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Short Term Acute Care Hospital

Oconnor Hospital

Verity Health System ยท San Jose, CA

2105 Forest Avenue, San Jose, CA 95128(408) 947-2500

334

Beds

22

In-network payers

About this hospital

Oconnor Hospital is a 334-bed hospital in San Jose, CA, affiliated with Verity Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 22 in-network payers and 252 disclosed rate categories.

CCN
050153
NPI
1649381682
Website
scvh.org
Health system
Verity Health System

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Negotiated

Very Low

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Average

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very High

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very High

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Multianalyte Assay

Range: 0002M - 0018M

Negotiated

High

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Aspirus Health PlanAvera Health PlansBanner HealthCenteneEMI HealthGroup Health Cooperative of South Central Wisconsin

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Oconnor Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
94-6000533(multi-state) O Connor Hospital32Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 27 more1063406551 County Of Santa Clara1811982432 County Of Santa Clara1447724646 County Of Santa Claraand 109 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

2105 Forest Avenue, San Jose, CA 95128

(408) 947-2500

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Frequently asked questions

About Oconnor Hospital's rates and hospital price transparency.

What is Oconnor Hospital's tax ID (EIN)?

Insurers' price transparency files list Oconnor Hospital under employer identification number 94-6000533 ((multi-state) O Connor Hospital). 32 health plans and networks list 94-6000533 for it.

Does Oconnor Hospital participate in the 340B drug pricing program?

HRSA's 340B database lists Oconnor Hospital (340B ID DSH050153) as no longer participating since 2019.

What services does Oconnor Hospital offer?

CMS lists 41 services at Oconnor Hospital, including Acute Renal Dialysis, Anesthesia, Audiology, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, Chemotherapy.

How many beds does Oconnor Hospital have?

Oconnor Hospital has 334 beds. Facility type: Short Term Acute Care Hospital.

Where is Oconnor Hospital and what is its phone number?

Oconnor Hospital is located at 2105 Forest Avenue, San Jose, CA 95128. Its main phone number is (408) 947-2500.

What is Oconnor Hospital's CCN (Medicare provider number)?

Oconnor Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 050153.

What is Oconnor Hospital's NPI number?

The National Provider Identifier (NPI) on file for Oconnor Hospital is 1649381682.

What health system is Oconnor Hospital part of?

Oconnor Hospital is affiliated with Verity Health System.

Which insurance plans are in network at Oconnor Hospital?

Oconnor Hospital lists 22 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Oconnor Hospital?

252 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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