CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Penn State Health St. Joseph

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$59
about 0.6× the $95 Medicare rate · typically $31–$126
modeled estimate · not a bill or quote
What this hospital charges insurers
$25
Below the fair price — a good deal
about $34 under the fair price · 0.3× Medicare
Medicare pays $95 Fair price $59 This hospital $25 Cash price $30 Hospital's list price $115

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 $25 Priciest $42

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

A fair price for a Office visit, established patient (20-29 min) is about $59 (about 0.6× the $95 Medicare rate). Penn State Health St. Joseph charges insurers about $25, or about $30 in cash — below the fair price — a good deal. 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.

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 $45 - $78 47%
Blue Cross Blue Shieldmajor $24 - $29 25%
Aetnamajor $30 - $59 32%
Cignamajor $71 75%
Geisinger $83 87%
UPMC Health Plan $41 - $85 43%
+ 1 smaller / regional plan $57
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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