Nevada hospitals must meet the federal machine-readable file (MRF) requirement under 45 CFR 180.50 — and Nevada layers its own rules on top: Nevada SB 237 requires hospitals to publish price lists for common shoppable services and makes facility pricing data publicly searchable. With ~61 hospitals in the state, CMS's 2026 AI-enabled audit ramp means non-compliant files in Nevada are more likely than ever to convert a warning letter into a $5,500/day fine.
Nevada's SB 237 shoppable-services price list sits alongside the federal 70-item shoppable services file — hospitals need both correct to avoid state and federal action.
Federal baseline: 45 CFR Part 180 still applies to every Nevada hospital regardless of state rules. Missing either track is an exposure.
| Hospitals in Nevada | ~61 |
| State law | NV SB 237 — Hospital Price Transparency |
| Federal exposure | $5,500/day per violation under 45 CFR 180.50 |
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