CMS Price Transparency Data

Injection procedure for pain management

Facility: Chilton Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$970

about 1.3× the $721 Medicare rate · typically $763–$2,038

modeled estimate · not a bill or quote

What this hospital charges insurers

$804

Below the fair price — a good deal

about $166 under the fair price · 1.1× Medicare

Medicare pays $721 Fair price $970 This hospital $804 Cash price $930 Hospital's list price $7,239

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 $736 Priciest $804

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

A fair price for a Injection procedure for pain management is about $970 (about 1.3× the $721 Medicare rate). Chilton Medical Center charges insurers about $804, or about $930 in cash — below the fair price — a good deal. Located in Pompton Plains, NJ.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente UnitedHealthcare

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
Blue Cross Blue Shieldmajor	$802 - $4,792	111%
Aetnamajor	$804 - $1,125	111%
Cignamajor	$804	111%
Humanamajor	$3,846	533%
Kaiser Permanentemajor	$3,846	533%
Ambetter (Centene)	$804	111%
AmeriHealth	$804 - $4,096	111%
Health Net	$3,496 - $5,943	485%
MagnaCare	$3,496 - $4,475	485%
Oscar Health	$3,846	533%
UPMC Health Plan	$804	111%
WellCare	$804	111%
+ 59 smaller / regional plans	$106 - $12,000

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 21 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 930), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: G0260.

Insurance Before you use insurance

Call your insurance company to confirm Chilton Medical Center is in-network.
Ask your insurer whether prior approval is required for HCPCS code G0260.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Chilton Medical Center

Compare: Injection procedure for pain management at other NJ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.