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.

470 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC" Inpatient	284 MS-DRG	—	—	$5,725 – $22,982	—
"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA" Inpatient	894 MS-DRG	—	—	$1,910 – $7,665	—
"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC" Inpatient	584 MS-DRG	—	—	$14,355 – $57,621	—
"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC" Inpatient	744 MS-DRG	—	—	$10,585 – $42,488	—
"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC" Inpatient	745 MS-DRG	—	—	$10,073 – $40,433	—
"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC" Inpatient	442 MS-DRG	—	—	$4,787 – $19,217	—
"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC" Inpatient	441 MS-DRG	—	—	$6,096 – $24,471	—
"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC" Inpatient	443 MS-DRG	—	—	$4,449 – $17,858	—
"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC" Inpatient	147 MS-DRG	—	—	$5,434 – $21,814	—
"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC" Inpatient	146 MS-DRG	—	—	$5,832 – $23,411	—
"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC" Inpatient	148 MS-DRG	—	—	$5,812 – $23,329	—
"FACILITY USE-CLINIC, LEVEL 2 - NEW PT" Inpatient & outpatient	6545 CDM	$235	$132	—	—
"FACILITY USE-CLINIC, LEVEL 3 - NEW PT" Inpatient & outpatient	6546 CDM	$379	$212	—	—
"FACILITY USE-CLINIC, LEVEL 4 - EST PT" Inpatient & outpatient	6572 CDM	$454	$254	—	—
"FACILITY USE-CLINIC, LEVEL 4 - NEW PT" Inpatient & outpatient	6547 CDM	$610	$342	—	—
"FACILITY USE-CLINIC, LEVEL 5 - NEW PT" Inpatient & outpatient	6548 CDM	$790	$442	—	—
"FACILITY USE-EMERGENCY ROOM, LEVEL 4" Inpatient & outpatient	6539 CDM	$4,844	$2,713	—	—
"FACILITY USE-EMERGENCY ROOM, LEVEL 5" Inpatient & outpatient	6540 CDM	$7,536	$4,220	—	—
"FACILITY USE-EMERGENCY ROOM, LEVEL 6" Inpatient & outpatient	6541 CDM	$10,553	$5,910	—	—
"FACILITY USE-O.R., OTHER THAN KIDNEY TRANSPLANT - ADD'L 15 MIN" Inpatient & outpatient	6584 CDM	$1,020	$571	—	—
"FACILITY USE-OPERATING ROOM, ADD'L 15 MINS, LEVEL 4" Inpatient & outpatient	6624 CDM	$5,202	$2,913	—	—
"FACILITY USE-OPERATING ROOM, FIRST 30 MIN, LEVEL 3" Inpatient & outpatient	6614 CDM	$11,890	$6,658	—	—
"FACILITY USE-OPERATING ROOM, FIRST 30 MIN, LEVEL 4" Inpatient & outpatient	6615 CDM	$18,100	$10,136	—	—
"FACILITY USE-RECOVERY ROOM COMPLEX ACUTE PACU, ADDL 15 MIN" Inpatient & outpatient	6514 CDM	$680	$381	—	—
"FACILITY USE-URGENT CARE, LEVEL 1 - EST PT" Inpatient & outpatient	6574 CDM	$220	$123	—	—
"FACILITY USE-URGENT CARE, LEVEL 4 - EST PT" Inpatient & outpatient	6577 CDM	$454	$254	—	—
"FACILITY USE-URGENT CARE, LEVEL 4 - NEW PT" Inpatient & outpatient	6552 CDM	$610	$342	—	—
"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC" Inpatient	514 MS-DRG	—	—	$9,054 – $36,343	—
"INSERTION CONTRACEPTIVE, SUBCUTANEOUS" Inpatient & outpatient	17999.0024 CDM	$9,030	$5,057	$240 – $752	—
"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC" Inpatient	493 MS-DRG	—	—	$15,528 – $62,332	—