CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Forbes Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$25,452
about 1.1× the $23,504 Medicare rate · typically $20,690–$34,805
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,401
About the fair price
about $2,051 under the fair price · 1.0× Medicare
Medicare pays $23,504 Fair price $25,452 This hospital $23,401

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 $11,459 Priciest $23,401

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $25,452 (about 1.1× the $23,504 Medicare rate). Forbes Hospital charges insurers about $23,401 — 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 $21,870 - $23,620 93%
Blue Cross Blue Shieldmajor $11,968 - $42,107 51%
Aetnamajor $22,745 - $52,206 97%
Cignamajor $23,401 - $51,200 100%
Humanamajor $23,183 99%
AmeriHealth $22,964 98%
Geisinger $22,964 98%
Medical Mutual $51,200 218%
Molina $23,839 101%
+ 6 smaller / regional plans $21,870 - $31,029
Government programs also on file: Medicare.

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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