Fresno, CA 93710 · CMS Certification Number 050708. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,513 | $51,937 | 3.0× | $15,992 |
| Shoulder replacement | $23,102 | $66,915 | 2.9× | $22,431 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $11,989 | 0.7× | — | 1 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Blue Shield of California | $11,989 | 0.7× | 1 |
From the hospital's price-transparency file (2026-06-16); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-06-16); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 5.1%. For-profit · Acute · 31 beds
California has no certificate-of-need law.
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In 2024 the average total payment to Fresno Surgical Hospital for an inpatient hip or knee replacement stay was $17,513 (MS-DRG 470, 53 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $15,992 per outpatient case (APC 5115, 891 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $51,937, 3.0× the average total payment for a Medicare stay. 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), $8,019 less than an inpatient stay at Fresno Surgical Hospital. Not every patient is a surgery-center candidate.
Fresno Surgical Hospital's average total payment per Medicare stay is lower than 95% of the 119 California hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $11,989 across 1 insurer.