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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $24,799 | $165,833 | 6.7× | $17,176 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $25,211 | $223,587 | 8.9× | — |
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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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).
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.
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.
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.