PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Private

Santa Clara Medical Center

Kaiser Permanente · Santa Clara, CA

700 Lawrence Expressway, Santa Clara, CA 95051(408) 236-6400

2 of 5

CMS star rating

357

Beds

18,117

Inpatient discharges a year

$1.5B

Net patient revenue a year

5

In-network payers

About this hospital

Santa Clara Medical Center is a 357-bed voluntary non-profit - private hospital in Santa Clara, CA, affiliated with Kaiser Permanente. Below you'll find publicly disclosed negotiated rates and facility details, including 5 in-network payers.

  • Rural referral center
  • Reclassified as rural
  • Helipad
CCN
050071
NPI
1326119967
Health system
Kaiser Permanente
Teaching
Major 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
1966
Last CMS survey
2022

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

700 Lawrence Expressway, Santa Clara, CA 95051

(408) 236-6400

Get directions

Frequently asked questions

About Santa Clara Medical Center's rates and hospital price transparency.

What is Santa Clara Medical Center's CMS star rating?

Santa Clara Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Santa Clara Medical Center a teaching hospital?

Yes. CMS counts 0.29 Medicare-funded residents per bed at Santa Clara Medical Center for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Santa Clara Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Santa Clara Medical Center's base inpatient payments by an estimated 0.07% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Santa Clara Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (104 discharges), septicemia or severe sepsis without mv >96 hours without mcc (28 discharges), pulmonary edema and respiratory failure (26 discharges).

What is Santa Clara Medical Center's case mix index?

Santa Clara Medical Center's Medicare case mix index is 2.67 for fiscal year 2027, higher than 95% of hospitals paid under the inpatient prospective payment system.

How many patients does Santa Clara Medical Center admit?

Santa Clara Medical Center reported 18,117 inpatient discharges and 101,017 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Santa Clara Medical Center have?

Santa Clara Medical Center reported 2,063 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Santa Clara Medical Center make?

Santa Clara Medical Center reported $1.5B in net patient revenue on $5B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 16.7%, and net income of $264.5M.

How much charity and uncompensated care does Santa Clara Medical Center provide?

Santa Clara Medical Center reported $47.7M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $17.9M of charity care at cost.

How many doctors are affiliated with Santa Clara Medical Center?

354 clinicians who bill Medicare list Santa Clara Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (85), emergency medicine physician (46), student in an organized health care education/training program (39).

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
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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
Talk to us about your chargemaster