Penn State Health St. Joseph
Penn State Health St. Joseph in Reading, PA charges 6.0x the Medicare reimbursement rate across 45 analyzed procedures, making it important to understand pricing before receiving care.
Reading, PA 19605 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
D
High
Avg markup vs Medicare
5.95x
Charge / Medicare rate
Max markup
9.25x
Worst procedure
Procedures analyzed
45
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $119,369 | $59,685 | — | 9.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $71,132 | $35,566 | — | 8.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $106,824 | $53,412 | — | 8.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $158,702 | $79,351 | — | 7.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $46,904 | $23,452 | — | 7.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $121,450 | $60,725 | — | 7.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $70,439 | $35,219 | — | 7.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $43,938 | $21,969 | — | 7.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $59,334 | $29,667 | — | 7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $44,818 | $22,409 | — | 6.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $90,779 | $45,390 | — | 6.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $34,450 | $17,225 | — | 6.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $20,481 | $10,240 | — | 6.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $53,224 | $26,612 | — | 6.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $29,508 | $14,754 | — | 6.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $30,201 | $15,101 | — | 6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $103,166 | $51,583 | — | 6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $64,126 | $32,063 | — | 6x |
| RENAL FAILURE WITH MCC | 682 | $62,711 | $31,356 | — | 6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $42,432 | $21,216 | — | 5.9x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $137,732 | $68,866 | — | 5.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $42,017 | $21,008 | — | 5.8x |
| DIABETES WITH CC | 638 | $32,015 | $16,008 | — | 5.8x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $37,348 | $18,674 | — | 5.8x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $28,510 | $14,255 | — | 5.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $28,012 | $14,006 | — | 5.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $43,238 | $21,619 | — | 5.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $41,310 | $20,655 | — | 5.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $29,118 | $14,559 | — | 5.6x |
| SYNCOPE AND COLLAPSE | 312 | $31,977 | $15,988 | — | 5.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $25,450 | $12,725 | — | 5.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $28,237 | $14,119 | — | 5.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $26,528 | $13,264 | — | 5.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $44,890 | $22,445 | — | 5.1x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $160,324 | $80,162 | — | 5.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $69,526 | $34,763 | — | 5.1x |
| CELLULITIS WITHOUT MCC | 603 | $27,242 | $13,621 | — | 5x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $183,938 | $91,969 | — | 5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $170,874 | $85,437 | — | 4.9x |
| RENAL FAILURE WITH CC | 683 | $26,945 | $13,472 | — | 4.8x |
| DYSEQUILIBRIUM | 149 | $21,731 | $10,865 | — | 4.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $38,770 | $19,385 | — | 4.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $32,400 | $16,200 | — | 4.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $48,701 | $24,350 | — | 4.1x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $28,443 | $14,222 | — | 4.1x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use