JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS
CONCORD, CA 94520 · Acute Care Hospitals
110 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
110
With CMS pricing data
Avg Charge-to-Medicare Ratio
10.3x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
93%
Compared to CA hospitals
Understanding Your Costs
When you receive a bill from JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS lists chargemaster rates that average 10.3x the corresponding Medicare reimbursement amount across 110 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in CA has a chargemaster-to-Medicare ratio of 6.3x, with ratios across the state ranging from 1.7x to 17.6x. At 10.3x, this facility’s average ratio is above the state median. 273 hospitals in CA report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS is Acute Myocardial Infarction, Discharged Alive with Complications (DRG 281). The listed chargemaster rate is $125,552, while Medicare reimburses $7,927 for the same procedure — a ratio of 15.8x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
102 of 110 procedures (93%) at this facility have listed rates above the 90th percentile compared to other CA hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| Acute Myocardial Infarction, Discharged Alive with Complications | 281 | $125,552 | $7,927 | 15.8x | 1th | Compare your bill |
| Coronary Bypass without Cardiac Catheterization without Major Complications | 236 | $481,258 | $33,480 | 14.4x | 1th | Compare your bill |
| Acute Myocardial Infarction, Discharged Alive without Complications | 282 | $101,920 | $7,093 | 14.4x | 1th | Compare your bill |
| Chronic Obstructive Pulmonary Disease with Complications | 191 | $113,796 | $8,085 | 14.1x | 1th | Compare your bill |
| Diabetes with Major Complications or Comorbidities | 637 | $190,171 | $13,733 | 13.8x | 1th | Compare your bill |
| Operating Room Procedures for Obesity with Complications | 620 | $223,420 | $16,386 | 13.6x | 1th | Compare your bill |
| Cirrhosis and Alcoholic Hepatitis with Major Complications or Comorbidities | 432 | $332,016 | $24,462 | 13.6x | 1th | Compare your bill |
| Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without Major Complications | 641 | $101,663 | $7,541 | 13.5x | 1th | Compare your bill |
| Cardiac Arrhythmia and Conduction Disorders without Complications | 310 | $64,072 | $4,777 | 13.4x | 1th | Compare your bill |
| Major Small and Large Bowel Procedures without Complications | 331 | $207,897 | $16,213 | 12.8x | 1th | Compare your bill |
| Red Blood Cell Disorders with Major Complications or Comorbidities | 811 | $192,652 | $15,060 | 12.8x | 1th | Compare your bill |
| Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complications | 247 | $213,962 | $16,896 | 12.7x | 1th | Compare your bill |
| Other Circulatory System Operating Room Procedures | 264 | $419,186 | $33,151 | 12.6x | 1th | Compare your bill |
| Simple Pneumonia and Pleurisy with Complications | 194 | $96,144 | $7,679 | 12.5x | 1th | Compare your bill |
| Nonspecific Cerebrovascular Disorders with Major Complications or Comorbidities | 070 | $242,592 | $19,429 | 12.5x | 1th | Compare your bill |
| Cardiac Arrhythmia and Conduction Disorders with Major Complications or Comorbidities | 308 | $154,566 | $12,398 | 12.5x | 1th | Compare your bill |
| Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with Major Complications or Comorbidities | 391 | $150,104 | $12,049 | 12.5x | 1th | Compare your bill |
| Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major Complications | 897 | $107,640 | $8,734 | 12.3x | 1th | Compare your bill |
| Infectious and Parasitic Diseases with Operating Room Procedures with Complications | 854 | $263,845 | $21,591 | 12.2x | 1th | Compare your bill |
| Cardiac Arrhythmia and Conduction Disorders with Complications | 309 | $89,230 | $7,325 | 12.2x | 1th | Compare your bill |
| Kidney and Urinary Tract Infections without Major Complications | 690 | $91,551 | $7,551 | 12.1x | 1th | Compare your bill |
| Stomach, Esophageal and Duodenal Procedures without Complications | 328 | $188,148 | $15,624 | 12.0x | 1th | Compare your bill |
| Other Kidney and Urinary Tract Diagnoses with Complications | 699 | $107,336 | $9,062 | 11.8x | 1th | Compare your bill |
| Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization | 220 | $649,919 | $55,064 | 11.8x | 1th | Compare your bill |
| Pulmonary Edema and Respiratory Failure | 189 | $168,537 | $14,400 | 11.7x | 1th | Compare your bill |
| Chronic Obstructive Pulmonary Disease with Major Complications or Comorbidities | 190 | $129,420 | $11,069 | 11.7x | 1th | Compare your bill |
| Syncope and Collapse | 312 | $103,437 | $8,900 | 11.6x | 1th | Compare your bill |
| Pulmonary Embolism with Major Complications or Comorbidities or Acute Cor Pulmonale | 175 | $156,768 | $13,510 | 11.6x | 1th | Compare your bill |
| Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without Major Complications | 392 | $86,659 | $7,538 | 11.5x | 1th | Compare your bill |
| Red Blood Cell Disorders without Major Complications | 812 | $98,998 | $8,642 | 11.5x | 1th | Compare your bill |
| Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications | 234 | $612,568 | $53,522 | 11.4x | 1th | Compare your bill |
| Respiratory Infections and Inflammations with Complications | 178 | $123,668 | $10,815 | 11.4x | 1th | Compare your bill |
| Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications or Comorbidities | 371 | $239,691 | $21,374 | 11.2x | 1th | Compare your bill |
| Extracranial Procedures without Complications | 039 | $120,467 | $10,851 | 11.1x | 1th | Compare your bill |
| Percutaneous Cardiovascular Procedures with Drug-Eluting Stent with Major Complications or Comorbidities or 4 or More Arteries O | 246 | $424,744 | $38,445 | 11.1x | 1th | Compare your bill |
| Major Chest Procedures with Complications | 164 | $275,570 | $24,928 | 11.1x | 1th | Compare your bill |
| Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours with Major Complications or Comorbidities | 871 | $229,413 | $20,859 | 11.0x | 1th | Compare your bill |
| Coronary Bypass without Cardiac Catheterization with Major Complications or Comorbidities | 235 | $697,515 | $63,449 | 11.0x | 1th | Compare your bill |
| Heart Failure and Shock with Major Complications or Comorbidities | 291 | $142,132 | $12,989 | 10.9x | 1th | Compare your bill |
| Renal Failure with Major Complications or Comorbidities | 682 | $180,361 | $16,544 | 10.9x | 1th | Compare your bill |
| Simple Pneumonia and Pleurisy with Major Complications or Comorbidities | 193 | $147,385 | $13,567 | 10.9x | 1th | Compare your bill |
| Operating Room Procedures for Obesity without Complications | 621 | $175,335 | $16,210 | 10.8x | 1th | Compare your bill |
| Kidney and Ureter Procedures for Neoplasm with Complications | 657 | $217,687 | $20,293 | 10.7x | 1th | Compare your bill |
| Transient Ischemia without Thrombolytic | 069 | $87,071 | $8,126 | 10.7x | 1th | Compare your bill |
| Diabetes with Complications | 638 | $79,073 | $7,493 | 10.6x | 1th | Compare your bill |
| Other Cardiothoracic Procedures without Major Complications | 229 | $343,914 | $32,959 | 10.4x | 1th | Compare your bill |
| Bronchitis and Asthma with Complications or Comorbidities | 202 | $90,816 | $8,711 | 10.4x | 1th | Compare your bill |
| Cellulitis with Major Complications or Comorbidities | 602 | $141,362 | $13,583 | 10.4x | 1th | Compare your bill |
| Intracranial Hemorrhage or Cerebral Infarction with Complications or Tpa in 24 Hours | 065 | $99,996 | $9,627 | 10.4x | 1th | Compare your bill |
| Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications or Comorbidities | 896 | $190,463 | $18,423 | 10.3x | 1th | Compare your bill |
Showing 50 of 110 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across CA hospitals
273 hospitals in CA report pricing data to CMS. This facility's average ratio of 10.3x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS
How much does JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS charge compared to Medicare?
According to CMS IPPS data, JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS's listed chargemaster rates average 10.3x the Medicare reimbursement amount across 110 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS?
The procedure with the highest chargemaster-to-Medicare ratio at JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS is Acute Myocardial Infarction, Discharged Alive with Complications (DRG 281), with a listed charge of $125,552 compared to Medicare reimbursement of $7,927 — a ratio of 15.8x. Source: CMS IPPS Provider Summary.
Is JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS expensive compared to other CA hospitals?
JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS's average chargemaster-to-Medicare ratio is 10.3x. Ratios vary significantly across CA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS in CONCORD, CA accept Medicare?
JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.