Hospital Costs > In California > Regional Medical Center Of San Jose, procedure costs

Regional Medical Center Of San Jose, procedure costs

225 N Jackson Avenue, San Jose, CA 95116,

Procedure Costs @ Regional Medical Center Of San Jose
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc46498 / 9$180.460,002821 / 267$19.153,802715 / 221$18.283,302670 / 227
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc12186 / 15$97.022,702564 / 243$11.264,702475 / 199$10.301,802465 / 213
Heart Failure & Shock W Mcc121163 / 20$148.973,002628 / 233$15.594,402526 / 184$14.916,802515 / 192
Kidney & Urinary Tract Infections W/O Mcc115118 / 9$65.983,502702 / 217$8.541,872591 / 177$7.572,132580 / 179
G.I. Hemorrhage W Cc90128 / 16$75.826,102400 / 191$10.744,902335 / 166$9.834,362331 / 175
Simple Pneumonia & Pleurisy W Mcc86119 / 14$141.690,002515 / 198$14.565,202422 / 162$13.821,402416 / 174
Chronic Obstructive Pulmonary Disease W Mcc86116 / 12$116.271,002567 / 197$12.448,002484 / 167$11.410,502476 / 175
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc8383 / 10$58.551,302520 / 192$7.877,062411 / 156$6.898,292402 / 165
Intracranial Hemorrhage Or Cerebral Infarction W Mcc7395 / 9$218.583,001638 / 162$19.890,801578 / 134$18.914,401571 / 143
Infectious & Parasitic Diseases W O.R. Procedure W Mcc7153 / 7$530.033,001587 / 155$63.033,301556 / 140$58.068,201546 / 136
Heart Failure & Shock W Cc69209 / 37$90.817,702757 / 225$10.699,702599 / 183$9.101,002593 / 180
Cellulitis W/O Mcc68121 / 23$68.337,802626 / 219$9.887,222501 / 189$8.029,122493 / 179
Renal Failure W Mcc62133 / 27$130.959,002154 / 179$15.998,002054 / 153$14.943,102050 / 159
Chest Pain6190 / 17$71.514,001708 / 152$7.006,211582 / 114$5.993,081573 / 116
Simple Pneumonia & Pleurisy W Cc59144 / 32$82.025,702805 / 214$10.527,002699 / 179$9.314,242690 / 184
Renal Failure W Cc58163 / 32$72.575,902411 / 187$10.156,902329 / 163$9.285,412319 / 170
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc58217 / 53$80.899,402731 / 229$8.649,932613 / 184$7.608,282598 / 188
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc57507 / 112$186.136,002690 / 235$21.551,102565 / 195$19.048,102519 / 203
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs54128 / 24$137.111,002083 / 186$11.349,501983 / 152$10.255,001979 / 158
Syncope & Collapse50119 / 19$88.918,001929 / 164$8.245,481823 / 130$7.257,341815 / 134
G.I. Hemorrhage W Mcc4675 / 11$110.073,001598 / 134$17.366,501571 / 124$16.580,401561 / 130
Chronic Obstructive Pulmonary Disease W Cc45134 / 28$83.059,702433 / 185$9.922,802336 / 157$8.986,272329 / 162
Pulmonary Edema & Respiratory Failure44159 / 34$145.667,002239 / 178$13.346,402156 / 146$12.525,302150 / 150
Kidney & Urinary Tract Infections W Mcc41103 / 25$84.799,101928 / 162$11.382,301859 / 143$10.447,701855 / 146
Respiratory System Diagnosis W Ventilator Support <96 Hours4190 / 14$266.282,001851 / 145$25.368,301778 / 123$22.995,001764 / 118
Circulatory Disorders Except Ami, W Card Cath W/O Mcc39149 / 23$128.936,001640 / 132$11.986,001549 / 108$9.964,901546 / 108
Red Blood Cell Disorders W/O Mcc39104 / 17$58.011,701966 / 143$8.838,461893 / 126$7.938,361884 / 130
Septicemia Or Severe Sepsis W Mv 96+ Hours3854 / 17$649.557,001101 / 147$65.397,201068 / 125$64.361,301067 / 128
Hip & Femur Procedures Except Major Joint W Cc38105 / 29$197.581,002055 / 155$19.829,501997 / 140$18.754,101975 / 144
Other Circulatory System Diagnoses W Mcc3779 / 14$139.080,001365 / 122$18.722,501282 / 96$17.891,201274 / 100
Cardiac Arrhythmia & Conduction Disorders W Mcc3687 / 18$97.502,601891 / 137$12.451,401833 / 119$11.916,801830 / 131
Cardiac Arrhythmia & Conduction Disorders W Cc36125 / 30$86.301,802166 / 180$8.900,812036 / 152$7.361,112031 / 148
Simple Pneumonia & Pleurisy W/O Cc/Mcc3657 / 10$65.824,101950 / 125$8.267,081889 / 119$6.516,171881 / 115
Respiratory Infections & Inflammations W Mcc36100 / 37$214.350,001806 / 155$20.327,401761 / 141$18.852,501745 / 142
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc3492 / 25$106.178,001736 / 163$12.631,501668 / 140$11.957,601664 / 145
Transient Ischemia3491 / 23$80.217,401661 / 143$8.289,761573 / 120$6.558,351565 / 118
Seizures W Mcc3333 / 4$174.162,00771 / 57$15.852,30708 / 39$15.194,90708 / 43
Other Vascular Procedures W Mcc3265 / 12$353.229,001006 / 89$34.601,40961 / 71$33.737,30958 / 71
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents3169 / 12$297.981,001010 / 89$31.159,80958 / 70$29.176,40953 / 70
Respiratory Infections & Inflammations W Cc3058 / 19$110.143,001474 / 119$13.831,801434 / 101$13.028,601429 / 106
Acute Myocardial Infarction, Discharged Alive W Mcc2996 / 23$176.289,001817 / 152$18.506,901734 / 134$16.576,101721 / 132
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc29167 / 43$200.218,001481 / 120$20.245,201444 / 93$19.164,901436 / 107
G.I. Obstruction W Cc2963 / 23$60.939,301681 / 115$9.636,031686 / 119$8.672,721681 / 126
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc28122 / 21$72.167,101988 / 148$7.152,751875 / 127$5.174,461869 / 117
Permanent Cardiac Pacemaker Implant W Cc2849 / 7$208.930,00966 / 81$26.034,00946 / 71$25.086,60942 / 76
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc2793 / 19$72.418,002100 / 135$8.123,482006 / 117$6.855,151995 / 110
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc2614 / 2$229.141,00459 / 44$26.814,40449 / 42$23.761,00448 / 40
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc2676 / 22$89.334,401608 / 127$8.459,881533 / 105$7.298,041529 / 110
Diabetes W Cc2666 / 9$71.106,101611 / 120$9.601,961500 / 102$7.802,231495 / 99
Heart Failure & Shock W/O Cc/Mcc2486 / 21$71.328,002010 / 132$7.622,671912 / 106$6.617,331899 / 106
Medical Back Problems W/O Mcc2497 / 33$79.115,001490 / 128$9.241,421422 / 107$8.284,081417 / 111
Red Blood Cell Disorders W Mcc2447 / 7$78.908,701065 / 80$12.965,501040 / 68$12.412,201036 / 73
Other Digestive System Diagnoses W Cc2374 / 19$54.730,301318 / 93$10.206,501353 / 112$9.204,741349 / 114
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2373 / 21$70.920,301368 / 100$12.327,301357 / 101$11.316,801352 / 111
Acute Myocardial Infarction, Discharged Alive W Cc2269 / 14$114.044,001425 / 100$11.224,401380 / 88$10.241,101378 / 94
Circulatory Disorders Except Ami, W Card Cath W Mcc2271 / 11$240.073,00918 / 64$25.086,20853 / 54$20.295,80845 / 51
Diabetes W Mcc2235 / 7$128.776,00743 / 44$14.814,20700 / 41$13.365,70699 / 41
Bronchitis & Asthma W Cc/Mcc2155 / 12$85.476,001084 / 82$9.570,241023 / 68$8.295,331019 / 72
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc2155 / 16$113.331,00531 / 54$18.212,40487 / 49$16.573,20487 / 50
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc2149 / 13$77.201,80561 / 50$9.878,33517 / 39$9.305,38517 / 42
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc2034 / 8$124.600,00409 / 29$16.206,80377 / 28$7.274,40377 / 21
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1944 / 11$341.290,00742 / 49$41.927,90668 / 33$41.376,40668 / 37
Infectious & Parasitic Diseases W O.R. Procedure W Cc1818 / 5$265.941,00363 / 29$27.522,40357 / 26$26.381,10356 / 27
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant1824 / 6$580.546,00180 / 14$55.467,30167 / 7$54.331,30167 / 8
Major Cardiovasc Procedures W Mcc1751 / 13$594.864,00648 / 52$61.969,80620 / 43$53.791,50619 / 40
Permanent Cardiac Pacemaker Implant W Mcc1735 / 7$306.541,00608 / 49$35.065,50582 / 39$34.282,50582 / 42
Peripheral Vascular Disorders W Cc1767 / 16$77.668,401243 / 89$11.168,601173 / 82$9.126,531170 / 79
Poisoning & Toxic Effects Of Drugs W Mcc1755 / 18$156.683,00988 / 84$14.592,10895 / 63$12.954,20892 / 61
G.I. Obstruction W/O Cc/Mcc1754 / 24$59.439,801303 / 100$7.063,411269 / 86$5.922,711266 / 92
Traumatic Stupor & Coma, Coma <1 Hr W Mcc1734 / 11$217.878,00349 / 26$24.101,90308 / 23$18.251,40308 / 18
Seizures W/O Mcc1692 / 26$105.463,001321 / 102$10.972,901201 / 91$7.094,381199 / 76
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc1641 / 10$170.769,00714 / 50$22.726,20689 / 47$19.108,40687 / 48
Renal Failure W/O Cc/Mcc1640 / 5$58.662,10855 / 31$7.719,69816 / 30$5.927,31814 / 29
G.I. Hemorrhage W/O Cc/Mcc1553 / 14$45.771,70960 / 51$7.805,40965 / 54$6.917,93961 / 61
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1541 / 15$133.781,00854 / 61$16.691,80852 / 60$15.648,60848 / 65
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1532 / 11$108.146,00574 / 46$12.341,30564 / 42$10.770,10563 / 44
Traumatic Stupor & Coma, Coma <1 Hr W Cc1551 / 16$147.598,00533 / 39$12.433,50485 / 31$10.078,40484 / 30
Craniotomy & Endovascular Intracranial Procedures W Mcc1583 / 18$571.815,00510 / 48$57.240,20504 / 42$56.354,70504 / 43
Respiratory System Diagnosis W Ventilator Support 96+ Hours1457 / 19$583.710,00986 / 90$205.582,00956 / 93$54.032,50955 / 80
Diabetes W/O Cc/Mcc1424 / 3$38.669,60284 / 6$6.844,64253 / 5$5.367,21253 / 5
Degenerative Nervous System Disorders W/O Mcc1464 / 16$118.790,00881 / 57$10.599,30812 / 41$9.829,00812 / 44
Poisoning & Toxic Effects Of Drugs W/O Mcc1447 / 11$70.900,90925 / 50$7.310,43849 / 40$6.620,14848 / 43
Disorders Of The Biliary Tract W Cc1440 / 10$122.117,00480 / 40$11.129,30450 / 26$10.007,00450 / 29
Coronary Bypass W Cardiac Cath W Mcc1343 / 11$689.924,00439 / 33$69.054,60419 / 21$68.222,60419 / 23
Other Vascular Procedures W Cc1389 / 31$347.215,001137 / 81$33.087,801128 / 77$29.473,001123 / 76
Signs & Symptoms W/O Mcc1378 / 25$81.372,301342 / 94$7.724,311250 / 70$6.976,001247 / 75
Other Digestive System Diagnoses W Mcc1349 / 21$139.745,00753 / 77$21.374,00719 / 75$17.258,30718 / 70
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc1314 / 6$139.453,00135 / 10$21.370,80113 / 11$13.320,80113 / 7
Major Small & Large Bowel Procedures W Cc1296 / 43$297.226,001537 / 121$26.931,801470 / 100$23.248,001456 / 103
Dysequilibrium1253 / 15$72.973,40566 / 40$7.543,42509 / 36$5.483,75509 / 30
Disorders Of Pancreas Except Malignancy W Cc1249 / 13$66.333,00930 / 52$9.919,75918 / 47$8.965,08915 / 50
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc1283 / 18$185.608,00593 / 37$19.618,00580 / 31$19.116,70576 / 37
Other Kidney & Urinary Tract Diagnoses W Mcc1289 / 36$179.387,001108 / 83$15.403,201035 / 61$14.803,201031 / 65
Other Resp System O.R. Procedures W Mcc1152 / 7$380.149,00593 / 27$40.613,90581 / 19$39.624,90580 / 22
Respiratory Neoplasms W Mcc1141 / 15$131.472,00624 / 33$17.132,40612 / 32$16.477,80609 / 34
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1170 / 18$1.668.860,00450 / 33$186.904,00428 / 24$183.376,00427 / 24
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc11105 / 26$754.725,00477 / 41$75.301,10454 / 26$74.428,40454 / 31
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1151 / 20$63.526,80805 / 62$8.425,09772 / 51$7.543,64770 / 56
Other Digestive System Diagnoses W/O Cc/Mcc1132 / 8$55.451,50357 / 10$7.630,09350 / 12$6.748,64350 / 13
Other Kidney & Urinary Tract Diagnoses W Cc1192 / 28$78.834,90854 / 54$11.417,70769 / 47$8.844,09769 / 44
Total 100 procedures3.719discharges

DATA

Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014

Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.

Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.

Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration

Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.