August 21, 2025
Comments Requested on Proposed Changes to the Medicare Hospital Cost Report, Comment by September 15
In the CY2026 Medicare Hospital Outpatient Prospective Payment System (OPPS) proposed rule, the Centers for Medicare & Medicaid Services (CMS) seeks comments on their proposal to require that hospitals include in their Medicare cost reports, beginning January 1, 2026, the median payer-specific charges that they have negotiated with Medicare Advantage organizations, by Medicare Severity-Diagnosis Related Groups.
The rule also requests comments on a proposed methodology hospitals would use to calculate the median payer-specific charge.
Critical Access Hospitals, Rural Emergency Hospitals, and hospitals operated by an Indian Health Program would not report median payer-specific charges on cost reports because these hospitals are not paid using the inpatient prospective payment system (IPPS).
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