Keefe Memorial Hospital

• Header column "To the best of its knowledge and belief, this hospital has…" is miscoded or missing.

Each header listed must be included and encoded as the CMS data dictionary specifies.

• Header column "attester_name" is miscoded or missing.

Each header listed must be included and encoded as the CMS data dictionary specifies.

Why: The hospital's file does not include a value this check needs.

The MRF does not declare a Type 2 NPI.

The completed structural evaluation reported no deficiency for this nonconditional check.

Why: The price file alone cannot answer this; it needs evidence from outside the file.

Gross charge values are populated on 3,282 rows and blank on 3,028 rows. The MRF alone cannot prove that every applicable hospital item or service is represented.

Why: The price file alone cannot answer this; it needs evidence from outside the file.

Discounted cash price values are populated on 3,282 rows and blank on 3,028 rows. The MRF alone cannot prove that every applicable hospital item or service is represented.

Blocked because this check failed: MRF passes the CMS validator without errors

The CMS validator found errors in the file's header rows and did not check the charge rows, so this check could not be evaluated. This is not a separate failure.

Blocked because this check failed: MRF passes the CMS validator without errors

The CMS validator found errors in the file's header rows and did not check the charge rows, so this check could not be evaluated. This is not a separate failure.

Blocked because this check failed: MRF passes the CMS validator without errors

The CMS validator found errors in the file's header rows and did not check the charge rows, so this check could not be evaluated. This is not a separate failure.

Blocked because this check failed: MRF passes the CMS validator without errors

The CMS validator found errors in the file's header rows and did not check the charge rows, so this check could not be evaluated. This is not a separate failure.

No NDC-coded records were found across 6,310 parsed records.

Blocked because this check failed: MRF passes the CMS validator without errors

The CMS validator found errors in the file's header rows and did not check the charge rows, so this check could not be evaluated. This is not a separate failure.

Why: The price file alone cannot answer this; it needs evidence from outside the file.

The MRF was parsed for encoded modifiers, but the file alone cannot establish whether every applicable modifier-specific charge is represented.

• Header column "location_name" is miscoded or missing.
• Header column "type_2_npi" is miscoded or missing.
• Header column "To the best of its knowledge and belief, this hospital has…" is miscoded or missing.
• Header column "attester_name" is miscoded or missing.
• Column median_amount | aetna | default is miscoded or missing from row 3.
• You must include this column and confirm that it is encoded as specified in the data dictionary. (reported 52 times)
• Column 10th_percentile | aetna | default is miscoded or missing from row 3.
• Column 90th_percentile | aetna | default is miscoded or missing from row 3.
• Column count | aetna | default is miscoded or missing from row 3.
• Column median_amount | aetna | medicare advantage is miscoded or missing from row 3.
• Column 10th_percentile | aetna | medicare advantage is miscoded or missing from row 3.
• Column 90th_percentile | aetna | medicare advantage is miscoded or missing from row 3.
• Column count | aetna | medicare advantage is miscoded or missing from row 3.
• Column median_amount | blue cross blue shield of co | default is miscoded or missing from row 3.
• Column 10th_percentile | blue cross blue shield of co | default is miscoded or missing from row 3.
• Column 90th_percentile | blue cross blue shield of co | default is miscoded or missing from row 3.
• Column count | blue cross blue shield of co | default is miscoded or missing from row 3.
• Column median_amount | blue cross blue shield of co | medicare advantage is miscoded or missing from row 3.
• Column 10th_percentile | blue cross blue shield of co | medicare advantage is miscoded or missing from row 3.
• Column 90th_percentile | blue cross blue shield of co | medicare advantage is miscoded or missing from row 3.
• Column count | blue cross blue shield of co | medicare advantage is miscoded or missing from row 3.
• Column median_amount | cigna | default is miscoded or missing from row 3.
• Column 10th_percentile | cigna | default is miscoded or missing from row 3.
• Column 90th_percentile | cigna | default is miscoded or missing from row 3.
• Column count | cigna | default is miscoded or missing from row 3.
• …and 33 other findings.

Each header listed must be included and encoded as the CMS data dictionary specifies.

CareCarta retrieved the file without payment.

CareCarta retrieved the file without an account or password.

CareCarta retrieved the file without submitting personally identifiable information.

An automated HTTP client downloaded the declared MRF successfully.

The downloaded artifact provides CSV that can be processed as structured text.

The published file name 472340447_keefe-memorial-health-service-district_standardcharges.csv matches the required identifier, hospital-name, and standardcharges structure.

The cms-hpt.txt file uses the required canonical fields and valid values.

The cms-hpt.txt file declares one MRF (https://keefemh.org/wp-content/uploads/2025/07/472340447_keefe-memorial-health-service-district_standardcharges.csv), so it is this hospital's.

The hospital homepage has no link labeled Price Transparency; the closest is labeled "Pricing Transparency" (129 links read).

The MRF reports 6/30/2025, more than one year before this audit observation.

Why: CareCarta has not built this check yet.

CareCarta has not built an evaluator for the shoppable-services disclosure (45 CFR 180.60) yet, so this check cannot be decided.