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Short Term Acute Care HospitalVoluntary Non-Profit - Church

Saint Agnes Medical Center

Trinity Health · Fresno, CA

1303 East Herndon Avenue, Fresno, CA 93720(559) 450-3000

2 of 5

CMS star rating

401

Beds

27,211

Inpatient discharges a year

$695.4M

Net patient revenue a year

36

In-network payers

Photo 1: David Prasad, CC BY-SA 2.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Saint Agnes Medical Center is a 401-bed voluntary non-profit - church hospital in Fresno, CA, affiliated with Trinity Health. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 279 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
050093
NPI
1205845567
Website
samc.com
Health system
Trinity Health
Teaching
Major 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
2020

Prices for common services

The 24 services Saint Agnes Medical Center 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

$10,717 - $14,675

from 4 insurers · median $11,964

Cigna$10,717
Insurer A*$11,864
Insurer B*$12,065
Insurer C*$14,675

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

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$10,717 - $16,936

from 4 insurers · median $15,774

Cigna$10,717
Insurer A*$14,675
Insurer B*$16,872
Insurer C*$16,936

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

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$2,925 - $8,257

from 3 insurers · median $6,733

Aetna$8,257
Insurer A*$2,925
Insurer B*$6,733
Medicare $4,246Nearby hospitals $5,61520% above nearby hospitals

42 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$4,471 - $10,725

from 3 insurers · median $4,792

UnitedHealthcare$4,471
Insurer A*$4,792
Insurer B*$10,725
Medicare $1,190Nearby hospitals $4,3779% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Saint Agnes Medical Center

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*17
395%
68
Insurer B*24
326%
117
Insurer C*24
276%
145
Insurer D*21
204%
512

How we chose these services: 8 appear in this hospital's own Medicare claims, 13 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 Saint Agnes Medical Center, 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 HealthCenteneEMI Health

More about this hospital

  • Quality

    2 of 5 stars

    • 240 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.45%)
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 38 services
    • 713 affiliated clinicians
    See doctors and services

  • Finances

    $695.4M net patient revenue

    • Operating margin on patient care -8.6%
    • $13.1M unreimbursed and uncompensated care
    • -$27.5M net income
    See finances

  • Ownership and leadership

    Owned by Trinity Health Corporation

    • Church
    • David Mcfadyen, 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 Saint Agnes Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
94-1437713Saint Agnes Medical Center61Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 56 more1205845567 Saint Agnes Medical Center1619011582 Plaza Surgical Center LP1760863187 Saint Agnes Medical Providersand 3 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

1303 East Herndon Avenue, Fresno, CA 93720

(559) 450-3000

Get directions

Frequently asked questions

About Saint Agnes Medical Center's rates and hospital price transparency.

How much does an MRI cost at Saint Agnes Medical Center?

For MRI lower-extremity joint without contrast (CPT 73721), published negotiated rates at Saint Agnes Medical Center range from $396 to $2,736 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $2,409. The median at nearby comparable hospitals is $1,444. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Saint Agnes Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Saint Agnes Medical Center range from $722 to $4,025 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $738. The median at nearby comparable hospitals is $2,525. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Saint Agnes Medical Center?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Saint Agnes Medical Center range from $526 to $7,750 across 4 insurers. UnitedHealthcare's rate is $4,471. The median at nearby comparable hospitals is $3,410. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Saint Agnes Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Saint Agnes Medical Center range from $10,717 to $14,675 across 4 insurers. Cigna's rate is $10,717. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Saint Agnes Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Saint Agnes Medical Center range from $360 to $640 across 4 insurers. UnitedHealthcare's rate is $397. The median at nearby comparable hospitals is $361. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Saint Agnes Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Saint Agnes Medical Center range from $10,717 to $43,268 across 4 insurers. Aetna's rate is $16,783. The median at nearby comparable hospitals is $24,598. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Saint Agnes Medical Center's CMS star rating?

Saint Agnes Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Saint Agnes Medical Center a teaching hospital?

Yes. CMS counts 0.26 Medicare-funded residents per bed at Saint Agnes Medical Center for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Saint Agnes Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Saint Agnes Medical Center's base inpatient payments by an estimated 1.45% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Saint Agnes Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (419 discharges), heart failure and shock with mcc (345 discharges), simple pneumonia and pleurisy with mcc (199 discharges).

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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