All published prices at Santa Clara Valley Medical Center
146 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.
| 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% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
93 | $134,256 | $24,599 | +188% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
84 | $103,855 | $21,641 | +114% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
82 | $516,081 | $122,949 | +190% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
78 | $19,461 | $2,679 | +66% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
76 | $62,359 | $13,942 | +109% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
74 | $32,594 | $7,237 | +19% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
72 | $164,856 | $26,671 | +241% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
69 | $159,760 | $32,032 | +181% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
67 | $73,955 | $13,849 | +142% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
67 | $44,223 | $8,048 | +28% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
65 | $76,563 | $15,597 | +132% |
|
Fainting
MS-DRG 312 · Inpatient stay |
62 | $72,816 | $15,516 | +99% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
59 | $23,352 | $4,867 | +13% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
58 | $659,122 | $140,739 | +145% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
58 | $29,843 | $7,985 | -15% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
55 | $119,092 | $18,742 | +161% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
54 | $172,116 | $31,871 | +126% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
53 | $118,284 | $18,952 | +183% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
52 | $70,145 | $16,362 | +70% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
52 | $14,254 | $2,264 | +27% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
51 | $143,760 | $30,407 | +73% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
51 | $28,491 | $4,531 | +13% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
50 | $67,543 | $16,428 | +121% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
50 | $111,548 | $22,965 | +174% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
48 | $72,688 | $13,484 | +137% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
47 | $149,418 | $30,961 | +110% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
47 | $26,372 | $4,820 | +13% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
44 | $63,509 | $14,109 | +97% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
43 | $72,417 | $15,784 | +109% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
43 | $16,131 | $2,255 | +88% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
41 | $129,415 | $21,454 | +173% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
41 | $116,414 | $15,461 | +72% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
40 | $144,981 | $26,710 | +174% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
37 | $184,601 | $38,380 | +136% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
36 | $165,490 | $29,065 | +170% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
34 | $83,845 | $18,705 | +122% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
32 | $319,542 | $60,118 | +182% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
31 | $22,041 | $4,558 | +8% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
29 | $31,597 | $7,205 | -13% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
28 | $72,655 | $16,433 | +95% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
28 | $71,018 | $16,626 | +82% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
28 | $193,347 | $41,059 | +133% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
27 | $70,898 | $14,259 | +72% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
27 | $94,184 | $22,713 | +89% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
26 | $68,070 | $15,243 | +67% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
26 | $51,385 | $13,898 | +64% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
26 | $133,438 | $31,519 | +56% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
26 | $19,297 | $4,001 | +9% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
26 | $23,108 | $3,953 | +39% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
25 | $67,677 | $14,861 | +84% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
24 | $80,564 | $14,903 | +154% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
24 | $76,645 | $16,297 | +97% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
24 | $69,991 | $15,760 | +88% |
|
Traumatic Stupor and Coma >1 Hour with Complications
MS-DRG 083 · Inpatient stay |
24 | $95,830 | $21,896 | +60% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
23 | $158,256 | $29,602 | +231% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
23 | $184,093 | $28,464 | +81% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
23 | $36,481 | $5,393 | +67% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
22 | $162,951 | $30,204 | +146% |
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay |
22 | $136,695 | $32,234 | +83% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Complications
MS-DRG 372 · Inpatient stay |
22 | $89,252 | $18,762 | +125% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
22 | $96,244 | $24,359 | +44% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
21 | $274,883 | $60,529 | +89% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
21 | $66,524 | $16,237 | +48% |
|
Major Chest Trauma with Complications
MS-DRG 184 · Inpatient stay |
21 | $74,768 | $17,705 | +53% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
21 | $39,792 | $10,066 | about average |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
20 | $148,453 | $23,323 | +172% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
20 | $82,678 | $13,897 | +148% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
20 | $94,082 | $15,543 | +139% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
19 | $119,526 | $28,419 | +133% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
19 | $247,491 | $48,955 | +111% |
|
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications
MS-DRG 605 · Inpatient stay |
19 | $71,942 | $15,186 | +76% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
19 | $61,423 | $18,490 | about average |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
19 | $89,691 | $15,008 | +74% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
18 | $62,454 | $13,919 | +90% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
18 | $91,504 | $28,442 | +14% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
18 | $130,187 | $25,779 | +193% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
18 | $151,974 | $35,568 | +119% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
18 | $150,427 | $26,789 | +193% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
17 | $344,840 | $77,073 | +79% |
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay |
17 | $88,054 | $21,133 | +56% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
17 | $147,795 | $29,023 | +83% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
17 | $58,638 | $17,555 | +37% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
17 | $263,646 | $48,499 | +83% |
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay |
17 | $93,766 | $24,493 | +37% |
|
Heart Failure (with complications)
MS-DRG 292 · Inpatient stay |
17 | $91,695 | $15,284 | +177% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
16 | $210,120 | $34,651 | +124% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
16 | $122,462 | $24,043 | +117% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
16 | $156,772 | $39,816 | +144% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
16 | $100,251 | $15,531 | +208% |
|
Respiratory System Diagnosis with Ventilator Support >96 Hours
MS-DRG 207 · Inpatient stay |
16 | $465,168 | $89,113 | +82% |
These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.