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.
52 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL Inpatient & outpatient | 20931 CPT | $494 | $277 | — | — | |
| ANGINA PECTORIS Inpatient | 311 MS-DRG | — | — | $5,123 – $20,562 | — | |
| ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY Inpatient & outpatient | 23100 CPT | $9,310 | $5,214 | $3,921 – $12,278 | — | |
| ARTHRT ACROMCLAV/STRNCLAV JT W/BX&/EXC CRTLG Inpatient & outpatient | 23101 CPT | $16,260 | $9,106 | $3,921 – $12,278 | — | |
| ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB Inpatient & outpatient | 23107 CPT | $17,920 | $10,035 | $8,633 – $27,033 | — | |
| ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX Inpatient & outpatient | 23106 CPT | $14,230 | $7,969 | $3,921 – $12,278 | — | |
| ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY Inpatient & outpatient | 23105 CPT | $17,920 | $10,035 | $8,633 – $27,033 | — | |
| BREAST REDUCTION Inpatient & outpatient | 19318 CPT | $20,810 | $11,654 | $7,880 – $24,678 | — | |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC Inpatient | 310 MS-DRG | — | — | $4,531 – $18,189 | — | |
| CHEST PAIN Inpatient | 313 MS-DRG | — | — | $5,763 – $23,133 | — | |
| CLAVICULECTOMY PARTIAL Inpatient & outpatient | 23120 CPT | $23,050 | $12,908 | $3,921 – $12,278 | — | |
| CLAVICULECTOMY TOTAL Inpatient & outpatient | 23125 CPT | $14,230 | $7,969 | $3,921 – $12,278 | — | |
| CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION Inpatient & outpatient | 21315 CPT | $8,860 | $4,962 | $1,790 – $5,606 | — | |
| CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING Inpatient & outpatient | 22310 CPT | $1,660 | $930 | $290 – $908 | — | |
| CLTX VRT FX&/DISLC CSTING/BRACING MANJ/TRCJ Inpatient & outpatient | 22315 CPT | $8,480 | $4,749 | $3,921 – $12,278 | — | |
| CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION Inpatient | 317 MS-DRG | — | — | $32,854 – $131,879 | — | |
| CORONARY BYPASS WITH PTCA WITH MCC Inpatient | 231 MS-DRG | — | — | $27,890 – $111,952 | — | |
| DERMAL AUTOGRAFT TRUNK/ARM/LEG EA 100 CM/EA Inpatient & outpatient | 15131 CPT | $6,800 | $3,808 | — | — | |
| EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT Inpatient & outpatient | 23145 CPT | $14,230 | $7,969 | $3,921 – $12,278 | — | |
| EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT Inpatient & outpatient | 23146 CPT | $19,570 | $10,959 | $8,633 – $27,033 | — | |
| EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT Inpatient & outpatient | 23155 CPT | $21,510 | $12,046 | $8,633 – $27,033 | — | |
| EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT Inpatient & outpatient | 23156 CPT | $19,570 | $10,959 | $8,633 – $27,033 | — | |
| EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA Inpatient & outpatient | 23140 CPT | $15,610 | $8,742 | $3,921 – $12,278 | — | |
| EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS Inpatient & outpatient | 23150 CPT | $17,080 | $9,565 | $3,921 – $12,278 | — | |
| EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE Inpatient & outpatient | 15931 CPT | $11,050 | $6,188 | $3,458 – $10,830 | — | |
| EXCISION TORUS MANDIBULARIS Inpatient & outpatient | 21031 CPT | $7,710 | $4,318 | $3,919 – $12,272 | — | |
| EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/> Inpatient & outpatient | 21931 CPT | $11,690 | $6,546 | $1,958 – $6,131 | — | |
| FLEXOR ORIGIN SLIDE F/ARM&/WRST TENDON TRANSFE Inpatient & outpatient | 25316 CPT | $25,860 | $14,482 | $8,633 – $27,033 | — | |
| FLEXOR ORIGIN SLIDE FOREARM &/WRIST Inpatient & outpatient | 25315 CPT | $21,510 | $12,046 | $8,633 – $27,033 | — | |
| FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT Inpatient & outpatient | 24331 CPT | $17,920 | $10,035 | $8,633 – $27,033 | — |