{"schemaVersion":2,"hospital":{"key":"160029","name":"UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWN","displayName":"University of Iowa Health Care Medical Center Down","displayCity":"Iowa City","location":"IOWA CITY, 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MRF\".","result":"INDETERMINATE","ruleKey":"hpt.mrf.gross_charges_complete","authority":["45 CFR 180.50(b)(2)(ii)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The file exceeded a size or time limit CareCarta sets."},{"title":"MRF lists a discounted cash price for every item and service that has one","detail":"This check could not be made because an earlier check could not be determined: \"CareCarta parsed the whole MRF\".","result":"INDETERMINATE","ruleKey":"hpt.mrf.cash_prices_complete","authority":["45 CFR 180.50(b)(2)(ii)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The file exceeded a size or time limit CareCarta sets."},{"title":"MRF correctly encodes the de-identified minimum negotiated charge","detail":"This check could not be made because an earlier check could not be determined: \"The CMS validator finished\".","result":"INDETERMINATE","ruleKey":"hpt.mrf.cms.minimum_charge","authority":["45 CFR 180.50(b)(2)(ii)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The file exceeded a size or time limit CareCarta sets."},{"title":"MRF correctly encodes the de-identified maximum negotiated charge","detail":"This check could not be made because an earlier check could not be determined: \"The CMS validator finished\".","result":"INDETERMINATE","ruleKey":"hpt.mrf.cms.maximum_charge","authority":["45 CFR 180.50(b)(2)(ii)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The file exceeded a size or time limit CareCarta sets."}],"title":"Standard charges","groups":[{"key":"payer_specific","rules":[{"title":"MRF correctly encodes payer and plan names","detail":"This check could not be made because an earlier check could not be determined: \"The CMS validator finished\".","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 file exceeded a size or time limit CareCarta sets."},{"title":"MRF correctly encodes how each charge was established","detail":"This check could not be made because an earlier check could not be determined: \"The CMS validator finished\".","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 file exceeded a size or time limit CareCarta sets."}],"title":"Payer-specific negotiated charge","groups":[{"key":"rate_expression","rules":[{"title":"MRF expresses each negotiated rate as a dollar amount, percentage, or algorithm","detail":"This check could not be made because an earlier check could not be determined: \"The CMS validator finished\".","result":"INDETERMINATE","ruleKey":"hpt.mrf.cms.rate_form","authority":["45 CFR 180.50(b)(2)(ii)(C)"],"statusLabel":"Couldn't 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180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The file exceeded a size or time limit CareCarta sets."},{"title":"MRF correctly encodes the median allowed amount","detail":"This check could not be made because an earlier check could not be determined: \"The CMS validator finished\".","result":"INDETERMINATE","ruleKey":"hpt.mrf.cms.allowed_median","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The file exceeded a size or time limit CareCarta sets."},{"title":"MRF correctly encodes the 90th percentile allowed amount","detail":"This check could not be made because an earlier check could not be determined: \"The CMS validator finished\".","result":"INDETERMINATE","ruleKey":"hpt.mrf.cms.allowed_p90","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The file exceeded a size or time limit CareCarta sets."},{"title":"MRF correctly encodes the count of allowed amounts","detail":"This check could not be made because an earlier check could not be determined: \"The CMS validator finished\".","result":"INDETERMINATE","ruleKey":"hpt.mrf.cms.allowed_count","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The file exceeded a size or time limit CareCarta sets."}],"title":"Allowed-amount statistics","groups":[],"result":"INDETERMINATE","authority":"45 CFR 180.50(b)(2)(ii)(C)(2)","statusLabel":"4 couldn't be determined","distribution":{"FAIL":0,"PASS":0,"BLOCKED":0,"INDETERMINATE":4,"NOT_APPLICABLE":0},"display":"COULD_NOT_DETERMINE","displayCounts":{"COULD_NOT_DETERMINE":4}}],"result":"INDETERMINATE","authority":"45 CFR 180.50(b)(2)(ii)(C)","statusLabel":"6 couldn't be 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finished\".","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 file exceeded a size or time limit CareCarta sets."},{"title":"MRF correctly encodes the inpatient or outpatient setting","detail":"This check could not be made because an earlier check could not be determined: \"The CMS validator finished\".","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 file exceeded a size or time limit CareCarta sets."},{"title":"MRF correctly encodes drug units and measurement type","detail":"This check could not be made because an earlier check could not be determined: \"The CMS validator finished\".","result":"INDETERMINATE","ruleKey":"hpt.mrf.cms.drug_units","authority":["45 CFR 180.50(b)(2)(iii)(C)"],"statusLabel":"Couldn't 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earlier check could not be determined: \"CareCarta parsed the whole MRF\".","result":"INDETERMINATE","ruleKey":"hpt.mrf.modifiers_complete","authority":["45 CFR 180.50(b)(2)(iv)(C)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The file exceeded a size or time limit CareCarta sets."}],"title":"Billing and coding information","groups":[],"result":"INDETERMINATE","authority":"45 CFR 180.50(b)(2)(iv)","statusLabel":"2 couldn't be determined","distribution":{"FAIL":0,"PASS":0,"BLOCKED":0,"INDETERMINATE":2,"NOT_APPLICABLE":0},"display":"COULD_NOT_DETERMINE","displayCounts":{"COULD_NOT_DETERMINE":2}},{"key":"cms_format","rules":[{"title":"MRF passes the CMS validator without errors","detail":"The CMS validator ended with TIMED_OUT.","result":"INDETERMINATE","ruleKey":"hpt.mrf.cms.template","authority":["45 CFR 180.50(c)(2)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The file exceeded a size or time limit CareCarta 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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 CSV 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 426004813-1699541870_state-university-of-iowa_standardcharges.csv matches the required identifier, hospital-name, and standardcharges structure.","result":"PASS","ruleKey":"hpt.mrf.format.filename","authority":["45 CFR 180.50(d)(5)"],"statusLabel":"Passed","display":"PASS"},{"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 entry \"UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWNTOWN\" links an MRF (https://www.healthcare.uiowa.edu/marcom/uihc/billing/426004813-1699541870_state-university-of-iowa_standardcharges.csv) that declares this hospital's Type 2 NPI.","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://uihc.org/patient-financial-resources) 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":"PASS","authority":"45 CFR 180.50(d)(1)-(6)","statusLabel":"Passed","distribution":{"FAIL":0,"PASS":9,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":0},"display":"PASS","displayCounts":{"PASS":9}},{"key":"update_frequency","rules":[{"title":"MRF was updated within the past 12 months","detail":"This check could not be made because an earlier check could not be determined: \"CareCarta read the MRF's header fields\".","result":"INDETERMINATE","ruleKey":"hpt.mrf.updated_within_year","authority":["45 CFR 180.50(e)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The file exceeded a size or time limit CareCarta sets."}],"title":"Update frequency","groups":[],"result":"INDETERMINATE","authority":"45 CFR 180.50(e)","statusLabel":"1 couldn't be 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assessed","distribution":{"FAIL":0,"PASS":0,"BLOCKED":0,"INDETERMINATE":1,"NOT_APPLICABLE":0},"display":"NOT_ASSESSED","displayCounts":{"NOT_ASSESSED":1}}]}],"history":[{"id":"2026-09-27","evaluatedAt":"2026-09-27T20:30:55.873Z","summary":{"total":33,"passed":28,"failed":0,"blocked":0,"notApplicable":0,"couldNotDetermine":1,"notAssessed":4,"checked":28,"passRate":1},"groups":[{"key":"attestation","result":"PASS"},{"key":"hospital_mrf_information","result":"PASS"},{"key":"standard_charges","result":"COULD_NOT_DETERMINE"},{"key":"item_service","result":"PASS"},{"key":"billing_coding","result":"PASS"},{"key":"cms_format","result":"PASS"},{"key":"publication_access","result":"PASS"},{"key":"update_frequency","result":"PASS"},{"key":"shoppable_services","result":"NOT_ASSESSED"}]},{"id":"2026-09-28","evaluatedAt":"2026-09-28T06:30:05.787Z","summary":{"total":33,"passed":9,"failed":0,"blocked":0,"notApplicable":0,"couldNotDetermine":23,"notAssessed":1,"checked":9,"passRate":1},"groups":[{"key":"attestation","result":"COULD_NOT_DETERMINE"},{"key":"hospital_mrf_information","result":"COULD_NOT_DETERMINE"},{"key":"standard_charges","result":"COULD_NOT_DETERMINE"},{"key":"item_service","result":"COULD_NOT_DETERMINE"},{"key":"billing_coding","result":"COULD_NOT_DETERMINE"},{"key":"cms_format","result":"COULD_NOT_DETERMINE"},{"key":"publication_access","result":"PASS"},{"key":"update_frequency","result":"COULD_NOT_DETERMINE"},{"key":"shoppable_services","result":"NOT_ASSESSED"}]}],"enforcement":{"detail":"CMS 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"},"disclaimer":"The MRF was acquired, but the structural validator did not complete conclusively. No pass or failure was inferred from incomplete validator output."}