CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Reading Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$30
about 1.6× the $19 Medicare rate · typically $16–$68
modeled estimate · not a bill or quote
What this hospital charges insurers
$25
Below the fair price — a good deal
about $5 under the fair price · 1.3× Medicare
Medicare pays $19 Fair price $30 This hospital $25 Cash price $200 Hospital's list price $286

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 $15 Priciest $25

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Prostate cancer screening (blood test) is about $30 (about 1.6× the $19 Medicare rate). Reading Hospital charges insurers about $25, or about $200 in cash — below the fair price — a good deal. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $23 - $27 119%
Blue Cross Blue Shieldmajor $19 - $150 98%
Aetnamajor $154 798%
Cignamajor $164 849%
Geisinger $181 937%
Health Net $129 668%
UPMC Health Plan $114 - $154 590%
+ 3 smaller / regional plans $114 - $272
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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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