This bill, known as the "Health Care PRICE Transparency Act," significantly expands price transparency requirements for both hospitals and health insurers by amending the Public Health Service Act and the Patient Protection and Affordable Care Act. It aims to provide consumers with clearer, more accessible information about healthcare costs before receiving services. For hospitals, the bill mandates the public disclosure of standard charges in a plain language, consumer-friendly, and machine-readable format, free of charge. This includes the gross charge, payer-specific negotiated charges (linked to the payer and plan), de-identified minimum and maximum negotiated charges, and the discounted cash price. Hospitals must provide this information for at least 300 "shoppable services," or all services if they offer fewer, and can meet this requirement through an internet-based price estimator tool that provides real-time estimates and is easily searchable. Regarding health insurers, the legislation requires them to disclose in-network provider rates , out-of-network allowed amounts , and negotiated rates and historical net prices for prescription drugs . Insurers must also offer an internet-based self-service tool that allows individuals to obtain real-time, personalized cost-sharing estimates for covered items and services from specific providers. This tool must be free, accessible without personal identifying information, and searchable by service description, billing code, and payer. The bill further specifies that the insurer's disclosure tool must provide details such as estimated cost-sharing liability, accumulated amounts towards deductibles, and a list of items included in bundled payments. It also requires important notices regarding potential balance billing by out-of-network providers, the possibility of actual charges differing from estimates, and whether copayment assistance counts towards out-of-pocket limits. Non-compliant hospitals may face civil monetary penalties of up to $300 per day, reinforcing the enforcement of these new transparency measures across group health plans and health insurance coverage.