Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

What our crawler found in hospital price files

We looked for the federal price file of every short-term acute, critical access and children's hospital: 4,622 hospitals. We read 2,391 files (52%); 535 pass all seven checks.

Open the interactive scorecard

Nationally

What our crawler sawHospitalsShare
We read the price file2,35951%
We couldn't find the hospital's website yet1,08724%
We couldn't find a price file on the hospital's site58713%
The site turned away our automated request3969%
The site asks automated tools not to download it1373%
We couldn't read the file's format241%
Read the file; none of the procedures we look up160%
Read the file; no insurer dollar amounts for our codes130%
Read the file; prices only as percentages or formulas30%

Seven checks on the files we read

CheckFiles passing
Listed in cms-hpt.txt100%
Readable, CMS template100%
Template v2.2+95%
Updated in the last 12 months96%
Mostly dollar rates90%
Percent rates carry a $ estimate33%
Posts v3 allowed amounts90%

By state

StateHospitalsFiles we readShare readAll 7 checks
Alabama853744%6
Alaska211152%5
Arizona864451%0
Arkansas773647%7
California32613541%57
Colorado854755%7
Connecticut27830%3
Delaware7457%0
District of Columbia7457%0
Florida18312166%7
Georgia1317456%5
Hawaii221255%0
Idaho432763%12
Illinois1718751%27
Indiana1137465%18
Iowa1116659%39
Kansas1317557%45
Kentucky905157%22
Louisiana1123834%9
Maine312477%1
Maryland451840%1
Massachusetts592949%6
Michigan1288163%26
Minnesota1246452%7
Mississippi933335%7
Missouri1036159%13
Montana622439%7
Nebraska904752%10
Nevada361542%3
New Hampshire261142%2
New Jersey633251%3
New Mexico401845%6
New York1556643%3
North Carolina1016362%7
North Dakota442148%1
Ohio1598453%24
Oklahoma1225243%20
Oregon583967%12
Pennsylvania1549763%17
Rhode Island10770%2
South Carolina553462%12
South Dakota581933%7
Tennessee975557%3
Texas39019149%23
Utah472860%4
Vermont141179%0
Virginia845970%19
Washington894955%8
West Virginia462554%4
Wisconsin1247258%5
Wyoming271037%3

Questions

Does a missing file mean the hospital is breaking the rule?

No. These are the results of our automated search: a file can be posted where our crawler didn't look, and some sites turn away automated tools or ask them not to download. We fetch with an honest user agent and obey robots.txt.

What are the seven checks?

(1) Listed in cms-hpt.txt; (2) Readable, CMS template; (3) Template v2.2+; (4) Updated in the last 12 months; (5) Mostly dollar rates; (6) Percent rates carry a $ estimate; (7) Posts v3 allowed amounts. They are computed from the procedure codes we read, not the whole file.

Computed from the files we parsed for the Price Atlas (the catalog v3 procedure codes we read, not the whole file). Checks: (1) the hospital lists the file in /cms-hpt.txt; (2) the file downloads and follows the CMS template; (3) template version 2.2 or later; (4) updated within the last 12 months; (5) most payer-specific rates are dollar amounts; (6) percent/algorithm rates carry a dollar estimate (v2 estimated amount or v3 median allowed); (7) v3.0 allowed-amount fields (median, 10th/90th percentile, count) are posted. Hospitals we could not read carry a status (not found, robots.txt, bot protection, time-out...): what OUR crawler saw with an honest User-Agent while obeying robots.txt, not proof of non-compliance. Checked 2026-10-05.