{"schemaVersion":2,"hospital":{"key":"050243","name":"DESERT REGIONAL MEDICAL CENTER","displayName":"Desert Regional Medical Center","displayCity":"Palm Springs","location":"PALM SPRINGS, CA","identifiers":{"ccn":"050243","npi_type_2":"1104856095"}},"date":"2026-09-28","planKey":"national:2026-09-28:cdc5e7a710039c158be06a0521bcf44d9455bccf","publishedAt":"2026-09-29T05:48:53.466Z","summary":{"total":33,"passed":20,"failed":0,"blocked":0,"notApplicable":4,"couldNotDetermine":5,"notAssessed":4,"checked":20,"passRate":1},"files":[{"runKey":"national-work:2026-09-28:cdc5e7a710039c158be06a0521bcf44d9455bccf:mrf-03e8ac2d18d10b139d5c","evaluatedAt":"2026-09-28T05:51:38.955Z","sharedWithOthers":0,"sourceLinks":{"homepage":"https://www.desertcarenetwork.com/locations/detail/desert-regional-medical-center","current_mrf":"https://mrfs.hyvehealthcare.com/TenetHealth/752694137_desert-regional-medical-center%2C-inc._standardcharges.json","transparency_page":"https://www.desertcarenetwork.com/patients/pricing-info-estimates/hospital-pricing-information"},"artifact":{"sha256":"7b8cf31d35303f8b4606f21d06e56465eb05ce295b295cb90e93f3c75f4a9b02","size_bytes":51282515,"display_size":"51.3 MB","display_format":"JSON","last_observed_change_at":"2026-09-27T19:34:38.779Z"},"ruleset":{"key":"hpt-v3","version":"catalog v2","dataDictionaryVersion":"3.0.0"},"summary":{"total":33,"passed":20,"failed":0,"blocked":0,"notApplicable":4,"couldNotDetermine":5,"notAssessed":4,"checked":20,"passRate":1},"groups":[{"key":"attestation","rules":[{"title":"MRF correctly encodes the accuracy and completeness attestation","detail":"The completed structural evaluation reported no deficiency for this nonconditional check.","result":"PASS","ruleKey":"hpt.mrf.cms.attestation","authority":["45 CFR 180.50(a)(3)(iii)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF correctly encodes the attester's name","detail":"The completed structural evaluation reported no deficiency for this nonconditional check.","result":"PASS","ruleKey":"hpt.mrf.cms.attester_name","authority":["45 CFR 180.50(a)(3)(iv)"],"statusLabel":"Passed","display":"PASS"}],"title":"Attestation and responsible official","groups":[],"result":"PASS","authority":"45 CFR 180.50(a)(3)","statusLabel":"Passed","distribution":{"FAIL":0,"PASS":2,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":0},"display":"PASS","displayCounts":{"PASS":2}},{"key":"hospital_mrf_information","rules":[{"title":"MRF declares this hospital's Type 2 NPI","detail":"The MRF does not declare a Type 2 NPI.","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":"The hospital's file does not include a value this check needs."},{"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 9,285 charge objects and blank on 12,689 charge objects. 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 9,285 charge objects and blank on 12,689 charge objects. 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 structural deficiency was reported across 179,421 dollar-denominated payer-rate records.","result":"PASS","ruleKey":"hpt.mrf.cms.minimum_charge","authority":["45 CFR 180.50(b)(2)(ii)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF correctly encodes the de-identified maximum negotiated charge","detail":"No structural deficiency was reported across 179,421 dollar-denominated payer-rate records.","result":"PASS","ruleKey":"hpt.mrf.cms.maximum_charge","authority":["45 CFR 180.50(b)(2)(ii)"],"statusLabel":"Passed","display":"PASS"}],"title":"Standard charges","groups":[{"key":"payer_specific","rules":[{"title":"MRF correctly encodes payer and plan names","detail":"The completed structural evaluation reported no deficiency for this nonconditional check.","result":"PASS","ruleKey":"hpt.mrf.cms.payer_and_plan","authority":["45 CFR 180.50(b)(2)(ii)(A)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF correctly encodes how each charge was established","detail":"The completed structural evaluation reported no deficiency for this nonconditional check.","result":"PASS","ruleKey":"hpt.mrf.cms.methodology","authority":["45 CFR 180.50(b)(2)(ii)(B)"],"statusLabel":"Passed","display":"PASS"}],"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 completed structural evaluation reported no deficiency for this nonconditional check.","result":"PASS","ruleKey":"hpt.mrf.cms.rate_form","authority":["45 CFR 180.50(b)(2)(ii)(C)"],"statusLabel":"Passed","display":"PASS"},{"title":"Percentage and algorithm rates give enough information to derive a dollar amount","detail":"75,545 percentage- or algorithm-based payer rates require semantic review of whether a reasonable user can derive a dollar amount.","result":"INDETERMINATE","ruleKey":"hpt.mrf.algorithm_derivable","authority":["45 CFR 180.50(a)(3)(iii)","45 CFR 180.50(b)(2)(ii)(C)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"This needs a person to judge; the automated check cannot decide it."}],"title":"Rate expression and methodology","groups":[{"key":"allowed_amounts","rules":[{"title":"MRF correctly encodes the 10th percentile allowed amount","detail":"All 75,545 conditional payer-rate records encode a zero allowed-amount count, so the nonzero-count percentile branch was not triggered.","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":"All 75,545 conditional payer-rate records encode a zero allowed-amount count, so the nonzero-count percentile branch was not triggered.","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":"All 75,545 conditional payer-rate records encode a zero allowed-amount count, so the nonzero-count percentile branch was not triggered.","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 count field passed structural validation for 75,545 applicable payer-rate records.","result":"PASS","ruleKey":"hpt.mrf.cms.allowed_count","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Passed","display":"PASS"}],"title":"Allowed-amount statistics","groups":[],"result":"PASS","authority":"45 CFR 180.50(b)(2)(ii)(C)(2)","statusLabel":"Passed","distribution":{"FAIL":0,"PASS":1,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":3},"display":"PASS","displayCounts":{"NOT_APPLICABLE":3,"PASS":1}}],"result":"INDETERMINATE","authority":"45 CFR 180.50(b)(2)(ii)(C)","statusLabel":"1 couldn't be determined","distribution":{"FAIL":0,"PASS":2,"BLOCKED":0,"INDETERMINATE":1,"NOT_APPLICABLE":3},"display":"COULD_NOT_DETERMINE","displayCounts":{"PASS":2,"COULD_NOT_DETERMINE":1,"NOT_APPLICABLE":3}}],"result":"INDETERMINATE","authority":"45 CFR 180.50(b)(2)(ii)(A)-(C)","statusLabel":"1 couldn't be determined","distribution":{"FAIL":0,"PASS":4,"BLOCKED":0,"INDETERMINATE":1,"NOT_APPLICABLE":3},"display":"COULD_NOT_DETERMINE","displayCounts":{"PASS":4,"COULD_NOT_DETERMINE":1,"NOT_APPLICABLE":3}}],"result":"INDETERMINATE","authority":"45 CFR 180.50(b)(2)(ii)","statusLabel":"1 couldn't be determined","distribution":{"FAIL":0,"PASS":6,"BLOCKED":0,"INDETERMINATE":3,"NOT_APPLICABLE":3},"display":"COULD_NOT_DETERMINE","displayCounts":{"NOT_ASSESSED":2,"PASS":6,"COULD_NOT_DETERMINE":1,"NOT_APPLICABLE":3}},{"key":"item_service","rules":[{"title":"MRF correctly encodes each item or service description","detail":"The completed structural evaluation reported no deficiency for this nonconditional check.","result":"PASS","ruleKey":"hpt.mrf.cms.description","authority":["45 CFR 180.50(b)(2)(iii)(A)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF correctly encodes the inpatient or outpatient setting","detail":"The completed structural evaluation reported no deficiency for this nonconditional check.","result":"PASS","ruleKey":"hpt.mrf.cms.setting","authority":["45 CFR 180.50(b)(2)(iii)(B)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF correctly encodes drug units and measurement type","detail":"No NDC-coded records were found across 21,974 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":"PASS","authority":"45 CFR 180.50(b)(2)(iii)","statusLabel":"Passed","distribution":{"FAIL":0,"PASS":2,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":1},"display":"PASS","displayCounts":{"PASS":2,"NOT_APPLICABLE":1}},{"key":"billing_coding","rules":[{"title":"MRF correctly encodes billing codes and code types","detail":"The completed structural evaluation reported no deficiency for this nonconditional check.","result":"PASS","ruleKey":"hpt.mrf.cms.billing_code","authority":["45 CFR 180.50(b)(2)(iv)(A)-(B)"],"statusLabel":"Passed","display":"PASS"},{"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":"INDETERMINATE","authority":"45 CFR 180.50(b)(2)(iv)","statusLabel":"Passed","distribution":{"FAIL":0,"PASS":1,"BLOCKED":0,"INDETERMINATE":1,"NOT_APPLICABLE":0},"display":"PASS","displayCounts":{"PASS":1,"NOT_ASSESSED":1}},{"key":"cms_format","rules":[{"title":"MRF passes the CMS validator without errors","detail":"The completed structural evaluation reported no deficiency for this nonconditional check.","result":"PASS","ruleKey":"hpt.mrf.cms.template","authority":["45 CFR 180.50(c)(2)"],"statusLabel":"Passed","display":"PASS"}],"title":"CMS file format","groups":[],"result":"PASS","authority":"45 CFR 180.50(c)(2)","statusLabel":"Passed","distribution":{"FAIL":0,"PASS":1,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":0},"display":"PASS","displayCounts":{"PASS":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 JSON 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 752694137_desert-regional-medical-center,-inc._standardcharges.json 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":"CareCarta could not retrieve the hospital homepage because of access_blocked.","result":"INDETERMINATE","ruleKey":"hpt.website.price_transparency_link","authority":["45 CFR 180.50(d)(6)(ii)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"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."}],"title":"Publication and accessibility","groups":[],"result":"INDETERMINATE","authority":"45 CFR 180.50(d)(1)-(6)","statusLabel":"3 couldn't be determined","distribution":{"FAIL":0,"PASS":6,"BLOCKED":0,"INDETERMINATE":3,"NOT_APPLICABLE":0},"display":"COULD_NOT_DETERMINE","displayCounts":{"PASS":6,"COULD_NOT_DETERMINE":3}},{"key":"update_frequency","rules":[{"title":"MRF was updated within the past 12 months","detail":"The MRF reports 2026-09-02, 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":"2026-09-27T19:34:38.779Z","summary":{"total":33,"passed":20,"failed":0,"blocked":0,"notApplicable":4,"couldNotDetermine":5,"notAssessed":4,"checked":20,"passRate":1},"groups":[{"key":"attestation","result":"PASS"},{"key":"hospital_mrf_information","result":"COULD_NOT_DETERMINE"},{"key":"standard_charges","result":"COULD_NOT_DETERMINE"},{"key":"item_service","result":"PASS"},{"key":"billing_coding","result":"PASS"},{"key":"cms_format","result":"PASS"},{"key":"publication_access","result":"COULD_NOT_DETERMINE"},{"key":"update_frequency","result":"PASS"},{"key":"shoppable_services","result":"NOT_ASSESSED"}]},{"id":"2026-09-28","evaluatedAt":"2026-09-28T05:51:38.955Z","summary":{"total":33,"passed":20,"failed":0,"blocked":0,"notApplicable":4,"couldNotDetermine":5,"notAssessed":4,"checked":20,"passRate":1},"groups":[{"key":"attestation","result":"PASS"},{"key":"hospital_mrf_information","result":"COULD_NOT_DETERMINE"},{"key":"standard_charges","result":"COULD_NOT_DETERMINE"},{"key":"item_service","result":"PASS"},{"key":"billing_coding","result":"PASS"},{"key":"cms_format","result":"PASS"},{"key":"publication_access","result":"COULD_NOT_DETERMINE"},{"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"}}