New Jersey / Chilton Medical Center

CMS certification 310017 · Pompton Plains, NJ · 1 entry in CMS's price-transparency list

Chilton Medical Center: charges and Medicare payments

Chilton Medical Center reported 3,109 Medicare inpatient stays across 81 DRGs in 2024. Across them it charged 8.6 times what it was paid — among the higher ratios in New Jersey, number 12 of 60 hospitals with at least 100 stays (state median 6.25×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 404 stays at an average charge of $149,464, 66% above the national average. It also billed 1,956 outpatient services, charging 9.42 times what Medicare paid.

1234
  1. 1Medicare inpatient stays 3,109
  2. 2Charge ÷ paid, inpatient 8.6×
  3. 3Rank in NJ (highest ratio = 1) 12 of 60
  4. 4CMS price-transparency actions 1
DRG 871$149,464DRG 291$99,523DRG 177$114,977DRG 193$105,020DRG 689$78,282DRG 690$59,681DRG 392$59,597DRG 189$118,074DRG 603$68,455DRG 552$69,800
Average charge per stay at Chilton Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 81 DRGs that can be compared with the national average, Chilton Medical Center charged more than the national average in 78 (96%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC404$149,464+66%$16,245
291 Heart Failure and Shock with MCC187$99,523+77%$10,545
177 Respiratory Infections and Inflammations with MCC118$114,977+63%$14,214
193 Simple Pneumonia and Pleurisy with MCC94$105,020+76%$12,120
689 Kidney and Urinary Tract Infections with MCC83$78,282+53%$9,614
690 Kidney and Urinary Tract Infections without MCC83$59,681+58%$6,766
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...78$59,597+48%$6,663
189 Pulmonary Edema and Respiratory Failure76$118,074+105%$10,451
603 Cellulitis without MCC75$68,455+84%$7,443
552 Medical Back Problems without MCC73$69,800+43%$8,039
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...66$69,413+87%$6,598
194 Simple Pneumonia and Pleurisy with CC64$68,997+80%$7,368
698 Other Kidney and Urinary Tract Diagnoses with MCC64$108,018+47%$13,750
853 Infectious and Parasitic Diseases with O.R. Procedures with...60$261,573+14%$40,075
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...59$96,771+61%$10,522
682 Renal Failure with MCC56$114,620+74%$12,931
378 Gastrointestinal Hemorrhage with CC55$75,934+56%$8,978
683 Renal Failure with CC51$85,870+111%$7,398
309 Cardiac Arrhythmia and Conduction Disorders with CC47$72,183+100%$6,214
481 Hip and Femur Procedures except Major Joint with CC45$91,979-9%$17,890
308 Cardiac Arrhythmia and Conduction Disorders with MCC43$95,163+68%$10,056
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...39$55,423+30%$7,497
178 Respiratory Infections and Inflammations with CC38$76,328+68%$8,793
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC38$92,908+89%$9,846
202 Bronchitis and Asthma with CC/MCC37$85,127+84%$8,540
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...36$96,605+73%$8,414
191 Chronic Obstructive Pulmonary Disease with CC36$62,377+57%$7,024
377 Gastrointestinal Hemorrhage with MCC36$143,568+68%$15,087
064 Intracranial Hemorrhage or Cerebral Infarction with MCC34$132,100+32%$16,733
190 Chronic Obstructive Pulmonary Disease with MCC32$109,335+116%$9,555
312 Syncope and Collapse32$72,424+59%$7,224
522 Hip Replacement with Principal Diagnosis of Hip Fracture...30$106,306+4%$17,079
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...29$102,298+68%$10,653
057 Degenerative Nervous System Disorders without MCC28$66,446+17%$10,547
280 Acute Myocardial Infarction, Discharged Alive with MCC28$120,854+59%$12,424
699 Other Kidney and Urinary Tract Diagnoses with CC28$81,860+72%$9,413
812 Red Blood Cell Disorders without MCC28$81,886+84%$7,936
536 Fractures of Hip and Pelvis without MCC27$57,910+54%$6,486
101 Seizures without MCC26$80,560+65%$7,626
394 Other Digestive System Diagnoses with CC26$64,579+37%$7,740
389 Gastrointestinal Obstruction with CC22$71,198+83%$6,571
660 Kidney and Ureter Procedures for Non-Neoplasm with CC21$90,862+35%$11,212
322 Percutaneous Cardiovascular Procedures with Intraluminal...20$142,236+24%$15,159
439 Disorders of Pancreas except Malignancy with CC20$91,341+109%$7,634
638 Diabetes with CC20$82,643+98%$8,242
069 Transient Ischemia without Thrombolytic19$61,604+22%$6,691
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale19$105,730+62%$11,599
208 Respiratory System Diagnosis with Ventilator Support <=96...19$157,118+16%$22,289
870 Septicemia or Severe Sepsis with MV >96 Hours18$340,716+5%$52,559
287 Circulatory Disorders except AMI, with Cardiac...17$87,077+36%$9,090
305 Hypertension without MCC17$55,370+38%$6,274
372 Major Gastrointestinal Disorders and Peritoneal Infections...17$71,943+52%$8,711
637 Diabetes with MCC17$101,028+52%$11,866
813 Coagulation Disorders17$88,601+11%$12,629
329 Major Small and Large Bowel Procedures with MCC16$307,301+43%$37,228
482 Hip and Femur Procedures except Major Joint without CC/MCC16$84,717+9%$12,925
811 Red Blood Cell Disorders with MCC16$98,308+44%$11,718
300 Peripheral Vascular Disorders with CC15$72,002+46%$9,527
314 Other Circulatory System Diagnoses with MCC15$148,003+56%$16,814
543 Pathological Fractures and Musculoskeletal and Connective...15$61,936+26%$9,015

Showing the 60 most frequent of 81 DRGs.

Outpatient services

Against the New Jersey average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Chilton Medical Center charged $149,464 on average, 13% more than the New Jersey average of $131,698, and was paid $16,245 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Chilton Medical Center charged $99,523 on average, 2% more than the New Jersey average of $97,469, and was paid $10,545 against a state average of $12,811. For Respiratory Infections and Inflammations with MCC (DRG 177), Chilton Medical Center charged $114,977 on average, 2% less than the New Jersey average of $117,022, and was paid $14,214 against a state average of $16,115. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Chilton Medical Center charged $105,020 on average, 5% more than the New Jersey average of $100,241, and was paid $12,120 against a state average of $13,150. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $35,575 was 3% above the state average of $34,388. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $17,592 was 37% above the state average of $12,828. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $24,906 was 16% below the state average of $29,528. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $47,556 was 19% above the state average of $39,976.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Chilton Medical Center in Pompton Plains, NJ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.