Care Carta

Lynn County Hospital District

Tahoka, TX
Official transparency page ↗Current MRF ↗View as JSON

Latest evaluation

Sep 28, 2026
Ruleset catalog v2
35% of the 20 checks Care Carta could make passed
7 passed
4 failed
9 blocked
4 couldn't determine
4 not assessed
5 not applicable

What do these results mean?

Hospital and file facts

Type 2 NPI
1821066820
CCN
451351
Current MRF
1.2 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 charges5 blocked
§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 3,262 rows and blank on 2 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 3,262 rows and blank on 2 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 charge3 blocked
§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 methodology1 blocked
§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 amountNot applicable

The upstream applicability condition was conclusively absent.

§180.50(b)(2)(ii)(C)(2)Allowed-amount statisticsNot applicable
§180.50(b)(2)(ii)(C)(2)MRF correctly encodes the 10th percentile allowed amountNot applicable

The upstream applicability condition was conclusively absent.

§180.50(b)(2)(ii)(C)(2)MRF correctly encodes the median allowed amountNot applicable

The upstream applicability condition was conclusively absent.

§180.50(b)(2)(ii)(C)(2)MRF correctly encodes the 90th percentile allowed amountNot applicable

The upstream applicability condition was conclusively absent.

§180.50(b)(2)(ii)(C)(2)MRF correctly encodes the count of allowed amountsNot applicable

The upstream applicability condition was conclusively absent.

§180.50(b)(2)(iii)Item and service information3 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 typeBlocked

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)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 health inc. | commercial 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 68 times)
  • Column 10th_percentile | aetna health inc. | commercial is miscoded or missing from row 3.
  • Column 90th_percentile | aetna health inc. | commercial is miscoded or missing from row 3.
  • Column count | aetna health inc. | commercial is miscoded or missing from row 3.
  • Column median_amount | aetna health inc. | medicare advantage is miscoded or missing from row 3.
  • Column 10th_percentile | aetna health inc. | medicare advantage is miscoded or missing from row 3.
  • Column 90th_percentile | aetna health inc. | medicare advantage is miscoded or missing from row 3.
  • Column count | aetna health inc. | medicare advantage is miscoded or missing from row 3.
  • Column median_amount | amerigroup | medicare advantage is miscoded or missing from row 3.
  • Column 10th_percentile | amerigroup | medicare advantage is miscoded or missing from row 3.
  • Column 90th_percentile | amerigroup | medicare advantage is miscoded or missing from row 3.
  • Column count | amerigroup | medicare advantage is miscoded or missing from row 3.
  • Column median_amount | amerigroup | managed medicaid is miscoded or missing from row 3.
  • Column 10th_percentile | amerigroup | managed medicaid is miscoded or missing from row 3.
  • Column 90th_percentile | amerigroup | managed medicaid is miscoded or missing from row 3.
  • Column count | amerigroup | managed medicaid is miscoded or missing from row 3.
  • Column median_amount | blue cross blue shield | traditional is miscoded or missing from row 3.
  • Column 10th_percentile | blue cross blue shield | traditional is miscoded or missing from row 3.
  • Column 90th_percentile | blue cross blue shield | traditional is miscoded or missing from row 3.
  • Column count | blue cross blue shield | traditional is miscoded or missing from row 3.
  • …and 49 other findings.

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

§180.50(d)(1)-(6)Publication and accessibility3 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 751328354-1821066820_Lynn_County_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 TransparencyCouldn't determine

Why: CareCarta could not download the source on this attempt. A refusal, a web page in place of the file, or a server error counts against the hospital only if it happens again on a later day.

CareCarta could not retrieve the hospital homepage because of network_error.

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

The MRF reports 2025-02-01, 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.