Care Carta

St. Michaels Medical Hospital LLC

Sugar Land, TX

Latest evaluation

Sep 28, 2026
Ruleset catalog v2
36% of the 28 checks Care Carta could make passed
10 passed
1 failed
17 blocked
4 couldn't determine
1 not assessed
0 not applicable

Hospital and file facts

Type 2 NPI
1902453970
CCN
670314
Current MRF
182.5 KB · CSV
Last observed file change
Sep 28, 2026

Transparency checks

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

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

§180.50(a)(3)(iv)MRF correctly encodes the attester's namePassed

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

§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 charges12 blocked
§180.50(b)(2)(ii)MRF lists a gross charge for every item and serviceBlocked

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

This check could not be made because an earlier check failed: "MRF passes the CMS validator without errors". It is not counted as a separate failure.

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

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

This check could not be made because an earlier check failed: "MRF passes the CMS validator without errors". It is not counted as a separate failure.

§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 charge8 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 methodology6 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 amountBlocked

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

This check could not be made because an earlier check failed: "MRF passes the CMS validator without errors". It is not counted as a separate failure.

§180.50(b)(2)(ii)(C)(2)Allowed-amount statistics4 blocked
§180.50(b)(2)(ii)(C)(2)MRF correctly encodes the 10th percentile allowed amountBlocked

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

This check could not be made because an earlier check failed: "MRF passes the CMS validator without errors". It is not counted as a separate failure.

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

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

This check could not be made because an earlier check failed: "MRF passes the CMS validator without errors". It is not counted as a separate failure.

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

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

This check could not be made because an earlier check failed: "MRF passes the CMS validator without errors". It is not counted as a separate failure.

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

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

This check could not be made because an earlier check failed: "MRF passes the CMS validator without errors". It is not counted as a separate failure.

§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 information2 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 chargesBlocked

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

This check could not be made because an earlier check failed: "MRF passes the CMS validator without errors". It is not counted as a separate failure.

§180.50(c)(2)CMS file format1 failed
§180.50(c)(2)MRF passes the CMS validator without errorsFailed

Required headers must be defined on rows 1 and 3. Row 3 is blank

§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 842589283_St-Michaels_-Elite-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://24hrer.com/patients/pricing-transparency/) was observed in the acquired hospital homepage HTML.

§180.50(e)Update frequency1 couldn't be determined
§180.50(e)MRF was updated within the past 12 monthsCouldn't determine

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

The MRF does not encode an update date.

§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.