The fine is depressing and invalidates much of the benefit and work that went into passing the rule. Until the fine amount is increased (which I suspect may take quite some time if it ever happens) compliance will continue to be low without some other external pressure on the health systems. Are there any tools / organizations that are aggregating this data for consumers to use for comparison of service pricing? The pressure of consumers may be the best chance we have to drive compliance, but it also seems like a chicken / egg scenario where it will be hard to get enough consumer pressure without more than 25% of health systems releasing their pricing.