WASHINGTON — The Trump administration has issued formal warnings to more than 500 hospitals across the United States, accusing them of failing to comply with federal price transparency mandates. Federal officials argue that hiding the true costs of medical services blocks fair market competition and drives healthcare costs higher for everyday Americans.
A comprehensive list obtained exclusively by the Associated Press details hundreds of medical centers that have received either initial warning letters or stricter Corrective Action Plan (CAP) requests from the Centers for Medicare & Medicaid Services (CMS) since April. Facilities that fail to correct these transparency issues swiftly face severe financial penalties, as high as $2 million per year.
Hospitals remain one of the single largest drivers of medical inflation in the country, accounting for roughly 31% of all healthcare expenditures nationwide, according to federal economic data.
Cracking Down on Hidden Healthcare Costs
The federal transparency rules—originally established via a 2019 executive order during President Trump’s first term and expanded with updated machine-readable file requirements on April 1—are meant to protect patients from “blind” medical shopping. Without readily accessible pricing information, it is difficult for individuals, employers, and insurance providers to compare upfront costs for everyday procedures like imaging tests, scans, or routine blood work.
A senior administration official, who spoke to the AP on the condition of anonymity, noted that more warning letters are actively being prepared. The official emphasized that the White House intends to sharply tighten enforcement of these standards, positioning healthcare affordability as a central policy pillar heading into a competitive midterm election cycle.
Texas topped the nation with 42 cited medical facilities, including some of the state’s largest health networks, such as Baptist Medical Center in San Antonio and the University of Texas MD Anderson Cancer Center in Houston. California followed closely with 38 facilities flagged.
However, the data reveals a disproportionate concentration of non-compliance in Midwestern states and traditional Republican strongholds. Indiana logged a total of 34 cited hospitals—nearly matching California’s total, despite having less than one-fifth of California’s total population.
The Indiana Context: 34 Hospitals Cited
While the full national enforcement list features 519 non-compliant institutions, Indiana’s disproportionately high share of citations highlights localized friction in adapting to the stricter federal filing criteria. The state’s 34 impacted facilities represent a mix of community hospitals and regional hubs across major networks.
Indiana Hospital Price Transparency Action List
| Hospital Name | Address | City | Action Status |
| Community Hospital Of Anderson And Madison County | 1515 N Madison Ave | Anderson | Warning Notice |
| St. Vincent Anderson Regional Hospital | 2015 Jackson St | Anderson | Warning Notice |
| Bloomington Meadows Hospital | 3600 N Prow Rd | Bloomington | Warning Notice |
| St Vincent Warrick Hospital Inc | 1116 Millis Ave | Boonville | Warning Notice |
| Ascension St. Vincent Clay | 1206 E National Ave | Brazil | Warning Notice |
| Doctors Neuropsychiatric Hospital | 417 S Whitlock St | Bremen | Warning Notice |
| Ascension St Vincent Heart Center | 10580 N Meridian St | Carmel | Warning Notice |
| St Vincent Carmel Hospital Inc | 13500 N Meridian St | Carmel | Warning Notice |
| Brightwell Behavioral Health | 1612 Blackiston View Dr | Clarksville | Warning Notice |
| Danville Hospital (Main Campus) | 1000 East Main Street | Danville | CAP Request |
| St Vincent Mercy Hospital | 1331 S A Street | Elwood | Warning Notice |
| St Vincent Fishers Hospital Inc | 13861 Olio Rd | Fishers | Warning Notice |
| Goshen General Hospital | 200 High Park Ave | Goshen | CAP Request |
| Oaklawn Psychiatric Center Inc | 330 Lakeview Dr | Goshen | CAP Request |
| Valle Vista Health System | 898 East Main St | Greenwood | Warning Notice |
| Ascension Saint Vincent Women’s Hospital | 2001 W 86th St | Indianapolis | Warning Notice |
| Community Fairbanks Recovery Center | 8102 Clearvista Pkwy | Indianapolis | Warning Notice |
| Community Hospital East | 1500 N Ritter Ave | Indianapolis | Warning Notice |
| Community Hospital North | 7150 Clearvista Dr | Indianapolis | Warning Notice |
| Orthoindy Hospital | 8400 Northwest Blvd | Indianapolis | CAP Request |
| St Vincent Hospital | 2001 W 86th St | Indianapolis | Warning Notice |
| Wellstone Regional Hospital | 2700 Vissing Park Road | Jeffersonville | Warning Notice |
| Ascension St. Vincent Kokomo | 1907 W Sycamore St | Kokomo | Warning Notice |
| Community Howard Regional Health Inc | 3500 S Lafountain St | Kokomo | Warning Notice |
| Greene County General Hospital | 1185 N 1000 W | Linton | Warning Notice |
| Marion General Hospital | 441 N Wabash Ave | Marion | CAP Request |
| Unity Physicians Hospital | 4455 Edison Lakes Pkwy | Mishawaka | Warning Notice |
| Michiana Behavioral Health Center | 1800 N Oak Dr | Plymouth | Warning Notice |
| Ascension St. Vincent Salem | 911 N Shelby St | Salem | Warning Notice |
| Memorial Hospital of South Bend | 615 N Michigan St | South Bend | Warning Notice |
| Perry County Memorial Hospital | 8885 State Road 237 | Tell City | Warning Notice |
| Harsha Behavioral Center Inc | 1980 E Woodsmall Dr | Terre Haute | CAP Request |
| St Vincent Williamsport Hospital Inc | 412 N Monroe St | Williamsport | Warning Notice |
| Ascension St Vincent Randolph Hospital | 473 E Greenville Ave | Winchester | Warning Notice |
Notably, Missouri-based Ascension—one of the largest non-profit health systems in the nation with a major footprint across Indiana—had 13 of its hospitals flagged nationwide. In a corporate statement, Ascension downplayed the warnings, attributing them to a “minor technical error” and stating the network remains fully committed to price transparency.
The American Hospital Association (AHA) also defended its members, asserting that the vast majority of U.S. hospitals are trying to comply with the complex regulations. However, the group acknowledged room for progress. “The current system is not working as well as it could for patients,” said Ashley Thompson, AHA’s senior vice president for policy, adding that hospitals will continue to coordinate with federal regulators to streamline formatting.
National Snapshot: Top States For Transparency Warnings
The enforcement wave concentrated heavily on several key states. The table below outlines where federal regulators focused their initial compliance actions:
| National Rank | State | Number of Hospitals Warned |
| 1 | Texas | 42 |
| 2 | California | 38 |
| 3 | Indiana | 34 |
| 4 | Louisiana | 27 |
Note: According to CMS data, every U.S. state except Alaska had at least one medical facility cited during this monitoring cycle.
Hospitals that were issued an initial warning have a 90-day window to update their public data deficiencies. Those receiving a subsequent Corrective Action Plan request are given a strict 45-day deadline to comply before CMS begins levying active civil monetary fines.
