Healthcare Pricing Data: SAN JOSE, CA
4 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
4
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
12.5x
Across all procedures
vs National Average
+188%
Chargemaster rates
About This Data
SAN JOSE, CA has 4 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 12.5x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in SAN JOSE is SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS (DRG 870), with an average chargemaster rate of $956,323 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $606,971 | 4 | 10.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $225,419 | 4 | 10.0x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $174,127 | 4 | 8.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $161,485 | 4 | 11.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $154,308 | 4 | 10.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $119,581 | 4 | 8.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $116,811 | 4 | 11.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $956,323 | 3 | 11.5x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $792,433 | 3 | 16.0x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $376,208 | 3 | 11.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $329,089 | 3 | 15.1x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $298,922 | 3 | 12.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $290,773 | 3 | 16.7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $287,801 | 3 | 11.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $286,463 | 3 | 12.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $275,693 | 3 | 11.0x |
| SEIZURES WITH MCC | 100 | $269,595 | 3 | 12.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $236,247 | 3 | 11.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $234,309 | 3 | 12.9x |
| ENDOCRINE DISORDERS WITH MCC | 643 | $217,746 | 3 | 12.3x |
| DIABETES WITH MCC | 637 | $215,557 | 3 | 13.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $214,774 | 3 | 10.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $202,437 | 3 | 13.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $197,746 | 3 | 18.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $190,791 | 3 | 10.0x |
| RENAL FAILURE WITH MCC | 682 | $189,984 | 3 | 11.2x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $182,540 | 3 | 13.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $172,099 | 3 | 15.6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $150,293 | 3 | 18.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $146,002 | 3 | 13.9x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in SAN JOSE With Pricing Data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
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