{"schemaVersion":2,"hospital":{"key":"370097","name":"SOUTHWESTERN MEDICAL CENTER","displayName":"Southwestern Medical Center","displayCity":"Lawton","location":"LAWTON, OK","identifiers":{"ccn":"370097","npi_type_2":null}},"date":"2026-09-28","planKey":"national:2026-09-28:cdc5e7a710039c158be06a0521bcf44d9455bccf","publishedAt":"2026-09-29T05:48:53.466Z","summary":{"total":33,"passed":6,"failed":10,"blocked":0,"notApplicable":3,"couldNotDetermine":10,"notAssessed":4,"checked":16,"passRate":0.375},"files":[{"runKey":"national-work:2026-09-28:cdc5e7a710039c158be06a0521bcf44d9455bccf:mrf-41e03c9faaa780acc1b6","evaluatedAt":"2026-09-28T05:29:20.171Z","sharedWithOthers":0,"sourceLinks":{"homepage":"https://www.southwesternmedcenter.com/","current_mrf":"https://hospitalpricedisclosure.com/Download.aspx?pxi=t46O2wnjRVhoOnpQfKDTmA*-*&f=iFd*_*cEPwhQHJy3lVvHy9uQ*-*","transparency_page":"https://swmconline.com/understanding-your-healthcare-costs"},"artifact":{"sha256":"24a11fe5a4188b8fc6ee166a1354a8c867537dd36c9d8526632195b9c8024c77","size_bytes":5156210,"display_size":"5.2 MB","display_format":"JSON","last_observed_change_at":"2026-09-27T19:07:03.239Z"},"ruleset":{"key":"hpt-v3","version":"catalog v2","dataDictionaryVersion":"3.0.0"},"summary":{"total":33,"passed":6,"failed":10,"blocked":0,"notApplicable":3,"couldNotDetermine":10,"notAssessed":4,"checked":16,"passRate":0.375},"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":"CareCarta's facility reference has no Type 2 NPI to compare.","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":"CareCarta's reference data lacks a value needed for this check, such as the hospital's NPI."},{"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 16,860 charge objects and blank on 108 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 16,842 charge objects and blank on 126 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 16,966 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 16,966 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":"456 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 912 times). must have required property '10th_percentile' (reported 456 times).","result":"FAIL","ruleKey":"hpt.mrf.cms.allowed_p10","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Failed","affectedRecordCount":1368,"display":"FAIL"},{"title":"MRF correctly encodes the median allowed amount","detail":"must match \"then\" schema (reported 912 times). must have required property 'median_amount' (reported 456 times).","result":"FAIL","ruleKey":"hpt.mrf.cms.allowed_median","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Failed","affectedRecordCount":1368,"display":"FAIL"},{"title":"MRF correctly encodes the 90th percentile allowed amount","detail":"must match \"then\" schema (reported 912 times). must have required property '90th_percentile' (reported 456 times).","result":"FAIL","ruleKey":"hpt.mrf.cms.allowed_p90","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Failed","affectedRecordCount":1368,"display":"FAIL"},{"title":"MRF correctly encodes the count of allowed amounts","detail":"must have required property 'count' (reported 456 times). must match \"then\" schema (reported 912 times).","result":"FAIL","ruleKey":"hpt.mrf.cms.allowed_count","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Failed","affectedRecordCount":1368,"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":"No NDC-coded records were found across 16,966 parsed records.","result":"NOT_APPLICABLE","ruleKey":"hpt.mrf.cms.drug_units","authority":["45 CFR 180.50(b)(2)(iii)(C)"],"statusLabel":"Not applicable","display":"NOT_APPLICABLE"}],"title":"Item and service information","groups":[],"result":"INDETERMINATE","authority":"45 CFR 180.50(b)(2)(iii)","statusLabel":"2 couldn't be determined","distribution":{"FAIL":0,"PASS":0,"BLOCKED":0,"INDETERMINATE":2,"NOT_APPLICABLE":1},"display":"COULD_NOT_DETERMINE","displayCounts":{"COULD_NOT_DETERMINE":2,"NOT_APPLICABLE":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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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":"No cms-hpt.txt URL was supplied to this audit run.","result":"INDETERMINATE","ruleKey":"hpt.txt.conforms","authority":["45 CFR 180.50(d)(6)(i)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"CareCarta does not have an address for this hospital's source."},{"title":"cms-hpt.txt links this hospital's MRF","detail":"No cms-hpt.txt URL was supplied to this audit run.","result":"INDETERMINATE","ruleKey":"hpt.txt.links_mrf","authority":["45 CFR 180.50(d)(6)(i)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"CareCarta does not have an address for this hospital's source."},{"title":"Homepage has a link labelled Price Transparency","detail":"No Price Transparency link or mention was found in the hospital homepage HTML (234 links read).","result":"FAIL","ruleKey":"hpt.website.price_transparency_link","authority":["45 CFR 180.50(d)(6)(ii)"],"statusLabel":"Failed","display":"FAIL"}],"title":"Publication and accessibility","groups":[],"result":"FAIL","authority":"45 CFR 180.50(d)(1)-(6)","statusLabel":"2 failed","distribution":{"FAIL":2,"PASS":5,"BLOCKED":0,"INDETERMINATE":2,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"PASS":5,"FAIL":2,"COULD_NOT_DETERMINE":2}},{"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"}}