Pennsylvania / Reading Hospital
CMS certification 390044 · West Reading, PA · 6 entries in CMS's price-transparency list
Reading Hospital: charges and Medicare payments
Reading Hospital reported 7,009 Medicare inpatient stays across 168 DRGs in 2024. Across them it charged 4.42 times what it was paid — mid-range in Pennsylvania, number 57 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 814 stays at an average charge of $69,880, 23% below the national average. It also billed 4,278 outpatient services, charging 7.69 times what Medicare paid.
- 1Medicare inpatient stays 7,009
- 2Charge ÷ paid, inpatient 4.42×
- 3Rank in PA (highest ratio = 1) 57 of 117
- 4CMS price-transparency actions 6
Inpatient stays
For the 168 DRGs that can be compared with the national average, Reading Hospital charged more than the national average in 14 (8%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 814 | $69,880 | -23% | $16,985 |
| 291 Heart Failure and Shock with MCC | 418 | $46,283 | -18% | $11,317 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 159 | $42,233 | -14% | $9,482 |
| 312 Syncope and Collapse | 149 | $41,139 | -10% | $7,969 |
| 690 Kidney and Urinary Tract Infections without MCC | 147 | $33,534 | -11% | $7,211 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 140 | $34,965 | -13% | $7,216 |
| 193 Simple Pneumonia and Pleurisy with MCC | 135 | $51,021 | -15% | $11,351 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 123 | $70,643 | -24% | $16,477 |
| 177 Respiratory Infections and Inflammations with MCC | 117 | $58,609 | -17% | $14,552 |
| 689 Kidney and Urinary Tract Infections with MCC | 115 | $46,953 | -9% | $10,252 |
| 552 Medical Back Problems without MCC | 103 | $37,254 | -24% | $8,552 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 101 | $160,205 | -30% | $42,525 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 99 | $48,520 | -20% | $11,286 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 95 | $55,272 | -25% | $14,362 |
| 378 Gastrointestinal Hemorrhage with CC | 92 | $45,913 | -5% | $9,090 |
| 189 Pulmonary Edema and Respiratory Failure | 86 | $54,241 | -6% | $11,363 |
| 603 Cellulitis without MCC | 86 | $30,656 | -18% | $7,741 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 85 | $99,494 | -11% | $19,207 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 83 | $33,207 | -8% | $7,179 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 82 | $47,680 | -6% | $10,090 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 74 | $55,226 | -1% | $9,418 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 74 | $72,076 | -5% | $15,205 |
| 682 Renal Failure with MCC | 73 | $56,768 | -14% | $13,147 |
| 683 Renal Failure with CC | 73 | $36,700 | -10% | $7,981 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 70 | $80,426 | -19% | $17,524 |
| 377 Gastrointestinal Hemorrhage with MCC | 69 | $71,927 | -16% | $15,231 |
| 481 Hip and Femur Procedures except Major Joint with CC | 68 | $76,390 | -24% | $17,886 |
| 057 Degenerative Nervous System Disorders without MCC | 65 | $46,001 | -19% | $11,303 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 57 | $35,889 | -3% | $6,916 |
| 092 Other Disorders of Nervous System with CC | 56 | $45,391 | -12% | $9,216 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 54 | $49,024 | -20% | $11,736 |
| 101 Seizures without MCC | 50 | $43,176 | -11% | $8,515 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 50 | $121,084 | -23% | $26,844 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 50 | $37,667 | -21% | $8,960 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 47 | $189,791 | -14% | $40,200 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 47 | $52,306 | -8% | $10,749 |
| 194 Simple Pneumonia and Pleurisy with CC | 45 | $35,188 | -8% | $7,335 |
| 149 Dysequilibrium | 44 | $38,406 | -13% | $6,765 |
| 637 Diabetes with MCC | 44 | $56,855 | -15% | $12,573 |
| 638 Diabetes with CC | 44 | $33,889 | -19% | $8,341 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 43 | $81,476 | -20% | $17,958 |
| 948 Signs and Symptoms without MCC | 43 | $32,803 | -14% | $7,006 |
| 812 Red Blood Cell Disorders without MCC | 42 | $44,310 | 0% | $8,037 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 41 | $52,790 | +5% | $8,260 |
| 313 Chest Pain | 40 | $28,313 | -29% | $6,777 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 40 | $31,949 | -25% | $7,778 |
| 394 Other Digestive System Diagnoses with CC | 39 | $42,671 | -9% | $8,579 |
| 314 Other Circulatory System Diagnoses with MCC | 38 | $65,023 | -31% | $18,042 |
| 056 Degenerative Nervous System Disorders with MCC | 37 | $82,194 | -14% | $20,947 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 36 | $52,893 | -19% | $11,602 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 35 | $47,270 | -31% | $11,260 |
| 556 Signs and Symptoms of Musculoskeletal System and Connective... | 35 | $33,504 | -17% | $7,434 |
| 329 Major Small and Large Bowel Procedures with MCC | 34 | $154,779 | -28% | $36,388 |
| 178 Respiratory Infections and Inflammations with CC | 33 | $37,729 | -17% | $8,777 |
| 202 Bronchitis and Asthma with CC/MCC | 33 | $34,563 | -25% | $8,597 |
| 184 Major Chest Trauma with CC | 32 | $38,382 | -31% | $9,437 |
| 305 Hypertension without MCC | 32 | $32,874 | -18% | $6,861 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 32 | $93,757 | -18% | $19,736 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 32 | $73,371 | -28% | $17,635 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 31 | $35,040 | -12% | $7,721 |
Showing the 60 most frequent of 168 DRGs.
Outpatient services
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Reading Hospital charged $69,880 on average, 21% less than the Pennsylvania average of $88,167, and was paid $16,985 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Reading Hospital charged $46,283 on average, 19% less than the Pennsylvania average of $57,362, and was paid $11,317 against a state average of $11,112. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Reading Hospital charged $42,233 on average, 15% less than the Pennsylvania average of $49,758, and was paid $9,482 against a state average of $9,077. For Syncope and Collapse (DRG 312), Reading Hospital charged $41,139 on average, 8% less than the Pennsylvania average of $44,683, and was paid $7,969 against a state average of $7,765. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,813 was 18% below the state average of $21,732. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $59,855 was 6% below the state average of $63,627. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,385 was 17% below the state average of $13,651. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $30,698 was 8% above the state average of $28,496.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Reading Hospital in West Reading, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-10-27 (CMS case 1026)
- CAP Request — 2022-07-27 (CMS case 1026)
- Closure Notice — 2023-01-25 (CMS case 1026)
- Met Requirements — 2025-03-24 (CMS case 3357)
- Warning Notice — 2026-04-22 (CMS case 7560)
- Closure Notice — 2026-07-27 (CMS case 7560)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.