56/100
#1,082 nationally
Saint Agnes Medical Center
1303 E Herndon Ave, Fresno, CA 93720 · (559) 450-3000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Saint Agnes Medical Center billed $4.05 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
- 4.0x
- volume-weighted across all its priced work
- Procedures priced
- 166
- inpatient and outpatient combined
- Rank in CA
- #16
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 57% of U.S. hospitals.
Better than 66% of U.S. hospitals.
Better than 41% of U.S. hospitals.
Better than 72% 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 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
707 | $24,187 | $3,993 | -4% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
568 | $21,875 | $3,352 | +13% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
419 | $88,122 | $23,795 | +35% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
411 | $12,802 | $2,865 | +9% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
345 | $58,463 | $14,733 | +35% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
331 | $74,401 | $15,821 | +19% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
292 | $8,418 | $1,969 | -16% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
278 | $72,967 | $13,465 | +8% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
199 | $60,787 | $15,122 | +30% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
153 | $35,570 | $9,390 | +19% |
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 |
|---|---|---|---|
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
$55,849 | $8,151 | +56% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
$53,577 | $12,028 | +44% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$75,513 | $18,869 | +37% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$24,842 | $3,844 | +37% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$88,122 | $23,795 | +35% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$58,463 | $14,733 | +35% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$40,976 | $8,592 | +34% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$19,194 | $2,873 | +33% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Pleural Effusion with Major Complications
MS-DRG 186 · Inpatient stay |
$36,184 | $16,344 | -49% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
$93,720 | $35,367 | -35% |
|
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Major
MS-DRG 239 · Inpatient stay |
$134,416 | $39,343 | -32% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$129,653 | $52,476 | -32% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$39,767 | $15,860 | -29% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$90,721 | $35,339 | -27% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$108,462 | $40,316 | -27% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$8,373 | $2,374 | -26% |
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.