CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Saint Agnes Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$9,414
about 1.7× the $5,676 Medicare rate · typically $5,775–$11,780
modeled estimate · not a bill or quote
What this hospital charges insurers
$9,291
About the fair price
about $123 under the fair price · 1.6× Medicare
Medicare pays $5,676 Fair price $9,414 This hospital $9,291 Cash price $23,072

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $5,150 Priciest $9,291

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $9,414 (about 1.7× the $5,676 Medicare rate). Saint Agnes Medical Center charges insurers about $9,291, or about $23,072 in cash — about the fair price. Located in Fresno, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $8,100 - $14,444 143%
Blue Cross Blue Shieldmajor $6,853 - $18,064 121%
Aetnamajor $5,920 - $7,942 104%
Cignamajor $10,717 189%
Humanamajor $7,942 - $8,104 140%
Kaiser Permanentemajor $14,181 250%
GEHA $14,444 254%
Health Net $5,005 - $5,570 88%
+ 14 smaller / regional plans $2,105 - $18,064
Government programs also on file: Medicare.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1303 E Herndon Ave, Fresno, CA 93720
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals