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)
"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC" Inpatient	285 MS-DRG	—	—	$6,461 – $25,936	—
"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC" Inpatient	585 MS-DRG	—	—	$18,061 – $72,500	—
ACUTE LEUKEMIA WITH OTHER PROCEDURES Inpatient	850 MS-DRG	—	—	$16,525 – $66,333	—
ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC Inpatient & outpatient	22585 CPT	$1,470	$823	—	—
BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID Inpatient & outpatient	19085 CPT	$11,010	$6,166	$1,958 – $6,131	—
CAPSULOTOMY WRIST Inpatient & outpatient	25085 CPT	$16,260	$9,106	$3,921 – $12,278	—
CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC Inpatient	785 MS-DRG	—	—	$7,603 – $37,573	—
CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ Inpatient & outpatient	21485 CPT	$7,260	$4,066	$1,790 – $5,606	—
CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS Inpatient & outpatient	20985 CPT	$20,430	$11,441	—	—
DRESSING CHANGE UNDER ANESTHESIA Inpatient & outpatient	15852 CPT	$970	$543	$740 – $2,316	—
HYOID MYOTOMY & SUSPENSION Inpatient & outpatient	21685 CPT	$16,620	$9,307	$7,148 – $22,386	—
IMPRESSION & PREPARATION ORAL SURGICAL SPLINT Inpatient & outpatient	21085 CPT	$4,530	$2,537	$281 – $879	—
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC Inpatient	854 MS-DRG	—	—	$10,778 – $43,263	—
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC Inpatient	853 MS-DRG	—	—	$15,914 – $63,881	—
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC Inpatient	855 MS-DRG	—	—	$11,090 – $44,514	—
INFLAMMATORY BOWEL DISEASE WITH MCC Inpatient	385 MS-DRG	—	—	$5,233 – $21,006	—
INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD Inpatient & outpatient	22853 CPT	$13,640	$7,638	—	—
INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD Inpatient & outpatient	22859 CPT	$9,290	$5,202	—	—
INSJ BIOMCHN DEV VRT CORPECTOMY DEFECT W/ARTHRD Inpatient & outpatient	22854 CPT	$9,290	$5,202	—	—
KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC Inpatient	485 MS-DRG	—	—	$12,702 – $50,989	—
MAJOR CHEST TRAUMA WITHOUT CC/MCC Inpatient	185 MS-DRG	—	—	$5,275 – $21,173	—
OPEN TREATMENT ULNAR FRACTURE PROXIMAL END Inpatient & outpatient	24685 CPT	$35,460	$19,858	$8,633 – $27,033	—
OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL Inpatient & outpatient	21385 CPT	$25,570	$14,319	$7,148 – $22,386	—
OPEN TX SCAPULAR FX W/INTERNAL FIXATION IF PFRMD Inpatient & outpatient	23585 CPT	$35,460	$19,858	$8,633 – $27,033	—
OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC Inpatient & outpatient	25685 CPT	$13,010	$7,286	$8,633 – $27,033	—
OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL Inpatient & outpatient	23485 CPT	$44,230	$24,769	$15,548 – $48,690	—