How many shoppable procedure prices are published for Reading Hospital?

Reading Hospital in West Reading, PA currently has 117 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Reading Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Reading Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Reading Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Reading Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 580 Beds · rural Updated: 6/1/2026

Reading Hospital

420 S 5Th Avenue, West Reading, PA 19611 · 117 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

0.99×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.99×) after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 27% of the Time

File Completeness51

Price Logic78

Peer Alignment68

Clean Billing84

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.99× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Reading Hospital prices shoppable and inpatient services (1.0× to 1.3× Medicare, divergence 1.30×) in alignment with regional hospital peers (0.99× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#71 of 134 in PA · 52nd State Percentile#1,249 of 3,385 in U.S. · 36th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.63× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 27% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 64% patient recommendation (69/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (40.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.99× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.9×) & laboratory (2.8×) services average 1.30× higher multiples than routine shoppable care (1.0×)
Upper-quartile procedures (Q75 1.30×) jump +43% above the median procedure ratio (Q50 0.91×)
Consolidated metro market (HHI 5,495) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.30× Divergence

1.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+43% Upper Tail

Q25 0.63× · Q50 0.91× · Q75 1.30×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.8× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.8× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

27% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 69/100Fair

Procedure Prices at Reading Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 117 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$25,704	$30,775	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,838	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$15,731	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$14,293	$17,936	0.8×
Trauma team activation HCPCS Code: `G0390`	$10,088	$10,088	$1,453	unverified
Breast lump removal CPT Code: `19120`	$7,433	$7,433	$3,875	1.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,898	$8,223	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,886	$4,886	$1,021	4.8×
C-section delivery (full package) CPT Code: `59510`	$3,660	$2,500	$2,975	0.8×
Vaginal delivery (full package) CPT Code: `59400`	$3,862	$2,238	$2,680	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,490	$1,490	$583	2.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,385	$1,385	$6,109	0.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$937	$937	$272	3.4×
Injection procedure for pain management HCPCS Code: `G0260`	$2,052	$847	$855	1.0×
Blood transfusion CPT Code: `36430`	$734	$734	$498	1.5×
Psychological testing by technician CPT Code: `96138`	$595	$472	$395	1.2×
X-ray, hand CPT Code: `73130`	$414	$414	$93	4.5×
Speech therapy (language evaluation) CPT Code: `92507`	$382	$382	$86	4.4×
X-ray, foot CPT Code: `73630`	$403	$403	$92	4.4×
MRI, knee or other leg joint CPT Code: `73721`	$3,328	$346	$369	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,587	$344	$511	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$3,294	$343	$343	unverified
X-ray, chest (single view) CPT Code: `71045`	$286	$286	$92	3.1×
Rabies immune globulin HCPCS Code: `90375`	$977	$280	$322	0.9×
X-ray, pelvis CPT Code: `72170`	$229	$229	$110	2.1×
MRI, lower back (no contrast) CPT Code: `72148`	$3,410	$239	$338	0.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,979	$246	$448	0.5×
Family therapy session CPT Code: `90847`	$240	$240	$173	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$290	$138	$151	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$529	$116	$148	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$279	$137	$181	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$290	$140	$185	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$139	$139	$201	0.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$143	$88	$38	2.3×
Screening mammogram (both breasts) CPT Code: `77067`	$485	$96	$123	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,866	$113	$168	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$167	$86	$123	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,741	$106	$167	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,842	$106	$169	0.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,719	$128	$258	0.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,053	$129	$303	0.4×
Upper endoscopy with biopsy CPT Code: `43239`	$286	$147	$987	0.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,861	$99	$160	0.6×
CT scan, sinuses CPT Code: `70486`	$2,406	$99	$166	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$290	$95	$166	0.6×
CT scan, pelvis CPT Code: `72192`	$1,980	$86	$163	0.5×
CT scan, head (with contrast) CPT Code: `70460`	$3,061	$102	$242	0.4×
Neurobehavioral status check CPT Code: `96116`	$222	$95	$231	0.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$118	$88	$35	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$85	$85	$86	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$327	$327	$203	1.6×
Typhoid vaccine HCPCS Code: `90675`	$842	$320	$347	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$166	$166	$111	1.5×
Pneumococcal vaccine HCPCS Code: `90732`	$162	$133	$140	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$77	$50	$14	3.6×
Speech therapy (group session) CPT Code: `92508`	$76	$62	$27	2.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$84	$84	$49	1.7×
Occupational therapy (self-care training) CPT Code: `97535`	$96	$64	$38	1.7×
Drug screening test HCPCS Code: `G0480`	$170	$82	$116	0.7×
Physical therapy (manual therapy) CPT Code: `97140`	$163	$56	$34	1.6×
Blood test, vitamin D CPT Code: `82306`	$295	$51	$31	1.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$96	$61	$38	1.6×
Prosthetic fitting and training CPT Code: `97761`	$96	$70	$45	1.6×
Flu vaccine injection HCPCS Code: `G0008`	$71	$71	$48	1.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$96	$56	$40	1.4×
Orthotic fitting and training CPT Code: `97760`	$151	$67	$51	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,106	$73	$134	0.5×
Extended office visit (prolonged) HCPCS Code: `G2212`	$66	$41	$33	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$123	$58	$87	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$172	$73	$110	0.7×
Ultrasound, pelvis CPT Code: `76856`	$914	$59	$130	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$953	$48	$126	0.4×
Blood test, calcium CPT Code: `82310`	$62	$9	$5	1.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$37	$7	$4	1.8×
Culture, blood CPT Code: `87040`	$130	$18	$11	1.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$245	$29	$18	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$32	$8	$5	1.6×
Blood test, potassium CPT Code: `84132`	$32	$8	$5	1.6×
Blood test, sodium CPT Code: `84295`	$39	$8	$5	1.6×
Hepatitis C antibody test CPT Code: `86803`	$165	$24	$15	1.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$211	$30	$19	1.6×
Physical therapy (gait training) CPT Code: `97116`	$96	$47	$33	1.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$314	$15	$11	1.4×
Blood test, basic metabolic panel CPT Code: `80048`	$158	$12	$9	1.3×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$221	$35	$27	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$68	$4	$3	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$228	$18	$14	1.3×
Blood test, magnesium CPT Code: `83735`	$63	$9	$7	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$44	$5	$4	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$200	$25	$20	1.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$94	$40	$56	0.7×
Blood test, liver function panel CPT Code: `80076`	$171	$11	$9	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$167	$15	$14	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$239	$17	$16	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$119	$9	$10	0.9×
Blood test, amylase CPT Code: `82150`	$101	$6	$7	0.9×
Blood test, lipase CPT Code: `83690`	$79	$6	$7	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$21	$21	$49	0.4×
Group therapy session CPT Code: `90853`	$293	$39	$100	0.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$101	$9	$6	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	$51	$33	$37	0.9×
Blood test, hemoglobin CPT Code: `85018`	$11	$4	$3	1.3×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$62	$26	$25	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$99	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$59	$5	$5	1.0×
Culture, bacterial CPT Code: `87070`	$112	$9	$9	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$54	$24	$25	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$55	$13	$39	0.3×
X-ray, hip CPT Code: `73502`	$249	$29	$93	0.3×
X-ray, lower back CPT Code: `72110`	$654	$29	$112	0.3×
X-ray, ankle CPT Code: `73610`	$403	$24	$93	0.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$496	$33	$132	0.3×
Blood antibody screen CPT Code: `86850`	$68	$11	$46	0.2×
X-ray, shoulder CPT Code: `73030`	$359	$21	$92	0.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$483	$21	$93	0.2×
X-ray, chest (two views) CPT Code: `71046`	$345	$19	$93	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$339	$13	$64	0.2×

Showing top 25 high-impact procedures of 117 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 40.0%

Audit a Bill or Quote at Reading Hospital (Zero PHI Required)

CMS CCN: 390044

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $25,704

1. Amount on Your Bill or Quote ($) Pre-filled with Reading Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $24,676 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $24,676

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (40.0% of gross = $24,676).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Reading Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$30,915 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($61,690) is $30,915 above the denoised Fair BaseRate ($30,775) and 2.6× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (40.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite69/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)67%

Median ER Wait238 min

Left ER Before Seen2%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate2.7%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Reading Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-22·warning_notice
Warning Notice
Recorded
2025-03-24·administrative_or_closure
Met Requirements
Recorded
2023-01-25·administrative_or_closure
Closure Notice
Recorded
2022-07-27·cap_corrective_action
CAP Request
Recorded
2021-10-27·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (427 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Reading Hospital.

Price Index: 1.20× regional baseline

Quality: 74/100 CMS composite

Median Household Income$77,684U.S. Census ACS

Local Uninsured Share6.7%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 75/100 · Corroborated CMS CCN 390044

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 390044) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage6/1/2026

Validated Rate Rows4,501 (CMS v3.0.0)

File Integrity DigestVerified · CCN 390044

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy