Outpatient services provided by out of state acute care hospitals are reimbursed at the lesser of the NJ state wide average cost-to-charge ratio, 100% of the claim specific reimbursement methodology approved by the hospital’s home state or claim charges. Inpatient services provided by out of state acute care hospitals are reimbursed at the lesser of the established DRG payment rate for NJ acute care hospitals, excluding add-ons, 100% of the claim specific reimbursement methodology approved by the hospital’s home state or claim charges. The NJ state wide average cost-to-charge ratio is the average cost-to-charge ratio for all NJ acute hospitals based on the prior calendar year’s cost-to-charge ratio. Click here to access the NJ state wide average cost-to charge ratio for outpatient acute care services Click here to access the NJ state wide average cost-to charge ratio for inpatient acute care services `