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Fresno Surgical Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,494
Regional Hand Center of Central California, 2.6 mi
Outpatient here
$15,992
Medicare allowed amount, 891 cases, APC 5115
Inpatient here
$17,513
Avg total payment (incl. patient share), 53 Medicare stays, MS-DRG 470

Medicare prices at Fresno Surgical Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,513$51,9373.0×$15,992
Shoulder replacement$23,102$66,9152.9×$22,431

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$11,9890.7×—1
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Blue Shield of California$11,9890.7×1

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.

Quality

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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Questions

How much does Medicare pay Fresno Surgical Hospital for a knee or hip replacement?

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).

What is Fresno Surgical Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Fresno Surgical Hospital?

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.

How does Fresno Surgical Hospital compare with other California hospitals?

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.

What do commercial insurers pay Fresno Surgical Hospital 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 $11,989 across 1 insurer.