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Good Samaritan Hospital - San Jose Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Good Samaritan Hospital - San Jose, San Jose, CA in 2024, from traditional Medicare claims. Back to the Good Samaritan Hospital - San Jose profile, with quality ratings, finances and negotiated rates.

  • 3,755

    Medicare inpatient discharges

    In 110 published DRGs

  • 1.94

    Case mix index

    IPPS FY 2027

  • 19%

    Surgical stays

  • 68%

    Stays with complications

    In DRGs with a CC or MCC

  • 2,384

    Medicare outpatient services

    In 36 service groups

Inpatient stays by major diagnostic category

Circulatory system814 discharges in 24 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Heart failure and shock with MCCMS-DRG 291, medical198$198,880$12,950$15,9101.28
Syncope and collapseMS-DRG 312, medical57$138,612$8,134$11,0890.86
Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical53$439,959$17,264$35,1971.82
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical52$264,074$14,575$21,1261.59
Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical50$540,695$33,688$43,2563.24
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical45$129,320$6,432$10,3460.74
Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical32$98,630$4,684$7,8900.55
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical28$179,859$11,793$14,3891.20
Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical27$443,875$23,595$35,5102.28
Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical27$180,142$8,629$14,4110.91
Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical22$527,755$34,741$42,2203.46
Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical22$675,079$51,937$54,0064.88
Hypertension without MCCMS-DRG 305, medical22$121,254$6,804$9,7000.75
Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical21$369,513$18,623$29,5611.83
Other circulatory system diagnoses with MCCMS-DRG 314, medical20$228,801$21,228$18,3042.09
Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical19$211,347$10,275$16,9081.08
Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical19$711,668$31,456$56,9332.87
Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical18$392,114$20,583$31,3692.16
Peripheral vascular disorders with MCCMS-DRG 299, medical15$304,062$15,695$24,3251.58
Chest painMS-DRG 313, medical15$139,113$6,317$11,1290.72
Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical14$899,972$49,011$71,9985.88
Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical13$1,523,959$85,657$121,9177.71
Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical13$974,356$44,106$77,9483.90
Other vascular procedures with CCMS-DRG 253, surgical12$347,071$26,792$27,7662.55

Infectious and parasitic diseases711 discharges in 5 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical530$281,463$19,497$22,5171.98
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical99$175,543$9,409$14,0431.03
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical53$769,553$53,682$61,5645.00
Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical16$1,270,647$83,321$101,6526.96
Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical13$410,560$24,512$32,8452.04

Nervous system476 discharges in 19 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical75$492,795$22,699$39,4242.00
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical73$272,641$9,028$21,8111.02
Transient ischemia without thrombolyticMS-DRG 069, medical51$188,727$7,284$15,0980.80
Degenerative nervous system disorders without MCCMS-DRG 057, medical33$144,964$12,995$11,5971.36
Seizures without MCCMS-DRG 101, medical24$211,765$8,791$16,9410.91
Degenerative nervous system disorders with MCCMS-DRG 056, medical22$330,240$26,213$26,4192.39
Seizures with MCCMS-DRG 100, medical22$258,482$17,590$20,6791.98
Other disorders of nervous system with MCCMS-DRG 091, medical21$241,285$17,997$19,3031.79
Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical20$1,368,799$68,194$109,5045.67
Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical18$170,966$8,258$13,6771.03
Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical16$782,170$44,089$62,5744.42
Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical16$212,930$6,193$17,0340.69
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical15$392,017$17,756$31,3611.87
Traumatic stupor and coma <1 hour without cc/mccMS-DRG 087, medical13$173,176$8,474$13,8540.89
Other cerebrovascular disorders with CCMS-DRG 071, medical12$144,367$9,047$11,5491.06
Other disorders of nervous system with CCMS-DRG 092, medical12$164,110$10,264$13,1291.03
Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical11$560,054$25,278$44,8042.43
Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical11$284,714$13,440$22,7771.32
Other disorders of nervous system without cc/mccMS-DRG 093, medical11$170,007$6,585$13,6010.77

Respiratory system398 discharges in 11 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Respiratory infections and inflammations with MCCMS-DRG 177, medical108$242,303$16,996$19,3841.70
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical105$253,335$12,764$20,2671.33
Pulmonary edema and respiratory failureMS-DRG 189, medical53$209,378$12,664$16,7501.23
Simple pneumonia and pleurisy with CCMS-DRG 194, medical31$152,200$7,323$12,1760.82
Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical20$442,125$28,453$35,3702.70
Respiratory infections and inflammations with CCMS-DRG 178, medical18$143,272$9,703$11,4620.99
Interstitial lung disease with MCCMS-DRG 196, medical14$373,753$23,952$29,9001.90
Major chest procedures with MCCMS-DRG 163, surgical13$721,860$49,791$57,7494.71
Respiratory neoplasms with MCCMS-DRG 180, medical13$292,415$17,326$23,3931.74
Pulmonary embolism without MCCMS-DRG 176, medical12$121,320$7,846$9,7060.82
Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical11$289,543$14,538$23,1631.40

Digestive system371 discharges in 13 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical66$156,327$6,699$12,5060.79
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical53$238,895$18,414$19,1121.79
Gastrointestinal obstruction with CCMS-DRG 389, medical43$139,539$7,275$11,1630.80
Major small and large bowel procedures with CCMS-DRG 330, surgical34$425,087$22,046$34,0072.37
Major small and large bowel procedures with MCCMS-DRG 329, surgical33$852,230$50,133$68,1784.52
Other digestive system diagnoses with CCMS-DRG 394, medical33$154,876$9,270$12,3900.94
Gastrointestinal hemorrhage with CCMS-DRG 378, medical30$164,734$9,513$13,1790.98
Digestive malignancy with MCCMS-DRG 374, medical15$340,724$21,598$27,2582.10
Other digestive system diagnoses with MCCMS-DRG 393, medical14$312,472$16,776$24,9981.62
Gastrointestinal obstruction with MCCMS-DRG 388, medical13$182,105$14,723$14,5681.45
Gastrointestinal obstruction without cc/mccMS-DRG 390, medical13$99,237$4,530$7,9390.56
Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical13$166,842$12,951$13,3471.28
Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical11$1,027,541$61,521$82,2035.08

Musculoskeletal system and connective tissue281 discharges in 12 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical52$327,882$19,327$26,2311.88
Medical back problems without MCCMS-DRG 552, medical39$183,669$8,238$14,6940.97
Hip and femur procedures except major joint with CCMS-DRG 481, surgical37$324,522$21,090$25,9622.07
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical26$387,437$21,651$30,9952.11
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical21$127,431$8,227$10,1950.90
Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical20$1,185,207$77,753$94,8176.12
Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical19$270,205$15,191$21,6161.59
Fractures of hip and pelvis without MCCMS-DRG 536, medical18$104,586$7,364$8,3670.79
Hip and femur procedures except major joint with MCCMS-DRG 480, surgical13$491,480$28,454$39,3182.95
Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical13$121,591$8,137$9,7270.82
Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical12$372,974$20,640$29,8382.04
Medical back problems with MCCMS-DRG 551, medical11$390,338$25,125$31,2271.70

Kidney and urinary tract244 discharges in 7 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Renal failure with MCCMS-DRG 682, medical50$208,831$14,433$16,7061.50
Kidney and urinary tract infections without MCCMS-DRG 690, medical45$138,288$7,158$11,0630.81
Renal failure with CCMS-DRG 683, medical39$172,033$8,601$13,7630.90
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical37$233,936$16,187$18,7151.65
Kidney and urinary tract infections with MCCMS-DRG 689, medical30$205,763$11,329$16,4611.17
Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical28$195,381$10,849$15,6301.02
Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical15$504,642$39,065$40,3713.70

Endocrine, nutritional and metabolic176 discharges in 6 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical52$119,249$7,416$9,5400.78
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical50$165,015$12,897$13,2011.32
Diabetes with CCMS-DRG 638, medical27$155,994$8,999$12,4790.90
Endocrine disorders with MCCMS-DRG 643, medical21$271,402$16,091$21,7121.65
Endocrine disorders with CCMS-DRG 644, medical14$187,397$10,139$14,9921.06
Diabetes with MCCMS-DRG 637, medical12$222,144$14,931$17,7721.45

Blood and immune system92 discharges in 3 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Red blood cell disorders with MCCMS-DRG 811, medical40$187,390$14,042$14,9911.40
Coagulation disordersMS-DRG 813, medical27$154,053$14,557$12,3241.56
Red blood cell disorders without MCCMS-DRG 812, medical25$134,499$9,056$10,7600.90

Liver, gallbladder and pancreas75 discharges in 5 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical18$315,174$15,860$25,2141.63
Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical15$425,133$24,335$34,0112.32
Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical15$373,999$17,322$29,9201.76
Disorders of the biliary tract with CCMS-DRG 445, medical14$198,076$10,824$15,8461.09
Disorders of the biliary tract with MCCMS-DRG 444, medical13$360,452$17,869$28,8361.63

Mental diseases and disorders38 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Organic disturbances and intellectual disabilityMS-DRG 884, medical38$178,754$17,179$14,3001.76

Skin, subcutaneous tissue and breast36 discharges in 2 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Cellulitis without MCCMS-DRG 603, medical22$173,845$8,946$13,9080.88
Cellulitis with MCCMS-DRG 602, medical14$173,732$15,104$13,8991.49

Factors influencing health status23 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Rehabilitation with cc/mccMS-DRG 945, medical23$152,346$14,732$12,1881.51

Ear, nose, mouth and throat20 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
DysequilibriumMS-DRG 149, medical20$172,052$6,551$13,7640.74

Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.

Outpatient services

Service groupServicesPatientsAverage chargesAverage Medicare paymentUS average payment
Level 2 Intraocular ProceduresAPC 5492266249$130,313$4,544$3,116
Comprehensive Observation ServicesAPC 8011257251$96,714$3,034$2,090
Level 5 Musculoskeletal ProceduresAPC 5115196190$293,615$16,598$10,772
Level 1 Laparoscopy and Related ServicesAPC 5361192184$134,646$6,456$4,358
Level 3 Electrophysiologic ProceduresAPC 5213149143$736,670$31,299$21,117
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072148143$33,693$1,819$1,220
Level 1 Endovascular ProceduresAPC 5191148146$118,763$3,275$2,208
Level 3 Endovascular ProceduresAPC 51937876$315,953$13,821$8,874
Level 5 Airway EndoscopyAPC 51557372$213,210$7,999$5,183
Level 4 Vascular ProceduresAPC 51847369$159,709$5,923$3,946
Level 3 Pacemaker and Similar ProceduresAPC 52237272$267,879$13,376$8,569
Level 4 Musculoskeletal ProceduresAPC 51146463$177,405$8,432$5,339
Level 2 Pacemaker and Similar ProceduresAPC 52225151$142,065$10,112$6,514
Level 2 Upper GI ProceduresAPC 53025045$54,052$2,138$1,445
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 53414945$75,827$3,878$2,636
Level 2 Laparoscopy and Related ServicesAPC 53624847$229,276$12,835$8,164
Level 4 Endovascular ProceduresAPC 51944642$394,207$22,992$14,606
Level 3 Vascular ProceduresAPC 51834444$70,727$3,495$2,405
Level 3 Intraocular ProceduresAPC 54933634$155,924$5,701$4,004
Level 1 Intraocular ProceduresAPC 54913229$97,947$2,615$1,752
Level 2 Endovascular ProceduresAPC 51923131$194,691$6,410$4,338
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 50733030$58,602$3,182$2,141
Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 50912524$84,195$4,272$2,930
Level 2 Musculoskeletal ProceduresAPC 51122424$41,141$1,794$1,196
Level 4 Airway EndoscopyAPC 51542424$139,660$4,202$2,833
Complex GI ProceduresAPC 53312318$177,195$6,394$4,263
Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 50922121$169,896$7,535$4,982
Level 2 Vascular ProceduresAPC 51822121$27,235$1,797$1,204
Level 3 Airway EndoscopyAPC 51531818$38,960$1,881$1,264
Level 6 Musculoskeletal ProceduresAPC 51161616$513,187$23,003$15,763
Level 3 Lower GI ProceduresAPC 53131515$100,283$2,997$2,176
Level 3 Musculoskeletal ProceduresAPC 51131413$113,179$3,632$2,373
Level 2 ICD and Similar ProceduresAPC 52321414$464,853$44,539$29,375
Level 3 Upper GI ProceduresAPC 53031312$154,831$4,297$2,888
Level 4 Pacemaker and Similar ProceduresAPC 52241212$420,815$25,727$17,052
Level 5 Gynecologic ProceduresAPC 54151111$127,320$5,056$3,792

Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.