criticalopen

Incomplete standard charge data fields

45 CFR § 180.50(c)(2)

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 · Est. 2 hours

Download your current machine-readable file

Access your published standard-charges.json or .csv file and save a copy locally.

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 →

Extract missing data from internal systems

Pull the missing data from your chargemaster, contract management system, or billing system.

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.")

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"
}

Violation age: 120 days

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