New Price Reporting Requirements for Select Medical Practices, All Outpatient Surgery Centers

January 2, 2025

As of January 1, select medical practices and all freestanding outpatient surgery centers in Minnesota are required to post standard charges on their websites. This requirement was passed by the Minnesota Legislature in 2023. 

Select medical practices, identified at the federal tax identification number level, include those that: 

1. Have revenue greater than $50 million per year AND 

2. Acquire a majority of said revenue by providing any combination of the following services:

• Diagnostic radiology services 
• Diagnostic laboratory testing  
• Orthopedic surgical procedures—including joint arthroplasty procedures within the CPT code range of 26990 to 27899  
• Ophthalmologic surgical procedures— including cataract surgery coded using CPT 71.4 code 66982 or 66984—or refractive correction surgery to improve visual acuity  
• Dental services  
• Oncology services—including radiation oncology treatments within the CPT code 71.9 range of 77261 to 77799 and drug infusions 
• Anesthesia services commonly provided as a support to services given at a hospital, outpatient surgical center, or medical practice that provides orthopedic surgical procedures or ophthalmologic surgical procedures. 

According to the law, “standard charges,” include: 

1. the charge for an individual item or service that is reflected on a medical or dental practice's charge master, absent any discounts; 

2. the charge that a medical or dental practice has negotiated with a third-party payer for an item or service; 

3. the lowest charge that a medical or dental practice has negotiated with all third-party payers for an item or service; 

4. the highest charge that a medical or dental practice has negotiated with all third-party payers for an item or service; and 

5. the charge that applies to an individual who pays cash, or cash equivalent, for an item or service. 

To learn more about the requirement, visit the Minnesota Department of Health’s (MDH) “Medical and Dental Standard Charges” webpage and FAQ document. 

The MMA is committed to ensuring that all price reporting requirements imposed on medical practices are meaningful to patients. The MMA will urge MDH to regularly evaluate the utility and adverse effects of these reporting requirements. 

For questions, contact Adrian Uphoff, policy analyst.