LanshHealth
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.

6 checks

per audit

300+

shoppable services

Always current

CMS spec

Expert-verified

final report

Process

Audit in three steps

01

Submit Your MRF URL

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

02

Run an Automated Audit

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

03

Get a Compliance Report

Receive a detailed report highlighting any deficiencies, their regulatory basis, and prioritised steps to resolve them. Every report is reviewed and signed off by a certified healthcare compliance expert before delivery.

Provider Pricing

Simple, facility-based pricing

One-Time Audit

Custom pricing based on your facility

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 for each finding
  • Expert compliance review of final report
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Ongoing Monitoring

Custom pricing based on your facility

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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Compliance Audit

What we check

Every audit covers the six areas CMS focuses on when reviewing hospital compliance — and is reviewed by a certified healthcare compliance expert before the final report is delivered.

1. Machine-Readable File Validation

CMS requires hospitals to publish a machine-readable file (MRF) containing all standard charges — including gross charges, discounted cash prices, payer-specific negotiated rates, and de-identified min/max rates. We validate your MRF against the current CMS schema and flag any missing fields, malformed entries, or outdated formats.

2. Standard Charges Completeness

Every item and service provided by your facility must appear in your MRF with all required charge types. We cross-reference your published data against your chargemaster to identify gaps — missing payer names, omitted procedure codes, or incomplete rate entries that could trigger a deficiency notice.

3. Shoppable Services Display

CMS mandates a consumer-friendly display of at least 300 shoppable services on your public website. We check that all 70 CMS-specified services are present, that your remaining 230+ services are listed, and that the display is accessible without a login or payment.

4. Public Accessibility Check

Your MRF must be freely accessible — no login walls, CAPTCHA gates, or download barriers. We verify that your file is reachable via a standard web request, that it is linked from your hospital homepage, and that it meets the CMS file-naming convention requirements.

5. Annual Update Verification

Files must be updated at least once per calendar year and include a timestamp of the last update. We monitor your published file date and alert you when your update window is approaching or has lapsed, so you are never caught with stale data during an audit.

6. Penalty Risk Assessment

We score your overall compliance posture and flag which deficiencies carry the highest penalty risk. CMS can issue civil monetary penalties of up to $300 per day per hospital for non-compliance — and can publicise non-compliant facilities on the CMS website, compounding reputational risk.

FAQs

Common questions

Who does the CMS price transparency rule apply to?

The rule applies to all hospitals operating in the United States, defined as any institution that provides inpatient and outpatient services. This includes general acute care hospitals, critical access hospitals, children's hospitals, and specialty hospitals.

What is the penalty for non-compliance?

CMS can impose civil monetary penalties (CMPs) of up to $300 per day for hospitals with 30 or fewer beds, and up to $10 per bed per day (capped at $5,500 per day) for larger hospitals. CMS also publishes a list of non-compliant hospitals on its website.

How often do I need to update my MRF?

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 a CMS-specified format.

Do outpatient clinics and ASCs need to comply?

The current hospital price transparency rule covers hospitals specifically. Ambulatory Surgical Centers (ASCs) and physician practices are subject to separate CMS requirements, but the direction of travel is toward broader transparency mandates across all facility types.

Is the compliance report reviewed by a human expert?

Yes. Every report goes through a two-stage process — automated checks run first, then a certified healthcare compliance expert reviews the findings before the report is delivered to you. This ensures that edge cases, ambiguous findings, and recently updated CMS guidance are interpreted correctly and not just flagged by an algorithm.

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Talk to our team

Tell us about your facility and we'll follow up within one business day with pricing and next steps.

Don't wait for a warning letter

Run a free preliminary check on your facility today and see where you stand.

Run a Free Compliance Check