Chilton Medical Center
Chilton Medical Center in Pompton Plains, NJ charges 10.3x the Medicare reimbursement rate across 78 analyzed procedures, with 17% showing particularly high markups.
Pompton Plains, NJ 07444 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
F
Very high
Avg markup vs Medicare
10.28x
Charge / Medicare rate
Max markup
18.63x
Worst procedure
Procedures analyzed
78
With pricing data
Outlier procedures
16.7%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $51,462 | $25,731 | — | 18.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $66,832 | $33,416 | — | 16x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $78,255 | $39,128 | — | 15.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $75,741 | $37,871 | — | 14.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $73,647 | $36,824 | — | 14.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $72,782 | $36,391 | — | 13.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $66,038 | $33,019 | — | 13.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $100,384 | $50,192 | — | 13.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $77,909 | $38,954 | — | 13.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $62,178 | $31,089 | — | 12.7x |
| SYNCOPE AND COLLAPSE | 312 | $72,385 | $36,193 | — | 12.7x |
| PLEURAL EFFUSION WITH MCC | 186 | $131,177 | $65,589 | — | 12.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $106,704 | $53,352 | — | 12.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $87,561 | $43,781 | — | 12.4x |
| RENAL FAILURE WITH CC | 683 | $72,668 | $36,334 | — | 12.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $57,241 | $28,620 | — | 12x |
| HYPERTENSION WITHOUT MCC | 305 | $55,737 | $27,868 | — | 11.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $126,007 | $63,004 | — | 11.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $78,663 | $39,331 | — | 11.9x |
| DYSEQUILIBRIUM | 149 | $55,163 | $27,581 | — | 11.8x |
| RENAL FAILURE WITH MCC | 682 | $132,153 | $66,077 | — | 11.7x |
| DIABETES WITH CC | 638 | $58,739 | $29,370 | — | 11.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $145,890 | $72,945 | — | 11.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $70,079 | $35,039 | — | 11.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $76,419 | $38,209 | — | 11.4x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $59,500 | $29,750 | — | 11.2x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $79,427 | $39,713 | — | 11.2x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $72,319 | $36,159 | — | 11.1x |
| SEIZURES WITHOUT MCC | 101 | $68,119 | $34,059 | — | 11x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $77,286 | $38,643 | — | 11x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $94,391 | $47,196 | — | 10.8x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $52,893 | $26,446 | — | 10.8x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $63,942 | $31,971 | — | 10.7x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $146,451 | $73,225 | — | 10.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $56,073 | $28,036 | — | 10.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $65,268 | $32,634 | — | 10.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $67,134 | $33,567 | — | 9.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $193,670 | $96,835 | — | 9.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $87,472 | $43,736 | — | 9.8x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $65,889 | $32,945 | — | 9.7x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $74,388 | $37,194 | — | 9.7x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $101,152 | $50,576 | — | 9.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $153,822 | $76,911 | — | 9.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $129,642 | $64,821 | — | 9.5x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $98,154 | $49,077 | — | 9.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $147,339 | $73,670 | — | 9.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $132,883 | $66,442 | — | 9.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $112,310 | $56,155 | — | 9.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $85,377 | $42,688 | — | 9.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $56,164 | $28,082 | — | 9.3x |
Showing 50 of 78 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use