CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Chilton Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$34,605
about 1.5× the $23,504 Medicare rate · typically $24,429–$98,852
modeled estimate · not a bill or quote
What this hospital charges insurers
$64,595
Well above the fair price
about $29,990 over the fair price · 2.7× Medicare
Medicare pays $23,504 Fair price $34,605 This hospital $64,595 Cash price $36,565 Hospital's list price $142,221

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 $24,753 Priciest $64,595

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $34,605 (about 1.5× the $23,504 Medicare rate). Chilton Medical Center charges insurers about $64,595, or about $36,565 in cash — well 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 $34,605. 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 $81,225 - $83,738 346%
Blue Cross Blue Shieldmajor $29,197 124%
Aetnamajor $23,889 - $64,595 102%
Cignamajor $26,543 - $82,877 113%
Humanamajor $73,631 313%
Ambetter (Centene) $60,259 256%
AmeriHealth $27,074 115%
GEHA $83,738 356%
Harvard Pilgrim $83,738 356%
Health Net $8,682 - $64,595 37%
MVP Health Care $75,343 321%
Oscar Health $73,631 313%
Tufts Health Plan $75,343 321%
UPMC Health Plan $29,197 124%
WellCare $28,401 121%
+ 35 smaller / regional plans $7,532 - $83,738
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