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Saint 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.

Surgery center nearby
$9,494
Regional Hand Center of Central California, 2.6 mi
Outpatient here
$15,821
331 Medicare cases, APC 5115
Inpatient here
$20,853
27 Medicare stays, MS-DRG 470

Medicare prices at Saint Agnes Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$20,853$89,1114.3×$15,821
Shoulder replacement———$22,851
Hip replacement after a fracture (DRG 522)$23,715$97,0464.1×—

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 Medicare paid Saint Agnes Medical Center an average of $20,853 per inpatient hip or knee replacement stay (MS-DRG 470, 27 stays) and $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× what Medicare paid. 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?

Medicare paid Saint Agnes Medical Center more than 61% of the 119 California hospitals that report inpatient hip or knee replacement.