Spinal fusion, single level (inpatient stay)
Facility: Conemaugh Memorial Medical Center
Billing Code: 451 (MS-DRG)
This hospital's typical commercial price is $28,246 compared to the $27,941 fair price benchmark.
2-Star CMS clinical quality rating paired with 1.01× fair market pricing.
Highest price of the 9 PA hospitals we have prices for — worth calling around.
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 $27,941 (about 1.2× the $23,504 Medicare rate). Conemaugh Memorial Medical Center charges insurers about $28,246, or about $30,642 in cash — about the fair price. Located in Johnstown, 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
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 | $27,131 - $42,531 | 115% |
| Blue Cross Blue Shieldmajor | $28,777 - $58,039 | 122% |
| Aetnamajor | $28,216 - $38,575 | 120% |
| Cignamajor | $27,131 - $37,109 | 115% |
| Ambetter (Centene) | $55,270 | 235% |
| AmeriHealth | $27,673 | 118% |
| Devoted Health | $24,225 | 103% |
| Geisinger | $27,131 - $50,067 | 115% |
| UPMC Health Plan | $28,276 - $35,915 | 120% |
| + 3 smaller / regional plans | $27,131 - $27,945 |
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.
Other Procedures at Conemaugh Memorial Medical Center
Compare: Spinal fusion, single level (inpatient stay) at other PA hospitals
- Independence Health System Butler Memorial Hospita · Butler $11,459
- Geisinger-Bloomsburg Hospital · Bloomsburg $21,593
- Advanced Surgical Hospital · Washington $22,477
- Allegheny Valley Hospital · Natrona $22,528
- Canonsburg General Hospital · Canonsburg $22,545
- Penn State Health Lancaster Medical Center · Lancaster $22,668
- Meadville Medical Center · Meadville $23,056
- Ahn Wexford Hospital · Wexford $23,107
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Conemaugh Memorial Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $27,808
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $27,808).
Self-Pay Cash Rate ($30,642) Beats Your Bill
Conemaugh Memorial Medical Center's published 45 CFR § 180 self-pay cash rate is $30,642 (vs. $28,246 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $27,941 Fair BaseRate ($23,504 Medicare)
Your bill ($76,605) is $48,664 above the denoised Fair BaseRate ($27,941) and 3.3× the $23,504 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.