1/100
#2,612 nationally
Regional Medical Center Of San Jose
225 N Jackson Avenue, San Jose, CA 95116
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Regional Medical Center Of San Jose billed $15.20 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
- 15.2x
- volume-weighted across all its priced work
- Procedures priced
- 46
- inpatient and outpatient combined
- Rank in CA
- #232
- lower markup ranks higher
- CMS quality stars
- Not rated
- 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 0% of U.S. hospitals.
Better than 3% of U.S. hospitals.
Better than 0% of U.S. hospitals.
Better than 5% 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 |
456 | $358,489 | $24,621 | +449% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
107 | $250,300 | $15,756 | +477% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
82 | $60,640 | $3,282 | +416% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
79 | $102,210 | $3,855 | +426% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
56 | $228,524 | $16,775 | +391% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
53 | $209,079 | $12,670 | +433% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
51 | $419,140 | $25,404 | +449% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
46 | $98,008 | $4,489 | +413% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
46 | $136,110 | $4,528 | +439% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
33 | $56,250 | $4,001 | +218% |
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 |
|---|---|---|---|
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$271,448 | $14,290 | +496% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
$664,120 | $35,486 | +485% |
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay |
$327,891 | $16,443 | +480% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$250,300 | $15,756 | +477% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$163,766 | $10,291 | +450% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$419,140 | $25,404 | +449% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$358,489 | $24,621 | +449% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$168,041 | $9,576 | +449% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$56,250 | $4,001 | +218% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$160,375 | $19,284 | +221% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$181,641 | $17,313 | +243% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$627,730 | $55,688 | +253% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$185,319 | $15,010 | +260% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$78,386 | $4,316 | +285% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$155,771 | $10,066 | +291% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$161,467 | $14,447 | +296% |
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.