Healthcare Pricing Data: FRESNO, CA
4 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
4
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
5.0x
Across all procedures
vs National Average
+8%
Chargemaster rates
About This Data
FRESNO, CA has 4 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 5.0x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in FRESNO is OTHER HEART ASSIST SYSTEM IMPLANT (DRG 215), with an average chargemaster rate of $490,800 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $145,503 | 3 | 2.8x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $136,714 | 3 | 3.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $87,950 | 3 | 5.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $73,198 | 3 | 7.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $58,931 | 3 | 8.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $58,666 | 3 | 6.1x |
| OTHER HEART ASSIST SYSTEM IMPLANT | 215 | $490,800 | 2 | 4.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $308,102 | 2 | 4.6x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $288,973 | 2 | 5.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $277,168 | 2 | 5.3x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $257,997 | 2 | 5.4x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $256,819 | 2 | 5.4x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 207 | $251,970 | 2 | 4.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $244,008 | 2 | 5.2x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $240,776 | 2 | 4.7x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $212,147 | 2 | 3.4x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $171,350 | 2 | 3.5x |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $169,561 | 2 | 4.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $158,337 | 2 | 5.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $154,305 | 2 | 5.5x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | 273 | $151,501 | 2 | 4.1x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $148,177 | 2 | 4.7x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $131,331 | 2 | 4.0x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $130,160 | 2 | 5.7x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $127,358 | 2 | 6.0x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $120,983 | 2 | 3.6x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $118,420 | 2 | 4.8x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $115,672 | 2 | 5.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $113,211 | 2 | 5.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $110,886 | 2 | 5.5x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in FRESNO With Pricing Data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
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