California / Community Regional Medical Center
CMS certification 050060 · Fresno, CA · 6 entries in CMS's price-transparency list
Community Regional Medical Center: charges and Medicare payments
Community Regional Medical Center reported 4,785 Medicare inpatient stays across 148 DRGs in 2024. Across them it charged 5.06 times what it was paid — mid-range in California, number 129 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 414 stays at an average charge of $123,713, 37% above the national average. It also billed 3,697 outpatient services, charging 6.27 times what Medicare paid.
- 1Medicare inpatient stays 4,785
- 2Charge ÷ paid, inpatient 5.06×
- 3Rank in CA (highest ratio = 1) 129 of 247
- 4CMS price-transparency actions 6
Inpatient stays
For the 148 DRGs that can be compared with the national average, Community Regional Medical Center charged more than the national average in 124 (84%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 414 | $123,713 | +37% | $22,013 |
| 291 Heart Failure and Shock with MCC | 270 | $67,516 | +20% | $14,636 |
| 885 Psychoses | 197 | $52,235 | +19% | $16,355 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 116 | $112,655 | +13% | $23,447 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 82 | $68,927 | +14% | $14,916 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 79 | $60,891 | +9% | $11,624 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 77 | $334,829 | +46% | $57,083 |
| 193 Simple Pneumonia and Pleurisy with MCC | 75 | $88,998 | +49% | $14,752 |
| 683 Renal Failure with CC | 75 | $50,062 | +23% | $10,458 |
| 690 Kidney and Urinary Tract Infections without MCC | 68 | $52,282 | +38% | $9,388 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 67 | $295,048 | +27% | $48,296 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 64 | $304,536 | +8% | $62,474 |
| 312 Syncope and Collapse | 64 | $52,381 | +15% | $10,562 |
| 552 Medical Back Problems without MCC | 64 | $81,085 | +66% | $11,770 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 64 | $63,519 | +30% | $11,850 |
| 189 Pulmonary Edema and Respiratory Failure | 58 | $78,741 | +37% | $15,166 |
| 177 Respiratory Infections and Inflammations with MCC | 56 | $92,593 | +31% | $22,082 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 55 | $116,930 | +59% | $21,800 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 53 | $49,021 | +32% | $9,087 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 52 | $50,214 | +25% | $9,837 |
| 481 Hip and Femur Procedures except Major Joint with CC | 51 | $137,494 | +36% | $23,126 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 46 | $96,486 | +27% | $17,104 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 45 | $66,303 | +31% | $14,203 |
| 378 Gastrointestinal Hemorrhage with CC | 45 | $67,230 | +38% | $13,998 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 45 | $56,956 | +20% | $11,870 |
| 057 Degenerative Nervous System Disorders without MCC | 44 | $67,310 | +19% | $15,064 |
| 101 Seizures without MCC | 44 | $52,072 | +7% | $10,674 |
| 689 Kidney and Urinary Tract Infections with MCC | 44 | $76,237 | +49% | $13,323 |
| 638 Diabetes with CC | 43 | $52,249 | +25% | $9,873 |
| 603 Cellulitis without MCC | 42 | $44,994 | +21% | $10,466 |
| 092 Other Disorders of Nervous System with CC | 41 | $70,031 | +36% | $11,805 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 41 | $201,716 | -9% | $54,862 |
| 377 Gastrointestinal Hemorrhage with MCC | 39 | $89,367 | +5% | $20,098 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 37 | $252,335 | +20% | $46,346 |
| 330 Major Small and Large Bowel Procedures with CC | 37 | $170,028 | +43% | $26,471 |
| 682 Renal Failure with MCC | 36 | $95,387 | +45% | $18,051 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 36 | $131,217 | +75% | $21,468 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 36 | $296,887 | +37% | $58,297 |
| 100 Seizures with MCC | 35 | $163,326 | +73% | $26,250 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 34 | $109,470 | -30% | $34,908 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 34 | $327,401 | +1% | $74,893 |
| 313 Chest Pain | 32 | $45,853 | +15% | $8,515 |
| 314 Other Circulatory System Diagnoses with MCC | 32 | $125,620 | +32% | $25,596 |
| 194 Simple Pneumonia and Pleurisy with CC | 30 | $62,244 | +62% | $9,292 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 29 | $156,373 | +15% | $33,388 |
| 884 Organic Disturbances and Intellectual Disability | 29 | $62,713 | 0% | $18,328 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 28 | $1,090,489 | +4% | $242,829 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $75,364 | +23% | $18,695 |
| 184 Major Chest Trauma with CC | 27 | $95,874 | +73% | $12,277 |
| 315 Other Circulatory System Diagnoses with CC | 27 | $68,540 | +43% | $11,158 |
| 252 Other Vascular Procedures with MCC | 26 | $128,922 | -25% | $38,015 |
| 178 Respiratory Infections and Inflammations with CC | 25 | $84,673 | +87% | $11,678 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 25 | $45,229 | +25% | $9,099 |
| 637 Diabetes with MCC | 25 | $80,643 | +21% | $16,246 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 25 | $70,110 | +89% | $11,658 |
| 253 Other Vascular Procedures with CC | 24 | $127,646 | -3% | $31,706 |
| 329 Major Small and Large Bowel Procedures with MCC | 24 | $353,267 | +64% | $56,319 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 24 | $131,605 | +29% | $23,949 |
| 036 Carotid Artery Stent Procedures without CC/MCC | 23 | $66,256 | -25% | $20,447 |
| 039 Extracranial Procedures without CC/MCC | 23 | $40,689 | -36% | $12,900 |
Showing the 60 most frequent of 148 DRGs.
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Community Regional Medical Center charged $123,713 on average, 14% less than the California average of $143,063, and was paid $22,013 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Community Regional Medical Center charged $67,516 on average, 33% less than the California average of $100,739, and was paid $14,636 against a state average of $15,556. For Psychoses (DRG 885), Community Regional Medical Center charged $52,235 on average, 1% more than the California average of $51,465, and was paid $16,355 against a state average of $15,642. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Community Regional Medical Center charged $112,655 on average, 35% less than the California average of $174,368, and was paid $23,447 against a state average of $24,500. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $15,587 was 18% below the state average of $19,034. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,646 was 38% below the state average of $41,628. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,932 was 36% below the state average of $40,544. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $22,552 was 25% below the state average of $30,190.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Community Regional Medical Center in Fresno, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-08-08 (CMS case 1429)
- Closure Notice — 2023-11-14 (CMS case 1429)
- Warning Notice — 2025-02-18 (CMS case 3111)
- CAP Request — 2025-05-22 (CMS case 3111)
- Closure Notice — 2025-06-04 (CMS case 3111)
- Warning Notice — 2026-06-01 (CMS case 7901)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.