Care Carta

Black Hills Surgical Hospital LLC

Rapid City, SD
Official transparency page ↗Current MRF ↗View as JSON

Latest evaluation

Sep 28, 2026
Ruleset catalog v2
42% of the 26 checks Care Carta could make passed
11 passed
7 failed
8 blocked
2 couldn't determine
4 not assessed
1 not applicable

What do these results mean?

Hospital and file facts

Type 2 NPI
1679535132
CCN
430091
Current MRF
200.8 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 62,547 rows and blank on 0 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 62,547 rows and blank on 0 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.

437,829 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 | blue cross blue shield of ia and sd medicare cob | 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 8 times)
  • Column 10th_percentile | blue cross blue shield of ia wellmark | default is miscoded or missing from row 3.
  • Column 10th_percentile | blue cross blue shield of sd wellmark | default is miscoded or missing from row 3.
  • Column 10th_percentile | blue cross blue shield of sd wellmark | medicare advantage is miscoded or missing from row 3.
  • Column 10th_percentile | first choice health network | default is miscoded or missing from row 3.
  • Column 10th_percentile | umr united medical resources | default is miscoded or missing from row 3.
  • Column 10th_percentile | united healthcare | default is miscoded or missing from row 3.
  • Column 10th_percentile | united healthcare | medicare advantage is miscoded or missing from row 3.
§180.50(b)(2)(ii)(C)(2)MRF correctly encodes the median allowed amountFailed
  • Column median_amount | blue cross blue shield of ia and sd medicare cob | 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 8 times)
  • Column median_amount | blue cross blue shield of ia wellmark | default is miscoded or missing from row 3.
  • Column median_amount | blue cross blue shield of sd wellmark | default is miscoded or missing from row 3.
  • Column median_amount | blue cross blue shield of sd wellmark | medicare advantage is miscoded or missing from row 3.
  • Column median_amount | first choice health network | default is miscoded or missing from row 3.
  • Column median_amount | umr united medical resources | default is miscoded or missing from row 3.
  • Column median_amount | united healthcare | default is miscoded or missing from row 3.
  • Column median_amount | united healthcare | medicare advantage is miscoded or missing from row 3.
§180.50(b)(2)(ii)(C)(2)MRF correctly encodes the 90th percentile allowed amountFailed
  • Column 90th_percentile | blue cross blue shield of ia and sd medicare cob | 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 8 times)
  • Column 90th_percentile | blue cross blue shield of ia wellmark | default is miscoded or missing from row 3.
  • Column 90th_percentile | blue cross blue shield of sd wellmark | default is miscoded or missing from row 3.
  • Column 90th_percentile | blue cross blue shield of sd wellmark | medicare advantage is miscoded or missing from row 3.
  • Column 90th_percentile | first choice health network | default is miscoded or missing from row 3.
  • Column 90th_percentile | umr united medical resources | default is miscoded or missing from row 3.
  • Column 90th_percentile | united healthcare | default is miscoded or missing from row 3.
  • Column 90th_percentile | united healthcare | medicare advantage is miscoded or missing from row 3.
§180.50(b)(2)(ii)(C)(2)MRF correctly encodes the count of allowed amountsFailed
  • Column count | blue cross blue shield of ia and sd medicare cob | 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 8 times)
  • Column count | blue cross blue shield of ia wellmark | default is miscoded or missing from row 3.
  • Column count | blue cross blue shield of sd wellmark | default is miscoded or missing from row 3.
  • Column count | blue cross blue shield of sd wellmark | medicare advantage is miscoded or missing from row 3.
  • Column count | first choice health network | default is miscoded or missing from row 3.
  • Column count | umr united medical resources | default is miscoded or missing from row 3.
  • Column count | united healthcare | default is miscoded or missing from row 3.
  • Column count | united healthcare | medicare advantage is miscoded or missing from row 3.
§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 62,547 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 | blue cross blue shield of ia and sd medicare cob | 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 32 times)
  • Column 10th_percentile | blue cross blue shield of ia and sd medicare cob | default is miscoded or missing from row 3.
  • Column 90th_percentile | blue cross blue shield of ia and sd medicare cob | default is miscoded or missing from row 3.
  • Column count | blue cross blue shield of ia and sd medicare cob | default is miscoded or missing from row 3.
  • Column median_amount | blue cross blue shield of ia wellmark | default is miscoded or missing from row 3.
  • Column 10th_percentile | blue cross blue shield of ia wellmark | default is miscoded or missing from row 3.
  • Column 90th_percentile | blue cross blue shield of ia wellmark | default is miscoded or missing from row 3.
  • Column count | blue cross blue shield of ia wellmark | default is miscoded or missing from row 3.
  • Column median_amount | blue cross blue shield of sd wellmark | default is miscoded or missing from row 3.
  • Column 10th_percentile | blue cross blue shield of sd wellmark | default is miscoded or missing from row 3.
  • Column 90th_percentile | blue cross blue shield of sd wellmark | default is miscoded or missing from row 3.
  • Column count | blue cross blue shield of sd wellmark | default is miscoded or missing from row 3.
  • Column median_amount | blue cross blue shield of sd wellmark | medicare advantage is miscoded or missing from row 3.
  • Column 10th_percentile | blue cross blue shield of sd wellmark | medicare advantage is miscoded or missing from row 3.
  • Column 90th_percentile | blue cross blue shield of sd wellmark | medicare advantage is miscoded or missing from row 3.
  • Column count | blue cross blue shield of sd wellmark | medicare advantage is miscoded or missing from row 3.
  • Column median_amount | first choice health network | default is miscoded or missing from row 3.
  • Column 10th_percentile | first choice health network | default is miscoded or missing from row 3.
  • Column 90th_percentile | first choice health network | default is miscoded or missing from row 3.
  • Column count | first choice health network | default is miscoded or missing from row 3.
  • …and 13 other findings.

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

§180.50(d)(1)-(6)Publication and accessibilityPassed
§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 460440466_black-hills-surgical-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 fieldsPassed

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

§180.50(d)(6)(i)cms-hpt.txt links this hospital's MRFPassed

The cms-hpt.txt file declares one MRF (https://bhsh.com/wp-content/uploads/2023/03/460440466_black-hills-surgical-hospital_standardcharges.csv), so it is this hospital's.

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

A labeled Price Transparency link (https://bhsh.com/patient-resources/price-transparency/) was observed in the acquired hospital homepage HTML.

§180.50(e)Update frequencyPassed
§180.50(e)MRF was updated within the past 12 monthsPassed

The MRF reports 1/30/2026, within one year of 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.