Hospital Name Effective Date CCR Final Rate Base Rate Service AddOn Access Addon ATLANTIC CITY MED CT 01/01/2023 0.18194 8372.25 6201.67 25.00% 10.00% BAYONNE HOSPITAL CENTER 01/01/2023 0.06113 6201.67 6201.67 0.00% 0.00% BAYSHORE MEDICAL CTR 07/15/2023 0.19591 6201.67 6201.67 0.00% 0.00% BERGEN NEW BRIDGE MED CTR 01/01/2023 0.35573 7752.09 6201.67 10.00% 15.00% CAPE REGIONAL MEDICAL CTR 01/01/2023 0.21772 6201.67 6201.67 0.00% 0.00% CAPITAL HEALTH SYSTEM FULD 01/01/2023 0.04649 6821.84 6201.67 0.00% 10.00% CAPITAL HLTH MED CTR HOPEWELL 01/01/2023 0.05646 7442.00 6201.67 20.00% 0.00% CENTRA STATE MEDICAL CENTER 01/01/2023 0.26105 6201.67 6201.67 0.00% 0.00% CHILTON MEDICAL CENTER 01/01/2023 0.16883 6201.67 6201.67 0.00% 0.00% CHRIST HOSPITAL 01/01/2023 0.07353 6821.84 6201.67 0.00% 10.00% CLARA MAASS MEDICAL CTR 01/01/2023 0.18402 6821.84 6201.67 10.00% 0.00% COMMUNITY MEDICAL CENTER 01/01/2023 0.16851 6201.67 6201.67 0.00% 0.00% COOPER HOSPITAL UMC 01/01/2023 0.18614 8372.25 6201.67 25.00% 10.00% COOPERMAN BARNABAS MEDICALCTR 01/01/2023 0.20921 7442.00 6201.67 20.00% 0.00% DEBORAH HEART AND LUNG 01/01/2023 0.15006 6201.67 6201.67 0.00% 0.00% EAST ORANGE GENERAL HOSPITAL 01/01/2023 0.21923 7752.09 6201.67 10.00% 15.00% ENGLEWOOD HOSPITAL AND MEDICA 01/01/2023 0.14738 6201.67 6201.67 0.00% 0.00% HACKENSACK MEDICAL CENTER 07/15/2023 0.22839 7752.09 6201.67 25.00% 0.00% HACKENSACK UMC @ PASCACK VLY 01/01/2023 0.22177 6201.67 6201.67 0.00% 0.00% HACKENSACK UMC MOUNTAINSIDE 01/01/2023 0.20073 6201.67 6201.67 0.00% 0.00% HACKETTSTOWN MEDICAL CTR 01/01/2023 0.13592 6201.67 6201.67 0.00% 0.00% HOBOKEN HOSPITAL CENTER 01/01/2023 0.07522 6821.84 6201.67 0.00% 10.00% HOLY NAME MEDICAL CTR 01/01/2023 0.27898 6201.67 6201.67 0.00% 0.00% HUDSON REGIONAL HOSPITAL 01/01/2023 0.14318 6201.67 6201.67 0.00% 0.00% HUNTERDON MED CTR 01/01/2023 0.30125 6201.67 6201.67 0.00% 0.00% INSPIRA MED CTR MULLICA HILL 01/01/2023 0.19233 6201.67 6201.67 0.00% 0.00% INSPIRA MED CTR./VINELAND 01/01/2023 0.17521 7752.09 6201.67 25.00% 0.00% INSPIRA MEDICAL CENTER/ELMER 01/01/2023 0.19233 6201.67 6201.67 0.00% 0.00% JERSEY CITY MEDICAL CENTER 01/01/2023 0.17834 7752.09 6201.67 10.00% 15.00% JERSEY SHORE UNIVERSITY MEDIC 07/15/2023 0.20236 6821.84 6201.67 10.00% 0.00% JFK UNIVERSITY MEDICAL CTR 07/15/2023 0.19676 6201.67 6201.67 0.00% 0.00% KENNEDY MEMORIAL HOSPITAL 01/01/2023 0.15628 7442.00 6201.67 20.00% 0.00% MONMOUTH MED CTR SOUTHERN 01/01/2023 0.15122 7442.00 6201.67 10.00% 10.00% MONMOUTH MEDICAL CTR 01/01/2023 0.20049 8682.34 6201.67 30.00% 10.00% MORRISTOWN MEDICAL CENTER 01/01/2023 0.20934 7442.00 6201.67 20.00% 0.00% NEWARK BETH ISRAEL MED CTR 01/01/2023 0.18252 8992.42 6201.67 30.00% 15.00% NEWTON MEDICAL CENTER 01/01/2023 0.11372 6201.67 6201.67 0.00% 0.00% OCEAN MEDICAL CENTER 07/15/2023 0.18666 6201.67 6201.67 0.00% 0.00% OUR LADY OF LOURDES 01/19/2023 0.13743 6201.67 6201.67 0.00% 0.00% OVERLOOK MEDICAL CENTER 01/01/2023 0.19549 6201.67 6201.67 0.00% 0.00% PALISADES MEDICAL CENTER 07/15/2023 0.20276 7442.00 6201.67 10.00% 10.00% PENN MED PRINCETON MED CTR 01/01/2023 0.23098 6821.84 6201.67 10.00% 0.00% RARITAN BAY MED CTR -OLD BRID 07/15/2023 0.22725 6201.67 6201.67 0.00% 0.00% RARITAN BAY MED CTR PERTH AMB 07/15/2023 0.22725 6821.84 6201.67 10.00% 0.00% RIVERVIEW MEDICAL CENTER 07/15/2023 0.19775 6821.84 6201.67 10.00% 0.00% RW JOHNSON UNIV HOSP 01/01/2023 0.16320 7752.09 6201.67 25.00% 0.00% RWJ UNIV HOSP AT HAMILTON 01/01/2023 0.14137 6201.67 6201.67 0.00% 0.00% RWJ UNIV HOSP AT RAHWAY 03/01/2023 0.14806 6201.67 6201.67 0.00% 0.00% RWJ UNIV HOSP SOMERSET 03/01/2023 0.15517 6201.67 6201.67 0.00% 0.00% SAINT CLARES HOSPITAL 01/01/2023 0.17617 6821.84 6201.67 10.00% 0.00% SALEM MEDICAL CENTER 02/01/2023 0.14977 6201.67 6201.67 0.00% 0.00% SHORE MEMORIAL HOSPITAL 01/01/2023 0.19247 6201.67 6201.67 0.00% 0.00% SOUTHERN OCEAN MEDICAL CTR 07/15/2023 0.18065 6201.67 6201.67 0.00% 0.00% ST CLARES HOSP DOVER GENERAL 01/01/2023 0.17617 6821.84 6201.67 10.00% 0.00% ST JOSEPHS HOSPITAL 01/01/2023 0.16178 8372.25 6201.67 25.00% 10.00% ST LUKES WARREN HOSPITAL 07/01/2023 0.10873 6201.67 6201.67 0.00% 0.00% ST MARYS HOSPITAL 01/01/2023 0.16769 6821.84 6201.67 0.00% 10.00% ST PETERS UNIVERSITY HOSPITAL 01/01/2023 0.10959 7752.09 6201.67 25.00% 0.00% ST. MICHAEL'SMEDICAL CENTER 01/01/2023 0.18380 7131.92 6201.67 0.00% 15.00% THE VALLEY HOSP 01/01/2023 0.22681 6201.67 6201.67 0.00% 0.00% TRINITAS REGIONAL MEDICAL CTR 01/01/2023 0.16636 8682.34 6201.67 25.00% 15.00% UNIVERSITY HOSPITAL 01/01/2023 0.21333 8682.34 6201.67 25.00% 15.00% VIRTUA HEALTH SYSTEM/MARLTON 01/19/2023 0.15957 7442.00 6201.67 20.00% 0.00% VIRTUA MOUNT HOLLY HOSPITAL 01/19/2023 0.13714 6201.67 6201.67 0.00% 0.00% VIRTUA WILLINGBORO HOSPITAL 01/19/2023 0.13828 6821.84 6201.67 10.00% 0.00% Hospital Name Effective Date CCR Final Rate Base Rate Service AddOn Access Addon Closed Date BAYSHORE COMM HOSP 4141105 05/13/2013 BAYSHORE COMM HOSP 4691.96 4691.96 0.00% 0.00% 2013 BAYSHORE COMMUNITY HOSPITAL 0363022 08/01/2018 BAYSHORE COMMUNITY HOSPITAL 5344.84 5344.84 0.00% 0.00% 2018 CHILTON MEMORIAL HOSPITAL 4136209 01/01/2014 CHILTON MEMORIAL HOSPITAL 4809.26 4809.26 0.00% 0.00% 2014 EAST ORANGE GEN HOSPITAL 0502588 01/01/2022 EAST ORANGE GEN HOSPITAL 6553.16 5957.42 10.00% 0.00% 2022 EAST ORANGE GENL HSP 4140001 01/01/2016 EAST ORANGE GENL HSP 6081.00 5067.50 10.00% 10.00% 2016 HACKENSACK MERIDIAN HLTH INC 4135105 01/01/2019 HACKENSACK MERIDIAN HLTH INC 5499.84 5499.84 0.00% 0.00% 2018 HACKETTSTOWN COMM HOSPITAL 4141300 01/01/2019 HACKETTSTOWN COMM HOSPITAL 5499.84 5499.84 0.00% 0.00% 2018 INSPIRA MEDICAL CTR.,WOODBURY 3676102 01/01/2021 INSPIRA MEDICAL CTR.,WOODBURY5800.80 5800.80 0.00% 0.00% 2019 JERSEY SHORE MED CTR 3675700 01/01/2019 JERSEY SHORE MED CTR 6324.82 5499.84 15.00% 0.00% 2018 JFK MEDICAL CTR BUS OFF 3676803 01/01/2022 JFK MEDICAL CTR BUS OFF 6553.16 5957.42 0.00% 10.00% 2021 MEADOWLANDS HOSP MED CTR 0249297 01/01/2019 MEADOWLANDS HOSP MED CTR 5499.84 5499.84 0.00% 0.00% 2018 MEMORIAL HOSP SALEM CNTY 9031308 01/01/2019 MEMORIAL HOSP SALEM CNTY 5499.84 5499.84 0.00% 0.00% 2019 MONMOUTH MEDICAL SOUTH 3676200 01/01/2015 MONMOUTH MEDICAL SOUTH 5938.48 4948.73 10.00% 10.00% 2014 MOUNTAINSIDE HOSPITAL 0139564 03/02/2013 MOUNTAINSIDE HOSPITAL 4691.96 4691.96 0.00% 0.00% 2012 OCEAN MEDICAL CENTER 3674908 01/01/2019 OCEAN MEDICAL CENTER 5499.84 5499.84 0.00% 0.00% 2018 RARITAN BAY MED CTR 4137809 01/01/2019 RARITAN BAY MED CTR 5499.84 5499.84 0.00% 0.00% 2018 RIVERVIEW MEDICAL CENTER 4137400 01/01/2019 RIVERVIEW MEDICAL CENTER 6049.82 5499.84 10.00% 0.00% 2018 SOMERSET MEDICAL CTR 4138406 01/01/2014 SOMERSET MEDICAL CTR 4809.26 4809.26 0.00% 0.00% 2014 SOUTHERN OCEAN CO HOSPITAL 4141202 05/13/2013 SOUTHERN OCEAN CO HOSPITAL 4691.96 4691.96 0.00% 0.00% 2013 SOUTHERN OCEAN MEDICAL CTR 0364568 01/01/2019 SOUTHERN OCEAN MEDICAL CTR 5499.84 5499.84 0.00% 0.00% 2018 ST CLARE'S HOSP DENVILLE 4138601 01/01/2015 ST CLARE'S HOSP DENVILLE 5443.60 4948.73 10.00% 0.00% 2015 ST FRANCIS MEDICAL CENTER 4136608 01/01/2023 ST FRANCIS MEDICAL CENTER 7752.09 6201.67 10.00% 15.00% 2022 ST MARYS HOSP/PASSAIC 4135300 01/01/2014 ST MARYS HOSP/PASSAIC 4809.26 4809.26 0.00% 0.00% 2014 ST MICHAELS MED CENTER 4140508 01/01/2016 ST MICHAELS MED CENTER 5067.50 5067.50 0.00% 0.00% 2016