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Texas hospitals are now 90.6% compliant with machine-readable file publishing. The compliance gap has moved to Florida (32.3%) and New York (49.5%). State-by-state breakdown.
All 11 Texas academic medical centers publish MRF files — eight at URLs different from the one CMS has registered. The hidden-URL pattern explained with examples.
Rural Texas hospitals are now 93.3% compliant. The compliance map has moved: Florida at 32.3%, specific regional systems (Steward, Jackson, Community Health) at 0%.
Across 6.2 billion negotiated-rate rows, nine major payers dominate. Each appears under 2-18 different spellings. 3.5% of data (220M rows) is parser garbage: convenience stores as insurance payers.
Rate variance across verified-publishing Texas hospitals for five high-volume shoppable procedures. 57x spread on brain MRI, 29x on colonoscopy, 19x on knee replacement.
Cross-carrier negotiated-rate gap at named Texas hospitals: BCBS TX and UHC pay each other's price by 80%+ for a single knee replacement at CHI St. Joseph, Valley Regional, and Ascension Seton.
Per-hospital × per-payer × per-CPT distributions for the top shoppable procedures across 519 publishing Texas hospitals. One-time delivery within 24 hours of purchase. Refresh next quarter for the same price.
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