Sample CMS MRF Audit Report

Real findings from a US hospital machine-readable file. This is the format you receive — anonymized, prioritized, actionable.

Executive Summary

Hospital: [Anonymized US Medical Center] · File reviewed: 2026-08-10 · Auditor: MRFGuard

Risk LevelFindingsEst. Daily Exposure
HIGH2 of 5 major payers missing negotiated rates$5,500
HIGHDiscounted cash price missing on 14% of items$5,500
MEDIUMBot-blocking layer may block CMS crawlerContingent
MEDIUM61 of 70 shoppable services presentContingent
OKGross charges complete

Finding #1 — Missing Payer-Specific Negotiated Charges

Risk: HIGH — CMS requires negotiated rates for all plans offered HIGH RISK

The file lists negotiated rates for UnitedHealthcare, Aetna and Cigna but is missing Blue Cross Blue Shield and Humana — both major commercial payers at this facility. CMS auditors compare your payer list against the plans you contract with. Missing rates = non-compliance.

Finding #2 — Discounted Cash Price Gaps

Risk: HIGH — required on all items and services HIGH RISK

14% of items (mostly laboratory and imaging services) have no discounted cash price. CMS requires this field on every item.

Finding #3 — CMS Crawler Access

Risk: MEDIUM — file hosted behind bot detection MEDIUM RISK

The file loads in a browser but returns HTTP 403 to automated crawlers — including CMS's own file-checking systems. If CMS's system can't read your file, it treats it as non-published.

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