How many shoppable procedure prices are published for Conemaugh Memorial Medical Center?

Conemaugh Memorial Medical Center in Johnstown, PA currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Conemaugh Memorial Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Conemaugh Memorial Medical Center's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

What is Conemaugh Memorial Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Conemaugh Memorial Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 260 Beds · rural Updated: 4/15/2026

Conemaugh Memorial Medical Center

1086 Franklin Street, Johnstown, PA 15905 · 121 Priced Procedures · 47% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

1.49×vs. Fair Market Price

Typical commercial prices here are +49% above the fair benchmark (1.49×) even after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Self-Pay Cash Beats Insurance 27% of the Time

File Completeness85

Price Logic91

Peer Alignment78

Clean Billing76

Real Cash Discount100

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.49× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Conemaugh Memorial Medical Center prices routine shoppable procedures near 1.5× Medicare (p50 1.44×) while skewing captive emergency, lab, and upper-quartile codes to 1.9× Medicare (p75 1.90×, +32% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#115 of 134 in PA · 85th State Percentile#2,627 of 3,385 in U.S. · 77th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.88× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 27% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 47% patient recommendation (59/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
Captive ER (1.7×) & laboratory (1.9×) services average 1.27× higher multiples than routine shoppable care (1.5×)
Upper-quartile procedures (Q75 1.90×) jump +32% above the median procedure ratio (Q50 1.44×)
Consolidated metro market (HHI 9,399) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.5× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.27× Divergence

1.9× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+32% Upper Tail

Q25 0.88× · Q50 1.44× · Q75 1.90×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.9× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.2× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

27% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 59/100Elevated

Procedure Prices at Conemaugh Memorial Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$30,642	$28,246	$30,775	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$16,730	$17,959	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$33,832	$17,258	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$25,998	$16,559	$17,936	0.9×
Trauma team activation HCPCS Code: `G0390`	$7,474	$7,474	$1,453	unverified
Total knee replacement CPT Code: `27447`	$7,970	$7,408	$13,523	0.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$7,917	$7,142	$8,223	0.9×
C-section delivery (full package) CPT Code: `59510`	$4,260	$3,419	$2,975	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$11,535	$2,932	$6,109	0.5×
Vaginal delivery (full package) CPT Code: `59400`	$3,758	$2,601	$2,680	1.0×
Total hip replacement CPT Code: `27130`	$8,911	$2,568	$13,413	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$5,294	$1,851	$3,372	0.5×
Inguinal hernia repair CPT Code: `49505`	$3,060	$1,851	$3,629	0.5×
Bunion correction surgery CPT Code: `28296`	$4,228	$1,502	$3,446	0.4×
Breast lump removal CPT Code: `19120`	$4,963	$1,509	$3,875	0.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,627	$1,316	$981	1.3×
Upper endoscopy with biopsy CPT Code: `43239`	$1,586	$1,316	$987	1.3×
Colonoscopy with biopsy CPT Code: `45380`	$1,758	$1,309	$1,256	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,985	$1,053	$511	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,059	$875	$448	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$1,902	$644	$1,021	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,017	$593	$338	1.8×
MRI, brain (no contrast) CPT Code: `70551`	$938	$566	$343	1.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,569	$585	$303	unverified
MRI, knee or other leg joint CPT Code: `73721`	$878	$548	$369	1.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$990	$533	$583	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,277	$465	$258	1.8×
CT scan, head (with contrast) CPT Code: `70460`	$903	$436	$242	1.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$348	$388	$272	1.4×
CT scan, pelvis CPT Code: `72192`	$786	$319	$163	2.0×
CT scan, chest (no contrast) CPT Code: `71250`	$735	$321	$167	1.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$786	$321	$168	1.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,099	$321	$169	1.9×
Rabies immune globulin HCPCS Code: `90375`	$552	$325	$322	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$824	$287	$160	1.8×
CT scan, sinuses CPT Code: `70486`	$978	$295	$166	1.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$134	$300	$185	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$274	$222	$148	1.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$497	$223	$151	1.5×
Blood transfusion CPT Code: `36430`	$526	$230	$498	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$970	$194	$126	1.5×
Speech therapy (group session) CPT Code: `92508`	$160	$160	$27	5.9×
Screening mammogram (both breasts) CPT Code: `77067`	$274	$185	$123	1.5×
Ultrasound, pelvis CPT Code: `76856`	$386	$194	$130	1.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$365	$194	$132	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$969	$194	$134	1.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	$82	$183	$166	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$109	$195	$181	1.1×
Neurobehavioral status check CPT Code: `96116`	$308	$195	$231	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$142	$166	$86	1.9×
Group therapy session CPT Code: `90853`	$89	$187	$100	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$89	$141	$35	4.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$66	$138	$40	3.5×
X-ray, hip CPT Code: `73502`	$136	$139	$93	1.5×
X-ray, lower back CPT Code: `72110`	$314	$138	$112	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$272	$130	$110	1.2×
Family therapy session CPT Code: `90847`	$107	$147	$173	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$100	$100	$38	2.6×
Orthotic fitting and training CPT Code: `97760`	$110	$110	$51	2.2×
X-ray, chest (two views) CPT Code: `71046`	$109	$104	$93	1.1×
X-ray, chest (single view) CPT Code: `71045`	$103	$96	$92	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$235	$89	$93	1.0×
X-ray, foot CPT Code: `73630`	$197	$81	$92	0.9×
X-ray, pelvis CPT Code: `72170`	$135	$81	$110	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$272	$87	$123	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$97	$97	$86	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$519	$519	$203	2.6×
Typhoid vaccine HCPCS Code: `90675`	$931	$314	$347	0.9×
Drug screening test HCPCS Code: `G0480`	$83	$148	$116	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$76	$76	$20	3.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$37	$37	$10	3.7×
Hepatitis C antibody test CPT Code: `86803`	$54	$54	$15	3.6×
Blood test, vitamin D CPT Code: `82306`	$92	$59	$31	1.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$140	$61	$56	1.1×
X-ray, shoulder CPT Code: `73030`	$211	$77	$92	0.8×
X-ray, hand CPT Code: `73130`	$95	$75	$93	0.8×
X-ray, ankle CPT Code: `73610`	$276	$74	$93	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	$349	$85	$140	0.6×
Prosthetic fitting and training CPT Code: `97761`	$79	$79	$45	unverified
Physical therapy (gait training) CPT Code: `97116`	$51	$51	$33	1.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$272	$72	$87	0.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$60	$25	$11	2.3×
Blood test, basic metabolic panel CPT Code: `80048`	$56	$20	$9	2.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$37	$28	$14	2.0×
Blood test, calcium CPT Code: `82310`	$34	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$29	$10	$5	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$26	$8	$4	2.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$36	$27	$14	1.9×
Blood test, vitamin B12 CPT Code: `82607`	$42	$30	$16	1.9×
Blood test, amylase CPT Code: `82150`	$56	$13	$7	1.9×
Occupational therapy (self-care training) CPT Code: `97535`	$68	$33	$38	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$302	$49	$111	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$120	$54	$201	0.3×
Blood test, lipase CPT Code: `83690`	$64	$14	$7	2.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$54	$37	$19	1.9×
Blood test, sodium CPT Code: `84295`	$19	$10	$5	2.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$53	$34	$18	1.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$17	$8	$4	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$37	$16	$8	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$53	$12	$6	2.0×
Culture, blood CPT Code: `87040`	$83	$21	$11	1.9×
Culture, bacterial CPT Code: `87070`	$93	$17	$9	1.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$181	$36	$25	1.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$26	$41	$35	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	$80	$41	$37	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$77	$40	$39	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$51	$51	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$48	$48	$34	unverified
Blood test, magnesium CPT Code: `83735`	$57	$13	$7	1.9×
Blood test, hemoglobin CPT Code: `85018`	$29	$5	$3	1.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$29	$8	$5	1.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$57	$28	$25	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	$37	$37	$49	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$124	$33	$64	0.5×
Flu vaccine injection HCPCS Code: `G0008`	$22	$21	$48	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$37	$21	$49	0.4×
Residential substance abuse treatment HCPCS Code: `H2035`	$37	$37	$88	0.4×
Blood antibody screen CPT Code: `86850`	$56	$19	$46	0.4×
Blood test, liver function panel CPT Code: `80076`	$59	$19	$9	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$31	$8	$3	unverified
Blood test, potassium CPT Code: `84132`	$18	$9	$5	unverified

Showing top 25 high-impact procedures of 121 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Conemaugh Memorial Medical Center (Zero PHI Required)

CMS CCN: 390110

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $30,642

Insurer Median $28,246

1. Amount on Your Bill or Quote ($) Pre-filled with Conemaugh Memorial Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $45,963 Paying Cash

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.

Step 3 · Fair BaseRate Target +$45,830 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($76,605) is $45,830 above the denoised Fair BaseRate ($30,775) and 3.3× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 611739000

Public IRS & CMS ownership records classify Conemaugh Memorial Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite59/100

Would Recommend47%

Rated 9 or 10 (HCAHPS)51%

Median ER Wait173 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Conemaugh Memorial Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-15·warning_notice
Warning Notice
Recorded
2025-06-18·administrative_or_closure
Met Requirements
Recorded
2025-04-23·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (2,186 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Conemaugh Memorial Medical Center.

Price Index: 1.47× regional baseline

Quality: 50/100 CMS composite

Median Household Income$56,292U.S. Census ACS

Local Uninsured Share3.6%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 86/100 · Verified CMS CCN 390110 EIN 611739000

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 390110) ↗ Verify IRS Form 990 (EIN 611739000) ↗ CMS HCRIS Cost Reports ↗

Published MRF File611739000_conemaugh-memorial-medical-center_standardcharges.csv.zip!611739000_conemaugh-memorial-medical-center_standardcharges.csv

Publication / Vintage4/15/2026 · 0.61 MB

Validated Rate Rows412 (CMS v3.0.0)

File Integrity Digestdf245646c7fc086804dd…

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.

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