36/100
#1,711 nationally
Kaiser Foundation Hospital-Santa Clara
700 Lawrence Expressway, Santa Clara, CA 95051 · (408) 236-6400
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Kaiser Foundation Hospital-Santa Clara billed $2.89 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
- 2.9x
- volume-weighted across all its priced work
- Procedures priced
- 12
- inpatient and outpatient combined
- Rank in CA
- #81
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 78% of U.S. hospitals.
Better than 20% of U.S. hospitals.
Better than 12% of U.S. hospitals.
Better than 3% of U.S. hospitals.
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 |
104 | $136,774 | $53,363 | +110% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
50 | $41,254 | $3,780 | +112% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
28 | $47,300 | $29,028 | +21% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
26 | $77,169 | $26,674 | +59% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
26 | $194,326 | $76,791 | +348% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
16 | $74,932 | $17,198 | +65% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
15 | $30,839 | $4,168 | +61% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
12 | $111,597 | $26,799 | +57% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
12 | $209,265 | $56,180 | +18% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
12 | $15,196 | $2,808 | +29% |
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 |
|---|---|---|---|
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$194,326 | $76,791 | +348% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$41,254 | $3,780 | +112% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$136,774 | $53,363 | +110% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$74,932 | $17,198 | +65% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$30,839 | $4,168 | +61% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$77,169 | $26,674 | +59% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$111,597 | $26,799 | +57% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$15,799 | $1,932 | +57% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$209,265 | $56,180 | +18% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$47,300 | $29,028 | +21% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$15,196 | $2,808 | +29% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$106,994 | $31,102 | +40% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$15,799 | $1,932 | +57% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$111,597 | $26,799 | +57% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$77,169 | $26,674 | +59% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$30,839 | $4,168 | +61% |
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.