1 maryland hospital pricing guide prepared by health services cost review commission may 2006 2 introduction in today s complex and ever changing care market consumers are becoming more responsible for their own including its costs this provides you with information can use to understand make informed purchasing decisions all payer rate setting system the hscrc was established general assembly 1971 seven member is reviewing approving rates that hospitals charge making financial about available public sets payers private insurance companies hmos medicare medicaid referred as where pay fair share of establishing set out accomplish following objectives keep affordable expand access those without provide accountability performance state government purpose has been differences