All published prices at John Muir Medical Center - Walnut Creek Campus
177 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
598 | $63,665 | $3,806 | +228% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
522 | $217,186 | $24,335 | +233% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
499 | $17,843 | $2,254 | +77% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
282 | $147,957 | $15,320 | +241% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
244 | $200,134 | $21,619 | +150% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
243 | $38,562 | $2,649 | +228% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
169 | $185,207 | $19,122 | +237% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
126 | $100,525 | $12,269 | +156% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
118 | $160,429 | $15,009 | +244% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
113 | $92,956 | $10,172 | +182% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
111 | $96,787 | $10,536 | +148% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
111 | $49,633 | $4,438 | +160% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
106 | $105,527 | $11,370 | +156% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
96 | $117,995 | $14,840 | +129% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
94 | $215,979 | $26,028 | +183% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
93 | $223,711 | $23,527 | +294% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
89 | $121,759 | $8,034 | +247% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
87 | $81,226 | $9,910 | +166% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
82 | $87,824 | $8,640 | +195% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
81 | $153,928 | $15,260 | +218% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
80 | $150,548 | $16,822 | +210% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
80 | $211,787 | $29,210 | +106% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
78 | $133,800 | $13,174 | +194% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
77 | $213,350 | $22,768 | +156% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
75 | $89,248 | $9,273 | +177% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
75 | $168,272 | $18,061 | +169% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
74 | $561,842 | $76,248 | +216% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
74 | $157,224 | $14,307 | +163% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
70 | $150,874 | $16,265 | +185% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
70 | $111,867 | $12,446 | +175% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
66 | $84,411 | $8,515 | +176% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
55 | $615,698 | $93,835 | +220% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
55 | $37,148 | $3,956 | +110% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
54 | $79,337 | $7,542 | +120% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
52 | $12,600 | $2,230 | +47% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
51 | $244,814 | $22,751 | +244% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
50 | $93,456 | $8,675 | +205% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
50 | $85,121 | $5,214 | +275% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
48 | $212,764 | $22,194 | +148% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
47 | $134,423 | $12,235 | +262% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
47 | $56,120 | $11,814 | +48% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
47 | $20,219 | $2,238 | +80% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
46 | $73,608 | $8,900 | +135% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
43 | $543,074 | $85,820 | +137% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
43 | $147,254 | $13,917 | +211% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
42 | $105,696 | $10,623 | +180% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
41 | $41,850 | $2,363 | +267% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
41 | $48,286 | $5,332 | +121% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
40 | $606,650 | $85,678 | +126% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
40 | $76,470 | $7,935 | +155% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
40 | $91,908 | $8,051 | +168% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
37 | $358,240 | $41,457 | +176% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
37 | $203,867 | $25,875 | +146% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
36 | $119,317 | $11,102 | +207% |
|
Fainting
MS-DRG 312 · Inpatient stay |
35 | $113,543 | $9,619 | +210% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
35 | $204,139 | $22,625 | +161% |
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay |
34 | $118,099 | $18,654 | +109% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
33 | $674,852 | $87,652 | +276% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
33 | $131,126 | $15,344 | +156% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
32 | $108,379 | $10,276 | +166% |
|
Back and Neck Procedures Except Spinal Fusion with Complications
MS-DRG 519 · Inpatient stay |
30 | $215,922 | $22,511 | +152% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
29 | $124,377 | $14,718 | +197% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
29 | $86,483 | $8,761 | +164% |
|
Respiratory System Diagnosis with Ventilator Support >96 Hours
MS-DRG 207 · Inpatient stay |
29 | $694,284 | $93,096 | +171% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
29 | $72,848 | $5,307 | +205% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
28 | $123,248 | $14,381 | +158% |
|
Craniotomy and Endovascular Intracranial Procedures with Complications
MS-DRG 026 · Inpatient stay |
28 | $481,830 | $43,554 | +259% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
27 | $38,044 | $3,836 | +129% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
26 | $347,388 | $38,055 | +196% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
26 | $95,528 | $10,066 | +157% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
26 | $90,664 | $8,700 | +180% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Complications
MS-DRG 372 · Inpatient stay |
26 | $124,486 | $12,872 | +214% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
25 | $212,665 | $24,960 | +127% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
25 | $155,588 | $15,162 | +154% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
25 | $215,030 | $19,314 | +235% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
25 | $104,298 | $9,075 | +164% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
24 | $118,742 | $20,533 | +118% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
24 | $92,822 | $10,235 | +192% |
|
Traumatic Stupor and Coma >1 Hour with Complications
MS-DRG 083 · Inpatient stay |
24 | $155,474 | $18,462 | +160% |
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay |
24 | $194,701 | $24,788 | +138% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
24 | $99,075 | $11,135 | +169% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
24 | $128,021 | $11,991 | +225% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
23 | $316,080 | $35,485 | +179% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
22 | $87,081 | $12,910 | +103% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
22 | $176,574 | $20,589 | +154% |
|
Endocrine Disorders with Complications
MS-DRG 644 · Inpatient stay |
22 | $105,870 | $12,629 | +175% |
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Complications
MS-DRG 847 · Inpatient stay |
22 | $224,445 | $14,221 | +319% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
22 | $109,464 | $9,953 | +175% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
22 | $121,934 | $9,524 | +217% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
21 | $104,236 | $11,029 | +132% |
|
Interstitial Lung Disease with Major Complications
MS-DRG 196 · Inpatient stay |
21 | $208,333 | $20,721 | +160% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
21 | $148,129 | $18,715 | +94% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
20 | $89,718 | $7,693 | +150% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
20 | $119,408 | $8,906 | +189% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
20 | $753,399 | $97,864 | +310% |
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay |
20 | $160,012 | $17,189 | +133% |
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay |
20 | $281,501 | $27,959 | +227% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
20 | $288,904 | $30,600 | +142% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
20 | $120,153 | $15,105 | +134% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
20 | $469,438 | $52,965 | +165% |
These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.