Short Term Acute Care HospitalGovernment - Federal

Regional Medical Center Of San Jose

HCA Healthcare · San Jose, CA

225 North Jackson Avenue, San Jose, CA 95116(408) 259-5000

Not rated by CMS

CMS star rating

252

Beds

1,641

Inpatient discharges a year

$52.8M

Net patient revenue a year

In-network payers

About this hospital

Regional Medical Center Of San Jose is a 252-bed government - federal hospital in San Jose, CA, affiliated with HCA Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 325 disclosed rate categories.

Disproportionate share hospital
Helipad

CCN: 050125
NPI: 1285688267
Website: scvh.org
Health system: HCA Healthcare
Teaching: No Medicare-funded residents
County: Santa Clara County
Metro area: San Jose-Sunnyvale-Santa Clara, CA MSA
Medicare contractor: Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since: 1966
Last CMS survey: 2023

Prices for common services

The 24 services Regional Medical Center Of San Jose most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

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Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$10,002 - $13,796

from 3 insurers · median $11,464

Aetna$11,464

Insurer A*$10,002

Insurer B*$13,796

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$13,301 - $19,280

from 3 insurers · median $15,843

Aetna$19,280

Insurer A*$13,301

Insurer B*$15,843

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$32,952 - $45,923

from 2 insurers · median $39,437

Anthem / Blue Shield$45,923

Insurer A*$32,952

Medicare $21,826Nearby hospitals $47,21916% below nearby hospitals

18 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$10,002 - $13,796

from 3 insurers · median $11,464

Aetna$11,464

Insurer A*$10,002

Insurer B*$13,796

CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

How the insurers pay at Regional Medical Center Of San Jose

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

Insurer	Services	Median % of Medicare	Above nearby	Below nearby
Insurer A*	22	855%	14	4
Insurer B*	23	466%	7	12
Insurer C*	19	277%	11	3
Insurer D*	2	-	0	2

How we chose these services: 2 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 10 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Regional Medical Center Of San Jose, or start a free trial.

Insurance Accepted

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

Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

Quality
Not rated by CMS
- Medicare readmissions penalty (-2.18%)
See quality ratings
Doctors and services
Accredited by The Joint Commission
- No Medicare-funded residents
- 40 services, including trauma care
See doctors and services
Finances
$52.8M net patient revenue
- Operating margin on patient care -93.2%
- $23.8M unreimbursed and uncompensated care
- -$47.5M net income
See finances
Ownership and leadership
Federal
See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Regional Medical Center Of San Jose in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
77-0498674(multi-state) Regional Medical Center Of San Jose	45Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Aspirus Health Plan, Avera Health Plans and 40 more	1285688267 San Jose Healthcare System L.P.1063406551 County Of Santa Clara1962575852 Regional Medical Center Of San Joseand 3 more
94-6000533(multi-state) O Connor Hospital	14Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan, Avera Health Plans and 9 more	1063406551 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

225 North Jackson Avenue, San Jose, CA 95116

(408) 259-5000

Get directions

Quality ratings (CMS Care Compare)

How Regional Medical Center Of San Jose compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.

Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.99
Higher than 61% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better

Measure details and reporting periods

Measure	Result	Period
Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction	Not penalized	2026
Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90)	0.99	2022-07-01 to 2024-06-30

Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.

Medicare quality penalties and bonuses

How Medicare adjusts Regional Medical Center Of San Jose's inpatient payments for its readmissions, quality and cost results.

-2.18% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.18% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.

Source: CMS IPPS final rule Impact File (FY 2027).

Every CMS quality measure

Each result CMS publishes for Regional Medical Center Of San Jose, beside the US median and the average of CA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.

Value-based purchasing scores9 measures

The scores Medicare uses to raise or lower inpatient payments; higher is better.

Measure	This hospital	US median	CA average	US rank
VBP clinical outcomes domain scoreFY 2026	26	20	30.07	Better than 61% of US hospitals
VBP clinical outcomes weighted domain scoreFY 2026	6.5	5	7.571	Better than 61% of US hospitals
VBP efficiency and cost reduction domain scoreFY 2026	0	10	16.48	The worst result, shared by 43% of US hospitals
VBP efficiency and cost reduction weighted domain scoreFY 2026	0	2.5	4.567	The worst result, shared by 43% of US hospitals
VBP person and community engagement domain scoreFY 2026	31	34	28.67	Worse than 56% of US hospitals
VBP person and community engagement weighted domain scoreFY 2026	7.75	8.75	7.519	Worse than 56% of US hospitals
VBP safety domain scoreFY 2026	48.33	40	45.16	Better than 63% of US hospitals
VBP safety weighted domain scoreFY 2026	12.08	10	11.79	Better than 62% of US hospitals
VBP total performance scoreFY 2026	26.33	29.5	30.43	Worse than 61% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
VBP clinical outcomes domain score	65	64	55	38.33	18	26
VBP clinical outcomes weighted domain score	16.25	16	13.75	9.583	4.5	6.5
VBP efficiency and cost reduction domain score	20	Not Available	20	20	0	0
VBP efficiency and cost reduction weighted domain score	5	Not Available	5	5	0	0
VBP person and community engagement domain score	13	Not Available	Not Available	6	15	31
VBP person and community engagement weighted domain score	3.25	Not Available	Not Available	1.5	3.75	7.75
VBP safety domain score	54	Not Available	Not Available	66	44	48.33
VBP safety weighted domain score	13.5	Not Available	Not Available	16.5	11	12.08
VBP total performance score	38	Not Available	Not Available	32.58	19.25	26.33

Readmissions Reduction Program6 measures

Excess readmission ratios by condition; above 1 means more readmissions than expected.

Measure	This hospital	US median	CA average	US rank
READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 124 cases	1.161	0.9995	1.015	Worse than 98% of US hospitals
READM-30-CABG-HRRP2021-07-01 to 2024-06-30	N/A		1.005
READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 60 cases	1.021	0.9969	1.002	Worse than 70% of US hospitals
READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 376 cases	1.213	0.9983	1.017	Worse than 99% of US hospitals
READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30	1.032	0.9916	0.9788	Worse than 61% of US hospitals
READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 499 cases	1.213	0.9955	1.026	Worse than 99% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
READM-30-AMI-HRRP	1.136	0.9529	0.9744	1.122	1.157	1.161
READM-30-CABG-HRRP	0.944	0.9164	0.9423	1.122	N/A	N/A
READM-30-COPD-HRRP	1.012	1.004	1.001	0.9931	1.035	1.021
READM-30-HF-HRRP	1.123	1.112	1.15	1.184	1.239	1.213
READM-30-HIP-KNEE-HRRP	1.087	1.102	1.153	1.084	1.063	1.032
READM-30-PN-HRRP	1.269	1.217	1.144	1.158	1.123	1.213

Hospital-Acquired Condition Reduction Program8 measures

Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.

Measure	This hospital	US median	CA average	US rank
CAUTI standardized infection ratio2023-01-01 to 2024-12-31	0.322	0.489	0.6114	Better than 68% of US hospitals
CDI standardized infection ratio2023-01-01 to 2024-12-31	0.099	0.346	0.449	Better than 86% of US hospitals
CLABSI standardized infection ratio2023-01-01 to 2024-12-31	0.507	0.559	0.679	Better than 55% of US hospitals
HAC Reduction Program payment reductionFY 2026	No
MRSA standardized infection ratio2023-01-01 to 2024-12-31	0.722	0.6405	0.7204	Worse than 58% of US hospitals
Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30	0.9862	0.9628	0.9656	Worse than 61% of US hospitals
SSI standardized infection ratio2023-01-01 to 2024-12-31	1.004	0.7945	0.8116	Worse than 64% of US hospitals
Total HAC scoreFY 2026	-0.2588	-0.0453	0.02733	Better than 65% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
HAC Reduction Program payment reduction	No	No	N/A	No	No	No
Total HAC score	0.1568	0.0069	0	-0.8529	-0.6729	-0.2588

Source: CMS Care Compare hospital files, latest release 2026-08-13, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.

Accreditation and services

The Joint Commission (since 1998)
Accreditation
None
Medical school affiliation
Federal
Ownership type
264
Medicare-certified beds
1966
In Medicare since

41 services at Regional Medical Center Of San Jose

Emergency and trauma: Shock trauma servicesDesignated Trauma CenterEmergency Department
Intensive care: Coronary Care UnitNeonatal ICU (Neonatal Intensive Care Unit)Pediatric ICUSurgical ICU (Medical Surgical Intensive Care Unit)Surgical ICU (Surgical Intensive Care Unit)
Heart: Cardiac Catheterization LabCardiac Thoracic Surgery
Surgery: AnesthesiaInpatient SurgicalNeurosurgicalOphthalmic SurgeryOR (Operating Room)Orthopedic SurgeryOutpatient SurgeryPostoperative Recovery RoomReconstructive Surgery
Imaging: CT ScanDiagnostic RadiologyMRI (Magnetic Resonance Imaging)Nuclear MedicineTherapeutic Radiology
Cancer: Chemotherapy
Transplant and dialysis: Acute Renal Dialysis
Women and children: Clinical LaboratoryNeonatal NurseryObstetrics / Child Birth
Rehabilitation and therapy: AudiologyOT (Occupational Therapy)Outpatient RehabilitationPT (Physical Therapy)Respiratory CareSpeech Pathology
Other services: Dental CareDietary CareOptometricOutpatientPharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Regional Medical Center Of San Jose reported to Medicare in its latest cost report, covering Jan 1, 2025 to Mar 31, 2025.

1,641
Inpatient discharges
Medicare 28%, Medicaid 4%
8,731
Inpatient days
38% of available bed days used
817
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 827668). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Regional Medical Center Of San Jose reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	2,692	345	5,694	8,731
Discharges	463	62	1,116	1,641
Average length of stay	5.8 days	5.6 days	5.1 days	5.3 days
Average daily census	29.9	3.8	63.3	97.0

2,966
Medicare Advantage days
478 discharges
2,068
Medicaid managed care days
357 discharges
244
Observation bed days

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	218	7,724	2,400	39%
Intensive care unit	34	1,007	292	33%

Source: CMS cost report (HCRIS, Form 2552-10), report 827668, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Medicare inpatient stays

What Regional Medical Center Of San Jose treats Medicare patients for most often, in 2024. 1,352 Medicare discharges in 35 published DRGs; 5% surgical; 77% in DRGs with complications (CC or MCC).

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical	456	$358,489	$21,869	$29,755	1.98
Heart failure and shock with MCCMS-DRG 291, medical	107	$250,300	$14,856	$20,775	1.28
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	56	$228,524	$14,890	$18,968	1.33
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	53	$209,079	$11,141	$17,354	1.03
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical	51	$419,140	$21,886	$34,789	2.00
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical	32	$271,448	$11,156	$22,530	1.02
Pulmonary edema and respiratory failureMS-DRG 189, medical	32	$226,829	$14,431	$18,827	1.23
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	31	$627,730	$54,479	$52,102	5.00
Respiratory infections and inflammations with MCCMS-DRG 177, medical	30	$275,184	$18,733	$22,840	1.70
Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical	30	$664,120	$34,453	$55,122	2.70
Medical back problems without MCCMS-DRG 552, medical	29	$182,425	$10,677	$15,141	0.97
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical	28	$261,011	$15,464	$21,664	1.32
Renal failure with CCMS-DRG 683, medical	28	$157,802	$9,531	$13,098	0.90
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical	27	$287,730	$17,442	$23,882	1.59
Syncope and collapseMS-DRG 312, medical	27	$171,719	$9,518	$14,253	0.86
Kidney and urinary tract infections without MCCMS-DRG 690, medical	27	$163,766	$9,085	$13,593	0.81
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical	25	$232,112	$18,748	$19,265	1.65
Renal failure with MCCMS-DRG 682, medical	22	$181,641	$16,052	$15,076	1.50
Hip and femur procedures except major joint with CCMS-DRG 481, surgical	19	$434,926	$23,464	$36,099	2.07
Transient ischemia without thrombolyticMS-DRG 069, medical	18	$199,463	$8,315	$16,555	0.80

See all 35 Medicare inpatient DRGs at Regional Medical Center Of San Jose

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.

Medicare outpatient services

The comprehensive outpatient service groups (APCs) Regional Medical Center Of San Jose billed Medicare for most in 2024: 386 services in all.

Service group	Services	Patients	Average charges	Average Medicare payment	US average payment
Level 1 Intraocular ProceduresAPC 5491	82	69	$60,640	$2,577	$1,752
Comprehensive Observation ServicesAPC 8011	79	79	$102,210	$3,058	$2,090
Level 3 Vascular ProceduresAPC 5183	46	46	$98,008	$3,573	$2,405
Level 1 Endovascular ProceduresAPC 5191	46	46	$136,110	$3,227	$2,208
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073	33		$56,250	$3,188	$2,141
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	22	12	$47,189	$1,816	$1,220
Level 3 Pacemaker and Similar ProceduresAPC 5223	21	21	$185,319	$13,306	$8,569
Level 4 Musculoskeletal ProceduresAPC 5114	16	16	$155,771	$8,434	$5,339
Level 3 Musculoskeletal ProceduresAPC 5113	15	15	$78,386	$3,389	$2,373
Level 2 Musculoskeletal ProceduresAPC 5112	13	13	$45,186	$1,775	$1,196

See all 11 Medicare outpatient services at Regional Medical Center Of San Jose

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.

Where patients come from

ZIP codes with the most Medicare inpatient stays at Regional Medical Center Of San Jose in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 5,007 in 2020 to 819 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
95122	115	14%	690	$41.9M	8%	43%
95127	96	12%	511	$31.7M	6%	41%
95116	88	11%	474	$29.2M	7%	50%
95121	71	9%	456	$26.3M	6%	37%
95035	68	8%	431	$27.1M	4%	31%
95132	66	8%	403	$24M	6%	37%
95148	64	8%	410	$23.4M	5%	37%
95111	63	8%	324	$18.5M	4%	25%
95133	58	7%	315	$20.5M	8%	51%
95112	49	6%	281	$16.5M	3%	30%
95131	41	5%	316	$14.6M	8%	40%
95150	16	2%	102	$4.9M	5%	24%
95135	13	2%	72	$3.8M	2%	15%
95103	11	1%	76	$3.9M	3%	18%

Source: CMS Hospital Service Area file. Shares are of the 819 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.

Income statement

Revenue, expenses and income Regional Medical Center Of San Jose reported to Medicare for Jan 1, 2025 to Mar 31, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$920.4M	1742.7%
Inpatient	$534.9M	1012.8%
Outpatient	$385.5M	729.9%
Contractual allowances and discounts	-$867.6M	-1642.7%
Net patient revenue	$52.8M	100.0%
Operating expenses	-$102M	-193.2%
Operating income from patient care	-$49.2M	-93.2%
Other income	$1.7M	3.2%
Other expenses	-$7	-0.0%
Net income	-$47.5M	-90.0%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$142.7M	15.5%
Medicaid (including managed care)	$245.4M	26.7%
Other payers and self-pay	$532.4M	57.8%
Total charges	$920.4M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 827668, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Regional Medical Center Of San Jose's latest cost report, which covers 90 days; income and expense figures are scaled to a year.

-93.2%
Operating margin
Operating income from patient care / net patient revenue
-87.1%
Total margin
Net income / net patient revenue plus other income
-81.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
53% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$98.63
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-104.7%
Return on assets
Net income for a year / total assets
6.18
Current ratio
Current assets / current liabilities
3.62
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
37 days
Days in patient receivables
Net patient receivables / daily net patient revenue
6 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.20
Asset turnover
Total revenue for a year / total assets
26.8 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 827668, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Regional Medical Center Of San Jose owned and owed at the end of its reporting period (Mar 2025), across all fund types: $184M in total assets and a -$581.2M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$3,276	0.0%
Patient receivables, net	$21.9M	11.9%
Inventory	$5.1M	2.8%
Total current assets	$37.4M	20.3%
Property and equipment, net of depreciation	$124.6M	67.7%
Investments and other assets	$22.1M	12.0%
Total assets	$184M	100.0%
Current liabilities	$6M	3.3%
Long-term debt	$600.9M	326.6%
Total liabilities	$765.2M	415.9%
Fund balance (net assets)	-$581.2M	-315.9%

Source: CMS cost report (HCRIS, Form 2552-10), report 827668, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care Regional Medical Center Of San Jose provided without full payment, as reported on Worksheet S-10 of its cost report.

$4.8M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$6.2M
Bad debt
Patient bills written off as uncollectible, at charges
$14.2M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$4.4M
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$23.8M
Total unreimbursed and uncompensated care
23.4% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)

Source: CMS cost report (HCRIS, Form 2552-10), report 827668, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Regional Medical Center Of San Jose's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Dec 2019	Dec 2020	Dec 2021	Dec 2022	Dec 2023	Dec 2024
Net patient revenue	$389.8M	$383.9M	$375.8M	$376M	$378.3M	$309.2M
Operating expenses	$450.1M	$423.3M	$411.3M	$444.7M	$488.5M	$632M
Operating margin	-15.5%	-10.3%	-9.4%	-18.3%	-29.1%	-104.4%
Net income	-$58.9M	-$38M	-$34.4M	-$67.4M	-$108.6M	-$321.2M
Total assets	$378.5M	$380.9M	$379.1M	$386.2M	$378.4M	$168.1M
Discharges	15,645	11,787	11,690	11,577	10,415	8,084
Inpatient days	80,958	69,651	60,716	64,534	57,725	39,864
Medicare Advantage days	13,271	12,938	14,302	16,299	15,927	11,941
Beds	258	247	249	252	252	252
Employees (FTE)	1,217	1,120	1,011	1,060	1,020	856

Source: CMS cost report (HCRIS, Form 2552-10), report 827668, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Regional Medical Center Of San Jose reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 38 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Emergency	$6.5M	$11.2M	$147.4M	0.08	22,926
Laboratory	$1.7M	$3.6M	$147.2M	0.02	9,015
Drugs charged to patients	$989,564	$2.8M	$84.5M	0.03	5,372
Radiology-diagnostic	$1.4M	$2.6M	$31.5M	0.08	10,411
Respiratory therapy	$1.4M	$2.3M	$36.8M	0.06	2,394
Operating room	$971,623	$2.1M	$22.7M	0.09	16,823
Cardiac catheterization	$622,035	$1.7M	$5.8M	0.29	9,800
Recovery room	$777,220	$1.3M	$4.3M	0.31	2,453
Medical supplies charged to patient		$1.1M	$29.5M	0.04
Renal dialysis	$552,790	$1M	$4.8M	0.21	1,463
Ct scan	$539,314	$953,381	$144.6M	0.01	566
Physical therapy	$505,535	$847,796	$9.3M	0.09	2,387
Observation beds (non-distinct part		$749,685	$4M	0.19
Ultrasound	$368,333	$591,999	$8.7M	0.07	615
Occupational therapy	$339,922	$523,797	$4.4M	0.12	412
Impl. dev. charged to patients		$519,773	$8.9M	0.06
Wound care	$226,836	$494,625	$3.1M	0.16	3,230
Mri	$238,188	$472,848	$10.4M	0.05	2,293
Electrocardiology	$221,369	$417,252	$27.2M	0.02	890
Radioisotope	$110,640	$216,131	$1.1M	0.21	750
Whole blood & packed red blood cell		$210,875	$1.2M	0.18	241
Speech pathology	$137,597	$209,076	$1.1M	0.18	89
Orthopedic	$20,825	$167,590	$46,806	3.58	3,730
Anesthesiology	$31,623	$117,617	$5.5M	0.02	1,441
Electroencephalography	$40,443	$114,031	$615,369	0.19	734

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$11.6M	$24.5M	$145.9M	0.17	104,524
Intensive care unit	$4M	$8.1M	$30M	0.27	24,317

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Administrative & general	$5.1M	$9.2M	48,723	$102.84	55,937
Employee benefits department	$55,209	$7.5M	674	$80.74	3,575
Cap rel costs-mvble equip		$4.2M
Operation of plant	$657,438	$3M	7,234	$89.58	136,337
Nursing administration	$1.9M	$2.1M	26,682	$70.09	7,516
Housekeeping	$785,058	$1M	16,994	$45.54	7,396
Cafeteria		$421,192	7,959	$50.71	3,500
Dietary	$726,117	$412,117	6,154	$50.72	9,752
Cap rel costs-bldg & fixt		$265,450			496,351
Laundry & linen service	$49,590	$232,401	1,183	$41.32	3,428
Medical records & library		$193,554			1,080

Source: CMS cost report (HCRIS, Form 2552-10), report 827668, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Medicare payment profile

The factors Medicare uses to set what it pays Regional Medical Center Of San Jose for an inpatient stay.

1.68
Case mix index
Higher than 50% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
60.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
843
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).

Show FY 2021 to FY 2027

IPPS fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026	FY 2027
Case mix index	1.69	1.69	1.96	1.92	1.90	1.81	1.68
Wage index	1.843	1.843	1.875	1.837	1.778	1.733	1.743
Readmissions adjustment	-2.27%	-2.07%	-1.49%	-0.48%	-1.54%	-1.57%	-2.18%
Value-based purchasing adjustment	+0.22%	+0.44%	+0.44%	+0.18%	+1.09%	-0.28%	-0.18%
Medicare inpatient stays	4,813	4,813	2,922	3,028	2,708	2,226	843

Source: CMS IPPS final rule Impact File (FY 2027).

Frequently asked questions

About Regional Medical Center Of San Jose's rates and hospital price transparency.

How much does an MRI cost at Regional Medical Center Of San Jose?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Regional Medical Center Of San Jose range from $792 to $4,896 across 2 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $695. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Regional Medical Center Of San Jose?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Regional Medical Center Of San Jose range from $1,566 to $2,031 across 2 insurers. Aetna's rate is $2,031. The median at nearby comparable hospitals is $1,503. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Regional Medical Center Of San Jose?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Regional Medical Center Of San Jose range from $5,999 to $11,049 across 3 insurers. UnitedHealthcare's rate is $5,999. The median at nearby comparable hospitals is $5,085. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Regional Medical Center Of San Jose?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Regional Medical Center Of San Jose range from $10,002 to $13,796 across 3 insurers. Aetna's rate is $11,464. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Regional Medical Center Of San Jose?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Regional Medical Center Of San Jose range from $549 to $672 across 2 insurers. Aetna's rate is $549. The median at nearby comparable hospitals is $584. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Regional Medical Center Of San Jose?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Regional Medical Center Of San Jose range from $32,952 to $45,923 across 2 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $45,923. The median at nearby comparable hospitals is $47,219. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Regional Medical Center Of San Jose a teaching hospital?

CMS reports no Medicare-funded interns or residents at Regional Medical Center Of San Jose for fiscal year 2027.

Does Medicare penalize Regional Medical Center Of San Jose for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Regional Medical Center Of San Jose's base inpatient payments by an estimated 2.18% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Regional Medical Center Of San Jose?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (456 discharges), heart failure and shock with mcc (107 discharges), simple pneumonia and pleurisy with mcc (56 discharges).

What is Regional Medical Center Of San Jose's case mix index?

Regional Medical Center Of San Jose's Medicare case mix index is 1.68 for fiscal year 2027, higher than 50% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

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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
      }
    ]
  }]
}

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Gross, discounted cash, payer-specific and de-identified min / max charges
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About this hospital

Prices for common services

How the insurers pay at Regional Medical Center Of San Jose

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Tax IDs and NPIs insurers list

Location

Quality ratings (CMS Care Compare)

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41 services at Regional Medical Center Of San Jose

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Where patients come from

Income statement

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Financial trend

Departments

Ancillary and outpatient departments

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Frequently asked questions

Running price transparency at a hospital like this one?

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