Chilton Medical Center
Chilton Medical Center in Pompton Plains, NJ publishes cash prices for 64 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
97 West Pkwy, Pompton Plains, NJ 07444 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd & Pelvis W | $476.54 | $8,524.00 | 94% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd & Pelvis W | $580.61 | $12,908.08 | 96% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd & Pelvis W | $476.54 | $8,524.00 | 94% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head WO | $141.90 | $3,518.00 | 96% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head WO | $141.90 | $3,518.00 | 96% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head WO | $141.90 | $3,518.00 | 96% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W | $237.54 | $4,261.00 | 94% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W | $237.54 | $4,384.08 | 95% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W | $237.54 | $4,261.00 | 94% |
| Diagnostic mammogram, both breasts CPT 77066 Mammogram Dx Dig Bil | $137.79 | $949.00 | 85% |
| Diagnostic mammogram, both breasts CPT 77066 Mammogram Dx Dig Bil | $299.02 | $2,967.00 | 90% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 Mammogram Dx Dig Bil | $137.79 | $949.00 | 85% |
| Diagnostic mammogram, one breast CPT 77065 Mammogram Dx Dig Uni | $108.17 | $856.00 | 87% |
| Diagnostic mammogram, one breast CPT 77065 Mammogram Dx Dig Uni | $244.99 | $1,871.00 | 87% |
| Diagnostic mammogram, one breast inpatient CPT 77065 Mammogram Dx Dig Uni | $108.17 | $856.00 | 87% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Joint Lwr Extrm WO | $322.54 | $6,250.00 | 95% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Joint Lwr Extrm WO | $322.54 | $6,250.00 | 95% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Joint Lwr Extrm WO | $322.54 | $6,250.00 | 95% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Joint Lwr Extrm W&WO | $476.54 | $6,448.00 | 93% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Joint Lwr Extrm W&WO | $476.54 | $7,099.60 | 93% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Joint Lwr Extrm W&WO | $476.54 | $6,448.00 | 93% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO | $322.54 | $5,161.00 | 94% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO | $322.54 | $5,161.00 | 94% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO | $322.54 | $5,161.00 | 94% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W&WO | $476.54 | $7,571.60 | 94% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W&WO | $476.54 | $6,920.00 | 93% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain W&WO | $476.54 | $6,920.00 | 93% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumb WO | $322.54 | $9,385.00 | 97% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumb WO | $322.54 | $9,385.00 | 97% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumb WO | $322.54 | $9,385.00 | 97% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Uterus OB 14+ Wks Sng Fetus | $141.90 | $1,980.00 | 93% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Uterus OB 14+ Wks Sng Fetus | $141.90 | $1,980.00 | 93% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Uterus OB 14+ Wks Sng Fetus | $141.90 | $1,980.00 | 93% |
| Screening mammogram, both breasts CPT 77067 Mammogram Scrn Dig Bil | $113.95 | $924.00 | 88% |
| Screening mammogram, both breasts CPT 77067 Mammogram Scrn Dig Uni | $113.95 | $832.00 | 86% |
| Screening mammogram, both breasts CPT 77067 Mammogram Scrn Dig Bil | $143.57 | $1,103.00 | 87% |
| Screening mammogram, both breasts inpatient CPT 77067 Mammogram Scrn Dig Uni | $113.95 | $832.00 | 86% |
| Screening mammogram, both breasts inpatient CPT 77067 Mammogram Scrn Dig Bil | $113.95 | $924.00 | 88% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom 6+ Yrs 4+ Paramtrs | $1,357.57 | $10,840.00 | 87% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom 6+ Yrs 4+ Paramtrs | $1,357.57 | $10,840.00 | 87% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6+ Yrs 4+ Paramtrs | $1,357.57 | $10,840.00 | 87% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $141.90 | $1,458.00 | 90% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $283.80 | $3,023.00 | 91% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB | $141.90 | $1,458.00 | 90% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Cmplt | $141.90 | $1,370.00 | 90% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Cmplt | $141.90 | $1,370.00 | 90% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Cmplt | $141.90 | $1,370.00 | 90% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbosacr 4+ Vw | $141.90 | $1,065.00 | 87% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbosacr 4+ Vw | $141.90 | $1,065.00 | 87% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr Spine Lumbosacr 4+ Vw | $141.90 | $1,065.00 | 87% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Total Ca | $9.73 | $208.00 | 95% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Total Ca | $57.93 | $1,069.00 | 95% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Total Ca | $9.73 | $208.00 | 95% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $15.40 | $272.00 | 94% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $99.22 | $1,630.00 | 94% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $15.40 | $272.00 | 94% |
| Complete blood count (CBC) with differential CPT 85025 Cbc Cmplt W Plt W Auto Wbc Diff | $8.94 | $208.00 | 96% |
| Complete blood count (CBC) with differential CPT 85025 Cbc Cmplt W Plt W Auto Wbc Diff | $79.93 | $1,675.00 | 95% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc Cmplt W Plt W Auto Wbc Diff | $8.94 | $208.00 | 96% |
| Complete blood count (CBC), no differential CPT 85027 Cbc Cmplt W Plt WO Diff | $7.44 | $97.00 | 92% |
| Complete blood count (CBC), no differential CPT 85027 Cbc Cmplt W Plt WO Diff | $117.49 | $1,431.00 | 92% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc Cmplt W Plt WO Diff | $7.44 | $97.00 | 92% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $12.14 | $313.00 | 96% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $142.65 | $1,507.00 | 91% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $12.14 | $313.00 | 96% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $9.98 | $233.00 | 96% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $75.34 | $534.00 | 86% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $9.98 | $233.00 | 96% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $9.40 | $233.00 | 96% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $83.87 | $1,261.00 | 93% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $9.40 | $233.00 | 96% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate Specific Antigen Psa Free | $21.15 | $70.00 | 70% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate Specific Antigen Psa Free | $160.16 | $1,299.00 | 88% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Prostate Specific Antigen Psa Free | $21.15 | $70.00 | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen Psa Total | $21.15 | $174.00 | 88% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen Psa Total | $90.71 | $1,721.00 | 95% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen Psa Total | $21.15 | $174.00 | 88% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Ptt | $6.91 | $149.00 | 95% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Ptt Alupp | $6.91 | $22.00 | 69% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Ptt | $117.49 | $1,907.00 | 94% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Ptt Alupp | $6.91 | $22.00 | 69% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Ptt | $6.91 | $149.00 | 95% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothombin Time Alupp | $4.93 | $22.00 | 78% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothombin Time | $4.93 | $101.00 | 95% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothombin Time | $79.26 | $1,163.00 | 93% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothombin Time | $4.93 | $101.00 | 95% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothombin Time Alupp | $4.93 | $22.00 | 78% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone Tsh | $19.32 | $317.00 | 94% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone Tsh | $103.60 | $1,827.00 | 94% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone Tsh | $19.32 | $317.00 | 94% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W Micro | $3.65 | $153.00 | 98% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W Micro | $117.49 | $2,739.00 | 96% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Auto W Micro | $3.65 | $153.00 | 98% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto WO Micro | $2.59 | $101.00 | 97% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto WO Micro | $101.16 | $1,805.00 | 94% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto WO Micro | $2.59 | $101.00 | 97% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Auto WO Micro | $4.00 | $57.00 | 93% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Auto WO Micro | $525.20 | $3,147.00 | 83% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Non Auto WO Micro | $4.00 | $57.00 | 93% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp | $3,043.33 | $17,384.00 | 82% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux | $2,986.52 | $12,257.63 | 76% |
| Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $1,573.33 | $11,282.65 | 86% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $1,573.33 | $11,931.30 | 87% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $1,216.56 | $8,863.40 | 86% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy | $7,785.58 | $41,466.54 | 81% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $4,709.06 | $19,176.40 | 75% |
| Knee arthroscopy with meniscus trim CPT 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg | $4,329.50 | $18,353.98 | 76% |
| Left heart catheterization, diagnostic CPT 93452 Lhc W Vntrgrphy | $4,291.87 | $25,286.00 | 83% |
| Left heart catheterization, diagnostic CPT 93452 Lhc W Vntrgrphy | $23,960.87 | $112,769.40 | 79% |
| Left heart catheterization, diagnostic inpatient CPT 93452 Lhc W Vntrgrphy | $4,291.87 | $25,286.00 | 83% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inj(S) Dx/Tx Epi/Subar Lumb/Scr W Img | $924.08 | $5,965.00 | 85% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inj(S) Dx/Tx Epi/Subar Lumb/Scr W Img | $935.12 | $6,574.79 | 86% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj(S) Dx/Tx Epi/Subar Lumb/Scr W Img | $924.08 | $5,965.00 | 85% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $4,602.20 | $23,181.55 | 80% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Inj(S) Dx/Tx Epi/Subar Lumb/Scr WO Img | $5,965.00 | $5,965.00 | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Inj(S) Dx/Tx Epi/Subar Lumb/Scr WO Img | $5,965.00 | $5,965.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj(S) Anes/Ster Tf Epid Lumb/Sacr Sng W Flx/CT Gdx | $1,187.97 | $6,992.00 | 83% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj(S) Anes/Ster Tf Epid Lumb/Sacr Sng W Flx/CT Gdx | $1,781.96 | $14,405.38 | 88% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj(S) Anes/Ster Tf Epid Lumb/Sacr Sng W Flx/CT Gdx | $1,187.97 | $6,992.00 | 83% |
| Prostate biopsy CPT 55700 Bx Prostate Ndl/Punch Sng/Mult | $2,733.47 | $22,533.68 | 88% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing | $13,892.40 | $61,453.34 | 77% |
| Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion | $5,109.67 | $18,954.47 | 73% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls | $9,989.07 | $49,880.96 | 80% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 | $7,893.67 | $19,166.77 | 59% |
| Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $17,841.12 | $77,417.20 | 77% |
| Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $17,842.57 | $80,881.65 | 78% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple | $1,251.05 | $12,253.04 | 90% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic | $1,251.05 | $8,776.96 | 86% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 Psytx Family W Pt 50 Min | $214.39 | $684.00 | 69% |
| Family therapy without the patient, 50 minutes CPT 90846 Psytx Family WO Pt 50 Min | $214.39 | $684.00 | 69% |
| Group psychotherapy session CPT 90853 Psytx Group | $116.24 | $917.00 | 87% |
| New patient office visit, about 30 minutes CPT 99203 E&M New Patient Level 3 | $96.77 | $800.00 | 88% |
| New patient office visit, about 30 minutes CPT 99203 E&M New Patient Level 3 | $96.77 | $800.00 | 88% |
| New patient office visit, about 30 minutes CPT 99203 Bh E&M New Patient Level 3 | $96.77 | $813.00 | 88% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Bh E&M New Patient Level 3 | $96.77 | $813.00 | 88% |
| New patient office visit, about 30 minutes inpatient CPT 99203 E&M New Patient Level 3 | $96.77 | $800.00 | 88% |
| New patient office visit, about 45 minutes CPT 99204 Bh E&M New Patient Level 4 | $157.63 | $1,087.00 | 85% |
| New patient office visit, about 45 minutes CPT 99204 E&M New Patient Level 4 | $157.63 | $1,168.00 | 87% |
| New patient office visit, about 45 minutes CPT 99204 E&M New Patient Level 4 | $252.60 | $1,312.02 | 81% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Bh E&M New Patient Level 4 | $157.63 | $1,087.00 | 85% |
| New patient office visit, about 45 minutes inpatient CPT 99204 E&M New Patient Level 4 | $157.63 | $1,168.00 | 87% |
| New patient office visit, about 60 minutes CPT 99205 New Patient | $214.60 | $1,631.00 | 87% |
| New patient office visit, about 60 minutes CPT 99205 Bh E&M New Patient Level 5 | $214.60 | $1,355.00 | 84% |
| New patient office visit, about 60 minutes CPT 99205 New Patient | $747.72 | $4,061.18 | 82% |
| New patient office visit, about 60 minutes inpatient CPT 99205 New Patient | $214.60 | $1,631.00 | 87% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Bh E&M New Patient Level 5 | $214.60 | $1,355.00 | 84% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Tx Proc 1+ Tx Exercises 15 Min | $35.54 | $229.00 | 84% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Tx Proc 1+ Tx Exercises 15 Min | $314.40 | $2,362.00 | 87% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Tx Proc 1+ Tx Exercises 15 Min | $35.54 | $229.00 | 84% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Prev Med E&M New 18-39 Yr | $166.02 | $1,639.00 | 90% |
| Psychotherapy session, 30 minutes CPT 90832 Psytx Pt 16-37 Min | $214.39 | $464.00 | 54% |
| Psychotherapy session, 30 minutes CPT 90832 Psytx Pt 16-37 Min | $214.39 | $464.00 | 54% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx Pt 16-37 Min | $214.39 | $464.00 | 54% |
| Psychotherapy session, 45 minutes CPT 90834 Psytx Pt 38-52 Min | $201.90 | $541.00 | 63% |
| Psychotherapy session, 45 minutes CPT 90834 Psytx Pt 38-52 Min | $201.90 | $968.00 | 79% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psytx Pt 38-52 Min | $201.90 | $541.00 | 63% |
| Psychotherapy session, 60 minutes CPT 90837 Psytx Pt 53+ Min | $214.39 | $730.00 | 71% |
| Psychotherapy session, 60 minutes CPT 90837 Psytx Pt 53+ Min | $214.39 | $730.00 | 71% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psytx Pt 53+ Min | $214.39 | $730.00 | 71% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Consultation Visits | $250.00 | $250.00 | — |