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Short Term Acute Care HospitalVoluntary Non-Profit - Private

San Jose Medical Center

Kaiser Permanente · San Jose, CA

250 Hospital Parkway, San Jose, CA 95119(408) 972-7000

3 of 5

CMS star rating

235

Beds

11,714

Inpatient discharges a year

$733.4M

Net patient revenue a year

5

In-network payers

About this hospital

San Jose Medical Center is a 235-bed voluntary non-profit - private hospital in San Jose, CA, affiliated with Kaiser Permanente. Below you'll find publicly disclosed negotiated rates and facility details, including 5 in-network payers.

CCN
050604
NPI
1063582989
Health system
Kaiser Permanente
Teaching
Teaching hospital
County
Santa Clara County
Metro area
San Jose-Sunnyvale-Santa Clara, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1976
Last CMS survey
2023

Negotiated Rates

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

Book a call about hospital compliance MRFs

No contract information available for this hospital.

Contract data may be available through direct hospital inquiry.

Insurance Accepted

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

Medicare
CenteneGroup Health Cooperative of South Central WisconsinHealthNetHometown HealthKaiser Permanente

More about this hospital

Location

250 Hospital Parkway, San Jose, CA 95119

(408) 972-7000

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Frequently asked questions

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

What is San Jose Medical Center's CMS star rating?

San Jose Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is San Jose Medical Center a teaching hospital?

Yes. CMS counts 0.15 Medicare-funded residents per bed at San Jose Medical Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize San Jose Medical Center for readmissions?

No. San Jose Medical Center has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (107 discharges), septicemia or severe sepsis without mv >96 hours without mcc (21 discharges), heart failure and shock with mcc (19 discharges).

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

San Jose Medical Center's Medicare case mix index is 1.79 for fiscal year 2027, higher than 61% of hospitals paid under the inpatient prospective payment system.

How many patients does San Jose Medical Center admit?

San Jose Medical Center reported 11,714 inpatient discharges and 48,217 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does San Jose Medical Center have?

San Jose Medical Center reported 1,064 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does San Jose Medical Center make?

San Jose Medical Center reported $733.4M in net patient revenue on $2.8B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 14.7%, and net income of $113.4M.

How much charity and uncompensated care does San Jose Medical Center provide?

San Jose Medical Center reported $28.6M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $11.5M of charity care at cost.

How many doctors are affiliated with San Jose Medical Center?

261 clinicians who bill Medicare list San Jose Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (48), emergency medicine physician (35), student in an organized health care education/training program (28).

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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Chargemaster analysis

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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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