Standard charges
How 5,876 hospitals did
Results by check
MRF lists a gross charge for every item and service
Most common reasons it failed
| Reason | Hospitals |
|---|---|
| The MRF lists no gross charge on any of its N records. | 84 |
| The MRF lists no gross charge on any of its N record. | 2 |
Why it couldn't be determined (never counted against the hospital)
| Reason | Hospitals |
|---|---|
| CareCarta could not download the source on this attempt. A refusal, a web page in place of the file, or a server error counts against the hospital only if it happens again on a later day. | 16 |
| The file exceeded a size or time limit CareCarta sets. | 14 |
| CareCarta could not read the hospital's file, and the CMS validator did not find it invalid. | 4 |
MRF lists a discounted cash price for every item and service that has one
Why it couldn't be determined (never counted against the hospital)
| Reason | Hospitals |
|---|---|
| CareCarta could not download the source on this attempt. A refusal, a web page in place of the file, or a server error counts against the hospital only if it happens again on a later day. | 16 |
| The file exceeded a size or time limit CareCarta sets. | 14 |
| CareCarta could not read the hospital's file, and the CMS validator did not find it invalid. | 4 |
MRF correctly encodes the de-identified minimum negotiated charge
Most common reasons it failed
| Reason | Hospitals |
|---|---|
| "standard_charge|min" value "N" is not a positive number. You must encode a positive, non-zero, numeric value. | 3 |
| "standard_charge|min" value "no negotiated rate" is not a positive number. | 1 |
| Column standard_charge | min is miscoded or missing from row N. You must include this column and confirm that it is encoded as specified in the data dictionary. | 1 |
| If there is a "payer specific negotiated charge" encoded as a dollar amount, there must be a corresponding valid value encoded for the deidentified minimum and deidentified maximum negotiated charge data. "standard_charge|min" value "standard_charge|min" is not a positive number. You must encode a positive, non-zero, numeric value. | 1 |
| must be number. | 1 |
Why it couldn't be determined (never counted against the hospital)
| Reason | Hospitals |
|---|---|
| The file exceeded a size or time limit CareCarta sets. | 17 |
| CareCarta could not download the source on this attempt. A refusal, a web page in place of the file, or a server error counts against the hospital only if it happens again on a later day. | 16 |
| The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear. | 7 |
| A checking tool stopped unexpectedly. | 6 |
| CareCarta could not tell whether this requirement applies to this file. | 3 |
MRF correctly encodes the de-identified maximum negotiated charge
Most common reasons it failed
| Reason | Hospitals |
|---|---|
| "standard_charge|max" value "N" is not a positive number. You must encode a positive, non-zero, numeric value. | 3 |
| "standard_charge|max" value "no negotiated rate" is not a positive number. | 1 |
| Column standard_charge | max is miscoded or missing from row N. You must include this column and confirm that it is encoded as specified in the data dictionary. | 1 |
| If there is a "payer specific negotiated charge" encoded as a dollar amount, there must be a corresponding valid value encoded for the deidentified minimum and deidentified maximum negotiated charge data. "standard_charge|max" value "standard_charge|max" is not a positive number. You must encode a positive, non-zero, numeric value. | 1 |
| must be number. | 1 |
Why it couldn't be determined (never counted against the hospital)
| Reason | Hospitals |
|---|---|
| The file exceeded a size or time limit CareCarta sets. | 17 |
| CareCarta could not download the source on this attempt. A refusal, a web page in place of the file, or a server error counts against the hospital only if it happens again on a later day. | 16 |
| The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear. | 7 |
| A checking tool stopped unexpectedly. | 6 |
| CareCarta could not tell whether this requirement applies to this file. | 3 |
MRF correctly encodes payer and plan names
Why it couldn't be determined (never counted against the hospital)
| Reason | Hospitals |
|---|---|
| The file exceeded a size or time limit CareCarta sets. | 17 |
| CareCarta could not download the source on this attempt. A refusal, a web page in place of the file, or a server error counts against the hospital only if it happens again on a later day. | 16 |
| The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear. | 13 |
| A checking tool stopped unexpectedly. | 6 |
MRF correctly encodes how each charge was established
Most common reasons it failed
| Reason | Hospitals |
|---|---|
| If the "standard charge methodology" encoded value is "other", there must be a corresponding explanation found in the "additional notes" for the associated payer-specific negotiated charge. | 2 |
| "standard_charge|methodology" value "per visit" is not one of the allowed valid values. You must encode one of these valid values: case rate, fee schedule, percent of total billed charges, per diem, other. | 1 |
| A value is required for "standard_charge|methodology" when a payer specific negotiated charge is encoded as a dollar amount, percentage, or algorithm. | 1 |
| A value is required for "standard_charge|methodology" when a payer specific negotiated charge is encoded as a dollar amount, percentage, or algorithm. You must encode the missing information. | 1 |
| A value is required for "standard_charge|UHC|UHC|methodology" when a payer specific negotiated charge is encoded as a dollar amount, percentage, or algorithm. You must encode the missing information. | 1 |
Why it couldn't be determined (never counted against the hospital)
| Reason | Hospitals |
|---|---|
| The file exceeded a size or time limit CareCarta sets. | 17 |
| CareCarta could not download the source on this attempt. A refusal, a web page in place of the file, or a server error counts against the hospital only if it happens again on a later day. | 16 |
| The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear. | 10 |
| A checking tool stopped unexpectedly. | 6 |
MRF expresses each negotiated rate as a dollar amount, percentage, or algorithm
Most common reasons it failed
| Reason | Hospitals |
|---|---|
| If a payer name and plan name are encoded, a payer-specific charge must also be encoded. | 2 |
| must have required property 'standard_charge_dollar' (reported N times). must have required property 'standard_charge_percentage' (reported N times). must have required property 'standard_charge_algorithm' (reported N times). must match a schema in anyOf (reported N times). | 2 |
| must NOT have fewer than N characters. | 2 |
| "standard_charge|negotiated_dollar" value "N" is not a positive number. You must encode a positive, non-zero, numeric value. | 1 |
| "standard_charge|negotiated_dollar" value "no negotiated rate" is not a positive number. | 1 |
Why it couldn't be determined (never counted against the hospital)
| Reason | Hospitals |
|---|---|
| The file exceeded a size or time limit CareCarta sets. | 17 |
| CareCarta could not download the source on this attempt. A refusal, a web page in place of the file, or a server error counts against the hospital only if it happens again on a later day. | 16 |
| The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear. | 8 |
| A checking tool stopped unexpectedly. | 6 |
Percentage and algorithm rates give enough information to derive a dollar amount
Why it couldn't be determined (never counted against the hospital)
| Reason | Hospitals |
|---|---|
| This needs a person to judge; the automated check cannot decide it. | 3,927 |
| CareCarta could not download the source on this attempt. A refusal, a web page in place of the file, or a server error counts against the hospital only if it happens again on a later day. | 16 |
| The file exceeded a size or time limit CareCarta sets. | 14 |
| CareCarta could not read the hospital's file, and the CMS validator did not find it invalid. | 4 |
MRF correctly encodes the 10th percentile allowed amount
Most common reasons it failed
| Reason | Hospitals |
|---|---|
| Column 10th_percentile is miscoded or missing from row N. You must include this column and confirm that it is encoded as specified in the data dictionary. | 37 |
| Column 10th_percentile for a payer and plan is miscoded or missing from row N. | 36 |
| Column 10th_percentile for a payer and plan advantage is miscoded or missing from row N. | 7 |
| must match "then" schema (reported N times). must have required property '10th_percentile' (reported N times). | 5 |
| Column 10th_percentile for a payer and plan health is miscoded or missing from row N. | 4 |
Why it couldn't be determined (never counted against the hospital)
| Reason | Hospitals |
|---|---|
| The file exceeded a size or time limit CareCarta sets. | 17 |
| CareCarta could not download the source on this attempt. A refusal, a web page in place of the file, or a server error counts against the hospital only if it happens again on a later day. | 16 |
| A checking tool stopped unexpectedly. | 6 |
| CareCarta could not read the hospital's file, and the CMS validator did not find it invalid. | 3 |
| The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear. | 1 |
MRF correctly encodes the median allowed amount
Most common reasons it failed
| Reason | Hospitals |
|---|---|
| Column median_amount is miscoded or missing from row N. You must include this column and confirm that it is encoded as specified in the data dictionary. | 37 |
| Column median_amount for a payer and plan is miscoded or missing from row N. | 36 |
| Column median_amount for a payer and plan advantage is miscoded or missing from row N. | 7 |
| must match "then" schema (reported N times). must have required property 'median_amount' (reported N times). | 5 |
| Column median_amount for a payer and plan health is miscoded or missing from row N. | 4 |
Why it couldn't be determined (never counted against the hospital)
| Reason | Hospitals |
|---|---|
| The file exceeded a size or time limit CareCarta sets. | 17 |
| CareCarta could not download the source on this attempt. A refusal, a web page in place of the file, or a server error counts against the hospital only if it happens again on a later day. | 16 |
| A checking tool stopped unexpectedly. | 6 |
| CareCarta could not read the hospital's file, and the CMS validator did not find it invalid. | 3 |
| The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear. | 1 |
MRF correctly encodes the 90th percentile allowed amount
Most common reasons it failed
| Reason | Hospitals |
|---|---|
| Column 90th_percentile is miscoded or missing from row N. You must include this column and confirm that it is encoded as specified in the data dictionary. | 37 |
| Column 90th_percentile for a payer and plan is miscoded or missing from row N. | 36 |
| Column 90th_percentile for a payer and plan advantage is miscoded or missing from row N. | 7 |
| must match "then" schema (reported N times). must have required property '90th_percentile' (reported N times). | 5 |
| Column 90th_percentile for a payer and plan health is miscoded or missing from row N. | 4 |
Why it couldn't be determined (never counted against the hospital)
| Reason | Hospitals |
|---|---|
| The file exceeded a size or time limit CareCarta sets. | 17 |
| CareCarta could not download the source on this attempt. A refusal, a web page in place of the file, or a server error counts against the hospital only if it happens again on a later day. | 16 |
| A checking tool stopped unexpectedly. | 6 |
| CareCarta could not read the hospital's file, and the CMS validator did not find it invalid. | 3 |
| The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear. | 1 |
MRF correctly encodes the count of allowed amounts
Most common reasons it failed
| Reason | Hospitals |
|---|---|
| Column count is miscoded or missing from row N. You must include this column and confirm that it is encoded as specified in the data dictionary. | 37 |
| Column count for a payer and plan is miscoded or missing from row N. | 36 |
| Column count for a payer and plan advantage is miscoded or missing from row N. | 7 |
| If the "count of allowed amounts" encoded value is "N", there must be a corresponding explanation found in the "additional notes" for the associated payer-specific negotiated charge. | 5 |
| must have required property 'count' (reported N times). must match "then" schema (reported N times). | 5 |
Why it couldn't be determined (never counted against the hospital)
| Reason | Hospitals |
|---|---|
| The file exceeded a size or time limit CareCarta sets. | 17 |
| CareCarta could not download the source on this attempt. A refusal, a web page in place of the file, or a server error counts against the hospital only if it happens again on a later day. | 16 |
| A checking tool stopped unexpectedly. | 6 |
| CareCarta could not read the hospital's file, and the CMS validator did not find it invalid. | 3 |
| The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear. | 1 |
Hospitals that failed this section (185)
Reasons are each hospital's own explanation with the numbers and file-specific values replaced by N, (value) and (address), so failures of the same kind are counted together. See what the results mean.
