Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Sup Rev Cd 272 Hcpcs C1769
Pompton Plains, NJ
See all hospitals reporting HCPCS C1769 →Price type
Chilton Medical Center’s median price of $212 is 6% above the median hospital's median price ($200), higher than 52% of the 1,788 hospitals reporting HCPCS C1769. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 18 payers, 37 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Medicaid cmc medicaid percent of total billed charges · outpatientfrom % of charges | $13.47 | $13.47 | $13.47 – $13.47 |
| 2 | Oscar cmc qualcare percent of total billed charges · outpatientfrom % of charges | $34.25 | $34.25 | $34.25 – $34.25 |
| 3 | Cigna cmc cigna oap case rate · outpatient | $50.71 | $50.71 | $50.71 – $50.71 |
| 4 | Cigna cmc cigna oap per diem · both | $50.71 | $50.71 | $50.71 – $50.71 |
| 5 | Anthem cmc medicaid percent of total billed charges · bothfrom % of charges | $34.00 | $75.00 | $2.47 – $735.45 |
| 6 | Medicaid cmc medicaid percent of total billed charges · bothfrom % of charges | $34.00 | $75.00 | $2.47 – $735.45 |
| 7 | Aetna Better Health cmc aetna better health percent of total billed charges · bothfrom % of charges | $40.79 | $89.97 | $2.97 – $882.28 |
| 8 | Aetna cmc aetna case rate · outpatient | $223.04 | $223.04 | $223.04 – $223.04 |
| 9 | Aetna cmc aetna percent of total billed charges · bothfrom % of charges | $163.74 | $354.61 | $12.94 – $3,847 |
| 10 | Humana cmc qualcare percent of total billed charges · bothfrom % of charges | $163.05 | $359.62 | $11.86 – $3,527 |
| 11 | Kaiser phcs primary network percent of total billed charges · bothfrom % of charges | $163.05 | $359.62 | $11.86 – $3,527 |
| 12 | Oscar cmc qualcare percent of total billed charges · bothfrom % of charges | $163.05 | $359.62 | $11.86 – $3,527 |
| 13 | Phcs phcs primary network percent of total billed charges · bothfrom % of charges | $163.05 | $359.62 | $11.86 – $3,527 |
| 14 | Aetna Better Health cmc aetna better health percent of total billed charges · outpatientfrom % of charges | $391.18 | $391.18 | $391.18 – $391.18 |
| 15 | Aetna cmc aetna whole health percent of total billed charges · bothfrom % of charges | $177.87 | $392.31 | $12.94 – $3,847 |
| 16 | UnitedHealthcare oxford non-tertiary per diem · both | $399.00 | $399.00 | $399.00 – $399.00 |
| 17 | UnitedHealthcare united non-tertiary per diem · both | $410.00 | $410.00 | $410.00 – $410.00 |
| 18 | Blue Cross Blue Shield cmc horizon omnia percent of total billed charges · bothfrom % of charges | $186.91 | $412.26 | $13.59 – $4,043 |
| 19 | First Health first health percent of total billed charges · bothfrom % of charges | $192.69 | $425.01 | $14.01 – $4,168 |
| 20 | Anthem cmc horizon commercial percent of total billed charges · bothfrom % of charges | $203.16 | $448.09 | $14.78 – $4,394 |
| 21 | Blue Cross Blue Shield cmc horizon commercial percent of total billed charges · bothfrom % of charges | $203.16 | $448.09 | $14.78 – $4,394 |
| 22 | MultiPlan multiplan complementary network percent of total billed charges · bothfrom % of charges | $207.52 | $457.70 | $15.09 – $4,488 |
| 23 | Aetna cmc aetna ahs employee other · outpatient | $5,899 | $5,899 | $5,899 – $5,899 |
| 24 | Aetna cmc aetna medicare case rate · outpatient | $5,899 | $5,899 | $5,899 – $5,899 |
| 25 | Aetna cmc aetna nnj prime other · outpatient | $5,899 | $5,899 | $5,899 – $5,899 |
Last updated: Apr 1, 2026
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