Consumers with health insurance shouldered more of the expense for their medical care in 2014, but Florida and nearly every other state did little to require that prices for hospitals and doctors be made public — hindering comparison shopping and allowing dominant hospital systems and insurers to drive up costs overall, according to a report released Wednesday.

Florida was among 45 states that received a failing grade for neglecting to adopt laws that give patients the data they need to plan for their healthcare expenses, according to the report produced by two nonprofit groups, Catalyst for Payment Reform in California and the Health Care Incentives Improvement Institute in Connecticut.