CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Reading Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$28,158
about 1.2× the $23,504 Medicare rate · typically $13,854–$29,111
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,704
About the fair price
about $2,454 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $28,158 This hospital $25,704

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 $11,459 Priciest $25,704

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $28,158 (about 1.2× the $23,504 Medicare rate). Reading Hospital charges insurers about $25,704 — 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 $20,808 - $109,834 89%
Blue Cross Blue Shieldmajor $24,230 - $117,464 103%
Aetnamajor $10,558 - $90,274 45%
Cignamajor $59,698 254%
Humanamajor $20,808 - $25,704 89%
AmeriHealth $25,214 107%
Devoted Health $25,704 109%
Geisinger $25,190 - $64,608 107%
HealthPartners $25,704 109%
UPMC Health Plan $10,235 - $25,949 44%
+ 4 smaller / regional plans $25,459 - $99,301
Excludes 2 rental-network / third-party entries (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