{"hospital":{"ccn":"390062","name":"CONEMAUGH NASON MEDICAL CENTER","city":"ROARING SPRING","state":"PA","zip":"16673","phone":"814-224-2141","ownership":"Voluntary non-profit - Other","website_domain":"conemaugh.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Uninsured patients whose family income is equal to or less than 200% of the Federal Poverty Guidelines are generally eligible for free emergency and medically necessary care.","source_id":"application-92e1515c566ef4e5","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"discount_tiers":{"value":[{"min_fpl_exclusive":"200","max_fpl_inclusive":"225","discount_percent":90},{"min_fpl_exclusive":"225","max_fpl_inclusive":"250","discount_percent":80},{"min_fpl_exclusive":"250","max_fpl_inclusive":"275","discount_percent":70},{"min_fpl_exclusive":"275","max_fpl_inclusive":"300","discount_percent":60}],"layer":"documented","quote":"Less than or equal to 200%  201% - 225%  226% - 250%  251% - 275%  276% - 300% \n\nFamily Income as a Percent of 2024 Federal Poverty Guidelines \n\nDiscount Applied  100% Discount \n\n[90%] \n\nDiscount \n\n[80%] \n\nDiscount \n\n[70%] \n\nDiscount \n\n[60%] \n\nDiscount","source_id":"fap-890c5d67abe9052e","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"asset_test":null,"residency":null,"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["proof_of_income","social_security_letter","tax_return","pay_stubs","bank_statements"],"layer":"documented","quote":"Attach copies of the documents listed below for both the patient/guarantor and spouse (please submit only copies; no original documents): \n\n Most recent tax return, including W-2 forms and supporting schedules \n\n Last 2 pay stubs or a letter from an employer verifying income (include employer’s phone number and address) \n\n Bank statements for the past 2 months \n\n Written verification of any other income received (e.g. child support, social security, alimony) OR \n\n If you have no income, a letter or a comment below from you stating your source for paying living expenses","source_id":"application-6ba0a7790bee32d2","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Submit your application to:\n\nDLP CONEMAUGH MEMORIAL MEDICAL CENTER\n\nPatient Financial Services 1086 Franklin Street Johnstown PA 15905 Attention: Billing Office\n\nDLP CONEMAUGH MINERS HOSPITAL\n\nP o Box 689 290 Haida Avenue Hastings PA 16646 Attention: Billing Office\n\nDLP CONEMAUGH MEYERSDALE MEDICAL CENTER\n\nPatient Financial Services 200 Hospital Drive Meyersdale PA 15552 Attention: Billing Office\n\nDLP CONEMAUGH PHYSICIAN PRACTICES\n\n1086 Franklin Street Johnstown PA 15905 Attention: Billing Office\n\nNASON HOSPITAL\n\n105 Nason Drive Roaring Spring, PA 16673 Attention: Billing Office"}],"layer":"documented","quote":"Submit your application to: \n\nDLP CONEMAUGH MEMORIAL MEDICAL CENTER \n\nPatient Financial Services 1086 Franklin Street Johnstown PA 15905 Attention: Billing Office \n\nDLP CONEMAUGH MINERS HOSPITAL \n\nP o Box 689 290 Haida Avenue Hastings PA 16646 Attention: Billing Office \n\nDLP CONEMAUGH MEYERSDALE MEDICAL CENTER \n\nPatient Financial Services 200 Hospital Drive Meyersdale PA 15552 Attention: Billing Office \n\nDLP CONEMAUGH PHYSICIAN PRACTICES \n\n1086 Franklin Street Johnstown PA 15905 Attention: Billing Office \n\nNASON HOSPITAL \n\n105 Nason Drive Roaring Spring, PA 16673 Attention: Billing Office","source_id":"application-6ba0a7790bee32d2","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":null,"hours":null,"languages":null},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"fap-7f5d63d3e03cb83e","kind":"hospital_web","url":"https://www.conemaugh.org/charity-care","title":"Charity Care | Financial Assistance","fetched_on":"2026-10-11","sha256":"7f5d63d3e03cb83ee5965b90a3a3d6ee25bc85f83d89cf82dfea4c1a7632bc61","effective_date":null},{"id":"billing-286259b83c90e09c","kind":"hospital_web","url":"https://www.conemaugh.org/docs/ahconemaughhealthsystemlibraries/default-document-library/chs-lpnt-501r-billing-collection-policy-032624_2.pdf","title":"BILLING AND COLLECTIONS POLICY","fetched_on":"2026-10-11","sha256":"286259b83c90e09c25f45e054189d2d5bd7537d457a4f34a941027b32b1c2bad","effective_date":null},{"id":"billing-d3f86e6ce21d4f7d","kind":"hospital_web","url":"https://conemaugh.org/financial-services-billing","title":"Financial Services & Billing | Conemaugh Health System","fetched_on":"2026-10-11","sha256":"d3f86e6ce21d4f7d11189a90f98488e0a974683f0f634ff09d519116eec80a6d","effective_date":null},{"id":"billing-d3f86e6ce21d4f7d","kind":"hospital_web","url":"https://www.conemaugh.org/financial-services-billing","title":"Financial Services & Billing | Conemaugh Health System","fetched_on":"2026-10-11","sha256":"d3f86e6ce21d4f7d11189a90f98488e0a974683f0f634ff09d519116eec80a6d","effective_date":null},{"id":"fap-890c5d67abe9052e","kind":"hospital_web","url":"https://www.conemaugh.org/docs/ahconemaughhealthsystemlibraries/default-document-library/lpnt-501r-billing-collection-policy-website.pdf","title":"Financial Assistance Policy","fetched_on":"2026-10-11","sha256":"890c5d67abe9052ee0abe52c14482d74a2a2ea5a61379cb07ee7d675affae14d","effective_date":null},{"id":"application-92e1515c566ef4e5","kind":"hospital_web","url":"https://www.conemaugh.org/docs/ahconemaughhealthsystemlibraries/default-document-library/lpnt-pls-form-conemaugh-health-system-03-26-24_1.pdf","title":"Financial Assistance Policy Plain Language Summary","fetched_on":"2026-10-11","sha256":"92e1515c566ef4e54de9650e7e2995331e5ba3649ec4617574c19e1f098aa2d0","effective_date":null},{"id":"application-6ba0a7790bee32d2","kind":"hospital_web","url":"https://www.conemaugh.org/docs/ahconemaughhealthsystemlibraries/default-document-library/lpnt-faa-form-conemaugh-health-system-03-26-24_1.pdf","title":"Financial Assistance Downloadable Application","fetched_on":"2026-10-11","sha256":"6ba0a7790bee32d2173f3284331ac16a88cf0705a6c926eaea1fb17b92008a42","effective_date":null},{"id":"billing-cd9e380478b55e9f","kind":"hospital_web","url":"https://www.conemaugh.org/docs/ahconemaughhealthsystemlibraries/default-document-library/guide-to-healthcare-billing-2012.pdf","title":"Guide to Healthcare Billing","fetched_on":"2026-10-11","sha256":"cd9e380478b55e9fbe71f8ab62e96dc2645d0e3d59ee2263ebac9ebefe17afde","effective_date":null}],"accuracy":null}