Price Transparency and Accessibility Monitor
The hospital monitor costs $9,500 to build, then $450 a month, or start with a $3,500 one-time audit. Every week it checks a sample of the prices in your posted file against your chargemaster, and checks your website against HHS's accessibility rule, whose deadline for websites is May 11, 2027. Each fix goes to the person who owns it.
Prefer to skip the call? Get a written proposal
Built for
- Community hospital CFOs who want proof the prices in the file match the chargemaster
- Compliance officers preparing for the accessibility deadline of May 11, 2027
- Health system web and revenue integrity teams with many domains and a provider directory
- Hospitals that already own an accessibility scanner and need the fixes done
Why it's worth it
Today
CMS's free validator checks that your price file follows CMS's template, but not that its prices match your chargemaster (your master price list). Your website has its own deadline, because HHS's accessibility rule applies from May 11, 2027. CMS can fine a 100-bed hospital up to $1,100 a day over the price file.
After
Every week the monitor checks both, drafts each fix for the person who owns it, and logs when each problem was found and fixed. Your compliance officer has the dated record on hand.
Why it matters
$11 a bed
CMS can fine a hospital with 31 to 550 beds up to $11 per bed per day for breaking the price transparency rules: up to $1,980 a day at 180 beds, about $723,000 a year. Smaller hospitals face up to $342 a day and larger ones up to $6,277. HHS adjusts these maximums for inflation every year.
Source: 45 CFR 180.90 and 45 CFR 102.3 (eCFR) (opens in a new tab), 2025 maximums, adjusted for inflation
May 11, 2027
HHS-funded organizations with 15 or more employees must meet WCAG 2.1 AA for web content and mobile apps from May 11, 2027; smaller ones from May 10, 2028.
Source: 45 CFR 84.84 (eCFR, as amended at 91 FR 25507) (opens in a new tab), current rule (amended May 11, 2026)
How it works
A person on your team approves every result
The tool runs these steps on a schedule. Nothing moves past the approval step until someone on your team signs off.
- InputYour site, file and exportsPublic pages and PDFs, the posted price file, and a chargemaster and payer rate export from your finance system for the price sample.
- CodeRule checksCMS's format check runs first, along with accessibility rules, links and a scan for scripts that share visitor data.
- AI modelCompare and draftA sample of prices is compared with your exports. The AI catches problems the automated checks miss, such as unclear link text, drafts each fix and adds labeled notes on what to fix first.
- A person approvesOwners approveWeb, compliance and revenue integrity each approve their own fixes.
- OutputFixes and a logApproved fixes go to your web team. Each owner gets a monthly report to forward, with the dated findings log.
What you get
Price file
Prices checked against your records
CMS's free validator checks the file's format. The monitor runs that check, then compares a sample of prices with your chargemaster and payer rate exports and flags any that differ. It never declares a file compliant, because that judgment belongs to your compliance officer.
Accessibility
Ranked failures and drafted fixes
Pages and PDFs are tested against WCAG 2.1 AA, the web standard the HHS rule requires. Automated checks can't find every failure, and the W3C's guide to accessibility testing tools says human judgment is still required. Each failure they find is ranked by how many visitors see that page, with a drafted fix.
Evidence
A dated findings log
The date each problem was found and the date it was fixed, kept for your compliance and web teams.
Privacy
Scripts that share visitor data
Every script and tracking pixel that sends visitor data to another company from your public pages, including scheduling pages and pages about specific health conditions, listed for your privacy officer.
What done means
The first weekly run has finished, the sample of prices has been checked against your exports, and each owner has gone through the fixes waiting for them once.
After that, each agreed check runs on schedule for two weeks without help, and the findings log has its first dated entries.
Choose your version
Each version is a one-time build, then a flat monthly fee. The fee covers running the public checks on our servers and looking after the part of the tool that runs in your own account.
What the monthly fee covers
We host the public checks and pay their AI usage, watch every weekly run, fix it when a page, file or CMS template changes, keep it working as AI models change, and reply by the next business day, with a check-in each month. It's month to month with 30 days' notice. The price comparison reads your chargemaster, so it runs in your own account and you pay its hosting and AI usage directly, and your proposal estimates that bill in writing before you sign. We set the accounts up with you during the build, and their bills come to you. If you stop, that part keeps running, and you get every finding and draft from the public checks as files.
Hospital monitor
For one hospital and its clinics
Build price: from$9,500
Up to $18,000 for several websites or languages.
+ $450 a month
About 2–3 weeks of build work
Weekly price-file and accessibility checks, drafted fixes and a dated log for one hospital.
What's included in Hospital monitor
- A sample of prices checked against your chargemaster and payer rate exports
- Pages and PDFs tested against WCAG 2.1 AA, each failure ranked by how many visitors see that page, with a drafted fix
- A fix queue sorted by owner, such as web, compliance or revenue integrity
- The dated findings log, and a monthly report for each owner
- Scripts and pixels that share visitor data, listed for your privacy officer
Year one, build plus 12 months of our fee$14,900–23,400
Plus hosting and AI usage in your own accounts, estimated in your proposal before you sign.
System monitor
For health systems with many domains
Build price: from$32,000
Up to $48,000. Both prices depend on how many hospitals and domains.
+ $1,000 to $1,500 a month
About 4–7 weeks of build work
Every hospital and domain in one monitor, with provider pages checked against your directory.
What's included in System monitor
- Everything in the hospital monitor, for every hospital
- Provider pages checked against your directory source
- Separate reports for web, compliance and revenue integrity
- The code and a written operating guide (a runbook) handed to your team
Year one, build plus 12 months of our fee$44,000–66,000
Plus hosting and AI usage in your own accounts, estimated in your proposal before you sign.
Not ready for weekly monitoring? Start with an audit of one hospital's price file and top web pages for $3,500 ($7,500 to cover every website a health system runs), one time, credited toward the monitor within 90 days.
Payment and terms
- Under $20,000, half at signing and half at delivery. From $20,000, 40% at signing, 30% at a mid-build demo and 30% at acceptance.
- Paying by purchase order? There's no deposit: we invoice half at kickoff and half at acceptance, or from $20,000, 25% at kickoff, 35% at a mid-build demo and 40% at acceptance. Acceptance means the “What done means” criteria are met.
- The monthly fee is month to month with 30 days' notice, and we reply by the next business day. The part of the tool that runs in your own account is yours on final payment and keeps running if you stop. The public checks on our servers stop, and you get every finding and draft as files.
- The fee for a smaller first step counts toward the full build if you buy it within 90 days.
- Running three or more of our AI tools? Their monthly fees are capped at $1,000 a month in total. Health system, network and multi-site versions are priced on their own.
Year one is the build plus 12 months of the monthly fee. Hosting and AI usage for the part that runs in your own account are billed to you directly by those providers, and your proposal estimates them before you sign. The build times on this page are measured in weeks of full-time work. Start and finish dates are set in writing in your proposal.
Tyler Kent does this work himself. He has 13+ years in data science and analytics, most of it in healthcare. About Tyler
Where this comes from
It follows the same design as Sentinel, a system Tyler built that checks a live public data platform against its source data every morning: 46+ automated checks in 8 groups, from data accuracy to accessibility, with a separate report for each team. This monitor checks your site and price file against their sources the same way and adds a drafted fix to each finding.
Read the Sentinel case studyQuestions
What can CMS fine?
For 2025, up to $342 a day for a hospital with 30 or fewer beds, $11 per bed per day from 31 to 550 beds, and $6,277 a day above 550. HHS adjusts these maximums for inflation every year, in 45 CFR 102.3. A 100-bed hospital can face up to $1,100 a day, or $401,500 a year.
What does CMS's own validator check?
The file's format, against CMS's template and data specifications. The monitor runs that same check, then compares a sample of prices with your chargemaster and payer rate exports every week. Whether the file complies stays your compliance officer's judgment.
We already pay for an accessibility scanner.
Keep it. The monitor can read its findings. It adds the price-file checks, drafts each fix and keeps one dated log. If the scanner already covers what you need, you don't need this.
When is the accessibility deadline?
HHS's Section 504 rule requires WCAG 2.1 AA for web content and mobile apps from May 11, 2027, for recipients of HHS funding with 15 or more employees, and from May 10, 2028, for smaller ones. Automated checks find only some failures, so before you say publicly that your site meets the standard, have a person test it with a screen reader and the other tools people with disabilities use.
Will it change our site on its own?
No. Each fix waits in the queue until a named person approves, edits or rejects it.
Monitor or the Website, Reviews and Social Desk?
The monitor is for hospitals with a posted price file. The Website, Reviews and Social Desk is for practices, clinics, post-acute and senior care organizations, and companies: listings, reviews, posts and a weekly check of the site. Both test accessibility and list the scripts that share visitor data, so if you buy both, those checks run once and report to both.
How an engagement worksQuestions about prices, payment and patient data
Sources
- 45 CFR 180.90 and 45 CFR 102.3 (eCFR) (opens in a new tab), 2025 maximums, adjusted for inflation
- 45 CFR 84.84 (eCFR, as amended at 91 FR 25507) (opens in a new tab), current rule (amended May 11, 2026)
- CMS, Hospital Price Transparency resources page (opens in a new tab) (also CMS validator FAQs, January 8, 2025 (opens in a new tab)), fetched October 9, 2026
- W3C Web Accessibility Initiative, Selecting Web Accessibility Evaluation Tools (opens in a new tab), fetched October 14, 2026
Book a 20-minute call
Send us your price file link and your bed count. If we can help, you'll get a fixed-price proposal within 48 hours.
Prefer to skip the call? Get a written proposal
Or email tyler@kentapplied.com, or connect on LinkedIn.