COMMUNITY REGIONAL MEDICAL CENTER
FRESNO, CA 93721 · Acute Care Hospitals
150 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
150
With CMS pricing data
Avg Charge-to-Medicare Ratio
6.4x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
5%
Compared to CA hospitals
Understanding Your Costs
When you receive a bill from COMMUNITY REGIONAL MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, COMMUNITY REGIONAL MEDICAL CENTER lists chargemaster rates that average 6.4x the corresponding Medicare reimbursement amount across 150 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in CA has a chargemaster-to-Medicare ratio of 6.3x, with ratios across the state ranging from 1.7x to 17.6x. At 6.4x, this facility’s average ratio is above the state median. 273 hospitals in CA report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at COMMUNITY REGIONAL MEDICAL CENTER is PNEUMOTHORAX WITH CC (DRG 200). The listed chargemaster rate is $105,659, while Medicare reimburses $9,253 for the same procedure — a ratio of 11.4x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
8 of 150 procedures (5%) at this facility have listed rates above the 90th percentile compared to other CA hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
COMMUNITY REGIONAL MEDICAL CENTER is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 1/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| PNEUMOTHORAX WITH CC | 200 | $105,659 | $9,253 | 11.4x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $47,250 | $4,440 | 10.6x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | 084 | $79,138 | $8,294 | 9.5x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $50,945 | $5,389 | 9.4x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $114,832 | $12,845 | 8.9x | 1th | Compare your bill |
| HYPERTENSION WITHOUT MCC | 305 | $55,146 | $6,245 | 8.8x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $75,905 | $8,650 | 8.8x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $82,285 | $9,425 | 8.7x | 1th | Compare your bill |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $60,603 | $7,058 | 8.6x | 1th | Compare your bill |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $137,394 | $16,102 | 8.5x | 1th | Compare your bill |
| MAJOR CHEST TRAUMA WITH CC | 184 | $85,070 | $10,017 | 8.5x | 1th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $74,753 | $8,869 | 8.4x | 1th | Compare your bill |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $106,863 | $12,890 | 8.3x | 1th | Compare your bill |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $57,989 | $7,018 | 8.3x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $73,996 | $8,954 | 8.3x | 1th | Compare your bill |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $114,904 | $14,173 | 8.1x | 1th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $62,814 | $7,806 | 8.1x | 1th | Compare your bill |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $166,148 | $20,634 | 8.1x | 1th | Compare your bill |
| HYPERTENSION WITH MCC | 304 | $106,454 | $13,445 | 7.9x | 1th | Compare your bill |
| SYNCOPE AND COLLAPSE | 312 | $59,442 | $7,640 | 7.8x | 1th | Compare your bill |
| SIGNS AND SYMPTOMS WITH MCC | 947 | $92,703 | $11,927 | 7.8x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $50,781 | $6,599 | 7.7x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $123,277 | $16,056 | 7.7x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $53,553 | $6,993 | 7.7x | 1th | Compare your bill |
| OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | 957 | $529,093 | $69,028 | 7.7x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $66,632 | $8,701 | 7.7x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $42,503 | $5,602 | 7.6x | 1th | Compare your bill |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $61,268 | $8,088 | 7.6x | 1th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $117,886 | $15,679 | 7.5x | 1th | Compare your bill |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $63,807 | $8,501 | 7.5x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $174,874 | $23,388 | 7.5x | 1th | Compare your bill |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $116,699 | $15,617 | 7.5x | 1th | Compare your bill |
| CELLULITIS WITHOUT MCC | 603 | $55,675 | $7,459 | 7.5x | 1th | Compare your bill |
| CHEST PAIN | 313 | $45,622 | $6,117 | 7.5x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $61,181 | $8,215 | 7.5x | 1th | Compare your bill |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $53,957 | $7,341 | 7.3x | 1th | Compare your bill |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $50,325 | $6,857 | 7.3x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $124,692 | $17,016 | 7.3x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $87,471 | $12,035 | 7.3x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $68,574 | $9,498 | 7.2x | 1th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $65,488 | $9,093 | 7.2x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $69,469 | $9,691 | 7.2x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $80,447 | $11,239 | 7.2x | 1th | Compare your bill |
| DYSEQUILIBRIUM | 149 | $48,644 | $6,812 | 7.1x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $200,415 | $28,262 | 7.1x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $111,625 | $15,795 | 7.1x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $90,236 | $12,787 | 7.1x | 1th | Compare your bill |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $130,873 | $18,710 | 7.0x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $178,900 | $25,624 | 7.0x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $47,060 | $6,760 | 7.0x | 1th | Compare your bill |
Showing 50 of 150 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across CA hospitals
273 hospitals in CA report pricing data to CMS. This facility's average ratio of 6.4x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About COMMUNITY REGIONAL MEDICAL CENTER
How much does COMMUNITY REGIONAL MEDICAL CENTER charge compared to Medicare?
According to CMS IPPS data, COMMUNITY REGIONAL MEDICAL CENTER's listed chargemaster rates average 6.4x the Medicare reimbursement amount across 150 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at COMMUNITY REGIONAL MEDICAL CENTER?
The procedure with the highest chargemaster-to-Medicare ratio at COMMUNITY REGIONAL MEDICAL CENTER is PNEUMOTHORAX WITH CC (DRG 200), with a listed charge of $105,659 compared to Medicare reimbursement of $9,253 — a ratio of 11.4x. Source: CMS IPPS Provider Summary.
Is COMMUNITY REGIONAL MEDICAL CENTER expensive compared to other CA hospitals?
COMMUNITY REGIONAL MEDICAL CENTER's average chargemaster-to-Medicare ratio is 6.4x. Ratios vary significantly across CA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for COMMUNITY REGIONAL MEDICAL CENTER come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from COMMUNITY REGIONAL MEDICAL CENTER is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does COMMUNITY REGIONAL MEDICAL CENTER in FRESNO, CA accept Medicare?
COMMUNITY REGIONAL MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact COMMUNITY REGIONAL MEDICAL CENTER directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.