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.

38 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
"FACILITY USE-L&D, DELIVERY" Inpatient & outpatient	6601 CDM	$8,500	$4,760	—	—
"FACILITY USE-OPERATING ROOM, ADD'L 15 MINS, LEVEL 1" Inpatient & outpatient	6621 CDM	$2,393	$1,340	—	—
"FACILITY USE-OPERATING ROOM, ADD'L 15 MINS, LEVEL 2" Inpatient & outpatient	6622 CDM	$3,121	$1,748	—	—
"FACILITY USE-OPERATING ROOM, ADD'L 15 MINS, LEVEL 3" Inpatient & outpatient	6623 CDM	$4,162	$2,331	—	—
"FACILITY USE-OPERATING ROOM, ADD'L 15 MINS, LEVEL 4" Inpatient & outpatient	6624 CDM	$5,202	$2,913	—	—
"FACILITY USE-OPERATING ROOM, ADD'L 15 MINS, LEVEL 5" Inpatient & outpatient	6625 CDM	$7,073	$3,961	—	—
"FACILITY USE-OPERATING ROOM, FIRST 30 MIN, LEVEL 1" Inpatient & outpatient	6626 CDM	$6,763	$3,787	—	—
"FACILITY USE-OPERATING ROOM, FIRST 30 MIN, LEVEL 2" Inpatient & outpatient	6613 CDM	$9,156	$5,127	—	—
"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-OPERATING ROOM, FIRST 30 MIN, LEVEL 5" Inpatient & outpatient	6616 CDM	$18,600	$10,416	—	—
APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX Inpatient & outpatient	20660 CPT	$8,370	$4,687	$1,934 – $6,056	—
APPLICATION HALO FEMORAL INCLUDING REMOVAL Inpatient & outpatient	20663 CPT	$14,230	$7,969	$3,921 – $12,278	—
APPLICATION HALO PELVIC INCLUDING REMOVAL Inpatient & outpatient	20662 CPT	$9,130	$5,113	$1,934 – $6,056	—
ARTHROPLASTY RADIAL HEAD W/IMPLANT Inpatient & outpatient	24366 CPT	$17,640	$9,878	$15,548 – $48,690	—
BIOPSY SOFT TISSUE FOREARM&/WRIST DEEP Inpatient & outpatient	25066 CPT	$11,260	$6,306	$3,458 – $10,830	—
BIOPSY SOFT TISSUE SHOULDER DEEP Inpatient & outpatient	23066 CPT	$17,540	$9,822	$3,458 – $10,830	—
BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP Inpatient & outpatient	24066 CPT	$13,720	$7,683	$3,458 – $10,830	—
CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS Inpatient & outpatient	23466 CPT	$30,340	$16,990	$8,633 – $27,033	—
CLTX RDCRPL/INTERCARPL DISLC 1/> BONES W/MANJ Inpatient & outpatient	25660 CPT	$2,010	$1,126	$290 – $908	—
CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ Inpatient & outpatient	23665 CPT	$6,800	$3,808	$1,934 – $6,056	—
DESTRUCTION MAL LESION TRUNK/ARM/LEG > 4.0 CM Inpatient & outpatient	17266 CPT	$2,160	$1,210	$483 – $1,512	—
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC Inpatient	266 MS-DRG	—	—	$40,551 – $162,774	—
FACILITY USE-ED PROCEDURE COMPLEX Inpatient & outpatient	6618 CDM	$5,900	$3,304	—	—
FACILITY USE-ED PROCEDURE MODERATE Inpatient & outpatient	6619 CDM	$1,690	$946	—	—
FACILITY USE-ED PROCEDURE SIMPLE Inpatient & outpatient	6620 CDM	$730	$409	—	—
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC Inpatient	66 MS-DRG	—	—	$5,143 – $20,644	—
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC Inpatient	660 MS-DRG	—	—	$9,790 – $39,296	—
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC Inpatient	661 MS-DRG	—	—	$10,075 – $40,441	—
MINOR BLADDER PROCEDURES WITH CC Inpatient	663 MS-DRG	—	—	$9,797 – $39,327	—