Out-of-the-box compliance with the Hospital Price Transparency Rule.

A consumer price estimator, live on the hospital’s website, that tells every patient what they will owe before care. Deemed compliant under 45 CFR §180.60(a)(2).^[C1]

§180.60(a)(2)(i)

The rule requires estimates for at least 300 shoppable services. Superscript analyzes your raw data to produce this simple catalog.

[C2]

Click to use it
        
      

Northstar Health

Find careLocations

Find a doctor

Locations

Billing & insurance

Downtown · West Campus · Imaging Center View machine-readable price data

[ 02 · how is this possible ]

Superscript has served pricing infrastructure to providers of care for over 3 years.

We specialize in calculating exact patient cost shares.

We developed a 3-engine agentic solution to healthcare’s transparency problem.
Over 1.3 million transactions across 350k+ patients have refined our technology into the gold standard.^[C26]

01ABE

ALL CLAIMS 99213 E/M

AETNA

CIGNA $1,198

HUMANA

Generates payer negotiated rates across procedures, providers, and payers.

ABE (Algorithmic Balancing Engine)

02AIR

CLAIM

$642 DED $113 DED CVRD

CIGNA PPO

Patient X

An agentic benefits parsing engine to fully understand a patient’s realtime coverage.

AIR (Accessing Insurance Resources)

03ART

OUTPUTCIGNA PPO
43239EGD w/ biopsyDED$642.00
99152SedationDED$112.75
88312Special stainCVRDCovered
PATIENT OWES$1,112.45

CLAIM DATA → ← MODEL UPDATE

A feedback loop to continuously tighten our pricing accuracy.

ART (Adjudicating Real-time Transactions)

[ 03 · value ]

Patients were promised prices five years ago. They got rate files.

Real patient prices are revenue infrastructure.

+$1.38M / yr

more pre-service cash

Avita Health increased pre-service collections from $2.9M to $4.28M after implementing accurate patient estimates: +47% pre-service collections and +169% point-of-service cash.^[C27]

38%

of patients have left a provider over billing

And the inverse: 58% have returned to a provider because of a positive billing experience.^[C28]

4 in 10

won’t pay a bill they can’t understand

Cedar’s 2024 consumer study found 40% say they will not pay when they can’t understand the billing/administrative experience.^[C29]

[ 04 · pricing ]

Real Transparency can save millions per hospital in fees.

Superscript’s real patient prices button erases hundreds of thousands of dollars in Civil Monetary Penalty (CMP) exposure.^{[C5] [C6]}

select your size

250 beds

20200400600800

exposure removed

$1,003,750 / yr

estimated cost

$150,000 / yr

exposure removed

At 250 beds, the contract is 15% of the annual exposure a compliant estimator removes. Exposure accrues daily until CMS verifies correction, and CMS posts the notice publicly.^{[C5] [C11]}

Our data costs scale with size of patient population. If budget constraints make our transparency solutions difficult to access, get in touch

[ 05 · the regulation ]

Meet the compliance standard to the letter

Click through parts 1, 2, and 3
        
      

“A hospital is deemed by CMS to meet the requirements of this section if the hospital maintains an internet-based price estimator tool which meets the following requirements.” ^[C1]

$361.00

internet-based price estimator tool

January 1, 2026 The consumer-friendly display is a core requirement; core violations are ineligible for the 35% penalty reduction. ^[C8] core requirement

Who are we?

Superscript makes pricing infrastructure for US Healthcare. We build for a future where all patients know their prices, all transactions are fair, and the Healthcare market is open and accessible.

Click here to learn more

[ 07 · references ]

[C1] An online price estimator is “deemed by CMS” to meet the consumer-friendly requirement. 45 CFR §180.60(a)(2) · ecfr.gov

[C2] Estimator requirements: 300+ shoppable services incl. the 70 CMS-specified; the amount the patient is obligated to pay, at time of use; free, no registration or password. 45 CFR §180.60(a)(2)(i)–(iii) · ecfr.gov

[C3] Two distinct requirements: the machine-readable file and the consumer-friendly display. The estimator satisfies the second; it never replaces the first. 45 CFR Part 180 · cms.gov/hospital-price-transparency

[C5] Current penalty amounts: $342/day (≤30 beds); $11/bed/day (31–550); $6,277/day cap (>550). 45 CFR §102.3 · ecfr.gov

[C6] Maximum annual exposure: $2,291,105 per hospital per year ($6,277 × 365). Scales by beds, accrues daily. derived from [C5]

[C8] Consumer-friendly display is a core requirement; core violations get no 35% penalty reduction. Effective Jan 1, 2026. CMS fact sheet, CY2026 OPPS final rule · cms.gov

[C9] CY2026 MRF rules: median + percentile allowed amounts computed from EDI 835 remittance data, enforced from Apr 1, 2026. CMS fact sheet · federalregister.gov 2025-20907

[C11] CMS posts penalty notices publicly; enforcement runs warning → violation notice → corrective action plan → penalty. 45 CFR §180.90(e) · cms.gov/enforcement-actions

[C12] Jackson Memorial Hospital: $871,122 penalty, July 2024, incl. a missing consumer-friendly display. Wise Carter, Oct 2025 · secondary, primary notice pending

[C14] People in the US owe at least $220 billion in medical debt. Peterson-KFF Health System Tracker

[C15] Roughly 100 million US adults carry health-care debt. Cornell ILR citing KFF · secondary, primary pending

[C16] Hospitals report more than $50 billion in bad debt; nearly 1 in 3 report over $10 million each. Definitive Healthcare, Medicare cost report data

[C17] Hospital bad debt + charity care per calendar day rose 32%, 2025 vs 2022. Kaufman Hall via HFMA

[C18] 66.5% of US bankruptcy filers cite medical bills as a contributor. Himmelstein et al., AJPH 2019

[C20] Demo prices are computed, never typed: CY2026 Medicare fee schedule amounts × the plan’s benefit. internal · demonstration mechanics

[C22] “% of similar visits” figures in the demonstration are illustrative, not measured claims data. internal

[C24] Priced at less than 20% of the maximum annual penalty. derived · blocked on pricing input

[C25] Every price is calibrated on the hospital’s own historical ERAs against benefits read in real time. internal · product mechanics

[C26] Superscript has served pricing infrastructure to providers of care for over 3 years; over 1.3 million transactions priced across 350k+ patients. internal · company record

[C27] Avita Health increased pre-service collections from $2.9M to $4.28M (+47% pre-service, +169% point-of-service cash) after implementing accurate patient estimates. experian.com · avita health case study, 2026

[C28] 38% of consumers have switched providers over a negative billing experience; 58% have returned because of a positive one. cedar.com · 2024 healthcare financial experience study

[C29] 4 in 10 consumers will not pay their bill if they cannot understand the administrative experience. cedar.com · 2024 healthcare financial experience study

NYC · HELLO@SUPERSCRIPT.NYC the machine-readable pricing data requirement coexists with this estimator [C3]