John Muir Medical Center - Concord Campus
John Muir Medical Center - Concord Campus charges 10.3x the Medicare reimbursement rate across 110 analyzed procedures, with 93% classified as pricing outliers in this California facility.
Concord, CA 94520 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
F
Very high
Avg markup vs Medicare
10.35x
Charge / Medicare rate
Max markup
15.84x
Worst procedure
Procedures analyzed
110
With pricing data
Outlier procedures
92.7%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $125,552 | $62,776 | — | 15.8x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $481,258 | $240,629 | — | 14.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $101,920 | $50,960 | — | 14.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $113,796 | $56,898 | — | 14.1x |
| DIABETES WITH MCC | 637 | $190,171 | $95,085 | — | 13.9x |
| O.R. PROCEDURES FOR OBESITY WITH CC | 620 | $223,420 | $111,710 | — | 13.6x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $332,016 | $166,008 | — | 13.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $101,663 | $50,832 | — | 13.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $64,072 | $32,036 | — | 13.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $207,897 | $103,948 | — | 12.8x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $192,652 | $96,326 | — | 12.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $213,962 | $106,981 | — | 12.7x |
| OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | 264 | $419,186 | $209,593 | — | 12.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $96,144 | $48,072 | — | 12.5x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $242,592 | $121,296 | — | 12.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $154,566 | $77,283 | — | 12.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $150,104 | $75,052 | — | 12.5x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $107,640 | $53,820 | — | 12.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $263,845 | $131,922 | — | 12.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $89,230 | $44,615 | — | 12.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $91,551 | $45,775 | — | 12.1x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $188,148 | $94,074 | — | 12x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $107,336 | $53,668 | — | 11.8x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $649,919 | $324,959 | — | 11.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $168,537 | $84,269 | — | 11.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $129,420 | $64,710 | — | 11.7x |
| SYNCOPE AND COLLAPSE | 312 | $103,437 | $51,718 | — | 11.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $156,768 | $78,384 | — | 11.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $86,659 | $43,330 | — | 11.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $98,998 | $49,499 | — | 11.5x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $612,568 | $306,284 | — | 11.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $123,668 | $61,834 | — | 11.4x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $239,691 | $119,845 | — | 11.2x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $120,467 | $60,234 | — | 11.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $424,744 | $212,372 | — | 11.1x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $275,570 | $137,785 | — | 11.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $229,413 | $114,706 | — | 11x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $697,515 | $348,758 | — | 11x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $142,132 | $71,066 | — | 10.9x |
| RENAL FAILURE WITH MCC | 682 | $180,361 | $90,181 | — | 10.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $147,385 | $73,692 | — | 10.9x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $175,335 | $87,668 | — | 10.8x |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | 657 | $217,687 | $108,844 | — | 10.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $87,071 | $43,535 | — | 10.7x |
| DIABETES WITH CC | 638 | $79,073 | $39,537 | — | 10.6x |
| OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | 229 | $343,914 | $171,957 | — | 10.4x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $90,816 | $45,408 | — | 10.4x |
| CELLULITIS WITH MCC | 602 | $141,362 | $70,681 | — | 10.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $99,996 | $49,998 | — | 10.4x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | 896 | $190,463 | $95,231 | — | 10.3x |
Showing 50 of 110 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use