Price Transparency & Cost Estimator
Our Commitment to Price Transparency
Santa Clara Valley Medical Center (SCVMC) is committed to helping patients make informed decisions about the cost of their care. In accordance with the Centers for Medicare & Medicaid Services (CMS) Price Transparency rule, SCVMC furnishes pricing information about the items and services it provides in the following ways:
- A user-friendly “Guest Estimator” tool, which allows patients to calculate an estimate of potential charges and out-of-pocket costs for more than 500 shoppable services; and
- A machine-readable file containing a list of standard charges for all items and services that SCVMC provides.
Guests are reminded that they may be eligible for healthcare coverage and/or financial assistance to help pay for the cost of their care. To learn more about available financial assistance options, please visit this webpage or call 1-866-967-4677 (TTY: 711) to speak to one of SCVMC’s dedicated financial counselors.
Guest Estimates
SCVMC’s “Guest Estimator” tool provides an estimate of potential charges only, based upon the information the user has provided, on the date that the estimate was created. It is not intended as a comprehensive list of charges or a final liability or payment agreement between SCVMC and the account guarantor. The estimate provided by the “Guest Estimator” tool does not constitute a contract and does not obligate our guest(s) to receive the items or services from SCVMC or any other provider.
The estimates generated using SCVMC’s “Guest Estimator” tool do not represent a guarantee of those prices for services on the date services are rendered. When services are provided, there may be additional charges for supplies, medications, and other clinical services as ordered by the patient’s physician. SCVMC reserves the right to modify these charges in accordance with organizational policies and applicable law.
CLICK HERE to use the Santa Clara Valley Medical Center Guest Estimator tool
Please note: The estimate of potential charges generated by the “Guest Estimator” tool is not the same as the Good Faith Estimate required under the No Surprises Act. For more information about the Good Faith Estimate required under the No Surprises Act, please visit this webpage.
Standard Charges (Machine Readable File)
The machine-readable file of standard charges is revised at least annually and was last updated on August 30, 2024. The file includes:
- Gross charges for items and services provided by SCVMC;
- Discounted cash prices for self-pay patients who pay their hospital bills in full within 30 days of the date of their first billing statement;
- De-identified minimum and maximum negotiated charges; and
- Payer-specific negotiated charges for all payers.
CLICK HERE to download the Santa Clara Valley Medical Center Machine Readable Standard Charge File
PRICE FILEs
The Price Files, also known as the Charge Description Master (CDM), consist of two master lists of charges related to all services, including professional fees, supplies, devices, vaccines, radiopharmaceuticals, and room accommodation charge codes for inpatients and outpatients of SCVMC. The two Price Files currently in use at SCVMC are:
- the Hospital Billing (HB) Price File, which contains the facility-related charges; and
- the Professional Billing (PB) Price File, which contains the professional service-related charges.
The SCVMC Price Files are updated on July 1st of each year. Prices listed will correspond to prices as established by resolution of the Board of Supervisors of the County of Santa Clara for the current fiscal year. SCVMC reserves the right to modify these charges in accordance with organizational policies and applicable law.
TOP 25 DRGS
For your information, SCVMC also provides a list of average total charges for its Top 25 DRGs (Diagnosis Related Groups):
CLICK HERE to download the Santa Clara Valley Medical Center Top 25 DRGs
ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Call 1-888-334-1000 (TTY: 711).
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-334-1000 (TTY: 711).
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-334-1000 (TTY: 711).
注意：如果您說國語或粵語，免費語言協助服務將會提供給您。請聯繫 1-888-334-1000 (TTY: 711)。
注意：如果您说普通话，免费语言协助服务将会提供给您。 请拨打1-888-334-1000 (TTY: 711)。
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ਧਿਆਨ ਦਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤਾਂ ਭਾਸ਼ਾ ਵਿੱਚ ਸਹਾਇਤਾ ਸੇਵਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਧ ਹੈ। 1-888-334-1000 (TTY: 711) 'ਤੇ ਕਾਲ ਕਰੋ।
توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد. با 1-888-334-1000 (TTY: 711) تماس بگیرید.
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ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-888-334-1000 (TTY: 711) पर कॉल करें।