Hospital Pricing Specialists

What Hospital Pricing Specialists does

Hospital Pricing Specialists is a privately held healthcare consulting and software firm founded in 2008 and headquartered in Los Gatos, California. The company provides a fully outsourced solution for U.S. hospitals to meet federal CMS Price Transparency requirements, with a deliberate focus on Critical Access Hospitals and rural healthcare facilities — a customer base typically underserved by larger enterprise health-IT vendors. Its core offering combines the EZCOST® Patient Price Estimator Tool, which surfaces patient-facing cost estimates, with MOAD®, a revenue cycle management product, both backed by complete hosting and machine-readable file generation services designed to remove the need for in-house compliance infrastructure.

The business operates on a sales-led, quote-based SaaS-plus-services model with annual billing, monetizing through subscription and outsourced compliance engagements rather than disclosed pricing tiers. Distribution is direct: prospects book demos through a dedicated hpsmeeting.com funnel and are supported by expert consultations. The company reports 1,200+ successful pricing projects completed, 3,500+ hospital beds served, and 60+ years of combined team expertise in healthcare pricing and reimbursement, and has earned media features in The Wall Street Journal, The New York Times, Forbes, USA Today, and CBS News.

The firm is small (11-50 employees), bootstrapped with no disclosed institutional funding, M&A activity, or leadership turnover in the available record. Its competitive position rests on regulatory compliance (100% CMS-compliant machine-readable files), registered trademarks (EZCOST®, MOAD®), and domain specialization in the niche critical-access and rural hospital segment, rather than on AI/ML capability or platform breadth. Revenue, customer count, and growth metrics are not disclosed, and the company's operating model is more accurately characterized as a specialized compliance outsourcing firm than as a high-growth SaaS business.

Name

Hospital Pricing Specialists

Legal name

Hospital Pricing Specialists

Website

https://hospitalpricingspecialists.com

Company type

Private

Founded year

2008

Operating status

Operating

Headcount range

11–50 employees

Short description

Hospital Pricing Specialists provides outsourced CMS Price Transparency compliance software and services — including the EZCOST® patient cost estimator, MOAD® revenue cycle tool, and machine-readable file hosting — primarily for U.S. Critical Access Hospitals and rural healthcare facilities.

Ownership category

akta.pro rank

Product category

Healthcare Price Transparency Compliance Software

NAICS

Custom Computer Programming Services (541511), Business Support Services (5614)

SIC

Hospital & Medical Service Plans (6324), Services-Computer Programming, Data Processing, Etc. (7370), Services-Facilities Support Management Services (8744)

akta.pro primary industry

Price Transparency, Estimates & Patient Financial Clearance (HLACACAK)

akta.pro secondary industries

Patient Financial Engagement (Estimates, Billing Presentment, Payments) (HLACAEAI), Patient Billing, Statements & Payment Processing (HLACACAG), Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD), Hospital Shared Services, GPOs & System Support Organizations (HLAFAAAO)

Keywords

• Healthcare price transparency
• Patient cost estimation
• Machine-readable files
• Revenue cycle management
• CMS compliance solutions

Headquarters

HQ city

Los Gatos

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Operations, Infrastructure, Marketing or Sales

Revenue model

1. Software-as-a-Service (SaaS) for Price Transparency: Hospital Pricing Specialists offers a fully outsourced software solution including the EZCOST price estimator tool and complete hosting services. Revenue is generated through subscription-based pricing for their compliance solutions and outsourcing services.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

Hospital Pricing Specialists provides a fully outsourced software solution for healthcare price transparency compliance, anchored by its EZCOST® Patient Price Estimator Tool and supported by complete hosting services that generate and maintain CMS-compliant machine-readable files. The company pairs the software with reimbursement and pricing advisory services, and offers the MOAD® revenue cycle management solution as part of its product suite. Its offering is purpose-built for Critical Access Hospitals and rural healthcare facilities that lack in-house compliance resources.

Product overview

Hospital Pricing Specialists offers a fully outsourced software solution for healthcare price transparency compliance. The core product portfolio includes the EZCOST® Patient Price Estimator Tool, which provides patient-facing price estimates, and MOAD®, a revenue cycle management solution. Both products are supported by complete outsourcing and hosting services that generate and maintain CMS-compliant machine-readable files. The offering is designed specifically for Critical Access Hospitals and rural healthcare facilities, providing a complete 100% outsourced compliance solution rather than requiring hospitals to build and maintain their own price transparency infrastructure.

Differentiator

Problem solved

Functional benefit

Brands

• EZCOST®: Patient Price Estimator Tool - a fully compliant machine-readable file solution for CMS price transparency compliance.
• MOAD®

Products and services

• EZCOST® Patient Price Estimator Tool A patient-facing price estimation tool that provides transparent healthcare pricing information, enabling patients to estimate out-of-pocket costs before receiving services. Built for healthcare facilities that need a CMS-compliant estimator as part of their price-transparency program.
• MOAD® A revenue cycle management solution and registered trademark of Hospital Pricing Specialists, designed to support healthcare pricing and reimbursement workflows alongside the EZCOST® line.
• CMS-compliant Machine-Readable Files (outsourced) A fully outsourced machine-readable file service that produces and maintains 100% CMS-compliant pricing files on behalf of healthcare providers, eliminating the need for in-house file generation.
• Outsourced Hosting and Compliance Services A complete outsourced package that handles hosting, maintenance, and ongoing compliance operations for healthcare organizations' price-transparency programs, enabling Critical Access Hospitals and rural facilities to meet federal requirements without in-house development.

Quantifiable outcome

• 100% CMS compliant solutions for price transparency
• +2 more outcomes

Segments2 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Scale indicators4 records

Recent moves5 records

Expansion highlights3 records

Market position

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/hospitalpricingspecialists

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Hospital Pricing Specialists