CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Reading Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$56
about 0.6× the $95 Medicare rate · typically $41–$112
modeled estimate · not a bill or quote
What this hospital charges insurers
$58
About the fair price
about $2 over the fair price · 0.6× Medicare
Medicare pays $95 Fair price $56 This hospital $58 Cash price $123 Hospital's list price $199

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 $58

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

A fair price for a Office visit, established patient (20-29 min) is about $56 (about 0.6× the $95 Medicare rate). Reading Hospital charges insurers about $58, or about $123 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 $42 - $180 44%
Blue Cross Blue Shieldmajor $55 - $143 58%
Aetnamajor $51 - $162 54%
Cignamajor $94 - $148 99%
Humanamajor $48 - $58 50%
AmeriHealth $56 59%
Devoted Health $58 61%
Geisinger $32 - $141 34%
Health Net $76 - $122 80%
HealthPartners $59 - $108 62%
UPMC Health Plan $56 - $120 59%
+ 8 smaller / regional plans $56 - $211
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