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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
14 Medicare stays, MS-DRG 470

Medicare prices at Regional Medical Center of San Jose

OperationInpatient paidList priceList ÷ paidOutpatient 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 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).

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× what Medicare paid. 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?

Medicare paid Regional Medical Center of San Jose more than 87% of the 119 California hospitals that report inpatient hip or knee replacement.