Contact Congress about H.R. 4822: Health Care Price Transparency Act of 2023

Patients would get clearer cost estimates before many medical services and drugs. Hospitals, insurers, and pharmacy benefit managers would have to publish more price and payment data. Medicare would also change some drug, outpatient, and prior approval rules.

Modern Action explains what the legislation does, helps you choose whether to support, oppose, or ask for changes, and drafts a message tied to the bill, your stance, and the elected officials who can act on it.

Health Care Price Transparency Act of 2023 is a House bill in Congress.

Who this affects: This bill mainly affects patients, people on Medicare, employers that sponsor health plans, health insurers, pharmacy benefit managers, and medical providers. Patients could see more prices before care. Providers and plans would face new posting, reporting, technology, and compliance work.

Why this matters: Health care prices are often hard to know before treatment, so people may not learn the cost until after care. This bill tries to change that by making more prices and likely patient costs available up front. It could help some patients compare options and avoid surprise costs. It could also create major new work for providers, plans, and pharmacy benefit managers, and the effect on overall prices is uncertain.

Key provisions in H.R. 4822

• Medicare hospitals, critical access hospitals, and rural emergency hospitals would have to post prices every year. The lists must cover all items and services, plus easy-to-read prices for at least 300 services patients can shop for ahead of time.
• Hospitals and ambulatory surgery centers could use online price estimator tools instead of separate shoppable-service lists. The tools must give instant estimates and work with billing codes or plain-language service names without requiring a full account.
• The Department of Health and Human Services would have to check each hospital and ambulatory surgery center at least once every 3 years. It must also publish yearly enforcement summaries, including names of noncompliant facilities and any penalties.
• Facilities that do not follow the transparency rules could face civil money fines. Smaller facilities generally could owe up to $300 per day, while larger or repeat violators could face higher yearly caps; HHS could raise limits later or reduce fines for hardship.
• Medicare-paid imaging providers and clinical labs would have to post discounted cash prices, or gross charges if no discount exists. For certain shoppable tests, they may also have to post the lowest and highest negotiated rates, with fines up to $300 per day for ongoing violations.

How Modern Action helps you take action on H.R. 4822

You do not have to start with a blank letter. Modern Action turns the bill, your position, and the relevant congressional context into a message you can edit and send. The goal is to make contacting Congress clear, specific, and useful without forcing you to parse bill text or figure out the right office on your own.

Questions people ask about H.R. 4822

What is H.R. 4822?

Patients would get clearer cost estimates before many medical services and drugs. Hospitals, insurers, and pharmacy benefit managers would have to publish more price and payment data. Medicare would also change some drug, outpatient, and prior approval rules.

How do I support or oppose H.R. 4822?

Choose support, oppose, or ask for changes on Modern Action. The action flow drafts the message for you and keeps the wording tied to this bill.

Who should I contact about H.R. 4822?

Modern Action uses your location to route the action to the congressional offices relevant to the bill and your representation.

How does Modern Action help me act on H.R. 4822?

Modern Action gives you bill-specific context, lets you choose support, opposition, or changes, and drafts a message from your position and reasons.