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

Concord, CA 94520 · CMS Certification Number 050496. 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
Premier Surgery Center, same ZIP
Outpatient here
$17,176
Medicare allowed amount, 15 cases, APC 5115
Inpatient here
$24,799
Avg total payment (incl. patient share), 104 Medicare stays, MS-DRG 470

Medicare prices at John Muir Medical Center - Concord Campus

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$24,799$165,8336.7×$17,176
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$25,211$223,5878.9×—

Quality

Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 303 beds

California has no certificate-of-need law.

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Questions

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

In 2024 the average total payment to John Muir Medical Center - Concord Campus for an inpatient hip or knee replacement stay was $24,799 (MS-DRG 470, 104 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $17,176 per outpatient case (APC 5115, 15 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $165,833, 6.7× 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 - Concord Campus?

Yes for Medicare facility payments. Premier Surgery Center, an orthopedic surgery center same ZIP away, is paid about $13,116 by Medicare for a knee replacement (CPT 27447), $11,683 less than an inpatient stay at John Muir Medical Center - Concord Campus. Not every patient is a surgery-center candidate.

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

John Muir Medical Center - Concord Campus's average total payment per Medicare stay is higher than 86% of the 119 California hospitals that report inpatient hip or knee replacement.