Facility Fee Information by Location Ordered by Provider Name

Facility Fee Information by Location Ordered by Provider Name CY2017 patient CY 2017 total net CY 2017 average visits for which a Name/Address of each facility owned or operated by the Provider/System that provides revenue received facility fee Provider or System Name facility fee was outpatient services for which a facility fee is charged/billed from facility fees revenue per visit charged/ billed by by location by location location Backus Backus Outpatient Care Center, 111 Salem Turnpike/Route 82, Norwich CT 06360 50,696 $11,150,279 $220 Backus Colchester Backus Family Health Center, 163 Broadway, Colchester CT 06415 2,727 $348,400 $128 Backus Montville Backus Family Health Center, 80 Norwich - New London Turnpike, Uncasville CT 06382 985 $80,310 $82 Backus Plainfield Emergency and Outpatient Care Center, 582 Norwich Road, Plainfield CT 06374 20,215 $3,149,876 $156 Bridgeport Heart and Vascular Center, 1305 Post Road, Fairfield CT 06824 6,625 $2,982,429 $450 Bridgeport Heart and Vascular Center, 15 Corporate Drive, Trumbull CT 06611 3 $31 $10 Bridgeport Heart and Vascular Center, 2 Ivy Brook Road, Shelton CT 06484 464 $236,414 $510 Bridgeport Heart and Vascular Center, 20 Commerce Park, Milford CT 06460 1,753 $950,623 $542 Bridgeport Heart and Vascular Center, 25 Germantown Road, Danbury, CT 06810 1,985 $1,216,798 $613 Bridgeport Heart and Vascular Center, 30 Prospect Street, Ridgefield CT 06877 698 $473,229 $678 Bridgeport Heart and Vascular Center, 999 Silver Lane, Trumbull CT 06611 4,482 $2,267,587 $506 Bridgeport Outpatient Imaging, 2909 Main Street, Stratford CT 06614 12 $679 $57 Bridgeport Outpatient Imaging, 309 Stillson Road, Fairfield CT 06825 4 $321 $80 Bridgeport Outpatient Imaging, 425 Post Road, Fairfield CT 06824 227 $165,616 $730 Bridgeport Outpatient Imaging, 4699 Main Street, Bridgeport CT 06606 16 $2,565 $160 Bridgeport Outpatient Imaging, 75 Kings Highway, Fairfield CT 06825 1 $122 $122 Bridgeport Park Avenue Medical Center, 5520 Park Avenue, Trumbull CT 06611 4,466 $4,813,607 $1,078 C. Hungerford Winsted Behavioral Health Center, 294 Main Street, Winsted CT 06098 564 $84,663 $150 C. Hungerford Northwest CT Medical Walk In, 1598 East Main Street, Torrington CT 06790 7,028 $767,798 $109 C. Hungerford CHH Sleep Center, Winsted Health Center, 115 Spencer Street, Winsted CT 06098 450 $605,227 $1,345 C. Hungerford CHH Cardiac Rehab, Winsted Health Center, 115 Spencer Street, Winsted CT 06098 3 $199 $66 C. Hungerford CHH Cardiovascular Medicine, 1215 New Litchfield Street, Torrington CT 06790 11,698 $2,606,986 $223 C. Hungerford CHH Primary Care, 220 Kennedy Drive, Torrington CT 06790 5,082 $561,226 $110 C. Hungerford CHH Primary Care - Thomaston, 76 Watertown Road, Thomaston CT 06787 3,371 $295,467 $88 C. Hungerford CHH Wound Care & Hyperbaric Medicine, 7 Felicity Lane, Torrington CT 06790 1,741 $563,914 $324 C. Hungerford CHH Radiation Oncology, 200 Kennedy Drive, Torrington CT 06790 323 $1,368,340 $4,236 CT. Children's Ambulatory Surgery Center, 505 Farmington Avenue, Farmington CT 2,115 $8,576,302 $4,055 CT. Children's Sleep Lab - Farmington, 505 Farmington Avenue, Farmington CT 1,054 $1,775,002 $1,684 CT. Children's Ultrasound - Farmington, 399 Farmington Avenue, Farmington CT 698 $123,540 $177

Page 1 Facility Fee Information by Location Ordered by Provider Name CT. Children's EEG - Farmington, 505 Farmington Avenue, Farmington CT 1,047 $658,742 $629 CT. Children's Diag Cardiology Svc - Glast, 310 Western Boulevard, Glastonbury CT 694 $498,920 $719 CT. Children's Diagnostic Radiology - Glast, 310 Western Boulevard, Glastonbury CT 2,280 $201,211 $88 CT. Children's Diagnostic Radiology - Farm, 399 Farmington Avenue, Farmington CT 7,125 $601,111 $84 CT. Children's Sleep Lab - Glastonbury, 505 Farmington Avenue, Farmington CT 492 $906,261 $1,842 CT. Children's Ultrasound - Glastonbury, 310 Western Boulevard, Glastonbury CT 2 $148 $74 Danbury Western CT Imaging -Danbury, 20 Germantown Road, Danbury CT 12,778 $4,700,087 $368 Danbury Southbury Cardiovascular Testing Center, 22 Old Waterbury Road, Southbury CT 1,408 $1,040,675 $739 Danbury Pulmonary-Sleep Medicine, 33 Germantown Road, Danbury CT 4,189 $2,090,663 $499 Danbury Vascular Lab Testing, 41 Germantown Road, Danbury CT 5,473 $2,466,103 $451 Danbury Specialty Clinics, 70 Main Street, Danbury CT 10,714 $601,892 $56 Danbury Ridgefield Surgical Center, 901 Ethan Allen Highway, Ridgefield CT 3,937 $14,343,267 $3,643 Danbury Danbury Hospital Sleep Disorders Center, 21 Lake Avenue Ext., Danbury CT 1,100 $1,748,348 $1,589 Greenwich Heart and Vascular Center, 15 Valley Drive, Greenwich CT 06830 1,544 $811,020 $525 Greenwich Helmsley Amb Surgery Center, 55 Holly Hill Lane, Greenwich CT 06830 4,978 $2,506,985 $504 Hartford HH HHRN WETHERSFIELD - HHC HH 1025 Silas Deane Highway, Wethersfield CT 1 $68 $68 Hartford HH PSYCH TEST WETH - HHC HH 1025 Silas Deane Highway, Wethersfield CT 58 $4,038 $70 Hartford HH HHRN MERIDEN - HHC HH 1064 East Main Street, Meriden CT 1 $127 $127 Hartford HH CARDIAC REHAB FARM - HHC HH 11 South Road, Farmington CT 6328 $860,629 $136 Hartford HH PSYCH TEST FARM - HHC HH 11 South Road, Farmington CT 59 $5,197 $88 Hartford HH ARRHYTHMIA TORR - HHC HH 1215 New Litchfield Street, Torrington CT 115 $11,076 $96 Hartford HH DUN SR HLTH WH - HHC HH 445 South Main Street, West Hartford, CT 4 $550 $138 Hartford HH PSYCH TEST SM WHTFD - HHC HH 445 South Main Street, Wethersfield CT 55 $4,400 $80 Hartford HH PSYCH TEST ENFLD - HHC HH Family Health Center, Enfield CT 79 $5,910 $75 Hartford HH ARRHYTHMIA ENFIELD - HHC HH Family Health Center, Enfield CT 228 $14,813 $65 Hartford HH HEART RHYTHM SRV EN - HHC HH Family Health Center, Enfield CT 26 $1,794 $69 Hartford HH HHRN SOUTH WINDSOR - HHC HH Family Health Center, South Windsor CT 4 $2,817 $704 Hartford HH PHYS MED & REHAB SW - HHC HH Family Health Center, South Windsor CT 162 $34,479 $213 Hartford HH PSYCH TEST SWIND - HHC HH Family Health Center, South Windsor CT 49 $3,167 $65 Hartford HH HHRN WINDSOR - HHC HH Family Health Center, Windsor CT 2 $79 $39 Hartford HH ARRHYTHMIA AVON - HHC HH Family Wellness Center, Avon CT 86 $5,993 $70 Hartford HH HHRN AVON - HHC HH Family Wellness Center, Avon CT 2 $150 $75 Hartford HH HEART RHYTHM SRV AV - HHC HH Family Wellness Center, Avon CT 1 $318 $318 Hartford HH NUTR SRVS OPD GLAST - HHC HH Family Health Center, Glastonbury CT 5 $3,170 $634

Page 2 Facility Fee Information by Location Ordered by Provider Name Hartford HH AWLC MFM GLAST - HHC HH Family Health Center, Glastonbury CT 1123 $296,678 $264 Hartford HH AWLC UROGYN GLAST - HHC HH Family Health Center ,Glastonbury 1653 $496,289 $300 Hartford HH ARRHYTHMIA GLAST - HHC HH Hartford Healthcare Center, Hebron Avenue, Glastonbury CT 260 $23,129 $89 Hartford HH HEART RHYTHM SRV GL-HHC HH Hartford Healthcare Center Hebron Avenue, Glastonbury CT 2 $118 $59 Hartford HH ESC-HHC HH Hartford Hospital Eye Surgery Center, Newington CT 9444 $18,853,141 $1,996 Hartford HH AWLC GYNONC GLAST-HHC HH Hartford Hospital Healthcare Center, Western Boulevard, Glastonbury CT 503 $45,115 $90 Hartford HH PHYS MED & REHAB GL-HHC HH Hartford Hospital Healthcare Center,Western Boulevard, Glastonbury CT 587 $120,006 $204 Hartford HH PSYCH TEST GLAST-HHC HH Hartford Hospital Healthcare Center, Western Boulevard, Glastonbury CT 63 $5,120 $81 Hartford HH ARRHYTHMIA W HT-HHC HH Hartford Hospital Wellness Center, West Hartford CT 190 $12,952 $68 Hartford HH AWLC FAC PRACT BLBK-HHC HH Hartford Hospital Wellness Center, West Hartford CT 334 $25,274 $76 Hartford HH HEART RHYTHM SRV WH-HHC HH Hartford Hospital Wellness Center, West Hartford CT 1883 $159,628 $85 Hartford HH HHRN W HTFD BLBK-HHC HH Hartford Hospital Wellness Center, West Hartford CT 3 $288 $96 Hartford HH PSYCH TEST W HTFD-HHC HH Hartford Hospital Wellness Center, West Hartford CT 163 $12,418 $76 Hartford HH AWLC GYNONC BLBK-HHC HH Hartford Hospital Wellness Center, West Hartford CT 44 $13,677 $311 Hartford HH AWLC MFM BLBK-HHC HH Hartford Hospital Wellness Center, West Hartford CT 1036 $270,964 $262 Hartford HH AWLC UROGYN BLBK-HHC HH Hartford Hospital Wellness Center, West Hartford CT 1196 $276,843 $231 Hartford HH WHSC GI CENTER-HHC HH Hartford Hospital West Hartford Surgical Center CT 1391 $2,545,022 $1,830 Hartford HH WHSC OR-HHC HH Hartford Hospital West Hartford Surgical Center CT 2152 $5,153,516 $2,395 Hartford HH RADONC AVON-HHC HH Helen and Harry Gray Cancer Center, Avon CT 5960 $4,335,804 $727 Hartford HH INFUSION AVON-HHC HH Helen and Harry Gray Cancer Center, Avon CT 1728 $921,711 $533 Hartford HH MED ONC CI AVON-HHC HH Helen and Harry Gray Cancer Center, Avon CT 61 $15,315 $251 Hartford HHCMG BISHOPS CORNER-HHC HH PC 336 North Main Street, West Hartford CT 2 $116 $58 Hartford HH SLEEP CTR BLOOMFLD-HHC HH Sleep Disorder Center, Bloomfield CT 956 $1,277,732 $1,337 Hartford HH SLEEP CTR WSFLD-HHC HH Family Health Center, Wethersfield CT 985 $1,217,535 $1,236 Hartford HH NEUROSCN WETH-HHC HH Family Health Center, Wethersfield CT 377 $34,813 $92 Hartford XXXHHCHEADACHECTRWETH-HHC HH Family Health Center, Wethersfield CT 1359 $250,837 $185 Hartford HHCMG UROLOGY HTFD-HHC HH SP Hartford Hospital Medical Office Building 6 $448 $75 Hartford HHCMG HEADACHE BLBK-HHC HH SP Hartford Hospital Wellness Center, West Hartford CT 2 $92 $46 Hartford HH PHYS MED & RHB FARM-HHC HH 406 Farmington Avenue 530 $47,464 $90 Hartford HH HHRN GRANBY-HHC HH 18 East Granby Road, Granby CT 1 $49 $49 Hartford HH HHRN MANCHESTER-HHC HH 230 North Main Street, Manchester, CT 2 $118 $59 Hartford HH HHRN W HTFD BISHOP-HHC HH 334 North Main Street, West Harford CT 1 $73 $73 Hartford HH DUN SR HLTH SERV-HHC HH Duncaster 2808 $304,977 $109 Hartford HH DIABETES LC MANCH-HHC HH 256 North Main, Manchester CT 24 $1,854 $77

Page 3 Facility Fee Information by Location Ordered by Provider Name Hartford HH PSYCH TEST MANCH-HHC HH 256 North Main, Manchester CT 62 $4,021 $65 Hartford HH XRAY CHARTER OAK-HHC HH 61 Grand Street 1640 $134,281 $82 Hartford HH PHYS MED REHAB VERN-HHC HH TriCity Plaza, Vernon CT 187 $21,455 $115 Hartford HH PSYCH TEST VERNON-HHC HH TriCity Plaza, Vernon CT 60 $5,310 $89 Hartford HH PHYS MED REHAB CSHR-HHC HH 680 South Main Street 248 $22,884 $92 Hartford HH DUN SR HLTH SERV SO-HHC HH 98 Main Street Southington CT 4 $431 $108 Hartford HH HEART RHYTHM WL 863-HHC HH 863 North Main Street Ext, Wallingford CT 2 $187 $93 Hartford XXXHH DUN SR HLTH SHC-HHC HH 462 Queen Street, Southington CT 2 $231 $116 Hospital for Special Care Hospital for Special Care Autism Clinic, 370 Osgood Avenue, New Britain CT 06053 1,516 $187,230 $124 Hosp. of Central CT. Southington Sleep Lab, 1131 West Street, Southington CT 271 $483,060 $1,783 Hosp. of Central CT. HHC Cancer Institute at HOCC, 183 North Mountain Road, New Britain CT 19,797 $8,197,187 $414 Hosp. of Central CT. HHC Cancer Institute at HOCC, 201 North Mountain Road, Plainville CT 26,183 $7,854,628 $300 Hosp. of Central CT. Mammography Services, 55 Meriden Avenue, Southington CT 5,105 $1,111,348 $218 Hosp. of Central CT. HOCC Outpatient Psychiatry and Behavioral Health, 73 Cedar Street , New Britain CT 28,665 $1,147,992 $40 Hosp. of Central CT. Bristol Family Center, 22 Pine Street, Bristol CT 6,610 $1,392,210 $211 Hosp. of Central CT. Joslin Diabetes Center, 98 Main Street, Southington CT 242 $21,898 $90 Hosp. of Central CT. Joslin Diabetes Center, 11 South Road, Farmington CT 121 $10,815 $89 J. Dempsey Mobile MRI, 230 Farmington Avenue, Farmington CT 06030 291 $656,044 $2,254 J. Dempsey Canton Dermatology, 117 Albany Turnpike, Canton CT 06017 11,158 $1,468,107 $132 J. Dempsey Canton Urgent Care, 117 Albany Turnpike, Canton CT 06017 8,489 $1,330,236 $157 J. Dempsey Pat and Jim Calhoun Cardiology Center, 11 South Road, Farmington CT 06030 5,448 $350,648 $64 J. Dempsey Dermatology 21 South Road, 21 South Road, Farmington CT 06030 58,314 $10,768,647 $185 J. Dempsey Sleep Studies, 2 Farm Glen Boulevard, Farmington CT 06030 66 $83,527 $1,266 J. Dempsey Nayden Rehabilitation Clinic, 843 Bolton Road, Storrs CT 06269 1,659 $631,332 $381 J. Dempsey PET/CT, 230 Farmington Avenue, Farmington CT 06030 104 $232,163 $2,232 J. Dempsey The Adult Psychiatric Outpatient Services Clinic, 10 Talcott Notch, Farmington CT 06030 18,128 $1,487,067 $82 J. Dempsey Storrs Cardiology, Storrs Center, One Royce Circle, Storrs CT 06268 566 $168,001 $297 J. Dempsey Storrs Urgent Care, Storrs Center, One Royce Circle, Storrs CT 06268 11,287 $1,975,222 $175 Johnson Mem. JMH Offsite Cardiovascular, Radiology & Surgery, 148 Hazard Avenue, Enfield CT 06082 8,637 $6,008,754 $696 Johnson Mem. JMH Sleep Lab ENF, 151 Hazard Ave, Enfield CT 543 $799,615 $1,473 Johnson Mem. JMH Wound Care ENF, 140 Hazard Avenue, Enfield CT 06082 3,286 $1,080,943 $329 Lawrence + Mem. Pequot Health Center, 52 Hazelnut Hill Road, Groton CT 06340 2,825 $4,064,179 $1,439 Lawrence + Mem. Sleep Lab, 224 Gold Star Highway, Groton CT 06340 691 $885,287 $1,281 Lawrence + Mem. Smilow, 230 Waterford Parkway, South Waterford CT 06385 10,434 $786,149 $75

Page 4 Facility Fee Information by Location Ordered by Provider Name Lawrence + Mem. Wound Care Center, 40 Boston Post Road, Waterford CT 06385 1,788 $1,256,151 $703 Manchester Man. Outpatient Behavioral Health, 150 North Main Street, Manchester CT 16,577 $2,421,344 $146 Manchester Man. Glastonbury Wellness Center, 622 Hebron Avenue, Glastonbury CT 869 $135,353 $156 Middlesex Middlesex Hospital Outpatient Center, Saybrook Road, Middletown CT 2,966 $1,052,522 $355 Middlesex Middlesex Hospital, 51 Broad Street, Middletown CT 992 $116,037 $117 Middlesex Middlesex Hospital Outpatient Center (Surg), Saybrook Rd, Middletown CT 214 $1,017,571 $4,755 MidState MidState Hospital - Mediquick Clinic East, 61 Pomeroy Avenue, Meriden CT 21,545 $2,602,924 $121 MidState MidState Hospital - Mediquick Cheshire, 680 South Main Street, Cheshire CT 6,469 $1,001,412 $155 MidState MidState Hospital - Wound Center, 61 Pomeroy Avenue, Meriden CT 2,518 $3,620,615 $1,438 MidState MidState Hospital - SleepCare Center, 61 Pomeroy Avenue, Meriden CT 926 $1,606,423 $1,735 Milford Milford Hospital Urgent Care Center, 831 Boston Post Road, Milford CT 06460 9,341 $523,666 $56 Mt. Sinai Rehab Hosp. (part of Trinity Health of Mount Sinai Rehabilitation Hospital, 500 Blue Hills Ave, Hartford, CT 06112 5,295 $2,821,803 $533 New England) Norwalk Norwalk Radiology and Mammography Center, 148 East Avenue, Norwalk CT 48,673 $21,044,210 $432 Norwalk Norwalk Hospital Radiology - New Canaan, 28 - 30 East Avenue, New Canaan CT 293 $30,039 $103 Norwalk Norwalk Hospital Sleep Disorders Center, 520 West Avenue, Norwalk CT 2,657 $1,723,447 $649 Norwalk Norwalk Hospital Radiology - Westport, 333 Post Road, Westport CT 2,071 $203,597 $98 Norwalk Norwalk Hospital Radiology - Cross St., 40 Cross Street, Norwalk CT 2,204 $238,227 $108 Rockville Gen. Evergreen Imaging, 2800 Tamarack Avenue, South Windsor CT 8,562 $2,036,682 $238 Rockville Gen. Urgent Care at South Windsor, 2800 Tamarack Avenue, South Windsor CT 7,123 $2,034,781 $286 Rockville Gen. Women's Center for Wellness, 2600 Tamarack Avenue, South Windsor CT 18,214 $4,102,294 $225 St. Francis SFH Enfld Diag Rad, 7 Elm Street, Enfield CT 06082 741 $61,385 $83 St. Francis SFH Mobile MRI Avon, 35 Nod Road, Avon, CT 06001 733 $518,934 $708 St. Mary's Saint Mary's Hospital Urgent Care, 799 New Haven Road, Naugatuck CT 06770 10,973 $1,563,418 $142 St. Mary's Saint Mary's Hospital Urgent Care, 1312 West Main Street, Waterbury CT 06708 9,055 $1,255,270 $139 St. Mary's Saint Mary's Hospital Oncology Center, 1075 Chase Parkway, Waterbury CT 06708 891 $1,701,197 $1,909 St. Mary's Naugatuck Valley Surgical Center, 160 Robbins St, Waterbury CT 06708 8,607 $22,294,682 $2,590 St. Mary's Saint Mary's Hospital Urgent Care, 503 Wolcott, CT 06716 6,965 $1,039,478 $149 St. Mary's Saint Mary’s Hospital Urgent Care Center - Cheshire, 1154 Highland Avenue, Cheshire CT 06410 2,454 $389,394 $159 St. Mary's Saint Mary's Hospital Urgent Care Center, 3801 East Main Street, Waterbury CT 06705 1,264 $181,895 $144 St. Vincent's St. Vincent's Center for Wound Healing - Trumbull, 115 Technology Drive, Trumbull CT 06611 1,795 $251,747 $140 St. Vincent's St. Vincent's Center for Wound Healing - Stratford, 3272 Main Street, Stratford CT 06614 1,516 $204,678 $135 St. Vincent's St. Vincents Family Health Center, 762 Lindley Street, Bridgeport CT 06606 12,466 $994,691 $80

Page 5 Facility Fee Information by Location Ordered by Provider Name Stamford Stamford Hospital-Tully Health Center, 32 Strawberry Hill Court, Stamford CT 88,507 $81,807,943 $924 Stamford Stamford Hospital-Washington Blvd, 1351 Washington Boulevard, Stamford CT 17,697 $3,066,305 $173 Stamford Stamford Hospital-Darien Imaging Center, 6 Thorndal Circle, Darien CT 14,179 $10,818,842 $763 Stamford Stamford Hospital-Chelsea Piers, 1 Blachley Road, Stamford, CT 6,656 $1,487,303 $223 Stamford Stamford Hospital, 372 Danbury Road, Wilton, CT 2,385 $1,365,960 $573 Stamford Stamford Hospital - Long Ridge, 292 Long Ridge Road, Stamford CT 06904 1,771 $387,001 $219 Stamford Stamford Hospital, 945 Summer Street, Stamford, CT 1,017 $185,145 $182 Stamford Stamford Hospital-Darien Cardiology, 6 Thorndal Circle, Darien CT 551 $672,258 $1,220 Stamford Stamford Hospital, 75 Holly Hill Road, Greenwich CT 342 $162,345 $475 Waterbury Imaging Partners, LLC, 134 Grandview Avenue, Waterbury CT 1,397 $514,703 $368 Waterbury Prospect CT Medical Foundation, Inc, 455 Chase Parkway, Waterbury CT 5,468 $4,892,314 $895 Windham Mem. HHC WH Center for Womens Health at Mansfield, 7A Ledgebrook Drive, Mansfield Center CT 06250 464 $1,047,713 $2,258 Yale-New Haven Continuing Care Clinic, 1294 Chapel Street, New Haven CT 06511 9,402 $476,876 $51 Yale-New Haven Edith Johnson Towers, 114 Bristol Street, New Haven CT 06511 41 $2,700 $66 Yale-New Haven Guilford Sports Medicine, 1445 Boston Post Road, Guilford CT 06437 23 $1,330 $58 Yale-New Haven Hamden Multi-Specialty, 2080 Whitney Avenue, Hamden CT 06518 6,589 $905,964 $137 Yale-New Haven Heart and Vascular Center, 2 Devine Street, North Haven CT 06473 27,413 $3,524,100 $129 Yale-New Haven Heart and Vascular Center, 325 Boston Post Road, Orange CT 06477 7,011 $1,221,649 $174 Yale-New Haven Heart and Vascular Center, 5 Pequot Park Road ,Westbrook CT 06498 5,552 $1,048,105 $189 Yale-New Haven Heart and Vascular Center, 84 North Main Street, Branford CT 06405 15,062 $1,684,098 $112 Yale-New Haven Immunology Center, 7 Devine Street, North Haven CT 06473 1,647 $100,988 $61 Yale-New Haven Long Wharf Medical Building, 150 Sargent Drive, New Haven CT 06511 322 $26,894 $84 Yale-New Haven Long Wharf Multi-Specialty, 1 Long Wharf Drive, New Haven CT 06511 54,914 $5,416,155 $99 Yale-New Haven Madison Multi-Specialty, 1291 Boston Post Road, Madison CT 06443 11,337 $2,643,593 $233 Yale-New Haven North Haven Medical Center, 6 Devine Street, North Haven CT 06473 23,310 $1,206,295 $52 Yale-New Haven Old Saybrook Multi-Specialty Center, 633 Middlesex Turnpike, Old Saybrook CT 06475 13,262 $1,685,647 $127 Yale-New Haven Orchard Multi-Specialty, 330 Orchard Street, New Haven CT 06511 28,884 $4,017,016 $139 Yale-New Haven Outpatient Psychiatric Services, 21 Business Park Drive, Branford CT 06405 4,518 $577,623 $128 Yale-New Haven Outpatient Psychiatric Services, 425 George Street, New Haven CT 06511 16,192 $2,185,217 $135 Yale-New Haven Outpatient Psychiatric Services, 646 George Street, New Haven CT 06511 4,391 $540,614 $123 Yale-New Haven Park Avenue Medical Center, 5520 Park Avenue, Trumbull CT 06611 36,702 $2,404,838 $66 Yale-New Haven Pediatric Specialty Center, 747 Belden Avenue, Norwalk CT 06850 6,939 $419,331 $60 Yale-New Haven Pediatric Specialty Clinic, 1 Park Street, New Haven CT 06504 14,223 $1,136,531 $80 Yale-New Haven Radiology and Biomedical Imaging, 2560 Dixwell Avenue, Hamden CT 06518 437 $27,175 $62

Page 6 Facility Fee Information by Location Ordered by Provider Name Yale-New Haven Rheumatology Center, 1441 Chapel Street, New Haven CT 06511 224 $25,210 $113 Yale-New Haven School Based Health Clinic, 14 Brushy Plain Road, Branford CT 06405 1,132 $100,947 $89 Yale-New Haven Shoreline Medical Center, 111 Goose Lane, Guilford CT 06437 27,356 $3,173,223 $116 Yale-New Haven Sleep Center, 8 Devine Street, North Haven CT 06473 8,652 $2,568,469 $297 Yale-New Haven Smilow Cancer Center, 1075 Chase Parkway, Waterbury CT 06708 17,183 $646,409 $38 Yale-New Haven Smilow Cancer Center, 111 Beach Road Fairfield CT 06824 6,039 $254,458 $42 Yale-New Haven Smilow Cancer Center, 240 Indian River Road, Orange CT 06477 6,665 $284,273 $43 Yale-New Haven Smilow Cancer Center, 350 Seymour Avenue, Derby CT 06418 6,634 $288,119 $43 Yale-New Haven Temple Medical, 40 Temple Street, New Haven CT 06510 10,391 $13,597,225 $1,309 Yale-New Haven Temple Medical , 60 Temple Street, New Haven CT 06510 208 $64,244 $309 Yale-New Haven Temple Radiology, 556 Main Street, East Haven CT 06512 190 $21,021 $111 Yale-New Haven Urology Clinic, 2200 Whitney Avenue, Hamden CT 06518 9,808 $1,985,145 $202 Yale-New Haven Walk-in Medical Center, 500 Elm Street, West Haven CT 06516 200 $8,975 $45 Yale-New Haven Whalley Ave Multi-Specialty, 1475 Whalley Avenue, New Haven CT 06515 111 $7,335 $66 Total Statewide Visits and Net Revenue from Facility Fees and average fee per visit 1,204,137 $410,123,457 $341

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