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Santa Clara Valley Medical Center

Santa Clara Valley Medical Center in San Jose charges 5.4x the Medicare reimbursement rate on average, with 62% of its 104 analyzed procedures showing significant price variations.

San Jose, CA 95128 · Acute Care Hospitals · CMS Rating: 3/5

By Priya Iyengar , Senior Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.

104 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.8x2.2x15.0x
5.4x
Medicare markup ratio
CA lowestSanta Clara Valley Med...CA highest
5.4x
Avg markup ratio
5.3x
Median markup
104
Procedures
62%
Outlier procedures
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Billing patterns — government

Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.

Pricing grade

D

High

Avg markup vs Medicare

5.41x

Charge / Medicare rate

Max markup

10.26x

Worst procedure

Procedures analyzed

104

With pricing data

Outlier procedures

61.5%

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

ProcedureCodeGross chargeCash priceMedicareMarkup
PSYCHOSES885$160,327$80,16410.3x
PNEUMOTHORAX WITH CC200$136,046$68,0238x
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC057$153,666$76,8337.7x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$65,552$32,7767.5x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$84,763$42,3827.1x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$190,004$95,0026.8x
RESPIRATORY NEOPLASMS WITH MCC180$219,629$109,8146.8x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$142,700$71,3506.7x
CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC433$110,658$55,3296.6x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$88,186$44,0936.6x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$90,108$45,0546.6x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$118,101$59,0516.5x
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC056$192,887$96,4436.4x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$146,206$73,1036.4x
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC897$83,087$41,5436.3x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$114,142$57,0716.3x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$65,764$32,8826.2x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$73,520$36,7606.2x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$108,923$54,4626.1x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$277,083$138,5426.1x
HEART FAILURE AND SHOCK WITH CC292$77,958$38,9796x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$69,627$34,8146x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC070$152,881$76,4406x
GASTROINTESTINAL HEMORRHAGE WITH CC378$92,456$46,2286x
ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY884$143,367$71,6835.9x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$81,517$40,7595.9x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$110,489$55,2445.8x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$137,653$68,8265.8x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$138,839$69,4205.8x
DIABETES WITH CC638$94,472$47,2365.8x
MEDICAL BACK PROBLEMS WITHOUT MCC552$80,269$40,1355.7x
GASTROINTESTINAL OBSTRUCTION WITH CC389$66,503$33,2515.7x
BRONCHITIS AND ASTHMA WITH CC/MCC202$80,164$40,0825.7x
ENDOCRINE DISORDERS WITH CC644$86,661$43,3315.7x
HEART FAILURE AND SHOCK WITH MCC291$138,678$69,3395.7x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$311,178$155,5895.6x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$82,207$41,1045.6x
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC435$215,396$107,6985.5x
GASTROINTESTINAL OBSTRUCTION WITH MCC388$149,968$74,9845.5x
ENDOCRINE DISORDERS WITH MCC643$119,477$59,7385.5x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$82,236$41,1185.5x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC314$185,253$92,6275.5x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$268,602$134,3015.5x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$134,855$67,4275.5x
RED BLOOD CELL DISORDERS WITHOUT MCC812$73,080$36,5405.4x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$66,703$33,3515.4x
TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC084$73,668$36,8345.4x
RENAL FAILURE WITH CC683$69,971$34,9865.4x
CELLULITIS WITHOUT MCC603$83,665$41,8325.4x
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$133,970$66,9855.4x

Showing 50 of 104 procedures

How SANTA CLARA VALLEY MEDICAL CENTER compares to nearby hospitals

Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?
Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.
Why do government hospitals charge above Medicare rates if they're publicly owned?
Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.
What should I expect when reviewing a government hospital bill?
Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.
Are there potential billing differences between government hospitals and other facility types?
Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

Related pricing data

Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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