How many shoppable procedure prices are published for Saint Agnes Medical Center?

Saint Agnes Medical Center in Fresno, CA currently has 106 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Saint Agnes Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Saint Agnes Medical Center's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Saint Agnes Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Saint Agnes Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 384 Beds · urban Updated: 2026-03-31

Saint Agnes Medical Center

1303 E Herndon Ave, Fresno, CA 93720 · 106 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.09×vs. Fair Market Price

Typical commercial prices here are +9% above the fair benchmark (1.09×) even after accounting for local nurse/doctor wages and patient complexity.

54/100 · Caution

54/100Self-Pay Cash Beats Insurance 29% of the Time

File Completeness85

Price Logic8

Peer Alignment51

Clean Billing39

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.09× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Saint Agnes Medical Center prices routine shoppable procedures near 1.4× Medicare (p50 1.14×) while skewing captive emergency, lab, and upper-quartile codes to 1.6× Medicare (p75 1.62×, +42% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#116 of 240 in CA · 47th State Percentile#1,639 of 3,385 in U.S. · 48th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.24× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 29% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 73% patient recommendation (64/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (33.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
Captive ER (0.7×) & laboratory (0.7×) services average 1.14× higher multiples than routine shoppable care (1.4×)
Upper-quartile procedures (Q75 1.62×) jump +42% above the median procedure ratio (Q50 1.14×)
Consolidated metro market (HHI 3,609) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.4× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.14× Divergence

1.6× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+42% Upper Tail

Q25 0.24× · Q50 1.14× · Q75 1.62×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.4× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.7× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

29% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 64/100Elevated

Procedure Prices at Saint Agnes Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 106 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$44,730	$22,693	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$58,510	$22,536	$19,432	1.2×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$69,894	$20,624	$17,936	1.1×
Total hip replacement CPT Code: `27130`	$50,386	$16,182	$13,413	1.2×
Total knee replacement CPT Code: `27447`	$32,120	$16,182	$13,523	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$23,072	$9,291	$8,223	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$17,405	$7,115	$3,372	unverified
Cataract surgery with lens implant CPT Code: `66984`	$7,818	$6,155	$2,540	unverified
Breast lump removal CPT Code: `19120`	$19,185	$5,754	$3,875	1.5×
Bunion correction surgery CPT Code: `28296`	$19,214	$5,754	$3,446	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$2,829	$2,829	$151	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$8,368	$2,504	$987	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,758	$1,882	$855	2.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,368	$901	$242	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$862	$862	$6,109	0.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,253	$826	$583	1.4×
Rabies immune globulin HCPCS Code: `90375`	$5,142	$764	$322	2.4×
Inguinal hernia repair CPT Code: `49505`	$720	$720	$3,629	0.2×
Blood transfusion CPT Code: `36430`	$1,334	$556	$498	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$508	$546	$148	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$419	$450	$123	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$216	$216	$448	0.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$232	$232	$86	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$170	$170	$201	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$222	$140	$86	1.6×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$148	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	—	$165	$1,256	0.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$161	$161	$35	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	—	—	$134	—
Ultrasound, abdomen (limited) CPT Code: `76705`	—	—	$126	—
Ultrasound, pelvis CPT Code: `76856`	—	—	$130	—
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$101	$35	2.9×
Orthotic fitting and training CPT Code: `97760`	$94	$90	$51	1.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$97	$64	1.5×
New patient office visit (30-44 min) CPT Code: `99203`	$175	$81	$110	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$81	$81	$272	0.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$272	$90	$511	0.2×
X-ray, shoulder CPT Code: `73030`	—	—	$92	—
X-ray, hand CPT Code: `73130`	—	—	$93	—
X-ray, hip CPT Code: `73502`	—	—	$93	—
X-ray, ankle CPT Code: `73610`	—	—	$93	—
X-ray, foot CPT Code: `73630`	—	—	$92	—
Typhoid vaccine HCPCS Code: `90675`	$3,198	$472	$347	1.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$889	$196	$203	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$451	$100	$111	0.9×
Blood test, liver function panel CPT Code: `80076`	$74	$74	$9	8.2×
Blood test, sodium CPT Code: `84295`	$48	$48	$5	9.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$37	$37	$4	9.3×
Blood test, lipase CPT Code: `83690`	$57	$57	$7	8.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$67	$67	$132	0.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$73	$303	0.2×
MRI, knee or other leg joint CPT Code: `73721`	$280	$63	$369	0.2×
Blood test, amylase CPT Code: `82150`	$35	$35	$7	5.0×
Physical therapy (gait training) CPT Code: `97116`	$105	$54	$33	1.6×
Blood antibody screen CPT Code: `86850`	$164	$75	$46	1.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$105	$60	$38	1.6×
Occupational therapy (self-care training) CPT Code: `97535`	$97	$78	$38	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$77	$77	$20	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$87	$51	$34	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$17	$17	$6	2.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$117	$28	$25	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$222	$36	$37	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$227	$31	$39	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$370	$44	$56	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$28	$28	$93	0.3×
X-ray, chest (two views) CPT Code: `71046`	$27	$27	$93	0.3×
X-ray, lower back CPT Code: `72110`	$32	$32	$112	0.3×
CT scan, pelvis CPT Code: `72192`	$130	$46	$163	0.3×
CT scan, head (no contrast) CPT Code: `70450`	—	$35	$160	0.2×
CT scan, sinuses CPT Code: `70486`	$102	$36	$166	0.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$152	$54	$258	0.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$119	$35	$169	0.2×
MRI, lower back (no contrast) CPT Code: `72148`	$177	$60	$338	0.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$45	$18	$14	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$63	$34	$48	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$63	$34	$49	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$46	$34	$49	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$177	$34	$167	0.2×
MRI, brain (no contrast) CPT Code: `70551`	$176	$59	$343	0.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$22	$22	$87	0.3×
X-ray, pelvis CPT Code: `72170`	$22	$22	$110	0.2×
X-ray, chest (single view) CPT Code: `71045`	—	$18	$92	0.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$119	$32	$168	0.2×
Blood test, basic metabolic panel CPT Code: `80048`	—	—	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	—	$11	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	—	$14	—
Blood test, vitamin D CPT Code: `82306`	—	—	$31	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$37	$37	$5	unverified
Hepatitis C antibody test CPT Code: `86803`	$44	$44	$15	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	—	$40	unverified
Blood test, magnesium CPT Code: `83735`	$5	$5	$7	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	—	$3	unverified
Blood test, calcium CPT Code: `82310`	—	—	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	—	—	$5	—
Blood test, vitamin B12 CPT Code: `82607`	—	—	$16	—
Blood test, ferritin (iron stores) CPT Code: `82728`	—	—	$14	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	—	$10	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$33	$33	$123	unverified
Blood test, potassium CPT Code: `84132`	—	—	$5	—
Blood test, PSA (prostate screen) CPT Code: `84153`	$3	$3	$19	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	—	—	$18	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	—	$4	—
Blood test, hemoglobin CPT Code: `85018`	$25	$25	$3	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	—	—	$8	—
Culture, blood CPT Code: `87040`	—	—	$11	—
Culture, bacterial CPT Code: `87070`	—	—	$9	unverified

Showing top 25 high-impact procedures of 106 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 33.6%

Audit a Bill or Quote at Saint Agnes Medical Center (Zero PHI Required)

CMS CCN: 050093

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $44,730

Insurer Median $22,693

1. Amount on Your Bill or Quote ($) Pre-filled with Saint Agnes Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $18,310 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $18,310

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (33.6% of gross = $18,310).

Step 2 · Cash vs. Insurance Arbitrage Save $9,733 Paying Cash

Self-Pay Cash Rate ($44,730) Beats Your Bill

Saint Agnes Medical Center's published 45 CFR § 180 self-pay cash rate is $44,730 (vs. $22,693 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$35,376 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($54,463) is $35,376 above the denoised Fair BaseRate ($19,087) and 3.9× the $14,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 941437713

Filing Period: 194809

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (33.6% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite64/100

Would Recommend73%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait244 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.6%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Saint Agnes Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-07·administrative_or_closure
Closure Notice
Recorded
2025-04-03·warning_notice
Warning Notice
Recorded
2023-05-31·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (840 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Saint Agnes Medical Center.

Price Index: 0.96× regional baseline

Quality: 60/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Health Choices

-60.2%

Bcn Domestic

-53.2%

Network Health

+87.7%

Allegiance

+106.1%

Median Household Income$71,434U.S. Census ACS

Local Uninsured Share7.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 54/100 · Caution CMS CCN 050093 EIN 941437713

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 050093) ↗ Verify IRS Form 990 (EIN 941437713) ↗ CMS HCRIS Cost Reports ↗

Published MRF File941437713_saint-agnes-medical-center_standardcharges.zip!941437713_Saint-Agnes-Medical-Center_standardcharges.csv

Publication / Vintage2026-03-31 · 89.16 MB

Validated Rate Rows20,246 (CMS v3.0.0)

File Integrity Digestfb0fdf9c866a9f58e9f8…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy

Saint Agnes Medical Center

Loss-Leader / Captive Ancillary Cross-Subsidizer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at Saint Agnes Medical Center

Audit a Bill or Quote at Saint Agnes Medical Center (Zero PHI Required)

Statutory 501(r) AGB Cap Limits Bill to $18,310

Self-Pay Cash Rate ($44,730) Beats Your Bill

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

CMS Price Transparency Administrative Enforcement Log

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings