Pennsylvania / Conemaugh Memorial Medical Center
CMS certification 390110 · Johnstown, PA · 4 entries in CMS's price-transparency list
Conemaugh Memorial Medical Center: charges and Medicare payments
Conemaugh Memorial Medical Center reported 1,311 Medicare inpatient stays across 54 DRGs in 2024. Across them it charged 3.12 times what it was paid — among the lower ratios in Pennsylvania, number 98 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 208 stays at an average charge of $51,980, 42% below the national average. It also billed 1,048 outpatient services, charging 6.35 times what Medicare paid.
- 1Medicare inpatient stays 1,311
- 2Charge ÷ paid, inpatient 3.12×
- 3Rank in PA (highest ratio = 1) 98 of 117
- 4CMS price-transparency actions 4
Inpatient stays
For the 54 DRGs that can be compared with the national average, Conemaugh Memorial Medical Center charged more than the national average in 3 (6%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 208 | $51,980 | -42% | $18,393 |
| 291 Heart Failure and Shock with MCC | 85 | $29,040 | -48% | $12,146 |
| 177 Respiratory Infections and Inflammations with MCC | 79 | $42,303 | -40% | $15,988 |
| 193 Simple Pneumonia and Pleurisy with MCC | 49 | $35,324 | -41% | $12,679 |
| 683 Renal Failure with CC | 38 | $25,365 | -38% | $8,632 |
| 689 Kidney and Urinary Tract Infections with MCC | 33 | $26,778 | -48% | $11,294 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 31 | $19,850 | -51% | $7,758 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 29 | $264,550 | +20% | $42,367 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 27 | $42,341 | -44% | $15,176 |
| 481 Hip and Femur Procedures except Major Joint with CC | 27 | $84,829 | -16% | $19,534 |
| 690 Kidney and Urinary Tract Infections without MCC | 27 | $21,543 | -43% | $7,828 |
| 312 Syncope and Collapse | 26 | $24,573 | -46% | $8,503 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 26 | $120,042 | -48% | $44,695 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $32,212 | -34% | $10,023 |
| 682 Renal Failure with MCC | 25 | $31,886 | -52% | $13,276 |
| 552 Medical Back Problems without MCC | 22 | $29,711 | -39% | $9,315 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $30,184 | -48% | $11,756 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 20 | $33,856 | -54% | $15,651 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 19 | $125,005 | -20% | $29,074 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $37,853 | -37% | $12,915 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 18 | $26,824 | -52% | $9,743 |
| 101 Seizures without MCC | 18 | $22,273 | -54% | $8,684 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 18 | $56,716 | -58% | $25,020 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $24,941 | -49% | $9,370 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $23,296 | -35% | $7,226 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $48,527 | -43% | $16,828 |
| 252 Other Vascular Procedures with MCC | 16 | $116,729 | -32% | $31,612 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 16 | $24,225 | -57% | $11,367 |
| 394 Other Digestive System Diagnoses with CC | 16 | $23,157 | -51% | $9,028 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 15 | $52,539 | -47% | $18,793 |
| 069 Transient Ischemia without Thrombolytic | 15 | $28,329 | -44% | $7,730 |
| 100 Seizures with MCC | 15 | $53,499 | -43% | $17,360 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 15 | $99,858 | -39% | $29,049 |
| 885 Psychoses | 15 | $46,653 | +6% | $15,398 |
| 330 Major Small and Large Bowel Procedures with CC | 14 | $76,998 | -35% | $22,257 |
| 811 Red Blood Cell Disorders with MCC | 14 | $39,263 | -42% | $13,367 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 14 | $156,185 | -52% | $59,766 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $41,293 | -37% | $13,463 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $31,780 | -37% | $10,637 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $23,980 | -38% | $7,210 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 13 | $44,910 | -60% | $20,527 |
| 305 Hypertension without MCC | 13 | $22,630 | -44% | $7,295 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $66,843 | -32% | $19,277 |
| 313 Chest Pain | 12 | $17,907 | -55% | $6,829 |
| 389 Gastrointestinal Obstruction with CC | 12 | $24,988 | -36% | $7,939 |
| 393 Other Digestive System Diagnoses with MCC | 12 | $63,196 | -18% | $15,959 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $103,337 | +1% | $19,721 |
| 638 Diabetes with CC | 12 | $25,429 | -39% | $8,720 |
| 057 Degenerative Nervous System Disorders without MCC | 11 | $27,433 | -52% | $11,823 |
| 149 Dysequilibrium | 11 | $22,039 | -50% | $7,094 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 11 | $37,279 | -13% | $8,680 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $22,786 | -39% | $7,723 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 11 | $37,424 | -45% | $12,669 |
| 812 Red Blood Cell Disorders without MCC | 11 | $27,574 | -38% | $8,510 |
Outpatient services
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Conemaugh Memorial Medical Center charged $51,980 on average, 41% less than the Pennsylvania average of $88,167, and was paid $18,393 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Conemaugh Memorial Medical Center charged $29,040 on average, 49% less than the Pennsylvania average of $57,362, and was paid $12,146 against a state average of $11,112. For Respiratory Infections and Inflammations with MCC (DRG 177), Conemaugh Memorial Medical Center charged $42,303 on average, 41% less than the Pennsylvania average of $72,025, and was paid $15,988 against a state average of $14,034. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Conemaugh Memorial Medical Center charged $35,324 on average, 41% less than the Pennsylvania average of $59,404, and was paid $12,679 against a state average of $11,319. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,466 was 45% below the state average of $13,651. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $6,734 was 56% below the state average of $15,366. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $8,927 was 29% below the state average of $12,623. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,968 was 13% below the state average of $21,732.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Conemaugh Memorial Medical Center in Johnstown, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-23 (CMS case 4024)
- Met Requirements — 2025-06-18 (CMS case 5272)
- Warning Notice — 2026-04-15 (CMS case 7484)
- Closure Notice — 2026-06-22 (CMS case 7484)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.