prices and nothing else.
| Hospital | Where it stands | Status |
|---|---|---|
| Pagosa Springs Medical Center | Notice written, awaiting a contact address | Notice drafted |
| Rio Grande Hospital | Notice written, awaiting a contact address | Notice drafted |
For at least half of the hospital’s commercial plans, the amount in the “negotiated rate” column is identical to the gross charge. A negotiated rate that equals list price is not a negotiated rate; the cells are flagged and left out of every median on this site until the file is fixed.
| Hospital | Where it stands | Status |
|---|---|---|
| Aspen Valley Hospital District | Closed: file confirmed usable as published | Closed |
| Mt San Rafael Hospital | Closed: file confirmed usable as published | Closed |
Hospitals that are exempt from the rule (federal facilities, and campuses that publish under a parent hospital’s license) are not counted above. Quality flags on individual prices, as opposed to whole files, are described on the methodology page. The complete log for every state is in Data & research.