๐ŸŽฏ

Demo Account - Viewing St. Mary's Regional Medical Center (275 beds)

CMS penalty rate: $2,750/day โ€ข Sign up to monitor your hospital's compliance

Logo
๐Ÿ”ด

Missing machine-readable file accessibility

45 CFR ยง 180.50(b)

critical
Fix Time
45 minutes
Accumulated Liability
$250,250
Daily Penalty
$2,750/day
Status
open
Regulation
45 CFR ยง 180.50(b) โ†’

Hospitals must make public all standard charges in a single machine-readable file.

What's Wrong?

Hospital has not published a publicly accessible machine-readable file containing standard charges.

How to Fix
Owner: web team โ€ข Estimated time: 45 minutes
1

Locate or create your machine-readable file

Your hospital must publish a machine-readable file (MRF) in JSON or CSV format. If you don't have one, download the CMS template from GitHub.

๐Ÿ“„ Documentation โ†’
2

Upload file to your website

Place the file on your hospital's public website. Common locations: /price-transparency/ or /standard-charges/

Example:

https://yourhospital.org/price-transparency/standard-charges.json
3

Verify file is publicly accessible

Test the URL in an incognito browser window. The file should download without requiring login or authentication.

4

Create cms-hpt.txt file (optional but recommended)

Create a cms-hpt.txt file in your website root directory listing all price transparency file URLs.

๐Ÿ“„ Documentation โ†’
5

Add "Price Transparency" footer link

Add a link labeled "Price Transparency" in your website footer that links directly to the page hosting your MRF file.

Example:

<a href="/price-transparency">Price Transparency</a>
Evidence
{
  "error": "404 Not Found",
  "url_tested": "https://stmarysregional.org/price-transparency/standard-charges.json",
  "attempted_at": "2025-11-07T03:32:00.293Z"
}

Estimated violation age: 91 days

View All Violations
HealthPriceWatch - Stop CMS Fines Before They Start