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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Community Regional Medical Center - Fresno

Fresno, CA

2823 Fresno Street, Fresno, CA 93721(559) 459-6000

1 of 5

CMS star rating

921

Beds

40,703

Inpatient discharges a year

$1.5B

Net patient revenue a year

36

In-network payers

Photo 1: Nightryder84, CC BY-SA 3.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Community Regional Medical Center - Fresno is a 921-bed voluntary non-profit - private hospital in Fresno, CA. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 352 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
CCN
050060
NPI
1104906569
Teaching
Teaching hospital
County
Fresno County
Metro area
Fresno, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1966
Last CMS survey
2026

Prices for common services

The 24 services Community Regional Medical Center - Fresno most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$2,893 - $12,572

from 4 insurers · median $7,261

UnitedHealthcare$9,293
Insurer A*$2,893
Insurer B*$5,229
Insurer C*$12,572

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,077 - $4,232

from 4 insurers · median $3,896

Aetna$1,077
Insurer A*$3,775
Insurer B*$4,018
Insurer C*$4,232
Medicare $459Nearby hospitals $1,370184% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$3,283 - $12,572

from 4 insurers · median $8,657

UnitedHealthcare$12,085
Insurer A*$3,283
Insurer B*$5,229
Insurer C*$12,572

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT head or brain without contrast

CPT 70450

$665 - $1,705

from 4 insurers · median $1,569

Aetna$665
Insurer A*$1,520
Insurer B*$1,618
Insurer C*$1,705
Medicare $137Nearby hospitals $443254% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Community Regional Medical Center - Fresno

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
549%
191
Insurer B*24
399%
125
Insurer C*24
375%
138
Insurer D*24
368%
114

How we chose these services: 3 appear in this hospital's own Medicare claims, 18 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Community Regional Medical Center - Fresno, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneGroup Health Cooperative of South Central Wisconsin

More about this hospital

  • Quality

    1 of 5 stars

    • 232 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.42%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 46 services, including trauma care
    • 1,081 affiliated clinicians
    See doctors and services
  • Finances

    $1.5B net patient revenue

    • Operating margin on patient care -4.7%
    • $51.5M unreimbursed and uncompensated care
    • $110.9M net income
    See finances
  • Ownership and leadership

    Owned by Community Hospitals Of Central California

    • Private (not for profit)
    • Craig Wagoner, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Community Regional Medical Center - Fresno in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
94-1156276Community Regional Medical Center68Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 63 more1104906569 Fresno Community Hospital And Medical Center1316027709 Fresno Community Hospital And Medical Center1295816569 Fresno Community Hospital And Medical Centerand 24 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

2823 Fresno Street, Fresno, CA 93721

(559) 459-6000

Get directions

Frequently asked questions

About Community Regional Medical Center - Fresno's rates and hospital price transparency.

How much does an MRI cost at Community Regional Medical Center - Fresno?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Community Regional Medical Center - Fresno range from $4,150 to $4,879 across 4 insurers. Cigna's rate is $4,879. The median at nearby comparable hospitals is $1,308. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Community Regional Medical Center - Fresno?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Community Regional Medical Center - Fresno range from $1,077 to $4,232 across 4 insurers. Aetna's rate is $1,077. The median at nearby comparable hospitals is $1,370. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Community Regional Medical Center - Fresno?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Community Regional Medical Center - Fresno range from $982 to $5,091 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $982. The median at nearby comparable hospitals is $3,997. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Community Regional Medical Center - Fresno?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Community Regional Medical Center - Fresno range from $2,893 to $12,572 across 4 insurers. UnitedHealthcare's rate is $9,293. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Community Regional Medical Center - Fresno?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Community Regional Medical Center - Fresno range from $301 to $430 across 4 insurers. Aetna's rate is $430. The median at nearby comparable hospitals is $376. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Community Regional Medical Center - Fresno's CMS star rating?

Community Regional Medical Center - Fresno has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.

Is Community Regional Medical Center - Fresno a teaching hospital?

Yes. CMS counts 0.18 Medicare-funded residents per bed at Community Regional Medical Center - Fresno for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Community Regional Medical Center - Fresno for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Community Regional Medical Center - Fresno's base inpatient payments by an estimated 0.42% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Community Regional Medical Center - Fresno?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (414 discharges), heart failure and shock with mcc (270 discharges), psychoses (197 discharges).

What is Community Regional Medical Center - Fresno's case mix index?

Community Regional Medical Center - Fresno's Medicare case mix index is 2.13 for fiscal year 2027, higher than 85% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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  • Missing, duplicate and outdated charge lines identified
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