What is the difference between payer-posted and hospital-posted price transparency data?
Last updated: April 29, 2026
Payer-posted data is part of the Transparency in Coverage (TiC) Rule - read more from CMS HERE.
Hospital-posted data is part of Hospital Price Transparency (HPT) Rule - read more from CMS HERE.
Each rule has its own requirements in terms of what data must be included. We have created a quick reference table below to summarize the requirements of each dataset:
Payer-Posted Data (TiC) | Hospital-Posted Data (HPT) | |
Data Update Frequency | Monthly | Annually |
Commercial Rates | Yes | Yes |
ACA / Exchange Rates | Yes | Yes |
Managed Medicaid Rates | No | Yes |
Medicare Advantage Rates | No | Yes |
Cash Pay Rates | No | Yes |
Institutional Fees | Yes | Yes |
Professional Fees | Yes | No |
ASC Fees | Yes | No |
Billed Charges | No | Yes |
In-Network Rates | Yes | Yes |
Out-of-Network Rates | Yes (via separate files) | No |
Relevant Serif Health 'Signal' Modes | Explore - Payer Data Market Overview Peer Rates Peer Service Lines | Explore - Hospital Data |