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Community Regional Medical Center: what a joint replacement costs

Fresno, CA 93721 · CMS Certification Number 050060. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$9,494
North Point Surgery Center, in, 7.7 mi
Outpatient here
$16,148
Medicare allowed amount, 22 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Community Regional Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$16,148
Shoulder replacement———$22,851
Hip replacement after a fracture (DRG 522)$23,949$131,6055.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$13,834—$11,946–$22,3237
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Kaiser Permanente$22,323—1
Network by Design$14,482—1
Cigna$14,195—1
Aetna$13,834—1
UnitedHealthcare$12,070—1
Blue Shield of California$11,989—1
Humana$11,946—1

From the hospital's price-transparency file (2026-06-18); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-06-18); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 794 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Community Regional Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $16,148 per outpatient hip or knee replacement case (APC 5115, 22 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Community Regional Medical Center?

Yes for Medicare facility payments. North Point Surgery Center, in, an orthopedic surgery center 7.7 mi away, is paid about $9,494 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Community Regional Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $13,834 across 7 insurers, ranging from $11,946 to $22,323.