Pennsylvania / Conemaugh Nason Medical Center
CMS certification 390062 · Roaring Spring, PA · 2 entries in CMS's price-transparency list
Conemaugh Nason Medical Center: charges and Medicare payments
Conemaugh Nason Medical Center reported 107 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 2.51 times what it was paid — among the lower ratios in Pennsylvania, number 106 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: 33 stays at an average charge of $20,377, 77% below the national average. It also billed 558 outpatient services, charging 4.84 times what Medicare paid.
- 1Medicare inpatient stays 107
- 2Charge ÷ paid, inpatient 2.51×
- 3Rank in PA (highest ratio = 1) 106 of 117
- 4CMS price-transparency actions 2
Inpatient stays
For the 5 DRGs that can be compared with the national average, Conemaugh Nason Medical Center charged more than the national average in 0 (0%). 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 | 33 | $20,377 | -77% | $13,620 |
| 291 Heart Failure and Shock with MCC | 26 | $13,380 | -76% | $9,381 |
| 467 Revision of Hip or Knee Replacement with CC | 21 | $91,185 | -42% | $23,148 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $32,477 | -72% | $13,891 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $40,495 | -60% | $14,462 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Endovascular Procedures | 178 | $9,573 | $2,903 |
| Level 5 Musculoskeletal Procedures | 87 | $46,780 | $11,508 |
| Comprehensive Observation Services | 74 | $11,011 | $2,419 |
| Level 3 Endovascular Procedures | 48 | $28,511 | $9,477 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 41 | $6,217 | $982 |
| Level 6 Musculoskeletal Procedures | 26 | $75,054 | $16,034 |
| Level 1 Laparoscopy and Related Services | 24 | $15,374 | $5,154 |
| Level 4 Musculoskeletal Procedures | 21 | $31,415 | $6,390 |
| Level 3 Musculoskeletal Procedures | 18 | $16,902 | $2,891 |
| Level 3 Pacemaker and Similar Procedures | 18 | $38,354 | $9,532 |
| Level 1 Intraocular Procedures | 12 | $12,886 | $2,081 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 11 | $16,337 | $3,090 |
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Conemaugh Nason Medical Center charged $20,377 on average, 77% less than the Pennsylvania average of $88,167, and was paid $13,620 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Conemaugh Nason Medical Center charged $13,380 on average, 77% less than the Pennsylvania average of $57,362, and was paid $9,381 against a state average of $11,112. For Revision of Hip or Knee Replacement with CC (DRG 467), Conemaugh Nason Medical Center charged $91,185 on average, 37% less than the Pennsylvania average of $145,316, and was paid $23,148 against a state average of $30,181. For Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC (DRG 322), Conemaugh Nason Medical Center charged $32,477 on average, 71% less than the Pennsylvania average of $113,026, and was paid $13,891 against a state average of $16,712. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $9,573 was 66% below the state average of $28,496. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $46,780 was 26% below the state average of $63,627. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,011 was 49% below the state average of $21,732. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $28,511 was 65% below the state average of $81,234.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Conemaugh Nason Medical Center in Roaring Spring, 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 4016)
- Met Requirements — 2025-06-17 (CMS case 5222)
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.