Reading Hospital maintains a comprehensive list of charges for each inpatient and outpatient service or item we provide – every test, exam, surgical procedure, room charge, etc. This list, known as a Charge Master, contains thousands of services and related charges.
In order to be transparent, we have published our Charge Master here to help patients better understand the pricing of healthcare. Payment amounts vary by insurers and are the basis for insurers determining your copays, coinsurances, and deductibles. For assistance with understanding your costs for services or items, please use our online Patient Estimate Tool.
Patients with no insurance coverage may be eligible for a self-pay rate. Non-insured patients should call the Tower Health Business Office at 484-628-1000 to determine if they qualify for this rate. The online Patient Estimate Tool will provide the self-pay rate automatically, but non-insured patients should call to ensure they are eligible for this rate and that it is appropriately applied to their account.
Many factors impact how hospitals establish their charges, including the cost of living in hospital's area and the overall scope of services provided. While the hospital’s list of charges is the same for all patients receiving the same service, every patient’s health is unique, requiring different levels of care that produce varying bill amounts. In addition, the Charge Master does not include the charges from healthcare providers who may bill you separately from the hospital, such as your personal doctors, surgeons, anesthesiologists, etc.
In addition to providing our Charge Master, Reading Hospital has also provided information on how we are paid by the major insurers who contract with us to provide services to their insured members who are our patients. Insurers’ payments for hospital-based physician services are based on Fee Schedules. Insurers’ payments for hospital services are based on service packages such as Diagnosis Related Groups (DRGs) for inpatients and Ambulatory Patient Classifications (APCs) for outpatients and various other complex payment methodologies.
The information provided on contracted insurers’ payments is primarily for use by the Center for Medicare and Medicaid Services (CMS). It must be provided on each hospital website annually per the CMS Price Transparency Regulations. CMS is hopeful that researchers, employers, and other developers will be able to use this information to build new tools to help patients better understand and navigate the complexities of healthcare services, charges, and payments.
Thank you for choosing Reading Hospital for your healthcare services.