Care Carta

Wilkes-Barre General Hospital

Wilkes-Barre, PA

Latest evaluation

Sep 28, 2026
Ruleset catalog v2
33% of the 24 checks Care Carta could make passed
8 passed
8 failed
8 blocked
4 couldn't determine
4 not assessed
1 not applicable

Hospital and file facts

Type 2 NPI
1255585303
CCN
390137
Current MRF
171.2 MB · CSV
Last observed file change
Sep 27, 2026

Transparency checks

45 CFR Part 180 — Hospital Price TransparencyLatest evaluation: Sep 28, 2026
§180.50(a)(3)Attestation and responsible official2 failed
§180.50(a)(3)(iii)MRF correctly encodes the accuracy and completeness attestationFailed
  • 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.

§180.50(a)(3)(iv)MRF correctly encodes the attester's nameFailed
  • Header column "attester_name" is miscoded or missing.

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

§180.50(b)(2)(i)Hospital and MRF information1 couldn't be determined
§180.50(b)(2)(i)(A)MRF declares this hospital's Type 2 NPICouldn't determine

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

The MRF does not declare a Type 2 NPI.

§180.50(b)(2)(i)(B)MRF correctly encodes its template version and update datePassed

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

§180.50(b)(2)(ii)Standard charges4 failed
§180.50(b)(2)(ii)MRF lists a gross charge for every item and serviceNot assessed

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

Gross charge values are populated on 20,044 rows and blank on 2,932 rows. The MRF alone cannot prove that every applicable hospital item or service is represented.

§180.50(b)(2)(ii)MRF lists a discounted cash price for every item and service that has oneNot assessed

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

Discounted cash price values are populated on 20,026 rows and blank on 2,950 rows. The MRF alone cannot prove that every applicable hospital item or service is represented.

§180.50(b)(2)(ii)MRF correctly encodes the de-identified minimum negotiated chargeBlocked

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.

§180.50(b)(2)(ii)MRF correctly encodes the de-identified maximum negotiated chargeBlocked

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.

§180.50(b)(2)(ii)(A)-(C)Payer-specific negotiated charge4 failed
§180.50(b)(2)(ii)(A)MRF correctly encodes payer and plan namesBlocked

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.

§180.50(b)(2)(ii)(B)MRF correctly encodes how each charge was establishedBlocked

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.

§180.50(b)(2)(ii)(C)Rate expression and methodology4 failed
§180.50(b)(2)(ii)(C)MRF expresses each negotiated rate as a dollar amount, percentage, or algorithmBlocked

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.

§180.50(a)(3)(iii) or §180.50(b)(2)(ii)(C)Percentage and algorithm rates give enough information to derive a dollar amountCouldn't determine

Why: This needs a person to judge; the automated check cannot decide it.

79,495 percentage- or algorithm-based payer rates require semantic review of whether a reasonable user can derive a dollar amount.

§180.50(b)(2)(ii)(C)(2)Allowed-amount statistics4 failed
§180.50(b)(2)(ii)(C)(2)MRF correctly encodes the 10th percentile allowed amountFailed
  • Column 10th_percentile | aetna | abh coventry cares medicaid pa 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 57 times)
  • Column 10th_percentile | aetna | aetna is miscoded or missing from row 3.
  • Column 10th_percentile | aetna | aetna hpn is miscoded or missing from row 3.
  • Column 10th_percentile | aetna | aetna nab fh is miscoded or missing from row 3.
  • Column 10th_percentile | aetna | aetna nab work comp is miscoded or missing from row 3.
  • Column 10th_percentile | amerihealth caritas | amerihealth caritas medicaid pa is miscoded or missing from row 3.
  • Column 10th_percentile | highmark blue cross blue shield | bcnepa hm affordablue is miscoded or missing from row 3.
  • Column 10th_percentile | bcnepa hm | bcnepa hm aso chs employee is miscoded or missing from row 3.
  • Column 10th_percentile | highmark blue cross blue shield | bcnepa hm fph is miscoded or missing from row 3.
  • Column 10th_percentile | highmark blue cross blue shield | bcnepa hm ppo is miscoded or missing from row 3.
  • Column 10th_percentile | highmark blue cross blue shield | bcnepa hm tiered is miscoded or missing from row 3.
  • Column 10th_percentile | highmark blue cross blue shield | bcnepa hm trad is miscoded or missing from row 3.
  • Column 10th_percentile | cigna | cigna is miscoded or missing from row 3.
  • Column 10th_percentile | geisinger indemnity | geisinger hp is miscoded or missing from row 3.
  • Column 10th_percentile | geisinger indemnity | geisinger medicaid pa is miscoded or missing from row 3.
  • Column 10th_percentile | health america | health america is miscoded or missing from row 3.
  • Column 10th_percentile | health net | health net is miscoded or missing from row 3.
  • Column 10th_percentile | health partners medicaid pa | health partners medicaid pa is miscoded or missing from row 3.
  • Column 10th_percentile | pennsylvania health and wellness | hw medicaid pa is miscoded or missing from row 3.
  • Column 10th_percentile | independence blue cross | ibc chs employee is miscoded or missing from row 3.
  • Column 10th_percentile | intergroup | intergroup is miscoded or missing from row 3.
  • Column 10th_percentile | medicaid | medicaid non par pa is miscoded or missing from row 3.
  • Column 10th_percentile | multiplan | multiplan primary is miscoded or missing from row 3.
  • Column 10th_percentile | node advantra mcr adv | node advantra mcr adv is miscoded or missing from row 3.
  • …and 33 other findings.
§180.50(b)(2)(ii)(C)(2)MRF correctly encodes the median allowed amountFailed
  • Column median_amount | aetna | abh coventry cares medicaid pa 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 57 times)
  • Column median_amount | aetna | aetna is miscoded or missing from row 3.
  • Column median_amount | aetna | aetna hpn is miscoded or missing from row 3.
  • Column median_amount | aetna | aetna nab fh is miscoded or missing from row 3.
  • Column median_amount | aetna | aetna nab work comp is miscoded or missing from row 3.
  • Column median_amount | amerihealth caritas | amerihealth caritas medicaid pa is miscoded or missing from row 3.
  • Column median_amount | highmark blue cross blue shield | bcnepa hm affordablue is miscoded or missing from row 3.
  • Column median_amount | bcnepa hm | bcnepa hm aso chs employee is miscoded or missing from row 3.
  • Column median_amount | highmark blue cross blue shield | bcnepa hm fph is miscoded or missing from row 3.
  • Column median_amount | highmark blue cross blue shield | bcnepa hm ppo is miscoded or missing from row 3.
  • Column median_amount | highmark blue cross blue shield | bcnepa hm tiered is miscoded or missing from row 3.
  • Column median_amount | highmark blue cross blue shield | bcnepa hm trad is miscoded or missing from row 3.
  • Column median_amount | cigna | cigna is miscoded or missing from row 3.
  • Column median_amount | geisinger indemnity | geisinger hp is miscoded or missing from row 3.
  • Column median_amount | geisinger indemnity | geisinger medicaid pa is miscoded or missing from row 3.
  • Column median_amount | health america | health america is miscoded or missing from row 3.
  • Column median_amount | health net | health net is miscoded or missing from row 3.
  • Column median_amount | health partners medicaid pa | health partners medicaid pa is miscoded or missing from row 3.
  • Column median_amount | pennsylvania health and wellness | hw medicaid pa is miscoded or missing from row 3.
  • Column median_amount | independence blue cross | ibc chs employee is miscoded or missing from row 3.
  • Column median_amount | intergroup | intergroup is miscoded or missing from row 3.
  • Column median_amount | medicaid | medicaid non par pa is miscoded or missing from row 3.
  • Column median_amount | multiplan | multiplan primary is miscoded or missing from row 3.
  • Column median_amount | node advantra mcr adv | node advantra mcr adv is miscoded or missing from row 3.
  • …and 33 other findings.
§180.50(b)(2)(ii)(C)(2)MRF correctly encodes the 90th percentile allowed amountFailed
  • Column 90th_percentile | aetna | abh coventry cares medicaid pa 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 57 times)
  • Column 90th_percentile | aetna | aetna is miscoded or missing from row 3.
  • Column 90th_percentile | aetna | aetna hpn is miscoded or missing from row 3.
  • Column 90th_percentile | aetna | aetna nab fh is miscoded or missing from row 3.
  • Column 90th_percentile | aetna | aetna nab work comp is miscoded or missing from row 3.
  • Column 90th_percentile | amerihealth caritas | amerihealth caritas medicaid pa is miscoded or missing from row 3.
  • Column 90th_percentile | highmark blue cross blue shield | bcnepa hm affordablue is miscoded or missing from row 3.
  • Column 90th_percentile | bcnepa hm | bcnepa hm aso chs employee is miscoded or missing from row 3.
  • Column 90th_percentile | highmark blue cross blue shield | bcnepa hm fph is miscoded or missing from row 3.
  • Column 90th_percentile | highmark blue cross blue shield | bcnepa hm ppo is miscoded or missing from row 3.
  • Column 90th_percentile | highmark blue cross blue shield | bcnepa hm tiered is miscoded or missing from row 3.
  • Column 90th_percentile | highmark blue cross blue shield | bcnepa hm trad is miscoded or missing from row 3.
  • Column 90th_percentile | cigna | cigna is miscoded or missing from row 3.
  • Column 90th_percentile | geisinger indemnity | geisinger hp is miscoded or missing from row 3.
  • Column 90th_percentile | geisinger indemnity | geisinger medicaid pa is miscoded or missing from row 3.
  • Column 90th_percentile | health america | health america is miscoded or missing from row 3.
  • Column 90th_percentile | health net | health net is miscoded or missing from row 3.
  • Column 90th_percentile | health partners medicaid pa | health partners medicaid pa is miscoded or missing from row 3.
  • Column 90th_percentile | pennsylvania health and wellness | hw medicaid pa is miscoded or missing from row 3.
  • Column 90th_percentile | independence blue cross | ibc chs employee is miscoded or missing from row 3.
  • Column 90th_percentile | intergroup | intergroup is miscoded or missing from row 3.
  • Column 90th_percentile | medicaid | medicaid non par pa is miscoded or missing from row 3.
  • Column 90th_percentile | multiplan | multiplan primary is miscoded or missing from row 3.
  • Column 90th_percentile | node advantra mcr adv | node advantra mcr adv is miscoded or missing from row 3.
  • …and 33 other findings.
§180.50(b)(2)(ii)(C)(2)MRF correctly encodes the count of allowed amountsFailed
  • Column count | aetna | abh coventry cares medicaid pa 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 57 times)
  • Column count | aetna | aetna is miscoded or missing from row 3.
  • Column count | aetna | aetna hpn is miscoded or missing from row 3.
  • Column count | aetna | aetna nab fh is miscoded or missing from row 3.
  • Column count | aetna | aetna nab work comp is miscoded or missing from row 3.
  • Column count | amerihealth caritas | amerihealth caritas medicaid pa is miscoded or missing from row 3.
  • Column count | highmark blue cross blue shield | bcnepa hm affordablue is miscoded or missing from row 3.
  • Column count | bcnepa hm | bcnepa hm aso chs employee is miscoded or missing from row 3.
  • Column count | highmark blue cross blue shield | bcnepa hm fph is miscoded or missing from row 3.
  • Column count | highmark blue cross blue shield | bcnepa hm ppo is miscoded or missing from row 3.
  • Column count | highmark blue cross blue shield | bcnepa hm tiered is miscoded or missing from row 3.
  • Column count | highmark blue cross blue shield | bcnepa hm trad is miscoded or missing from row 3.
  • Column count | cigna | cigna is miscoded or missing from row 3.
  • Column count | geisinger indemnity | geisinger hp is miscoded or missing from row 3.
  • Column count | geisinger indemnity | geisinger medicaid pa is miscoded or missing from row 3.
  • Column count | health america | health america is miscoded or missing from row 3.
  • Column count | health net | health net is miscoded or missing from row 3.
  • Column count | health partners medicaid pa | health partners medicaid pa is miscoded or missing from row 3.
  • Column count | pennsylvania health and wellness | hw medicaid pa is miscoded or missing from row 3.
  • Column count | independence blue cross | ibc chs employee is miscoded or missing from row 3.
  • Column count | intergroup | intergroup is miscoded or missing from row 3.
  • Column count | medicaid | medicaid non par pa is miscoded or missing from row 3.
  • Column count | multiplan | multiplan primary is miscoded or missing from row 3.
  • Column count | node advantra mcr adv | node advantra mcr adv is miscoded or missing from row 3.
  • …and 33 other findings.
§180.50(b)(2)(iii)Item and service information2 blocked
§180.50(b)(2)(iii)(A)MRF correctly encodes each item or service descriptionBlocked

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.

§180.50(b)(2)(iii)(B)MRF correctly encodes the inpatient or outpatient settingBlocked

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.

§180.50(b)(2)(iii)(C)MRF correctly encodes drug units and measurement typeNot applicable

No NDC-coded records were found across 22,976 parsed records.

§180.50(b)(2)(iv)Billing and coding information1 blocked
§180.50(b)(2)(iv)(A)-(B)MRF correctly encodes billing codes and code typesBlocked

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.

§180.50(b)(2)(iv)(C)MRF lists every applicable modifier and its chargesNot assessed

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.

§180.50(c)(2)CMS file format1 failed
§180.50(c)(2)MRF passes the CMS validator without errorsFailed
  • 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 | abh coventry cares medicaid pa 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 95 times)
  • Column 10th_percentile | aetna | abh coventry cares medicaid pa is miscoded or missing from row 3.
  • Column 90th_percentile | aetna | abh coventry cares medicaid pa is miscoded or missing from row 3.
  • Column count | aetna | abh coventry cares medicaid pa is miscoded or missing from row 3.
  • Column median_amount | aetna | aetna is miscoded or missing from row 3.
  • Column 10th_percentile | aetna | aetna is miscoded or missing from row 3.
  • Column 90th_percentile | aetna | aetna is miscoded or missing from row 3.
  • Column count | aetna | aetna is miscoded or missing from row 3.
  • Column median_amount | aetna | aetna hpn is miscoded or missing from row 3.
  • Column 10th_percentile | aetna | aetna hpn is miscoded or missing from row 3.
  • Column 90th_percentile | aetna | aetna hpn is miscoded or missing from row 3.
  • Column count | aetna | aetna hpn is miscoded or missing from row 3.
  • Column median_amount | aetna | aetna nab fh is miscoded or missing from row 3.
  • Column 10th_percentile | aetna | aetna nab fh is miscoded or missing from row 3.
  • Column 90th_percentile | aetna | aetna nab fh is miscoded or missing from row 3.
  • Column count | aetna | aetna nab fh is miscoded or missing from row 3.
  • Column median_amount | aetna | aetna nab work comp is miscoded or missing from row 3.
  • Column 10th_percentile | aetna | aetna nab work comp is miscoded or missing from row 3.
  • Column 90th_percentile | aetna | aetna nab work comp is miscoded or missing from row 3.
  • Column count | aetna | aetna nab work comp is miscoded or missing from row 3.
  • …and 77 other findings.

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

§180.50(d)(1)-(6)Publication and accessibility2 couldn't be determined
§180.50(d)(3)(i)MRF downloads without paymentPassed

CareCarta retrieved the file without payment.

§180.50(d)(3)(ii)MRF downloads without an account or passwordPassed

CareCarta retrieved the file without an account or password.

§180.50(d)(3)(iii)MRF downloads without submitting personal informationPassed

CareCarta retrieved the file without submitting personally identifiable information.

§180.50(d)(3)(iv)MRF downloads to an automated clientPassed

An automated HTTP client downloaded the declared MRF successfully.

§180.50(d)(4)MRF is a CSV or JSON file, optionally compressedPassed

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

§180.50(d)(5)MRF file name follows the CMS conventionPassed

The published file name 263632648_wilkes-barre-general-hospital_standardcharges.csv matches the required identifier, hospital-name, and standardcharges structure.

§180.50(d)(6)(i)cms-hpt.txt is published and uses the required fieldsCouldn't determine

Why: CareCarta does not have an address for this hospital's source.

No cms-hpt.txt URL was supplied to this audit run.

§180.50(d)(6)(i)cms-hpt.txt links this hospital's MRFCouldn't determine

Why: CareCarta does not have an address for this hospital's source.

No cms-hpt.txt URL was supplied to this audit run.

§180.50(d)(6)(ii)Homepage has a link labelled Price TransparencyPassed

A labeled Price Transparency link (https://commonwealthhealth.net/pricing-information/) was observed in the acquired hospital homepage HTML.

§180.50(e)Update frequency1 failed
§180.50(e)MRF was updated within the past 12 monthsFailed

The MRF reports 2024-12-01, more than one year before this audit observation.

§180.60Shoppable services disclosureNot assessed
§180.60(a)(1) or §180.60(a)(2)Website offers a qualifying shoppable-services list or price estimatorNot assessed

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.

History

Audit history
Select a historical cell to inspect that day's checks below.
Sep 27
Sep 28
§180.50(a)(3)Attestation and responsible official
§180.50(b)(2)(i)Hospital and MRF information
§180.50(b)(2)(ii)Standard charges
§180.50(b)(2)(iii)Item and service information
§180.50(b)(2)(iv)Billing and coding information
§180.50(c)(2)CMS file format
§180.50(d)(1)-(6)Publication and accessibility
§180.50(e)Update frequency
§180.60Shoppable services disclosure
PassedFailedBlocked — an earlier check failedNot applicableCouldn't determine

Official CMS enforcement record

CMS enforcement records were not evaluated in this bounded audit.

Hospital response

No hospital response is recorded for this bounded audit.