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Short Term Acute Care HospitalProprietary

Fresno Surgical Hospital

Fresno, CA

6125 North Fresno Street, Fresno, CA 93710(559) 431-8000

Not rated by CMS

CMS star rating

27

Beds

975

Inpatient discharges a year

$128.9M

Net patient revenue a year

30

In-network payers

About this hospital

Fresno Surgical Hospital is a 27-bed proprietary hospital in Fresno, CA. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 229 disclosed rate categories.

CCN
050708
NPI
1205834694
Website
fresnosurgicalhospital.com
Teaching
No Medicare-funded residents
County
Fresno County
Metro area
Fresno, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1993
Last CMS survey
2023

Prices for common services

The 24 services Fresno Surgical Hospital 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.

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$2,054 - $5,043

from 4 insurers · median $3,538

Aetna$5,043
Insurer A*$2,054
Insurer B*$3,497
Insurer C*$3,579
Medicare $3,044Nearby hospitals $5,66038% below nearby hospitals

2479 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$15,130 - $32,579

from 4 insurers · median $20,196

Aetna$32,579
Insurer A*$15,130
Insurer B*$19,712
Insurer C*$20,680
Medicare $12,717Nearby hospitals $47,45557% below nearby hospitals

79 Medicare discharges for this DRG in CMS hospital data

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$1,356 - $3,903

from 4 insurers · median $2,289

Anthem / Blue Shield$2,524
Insurer A*$1,356
Insurer B*$2,054
Insurer C*$3,903
Medicare $1,196Nearby hospitals $2,95923% below nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$1,785 - $4,719

from 4 insurers · median $2,978

Anthem / Blue Shield$4,719
Insurer A*$1,785
Insurer B*$2,054
Insurer C*$3,903
Medicare $1,578Nearby hospitals $2,864In line with nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Fresno Surgical Hospital

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*23
199%
714
Insurer B*24
153%
022
Insurer C*14
130%
013
Insurer D*21
108%
217

How we chose these services: 4 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 5 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 Fresno Surgical Hospital, 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 PlanBanner HealthCenteneEMI HealthGroup Health Cooperative of South Central Wisconsin

More about this hospital

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
77-0011624Fresno Surgery Center LP48Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 43 more1205834694 Fresno Surgery Center LP

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

6125 North Fresno Street, Fresno, CA 93710

(559) 431-8000

Get directions

Frequently asked questions

About Fresno Surgical Hospital's rates and hospital price transparency.

How much does an MRI cost at Fresno Surgical Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Fresno Surgical Hospital range from $168 to $1,144 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $1,144. The median at nearby comparable hospitals is $792. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Fresno Surgical Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Fresno Surgical Hospital range from $196 to $1,244 across 3 insurers. UnitedHealthcare's rate is $561. The median at nearby comparable hospitals is $1,226. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Fresno Surgical Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Fresno Surgical Hospital range from $1,785 to $4,719 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $4,719. The median at nearby comparable hospitals is $2,864. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Fresno Surgical Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Fresno Surgical Hospital range from $91 to $100 across 3 insurers. Aetna's rate is $92. The median at nearby comparable hospitals is $171. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Fresno Surgical Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Fresno Surgical Hospital range from $15,130 to $32,579 across 4 insurers. Aetna's rate is $32,579. The median at nearby comparable hospitals is $47,455. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Fresno Surgical Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Fresno Surgical Hospital for fiscal year 2027.

Does Medicare penalize Fresno Surgical Hospital for readmissions?

No. Fresno Surgical Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Fresno Surgical Hospital?

In 2024, the most common were combined anterior and posterior spinal fusion with cc (79 discharges), cervical spinal fusion with cc (59 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (53 discharges).

What is Fresno Surgical Hospital's case mix index?

Fresno Surgical Hospital's Medicare case mix index is 4.20 for fiscal year 2027, higher than 100% of hospitals paid under the inpatient prospective payment system.

How many patients does Fresno Surgical Hospital admit?

Fresno Surgical Hospital reported 975 inpatient discharges and 2,001 inpatient days from Jan 1, 2025 to Dec 31, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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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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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