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Price Transparency, Done Right
Get instant clarity on where you stand, expert guidance to close the gaps, and ongoing monitoring to keep you fully compliant.
Compliance Challenges
Healthcare organizations — hospitals, health systems, and payers — are required by federal law to publish clear, accurate, and accessible pricing information. Yet most run into the same issues:
Complex technical standards
for machine-readable files
Missing or inaccurate charge data
that fails compliance requirements
Non-compliant transparency pages
or estimators that don't meet standards
Lack of audit-ready documentation
to prove good-faith compliance
Consequences of Noncompliance
CMS penalties up to $5,500/day
Reputational damage and regulatory scrutiny
Frustrated patients or members who cannot access or trust pricing data
Our Approach
We make compliance simple in four steps
Free Score
Instantly see where you stand
Audit
Detailed reports on compliance gaps and fixes
Correction
Update files, fix pages, and prepare documentation
Management
Continuous monitoring, alerts, and compliance
This staged approach ensures you cover all federal requirements, build a defensible audit trail, and avoid costly penalties. Start where you need, scale when you're ready.
Compliance Requirements
Federal transparency requirements for hospitals and health plans
Hospital Price Transparency
Requirements for hospitals and health systems
Standard Charges MRF
Publish a machine-readable file (CSV/JSON) with required prices, codes, and bundled services. See <a href="https://www.cms.gov/hospital-price-transparency" target="_blank" class="text-hfo-blue hover:underline font-medium">CMS Hospital Price Transparency Final Rule</a> for reference.
CMS Template & Identifiers
Use the CMS template with identifiers, update date, and affirmation of accuracy.
Discoverability
Provide a cms-hpt.txt at the domain root and a footer link labeled "Price Transparency."
Update Cadence
Update at least annually and display the most recent update date.
Consumer Display
Offer a shoppable services list (300 services) or an online estimator, free and accessible.
Enforcement & Penalties
CMS audits and complaints can trigger penalties up to $5,500/day, with public posting of violations.
Payer Transparency
Requirements for payers and insurance carriers
Machine-Readable Files
Monthly publication of in-network negotiated rates, out-of-network allowed amounts, and prescription drug pricing. See <a href="https://www.cms.gov/healthplan-price-transparency" target="_blank" class="text-hfo-blue hover:underline font-medium">CMS Transparency in Coverage Rule</a> for reference.
Self-Service Tools
Member-facing estimator tools for 500+ shoppable services, expanding in phases to all services.
Discoverability
Easy access from the payer's website with clear navigation and structured file naming.
Update Cadence
Monthly updates with accurate, current rate data.
Audit-Readiness
Ability to provide evidence of compliance, good-faith efforts, and corrective actions during CMS review.
Enforcement & Penalties
Noncompliance can lead to CMS enforcement, civil monetary penalties up to $100 per human covered life per day, and reputational harm with regulators, employers, and members.
Solutions & Pricing
Transparent tiers so you can start fast and scale support as needed
Free Score
Quick compliance check
- Transparency Score snapshot
- National Transparency Rank
- Email results report
Compliance Audit
Contact for pricing
- Deep compliance review
- Executive PDF report
- Prioritized action plan
- Audit trail documentation
Correction
Contact for pricing
- Corrected MRF files
- Fixed transparency pages
- Estimator setup guidance
- Re-validation included
Management
Contact for pricing
- Continuous monitoring
- Monthly updates & alerts
- Compliance letters
- Price comparison tool
Actual pricing varies by organization size, number of locations, and remediation complexity
Why It Matters
The risk-reward equation couldn't be clearer
Start Free — No Risk
- Your first Transparency Score and National Transparency Rank are 100% free
- No PHI or sensitive patient/member data used
- Instant visibility into your compliance standing
Big Upside
- A clear view of what's missing and how to close the gaps
- Show your board, employers, and members you're proactive
- Compliance improves trust and protects reputation
Serious Consequences for Waiting
- CMS fines up to $5,500/day for hospitals and civil monetary penalties for payers
- Penalties can approach millions annually for large systems
- Noncompliance is public record — harming trust with patients, providers, members, and regulators
Security & Compliance Standards
Your data is protected with industry-leading security frameworks
Frequently Asked Questions
Everything you need to know about our compliance toolkit
Will these tools be on our own website?
Only the optional white-labeled estimator or comparison tool is embedded on your site. All other deliverables are provided as reports, files, or hosted dashboards.
What's the "cms-hpt.txt" file?
It's a small text file CMS requires on hospital sites. It points regulators to your transparency page and price file.
What about payer files?
Payer transparency files must follow CMS's naming and publishing standards. We validate placement, discoverability, and formatting.
Do you handle patient or member data?
No. The compliance check only uses public pricing files. For optional estimator tools that connect with benefits, we follow HIPAA safeguards and sign BAAs.
How does this help us with CMS audits?
The Toolkit creates a defensible audit trail mapped to federal requirements. That means if CMS reviews your transparency program, you'll have documentation and corrected files ready to show good-faith compliance.
Still have questions? We're here to help.
Contact UsReady to Check Your Compliance?
Get your free compliance score. No obligation, no risk.