Saint Agnes Medical Center
Saint Agnes Medical Center in Fresno, CA charges 4.7x the Medicare reimbursement rate on average across 126 analyzed procedures at this nonprofit religious hospital.
Fresno, CA 93720 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
C
Average
Avg markup vs Medicare
4.65x
Charge / Medicare rate
Max markup
8.66x
Worst procedure
Procedures analyzed
126
With pricing data
Outlier procedures
0%
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 |
|---|---|---|---|---|---|
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $43,061 | $21,530 | — | 8.7x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | 438 | $95,633 | $47,817 | — | 7.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $36,061 | $18,030 | — | 7.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $25,898 | $12,949 | — | 6.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $49,378 | $24,689 | — | 6.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $54,400 | $27,200 | — | 6.7x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $60,974 | $30,487 | — | 6.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $108,500 | $54,250 | — | 6.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $54,484 | $27,242 | — | 6.2x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $44,267 | $22,134 | — | 6.1x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $49,580 | $24,790 | — | 6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $40,613 | $20,307 | — | 6x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $39,384 | $19,692 | — | 5.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $28,311 | $14,156 | — | 5.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $94,393 | $47,196 | — | 5.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $36,640 | $18,320 | — | 5.7x |
| GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | 379 | $28,268 | $14,134 | — | 5.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $47,234 | $23,617 | — | 5.5x |
| SIGNS AND SYMPTOMS WITH MCC | 947 | $66,298 | $33,149 | — | 5.4x |
| URINARY STONES WITHOUT MCC | 694 | $35,741 | $17,870 | — | 5.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $55,819 | $27,910 | — | 5.4x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $41,629 | $20,815 | — | 5.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $63,174 | $31,587 | — | 5.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $43,270 | $21,635 | — | 5.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $32,943 | $16,471 | — | 5.2x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $46,307 | $23,153 | — | 5.2x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $313,347 | $156,674 | — | 5.2x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $63,217 | $31,609 | — | 5.2x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $103,829 | $51,915 | — | 5.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $52,767 | $26,383 | — | 5.2x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $73,882 | $36,941 | — | 5.1x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $219,347 | $109,673 | — | 5.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $32,590 | $16,295 | — | 5.1x |
| CHEST PAIN | 313 | $29,965 | $14,982 | — | 5.1x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $38,960 | $19,480 | — | 5.1x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $78,630 | $39,315 | — | 5.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $29,867 | $14,933 | — | 5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $71,170 | $35,585 | — | 5x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $62,650 | $31,325 | — | 5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $43,535 | $21,768 | — | 5x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $105,476 | $52,738 | — | 5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $44,567 | $22,283 | — | 5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $70,439 | $35,219 | — | 4.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $130,323 | $65,161 | — | 4.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $70,042 | $35,021 | — | 4.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $51,710 | $25,855 | — | 4.9x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $34,452 | $17,226 | — | 4.8x |
| HYPERTENSION WITHOUT MCC | 305 | $29,126 | $14,563 | — | 4.8x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $30,359 | $15,180 | — | 4.8x |
| RENAL FAILURE WITH CC | 683 | $35,226 | $17,613 | — | 4.8x |
Showing 50 of 126 procedures
How SAINT AGNES 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