CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Chilton Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$25,169
about 1.8× the $14,044 Medicare rate · typically $15,986–$42,393
modeled estimate · not a bill or quote
What this hospital charges insurers
$30,064
Above the fair price
about $4,895 over the fair price · 2.1× Medicare
Medicare pays $14,044 Fair price $25,169 This hospital $30,064 Cash price $19,779 Hospital's list price $97,863

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $15,142 Priciest $30,064

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $25,169 (about 1.8× the $14,044 Medicare rate). Chilton Medical Center charges insurers about $30,064, or about $19,779 in cash — above the fair price. Located in Pompton Plains, NJ.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $25,169. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $28,530 - $29,412 203%
Blue Cross Blue Shieldmajor $5,941 - $42,442 42%
Aetnamajor $5,941 - $38,570 42%
Cignamajor $15,823 - $49,487 113%
Humanamajor $43,965 313%
Ambetter (Centene) $32,596 232%
AmeriHealth $16,140 115%
GEHA $29,412 209%
Harvard Pilgrim $29,412 209%
Health Net $8,682 - $38,570 62%
MVP Health Care $44,988 320%
Oscar Health $43,965 313%
Tufts Health Plan $44,988 320%
UPMC Health Plan $17,405 124%
WellCare $16,931 121%
+ 40 smaller / regional plans $5,203 - $49,487
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 97 West Parkway, Pompton Plains, NJ 07444
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals