The CMS spec is public. You could build it yourself. The question is what your team's hours are worth.
The machine-readable file spec (45 CFR 180.50) is public, and a competent IT team can read it. But compliance isn't "we published a JSON file" — it's every payer-specific negotiated rate, every cash price, the 70-item shoppable services list, crawler access, and schema validity. One missed data element is a violation, and CMS's new AI audit tool finds violations automatically.
| True cost | $3,500 flat | Hundreds of staff-hours + ongoing maintenance |
| First answer | 24 hours, free | Weeks to months of build |
| Gap detection | We audit against every CMS check | You must know the spec cold |
| After the fix | Re-check + quarterly monitoring option | Ongoing internal responsibility |
If your team already built your MRF, the highest-value move is an independent audit — same way you wouldn't grade your own homework. A $3,500 check that finds a $165,000 exposure (one 30-day gap) is the cheapest insurance you'll buy this year.
Send your MRF URL. 24 hours later you know exactly where you stand.
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