CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Forbes Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$94
about 0.7× the $136 Medicare rate · typically $83–$103
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
About the fair price
about $1 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $94 This hospital $93 Cash price $554 Hospital's list price $710

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 $93

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 Office visit, established patient (30-39 min) is about $94 (about 0.7× the $136 Medicare rate). Forbes Hospital charges insurers about $93, or about $554 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $21 - $150 15%
Blue Cross Blue Shieldmajor $75 - $103 55%
Aetnamajor $65 48%
Cignamajor $155 114%
AmeriHealth $57 - $90 42%
Geisinger $79 - $87 58%
+ 9 smaller / regional plans $57 - $599
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