Hospital · Federal record
REGIONAL MEDICAL CENTER OF SAN JOSE
Acute Care Hospitals · Government - Federal · 264 beds · SAN JOSE, CA
- CCN 050125
- 3 / 5 CMS overall
- HCAHPS recommend 64%
CMS quality programs
Federal payment-adjustment programs
HRRP
Higher than expected
Excess readmission ratio: 1.213
HACRP
Not penalized
HAC composite: -0.26
HVBP
Score 26.33
Value-based purchasing · FY 2024
Patient experience (HCAHPS)
CMS publishes only the summary star rating and "would recommend" percentage in the current Hospital General Information snapshot. Detailed HCAHPS measures are not available for this hospital.
Medicare charges · 2024
Top procedures by volume
Charges are not what you pay
Hospital "submitted charges" are list prices. Medicare reimburses a fraction; insured patients typically pay a contracted rate; uninsured patients can negotiate.Inpatient (MS-DRG)
| DRG | Description | Cases | Avg charge | Avg paid |
|---|---|---|---|---|
871 |
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 456 | $358,489 | $21,869 |
291 |
HEART FAILURE AND SHOCK WITH MCC | 107 | $250,300 | $14,856 |
193 |
SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 56 | $228,524 | $14,890 |
872 |
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 53 | $209,079 | $11,141 |
064 |
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 51 | $419,140 | $21,886 |
065 |
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 32 | $271,448 | $11,156 |
189 |
PULMONARY EDEMA AND RESPIRATORY FAILURE | 32 | $226,829 | $14,431 |
853 |
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 31 | $627,730 | $54,479 |
177 |
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 30 | $275,184 | $18,733 |
208 |
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 30 | $664,120 | $34,453 |
Outpatient · 2023
| Code | Description | Services | Avg charge | Avg paid |
|---|---|---|---|---|
5072 |
Level 2 Excision/ Biopsy/ Incision and Drainage | 0 | $0 | $1,793 |
5073 |
Level 3 Excision/ Biopsy/ Incision and Drainage | 0 | $0 | $3,088 |
5091 |
Level 1 Breast/Lymphatic Surgery and Related Procedures | 0 | $0 | $0 |
5112 |
Level 2 Musculoskeletal Procedures | 0 | $0 | $1,712 |
5113 |
Level 3 Musculoskeletal Procedures | 0 | $0 | $3,558 |
5114 |
Level 4 Musculoskeletal Procedures | 0 | $0 | $8,316 |
5115 |
Level 5 Musculoskeletal Procedures | 0 | $0 | $0 |
5153 |
Level 3 Airway Endoscopy | 0 | $0 | $0 |
5154 |
Level 4 Airway Endoscopy | 0 | $0 | $0 |
5155 |
Level 5 Airway Endoscopy | 0 | $0 | $7,678 |