California / Good Samaritan Hospital
CMS certification 050380 · San Jose, CA · 5 entries in CMS's price-transparency list
Good Samaritan Hospital: charges and Medicare payments
Good Samaritan Hospital reported 3,755 Medicare inpatient stays across 110 DRGs in 2024. Across them it charged 14.05 times what it was paid — among the higher ratios in California, number 5 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 530 stays at an average charge of $281,463, 212% above the national average. It also billed 2,384 outpatient services, charging 22.15 times what Medicare paid.
- 1Medicare inpatient stays 3,755
- 2Charge ÷ paid, inpatient 14.05×
- 3Rank in CA (highest ratio = 1) 5 of 247
- 4CMS price-transparency actions 5
Inpatient stays
For the 110 DRGs that can be compared with the national average, Good Samaritan Hospital charged more than the national average in 110 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 530 | $281,463 | +212% | $21,925 |
| 291 Heart Failure and Shock with MCC | 198 | $198,880 | +253% | $15,165 |
| 177 Respiratory Infections and Inflammations with MCC | 108 | $242,303 | +243% | $18,253 |
| 193 Simple Pneumonia and Pleurisy with MCC | 105 | $253,335 | +324% | $15,994 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 99 | $175,543 | +258% | $14,409 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 75 | $492,795 | +393% | $25,958 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 73 | $272,641 | +389% | $14,394 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 66 | $156,327 | +289% | $10,355 |
| 312 Syncope and Collapse | 57 | $138,612 | +204% | $11,787 |
| 189 Pulmonary Edema and Respiratory Failure | 53 | $209,378 | +264% | $13,719 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 53 | $439,959 | +284% | $22,845 |
| 377 Gastrointestinal Hemorrhage with MCC | 53 | $238,895 | +180% | $19,521 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 53 | $769,553 | +236% | $62,093 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 52 | $264,074 | +248% | $17,863 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 52 | $327,882 | +252% | $20,833 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 52 | $119,249 | +222% | $8,671 |
| 069 Transient Ischemia without Thrombolytic | 51 | $188,727 | +274% | $9,414 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 50 | $540,695 | +245% | $38,293 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 50 | $165,015 | +174% | $14,878 |
| 682 Renal Failure with MCC | 50 | $208,831 | +217% | $17,126 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 45 | $129,320 | +258% | $9,005 |
| 690 Kidney and Urinary Tract Infections without MCC | 45 | $138,288 | +266% | $10,040 |
| 389 Gastrointestinal Obstruction with CC | 43 | $139,539 | +258% | $9,205 |
| 811 Red Blood Cell Disorders with MCC | 40 | $187,390 | +175% | $15,990 |
| 552 Medical Back Problems without MCC | 39 | $183,669 | +276% | $12,404 |
| 683 Renal Failure with CC | 39 | $172,033 | +323% | $10,063 |
| 884 Organic Disturbances and Intellectual Disability | 38 | $178,754 | +186% | $18,435 |
| 481 Hip and Femur Procedures except Major Joint with CC | 37 | $324,522 | +222% | $22,634 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 37 | $233,936 | +219% | $19,611 |
| 330 Major Small and Large Bowel Procedures with CC | 34 | $425,087 | +257% | $31,729 |
| 057 Degenerative Nervous System Disorders without MCC | 33 | $144,964 | +156% | $15,334 |
| 329 Major Small and Large Bowel Procedures with MCC | 33 | $852,230 | +296% | $61,569 |
| 394 Other Digestive System Diagnoses with CC | 33 | $154,876 | +229% | $10,506 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 32 | $98,630 | +243% | $7,123 |
| 194 Simple Pneumonia and Pleurisy with CC | 31 | $152,200 | +297% | $9,849 |
| 378 Gastrointestinal Hemorrhage with CC | 30 | $164,734 | +239% | $11,010 |
| 689 Kidney and Urinary Tract Infections with MCC | 30 | $205,763 | +301% | $13,540 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 28 | $179,859 | +218% | $13,376 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 28 | $195,381 | +312% | $11,898 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 27 | $443,875 | +300% | $24,985 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 27 | $180,142 | +257% | $14,015 |
| 638 Diabetes with CC | 27 | $155,994 | +274% | $10,147 |
| 813 Coagulation Disorders | 27 | $154,053 | +92% | $17,591 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 26 | $387,437 | +279% | $23,156 |
| 812 Red Blood Cell Disorders without MCC | 25 | $134,499 | +203% | $10,180 |
| 101 Seizures without MCC | 24 | $211,765 | +334% | $10,238 |
| 945 Rehabilitation with CC/MCC | 23 | $152,346 | +174% | $15,849 |
| 056 Degenerative Nervous System Disorders with MCC | 22 | $330,240 | +244% | $27,122 |
| 100 Seizures with MCC | 22 | $258,482 | +174% | $21,940 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 22 | $527,755 | +229% | $41,482 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 22 | $675,079 | +205% | $53,421 |
| 305 Hypertension without MCC | 22 | $121,254 | +202% | $8,623 |
| 603 Cellulitis without MCC | 22 | $173,845 | +366% | $9,909 |
| 091 Other Disorders of Nervous System with MCC | 21 | $241,285 | +192% | $18,852 |
| 244 Permanent Cardiac Pacemaker Implant without CC/MCC | 21 | $369,513 | +297% | $20,177 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 21 | $127,431 | +199% | $11,468 |
| 643 Endocrine Disorders with MCC | 21 | $271,402 | +266% | $18,471 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 20 | $1,368,799 | +387% | $96,468 |
| 149 Dysequilibrium | 20 | $172,052 | +288% | $9,086 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 20 | $442,125 | +226% | $29,432 |
Showing the 60 most frequent of 110 DRGs.
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Good Samaritan Hospital charged $281,463 on average, 97% more than the California average of $143,063, and was paid $21,925 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Good Samaritan Hospital charged $198,880 on average, 97% more than the California average of $100,739, and was paid $15,165 against a state average of $15,556. For Respiratory Infections and Inflammations with MCC (DRG 177), Good Samaritan Hospital charged $242,303 on average, 95% more than the California average of $124,302, and was paid $18,253 against a state average of $18,986. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Good Samaritan Hospital charged $253,335 on average, 144% more than the California average of $103,761, and was paid $15,994 against a state average of $15,112. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $130,313 was 224% above the state average of $40,214. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $96,714 was 132% above the state average of $41,628. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $293,615 was 169% above the state average of $109,149. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $134,646 was 109% above the state average of $64,351.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Good Samaritan Hospital in San Jose, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-05-18 (CMS case 119)
- CAP Request — 2021-10-27 (CMS case 119)
- Closure Notice — 2023-07-31 (CMS case 119)
- Met Requirements — 2025-03-27 (CMS case 3440)
- Met Requirements — 2025-05-05 (CMS case 4268)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.