CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Reading Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,603
about 1.1× the $14,044 Medicare rate · typically $10,383–$15,817
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,731
About the fair price
about $128 over the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $15,603 This hospital $15,731

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $13,221 Priciest $15,731

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $15,603 (about 1.1× the $14,044 Medicare rate). Reading Hospital charges insurers about $15,731 — about the fair price. Located in West Reading, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $12,615 - $65,583 90%
Blue Cross Blue Shieldmajor $14,689 - $70,139 105%
Aetnamajor $16,325 - $53,903 116%
Cignamajor $35,646 254%
Humanamajor $12,615 - $15,583 90%
AmeriHealth $15,286 109%
Devoted Health $15,583 111%
Geisinger $15,271 - $38,578 109%
HealthPartners $15,583 111%
UPMC Health Plan $14,841 - $15,731 106%
+ 4 smaller / regional plans $15,434 - $59,293
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 420 S 5Th Avenue, West Reading, PA 19611
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals