Fix Time
2 hours
Accumulated Liability
$330,000
Daily Penalty
$2,750/day
Status
open
Regulation
45 CFR § 180.50(c)(2) →
The machine-readable file must include all required data elements per CMS data dictionary.
What's Wrong?
Machine-readable file is missing required data elements such as payer names, negotiated charges, or discounted cash prices.
How to Fix
Owner: revenue cycle • Estimated time: 2 hours
1
Download your current machine-readable file
Access your published standard-charges.json or .csv file and save a copy locally.
2
Identify missing data elements
Compare your file against the CMS data dictionary. Common missing fields: payer_name, negotiated_rate, discounted_cash_price, gross_charge.
📄 Documentation →3
Extract missing data from internal systems
Pull the missing data from your chargemaster, contract management system, or billing system.
4
Update the file with complete data
Add the missing columns/fields to your MRF. Ensure every row has values for required fields (no blanks).
Example:
If "payer_name" is missing, add column and populate with legal entity names (e.g., "Aetna Health Inc.")5
Re-upload updated file to website
Replace the old file with your updated version at the same URL.
Evidence
{
"missing_fields": [
"payer_name",
"negotiated_rate"
],
"file_url": "https://stmarysregional.org/price-transparency/standard-charges.json"
}Estimated violation age: 120 days