California / Fresno Surgical Hospital
CMS certification 050708 · Fresno, CA · 3 entries in CMS's price-transparency list
Fresno Surgical Hospital: charges and Medicare payments
Fresno Surgical Hospital reported 376 Medicare inpatient stays across 11 DRGs in 2024. Across them it charged 2.05 times what it was paid — among the lower ratios in California, number 241 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 454, Combined Anterior and Posterior Spinal Fusion with CC: 79 stays at an average charge of $99,770, 64% below the national average. It also billed 4,604 outpatient services, charging 3.65 times what Medicare paid.
- 1Medicare inpatient stays 376
- 2Charge ÷ paid, inpatient 2.05×
- 3Rank in CA (highest ratio = 1) 241 of 247
- 4CMS price-transparency actions 3
Inpatient stays
For the 11 DRGs that can be compared with the national average, Fresno Surgical Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 79 | $99,770 | -64% | $54,765 |
| 472 Cervical Spinal Fusion with CC | 59 | $44,383 | -69% | $27,031 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 53 | $51,937 | -44% | $17,513 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 41 | $78,821 | -36% | $24,038 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 40 | $91,404 | -55% | $42,675 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 28 | $66,915 | -47% | $23,102 |
| 460 Spinal Fusion except Cervical without MCC | 21 | $35,835 | -79% | $33,901 |
| 427 Multiple Level Combined Anterior and Posterior Spinal Fusion... | 18 | $93,559 | -73% | $63,450 |
| 428 Multiple Level Combined Anterior and Posterior Spinal Fusion... | 13 | $88,077 | -66% | $50,221 |
| 467 Revision of Hip or Knee Replacement with CC | 12 | $81,776 | -48% | $28,933 |
| 473 Cervical Spinal Fusion without CC/MCC | 12 | $56,247 | -51% | $21,497 |
Outpatient services
Against the California average
For Combined Anterior and Posterior Spinal Fusion with CC (DRG 454), Fresno Surgical Hospital charged $99,770 on average, 76% less than the California average of $412,133, and was paid $54,765 against a state average of $76,337. For Cervical Spinal Fusion with CC (DRG 472), Fresno Surgical Hospital charged $44,383 on average, 80% less than the California average of $220,791, and was paid $27,031 against a state average of $36,622. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Fresno Surgical Hospital charged $51,937 on average, 62% less than the California average of $137,972, and was paid $17,513 against a state average of $21,800. For Revision of Hip or Knee Replacement without CC/MCC (DRG 468), Fresno Surgical Hospital charged $78,821 on average, 55% less than the California average of $174,201, and was paid $24,038 against a state average of $30,077. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,686 was 49% below the state average of $20,986. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $45,124 was 59% below the state average of $109,149. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $13,677 was 66% below the state average of $40,214. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $17,438 was 52% below the state average of $36,238.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Fresno Surgical Hospital 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 — 2023-04-19 (CMS case 1279)
- Closure Notice — 2023-07-31 (CMS case 1279)
- Met Requirements — 2025-07-16 (CMS case 5769)
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.