CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Conemaugh Memorial Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$27,521

about 1.2× the $23,504 Medicare rate · typically $22,310–$33,541

modeled estimate · not a bill or quote

What this hospital charges insurers

$28,246

About the fair price

about $725 over the fair price · 1.2× Medicare

Medicare pays $23,504 Fair price $27,521 This hospital $28,246 Cash price $30,642 Hospital's list price $76,605

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 $28,246

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 $27,521 (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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$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

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 30,642), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Conemaugh Memorial Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

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 $20,421
Uniontown Hospital · Uniontown $21,447
Meadville Medical Center · Meadville $22,466
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

Insurance negotiated median for the same procedure, sorted lowest first.