Hospital Information: Outpatient Cost to Charge Ratio - History HACKENSACK MERIDIAN HLTH INC Click here to download this table. Ratio Effective Date 014.57% 9/1/2018 015.15% 1/1/2018 016.01% 1/1/2017 020.85% 1/1/2016 021.50% 1/1/2015 021.86% 1/1/2014