{"schemaVersion":2,"hospital":{"key":"cc-8149b425-0204-4878-972a-9ee702e885d7","name":"ELITECARE EMERGENCY HOSPITAL","displayName":"Elitecare Emergency Hospital","displayCity":"League City","location":"LEAGUE CITY, TX","identifiers":{"ccn":null,"npi_type_2":null}},"date":"2026-09-28","planKey":"national:2026-09-28:cdc5e7a710039c158be06a0521bcf44d9455bccf","publishedAt":"2026-09-29T05:48:53.466Z","summary":{"total":33,"passed":8,"failed":4,"blocked":6,"notApplicable":8,"couldNotDetermine":3,"notAssessed":4,"checked":18,"passRate":0.4444444444444444},"files":[{"runKey":"national-work:2026-09-28:cdc5e7a710039c158be06a0521bcf44d9455bccf:mrf-7148443cc2f827de480c","evaluatedAt":"2026-09-28T05:36:00.194Z","sharedWithOthers":0,"sourceLinks":{"homepage":"https://elite24er.com/","current_mrf":"https://elite24er.com/wp-content/uploads/2026/04/38-3813467_Elite-Care-Emergency-Room_standardcharges.csv","transparency_page":"https://elite24er.com/patients/pricing-transparency"},"artifact":{"sha256":"4709e910e6cab4511b5f8b67a4b756d0dfa5704922f77f060c5445b5080845d5","size_bytes":2540803,"display_size":"2.5 MB","display_format":"CSV","last_observed_change_at":"2026-09-27T19:13:03.739Z"},"ruleset":{"key":"hpt-v3","version":"catalog v2","dataDictionaryVersion":"3.0.0"},"summary":{"total":33,"passed":8,"failed":4,"blocked":6,"notApplicable":8,"couldNotDetermine":3,"notAssessed":4,"checked":18,"passRate":0.4444444444444444},"groups":[{"key":"attestation","rules":[{"title":"MRF correctly encodes the accuracy and completeness attestation","detail":null,"result":"FAIL","ruleKey":"hpt.mrf.cms.attestation","authority":["45 CFR 180.50(a)(3)(iii)"],"statusLabel":"Failed","affectedRecordCount":1,"display":"FAIL","detailItems":["Header column \"To the best of its knowledge and belief, this hospital has…\" is miscoded or missing."],"detailNote":"Each header listed must be included and encoded as the CMS data dictionary specifies."},{"title":"MRF correctly encodes the attester's name","detail":null,"result":"FAIL","ruleKey":"hpt.mrf.cms.attester_name","authority":["45 CFR 180.50(a)(3)(iv)"],"statusLabel":"Failed","affectedRecordCount":1,"display":"FAIL","detailItems":["Header column \"attester_name\" is miscoded or missing."],"detailNote":"Each header listed must be included and encoded as the CMS data dictionary specifies."}],"title":"Attestation and responsible official","groups":[],"result":"FAIL","authority":"45 CFR 180.50(a)(3)","statusLabel":"2 failed","distribution":{"FAIL":2,"PASS":0,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"FAIL":2}},{"key":"hospital_mrf_information","rules":[{"title":"MRF declares this hospital's Type 2 NPI","detail":"CareCarta's facility reference has no Type 2 NPI to compare.","result":"INDETERMINATE","ruleKey":"hpt.mrf.identity.npi","authority":["45 CFR 180.50(b)(2)(i)(A)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"CareCarta's reference data lacks a value needed for this check, such as the hospital's NPI."},{"title":"MRF correctly encodes its template version and update date","detail":"The completed structural evaluation reported no deficiency for this nonconditional check.","result":"PASS","ruleKey":"hpt.mrf.cms.version_and_date","authority":["45 CFR 180.50(b)(2)(i)(B)"],"statusLabel":"Passed","display":"PASS"}],"title":"Hospital and MRF information","groups":[],"result":"INDETERMINATE","authority":"45 CFR 180.50(b)(2)(i)","statusLabel":"1 couldn't be determined","distribution":{"FAIL":0,"PASS":1,"BLOCKED":0,"INDETERMINATE":1,"NOT_APPLICABLE":0},"display":"COULD_NOT_DETERMINE","displayCounts":{"COULD_NOT_DETERMINE":1,"PASS":1}},{"key":"standard_charges","rules":[{"title":"MRF lists a gross charge for every item and service","detail":"Gross charge values are populated on 15,788 rows and blank on 9 rows. The MRF alone cannot prove that every applicable hospital item or service is represented.","result":"INDETERMINATE","ruleKey":"hpt.mrf.gross_charges_complete","authority":["45 CFR 180.50(b)(2)(ii)"],"statusLabel":"Not assessed","display":"NOT_ASSESSED","reason":"The price file alone cannot answer this; it needs evidence from outside the file."},{"title":"MRF lists a discounted cash price for every item and service that has one","detail":"Discounted cash price values are populated on 15,797 rows and blank on 0 rows. The MRF alone cannot prove that every applicable hospital item or service is represented.","result":"INDETERMINATE","ruleKey":"hpt.mrf.cash_prices_complete","authority":["45 CFR 180.50(b)(2)(ii)"],"statusLabel":"Not assessed","display":"NOT_ASSESSED","reason":"The price file alone cannot answer this; it needs evidence from outside the file."},{"title":"MRF correctly encodes the de-identified minimum negotiated charge","detail":"No dollar-denominated payer rates were found across 15,797 parsed records.","result":"NOT_APPLICABLE","ruleKey":"hpt.mrf.cms.minimum_charge","authority":["45 CFR 180.50(b)(2)(ii)"],"statusLabel":"Not applicable","display":"NOT_APPLICABLE"},{"title":"MRF correctly encodes the de-identified maximum negotiated charge","detail":"No dollar-denominated payer rates were found across 15,797 parsed records.","result":"NOT_APPLICABLE","ruleKey":"hpt.mrf.cms.maximum_charge","authority":["45 CFR 180.50(b)(2)(ii)"],"statusLabel":"Not applicable","display":"NOT_APPLICABLE"}],"title":"Standard charges","groups":[{"key":"payer_specific","rules":[{"title":"MRF correctly encodes payer and plan names","detail":"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.","result":"BLOCKED","ruleKey":"hpt.mrf.cms.payer_and_plan","authority":["45 CFR 180.50(b)(2)(ii)(A)"],"statusLabel":"Blocked by MRF passes the CMS validator without errors","blockedBy":{"ruleKey":"hpt.mrf.cms.template","title":"MRF passes the CMS validator without errors"},"display":"BLOCKED"},{"title":"MRF correctly encodes how each charge was established","detail":"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.","result":"BLOCKED","ruleKey":"hpt.mrf.cms.methodology","authority":["45 CFR 180.50(b)(2)(ii)(B)"],"statusLabel":"Blocked by MRF passes the CMS validator without errors","blockedBy":{"ruleKey":"hpt.mrf.cms.template","title":"MRF passes the CMS validator without errors"},"display":"BLOCKED"}],"title":"Payer-specific negotiated charge","groups":[{"key":"rate_expression","rules":[{"title":"MRF expresses each negotiated rate as a dollar amount, percentage, or algorithm","detail":"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.","result":"BLOCKED","ruleKey":"hpt.mrf.cms.rate_form","authority":["45 CFR 180.50(b)(2)(ii)(C)"],"statusLabel":"Blocked by MRF passes the CMS validator without errors","blockedBy":{"ruleKey":"hpt.mrf.cms.template","title":"MRF passes the CMS validator without errors"},"display":"BLOCKED"},{"title":"Percentage and algorithm rates give enough information to derive a dollar amount","detail":"The upstream applicability condition was conclusively absent.","result":"NOT_APPLICABLE","ruleKey":"hpt.mrf.algorithm_derivable","authority":["45 CFR 180.50(a)(3)(iii)","45 CFR 180.50(b)(2)(ii)(C)"],"statusLabel":"Not applicable","display":"NOT_APPLICABLE"}],"title":"Rate expression and methodology","groups":[{"key":"allowed_amounts","rules":[{"title":"MRF correctly encodes the 10th percentile allowed amount","detail":"The upstream applicability condition was conclusively absent.","result":"NOT_APPLICABLE","ruleKey":"hpt.mrf.cms.allowed_p10","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Not applicable","display":"NOT_APPLICABLE"},{"title":"MRF correctly encodes the median allowed amount","detail":"The upstream applicability condition was conclusively absent.","result":"NOT_APPLICABLE","ruleKey":"hpt.mrf.cms.allowed_median","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Not applicable","display":"NOT_APPLICABLE"},{"title":"MRF correctly encodes the 90th percentile allowed amount","detail":"The upstream applicability condition was conclusively absent.","result":"NOT_APPLICABLE","ruleKey":"hpt.mrf.cms.allowed_p90","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Not applicable","display":"NOT_APPLICABLE"},{"title":"MRF correctly encodes the count of allowed amounts","detail":"The upstream applicability condition was conclusively absent.","result":"NOT_APPLICABLE","ruleKey":"hpt.mrf.cms.allowed_count","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Not applicable","display":"NOT_APPLICABLE"}],"title":"Allowed-amount statistics","groups":[],"result":"NOT_APPLICABLE","authority":"45 CFR 180.50(b)(2)(ii)(C)(2)","statusLabel":"Not applicable","distribution":{"FAIL":0,"PASS":0,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":4},"display":"NOT_APPLICABLE","displayCounts":{"NOT_APPLICABLE":4}}],"result":"BLOCKED","authority":"45 CFR 180.50(b)(2)(ii)(C)","statusLabel":"1 blocked","distribution":{"FAIL":0,"PASS":0,"BLOCKED":1,"INDETERMINATE":0,"NOT_APPLICABLE":5},"display":"BLOCKED","displayCounts":{"BLOCKED":1,"NOT_APPLICABLE":5}}],"result":"BLOCKED","authority":"45 CFR 180.50(b)(2)(ii)(A)-(C)","statusLabel":"3 blocked","distribution":{"FAIL":0,"PASS":0,"BLOCKED":3,"INDETERMINATE":0,"NOT_APPLICABLE":5},"display":"BLOCKED","displayCounts":{"BLOCKED":3,"NOT_APPLICABLE":5}}],"result":"BLOCKED","authority":"45 CFR 180.50(b)(2)(ii)","statusLabel":"3 blocked","distribution":{"FAIL":0,"PASS":0,"BLOCKED":3,"INDETERMINATE":2,"NOT_APPLICABLE":7},"display":"BLOCKED","displayCounts":{"NOT_ASSESSED":2,"NOT_APPLICABLE":7,"BLOCKED":3}},{"key":"item_service","rules":[{"title":"MRF correctly encodes each item or service description","detail":"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.","result":"BLOCKED","ruleKey":"hpt.mrf.cms.description","authority":["45 CFR 180.50(b)(2)(iii)(A)"],"statusLabel":"Blocked by MRF passes the CMS validator without errors","blockedBy":{"ruleKey":"hpt.mrf.cms.template","title":"MRF passes the CMS validator without errors"},"display":"BLOCKED"},{"title":"MRF correctly encodes the inpatient or outpatient setting","detail":"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.","result":"BLOCKED","ruleKey":"hpt.mrf.cms.setting","authority":["45 CFR 180.50(b)(2)(iii)(B)"],"statusLabel":"Blocked by MRF passes the CMS validator without errors","blockedBy":{"ruleKey":"hpt.mrf.cms.template","title":"MRF passes the CMS validator without errors"},"display":"BLOCKED"},{"title":"MRF correctly encodes drug units and measurement type","detail":"No NDC-coded records were found across 15,797 parsed records.","result":"NOT_APPLICABLE","ruleKey":"hpt.mrf.cms.drug_units","authority":["45 CFR 180.50(b)(2)(iii)(C)"],"statusLabel":"Not applicable","display":"NOT_APPLICABLE"}],"title":"Item and service information","groups":[],"result":"BLOCKED","authority":"45 CFR 180.50(b)(2)(iii)","statusLabel":"2 blocked","distribution":{"FAIL":0,"PASS":0,"BLOCKED":2,"INDETERMINATE":0,"NOT_APPLICABLE":1},"display":"BLOCKED","displayCounts":{"BLOCKED":2,"NOT_APPLICABLE":1}},{"key":"billing_coding","rules":[{"title":"MRF correctly encodes billing codes and code types","detail":"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.","result":"BLOCKED","ruleKey":"hpt.mrf.cms.billing_code","authority":["45 CFR 180.50(b)(2)(iv)(A)-(B)"],"statusLabel":"Blocked by MRF passes the CMS validator without errors","blockedBy":{"ruleKey":"hpt.mrf.cms.template","title":"MRF passes the CMS validator without errors"},"display":"BLOCKED"},{"title":"MRF lists every applicable modifier and its charges","detail":"The MRF was parsed for encoded modifiers, but the file alone cannot establish whether every applicable modifier-specific charge is represented.","result":"INDETERMINATE","ruleKey":"hpt.mrf.modifiers_complete","authority":["45 CFR 180.50(b)(2)(iv)(C)"],"statusLabel":"Not assessed","display":"NOT_ASSESSED","reason":"The price file alone cannot answer this; it needs evidence from outside the file."}],"title":"Billing and coding information","groups":[],"result":"BLOCKED","authority":"45 CFR 180.50(b)(2)(iv)","statusLabel":"1 blocked","distribution":{"FAIL":0,"PASS":0,"BLOCKED":1,"INDETERMINATE":1,"NOT_APPLICABLE":0},"display":"BLOCKED","displayCounts":{"BLOCKED":1,"NOT_ASSESSED":1}},{"key":"cms_format","rules":[{"title":"MRF passes the CMS validator without errors","detail":null,"result":"FAIL","ruleKey":"hpt.mrf.cms.template","authority":["45 CFR 180.50(c)(2)"],"statusLabel":"Failed","affectedRecordCount":6,"display":"FAIL","detailItems":["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.","Required payer-specific information data element headers are missing or miscoded from the MRF that does not follow the specifications for the CSV \"Tall\" or CSV \"Wide\" format.","Errors were found in the headers in row 3, so the remaining rows were not evaluated."],"detailNote":"Each header listed must be included and encoded as the CMS data dictionary specifies."}],"title":"CMS file format","groups":[],"result":"FAIL","authority":"45 CFR 180.50(c)(2)","statusLabel":"1 failed","distribution":{"FAIL":1,"PASS":0,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"FAIL":1}},{"key":"publication_access","rules":[{"title":"MRF downloads without payment","detail":"CareCarta retrieved the file without payment.","result":"PASS","ruleKey":"hpt.mrf.access.no_payment","authority":["45 CFR 180.50(d)(3)(i)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF downloads without an account or password","detail":"CareCarta retrieved the file without an account or password.","result":"PASS","ruleKey":"hpt.mrf.access.no_login","authority":["45 CFR 180.50(d)(3)(ii)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF downloads without submitting personal information","detail":"CareCarta retrieved the file without submitting personally identifiable information.","result":"PASS","ruleKey":"hpt.mrf.access.no_personal_info","authority":["45 CFR 180.50(d)(3)(iii)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF downloads to an automated client","detail":"An automated HTTP client downloaded the declared MRF successfully.","result":"PASS","ruleKey":"hpt.mrf.access.automated","authority":["45 CFR 180.50(d)(3)(iv)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF is a CSV or JSON file, optionally compressed","detail":"The downloaded artifact provides CSV that can be processed as structured text.","result":"PASS","ruleKey":"hpt.mrf.format.csv_or_json","authority":["45 CFR 180.50(d)(4)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF file name follows the CMS convention","detail":"The published file name 38-3813467_Elite-Care-Emergency-Room_standardcharges.csv matches the required identifier, hospital-name, and standardcharges structure.","result":"PASS","ruleKey":"hpt.mrf.format.filename","authority":["45 CFR 180.50(d)(5)"],"statusLabel":"Passed","display":"PASS"},{"title":"cms-hpt.txt is published and uses the required fields","detail":"No cms-hpt.txt URL was supplied to this audit run.","result":"INDETERMINATE","ruleKey":"hpt.txt.conforms","authority":["45 CFR 180.50(d)(6)(i)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"CareCarta does not have an address for this hospital's source."},{"title":"cms-hpt.txt links this hospital's MRF","detail":"No cms-hpt.txt URL was supplied to this audit run.","result":"INDETERMINATE","ruleKey":"hpt.txt.links_mrf","authority":["45 CFR 180.50(d)(6)(i)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"CareCarta does not have an address for this hospital's source."},{"title":"Homepage has a link labelled Price Transparency","detail":"The hospital homepage has no link labeled Price Transparency; the closest is labeled \"Pricing Transparency\" (128 links read).","result":"FAIL","ruleKey":"hpt.website.price_transparency_link","authority":["45 CFR 180.50(d)(6)(ii)"],"statusLabel":"Failed","display":"FAIL"}],"title":"Publication and accessibility","groups":[],"result":"FAIL","authority":"45 CFR 180.50(d)(1)-(6)","statusLabel":"1 failed","distribution":{"FAIL":1,"PASS":6,"BLOCKED":0,"INDETERMINATE":2,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"PASS":6,"COULD_NOT_DETERMINE":2,"FAIL":1}},{"key":"update_frequency","rules":[{"title":"MRF was updated within the past 12 months","detail":"The MRF reports 4/1/2026, within one year of this audit observation.","result":"PASS","ruleKey":"hpt.mrf.updated_within_year","authority":["45 CFR 180.50(e)"],"statusLabel":"Passed","display":"PASS"}],"title":"Update frequency","groups":[],"result":"PASS","authority":"45 CFR 180.50(e)","statusLabel":"Passed","distribution":{"FAIL":0,"PASS":1,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":0},"display":"PASS","displayCounts":{"PASS":1}},{"key":"shoppable_services","rules":[{"title":"Website offers a qualifying shoppable-services list or price estimator","detail":"CareCarta has not built an evaluator for the shoppable-services disclosure (45 CFR 180.60) yet, so this check cannot be decided.","result":"INDETERMINATE","ruleKey":"hpt.website.shoppable_services","authority":["45 CFR 180.60(a)(1)","45 CFR 180.60(a)(2)"],"statusLabel":"Not assessed","display":"NOT_ASSESSED","reason":"CareCarta has not built this check yet."}],"title":"Shoppable services disclosure","groups":[],"result":"INDETERMINATE","authority":"45 CFR 180.60","statusLabel":"Not assessed","distribution":{"FAIL":0,"PASS":0,"BLOCKED":0,"INDETERMINATE":1,"NOT_APPLICABLE":0},"display":"NOT_ASSESSED","displayCounts":{"NOT_ASSESSED":1}}]}],"history":[{"id":"2026-09-27","evaluatedAt":"2026-09-27T19:13:03.739Z","summary":{"total":33,"passed":8,"failed":4,"blocked":6,"notApplicable":8,"couldNotDetermine":3,"notAssessed":4,"checked":18,"passRate":0.4444444444444444},"groups":[{"key":"attestation","result":"FAIL"},{"key":"hospital_mrf_information","result":"COULD_NOT_DETERMINE"},{"key":"standard_charges","result":"BLOCKED"},{"key":"item_service","result":"BLOCKED"},{"key":"billing_coding","result":"BLOCKED"},{"key":"cms_format","result":"FAIL"},{"key":"publication_access","result":"FAIL"},{"key":"update_frequency","result":"PASS"},{"key":"shoppable_services","result":"NOT_ASSESSED"}]},{"id":"2026-09-28","evaluatedAt":"2026-09-28T05:36:00.194Z","summary":{"total":33,"passed":8,"failed":4,"blocked":6,"notApplicable":8,"couldNotDetermine":3,"notAssessed":4,"checked":18,"passRate":0.4444444444444444},"groups":[{"key":"attestation","result":"FAIL"},{"key":"hospital_mrf_information","result":"COULD_NOT_DETERMINE"},{"key":"standard_charges","result":"BLOCKED"},{"key":"item_service","result":"BLOCKED"},{"key":"billing_coding","result":"BLOCKED"},{"key":"cms_format","result":"FAIL"},{"key":"publication_access","result":"FAIL"},{"key":"update_frequency","result":"PASS"},{"key":"shoppable_services","result":"NOT_ASSESSED"}]}],"enforcement":{"detail":"CMS enforcement records were not evaluated in this bounded audit.","status":"NOT_EVALUATED"},"hospitalResponse":{"detail":"No hospital response is recorded for this bounded audit.","status":"NONE_RECORDED"}}