Penn State Health · Reading, PA
35
In-network payers
327
Disclosed rate categories
204
Beds
3
Care quality
St. Joseph Medical Center is a 204-bed voluntary non-profit - church hospital in Reading, PA, affiliated with Penn State Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 327 disclosed rate categories.
CCN (Medicare provider number)
390096
NPI
1699734665
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Church
Beds
204
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services St. Joseph Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$9,340 - $18,505
from 4 insurers · median $13,628
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$15,030 - $22,521
from 4 insurers · median $20,192
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58558
$12,105 - $22,279
from 4 insurers · median $13,335
20 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$22,363 - $27,511
from 4 insurers · median $24,470
57 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$194,004 - $229,788
from 4 insurers · median $214,104
Hospital reports cardiac thoracic surgery services to CMS
Digestive procedures
CPT 49650
$22,198 - $36,934
from 4 insurers · median $24,470
57 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$41,517 - $81,674
from 4 insurers · median $45,486
Typical for a hospital with this service line
CT imaging
CPT 74177
$1,001 - $1,209
from 3 insurers · median $1,157
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$4,628 - $8,938
from 4 insurers · median $4,945
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$2,043 - $2,413
from 3 insurers · median $2,187
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$9,340 - $18,505
from 4 insurers · median $13,628
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 47563
$21,543 - $25,674
from 3 insurers · median $23,266
57 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$4,702 - $15,748
from 4 insurers · median $5,039
Common here, based on CMS Medicare volume
Gynecology
CPT 57288
$19,685 - $27,561
from 4 insurers · median $20,766
23 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$49,315 - $97,916
from 3 insurers · median $86,304
Hospital reports neurosurgical services to CMS
Medicine & Surgery
CPT 49505
$12,755 - $39,534
from 4 insurers · median $14,801
21 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Medicine & Surgery
CPT 42820
$23,590 - $29,112
from 4 insurers · median $25,229
Typical for a hospital with this service line
Gynecology
CPT 58661
$23,266 - $37,641
from 4 insurers · median $30,439
Typical for a hospital with this service line
Mammography
CPT 77067
$331 - $366
from 3 insurers · median $344
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$3,434 - $12,248
from 4 insurers · median $4,976
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$3,760 - $10,604
from 4 insurers · median $4,851
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$220 - $298
from 3 insurers · median $260
Common here, based on CMS Medicare volume
Urology
CPT 50590
$12,694 - $16,551
from 4 insurers · median $14,465
42 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
CT imaging
CPT 74176
$585 - $818
from 3 insurers · median $741
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 18 | 674% | 15 | 0 |
| Insurer B* | 24 | 421% | 6 | 3 |
| Insurer C* | 24 | 382% | 19 | 0 |
| Insurer D* | 23 | 362% | 15 | 4 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for St. Joseph Medical Center.
2500 Bernville Road, Reading, PA 19605
(610) 378-2000
The nearest hospitals of similar type and size. Their rates are compared with St. Joseph Medical Center for the same insurers and services above.
Wellspan Ephrata Community Hospital
Rates about the same as St. Joseph Medical Center (21 services)
Pottstown Hospital
▼ Rates typically 53% lower than St. Joseph Medical Center (21 services)
Upmc Lititz
▼ Rates typically 25% lower than St. Joseph Medical Center (20 services)
Wellspan Good Samaritan Hospital
▼ Rates typically 38% lower than St. Joseph Medical Center (18 services)
Lehigh Valley Hospital - Schuylkill
▼ Rates typically 34% lower than St. Joseph Medical Center (21 services)
Lehigh Valley Hospital - Schuylkill E. Norwegian Street
▼ Rates typically 34% lower than St. Joseph Medical Center (21 services)
The Milton S Hershey Medical Center
Holy Spirit Hospital
Milton S. Hershey Medical Center
Upmc Outpatient Center
About St. Joseph Medical Center's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St. Joseph Medical Center range from $1,001 to $1,209 across 3 insurers. Aetna's rate is $1,001. The median at nearby comparable hospitals is $1,822. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at St. Joseph Medical Center range from $4,628 to $8,938 across 4 insurers. Cigna's rate is $4,702. The median at nearby comparable hospitals is $3,524. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at St. Joseph Medical Center range from $9,340 to $18,505 across 4 insurers. UnitedHealthcare's rate is $14,897. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Joseph Medical Center range from $331 to $366 across 3 insurers. UnitedHealthcare's rate is $366. The median at nearby comparable hospitals is $316. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Joseph Medical Center has 204 beds. Facility type: Short Term Acute Care Hospital.
St. Joseph Medical Center is located at 2500 Bernville Road, Reading, PA 19605. Its main phone number is (610) 378-2000.
St. Joseph Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 390096.
The National Provider Identifier (NPI) on file for St. Joseph Medical Center is 1699734665.
St. Joseph Medical Center is affiliated with Penn State Health.
St. Joseph Medical Center lists 35 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
327 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers