Office of Health Care Financing

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Hospital Finance

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.