Regional Medical Center Of San Jose
San Jose, California 95116
CCN: 050125 Acute Care Hospitals Emergency Services
3/5
CMS Star Rating
Average
52
DRG Categories
1,773
Total Discharges
$327,570
Avg Charges
$25,680
Avg Payment
$19,747
Avg Medicare
12.76x
Charge-to-Payment
Quality Ratings — CMS Hospital Compare
Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness
Mortality
Same as Average Safety of Care
Above Average Readmissions
Below 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 - Federal
Compared to California Average
How this hospital compares to the average of 275 hospitals in California
Average Charges
$327,570 +116%
State avg: $151,712
Average Payment
$25,680 +5%
State avg: $24,418
Charge-to-Payment Ratio
12.76x Above 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 | 412 | $332,332 | $23,795 | 13.97x |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 116 | $229,939 | $18,162 | 12.66x |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 86 | $185,540 | $13,077 | 14.19x |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 85 | $406,652 | $38,767 | 10.49x |
| 683 | RENAL FAILURE WITH CC | 47 | $171,336 | $11,277 | 15.19x |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 44 | $268,572 | $27,363 | 9.82x |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 44 | $269,928 | $18,855 | 14.32x |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 42 | $308,572 | $24,150 | 12.78x |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 40 | $975,878 | $75,296 | 12.96x |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 38 | $281,608 | $20,664 | 13.63x |
| 682 | RENAL FAILURE WITH MCC | 38 | $263,334 | $18,028 | 14.61x |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 33 | $195,842 | $19,500 | 10.04x |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 31 | $175,827 | $15,702 | 11.2x |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | 29 | $206,035 | $15,061 | 13.68x |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 29 | $392,626 | $25,618 | 15.33x |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 29 | $418,670 | $25,919 | 16.15x |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 29 | $1,128,445 | $77,161 | 14.62x |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 28 | $202,446 | $10,702 | 18.92x |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | 28 | $202,280 | $22,842 | 8.86x |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | 27 | $264,036 | $20,862 | 12.66x |
Showing top 20 of 52 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.