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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $25,484 | $383,606 | 15.1× | — |
| Shoulder replacement | — | — | — | — |
264 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Regional Medical Center of San Jose an average of $25,484 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $383,606, 15.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Regional Medical Center of San Jose more than 87% of the 119 California hospitals that report inpatient hip or knee replacement.