CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Forbes Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$99
about 0.4× the $224 Medicare rate · typically $19–$221
modeled estimate · not a bill or quote
What this hospital charges insurers
$42
Below the fair price — a good deal
about $57 under the fair price · 0.2× Medicare
Medicare pays $224 Fair price $99 This hospital $42 Cash price $464 Hospital's list price $595

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $42

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Breathing treatment (nebulizer) is about $99 (about 0.4× the $224 Medicare rate). Forbes Hospital charges insurers about $42, or about $464 in cash — below the fair price — a good deal. Located in Monroeville, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $31 - $618 14%
Blue Cross Blue Shieldmajor $9 - $382 4%
Aetnamajor $203 - $558 91%
Cignamajor $12 - $571 5%
Humanamajor $207 93%
AmeriHealth $205 92%
Medical Mutual $571 255%
Molina $213 95%
+ 4 smaller / regional plans $6 - $196
Government programs also on file: Medicare.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2570 Haymaker Road, Monroeville, PA 15146
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals