34/100
#1,764 nationally
Community Regional Medical Center
2823 Fresno Street, Fresno, CA 93721 · (559) 459-6000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Community Regional Medical Center billed $5.11 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.1x
- volume-weighted across all its priced work
- Procedures priced
- 186
- inpatient and outpatient combined
- Rank in CA
- #90
- lower markup ranks higher
- CMS quality stars
- 1/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 30% of U.S. hospitals.
Better than 61% of U.S. hospitals.
Better than 22% of U.S. hospitals.
Better than 18% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
578 | $15,587 | $2,334 | +33% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
511 | $25,646 | $3,347 | +32% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
414 | $123,713 | $22,013 | +90% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
412 | $25,932 | $4,013 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
270 | $67,516 | $14,636 | +56% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
253 | $22,552 | $3,919 | +18% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
197 | $52,235 | $16,355 | +45% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
187 | $69,518 | $13,503 | about average |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
175 | $29,336 | $6,756 | -19% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
153 | $35,737 | $7,094 | about average |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Cranial and Peripheral Nerve Disorders with Major Complications
MS-DRG 073 · Inpatient stay |
$323,152 | $43,968 | +399% |
|
Hypertension with Major Complications
MS-DRG 304 · Inpatient stay |
$131,825 | $16,326 | +165% |
|
Postoperative and Post-traumatic Infections with Major Complications
MS-DRG 862 · Inpatient stay |
$183,433 | $26,171 | +147% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$76,154 | $10,887 | +143% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
$127,184 | $17,842 | +129% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
$84,673 | $11,678 | +128% |
|
Kidney Failure (uncomplicated)
MS-DRG 684 · Inpatient stay |
$56,632 | $7,700 | +118% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$70,110 | $11,658 | +115% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$26,516 | $8,308 | -31% |
|
Stomach, Esophageal and Duodenal Procedures with Complications
MS-DRG 327 · Inpatient stay |
$84,048 | $26,586 | -27% |
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
$40,689 | $12,900 | -24% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$29,336 | $6,756 | -19% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
$15,401 | $1,501 | -19% |
|
O.r. Procedures for Obesity without Complications/mcc
MS-DRG 621 · Inpatient stay |
$54,007 | $17,546 | -18% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
$35,396 | $12,079 | -17% |
|
Other Circulatory System Operating Room Procedures
MS-DRG 264 · Inpatient stay |
$112,283 | $35,255 | -17% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.