Usable hospital price transparency America.co evaluation worksheet — proposed design, not an official form https://america.co/solutions/hospital-price-transparency Sources consulted 2026-10-04 Facility and public price-file URL: ____________________ File update date and access date: ____________________ Service code, description, and care setting: ____________________ Cash or exact payer/plan rate type: ____________________ Included, excluded, and unknown components: ____________________ Provider/plan confirmation still needed: ____________________ Limitations and next review date: ____________________ No result, budget, or approval is implied by this template.