(Radio Iowa) – A report finds more than two dozen Iowa hospitals are still not compliant with the three year old federal price transparency requirements. The report by the non-profit Patient Rights Advocate reviewed 43 Iowa hospitals. It found 60 percent were not compliant with the Hospital Price Transparency Rule. The founder of the non-profit, Cynthia Fischer, says when hospitals don’t comply, Iowans could end up paying much more for their medical care.

“The hospitals that were not fully compliant were missing significant amounts of the information that would help people be able to make sure their bills were right or shop upfront,” Fischer says. The feds have issued fines to 14 hospitals nationwide so far for non-compliance. No Iowa hospitals have been fined.