Midmarket CIOs often face unexpected cost increases from managed service providers due to unclear contracts, changing scope, and evolving technology requirements. This article outlines practical steps CIOs can take to reduce pricing surprises, including improving contract transparency, aligning services to business outcomes, standardizing service catalogs, and holding MSPs accountable to clearly defined SLAs. The takeaway: predictable MSP pricing depends on proactive governance, operational clarity, and a stronger partnership model.