How many shoppable procedure prices are published for John Muir Medical Center - Walnut Creek Campus?

John Muir Medical Center - Walnut Creek Campus in Walnut Creek, CA currently has 95 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do John Muir Medical Center - Walnut Creek Campus's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, John Muir Medical Center - Walnut Creek Campus's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is John Muir Medical Center - Walnut Creek Campus's CMS Care Compare overall star rating?

CMS Care Compare assigns John Muir Medical Center - Walnut Creek Campus an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 366 Beds · urban Updated: 2026-03-23

John Muir Medical Center - Walnut Creek Campus

1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 · 95 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.24×vs. Fair Market Price

Typical commercial prices here are +24% above the fair benchmark (1.24×) even after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 60% of the Time

File Completeness51

Price Logic82

Peer Alignment58

Clean Billing90

Real Cash Discount100

Premium Quality Tier

3-Star CMS clinical quality rating paired with 1.24× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

John Muir Medical Center - Walnut Creek Campus maintains elevated commercial insurance contracts (1.24× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 60% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#155 of 240 in CA · 64th State Percentile#2,099 of 3,385 in U.S. · 61st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.96× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 60% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 77% patient recommendation (73/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (25.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 3.3× markup over Medicare rates
Commercial insurance median sits at 1.06× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.32×) jump +25% above the median procedure ratio (Q50 1.06×)
Unnegotiated chargemaster list prices average 16.0× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.6× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.63× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+25% Upper Tail

Q25 0.96× · Q50 1.06× · Q75 1.32×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

3.3× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.6× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.3× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.1× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

60% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 73/100Fair

Procedure Prices at John Muir Medical Center - Walnut Creek Campus

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 95 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Knee arthroscopy with meniscus repair CPT Code: `29881`	$39,667	$18,129	$3,372	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$67,154	$10,671	$6,109	1.7×
Upper endoscopy with biopsy CPT Code: `43239`	$18,681	$8,573	$987	unverified
Inguinal hernia repair CPT Code: `49505`	$24,901	$8,573	$3,629	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$12,302	$4,552	$981	unverified
Colonoscopy with biopsy CPT Code: `45380`	$13,638	$2,710	$1,256	2.2×
Injection procedure for pain management HCPCS Code: `G0260`	$1,644	$997	$855	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,729	$772	$583	1.3×
Blood transfusion CPT Code: `36430`	$3,692	$623	$498	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,987	$493	$448	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,277	$493	$511	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,158	$337	$272	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,739	$337	$303	1.1×
Rabies immune globulin HCPCS Code: `90375`	$6,597	$350	$322	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$2,320	$337	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$2,960	$337	$343	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$2,210	$337	$369	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$445	$309	$201	1.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$371	$239	$148	1.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,428	$248	$242	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,734	$248	$258	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$297	$188	$87	2.2×
Screening mammogram (both breasts) CPT Code: `77067`	$316	$197	$123	1.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$394	$188	$123	1.5×
X-ray, pelvis CPT Code: `72170`	$305	$148	$110	1.3×
X-ray, chest (single view) CPT Code: `71045`	$249	$123	$92	1.3×
X-ray, shoulder CPT Code: `73030`	$311	$123	$92	1.3×
X-ray, foot CPT Code: `73630`	$270	$123	$92	1.3×
X-ray, chest (two views) CPT Code: `71046`	$298	$123	$93	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$389	$123	$93	1.3×
X-ray, hand CPT Code: `73130`	$268	$123	$93	1.3×
X-ray, hip CPT Code: `73502`	$340	$123	$93	1.3×
X-ray, ankle CPT Code: `73610`	$279	$123	$93	1.3×
X-ray, lower back CPT Code: `72110`	$458	$148	$112	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$735	$148	$126	1.2×
Ultrasound, pelvis CPT Code: `76856`	$721	$148	$130	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$591	$148	$132	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$874	$148	$134	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,732	$144	$151	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,243	$148	$160	0.9×
CT scan, pelvis CPT Code: `72192`	$1,875	$148	$163	0.9×
CT scan, sinuses CPT Code: `70486`	$1,303	$148	$166	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$2,039	$148	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,252	$148	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,652	$148	$169	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$313	$83	$64	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$261	$92	$86	1.1×
Psychological testing evaluation CPT Code: `96136`	$297	$95	$128	0.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$928	$408	$111	unverified
Typhoid vaccine HCPCS Code: `90675`	$4,131	$332	$347	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$477	$273	$56	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$285	$285	$37	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$288	$160	$39	unverified
Blood antibody screen CPT Code: `86850`	$57	$74	$46	1.6×
Flu vaccine injection HCPCS Code: `G0008`	$62	$66	$48	1.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$64	$66	$49	1.3×
Orthotic fitting and training CPT Code: `97760`	$89	$60	$51	1.2×
Prosthetic fitting and training CPT Code: `97761`	$91	$52	$45	1.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$89	$42	$38	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$160	$44	$40	1.1×
Neurobehavioral status check CPT Code: `96116`	$407	$62	$231	0.3×
Speech therapy (group session) CPT Code: `92508`	$62	$30	$27	1.1×
Physical therapy (gait training) CPT Code: `97116`	$145	$36	$33	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$86	$41	$38	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$71	$15	$14	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$134	$40	$38	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$148	$36	$35	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$757	$11	$11	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$371	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$109	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$181	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$59	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$62	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$55	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$53	$10	$10	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$122	$34	$34	1.0×
Blood test, lipase CPT Code: `83690`	$106	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$11	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$82	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$62	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$62	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$96	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$18	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$270	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$36	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$12	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$13	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$7	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$90	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$208	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$432	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$379	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$4	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$23	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$47	$2	$3	0.7×

Showing top 25 high-impact procedures of 95 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 25.3%

Audit a Bill or Quote at John Muir Medical Center - Walnut Creek Campus (Zero PHI Required)

CMS CCN: 050180

CPT 29881

Select Procedure to Audit:

Fair BaseRate™ $3,372

Medicare Rate $3,343

Self-Pay Cash $39,667

Insurer Median $18,129

1. Amount on Your Bill or Quote ($) Pre-filled with John Muir Medical Center - Walnut Creek Campus’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $22,258 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $22,258

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (25.3% of gross = $22,258).

Step 2 · Cash vs. Insurance Arbitrage Save $48,482 Paying Cash

Self-Pay Cash Rate ($39,667) Beats Your Bill

John Muir Medical Center - Walnut Creek Campus's published 45 CFR § 180 self-pay cash rate is $39,667 (vs. $18,129 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$84,777 Above Fair BaseRate

Negotiate Toward $3,372 Fair BaseRate ($3,343 Medicare)

Your bill ($88,149) is $84,777 above the denoised Fair BaseRate ($3,372) and 26.4× the $3,343 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (25.3% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite73/100

Would Recommend77%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait177 min

Left ER Before Seen1%

30-Day Mortality vs U.S.better

Unplanned Readmissionbetter

Hip/Knee Complication Rate3.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at John Muir Medical Center - Walnut Creek Campus. Prior administrative notices do not necessarily reflect current compliance status.

2026-05-21·administrative_or_closure
Closure Notice
Recorded
2026-02-19·cap_corrective_action
CAP Request
Recorded
2024-06-21·administrative_or_closure
Closure Notice
Recorded
2024-05-16·cap_corrective_action
CAP Request
Recorded
2024-02-08·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (686 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for John Muir Medical Center - Walnut Creek Campus.

Price Index: 1.55× regional baseline

Quality: 84/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Contra Costa County Jail [1012104]

-46.8%

Humana

+76.6%

Median Household Income$125,727U.S. Census ACS

Local Uninsured Share4.8%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 75/100 · Corroborated CMS CCN 050180

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 050180) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-23

Validated Rate Rows14,865 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050180

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy