⚠ CMS FINES $5,500 PER DAY FOR NON-COMPLIANT PRICING FILES — 45 CFR §180.50

Is Your Hospital's Machine-Readable File CMS-Compliant?

Every US hospital must publish payer-specific negotiated rates in a machine-readable file (MRF). Industry studies show 30–55% of hospitals still fail audits. One flagged month = $165,000 in exposure. We'll check yours free — 24-hour turnaround.

$5,500/day
CMS fine per violation
$165K
Exposure for one flagged month
1,000+
Penalty actions already issued
24hrs
From file URL to full report

Compliance Services Built for Hospitals

From a free risk check to full file remediation — every service maps to exactly what CMS auditors check under 45 CFR §180.50.

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Free MRF Risk Check

Full validation of your machine-readable file against the CMS spec. Red-flag summary with high/medium/low risk ratings. 24-hour turnaround. No obligation.

How it works →
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Compliance Audit

5-page detailed compliance report. Line-item remediation guide, payer-by-payer gap analysis, and a 30-day follow-up re-check to prove you're clean.

Pricing →
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Full Remediation

We rebuild or repair your MRF, verify hosting and CMS-crawler access, and provide direct support during CMS audits. Quarterly monitoring included.

Pricing →

How We Work

Four steps from "send your file" to "fully compliant." No long contracts, no IT project — just compliance.

01 — DISCOVERY

Send Your File

Share your MRF URL (usually at yoursite.com/price-transparency) or just your website URL and we locate it.

02 — KICKOFF

Automated Validation

Our validator runs every CMS-required check: payer rates, cash prices, shoppable services, format, accessibility.

03 — EXECUTE

Expert Review

A compliance analyst reviews automated findings, confirms what CMS would actually cite, and prioritizes fixes.

04 — DELIVER

Report & Remediation

You get a clear report — and if you want, we fix the file end-to-end with a 30-day re-check.

What Your Report Looks Like

A real audit of a US hospital MRF. Red flags highlighted, remediation steps included.

Payer-specific negotiated charges — file contains only 2 of 5 major commercial payers HIGH RISK
Discounted cash price — missing on 14% of items HIGH RISK
File hosted behind a bot-blocking layer — CMS crawler may not access MEDIUM RISK
Shoppable services list — 61 of 70 required present MEDIUM RISK
Gross charges — complete OK

See the full sample report →

Simple, Risk-Based Pricing

Start free. Pay only if you want the full remediation package. Every dollar is cheaper than one day of CMS fines.

Risk Check

FREE
24-hour turnaround
  • Full MRF validation vs CMS spec
  • Red-flag summary (high/medium/low)
  • What CMS would cite
  • No obligation
Start Free

Full Remediation

$15,000
one-time + optional retainer
  • Everything in Compliance Audit
  • We rebuild / repair your MRF
  • Hosting & CMS-crawler verification
  • Quarterly compliance monitoring
  • Direct support during CMS audits
Talk to Us

Explore Our Insights

Practical guidance on CMS price transparency — what changes, what auditors check, and how hospitals stay ahead of penalties.

Compliance

CMS Machine-Readable File Requirements: The Complete 2026 Checklist

Every data element CMS requires in your MRF, explained in plain language — and the 5 most common reasons hospitals fail.

Penalties

How CMS Fines Hospitals: Real Penalty Amounts and What Triggers Them

$5,500 per day adds up fast. Here's how CMS calculates penalties, real enforcement examples, and how to reduce your exposure.

How-To

How to Find Your Hospital's MRF File (And What to Do If You Can't)

Step-by-step guide to locating your price-transparency file — and why not finding it is itself a compliance red flag.

Data

Payer-Specific Negotiated Rates: A Practical Guide for Hospital Finance Teams

What counts as a payer-specific negotiated rate, how to structure it in your MRF, and the mistakes CMS flags most.

Frequently Asked Questions

Is the MRF risk check really free?

Yes. The risk check is free and you keep the report. We make money only if you decide to fix what we find.

How do I find my hospital's MRF URL?

Most hospitals link it from their website footer or a /price-transparency page. If you can't find it, that's already a flag — send us your website URL and we'll locate it.

What happens if CMS audits my hospital?

CMS can fine $5,500 per day per violation. With multiple violations across months, exposure can reach hundreds of thousands. Our Full Remediation package includes direct support during CMS audits.

How fast can you audit my MRF?

Risk Check: 24 hours from URL submission. Full Compliance Audit: 3-5 business days. Full Remediation: 1-2 weeks depending on file complexity.

What is a machine-readable file (MRF)?

An MRF is a JSON or CSV file every US hospital must publish listing gross charges, discounted cash prices, and payer-specific negotiated rates for all items and services. It must be publicly accessible without login.

Get Your Free MRF Risk Check

Send us your machine-readable file URL. We'll audit it and deliver your report within 24 hours — no cost, no obligation.