John Muir Health · Concord, CA
35
In-network payers
364
Disclosed rate categories
244
Beds
5
Care quality
John Muir Medical Center - Concord Campus is a 244-bed voluntary non-profit - private hospital in Concord, CA, affiliated with John Muir Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 364 disclosed rate categories.
CCN (Medicare provider number)
050496
NPI
1801821376
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
244
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services John Muir Medical Center - Concord Campus most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Medicine & Surgery · Inpatient
MS-DRG 470
$34,406 - $84,594
from 4 insurers · median $76,698
215 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 43239
$11,493 - $15,109
from 3 insurers · median $11,574
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$10,684 - $15,109
from 3 insurers · median $10,787
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$10,901 - $15,109
from 3 insurers · median $11,574
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$11,237 - $15,109
from 3 insurers · median $11,651
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$12,255 - $40,139
from 3 insurers · median $24,064
91 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$126,096 - $431,040
from 4 insurers · median $397,036
Hospital reports cardiac thoracic surgery services to CMS
Urology
CPT 50590
$14,751 - $40,139
from 3 insurers · median $34,747
167 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Gynecology
CPT 58571
$13,625 - $40,139
from 3 insurers · median $18,594
59 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$12,255 - $20,136
from 2 insurers · median $16,195
Typical for a hospital with this service line
Gynecology
CPT 57288
$12,255 - $32,119
from 3 insurers · median $25,818
31 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$94,438 - $159,878
from 4 insurers · median $131,360
Hospital reports orthopedic surgery services to CMS
Ear, nose and throat
CPT 69436
$11,359 - $16,059
from 3 insurers · median $12,866
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$2,464
negotiated rate
Common here, based on CMS Medicare volume
Urology
CPT 52000
$8,649 - $12,585
from 3 insurers · median $10,077
112 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Gynecology
CPT 58558
$10,499 - $21,402
from 3 insurers · median $13,227
Typical for a hospital with this service line
CT imaging
CPT 74177
$954
negotiated rate
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$13,942 - $40,139
from 3 insurers · median $18,719
Typical for a hospital with this service line
Skin and soft tissue
CPT 10005
$2,598 - $13,377
from 3 insurers · median $11,730
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$246 - $329
from 2 insurers · median $287
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64493
$8,649 - $13,377
from 3 insurers · median $10,305
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 30520
$11,943 - $20,136
from 3 insurers · median $16,575
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$12,255 - $40,139
from 3 insurers · median $25,818
Typical for a hospital with this service line
Mammography
CPT 77067
$402
negotiated rate
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 21 | 934% | 19 | 1 |
| Insurer B* | 19 | 658% | 12 | 7 |
| Insurer C* | 24 | 410% | 18 | 4 |
| Insurer D* | 3 | - | 0 | 1 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for John Muir Medical Center - Concord Campus.
2540 East Street, Concord, CA 94520
(925) 682-8200
The nearest hospitals of similar type and size. Their rates are compared with John Muir Medical Center - Concord Campus for the same insurers and services above.
Sutter Delta Medical Center
▼ Rates typically 63% lower than John Muir Medical Center - Concord Campus (24 services)
Alta Bates Summit Medical Center - Alta Bates Campus
▼ Rates typically 62% lower than John Muir Medical Center - Concord Campus (24 services)
Highland Hospital
▼ Rates typically 56% lower than John Muir Medical Center - Concord Campus (24 services)
Alta Bates Summit Medical Center - Summit Campus
▼ Rates typically 62% lower than John Muir Medical Center - Concord Campus (24 services)
North Bay Medical Center
▼ Rates typically 95% lower than John Muir Medical Center - Concord Campus (12 services)
Eden Medical Center
▼ Rates typically 62% lower than John Muir Medical Center - Concord Campus (24 services)
John Muir Medical Center - Walnut Creek Campus
San Ramon Regional Medical Center
Providence Tarzana Medical Center
Doctors Hospital - Manteca
About John Muir Medical Center - Concord Campus's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at John Muir Medical Center - Concord Campus range from $954 to $954 across 1 insurers. Aetna's rate is $954. The median at nearby comparable hospitals is $766. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at John Muir Medical Center - Concord Campus range from $10,684 to $15,109 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $10,787. The median at nearby comparable hospitals is $2,595. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at John Muir Medical Center - Concord Campus range from $402 to $402 across 1 insurers. Aetna's rate is $402. The median at nearby comparable hospitals is $397. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at John Muir Medical Center - Concord Campus range from $34,406 to $84,594 across 4 insurers. Aetna's rate is $74,824. The median at nearby comparable hospitals is $83,539. What a patient pays depends on their plan's deductible, coinsurance and network status.
John Muir Medical Center - Concord Campus has 244 beds. Facility type: Short Term Acute Care Hospital.
John Muir Medical Center - Concord Campus is located at 2540 East Street, Concord, CA 94520. Its main phone number is (925) 682-8200.
John Muir Medical Center - Concord Campus's CMS Certification Number (CCN), also called its Medicare provider number, is 050496.
The National Provider Identifier (NPI) on file for John Muir Medical Center - Concord Campus is 1801821376.
John Muir Medical Center - Concord Campus is affiliated with John Muir Health.
John Muir Medical Center - Concord Campus lists 35 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
364 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers