Consumers should be aware that a hospital’s “charges”, i.e., the amount it bills each patient or the patient’s insurer for hospital services, rarely reflect the amounts the hospital accepts in payment.
In the case of patients covered by Medicare or Medicaid fee-for-service, the Federal Medicare and State Medicaid programs set the rates they will pay. In the case of patients covered by private insurance or self-insured employer health benefits plans, hospitals frequently have a contract with the insurer or employer plan administrator for discounts of the charge rates.
The difference between charges and the payments hospitals accept can be very large. Hospitals report to the Department both their total charges and the revenues they actually collect. The following table shows the ratio of the revenue collected to the total charges.
Hospital# |
Hospital Name
| 2004 Gross Charges**
$(000) |
2004 Net Patient Service Revenue***
$(000) |
Ratio of Revenue to Total Charges %
|
642 |
Atlanticare Regional Medical Center - City |
594,690 |
156,744 |
26.4% |
641 |
Atlanticare Regional Medical Center - Mainland |
836,753 |
232,101 |
27.7% |
26 |
Barnert Hospital |
464,765 |
86,073 |
18.5% |
25 |
Bayonne Medical Center |
1,018,469 |
120,692 |
11.9% |
112 |
Bayshore Community Hospital |
553,678 |
97,107 |
17.5% |
58 |
Bergen Regional Medical Center |
235,375 |
185,338 |
78.7% |
11 |
Burdette Tomlin Memorial Hospital |
248,520 |
94,333 |
38.0% |
92 |
Capital Health System at Fuld |
751,779 |
179,049 |
23.8% |
44 |
Capital Health System at Mercer |
863,044 |
168,276 |
19.5% |
111 |
CentraState Medical Center |
558,171 |
158,976 |
28.5% |
17 |
Chilton Memorial Hospital |
381,676 |
127,930 |
33.5% |
16 |
Christ Hospital |
1,230,326 |
165,709 |
13.5% |
9 |
Clara Maass Medical Center |
721,545 |
188,820 |
26.2% |
93 |
Columbus Hospital |
579,320 |
87,322 |
15.1% |
41 |
Community Medical Center |
1,621,743 |
266,574 |
16.4% |
14 |
Cooper Hospital/University Medical Center |
1,747,755 |
423,968 |
24.3% |
31 |
Deborah Heart and Lung Center |
707,917 |
140,229 |
19.8% |
83 |
East Orange General Hospital |
444,195 |
95,650 |
21.5% |
45 |
Englewood Hospital and Medical Center |
720,075 |
229,242 |
31.8% |
105 |
Greenville Hospital |
132,401 |
33,529 |
25.3% |
1 |
Hackensack University Medical Center |
3,404,872 |
884,301 |
26.0% |
115 |
Hackettstown Regional Medical Center |
213,920 |
65,224 |
30.5% |
8 |
Holy Name Hospital |
693,878 |
172,043 |
24.8% |
5 |
Hunterdon Medical Center |
329,453 |
151,210 |
45.9% |
13 |
Irvington General Hospital |
292,066 |
53,741 |
18.4% |
74 |
Jersey City Medical Center |
969,067 |
217,827 |
22.5% |
73 |
Jersey Shore University Medical Center |
1,410,386 |
361,941 |
25.7% |
108 |
JFK Medical Center/Anthony M. Yelensics |
940,775 |
222,847 |
23.7% |
861 |
Kennedy Hosp/Univ. Med. Ctr. - Washington Twp |
354,132 |
115,044 |
32.5% |
862 |
Kennedy Hospitals/Univ. Med. Ctr. - Cherry Hill |
241,717 |
83,216 |
34.4% |
863 |
Kennedy Hospitals/Univ. Med. Ctr. - Stratford |
295,862 |
97,635 |
33.0% |
84 |
Kimball Medical Center |
668,972 |
121,000 |
18.1% |
61 |
Lourdes Medical Center of Burlington County |
483,239 |
93,935 |
19.4% |
118 |
Meadowlands Hospital Medical Center |
574,630 |
76,039 |
13.2% |
91 |
Memorial Hospital of Salem County |
218,059 |
67,985 |
31.2% |
75 |
Monmouth Medical Center |
854,706 |
221,541 |
25.9% |
15 |
Morristown Memorial Hospital |
1,425,539 |
498,434 |
35.0% |
54 |
Mountainside Hospital |
457,210 |
145,914 |
31.9% |
63 |
Muhlenberg Regional Medical Center |
432,023 |
125,484 |
29.0% |
2 |
Newark Beth Israel Medical Center |
1,249,038 |
373,016 |
29.9% |
28 |
Newton Memorial Hospital |
379,107 |
103,810 |
27.4% |
52 |
Ocean Medical Center |
686,641 |
150,069 |
21.9% |
29 |
Our Lady of Lourdes Medical Center |
1,486,770 |
255,495 |
17.2% |
51 |
Overlook Hospital |
747,832 |
256,092 |
34.2% |
3 |
Palisades Medical Center |
397,523 |
96,531 |
24.3% |
37 |
Pascack Valley Hospital |
591,475 |
132,683 |
22.4% |
20 |
PBI Regional Medical Center |
525,256 |
130,925 |
24.9% |
392 |
Raritan Bay Medical Center - Old Bridge |
457,396 |
74,153 |
16.2% |
391 |
Raritan Bay Medical Center - Perth Amboy |
906,908 |
160,936 |
17.7% |
34 |
Riverview Medical Center |
667,624 |
148,627 |
22.3% |
38 |
Robert Wood Johnson University Hospital |
2,134,604 |
539,186 |
25.3% |
110 |
RWJ University Hospital at Hamilton |
954,388 |
170,342 |
17.8% |
24 |
RWJ University Hospital at Rahway |
577,471 |
98,050 |
17.0% |
76 |
Saint Barnabas Medical Center |
1,587,279 |
427,589 |
26.9% |
50 |
Saint Clare's Hospital - Denville |
871,321 |
225,840 |
25.9% |
502 |
Saint Clare's Hospital - Dover |
21,769 |
7,294 |
33.5% |
120 |
Saint Clare's Hospital - Sussex |
64,379 |
17,283 |
26.8% |
18 |
Saint James Hospital |
249,134 |
61,278 |
24.6% |
40 |
Saint Mary Hospital (Hoboken) |
666,060 |
120,708 |
18.1% |
96 |
Saint Michael's Medical Center |
1,051,380 |
214,662 |
20.4% |
70 |
Saint Peter's University Hospital |
1,090,699 |
319,252 |
29.3% |
47 |
Shore Memorial Hospital |
535,733 |
158,585 |
29.6% |
48 |
Somerset Medical Center |
751,343 |
180,554 |
24.0% |
69 |
South Jersey Healthcare - Elmer |
209,450 |
44,728 |
21.4% |
324 |
South Jersey Healthcare Regional MC |
894,446 |
224,648 |
25.1% |
113 |
Southern Ocean County Hospital |
306,801 |
97,446 |
31.8% |
21 |
St. Francis Medical Center |
507,573 |
104,984 |
20.7% |
19 |
St. Joseph's Regional Medical Center |
1,884,655 |
393,311 |
20.9% |
116 |
St. Joseph's Wayne Hospital |
292,665 |
67,092 |
22.9% |
6 |
St. Mary's Hospital (Passaic) |
206,259 |
68,207 |
33.1% |
27 |
Trinitas Hospital |
1,150,016 |
236,238 |
20.5% |
81 |
Underwood Memorial Hospital |
532,211 |
148,860 |
28.0% |
90 |
Union Hospital |
289,250 |
78,947 |
27.3% |
119 |
University Hospital - UMDNJ |
1,439,236 |
615,185 |
42.7% |
10 |
University Medical Center at Princeton |
507,951 |
159,019 |
31.3% |
12 |
Valley Hospital |
996,482 |
371,843 |
37.3% |
57 |
Virtua - Memorial Hospital of Burlington County |
874,959 |
208,890 |
23.9% |
222 |
Virtua - West Jersey Health System - Berlin |
188,498 |
49,956 |
26.5% |
221 |
Virtua - West Jersey Health System - Voorhees |
841,154 |
230,075 |
27.4% |
224 |
Virtua - West Jersey Health Systems - Marlton |
529,446 |
105,106 |
19.9% |
60 |
Warren Hospital |
795,024 |
115,695 |
14.6% |
88 |
William B. Kessler Memorial Hospital |
113,934 |
39,321 |
34.5% |
| |
|
|
|
|
| |
Total Hospitals (82) |
59,883,843 |
14,795,534 |
24.7% |
| |
| Keys: |
| * These data are from the CY2004 New Jersey acute care hospital cost report form L-3. |
| ** Total gross charges are for patient services before deductions. |
| *** Net patient service revenues are gross charges less deductions for third party payer allowances, charity care and others. |
|