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7,400+ Federal Hospital Nodes

Compare hospital prices.
Challenge bills above posted cash rates.

Bringing price transparency to healthcare.
Powered by live audits of 7,400+ US hospitals under the 2026 CMS mandate.

Quick search:
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Federal Compliance
Realtime Ingestion

7,400+ hospitals · federal MRF filings

What should this cost?

The price is already public. Search a procedure — then compare, email the hospital, or challenge a bill above the posted cash rate.

Regional Medical MRI brain · 70551 $3,840
vs 12 mi apart
Community Imaging Same procedure $890

Pick a workflow above or tap a quick search tag.

Searching published rates…

Price comparison

Published cash rates from hospital transparency files, sorted for your region.

Search a procedure to compare published cash rates near you.

Market range (this search)

Low$0
Median$0
High$0
P10$0
P90$0

Cash rates are often lower than insured negotiated prices — verify with the hospital before paying.

The Mission

For decades, healthcare pricing operated in a black box. When transparency first became law, institutions responded with unreadable datasets. The data was deliberately obfuscated.

A 2026 report from the Purchaser Business Group on Health showed how the system rewards opacity: negotiated insurance rates are often higher than what a patient would pay in cash. When pricing stays hidden, that spread remains invisible to the people paying the bill.

The 2026 OPPS/ASC Final Rule (CMS-1834-FC) requires hospitals to publish actual dollar amounts in MRFs using EDI 835 payment data, include a Type 2 NPI and executive attestation, and stop using placeholders like 999999999. Enforcement began April 1, 2026.

Healthspend was engineered to enforce this mandate.

The terminal continuously audits over 7,400 US hospital nodes against the federal schema. It extracts exact cash rates, logs regulatory noncompliance, and provides the programmatic leverage necessary for patients to instantly route federal complaints.

Healthspend is the data foundation helping build a transparent healthcare market.

Federal Violation Report  ·  45 CFR § 180.50

CMS Compliance Complaint

Gmail Outlook

Regulatory Basis

45 CFR § 180.50 compliance audit.

Patient Protection

Federal non-retaliation protected.

Posted cash rate  ·  Email helper

Use this published rate

Pick what matches you. The draft updates. CMS filing and audit depth stay in Facility Audit and Incident flows.

Your situation
Gmail Outlook

Before you send

Replace the placeholder address with the billing or patient estimates contact from your paperwork or the hospital website. This tool is for shopping and billing questions, not enforcement.

Filing and enforcement

Use Full Audit on each result card and the Incident log when you want to report transparency or data quality issues to CMS. That path stays separate from this letter.

Hospital Billing Codes

CPT Code Glossary

CPT CODES ARE MAINTAINED BY THE AMERICAN MEDICAL ASSOCIATION. THIS REFERENCE IS FOR PATIENT EDUCATION ONLY.
Legal & disclaimers ▾

Healthspend is not legal, medical, or billing advice and is not a substitute for your EOB or itemized bill.

Published cash rates may not apply to your payer or visit — confirm with hospital billing before paying.

Cross-check on Medicare Care Compare. See live MRF links in Full Audit.

Methodology · GitHub · Developers

© 2026 Healthspend · 45 CFR § 180.50