Santa Clara Valley Medical Center
San Jose, California 95128
CCN: 050038 Acute Care Hospitals Emergency Services
3/5
CMS Star Rating
Average
104
DRG Categories
3,873
Total Discharges
$141,743
Avg Charges
$29,754
Avg Payment
$27,455
Avg Medicare
4.76x
Charge-to-Payment
Quality Ratings — CMS Hospital Compare
Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness
Mortality
Above Average Safety of Care
Above Average Readmissions
Same as Average Patient Experience
Reported California Average Rating
3.01 / 5 This hospital is below average
25 five-star hospitals of rated in California
National Average Rating
3.08 / 5
288 five-star hospitals of 2866 rated nationally
Type: Acute Care Hospitals Ownership: Government - Local
Compared to California Average
How this hospital compares to the average of 275 hospitals in California
Average Charges
$141,743 -7%
State avg: $151,712
Average Payment
$29,754 +22%
State avg: $24,418
Charge-to-Payment Ratio
4.76x Below avg
State avg: 6.59x
Top 20 DRGs by Volume
Most common diagnosis groups at this hospital, sorted by number of discharges
| DRG | Description | Discharges | Avg Charges | Avg Payment | Markup |
|---|---|---|---|---|---|
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 596 | $171,897 | $35,393 | 4.86x |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 305 | $138,678 | $26,537 | 5.23x |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 135 | $120,390 | $32,953 | 3.65x |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 125 | $82,236 | $16,721 | 4.92x |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 100 | $110,489 | $21,047 | 5.25x |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 83 | $372,616 | $92,100 | 4.05x |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | 82 | $138,839 | $25,887 | 5.36x |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 77 | $84,827 | $20,248 | 4.19x |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 70 | $66,703 | $13,991 | 4.77x |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 69 | $147,685 | $29,995 | 4.92x |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 65 | $84,763 | $13,757 | 6.16x |
| 683 | RENAL FAILURE WITH CC | 57 | $69,971 | $14,668 | 4.77x |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 54 | $73,520 | $13,612 | 5.4x |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 53 | $137,653 | $25,673 | 5.36x |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | 53 | $92,456 | $17,373 | 5.32x |
| 603 | CELLULITIS WITHOUT MCC | 53 | $83,665 | $17,926 | 4.67x |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | 52 | $145,096 | $30,357 | 4.78x |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 49 | $90,108 | $17,005 | 5.3x |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 47 | $182,490 | $37,099 | 4.92x |
| 312 | SYNCOPE AND COLLAPSE | 47 | $66,292 | $14,670 | 4.52x |
Showing top 20 of 104 DRG categories at this hospital.
About This Data
Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.