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healthspend
Search Audit Index Incident Log Mission
7,400+ Federal Hospital Nodes Synced

The open ledger for
US hospital prices.

Expose hidden cash rates and legally negotiate your medical bills.
Powered by live audits of 7,400+ US hospitals under the CY 2026 CMS mandate.

Quick search:
Anonymous Search
Federal Compliance
Realtime Ingestion

Price Audit

Federally audited cash rates and negotiated pricing spreads.

Sort:
Market Benchmark
MIN $0
MEDIAN $0
MAX $0

Rate Intelligence Hospital cash rates are typically 40–70% below negotiated insurance prices.

Infrastructure Access · v1.0

Developer API

Automated price discovery, market context aggregation, and programmatic enforcement triggers for your medical bill negotiation platforms.

GET /api/v1/search

Audit Ledger Search

Execute deep-audits against the global pricing index. Supports semantic procedure queries, CPT codes, and strict geospatial boundaries.

Parameters
q Query string (e.g. "knee replacement")
zip Origin US Zip Code (Optional)
radius Search radius in miles (Optional, default: 25)
SHELL · CURL 
curl "https://healthspend.lol/api/v1/search?q=knee+replacement&zip=90210&radius=20"
GET /api/v1/rates

Market Context Aggregation

Retrieve the statistical cash-rate spread for a specific procedure within a defined market to instantly identify predatory billing.

RESPONSE · JSON 
{
  "cpt_code": "27447",
  "market_zip": "90210",
  "radius_miles": 20,
  "cash_rate": {
    "min": 12500.00,
    "median": 18200.00,
    "max": 45000.00
  }
}
POST /api/v1/dispute

Programmatic Enforcement

Generate a legally formatted, deterministic debt dispute letter using a specific hospital's published federal pricing data.

REQUEST BODY 
{
  "hospital_ccn": "050001",
  "cpt_code": "70551"
}
GET /api/v1/compliance

Hospital Compliance Matrix

Retrieve the authoritative compliance score and specific violation evidence for any hospital identified by its CMS Certification Number (CCN).

RESPONSE · JSON 
{
  "ccn": "050001",
  "score": 100,
  "status": "VERIFIED COMPLIANT"
}

Direct SQLite access to the raw data ledger is updated nightly and available at
/audit_data.db

GitHub Support Federal Mandate

The Mission

For decades, the healthcare industry kept pricing hidden. When transparency first became law, hospitals responded with unreadable datasets. The data was deliberately obfuscated.

A 2026 report by the Purchaser Business Group on Health proved why. Insurance negotiated rates are frequently higher than what a patient would pay in cash.
Opacity protects profit margins.

On April 1, 2026, the regulatory landscape shifted. The CY 2026 CMS Final Rule mandates that every hospital publish actual dollar amounts in standardized, machine-readable templates.

Healthspend was built to enforce this rule.

We continuously audit all 7,400+ US hospitals against the CMS schema. We extract exact cash rates, expose regulatory noncompliance, and equip patients to instantly draft federal CMS complaints.

We are building the public infrastructure required to force a transparent healthcare market.

Federal Violation Report  ·  45 CFR § 180.50

CMS Compliance Complaint

Your complaint will be reviewed by the CMS Division of Hospital Price Transparency.

Gmail Outlook

Regulatory Basis

Compiled under 45 CFR § 180.50 : the federal Price Transparency mandate. CMS conducts audits within 90 days of a confirmed complaint receipt.

Patient Protection

Filing this complaint triggers a formal federal investigation. You are protected under non-retaliation guidelines for exercising your right to price transparency.

Rate Dispute Letter  ·  Patient Rights

Cash Rate Reduction Demand

Based on the hospital's own federally attested cash rate : they cannot legally deny this.

Gmail Outlook

Step 1 — Send to Billing

This letter cites the hospital's own publicly attested price. Billing departments cannot legally contradict their own federally disclosed rate.

Step 2 — Escalate if Needed

If the billing department rejects your first demand, escalate directly to the Facility Compliance Officer or file a CMS complaint from the Incident Log.

Hospital Billing Codes

CPT Code Glossary

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