Trilliant Health Finds 90.3% of Hospital Price Transparency Files Meet the CMS 3.0 Standard

BRENTWOOD, Tenn. – July 14, 2026 – Trilliant Health, the healthcare industry’s leading analytics firm, today announced that its free hospital price transparency dataset now contains more than 7.2B negotiated rates drawn from hospital machine-readable files (MRFs).

On October 12, 2017, President Trump signed Executive Order 13813, emphasizing the need to “improve access to and quality of information that Americans need to make informed healthcare decisions, including data about healthcare prices and outcomes, while minimizing reporting burdens on affected plans, providers, or payers.”

Since that 2017 Executive Order, two developments stand out:

• Hospital and related services have risen 45.3% according to the Bureau of Labor Statistics' Consumer Price Index; and
• The Centers for Medicare and Medicaid Services (CMS) has repeatedly increased the reporting burdens for hospitals.

Most recently, CMS mandated that hospitals adopt the standardized CMS 3.0 machine-readable file format by April 1, 2026, enabling negotiated rates to be compared consistently across institutions.

“When every hospital negotiated rate is freely available, it is bewildering that policymakers think additional regulatory requirements will improve price transparency,” said Hal Andrews, President and Chief Executive Officer of Trilliant Health. “The continuous increases in hospital prices suggests that what ails the health economy is the status quo, not a lack of hospital price transparency.”

Trilliant Health’s hospital price transparency dataset reflects the current state of MRF compliance and scale:

• 90.3% of hospital MRFs conform to the CMS 3.0 schema, the standardized format CMS mandated to make rates comparable across institutions.
• More than 7.2B negotiated rates are available, spanning every billable service at U.S. hospitals. The data exist at a scale that renders “we don’t have enough information” an indefensible position.
• The dataset totals 2.04 TB, accessible at no cost through a single DuckDB data lake that requires no data engineering team and no licensing fee to query. 

“The policy conversation has mistaken compliance for progress,” Andrews continued. “Knowing what a hospital charges is meaningless if no one – not the employer, not the health plan, not the patient – ever uses that information to make a different decision.”

Access the dataset: oria-data.trillianthealth.com

About Trilliant Health

Trilliant Health’s analytics platform provides a comprehensive view of healthcare supply, demand and yield across local markets. Recognizing that every American is affected by the health economy, its mission is to redefine evidence-based strategy while optimizing return on invested capital.