Prices at 3 hospitals in Fresno, CA, from their machine-readable files. Here the median cash price is $377 — 54% above the US median ($245), roughly 12.7× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Saint Agnes Medical Center | Fresno, CA | $270 | $154 | ★ 2/5 | 240 min | — |
| Fresno Surgical Hospital | Fresno, CA | $377 | $200 | — | — | — |
| Kaiser Foundation Hospital-Fresno | Fresno, CA | $487 | — | ★ 4/5 | — | — |
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)
Typical cash price here is $377 — about 12.7× the Medicare rate ($30). High vs Medicare. A fair cash price is usually within ~2× Medicare ($59).
💡 Asking for the cash price instead of the $643 list price could save about $265 (41%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Doctors who perform this in Fresno
Clinicians who reported the most Medicare volume for this service locally. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.
| Clinician | Specialty | Location | Medicare services |
|---|---|---|---|
| Chitra Kandaswamy, M.D.,M.P.H. | Pulmonary Disease | Fresno, CA | 1,446 |
| Richard Demera, MD | Allergy/ Immunology | Fresno, CA | 473 |
| Lauren Hiyama, M.D. | Allergy/ Immunology | Fresno, CA | 418 |
| Howard Pettigrew, MD, PHD | Allergy/ Immunology | Fresno, CA | 327 |
| Somchit Reyna, NP | Nurse Practitioner | Fresno, CA | 284 |
| Toni Caniglia, N.P. | Nurse Practitioner | Fresno, CA | 227 |
| Lovrdu Pyreddy, M.D | Pulmonary Disease | Fresno, CA | 182 |
| Rocio Naranjo, P.A. | Physician Assistant | Fresno, CA | 178 |
| Phalla Pov-Brantle | Nurse Practitioner | Fresno, CA | 156 |
| Rabinder Sidhu, M.D. | Allergy/ Immunology | Fresno, CA | 120 |
| Hila Azulay, M.D. | Pulmonary Disease | Fresno, CA | 62 |
| Ammar Malik | Internal Medicine | Fresno, CA | 61 |
All Spirometry (lung function test) prices in California → · All Spirometry (lung function test) prices (national) · All hospitals in Fresno