CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Forbes Hospital

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$715

about 0.2× the $3,343 Medicare rate · typically $690–$1,329

modeled estimate · not a bill or quote

What this hospital charges insurers

$750

About the fair price

about $35 over the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $715 This hospital $750 Cash price $338 Hospital's list price $1,538

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

On the higher side — 7 of 8 other PA hospitals charge less.

Cheapest $606 Priciest $785

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

A fair price for a Knee arthroscopy with meniscus repair is about $715 (about 0.2× the $3,343 Medicare rate). Forbes Hospital charges insurers about $750, or about $338 in cash — about the fair price. 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	$788 - $9,861	24%
Blue Cross Blue Shieldmajor	$676 - $6,101	20%
Aetnamajor	$652 - $8,896	20%
Cignamajor	$868 - $9,114	26%
Humanamajor	$3,309	99%
AmeriHealth	$571 - $3,277	17%
Geisinger	$788 - $1,491	24%
Medical Mutual	$9,114	273%
Molina	$3,402	102%
+ 6 smaller / regional plans	$58 - $10,252

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 338), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 29881.

Insurance Before you use insurance

Call your insurance company to confirm Forbes Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 29881.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Forbes Hospital

Compare: Knee arthroscopy with meniscus repair at other PA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.