50/100
#1,252 nationally
Forbes Hospital
2570 Haymaker Road, Monroeville, PA 15146 · (412) 858-2000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Forbes Hospital billed $5.04 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.0x
- volume-weighted across all its priced work
- Procedures priced
- 86
- inpatient and outpatient combined
- Rank in PA
- #53
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 34% of U.S. hospitals.
Better than 58% of U.S. hospitals.
Better than 52% of U.S. hospitals.
Better than 82% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
599 | $19,053 | $2,419 | about average |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
156 | $70,896 | $14,701 | +9% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
141 | $39,951 | $11,668 | -36% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
130 | $52,991 | $10,073 | +22% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
117 | $16,254 | $2,915 | -36% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
56 | $59,480 | $12,100 | +8% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
56 | $15,403 | $3,029 | -25% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
55 | $9,958 | $961 | about average |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
55 | $19,718 | $2,809 | +3% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
49 | $19,687 | $4,622 | -28% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$24,294 | $2,503 | +37% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$52,991 | $10,073 | +22% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$179,630 | $29,297 | +21% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$58,021 | $9,824 | +20% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$98,925 | $16,902 | +19% |
|
Major Chest Procedures with Complications
MS-DRG 164 · Inpatient stay |
$128,714 | $19,002 | +18% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$55,109 | $10,334 | +16% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
$37,973 | $6,517 | +14% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$39,951 | $11,668 | -36% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$16,254 | $2,915 | -36% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
$22,382 | $5,824 | -33% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$56,826 | $16,610 | -32% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$12,519 | $2,792 | -31% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$26,579 | $6,113 | -31% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$21,264 | $6,766 | -30% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$157,829 | $47,427 | -29% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.