Regional Medical Center Of San Jose

225 N Jackson Avenue · San Jose, CA 95116

🤖AI Overview

⚠️ This hospital charges 16.1x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$897.3M

Medicare Payments

$55.6M

Discharges

2,661

Avg Length of Stay

5.9 days

Markup Ratio

16.1x

Risk Score

2.23

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Regional Medical Center Of San Jose charges an average of $337,215 per discharge, but Medicare only pays $20,912 — a markup of 16.1x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

16.1x

State Avg

7.2x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$337,215

State Avg

$146,116

National Avg

$69,838

Avg Length of Stay

This Hospital

5.9 days

State Avg

5.5 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

9.9%

65–74

27.5%

75–84

31.6%

85+

31.0%

Gender

50.9%

Female

49.1%

Male

Dual Eligibility

67.0%

Dual Eligible

33.0%

Non-Dual

Race & Ethnicity

White

25.2%

Black

3.4%

Hispanic

22.2%

Asian

45.9%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Diabetes

60.4%

Chronic Kidney Disease

43.5%

Ischemic Heart Disease

42.9%

Heart Failure

38.1%

Atrial Fibrillation

34.1%

Arthritis

33.9%

Alzheimer's/Dementia

29.5%

Stroke/TIA

27.0%

Mood Disorders

24.6%

COPD

23.0%

Depression

21.9%

Osteoporosis

19.9%

Anxiety

19.8%

Asthma

17.6%

Cancer

14.7%

Tobacco Use

12.3%

Substance Use

10.9%

Schizophrenia/Psychosis

8.4%

Bipolar Disorder

5.8%

Parkinson's

4.3%

PTSD

1.4%

Personality Disorders

1.3%

ADHD/Conduct Disorders

1.0%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.