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In the digital age, information technology (IT) is a strategic asset for organizations. As a result, the IT costs are rising, and the cost-effective management of IT is crucial. Nevertheless, organizations still face major challenges and former studies lack comprehensiveness and depth. The goal of this paper is to generate a deep and holistic view on current management challenges of IT costs. In 15 expert interviews, we identify 23 challenges divided into 7 categories. The main challenges are to ensure transparency on IT cost information, to demonstrate the business impact of IT as well as to change the mindset for the value of IT and overcoming them requires attention to their interactions. Hence, this paper leads to a better understanding of the issues that IT cost management (ITCM) faces in the digital age and builds a base for future research.