CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Conemaugh Memorial Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$99
about 0.8× the $118 Medicare rate · typically $68–$204
modeled estimate · not a bill or quote
What this hospital charges insurers
$130
Above the fair price
about $31 over the fair price · 1.1× Medicare
Medicare pays $118 Fair price $99 This hospital $130 Cash price $272 Hospital's list price $680

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 $130

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

A fair price for a New patient office visit (30-44 min) is about $99 (about 0.8× the $118 Medicare rate). Conemaugh Memorial Medical Center charges insurers about $130, or about $272 in cash — above the fair price. Located in Johnstown, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $99. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $26 22%
UPMC Health Plan $234 199%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1086 Franklin Street, Johnstown, PA 15905
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals