San Jose Medical Center — price list
← Hospital overviewVerified from San Jose Medical Center’s published price file
Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
26 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| "INJECTION OF AUTOLOGOUS WHOLE BLOOD, MUSCULOSKELETAL, INCLUDING IMAGING GUIDANCE WHEN PERFORMED" Inpatient & outpatient | 20999.0012 CDM | $1,270 | $711 | $290 – $908 | — | |
| ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE Inpatient & outpatient | 20982 CPT | $20,360 | $11,402 | $15,548 – $48,690 | — | |
| ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD Inpatient & outpatient | 20983 CPT | $35,740 | $20,014 | $8,633 – $27,033 | — | |
| ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED Inpatient & outpatient | 20930 CPT | $13,400 | $7,504 | — | — | |
| ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL Inpatient & outpatient | 20931 CPT | $494 | $277 | — | — | |
| AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC Inpatient & outpatient | 20938 CPT | $820 | $459 | — | — | |
| AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION Inpatient & outpatient | 20936 CPT | $970 | $543 | — | — | |
| AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION Inpatient & outpatient | 20937 CPT | $1,140 | $638 | — | — | |
| BONE GRAFT ANY DONOR AREA MAJOR/LARGE Inpatient & outpatient | 20902 CPT | $9,340 | $5,230 | $8,633 – $27,033 | — | |
| BONE GRAFT ANY DONOR AREA MINOR/SMALL Inpatient & outpatient | 20900 CPT | $11,620 | $6,507 | $8,633 – $27,033 | — | |
| BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY Inpatient & outpatient | 20939 CPT | $3,140 | $1,758 | — | — | |
| CARTILAGE GRAFT COSTOCHONDRAL Inpatient & outpatient | 20910 CPT | $5,560 | $3,114 | $740 – $2,316 | — | |
| CARTILAGE GRAFT NASAL SEPTUM Inpatient & outpatient | 20912 CPT | $16,910 | $9,470 | $4,424 – $13,854 | — | |
| COMPLEX AORTIC ARCH PROCEDURES Inpatient | 209 MS-DRG | — | — | $41,302 – $165,791 | — | |
| CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS Inpatient & outpatient | 20985 CPT | $20,430 | $11,441 | — | — | |
| ELECTRICAL STIMULATION BONE HEALING INVASIVE Inpatient & outpatient | 20975 CPT | $4,680 | $2,621 | — | — | |
| FASCIA LATA GRAFT BY STRIPPER Inpatient & outpatient | 20920 CPT | $12,010 | $6,726 | $2,210 – $6,922 | — | |
| FASCIA LATA GRAFT INCISION & AREA EXPOSURE Inpatient & outpatient | 20922 CPT | $13,760 | $7,706 | $2,210 – $6,922 | — | |
| FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE Inpatient & outpatient | 20973 CPT | $25,860 | $14,482 | $8,633 – $27,033 | — | |
| FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL Inpatient & outpatient | 20972 CPT | $25,860 | $14,482 | $8,633 – $27,033 | — | |
| HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL Inpatient & outpatient | 20933 CPT | $3,060 | $1,714 | — | — | |
| INTERCALARY ALLOGRAFT COMPLETE Inpatient & outpatient | 20934 CPT | $3,330 | $1,865 | — | — | |
| LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE Inpatient & outpatient | 20979 CPT | $396 | $222 | $30.00 – $93.00 | — | |
| MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME Inpatient & outpatient | 20950 CPT | $3,560 | $1,994 | $850 – $2,662 | — | |
| OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF & BONE Inpatient & outpatient | 20932 CPT | $3,330 | $1,865 | — | — | |
| OSTEOPLASTY FACIAL BONES REDUCTION Inpatient & outpatient | 21209 CPT | $25,570 | $14,319 | $7,148 – $22,386 | — |