28/100
#1,939 nationally
Santa Clara Valley Medical Center
751 South Bascom Avenue, San Jose, CA 95128 · (408) 885-5000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Santa Clara Valley Medical Center billed $4.95 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
- 4.9x
- volume-weighted across all its priced work
- Procedures priced
- 146
- inpatient and outpatient combined
- Rank in CA
- #115
- 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 33% of U.S. hospitals.
Better than 53% of U.S. hospitals.
Better than 9% of U.S. hospitals.
Better than 8% 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 |
654 | $177,462 | $35,210 | +172% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
594 | $29,327 | $3,854 | +51% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
285 | $114,368 | $22,182 | +163% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
244 | $13,582 | $2,283 | +35% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
142 | $17,771 | $3,247 | +51% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
140 | $4,516 | $962 | +44% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
137 | $81,150 | $17,251 | +107% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
112 | $24,832 | $4,489 | +30% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
112 | $17,499 | $2,868 | +35% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
105 | $139,298 | $30,067 | +153% |
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 |
|---|---|---|---|
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$333,238 | $69,767 | +317% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$136,012 | $31,291 | +277% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$250,451 | $53,488 | +252% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$164,856 | $26,671 | +241% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$158,256 | $29,602 | +231% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
$232,611 | $44,937 | +213% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$100,251 | $15,531 | +208% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
$130,187 | $25,779 | +193% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$57,441 | $30,712 | -29% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$29,843 | $7,985 | -15% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$31,597 | $7,205 | -13% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$57,328 | $13,569 | -4% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$61,423 | $18,490 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$39,792 | $10,066 | about average |
|
Cranial and Peripheral Nerve Disorders without Major Complications
MS-DRG 074 · Inpatient stay |
$49,754 | $17,264 | +4% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$22,041 | $4,558 | +8% |
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.