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John Muir Medical Center - Walnut Creek Campus: what a joint replacement costs

Walnut Creek, CA 94598 · CMS Certification Number 050180. 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
$13,116
Sequoia Surgical Pavilion, same ZIP
Outpatient here
$18,061
Medicare allowed amount, 75 cases, APC 5115
Inpatient here
$21,619
Avg total payment (incl. patient share), 244 Medicare stays, MS-DRG 470

Medicare prices at John Muir Medical Center - Walnut Creek Campus

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$21,619$200,1349.3×$18,061
Shoulder replacement$29,210$211,7877.3×$25,875
Hip replacement after a fracture (DRG 522)$22,194$212,7649.6×—

Quality

Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 296 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay John Muir Medical Center - Walnut Creek Campus for a knee or hip replacement?

In 2024 the average total payment to John Muir Medical Center - Walnut Creek Campus for an inpatient hip or knee replacement stay was $21,619 (MS-DRG 470, 244 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $18,061 per outpatient case (APC 5115, 75 cases).

What is John Muir Medical Center - Walnut Creek Campus's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $200,134, 9.3× the average total payment for a Medicare stay. 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 John Muir Medical Center - Walnut Creek Campus?

Yes for Medicare facility payments. Sequoia Surgical Pavilion, an orthopedic surgery center same ZIP away, is paid about $13,116 by Medicare for a knee replacement (CPT 27447), $8,503 less than an inpatient stay at John Muir Medical Center - Walnut Creek Campus. Not every patient is a surgery-center candidate.

How does John Muir Medical Center - Walnut Creek Campus compare with other California hospitals?

John Muir Medical Center - Walnut Creek Campus's average total payment per Medicare stay is higher than 72% of the 119 California hospitals that report inpatient hip or knee replacement.