Dialysis fistula creation cost in Fresno, CA

Prices at 3 hospitals in Fresno, CA, from their machine-readable files. Here the median cash price is $13,507 — 146% above the US median ($5,484), roughly 22.5× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Fresno Surgical Hospital Fresno, CA $5,514 $3,788
Kaiser Foundation Hospital-Fresno Fresno, CA $13,507 $3,996 ★ 4/5
Saint Agnes Medical Center Fresno, CA $22,067 $5,754 ★ 2/5 240 min

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated September 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

Price comparison (median)

Chargemaster (list price)
$24,120
Cash / self-pay
$13,507
Insurer-negotiated
$3,996
Medicare pays
$601
$7,113$20,355
Median cash $13,507  ·  Medicare $601  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $13,507 — about 22.5× the Medicare rate ($601). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,202).

💡 Asking for the cash price instead of the $24,120 list price could save about $10,613 (44%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

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