Ungraded
#1,787 nationally
Kaiser Foundation Hospital-San Jose
250 Hospital Parkway, San Jose, CA 95119 · (408) 972-7000
Not enough published pricing to grade
For every $1 of care Medicare actually paid for here, Kaiser Foundation Hospital-San Jose billed $3.51 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.5x
- volume-weighted across all its priced work
- Procedures priced
- 9
- inpatient and outpatient combined
- Rank in CA
- #85
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
107 | $110,723 | $27,870 | +70% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
74 | $37,711 | $3,647 | +94% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
21 | $66,898 | $26,857 | +71% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
19 | $42,858 | $17,698 | about average |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
19 | $16,042 | $3,218 | +36% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
15 | $226,044 | $79,580 | +27% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
13 | $56,036 | $37,723 | +16% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
12 | $101,141 | $28,853 | +33% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
12 | $48,237 | $27,737 | +46% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$37,711 | $3,647 | +94% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$66,898 | $26,857 | +71% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$110,723 | $27,870 | +70% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$48,237 | $27,737 | +46% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$16,042 | $3,218 | +36% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$101,141 | $28,853 | +33% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$226,044 | $79,580 | +27% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$56,036 | $37,723 | +16% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$42,858 | $17,698 | about average |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$56,036 | $37,723 | +16% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$226,044 | $79,580 | +27% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$101,141 | $28,853 | +33% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$16,042 | $3,218 | +36% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$48,237 | $27,737 | +46% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$110,723 | $27,870 | +70% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$66,898 | $26,857 | +71% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.