California / Saint Agnes Medical Center

CMS certification 050093 · Fresno, CA · 3 entries in CMS's price-transparency list

Saint Agnes Medical Center: charges and Medicare payments

Saint Agnes Medical Center reported 4,959 Medicare inpatient stays across 123 DRGs in 2024. Across them it charged 3.68 times what it was paid — among the lower ratios in California, number 194 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: 419 stays at an average charge of $88,122, 2% below the national average. It also billed 4,617 outpatient services, charging 5.91 times what Medicare paid.

1Medicare inpatient stays 4,959
2Charge ÷ paid, inpatient 3.68×
3Rank in CA (highest ratio = 1) 194 of 247
4CMS price-transparency actions 3

Average charge per stay at Saint Agnes Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 123 DRGs that can be compared with the national average, Saint Agnes Medical Center charged more than the national average in 28 (23%). 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	419	$88,122	-2%	$23,795
291 Heart Failure and Shock with MCC	345	$58,463	+4%	$14,733
193 Simple Pneumonia and Pleurisy with MCC	199	$60,787	+2%	$15,122
690 Kidney and Urinary Tract Infections without MCC	153	$35,570	-6%	$9,390
177 Respiratory Infections and Inflammations with MCC	147	$75,513	+7%	$18,869
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	112	$45,772	-7%	$11,755
683 Renal Failure with CC	108	$40,256	-1%	$10,271
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	107	$34,505	-7%	$9,098
378 Gastrointestinal Hemorrhage with CC	101	$50,518	+4%	$11,224
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	98	$58,492	-3%	$15,955
190 Chronic Obstructive Pulmonary Disease with MCC	93	$46,366	-8%	$12,403
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	93	$37,358	-7%	$9,572
689 Kidney and Urinary Tract Infections with MCC	87	$52,398	+2%	$13,335
274 Percutaneous and Other Intracardiac Procedures without MCC	84	$90,720	-42%	$35,339
698 Other Kidney and Urinary Tract Diagnoses with MCC	78	$55,419	-25%	$18,110
312 Syncope and Collapse	74	$37,198	-18%	$10,082
682 Renal Failure with MCC	73	$66,827	+1%	$17,224
280 Acute Myocardial Infarction, Discharged Alive with MCC	71	$72,152	-5%	$17,897
853 Infectious and Parasitic Diseases with O.R. Procedures with...	71	$205,604	-10%	$54,271
481 Hip and Femur Procedures except Major Joint with CC	65	$81,685	-19%	$23,687
266 Endovascular Cardiac Valve Replacement and Supplement...	56	$181,292	-36%	$68,813
377 Gastrointestinal Hemorrhage with MCC	56	$77,006	-10%	$20,038
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	55	$54,253	-3%	$11,485
069 Transient Ischemia without Thrombolytic	53	$48,151	-5%	$9,218
189 Pulmonary Edema and Respiratory Failure	53	$60,110	+4%	$14,741
194 Simple Pneumonia and Pleurisy with CC	53	$39,201	+2%	$9,578
603 Cellulitis without MCC	53	$33,146	-11%	$10,158
699 Other Kidney and Urinary Tract Diagnoses with CC	51	$38,979	-18%	$11,306
309 Cardiac Arrhythmia and Conduction Disorders with CC	50	$40,976	+13%	$8,592
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	44	$97,046	-5%	$23,715
389 Gastrointestinal Obstruction with CC	39	$29,062	-25%	$9,059
308 Cardiac Arrhythmia and Conduction Disorders with MCC	38	$57,149	+1%	$13,525
637 Diabetes with MCC	38	$49,893	-25%	$16,700
638 Diabetes with CC	38	$40,360	-3%	$10,396
267 Endovascular Cardiac Valve Replacement and Supplement...	37	$129,653	-41%	$52,476
418 Laparoscopic Cholecystectomy without C.D.E. with CC	37	$79,255	-15%	$18,381
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	36	$57,188	-6%	$15,412
394 Other Digestive System Diagnoses with CC	35	$42,852	-9%	$15,974
208 Respiratory System Diagnosis with Ventilator Support <=96...	34	$109,486	-19%	$29,763
330 Major Small and Large Bowel Procedures with CC	34	$112,597	-5%	$26,874
281 Acute Myocardial Infarction, Discharged Alive with CC	31	$48,145	-5%	$10,400
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	29	$34,843	-6%	$9,943
202 Bronchitis and Asthma with CC/MCC	28	$33,497	-27%	$10,946
313 Chest Pain	28	$37,186	-7%	$8,311
322 Percutaneous Cardiovascular Procedures with Intraluminal...	28	$104,292	-9%	$22,519
178 Respiratory Infections and Inflammations with CC	27	$53,577	+18%	$12,028
286 Circulatory Disorders except AMI, with Cardiac...	27	$93,605	-17%	$23,630
300 Peripheral Vascular Disorders with CC	27	$45,623	-8%	$12,166
470 Major Hip and Knee Joint Replacement or Reattachment of...	27	$89,111	-4%	$20,853
071 Other Cerebrovascular Disorders with CC	26	$49,354	-2%	$11,942
321 Percutaneous Cardiovascular Procedures with Intraluminal...	26	$133,036	-19%	$31,813
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	24	$70,355	-30%	$21,290
092 Other Disorders of Nervous System with CC	24	$42,644	-17%	$11,695
329 Major Small and Large Bowel Procedures with MCC	24	$179,974	-16%	$49,650
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	23	$32,316	+12%	$6,463
432 Cirrhosis and Alcoholic Hepatitis with MCC	23	$62,352	-35%	$21,722
870 Septicemia or Severe Sepsis with MV >96 Hours	23	$219,061	-32%	$79,073
917 Poisoning and Toxic Effects of Drugs with MCC	23	$60,578	-19%	$18,286
948 Signs and Symptoms without MCC	23	$35,903	-6%	$9,196
070 Other Cerebrovascular Disorders with MCC	22	$78,741	+4%	$19,837

Showing the 60 most frequent of 123 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Endovascular Procedures	707	$24,187	$3,993
Comprehensive Observation Services	568	$21,875	$3,352
Level 1 Intraocular Procedures	411	$12,802	$2,865
Level 5 Musculoskeletal Procedures	331	$74,401	$15,821
Level 2 Excision/ Biopsy/ Incision and Drainage	292	$8,418	$1,969
Level 3 Endovascular Procedures	278	$72,967	$13,465
Level 3 Vascular Procedures	152	$16,056	$3,898
Level 3 Electrophysiologic Procedures	141	$172,818	$29,114
Level 2 Upper GI Procedures	136	$11,868	$2,339
Level 1 Laparoscopy and Related Services	127	$40,186	$7,049
Level 5 Urology and Related Services	110	$29,166	$6,292
Level 4 Urology and Related Services	103	$21,803	$4,286
Level 3 Excision/ Biopsy/ Incision and Drainage	96	$17,592	$3,493
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	96	$20,838	$4,041
Level 3 Pacemaker and Similar Procedures	89	$55,428	$13,108
Level 3 Urology and Related Services	75	$13,110	$2,478
Level 2 Vascular Procedures	62	$6,996	$1,969
Level 2 Breast/Lymphatic Surgery and Related Procedures	61	$45,707	$7,913
Level 1 Nerve Procedures	55	$8,373	$2,374
Level 4 Musculoskeletal Procedures	53	$50,565	$8,657
Level 2 Laparoscopy and Related Services	53	$58,334	$12,432
Level 2 ICD and Similar Procedures	46	$108,462	$40,316
Level 3 Musculoskeletal Procedures	43	$23,719	$3,980
Level 1 Breast/Lymphatic Surgery and Related Procedures	42	$23,001	$4,686
Level 4 Gynecologic Procedures	42	$24,842	$3,844

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint Agnes Medical Center charged $88,122 on average, 38% less than the California average of $143,063, and was paid $23,795 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Saint Agnes Medical Center charged $58,463 on average, 42% less than the California average of $100,739, and was paid $14,733 against a state average of $15,556. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Saint Agnes Medical Center charged $60,787 on average, 41% less than the California average of $103,761, and was paid $15,122 against a state average of $15,112. For Kidney and Urinary Tract Infections without MCC (DRG 690), Saint Agnes Medical Center charged $35,570 on average, 44% less than the California average of $63,565, and was paid $9,390 against a state average of $9,722. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $24,187 was 40% below the state average of $40,544. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,875 was 47% below the state average of $41,628. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,802 was 39% below the state average of $20,986. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $74,401 was 32% below the state average of $109,149.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Saint Agnes 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:

Met Requirements — 2023-05-31 (CMS case 1151)
Warning Notice — 2025-04-03 (CMS case 3556)
Closure Notice — 2025-07-07 (CMS case 3556)

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.