The absence of comprehensive education on hospital value-based purchasing during undergraduate medical education may lead to inadequate comprehension of healthcare finance during Graduate Medical Education and subsequent medical practice. Medicine residents and junior hospitalists (defined as those who completed their residency in the last 5 years) may lack essential healthcare financial skills to address the needs of their patients and the healthcare system effectively. To assess healthcare financial literacy among medical students, medicine residents, and junior hospitalists, we conducted a survey at an academic Internal Medicine residency affiliated with a US Medical School. Participants completed a 40-item questionnaire sourced from federal government healthcare system websites, providing demographic data and indicating prior formal healthcare finance education. Of the 126 respondents, only 15.6% reported receiving formal healthcare financial education, with merely 4 out of 34 junior hospitalists having prior education. Notably, there were no significant differences in correct answer percentages between 3rd and 4th-year medical students, medicine residents, and junior hospitalists across 3 domains: Medicaid/Medicare insurance, US healthcare systems & insurance, and healthcare access, quality and value-based purchasing. However, participants performed better in the domain of Medicaid/Medicare insurance compared to the other domains. This study underscores the potential deficiency in financial skills among junior healthcare providers, highlighting the importance of addressing this gap to ensure effective patient care.