CMS Price Transparency · 45 CFR § 180

Know your compliance before CMS does

CMS price transparency rules are detailed and change often.
LanshHealth automatically audits your machine-readable file and shoppable services display, so your team always knows exactly where you stand.

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Process

Audit in three steps.

Submit Your MRF URL

Paste the public URL of your machine-readable file. We support JSON, CSV, and the CMS-defined schema formats.

Run an Automated Audit

Our system parses your file against the current CMS Technical Implementation Guide, checking all required fields, payer entries, and service lines.

Get a Compliance Report

Receive a detailed report with prioritised findings and regulatory citations, reviewed and signed off by a certified healthcare compliance expert.

Services

Let us handle the compliance, so you can focus on care.

Machine-Readable File Audit

We validate your MRF against the current CMS schema — checking all required fields, payer-specific negotiated rates, gross charges, and de-identified min/max rates. Every malformed entry and missing field is flagged with its regulatory basis.

JSON validationSchema checksPayer rates

Shoppable Services Review

CMS requires a consumer-friendly display of at least 300 shoppable services with all 70 mandated items present and accessible without a login or payment wall. We audit your display against the full CMS checklist.

70 required servicesPublic accessConsumer display

Continuous Compliance Monitoring

Your MRF must stay current as CMS updates its requirements. We monitor your published file month to month and alert you when it goes stale, fails a check, or new CMS template rules take effect.

Monthly re-checksRule-change alertsHistory log

Pricing

Simple, facility-based pricing.

One-Time Audit

A full point-in-time compliance report. Ideal for an initial gap assessment or pre-audit preparation.

✓ Full MRF schema validation
✓ Shoppable services check
✓ Public accessibility audit
✓ Prioritised findings report
✓ Regulatory citations
✓ Expert compliance review

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Ongoing Monitoring

Recommended

Continuous monitoring with alerts when your file goes stale, fails a check, or CMS updates its requirements.

✓ Everything in One-Time Audit
✓ Monthly automated re-checks
✓ Alert when file update is due
✓ CMS rule-change notifications
✓ Compliance history log
✓ Expert review on every report
✓ Priority support

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FAQs

Common questions.

Who does the CMS price transparency rule apply to?

All hospitals operating in the United States — general acute care, critical access, children's hospitals, and specialty hospitals.

What is the penalty for non-compliance?

Up to $300/day for hospitals with 30 or fewer beds, and up to $10/bed/day (capped at $5,500/day) for larger hospitals. CMS also publishes a list of non-compliant facilities.

How often does my MRF need to be updated?

At minimum once per calendar year, and within 90 days of any change to your standard charges. The file must include a "last updated" timestamp in the CMS-specified format.

Is the report reviewed by a human expert?

Yes. Automated checks run first, then a certified healthcare compliance expert reviews every finding before the report is delivered to you.

Do ASCs and outpatient clinics need to comply?

The current rule covers hospitals specifically, but the direction of travel is toward broader transparency mandates across all facility types.