CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Penn State Health St. Joseph

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,553
about 1.1× the $14,044 Medicare rate · typically $10,409–$16,057
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,850
About the fair price
about $297 over the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $15,553 This hospital $15,850

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 $13,221 Priciest $15,850

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

A fair price for a Hip or knee replacement (inpatient stay) is about $15,553 (about 1.1× the $14,044 Medicare rate). Penn State Health St. Joseph charges insurers about $15,850 — about the fair price. Located in 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 $15,850 - $40,399 113%
Blue Cross Blue Shieldmajor $15,692 - $39,145 112%
Aetnamajor $15,850 - $35,305 113%
Cignamajor $37,671 268%
Humanamajor $16,009 114%
AmeriHealth $15,850 113%
Cigna HealthSpring $16,009 114%
Geisinger $15,850 113%
HealthPartners $16,167 115%
UPMC Health Plan $16,644 119%
+ 3 smaller / regional plans $15,850 - $37,548

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Facility Profile & Credentials

  • Address: 2500 Bernville Road, Reading, PA 19605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals