H.R. 9390: Prices on the Wall Act of 2026

This bill would require certain health care facilities to post some prices on their walls starting January 1, 2028.

What facilities would have to do

• Hospitals would have to display the discounted cash price for each CMS-specified “shoppable service” they provide in the inpatient and outpatient settings.
• If a hospital does not have a discounted cash price for a service, it would have to post the median cash price charged to self-pay patients for that service over the previous 3 years.
• Ambulatory surgical centers would have to post the discounted cash price for each CMS-specified shoppable service they provide, or the median cash price to self-pay patients if no discounted cash price exists.
• Laboratories would have to post the discounted cash price for each specified clinical diagnostic laboratory test that is a CMS-specified shoppable service, or the gross charge if no such price exists.
• Providers and suppliers that furnish imaging services would have to post the discounted cash price for each CMS-specified shoppable imaging service, or the gross charge if no discounted cash price exists.

What “discounted cash price” means

The bill defines this as the price charged to a person who pays with cash or a cash equivalent.

What “shoppable service” means

The bill defines this as a service that a patient can schedule in advance, including related items and services usually provided along with it.

Other details

• The prices would need to be posted in the areas specified by the Secretary of Health and Human Services.
• The bill applies to services identified by the Centers for Medicare & Medicaid Services (CMS) as shoppable services.
• For laboratory tests, the bill applies to specified clinical diagnostic lab tests, excluding advanced diagnostic laboratory tests.

Relevant Companies

• HCA — Would likely need to update pricing displays across its hospital facilities.
• THC — Tenet Healthcare could need to post required prices at hospitals and outpatient facilities it operates.
• UHS — Universal Health Services operates hospitals that would likely be covered by the posting requirement.
• ACHC — Acadia Healthcare operates inpatient behavioral health facilities that may be affected if they qualify as hospitals under the law.
• HSIC — Henry Schein has exposure to health care providers and facilities, though any impact would be indirect through customer compliance needs.
• LAB — Quest Diagnostics would likely need to post prices for covered lab tests at its facilities.
• DGX — Quest Diagnostics would likely need to post prices for covered lab tests at its facilities.
• ILMN — Illumina is not directly regulated by the bill, but broader lab pricing and test transparency rules could affect customers and market practices indirectly.
• SHC — Sotera Health has laboratory-related operations that could be indirectly affected depending on the services offered.