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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Saint Agnes Medical Center more than 61% of the 119 California hospitals that report inpatient hip or knee replacement.