CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Fresno Surgical Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,578
about 1.4× the $14,044 Medicare rate · typically $14,327–$22,102
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,982
About the fair price
about $1,596 under the fair price · 1.3× Medicare
Medicare pays $14,044 Fair price $19,578 This hospital $17,982 Cash price $14,594

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

On the higher side — 6 of 8 other CA hospitals charge less.

Cheapest $9,517 Priciest $18,312

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

A fair price for a Hip or knee replacement (inpatient stay) is about $19,578 (about 1.4× the $14,044 Medicare rate). Fresno Surgical Hospital charges insurers about $17,982, or about $14,594 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.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $6,082 43%
Aetnamajor $4,522 - $5,440 32%
Cignamajor $15,130 108%
Humanamajor $18,187 129%
Health Net $17,778 127%
+ 3 smaller / regional plans $17,778 - $21,850
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 6125 North Fresno St, Fresno, CA 93710
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals