CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Reading Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$689
about 0.7× the $927 Medicare rate · typically $145–$1,236
modeled estimate · not a bill or quote
What this hospital charges insurers
$147
Below the fair price — a good deal
about $542 under the fair price · 0.2× Medicare
Medicare pays $927 Fair price $689 This hospital $147 Cash price $286 Hospital's list price $408

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Lowest price of the 9 PA hospitals we have prices for — a strong deal.

Cheapest $147 Priciest $218

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

A fair price for a Upper endoscopy with biopsy is about $689 (about 0.7× the $927 Medicare rate). Reading Hospital charges insurers about $147, or about $286 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.

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 $117 - $203 13%
Blue Cross Blue Shieldmajor $118 - $331 13%
Aetnamajor $123 - $469 13%
Cignamajor $224 24%
Humanamajor $101 - $123 11%
AmeriHealth $120 - $240 13%
Devoted Health $124 13%
Geisinger $124 - $195 13%
Health Net $184 20%
HealthPartners $125 - $200 13%
UPMC Health Plan $119 - $178 13%
+ 3 smaller / regional plans $123 - $201
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