Community Regional Medical Center
Community Regional Medical Center in Fresno, CA charges 6.4x the Medicare reimbursement rate across 150 analyzed procedures, based on data from this nonprofit-private hospital.
Fresno, CA 93721 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
D
High
Avg markup vs Medicare
6.4x
Charge / Medicare rate
Max markup
11.42x
Worst procedure
Procedures analyzed
150
With pricing data
Outlier procedures
5.3%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PNEUMOTHORAX WITH CC | 200 | $105,659 | $52,830 | — | 11.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $47,250 | $23,625 | — | 10.6x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | 084 | $79,138 | $39,569 | — | 9.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $50,945 | $25,472 | — | 9.5x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $114,832 | $57,416 | — | 8.9x |
| HYPERTENSION WITHOUT MCC | 305 | $55,146 | $27,573 | — | 8.8x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $75,905 | $37,952 | — | 8.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $82,285 | $41,143 | — | 8.7x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $60,603 | $30,301 | — | 8.6x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $137,394 | $68,697 | — | 8.5x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $85,070 | $42,535 | — | 8.5x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $74,753 | $37,377 | — | 8.4x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $106,863 | $53,431 | — | 8.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $73,996 | $36,998 | — | 8.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $57,989 | $28,994 | — | 8.3x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $114,904 | $57,452 | — | 8.1x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $166,148 | $83,074 | — | 8.1x |
| SEIZURES WITHOUT MCC | 101 | $62,814 | $31,407 | — | 8.1x |
| HYPERTENSION WITH MCC | 304 | $106,454 | $53,227 | — | 7.9x |
| SYNCOPE AND COLLAPSE | 312 | $59,442 | $29,721 | — | 7.8x |
| SIGNS AND SYMPTOMS WITH MCC | 947 | $92,703 | $46,351 | — | 7.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $50,781 | $25,390 | — | 7.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $123,277 | $61,639 | — | 7.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $66,632 | $33,316 | — | 7.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $53,553 | $26,777 | — | 7.7x |
| OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | 957 | $529,093 | $264,547 | — | 7.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $42,503 | $21,252 | — | 7.6x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $61,268 | $30,634 | — | 7.6x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $117,886 | $58,943 | — | 7.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $63,807 | $31,903 | — | 7.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $174,874 | $87,437 | — | 7.5x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $116,699 | $58,350 | — | 7.5x |
| CELLULITIS WITHOUT MCC | 603 | $55,675 | $27,838 | — | 7.5x |
| CHEST PAIN | 313 | $45,622 | $22,811 | — | 7.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $61,181 | $30,590 | — | 7.5x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $53,957 | $26,979 | — | 7.4x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $50,325 | $25,162 | — | 7.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $124,692 | $62,346 | — | 7.3x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $87,471 | $43,735 | — | 7.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $68,574 | $34,287 | — | 7.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $65,488 | $32,744 | — | 7.2x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $69,469 | $34,735 | — | 7.2x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $80,447 | $40,224 | — | 7.2x |
| DYSEQUILIBRIUM | 149 | $48,644 | $24,322 | — | 7.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $200,415 | $100,208 | — | 7.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $111,625 | $55,813 | — | 7.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $90,236 | $45,118 | — | 7.1x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $130,873 | $65,437 | — | 7x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $178,900 | $89,450 | — | 7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $47,060 | $23,530 | — | 7x |
Showing 50 of 150 procedures
How COMMUNITY REGIONAL MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use