{"schemaVersion":2,"hospital":{"key":"030062","name":"SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","displayName":"Summit Healthcare Regional Medical Center","displayCity":"Show Low","location":"SHOW LOW, AZ","identifiers":{"ccn":"030062","npi_type_2":"1144209271"}},"date":"2026-09-28","planKey":"national:2026-09-28:cdc5e7a710039c158be06a0521bcf44d9455bccf","publishedAt":"2026-09-29T05:48:53.466Z","summary":{"total":33,"passed":9,"failed":10,"blocked":0,"notApplicable":2,"couldNotDetermine":8,"notAssessed":4,"checked":19,"passRate":0.47368421052631576},"files":[{"runKey":"national-work:2026-09-28:cdc5e7a710039c158be06a0521bcf44d9455bccf:mrf-9c34758ed22de75b95cb","evaluatedAt":"2026-09-28T07:10:21.597Z","sharedWithOthers":0,"sourceLinks":{"homepage":"https://summithealthcare.net/","cms_hpt_txt":"https://summithealthcare.net/cms-hpt.txt","current_mrf":"https://hospitalpricedisclosure.com/download.aspx?pi=L*__*5isnkJWsT9OFJEKfZzfA*-*","transparency_page":"https://hospitalpricedisclosure.com/default.aspx?pi=L*__*5isnkJWsT9OFJEKfZzfA*-*"},"artifact":{"sha256":"61e8280c6b501f6784ef86b7300f4cd30a3b77485b3ddd3cd4c5c38abed7df44","size_bytes":6330597,"display_size":"6.3 MB","display_format":"JSON","last_observed_change_at":"2026-09-27T19:13:34.947Z"},"ruleset":{"key":"hpt-v3","version":"catalog v2","dataDictionaryVersion":"3.0.0"},"summary":{"total":33,"passed":9,"failed":10,"blocked":0,"notApplicable":2,"couldNotDetermine":8,"notAssessed":4,"checked":19,"passRate":0.47368421052631576},"groups":[{"key":"attestation","rules":[{"title":"MRF correctly encodes the accuracy and completeness attestation","detail":"must have required property 'attestation'","result":"FAIL","ruleKey":"hpt.mrf.cms.attestation","authority":["45 CFR 180.50(a)(3)(iii)"],"statusLabel":"Failed","affectedRecordCount":1,"display":"FAIL"},{"title":"MRF correctly encodes the attester's name","detail":"The completed structural evaluation reported no deficiency for this nonconditional check.","result":"PASS","ruleKey":"hpt.mrf.cms.attester_name","authority":["45 CFR 180.50(a)(3)(iv)"],"statusLabel":"Passed","display":"PASS"}],"title":"Attestation and responsible official","groups":[],"result":"FAIL","authority":"45 CFR 180.50(a)(3)","statusLabel":"1 failed","distribution":{"FAIL":1,"PASS":1,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"FAIL":1,"PASS":1}},{"key":"hospital_mrf_information","rules":[{"title":"MRF declares this hospital's Type 2 NPI","detail":"The MRF does not declare a Type 2 NPI.","result":"INDETERMINATE","ruleKey":"hpt.mrf.identity.npi","authority":["45 CFR 180.50(b)(2)(i)(A)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The hospital's file does not include a value this check needs."},{"title":"MRF correctly encodes its template version and update date","detail":"The value in this MRF's version data element \"2.2.0\" does not match the expected template version \"3.0.0\" for the data dictionary requirements selected for validation.","result":"FAIL","ruleKey":"hpt.mrf.cms.version_and_date","authority":["45 CFR 180.50(b)(2)(i)(B)"],"statusLabel":"Failed","affectedRecordCount":1,"display":"FAIL"}],"title":"Hospital and MRF information","groups":[],"result":"FAIL","authority":"45 CFR 180.50(b)(2)(i)","statusLabel":"1 failed","distribution":{"FAIL":1,"PASS":0,"BLOCKED":0,"INDETERMINATE":1,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"COULD_NOT_DETERMINE":1,"FAIL":1}},{"key":"standard_charges","rules":[{"title":"MRF lists a gross charge for every item and service","detail":"Gross charge values are populated on 14,931 charge objects and blank on 495 charge objects. The MRF alone cannot prove that every applicable hospital item or service is represented.","result":"INDETERMINATE","ruleKey":"hpt.mrf.gross_charges_complete","authority":["45 CFR 180.50(b)(2)(ii)"],"statusLabel":"Not assessed","display":"NOT_ASSESSED","reason":"The price file alone cannot answer this; it needs evidence from outside the file."},{"title":"MRF lists a discounted cash price for every item and service that has one","detail":"Discounted cash price values are populated on 0 charge objects and blank on 15,426 charge objects. The MRF alone cannot prove that every applicable hospital item or service is represented.","result":"INDETERMINATE","ruleKey":"hpt.mrf.cash_prices_complete","authority":["45 CFR 180.50(b)(2)(ii)"],"statusLabel":"Not assessed","display":"NOT_ASSESSED","reason":"The price file alone cannot answer this; it needs evidence from outside the file."},{"title":"MRF correctly encodes the de-identified minimum negotiated charge","detail":"No dollar-denominated payer rates were found across 14,987 parsed records.","result":"NOT_APPLICABLE","ruleKey":"hpt.mrf.cms.minimum_charge","authority":["45 CFR 180.50(b)(2)(ii)"],"statusLabel":"Not applicable","display":"NOT_APPLICABLE"},{"title":"MRF correctly encodes the de-identified maximum negotiated charge","detail":"No dollar-denominated payer rates were found across 14,987 parsed records.","result":"NOT_APPLICABLE","ruleKey":"hpt.mrf.cms.maximum_charge","authority":["45 CFR 180.50(b)(2)(ii)"],"statusLabel":"Not applicable","display":"NOT_APPLICABLE"}],"title":"Standard charges","groups":[{"key":"payer_specific","rules":[{"title":"MRF correctly encodes payer and plan names","detail":"The CMS validator reported 2 errors about the charge rows that CareCarta could not attach to a specific check, so this check is not called clear. The errors are listed under template conformance.","result":"INDETERMINATE","ruleKey":"hpt.mrf.cms.payer_and_plan","authority":["45 CFR 180.50(b)(2)(ii)(A)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear."},{"title":"MRF correctly encodes how each charge was established","detail":"The CMS validator reported 2 errors about the charge rows that CareCarta could not attach to a specific check, so this check is not called clear. The errors are listed under template conformance.","result":"INDETERMINATE","ruleKey":"hpt.mrf.cms.methodology","authority":["45 CFR 180.50(b)(2)(ii)(B)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear."}],"title":"Payer-specific negotiated charge","groups":[{"key":"rate_expression","rules":[{"title":"MRF expresses each negotiated rate as a dollar amount, percentage, or algorithm","detail":"The CMS validator reported 2 errors about the charge rows that CareCarta could not attach to a specific check, so this check is not called clear. The errors are listed under template conformance.","result":"INDETERMINATE","ruleKey":"hpt.mrf.cms.rate_form","authority":["45 CFR 180.50(b)(2)(ii)(C)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear."},{"title":"Percentage and algorithm rates give enough information to derive a dollar amount","detail":"2,800 percentage- or algorithm-based payer rates require semantic review of whether a reasonable user can derive a dollar amount.","result":"INDETERMINATE","ruleKey":"hpt.mrf.algorithm_derivable","authority":["45 CFR 180.50(a)(3)(iii)","45 CFR 180.50(b)(2)(ii)(C)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"This needs a person to judge; the automated check cannot decide it."}],"title":"Rate expression and methodology","groups":[{"key":"allowed_amounts","rules":[{"title":"MRF correctly encodes the 10th percentile allowed amount","detail":"must match \"then\" schema (reported 5,600 times). must have required property '10th_percentile' (reported 2,800 times).","result":"FAIL","ruleKey":"hpt.mrf.cms.allowed_p10","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Failed","affectedRecordCount":8400,"display":"FAIL"},{"title":"MRF correctly encodes the median allowed amount","detail":"must match \"then\" schema (reported 5,600 times). must have required property 'median_amount' (reported 2,800 times).","result":"FAIL","ruleKey":"hpt.mrf.cms.allowed_median","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Failed","affectedRecordCount":8400,"display":"FAIL"},{"title":"MRF correctly encodes the 90th percentile allowed amount","detail":"must match \"then\" schema (reported 5,600 times). must have required property '90th_percentile' (reported 2,800 times).","result":"FAIL","ruleKey":"hpt.mrf.cms.allowed_p90","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Failed","affectedRecordCount":8400,"display":"FAIL"},{"title":"MRF correctly encodes the count of allowed amounts","detail":"must have required property 'count' (reported 2,800 times). must match \"then\" schema (reported 5,600 times).","result":"FAIL","ruleKey":"hpt.mrf.cms.allowed_count","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Failed","affectedRecordCount":8400,"display":"FAIL"}],"title":"Allowed-amount statistics","groups":[],"result":"FAIL","authority":"45 CFR 180.50(b)(2)(ii)(C)(2)","statusLabel":"4 failed","distribution":{"FAIL":4,"PASS":0,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"FAIL":4}}],"result":"FAIL","authority":"45 CFR 180.50(b)(2)(ii)(C)","statusLabel":"4 failed","distribution":{"FAIL":4,"PASS":0,"BLOCKED":0,"INDETERMINATE":2,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"COULD_NOT_DETERMINE":2,"FAIL":4}}],"result":"FAIL","authority":"45 CFR 180.50(b)(2)(ii)(A)-(C)","statusLabel":"4 failed","distribution":{"FAIL":4,"PASS":0,"BLOCKED":0,"INDETERMINATE":4,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"COULD_NOT_DETERMINE":4,"FAIL":4}}],"result":"FAIL","authority":"45 CFR 180.50(b)(2)(ii)","statusLabel":"4 failed","distribution":{"FAIL":4,"PASS":0,"BLOCKED":0,"INDETERMINATE":6,"NOT_APPLICABLE":2},"display":"FAIL","displayCounts":{"NOT_ASSESSED":2,"NOT_APPLICABLE":2,"COULD_NOT_DETERMINE":4,"FAIL":4}},{"key":"item_service","rules":[{"title":"MRF correctly encodes each item or service description","detail":"The CMS validator reported 2 errors about the charge rows that CareCarta could not attach to a specific check, so this check is not called clear. The errors are listed under template conformance.","result":"INDETERMINATE","ruleKey":"hpt.mrf.cms.description","authority":["45 CFR 180.50(b)(2)(iii)(A)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear."},{"title":"MRF correctly encodes the inpatient or outpatient setting","detail":"The CMS validator reported 2 errors about the charge rows that CareCarta could not attach to a specific check, so this check is not called clear. The errors are listed under template conformance.","result":"INDETERMINATE","ruleKey":"hpt.mrf.cms.setting","authority":["45 CFR 180.50(b)(2)(iii)(B)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear."},{"title":"MRF correctly encodes drug units and measurement type","detail":"must be number (reported 1,568 times).","result":"FAIL","ruleKey":"hpt.mrf.cms.drug_units","authority":["45 CFR 180.50(b)(2)(iii)(C)"],"statusLabel":"Failed","affectedRecordCount":1568,"display":"FAIL"}],"title":"Item and service information","groups":[],"result":"FAIL","authority":"45 CFR 180.50(b)(2)(iii)","statusLabel":"1 failed","distribution":{"FAIL":1,"PASS":0,"BLOCKED":0,"INDETERMINATE":2,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"COULD_NOT_DETERMINE":2,"FAIL":1}},{"key":"billing_coding","rules":[{"title":"MRF correctly encodes billing codes and code types","detail":"The CMS validator reported 2 errors about the charge rows that CareCarta could not attach to a specific check, so this check is not called clear. The errors are listed under template conformance.","result":"INDETERMINATE","ruleKey":"hpt.mrf.cms.billing_code","authority":["45 CFR 180.50(b)(2)(iv)(A)-(B)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear."},{"title":"MRF lists every applicable modifier and its charges","detail":"The MRF was parsed for encoded modifiers, but the file alone cannot establish whether every applicable modifier-specific charge is represented.","result":"INDETERMINATE","ruleKey":"hpt.mrf.modifiers_complete","authority":["45 CFR 180.50(b)(2)(iv)(C)"],"statusLabel":"Not assessed","display":"NOT_ASSESSED","reason":"The price file alone cannot answer this; it needs evidence from outside the file."}],"title":"Billing and coding information","groups":[],"result":"INDETERMINATE","authority":"45 CFR 180.50(b)(2)(iv)","statusLabel":"1 couldn't be 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180.50(c)(2)","statusLabel":"1 failed","distribution":{"FAIL":1,"PASS":0,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"FAIL":1}},{"key":"publication_access","rules":[{"title":"MRF downloads without payment","detail":"CareCarta retrieved the file without payment.","result":"PASS","ruleKey":"hpt.mrf.access.no_payment","authority":["45 CFR 180.50(d)(3)(i)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF downloads without an account or password","detail":"CareCarta retrieved the file without an account or password.","result":"PASS","ruleKey":"hpt.mrf.access.no_login","authority":["45 CFR 180.50(d)(3)(ii)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF downloads without submitting personal information","detail":"CareCarta retrieved the file without submitting personally identifiable information.","result":"PASS","ruleKey":"hpt.mrf.access.no_personal_info","authority":["45 CFR 180.50(d)(3)(iii)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF downloads to an automated client","detail":"An automated HTTP client downloaded the declared MRF successfully.","result":"PASS","ruleKey":"hpt.mrf.access.automated","authority":["45 CFR 180.50(d)(3)(iv)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF is a CSV or JSON file, optionally compressed","detail":"The downloaded artifact provides JSON that can be processed as structured text.","result":"PASS","ruleKey":"hpt.mrf.format.csv_or_json","authority":["45 CFR 180.50(d)(4)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF file name follows the CMS convention","detail":"The published file name download.aspx does not match the required standardcharges file name structure.","result":"FAIL","ruleKey":"hpt.mrf.format.filename","authority":["45 CFR 180.50(d)(5)"],"statusLabel":"Failed","display":"FAIL"},{"title":"cms-hpt.txt is published and uses the required fields","detail":"The cms-hpt.txt file uses the required canonical fields and valid values.","result":"PASS","ruleKey":"hpt.txt.conforms","authority":["45 CFR 180.50(d)(6)(i)"],"statusLabel":"Passed","display":"PASS"},{"title":"cms-hpt.txt links this hospital's MRF","detail":"The cms-hpt.txt file declares one MRF (https://hospitalpricedisclosure.com/download.aspx?pi=L*__*5isnkJWsT9OFJEKfZzfA*-*), so it is this hospital's.","result":"PASS","ruleKey":"hpt.txt.links_mrf","authority":["45 CFR 180.50(d)(6)(i)"],"statusLabel":"Passed","display":"PASS"},{"title":"Homepage has a link labelled Price Transparency","detail":"A labeled Price Transparency link (https://hospitalpricedisclosure.com/Default.aspx?ci=jIOy30y0*__*DGUDvGuyqzjQw*-*) was observed in the acquired hospital homepage HTML.","result":"PASS","ruleKey":"hpt.website.price_transparency_link","authority":["45 CFR 180.50(d)(6)(ii)"],"statusLabel":"Passed","display":"PASS"}],"title":"Publication and accessibility","groups":[],"result":"FAIL","authority":"45 CFR 180.50(d)(1)-(6)","statusLabel":"1 failed","distribution":{"FAIL":1,"PASS":8,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"PASS":8,"FAIL":1}},{"key":"update_frequency","rules":[{"title":"MRF was updated within the past 12 months","detail":"The MRF reports 2025-01-01, more than one year before this audit observation.","result":"FAIL","ruleKey":"hpt.mrf.updated_within_year","authority":["45 CFR 180.50(e)"],"statusLabel":"Failed","display":"FAIL"}],"title":"Update frequency","groups":[],"result":"FAIL","authority":"45 CFR 180.50(e)","statusLabel":"1 failed","distribution":{"FAIL":1,"PASS":0,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"FAIL":1}},{"key":"shoppable_services","rules":[{"title":"Website offers a qualifying shoppable-services list or price estimator","detail":"CareCarta has not built an evaluator for the shoppable-services disclosure (45 CFR 180.60) yet, so this check cannot be decided.","result":"INDETERMINATE","ruleKey":"hpt.website.shoppable_services","authority":["45 CFR 180.60(a)(1)","45 CFR 180.60(a)(2)"],"statusLabel":"Not assessed","display":"NOT_ASSESSED","reason":"CareCarta has not built this check yet."}],"title":"Shoppable services disclosure","groups":[],"result":"INDETERMINATE","authority":"45 CFR 180.60","statusLabel":"Not 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enforcement records were not evaluated in this bounded audit.","status":"NOT_EVALUATED"},"hospitalResponse":{"detail":"No hospital response is recorded for this bounded audit.","status":"NONE_RECORDED"}}