Forbes Hospital
Forbes Hospital in Monroeville, PA charges 6.0x the Medicare reimbursement rate across 59 analyzed procedures, representing a significant markup for this nonprofit-private facility.
Monroeville, PA 15146 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
D
High
Avg markup vs Medicare
6.04x
Charge / Medicare rate
Max markup
9.9x
Worst procedure
Procedures analyzed
59
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $22,041 | $11,021 | — | 9.9x |
| HYPERTENSION WITHOUT MCC | 305 | $32,044 | $16,022 | — | 9.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $75,194 | $37,597 | — | 8.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $33,996 | $16,998 | — | 7.8x |
| SEIZURES WITHOUT MCC | 101 | $37,116 | $18,558 | — | 7.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $56,928 | $28,464 | — | 7.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $75,085 | $37,542 | — | 7.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $78,852 | $39,426 | — | 7.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $29,271 | $14,636 | — | 7.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $39,011 | $19,506 | — | 7.3x |
| DYSEQUILIBRIUM | 149 | $28,248 | $14,124 | — | 7.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $39,491 | $19,745 | — | 7x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $56,137 | $28,068 | — | 7x |
| SYNCOPE AND COLLAPSE | 312 | $35,814 | $17,907 | — | 6.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $31,829 | $15,915 | — | 6.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $39,406 | $19,703 | — | 6.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $30,622 | $15,311 | — | 6.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $72,098 | $36,049 | — | 6.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $43,849 | $21,924 | — | 6.6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $33,368 | $16,684 | — | 6.6x |
| CHEST PAIN | 313 | $26,159 | $13,080 | — | 6.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $32,607 | $16,304 | — | 6.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $34,073 | $17,036 | — | 6.5x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $53,035 | $26,518 | — | 6.4x |
| RENAL FAILURE WITH MCC | 682 | $66,497 | $33,249 | — | 6.4x |
| RENAL FAILURE WITH CC | 683 | $33,599 | $16,799 | — | 6.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $26,124 | $13,062 | — | 6.3x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $36,400 | $18,200 | — | 6.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $80,311 | $40,156 | — | 6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $125,460 | $62,730 | — | 6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $81,643 | $40,821 | — | 6x |
| DIABETES WITH MCC | 637 | $47,759 | $23,879 | — | 5.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $28,684 | $14,342 | — | 5.9x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $54,972 | $27,486 | — | 5.8x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $48,954 | $24,477 | — | 5.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $40,616 | $20,308 | — | 5.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $22,131 | $11,065 | — | 5.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $69,754 | $34,877 | — | 5.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $42,270 | $21,135 | — | 5.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $41,410 | $20,705 | — | 5.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $67,014 | $33,507 | — | 5.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $38,349 | $19,174 | — | 5.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $29,678 | $14,839 | — | 5.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $29,556 | $14,778 | — | 5.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $30,983 | $15,491 | — | 5x |
| DIABETES WITH CC | 638 | $25,719 | $12,859 | — | 4.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $51,530 | $25,765 | — | 4.8x |
| CELLULITIS WITHOUT MCC | 603 | $22,940 | $11,470 | — | 4.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $142,580 | $71,290 | — | 4.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $33,050 | $16,525 | — | 4.6x |
Showing 50 of 59 procedures
How FORBES HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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