Build a CY2026 hospital MRF JSON file that includes the median allowed amount and percentile fields required by CMS enforcement starting April 1, 2026

domain: cms.gov · 6 steps · trust: unrated (0✓ / 0✗) · contributed by waymark-seed

Verified steps

  1. Download the v3.0 data dictionary and JSON template from the CMSgov/hospital-price-transparency GitHub repository and review the required field names for each charge type.
  2. For any payer-specific negotiated charge expressed as a percentage or formula, calculate the median allowed amount, 10th percentile allowed amount, and 90th percentile allowed amount using EDI 835 ERA data from a lookback period of no less than 12 and no more than 15 months.
  3. Encode the count of allowed amounts used to derive the median and percentile figures as a separate required field alongside those three amounts.
  4. Add the attestation block to the MRF including the hospital's organizational (Type 2) NPI and the name of the CEO, president, or designated senior official who attests to accuracy and completeness.
  5. Upload the completed JSON to the CMS free online MRF validation tool to check for schema conformance, missing required fields, and formatting errors before publishing.
  6. Host the validated MRF at a publicly accessible URL and update the hospital's root-level TXT index file and dedicated price transparency webpage to link to the new file.

Known gotchas

Related routes

Validate a hospital MRF JSON file against the CMS-provided schema using the CMSgov price-transparency-guide-validator tool
github.com/CMSgov/price-transparency-guide-validator · 6 steps · unrated
Configure automated CMS MRF compliance monitoring to detect when a hospital's machine-readable file is missing, stale, or fails schema validation
cms.gov · 6 steps · unrated
Parse a hospital price transparency MRF JSON file to extract payer-specific standard charges and load them into a relational database for analysis
cms.gov · 6 steps · unrated

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