Prices at 3 hospitals in Fresno, CA, from their machine-readable files. Here the median cash price is $684 — 61% above the US median ($426), roughly 12.3× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Fresno Surgical Hospital | Fresno, CA | $536 | $688 | — | — | — |
| Saint Agnes Medical Center | Fresno, CA | $684 | $870 | ★ 2/5 | 240 min | — |
| Kaiser Foundation Hospital-Fresno | Fresno, CA | $974 | $375 | ★ 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 $684 — about 12.3× the Medicare rate ($56). High vs Medicare. A fair cash price is usually within ~2× Medicare ($112).
💡 Asking for the cash price instead of the $1,396 list price could save about $712 (51%).
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 |
|---|---|---|---|
| Amitabh Goswami, D.O., M.P.H. | Anesthesiology | Fresno, CA | 184 |
| Mahendra Nath, MD | Pain Management | Fresno, CA | 161 |
| Lance Larsen, MD | Pain Management | Fresno, CA | 90 |
| Jamil Ahmed, MD | Physical Medicine and Rehabilitation | Fresno, CA | 71 |
| Tilksew Tedla | Nurse Practitioner | Fresno, CA | 58 |
| Gopi Kasturi | Physical Medicine and Rehabilitation | Fresno, CA | 48 |
| Mark Sison, M.D. | Physical Medicine and Rehabilitation | Fresno, CA | 40 |
| Earl Fernando, M.D. | Internal Medicine | Fresno, CA | 26 |
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