CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Reading Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$145
about 0.8× the $181 Medicare rate · typically $103–$189
modeled estimate · not a bill or quote
What this hospital charges insurers
$140
About the fair price
about $5 under the fair price · 0.8× Medicare
Medicare pays $181 Fair price $145 This hospital $140 Cash price $290 Hospital's list price $414

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 $108 Priciest $140

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

A fair price for a Psychiatric evaluation (first visit) is about $145 (about 0.8× the $181 Medicare rate). Reading Hospital charges insurers about $140, or about $290 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 $33 - $335 18%
Blue Cross Blue Shieldmajor $134 - $266 74%
Aetnamajor $134 - $298 74%
Cignamajor $246 - $275 136%
Humanamajor $115 - $139 63%
AmeriHealth $137 76%
Devoted Health $141 78%
Geisinger $47 - $262 26%
Health Net $180 - $202 99%
HealthPartners $142 - $179 78%
UPMC Health Plan $135 - $224 74%
+ 8 smaller / regional plans $139 - $393
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