Oregon hospitals must meet the federal machine-readable file (MRF) requirement under 45 CFR 180.50 — and Oregon layers its own rules on top: Oregon's transparency rules under ORS 442. With ~63 hospitals in the state, CMS's 2026 AI-enabled audit ramp means non-compliant files in Oregon are more likely than ever to convert a warning letter into a $5,500/day fine.
Oregon Health Authority publishes a state price-transparency web tool and requires hospital standard-charge files in addition to the federal MRF; missing either is a state exposure.
Federal baseline: 45 CFR Part 180 still applies to every Oregon hospital regardless of state rules. Missing either track is an exposure.
| Hospitals in Oregon | ~63 |
| State law | ORS 442.575 — Hospital Pricing Transparency |
| Federal exposure | $5,500/day per violation under 45 CFR 180.50 |
Send your machine-readable file URL. Report in 24 hours — free, no obligation, you keep it either way.
Get Your Free MRF Risk Check