Hospital Ledger·Free forever · No signup · No tracking

What does your hospital actually charge?

Compare the real price of a procedure across 3,699 U.S. hospitals — straight from each hospital's own federally-mandated price file.

FEATURED · TOTAL HIP REPLACEMENT (CPT 27130)

The same hip replacement costs $3,124 at one hospital and $182,439 at another. Median: $28,901.

$3,124
$182,439
$28,901 · median
See all 1,540+ hospitals →
Free forever, no signup
We don't track or store anything
Built from each hospital's MRF (45 CFR § 180)
Open source · CC0 public data
Hospitals · with prices
readable, indexed prices
Procedures
10,000
comparable across hospitals
Insurance plans
200+
with negotiated rates
Cost
$0
always free, public benefit
01Find a price

Three ways to start.

Search by what you need, your insurance, or the hospital you're going to. Every price is straight from that hospital's own published file.

A.What you need
Type the name ("colonoscopy") or the CPT/HCPCS code (45378).
B.What you have
See every hospital that has a negotiated rate with your plan.
C.Where you're going
Get its compliance grade plus its top procedure prices.

Every price comes straight from the hospital's federally-mandated machine-readable file. The "cash price" is the self-pay discount they're required to publish. Your actual bill depends on your plan, deductible, and copay.

02How it works

Three steps. No fees, no signup.

01

Search

Type a procedure name ("MRI knee"), a CPT code (73721), an insurer, or a hospital. We match it against every U.S. hospital's published price file.

02

Compare

See the gross price, the cash discount, and the rate every insurance plan negotiated — side by side across hundreds of hospitals.

03

Decide

Pick the hospital that costs less for the procedure you need. Bring the price to your appointment if there's a dispute. (Always confirm directly — we publish what they published.)

03Why this exists

The law's been on the books since 2021. The database wasn't.

  • Under 45 CFR § 180, every U.S. hospital must publish a machine-readable price file — gross charges, cash prices, negotiated rates, and min/max — free, public, no signup.
  • Most hospitals technically comply by uploading a giant unreadable file. We parsed all 4,625 of them so you don't have to.
  • Mark Cuban built Cost Plus Drugs for the same reason — pricing transparency in healthcare. We're doing it for hospitals.

Top 25 worst offenders

CMS-required hospitals with the most enforcement actions and no findable MRF.

CCNHospitalCity, StateCMS actions

Worst states

By share of CMS-required hospitals with a live MRF.

StateTotalLive% live

By facility type

Rural Emergency Hospitals (the newest category) lag furthest.

Sources / methodology

The inputs, checks, and limits are listed here on the site, not just in the repo.

Open the current summary JSON
Primary sources
How this was built
  1. Start with all CMS-required hospitals.
  2. Join known MRF links from the seed datasets.
  3. Probe URLs live and follow redirects to verify which files actually respond.
  4. Rediscover missing files from hospital transparency pages when the seed is dead.
  5. Parse live CSV, JSON, XLSX, ZIP, and wrapper-page formats into one schema.
  6. Generate the on-site standardized price previews from those parsed files.

Current on-site preview coverage: hospitals with standardized price rows.

What the numbers mean
  • Compliant means a live machine-readable file was found and verified.
  • Missing means no live public MRF was found after automated discovery and probing.
  • Under CMS enforcement means the hospital appears in CMS's public enforcement record.
  • Standardized price preview appears when parsed rows were actually generated for that hospital.

Current limits: some hospitals are behind bot-defense or publish malformed files. Missing rows can mean non-compliance, anti-bot blocking, or broken vendor output.

🩺 Live prices — standardized, on-site

Parsed directly from each hospital's MRF into a unified schema. No external links — search prices by CPT or HCPCS code below.

Hospital previews
Standardized rows
CPT / HCPCS codes

Use it

Everything here is CC0 / public domain. No attribution required. Build whatever you want on top.