Care Carta

Axiom Behavioral Health

Naples, FL
Official transparency page ↗Current MRF ↗View as JSON

Latest evaluation

Sep 28, 2026
Ruleset catalog v2
54% of the 24 checks Care Carta could make passed
13 passed
11 failed
0 blocked
4 couldn't determine
4 not assessed
1 not applicable

What do these results mean?

Hospital and file facts

Type 2 NPI
Not available
CCN
Not available
Current MRF
22.8 KB · 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 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 failed
§180.50(b)(2)(i)(A)MRF declares this hospital's Type 2 NPICouldn't determine

Why: CareCarta's reference data lacks a value needed for this check, such as the hospital's NPI.

CareCarta's facility reference has no Type 2 NPI to compare.

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

The value in this MRF's version data element "1" does not match the expected template version "3.0.0" for the data dictionary requirements selected for validation.

§180.50(b)(2)(ii)Standard charges8 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 49 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 49 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 chargeFailed
  • "standard_charge|min" value "no negotiated rate" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 4 times). "standard_charge|min" value "100% of Medicare PPS" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 13 times).
§180.50(b)(2)(ii)MRF correctly encodes the de-identified maximum negotiated chargeFailed
  • "standard_charge|max" value "no negotiated rate" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 4 times). "standard_charge|max" value "100% of Medicare PPS" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 13 times).
§180.50(b)(2)(ii)(A)-(C)Payer-specific negotiated charge6 failed
§180.50(b)(2)(ii)(A)MRF correctly encodes payer and plan namesPassed

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

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

"standard_charge|methodology" value "per visit" is not one of the allowed valid values. You must encode one of these valid values: case rate, fee schedule, percent of total billed charges, per diem, other (reported 11 times).

§180.50(b)(2)(ii)(C)Rate expression and methodology5 failed
§180.50(b)(2)(ii)(C)MRF expresses each negotiated rate as a dollar amount, percentage, or algorithmFailed
  • "standard_charge|negotiated_dollar" value "no negotiated rate" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 4 times). "standard_charge|negotiated_dollar" value "100% of Medicare PPS" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 14 times). "standard_charge|negotiated_percentage" value "100% of Medicare PPS" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 2 times).
§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.

49 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
  • "10th_percentile" value "no negotiated rate" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 4 times). "10th_percentile" value "100% of Medicare PPS" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 13 times).
§180.50(b)(2)(ii)(C)(2)MRF correctly encodes the median allowed amountFailed
  • "median_amount" value "no negotiated rate" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 2 times). "median_amount" value "100% of Medicare PPS" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 13 times).
§180.50(b)(2)(ii)(C)(2)MRF correctly encodes the 90th percentile allowed amountFailed
  • "90th_percentile" value "no negotiated rate" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 4 times). "90th_percentile" value "100% of Medicare PPS" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 13 times).
§180.50(b)(2)(ii)(C)(2)MRF correctly encodes the count of allowed amountsFailed

If a "payer specific negotiated charge" is expressed as a percentage or algorithm, then a corresponding "Count of Allowed Amounts" must also be encoded.

§180.50(b)(2)(iii)Item and service informationPassed
§180.50(b)(2)(iii)(A)MRF correctly encodes each item or service descriptionPassed

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

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

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

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

No NDC-coded records were found across 49 parsed records.

§180.50(b)(2)(iv)Billing and coding informationPassed
§180.50(b)(2)(iv)(A)-(B)MRF correctly encodes billing codes and code typesPassed

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

§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
  • "standard_charge|gross" value "100% of Medicare PPS" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 16 times). "standard_charge|discounted_cash" value "100% of Medicare PPS" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 16 times). "standard_charge|min" value "no negotiated rate" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 4 times). "standard_charge|max" value "no negotiated rate" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 4 times). "standard_charge|negotiated_dollar" value "no negotiated rate" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 4 times). "median_amount" value "no negotiated rate" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 2 times). "10th_percentile" value "no negotiated rate" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 4 times). "90th_percentile" value "no negotiated rate" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 4 times). "standard_charge|gross" value "100% of Medicaid rate" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 2 times). "standard_charge|discounted_cash" value "100% of Medicaid rate" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 2 times). "standard_charge|min" value "100% of Medicare PPS" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 13 times). "standard_charge|max" value "100% of Medicare PPS" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 13 times). "standard_charge|negotiated_dollar" value "100% of Medicare PPS" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 14 times). "standard_charge|negotiated_percentage" value "100% of Medicare PPS" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 2 times). "median_amount" value "100% of Medicare PPS" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 13 times). "10th_percentile" value "100% of Medicare PPS" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 13 times). "90th_percentile" value "100% of Medicare PPS" is not a positive number.
  • You must encode a positive, non-zero, numeric value (reported 13 times). "standard_charge|methodology" value "per visit" is not one of the allowed valid values.
  • You must encode one of these valid values: case rate, fee schedule, percent of total billed charges, per diem, other (reported 11 times).
  • If a "payer specific negotiated charge" is expressed as a percentage or algorithm, then a corresponding "Count of Allowed Amounts" must also be encoded.
§180.50(d)(1)-(6)Publication and accessibility1 failed
§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 conventionFailed

The published file name Axiom-machine-readable-file.csv does not match the required standardcharges file name 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://axiombh.com/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 8/20/2026, 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.