HIPAA Audit & Assessment Pricing

Standard HIPAA Assessment Fees

Most firms make you sit through a sales cycle to learn what HIPAA compliance costs. We publish our standard pricing. The starting fees below apply to a complete HIPAA audit and assessment — the Security Risk Analysis required by 45 CFR § 164.308(a)(1)(ii)(A), Security Rule and Privacy Rule review, gap analysis, and a compliance attestation letter — and are based on your total company headcount.

These are starting fees for standard engagements. Your final fee is set at scoping by a short list of published factors: whether your environment is managed by an MSP, whether you run a GRC platform or no platform at all, and how long an observation period you want. Each engagement is priced individually and confirmed in the engagement letter.

In plain terms: a HIPAA audit and assessment from Auditsuisse starts at $2,000 for organizations with 1–20 employees, $3,000 for 21–35, $4,000 for 36–50, $5,000 for 51–100, and $10,000 for 101–250 employees, with organizations above 250 employees quoted individually. The assessment can be completed entirely without a GRC platform, and a point-in-time assessment is standard — an optional 3-, 6-, or 12-month observation period can be added.

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What Determines Your Final Fee

We price from the schedule above, then confirm the final fee at scoping based on three factors — the same three for every client:

• MSP-managed environments — if a managed service provider runs your IT, evidence for infrastructure, patching, and access controls is typically centralized, which streamlines fieldwork but adds a coordination layer we confirm at scoping.
• GRC platform — or no platform at all — we are platform agnostic. Vanta, Drata, Secureframe, Sprinto, or any other platform works, and none is favored: a platform mostly changes how quickly evidence is collected, not the standard we assess against. No platform is equally fine — the entire assessment can be completed 100% without a GRC platform, working from spreadsheets and evidence exported directly from your systems. No tooling purchase is required to become HIPAA compliant.
• Observation period — a point-in-time assessment is the standard engagement. If you want your safeguards evaluated in operation over time — similar to the SOC 2 Type I versus Type II distinction — you can add a 3-, 6-, or 12-month observation period; longer windows increase fieldwork and fee.

What Standard Pricing Includes

• Security Risk Analysis — the risk analysis required by the HIPAA Security Rule, performed in line with NIST SP 800-66 and OCR guidance, covering your ePHI systems, threats, and vulnerabilities.
• Security Rule and Privacy Rule review — administrative, physical, and technical safeguards, plus patient rights, minimum-necessary use, and authorization practices.
• Gap analysis with a prioritized remediation roadmap — findings with risk ratings and practical implementation guidance, not a checkbox report.
• Compliance attestation letter — documentation of your assessment from a licensed CPA firm, the due-diligence evidence OCR and enterprise customers ask for.
• Senior-led engagement team — your assessment is run by experienced practitioners, not a rotating bench of junior associates.
• Fixed-fee certainty — the fee is set in your engagement letter; no hourly billing, no scope-creep invoices.

What Is Priced Separately

• Remediation implementation — we deliver the roadmap and guidance; hands-on implementation of fixes is scoped separately if you want help.
• Penetration testing — available as a separate service.
• SOC 2 and other frameworks — many clients pair HIPAA with SOC 2; combined engagements reuse overlapping controls and are quoted together at scoping. See our control crosswalk.
• Compliance platform subscriptions — billed by your platform vendor, not by Auditsuisse. A GRC platform is optional, not a requirement for the assessment.

Engagement Conditions

These are our standard starting fees, not a self-serve checkout. As a licensed CPA firm, every engagement requires individual approval before an engagement letter is issued. Pricing is confirmed in your engagement letter following a scoping call and reflects the three published factors — MSP involvement, platform status, and observation period — plus the circumstances of your environment. Factors that commonly move a fee above the starting schedule include:

• Longer observation periods — 6- and 12-month observed windows require more fieldwork than a point-in-time assessment.
• Complex ePHI flows — multiple products handling ePHI, many third-party integrations, or extensive business-associate chains.
• Complex or hybrid infrastructure — multi-cloud, on-premise servers, or clinical systems beyond standard cloud environments.
• Structural complexity — multiple legal entities, many physical sites, or more than 250 employees (these receive a custom fixed-fee proposal).

"Publishing our standard fees is deliberate. HIPAA pricing should be a scoping conversation, not a negotiation — you should know what an assessment costs before you ever talk to us."

— Sébastien Ruosch, CPA, Director of Auditsuisse Assurance

How This Compares to the Market

Industry guides put typical third-party HIPAA assessments at roughly $8,000–$25,000 for small and mid-size organizations, with full-scope engagements commonly reaching $20,000–$50,000 and consultants billing $250–$350 an hour. Auditsuisse prices below these ranges because our senior-led, automation-native methodology removes the junior-staff hours that inflate traditional engagements — not because the assessment is lighter. The work is performed by a licensed US CPA firm, follows NIST SP 800-66 and OCR guidance, and produces the documentation that stands up to customer diligence and regulator scrutiny.