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)
"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC" Inpatient	584 MS-DRG	—	—	$14,355 – $57,621	—
"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC" Inpatient	585 MS-DRG	—	—	$18,061 – $72,500	—
"FACILITY USE-L&D, MONITORING, PER HOUR" Inpatient & outpatient	6580 CDM	$354	$198	—	—
"FACILITY USE-O.R., KIDNEY TRANSPLANT - ADD'L 15 MIN" Inpatient & outpatient	6582 CDM	$1,020	$571	—	—
"FACILITY USE-O.R., KIDNEY TRANSPLANT - FIRST 30 MIN" Inpatient & outpatient	6581 CDM	$4,100	$2,296	—	—
"FACILITY USE-O.R., OTHER THAN KIDNEY TRANSPLANT - ADD'L 15 MIN" Inpatient & outpatient	6584 CDM	$1,020	$571	—	—
"FACILITY USE-O.R., OTHER THAN KIDNEY TRANSPLANT - FIRST 30 MIN" Inpatient & outpatient	6583 CDM	$4,100	$2,296	—	—
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC" Inpatient	758 MS-DRG	—	—	$4,495 – $18,044	—
"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC" Inpatient	580 MS-DRG	—	—	$10,088 – $40,493	—
"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC" Inpatient	581 MS-DRG	—	—	$12,787 – $51,330	—
"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC" Inpatient	458 MS-DRG	—	—	$35,680 – $143,223	—
"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC" Inpatient	558 MS-DRG	—	—	$4,520 – $18,145	—
ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE Inpatient & outpatient	25830 CPT	$17,120	$9,587	$8,633 – $27,033	—
ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC Inpatient & outpatient	22585 CPT	$1,470	$823	—	—
ARTHRODESIS PRESACRAL INTRBDY W/INSTRUMENT L5-S1 Inpatient & outpatient	22586 CPT	$13,740	$7,694	$21,646 – $67,787	—
ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT Inpatient & outpatient	25800 CPT	$25,860	$14,482	$8,633 – $27,033	—
ARTHRODESIS WRIST LIMITED W/AUTOGRAFT Inpatient & outpatient	25825 CPT	$34,260	$19,186	$8,633 – $27,033	—
ARTHRODESIS WRIST LIMITED W/O BONE GRAFT Inpatient & outpatient	25820 CPT	$14,770	$8,271	$8,633 – $27,033	—
ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT Inpatient & outpatient	25810 CPT	$44,230	$24,769	$15,548 – $48,690	—
ARTHRODESIS WRIST W/SLIDING GRAFT Inpatient & outpatient	25805 CPT	$9,600	$5,376	$8,633 – $27,033	—
BLEPHAROPLASTY LOWER EYELID Inpatient & outpatient	15820 CPT	$14,010	$7,846	$2,210 – $6,922	—
BLEPHAROPLASTY LOWER EYELID HERNIATED FAT PAD Inpatient & outpatient	15821 CPT	$12,270	$6,871	$2,210 – $6,922	—
BLEPHAROPLASTY UPPER EYELID Inpatient & outpatient	15822 CPT	$9,830	$5,505	$2,210 – $6,922	—
BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN Inpatient & outpatient	15823 CPT	$10,700	$5,992	$2,210 – $6,922	—
CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC Inpatient	258 MS-DRG	—	—	$15,287 – $61,365	—
DENTAL AND ORAL DISEASES WITH CC Inpatient	158 MS-DRG	—	—	$5,012 – $20,118	—
DRESSING CHANGE UNDER ANESTHESIA Inpatient & outpatient	15852 CPT	$970	$543	$740 – $2,316	—
EXC EXCESSIVE SKIN &SUBQ TISSUE FOREARM/HAND Inpatient & outpatient	15837 CPT	$9,150	$5,124	$3,458 – $10,830	—
EXC EXCSV SKIN & SUBQ TISSUE SUBMENTAL FAT PAD Inpatient & outpatient	15838 CPT	$9,150	$5,124	$3,458 – $10,830	—
EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC Inpatient & outpatient	15958 CPT	$19,880	$11,133	$4,424 – $13,854	—