Hospital Facility Fees

A hospital facility fee is a separate charge that may appear on a bill when care is provided in a hospital outpatient setting, even if the visit looks like a regular doctor’s office visit. This fee is in addition to the provider’s bill and can increase a patient’s out-of-pocket costs. The chart below identifies states with laws that regulate facility fees, including whether they are allowed and how patients must be notified.

Check back often, as this chart is updated frequently.

StateDoes this State have a law that protects patients from facility feesState Law Number
ALABAMA
ALASKAUnder SB 105 (2018), health care facilities must submit annual documentation of facility fees to the state and provide patients with a "good faith estimate" of total costs, including any facility fees, upon request. The law aims to promote price transparency and informed decision-making for patients seeking care.SB 105https://www.akleg.gov/PDF/30/Bills/SB0105Z.PDF
ARIZONA
ARKANSAS
CALIFORNIA
COLORADOUnder HB-23-1215 (2023), hospitals and health systems must disclose facility fees before treatment, clearly listing them as separate line items on patient bills. The law also requires off-campus outpatient sites to notify patients about potential facility fees for routine evaluation and management visits, improving transparency and preventing surprsie charges.HB-23-1215 https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_1215_01.pdf
CONNECTICUTHB 5337 (2014) requires hospitals to provide patients with written notice of facility fees and clearly identify them on bills. HB 5337https://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&bill_num=HB05337&which_year=2014
CONNECTICUTSB 811 (2015) limits patient cost-sharing (especially for those from 100% to 250% of the Federal Poverty Line), prevents credit reporting for unpaid fees, and allows state enforcement. SB 811https://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&bill_num=SB00811&which_year=2015
CONNECTICUTHB 6669 (2023) prohibits facility fees or certain telehealth and outpatient services, requires standardized billing and mandates hospitals to post signs notifying patients when facility fees may apply.HB 6699https://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&which_year=2023&bill_num=6669
DELAWARE
*DISTRICT OF COLUMBIA
FLORIDAUnder HB1157 (2021), hospital-owned off-campus emergency departments must post prominent signs clarifying they may charge facility fees (and that they are not urgent care centers).HB 1157https://www.flsenate.gov/Session/Bill/2021/1157/?Tab=BillText
FLORIDAUnder HB 1175 (2016), facilities must include any facility fees clearly in good-faith cost estimates and patient bills, explain their purpose, and respond to patient billing questions within 7 business days. HB 1175https://www.flsenate.gov/Session/Bill/2016/1175
GEORGIAUnder SB 20 (2023), insurers are not required to reimburse facility fees for teleheath services unless the hospital is the originating site. The law also grants enforcement authority to the Georgia Insurance Commissioner, strengthening oversight and preventing unnecessary teleheath-related facility charges.SB 20 https://www.legis.ga.gov/legislation/63655
HAWAII
IDAHO
ILLINOISHB 1431 (2025) creates the Health Care Facility Fee Transparency Act, which requires that if a hospital charges a facility fee for outpatient services seperate from the professional fee, the hospital must inform patients via a clear policy (as soon as reasonably practicable) about the possibility of a facility fee- what it covers, why it's charged, and how to get more information. The act also adds notice, billing, and reporting requirements and makes failure to comply an unlawful practice under consumer protection laws.HB 1431https://ilga.gov/Legislation/BillStatus?DocTypeID=HB&DocNum=1431&GAID=18&SessionID=114&LegID=157434
INDIANAHB 1004 (2020) requires facility fees to be inlcuded in good-faith estimates to patients.HB 1004 (2020)https://iga.in.gov/legislative/2020/bills/house/1004/details
INDIANASB 325 (2021) makes outpatient surgical centers publish standard facility-fee charges. SB 325https://legiscan.com/IN/text/SB0325/id/2378601
INDIANAHB 1004 (2023) adds limits on institutional billing, annual reporting to the state, and enforcement authority.HB 1004 (2023)https://iga.in.gov/legislative/2023/bills/house/1004/details
INDIANAHB 1003 (2025) limits inappropriate facility fees at hospital-owned outpatient sites by tying billing to the actual service location.HB 1003https://iga.in.gov/legislative/2025/bills/house/1003/details
IOWA
KANSAS
KENTUCKY
LOUISIANAUnder HB 824 (2018), off-campus hospital outpatient departments are required to post visible signs in common areas notifying patients that a facility fee may be charged.HB 824https://www.legis.la.gov/Legis/BillInfo.aspx?i=234690
MAINELD 1795 (2023) stops hospitals from charging extra facility fees for care given outside the main hospital and requires them to report those fees each year.LD 1795https://legislature.maine.gov/LawMakerWeb/summary.asp?ID=280088956
MAINELD 2271 (2024) bans facility fees for teleheath visits, requires hospitals to post clear notices online and in waiting areas, and makes the state publish yearly reports about facility fee charges.LD 2271https://legislature.maine.gov/legis/bills/display_ps.asp?LD=2271&snum=131
MARYLANDSB 632 (2021) requires health care providers to tell patients at the time they make an appointment if they will be charged a facility fee and what the expected cost will be. Hospitals must also report outpatient facility fees each year to the state. SB 632https://mgaleg.maryland.gov/mgawebsite/Legislation/Details/SB0632?ys=2020RS
MARYLANDSB 3 (2021) bans hospitals from charging facility fees for telehealth services if they already charge a seperate professional fee for that visit and blocks fees for COVID-19 vaccine or antibody treatments during the public health emergency.SB 3https://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0003?ys=2021RS
MASSACHUSETTSS 2400 (2012) increases health care transparency by requiring the Health Policy Commission and the Center for Health Information and Analysis to collect, report, and publicly share data on health care costs, prices, and market trends.S 2400https://malegislature.gov/Bills/187/S2400
MASSACHUSETTSS 2984 (2022) requires health care providers to disclose expected or estimated facility fees for scheduled services upon patient request and requires insurers to explain any facility fee costs in their coverage documents for more transparency.S 2984https://malegislature.gov/Bills/191/S2984
MICHIGAN
MINNESOTASF 131 (2019) requires provider‑based clinics that charge a facility fee to notify patients before nonemergency services that they may receive a separate facility charge and to post prominent notices (including on their website) explaining that such fees may result in higher out‑of‑pocket costs.SF 131https://legiscan.com/MN/text/SF131/id/2194067
MINNESOTAHF 2 (2025) strengthens transparency by requiring hospitals to submit annual reports that list which facilities charge facility fees, how much revenue is collected from them, and how many total facility fees are billed each year.HF 2https://www.revisor.mn.gov/laws/2025/1/Session+Law/Chapter/3/
MISSISSIPPISB 2209 (2013) requires health insurance plans in Mississippi to cover telemedicine services the same way they cover in-person services, including allowing licensed providers to give treatment through electronic means.SB 2209https://billstatus.ls.state.ms.us/2013/pdf/history/SB/SB2209.xml
MISSOURI
MONTANA
NEBRASKA
NEVADAAB 343 (2025) requires hospitals to send yearly reports to the state listing which facilities charge facility fees, how much money is collected from those fees, and how many facility fees are billed each year. AB 343https://www.leg.state.nv.us/App/NELIS/REL/83rd2025/PDF/Viewer?file=%2FApp%2FNELIS%2FREL%2F83rd2025%2FDocumentViewer%2FRemoteURLDocument%3FremoteURL%3Dhttps%253A%252F%252Fwww.leg.state.nv.us%252FSession%252F83rd2025%252FBills%252FAB%252FAB343.pdf%26downloadFileName%3DAB343.pdf&downloadFileName=AB343.pdf&remoteURL=https%3A%2F%2Fwww.leg.state.nv.us%2FSession%2F83rd2025%2FBills%2FAB%2FAB343.pdf
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORKS 2521C requires hospitals and health care providers in New York to give patients notice before charging facility fees not covered by the patient’s insurance and defines what facility fees are.S 2521Chttps://www.nysenate.gov/legislation/bills/2021/S2521
NORTH CAROLINA
NORTH DAKOTA
OHIOHB 122 (2021) prevents health care providers from charging facility fees when providing telehealth services.HB 122https://www.legislature.ohio.gov/legislation/134/hb122
OKLAHOMA
OREGON
PENNSYLVANIA
*PUERTO RICO
RHODE ISLANDS 146 (2017) requires hospitals and health care providers to give patients a written estimate of their expected costs (including any facility fees) if the patient is uninsured or has an insurance deductible of $5,000 or more, when requested. S 146 https://webserver.rilegislature.gov/BillText17/SenateText17/S0146A.pdf
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXASSB 2038 (2021) prohibits certain freestanding emergency facilities from charging facility fees for drive‑through services and requires price disclosure during a state of disaster.SB 2038https://capitol.texas.gov/tlodocs/87R/billtext/html/SB02038F.htm
UTAH
VERMONT
VIRGINIA
WASHINGTONHB 1272 (2021) requires hospital provider-based clinics to notify patients before non-emergency care if a facility fee may be charged. HB 1272https://app.leg.wa.gov/billsummary?Year=2021&BillNumber=1272
WASHINGTONSB 5700 (2023) prohibits teleheath sites or hospitals serving only as the originating site for audio-only telemedicine from charging a facility fee.SB 5700https://app.leg.wa.gov/billsummary?BillNumber=5700&Year=2023&Initiative=false
WEST VIRGINIA
WISCONSIN
WYOMING
*GUAM
Last Updated: 2/25/2026

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