CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Reading Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$70
about 0.6× the $118 Medicare rate · typically $51–$122
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
About the fair price
about $3 over the fair price · 0.6× Medicare
Medicare pays $118 Fair price $70 This hospital $73 Cash price $172 Hospital's list price $247

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 $25 Priciest $73

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

A fair price for a New patient office visit (30-44 min) is about $70 (about 0.6× the $118 Medicare rate). Reading Hospital charges insurers about $73, or about $172 in cash — 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 $62 - $198 53%
Blue Cross Blue Shieldmajor $69 - $157 59%
Aetnamajor $72 - $208 61%
Cignamajor $135 - $191 115%
Humanamajor $59 - $72 50%
AmeriHealth $70 60%
Devoted Health $72 61%
Geisinger $72 - $329 61%
Health Net $110 - $156 94%
HealthPartners $73 - $139 62%
UPMC Health Plan $70 - $132 60%
+ 8 smaller / regional plans $61 - $233
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