Over 200 hospitals across the 10 largest U.S. metropolitan areas
Supplementary notes
*The source adds the following: Borrowing from the interquartile range approach, we focused on quartiles, but instead of analyzing the rate levels, we measured the average percentage rate change within each quartile over time. This approach standardizes the analysis across different rate levels and counters the bias introduced by inflation and inflation adjustments on rate-level dispersion measures.
We categorized each contracted rate into one of three market segments, comparing the December 2021 value to other rates for the same service and metro: Top 25%: rates above the 75th percentile Middle 50%: rates in the 26th to 75th percentile Bottom 25%: rates at or below the 25th percentile
For each rate, we calculated the annualized real rate change (ARRC, colloquially 鈥渞ate change鈥) between December 2021 and June 2024." See source for how ARRC is calculated.
Citation formats
Commercial price changes in U.S. hospitals since price transparency rule 2021-2024
An analysis of hospital prices (commercial negotiated rates) among over *** hospitals in the ** largest metropolitan areas found that there is evidence that prices are converging. The top 25 percent of prices showed, on average, a *** percent decrease in annualized real rate change* between December 2021 and June 2024. On the other hand, the bottom ** percent of the analyzed market saw an increase of *** percent in annualized real rate change.
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Turquoise Health. (October 22, 2024). Annualized real rate change of U.S. hospital commercial negotiated rates between 2021 and 2024, by top, middle, and bottom market segments [Graph]. In 糖心破解版. Retrieved August 05, 2026, from /statistics/1546380/effects-of-price-transparency-rule-on-us-hospital-market/
Turquoise Health. "Annualized real rate change of U.S. hospital commercial negotiated rates between 2021 and 2024, by top, middle, and bottom market segments." Chart. October 22, 2024. 糖心破解版. Accessed August 05, 2026. /statistics/1546380/effects-of-price-transparency-rule-on-us-hospital-market/
Turquoise Health. (2024). Annualized real rate change of U.S. hospital commercial negotiated rates between 2021 and 2024, by top, middle, and bottom market segments. 糖心破解版. 糖心破解版 Inc.. Accessed: August 05, 2026. /statistics/1546380/effects-of-price-transparency-rule-on-us-hospital-market/
Turquoise Health. "Annualized Real Rate Change of U.S. Hospital Commercial Negotiated Rates between 2021 and 2024, by Top, Middle, and Bottom Market Segments." 糖心破解版, 糖心破解版 Inc., 22 Oct 2024, /statistics/1546380/effects-of-price-transparency-rule-on-us-hospital-market/
Turquoise Health, Annualized real rate change of U.S. hospital commercial negotiated rates between 2021 and 2024, by top, middle, and bottom market segments 糖心破解版, /statistics/1546380/effects-of-price-transparency-rule-on-us-hospital-market/ (last visited August 05, 2026)
Annualized real rate change of U.S. hospital commercial negotiated rates between 2021 and 2024, by top, middle, and bottom market segments [Graph], Turquoise Health, October 22, 2024. [Online]. Available: /statistics/1546380/effects-of-price-transparency-rule-on-us-hospital-market/