CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Chilton Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$140
about 1.0× the $136 Medicare rate · typically $105–$200
modeled estimate · not a bill or quote
What this hospital charges insurers
$150
About the fair price
about $10 over the fair price · 1.1× Medicare
Medicare pays $136 Fair price $140 This hospital $150 Cash price $115 Hospital's list price $1,221

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 $65 Priciest $150

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

A fair price for a Office visit, established patient (30-39 min) is about $140 (about 1.0× the $136 Medicare rate). Chilton Medical Center charges insurers about $150, or about $115 in cash — about the fair price. 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.

6 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 $217 - $796 160%
Blue Cross Blue Shieldmajor $79 - $1,116 58%
Aetnamajor $95 - $977 70%
Cignamajor $100 - $1,193 74%
Humanamajor $268 - $895 198%
Kaiser Permanentemajor $268 - $895 198%
Ambetter (Centene) $211 156%
AmeriHealth $151 - $192 111%
GEHA $217 - $796 160%
Harvard Pilgrim $217 - $796 160%
Health Net $244 - $1,384 180%
MagnaCare $244 - $1,042 180%
MVP Health Care $100 - $1,084 74%
Oscar Health $268 - $895 198%
Tufts Health Plan $100 - $1,084 74%
UPMC Health Plan $150 111%
WellCare $150 111%
+ 79 smaller / regional plans $40 - $12,000
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 24 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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