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Regional Medical Center of San Jose: what a joint replacement costs

San Jose, CA 95116 · CMS Certification Number 050125. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$13,221
Evergreen Surgery Center, 1.8 mi
Outpatient here
—
Under 11 cases
Inpatient here
$25,484
Avg total payment (incl. patient share), 14 Medicare stays, MS-DRG 470

Medicare prices at Regional Medical Center of San Jose

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$25,484$383,60615.1×—
Shoulder replacement————

Quality

264 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Regional Medical Center of San Jose for a knee or hip replacement?

In 2024 the average total payment to Regional Medical Center of San Jose for an inpatient hip or knee replacement stay was $25,484 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance).

What is Regional Medical Center of San Jose's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $383,606, 15.1× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Regional Medical Center of San Jose?

Yes for Medicare facility payments. Evergreen Surgery Center, an orthopedic surgery center 1.8 mi away, is paid about $13,221 by Medicare for a knee replacement (CPT 27447), $12,263 less than an inpatient stay at Regional Medical Center of San Jose. Not every patient is a surgery-center candidate.

How does Regional Medical Center of San Jose compare with other California hospitals?

Regional Medical Center of San Jose's average total payment per Medicare stay is higher than 87% of the 119 California hospitals that report inpatient hip or knee replacement.