Price AtlasInteractive atlas · All states · techysurgeon.comSaint Agnes Medical Center: what a joint replacement costs
Fresno, CA 93710 · CMS Certification Number 050093. 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.
Medicare prices at Saint Agnes Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $20,853 | $89,111 | 4.3× | $15,821 |
| Shoulder replacement | — | — | — | $22,851 |
| Hip replacement after a fracture (DRG 522) | $23,715 | $97,046 | 4.1× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $28,427 | 1.4× | $19,636–$35,739 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $35,739 | 1.7× | 1 |
| Kaiser Permanente | $34,362 | 1.6× | 1 |
| Welbe Health | $22,492 | 1.1× | 1 |
| Humana | $19,636 | 0.9× | 1 |
From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 5%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 436 beds
California has no certificate-of-need law.
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Questions
How much does Medicare pay Saint Agnes Medical Center for a knee or hip replacement?
In 2024 the average total payment to Saint Agnes Medical Center for an inpatient hip or knee replacement stay was $20,853 (MS-DRG 470, 27 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $15,821 per outpatient case (APC 5115, 331 cases).
What is Saint Agnes Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $89,111, 4.3× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Saint Agnes Medical Center?
Yes for Medicare facility payments. Regional Hand Center of Central California, an orthopedic surgery center 2.6 mi away, is paid about $9,494 by Medicare for a knee replacement (CPT 27447), $11,359 less than an inpatient stay at Saint Agnes Medical Center. Not every patient is a surgery-center candidate.
How does Saint Agnes Medical Center compare with other California hospitals?
Saint Agnes Medical Center's average total payment per Medicare stay is higher than 61% of the 119 California hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Saint Agnes 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 $28,427 across 4 insurers, ranging from $19,636 to $35,739.