CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Surgical Institute of Reading

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$54
about 0.6× the $95 Medicare rate · typically $30–$197
modeled estimate · not a bill or quote
What this hospital charges insurers
$40
Below the fair price — a good deal
about $14 under the fair price · 0.4× Medicare
Medicare pays $95 Fair price $54 This hospital $40

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

One of the lower prices — 6 of 8 other PA hospitals charge more for the same procedure.

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 $54 (about 0.6× the $95 Medicare rate). Surgical Institute of Reading charges insurers about $40 — below the fair price — a good deal. Located in Wyomissing, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

0 of 6 major insurers have a published price at this hospital

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
No insurance-company prices are published for this procedure.
+ 1 smaller / regional plan $40

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2752 Century Boulevard, Wyomissing, PA 19610
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals