Data Appendices

Commonwealth Health Care Provider of Massachusetts Price Variation in the

Center for Health Massachusetts Commercial Market Information and Analysis Data Appendices

Áron Boros Executive Director November 2012

This report was developed by the Division of Health Care Finance and Policy and published by the Center for Health Information and Analysis.

Center for Health Information and Analysis

Health Care Provider Price Variation in the Massachusetts Commercial Market Data Appendices

Table of Contents

Appendix A – Acute Hospitals

Appendix A1 – Acute Hospitals

– Acute Hospital Relative Prices: Commercial Plans

– Acute Hospital Relative Prices: Commonwealth Care Plans

– Acute Hospital Relative Prices: Medicaid MCO Plans

– Acute Hospital Relative Prices: Medicare Advantage Plans

Appendix A2 – Multiple Regressions for Acute Hospital Relative Prices: Commercial Plans

Appendix A3 - Relative Price versus Relative Payments for Acute Hospital Commercial Plans

Appendix B – Physician Groups

– Physician Group Relative Prices: Commercial Plans

– Physician Group Relative Prices: Commonwealth Care Plans

– Physician Group Relative Prices: Medicaid MCO Plans

– Physician Group Relative Prices: Medicare Advantage Plans

Appendix C – Psychiatric Hospitals and Acute Hospital Behavioral Health Units

– Psychiatric Hospital/Unit Relative Prices: Commercial Plans

– Psychiatric Hospital/Unit Relative Prices: Commonwealth Care Plans

– Psychiatric Hospital/Unit Relative Prices: Medicaid MCO Plans

– Psychiatric Hospital/Unit Relative Prices: Medicare Advantage Plans

Massachusetts Ce n t e r f o r He a l t h In f o r m a t i o n a n d An a l y s i s • No v e m b e r 2012 i Health Care Provider Price Variation in the Massachusetts Commercial Market Data Appendices

Appendix D – Rehabilitation Hospitals

– Rehabilitation Hospital Relative Prices: Commercial Plans

– Rehabilitation Hospital Relative Prices: Commonwealth Care Plans

– Rehabilitation Hospital Relative Prices: Medicaid MCO Plans

– Rehabilitation Hospital Relative Prices: Medicare Advantage Plans

Appendix E – Chronic Hospitals

– Chronic Hospital Relative Prices: Commercial Plans

– Chronic Hospital Relative Prices: Commonwealth Care Plans

– Chronic Hospital Relative Prices: Medicaid MCO Plans

– Chronic Hospital Relative Prices: Medicare Advantage Plans

Appendix F – Other Providers

– Other Providers Relative Prices: Commercial Plans

– Other Providers Relative Prices: Commonwealth Care Plans

– Other Providers Relative Prices: Medicaid MCO Plans

– Other Providers Relative Prices: Medicare Advantage Plans

Massachusetts Ce n t e r f o r He a l t h In f o r m a t i o n a n d An a l y s i s • No v e m b e r 2012 ii Appendix A1 Acute Hospitals

– Acute Hospital Relative Prices: Commercial Plans

– Acute Hospital Relative Prices: Commonwealth Care Plans

– Acute Hospital Relative Prices: Medicaid MCO Plans

– Acute Hospital Relative Prices: Medicare Advantage Plans Aetna Health Inc. (PA) - Aetna Health Ins. Co. Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 1.00 39.83% 1.00 60.17% Anna Jaques Hospital 1.47 4 0.97 25.35% 1.85 74.65% 0.56% x Baystate Franklin Medical Center 0.88 2 0.72 23.84% 1.01 76.16% 0.35% BYHS x x x Baystate Mary Lane Hospital ------9.39% 0.57 90.61% 0.09% BYHS x Baystate Medical Center 0.88 2 1.18 48.91% 0.65 51.09% 2.88% BYHS x x Berkshire Medical Center 1.06 3 0.96 27.43% 1.13 72.57% 0.86% BKHS x x x Beth Israel Deaconess Hospital - Needham ------7.47% 0.72 92.53% 0.23% CG x Beth Israel Deaconess Medical Center 1.16 4 1.29 45.07% 1.07 54.93% 4.58% CG x Boston Medical Center 1.00 3 1.22 28.30% 0.83 71.70% 0.98% x x Brigham and Women's Hospital 1.66 4 1.63 65.57% 1.68 34.43% 15.31% PHS x Cambridge Health Alliance 0.70 1 0.85 32.23% 0.59 67.77% 0.50% x x Cape Cod Hospital 1.12 3 1.24 29.28% 1.04 70.72% 1.51% CCHS x x x Children's Hospital Boston 1.52 4 1.75 60.90% 1.35 39.10% 10.40% x x Clinton Hospital ------8.68% 1.52 91.32% 0.09% UMHS x x Cooley Dickinson Hospital 0.91 2 0.79 27.12% 1.00 72.88% 0.65% x Dana-Farber Cancer Institute* 1.75 4 2.51 11.73% 1.17 88.28% 4.77% x x Emerson Hospital 0.90 2 0.82 13.25% 0.95 86.75% 1.17% x Fairview Hospital ------18.29% 1.43 81.71% 0.18% BKHS x x Falmouth Hospital 1.03 3 0.84 30.47% 1.17 69.53% 0.47% CCHS x x x Faulkner Hospital 0.99 3 1.09 21.94% 0.92 78.06% 1.00% PHS x Hallmark Health 1.00 3 1.02 24.86% 0.99 75.14% 0.88% x Harrington Memorial Hospital* 0.92 2 0.82 12.46% 0.99 87.54% 0.42% x x Health Alliance Hospital 0.96 2 0.77 15.18% 1.10 84.82% 0.55% UMHS x Heywood Hospital ------13.31% 1.10 86.69% 0.24% x A1 - 1 Aetna Health Inc. (PA) - Aetna Health Ins. Co. Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 1.00 39.83% 1.00 60.17% Holyoke Medical Center ------18.57% 0.77 81.43% 0.10% x x Jordan Hospital 1.13 4 1.02 16.19% 1.21 83.81% 0.76% x Lawrence General Hospital 0.81 1 0.88 37.00% 0.76 63.00% 0.36% x x Lowell General Hospital 0.85 1 0.96 30.15% 0.77 69.85% 0.92% x Marlborough Hospital ------13.60% 1.25 86.40% 0.30% UMHS x Martha's Vineyard Hospital ------2.97% 1.36 97.03% 0.16% PHS x x Massachusetts Eye and Ear Infirmary ------5.13% 0.86 94.87% 0.51% x x Massachusetts General Hospital 1.42 4 1.48 42.07% 1.38 57.93% 17.02% PHS x Mercy Medical Center 0.84 1 1.02 44.70% 0.71 55.30% 0.30% x x Merrimack Valley Hospital ------20.41% 1.08 79.59% 0.24% EHC x x MetroWest Medical Center 1.51 4 1.04 24.95% 1.86 75.05% 1.39% VHS x Milford Regional Medical Center 0.94 2 0.93 7.81% 0.95 92.19% 0.82% x Milton Hospital ------32.42% 0.62 67.58% 0.11% x Morton Hospital 0.83 1 0.81 15.81% 0.85 84.19% 0.35% x x Mount Auburn Hospital 0.95 2 0.78 21.71% 1.08 78.29% 1.14% CG x Nantucket Cottage Hospital ------1.51% 1.28 98.50% 0.12% PHS x x Nashoba Valley Medical Center ------6.21% 1.29 93.79% 0.21% EHC x New England Baptist Hospital 1.19 4 1.81 49.31% 0.72 50.69% 0.66% CG x x Newton-Wellesley Hospital 0.85 1 0.79 29.80% 0.89 70.20% 2.72% PHS x Noble Hospital ------31.24% 0.54 68.76% 0.12% x x North Adams Regional Hospital ------32.44% 1.07 67.56% 0.12% x x x North Shore Medical Center 1.03 3 1.22 29.27% 0.89 70.73% 2.16% PHS x Northeast Hospital 0.79 1 0.83 29.88% 0.76 70.12% 1.11% x A1 - 2 Aetna Health Inc. (PA) - Aetna Health Ins. Co. Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 1.00 39.83% 1.00 60.17% Quincy Medical Center ------22.94% 0.70 77.06% 0.14% x x Saint Vincent Hospital 0.89 2 0.83 34.04% 0.93 65.96% 0.52% VHS x x Saints Medical Center ------8.16% 1.02 91.84% 0.45% x x Signature Healthcare Brockton Hospital 0.63 1 0.78 31.64% 0.51 68.36% 0.30% x x South Shore Hospital 0.96 3 0.80 46.21% 1.08 53.79% 1.42% x Southcoast Hospitals Group 0.97 3 1.13 36.49% 0.86 63.51% 1.88% x x Steward Carney Hospital ------26.90% 0.88 73.10% 0.12% SHS x x Steward Good Samaritan Medical Center 0.96 3 0.94 34.56% 0.98 65.44% 0.35% SHS x x Steward Holy Family Hospital 0.92 2 0.78 25.40% 1.02 74.60% 0.57% SHS x Steward Norwood Hospital 0.87 2 0.91 32.82% 0.85 67.18% 0.44% SHS x Steward Saint Anne's Hospital ------9.86% 0.82 90.14% 0.23% SHS x x Steward St. Elizabeth's Medical Center 0.85 1 1.00 48.66% 0.74 51.34% 0.82% SHS x x Sturdy Memorial Hospital 0.78 1 0.75 20.61% 0.80 79.39% 0.46% x Tufts Medical Center 1.28 4 1.71 58.76% 0.96 41.24% 2.17% x UMass Memorial Medical Center 1.18 4 1.21 22.25% 1.15 77.75% 7.94% UMHS x Winchester Hospital 0.76 1 0.76 20.23% 0.76 79.77% 1.55% x Wing Memorial Hospital and Medical Centers ------15.95% 0.95 84.05% 0.24% UMHS x x

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Provider did not meet the reporting threshold. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

A1 - 3 Blue Cross Blue Shield of Massachusetts Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 1.00 43.20% 1.00 56.80% Anna Jaques Hospital 0.76 1 0.75 33.97% 0.77 66.03% 0.55% x Athol Memorial Hospital 0.76 1 0.79 20.20% 0.74 79.80% 0.06% x x x Baystate Franklin Medical Center 1.08 3 1.17 30.10% 1.01 69.90% 0.28% BYHS x x x Baystate Mary Lane Hospital 0.99 3 1.00 23.37% 0.98 76.63% 0.13% BYHS x Baystate Medical Center 1.20 4 1.25 53.34% 1.16 46.66% 2.84% BYHS x x Berkshire Medical Center 1.23 4 1.20 29.30% 1.25 70.70% 1.26% BKHS x x x Beth Israel Deaconess Hospital - Needham 0.83 1 0.77 15.20% 0.89 84.80% 0.27% CG x Beth Israel Deaconess Medical Center 1.11 4 1.21 57.80% 1.02 42.20% 5.87% CG x Boston Medical Center 0.90 2 0.95 50.94% 0.85 49.06% 1.31% x x Brigham and Women's Hospital 1.42 4 1.37 58.37% 1.47 41.63% 10.53% PHS x Cambridge Health Alliance 0.73 1 0.76 29.15% 0.71 70.85% 0.53% x x Cape Cod Hospital 1.32 4 1.02 28.43% 1.58 71.57% 1.53% CCHS x x x Children's Hospital Boston 1.94 4 1.79 54.09% 2.07 45.91% 7.19% x x Clinton Hospital 0.94 3 1.03 20.76% 0.86 79.24% 0.08% UMHS x x Cooley Dickinson Hospital 1.15 4 1.16 36.84% 1.15 63.16% 0.64% x Dana-Farber Cancer Institute 1.23 4 1.06 6.78% 1.37 93.22% 3.26% x x Emerson Hospital 0.91 2 0.90 31.39% 0.91 68.61% 1.13% x Fairview Hospital 1.35 4 1.31 22.77% 1.39 77.23% 0.18% BKHS x x Falmouth Hospital 1.30 4 0.87 26.56% 1.68 73.44% 0.61% CCHS x x x Faulkner Hospital 1.09 3 1.14 27.24% 1.04 72.76% 1.07% PHS x Hallmark Health 0.94 3 0.92 28.68% 0.95 71.32% 1.20% x Harrington Memorial Hospital 1.04 3 0.97 17.96% 1.11 82.04% 0.43% x x Health Alliance Hospital 0.81 1 0.82 37.69% 0.79 62.31% 0.46% UMHS x A1 - 4 Blue Cross Blue Shield of Massachusetts Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 1.00 43.20% 1.00 56.80% Heywood Hospital 0.72 1 0.67 21.25% 0.76 78.75% 0.33% x Holyoke Medical Center 0.75 1 0.73 32.15% 0.76 67.85% 0.23% x x Jordan Hospital 0.93 2 1.00 35.72% 0.86 64.28% 1.03% x Lahey Clinic 1.09 3 1.19 39.55% 1.00 60.45% 4.02% x Lawrence General Hospital 0.80 1 0.79 37.66% 0.81 62.34% 0.49% x x Lowell General Hospital 0.80 1 0.81 37.43% 0.80 62.57% 1.22% x Marlborough Hospital 0.86 2 0.92 35.19% 0.81 64.81% 0.24% UMHS x Martha's Vineyard Hospital 1.81 4 1.43 13.30% 2.15 86.70% 0.29% PHS x x Massachusetts Eye and Ear Infirmary 1.01 3 1.13 14.86% 0.89 85.14% 0.65% x x Massachusetts General Hospital 1.44 4 1.37 38.76% 1.50 61.24% 14.36% PHS x Mercy Medical Center 0.73 1 0.79 53.88% 0.67 46.12% 0.44% x x Merrimack Valley Hospital 0.83 2 0.90 32.09% 0.77 67.91% 0.20% EHC x x MetroWest Medical Center 0.84 2 0.89 36.58% 0.80 63.42% 1.13% VHS x Milford Regional Medical Center 0.91 2 0.82 23.75% 0.98 76.25% 0.92% x Milton Hospital 0.81 1 0.93 45.26% 0.70 54.74% 0.28% x Morton Hospital 0.86 2 0.88 32.56% 0.84 67.44% 0.49% x x Mount Auburn Hospital 0.93 2 0.91 36.02% 0.95 63.98% 1.48% CG x Nantucket Cottage Hospital 1.45 4 0.86 7.31% 1.97 92.69% 0.22% PHS x x Nashoba Valley Medical Center 0.84 2 0.86 19.48% 0.82 80.52% 0.21% EHC x New England Baptist Hospital 1.03 3 1.27 73.74% 0.82 26.26% 1.41% CG x x Newton-Wellesley Hospital 1.06 3 1.13 44.91% 1.00 55.09% 2.85% PHS x Noble Hospital 0.71 1 0.72 39.52% 0.69 60.48% 0.17% x x North Adams Regional Hospital 0.94 3 0.94 25.37% 0.95 74.63% 0.29% x x x A1 - 5 Blue Cross Blue Shield of Massachusetts Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 1.00 43.20% 1.00 56.80% North Shore Medical Center 1.09 4 1.19 42.48% 1.01 57.52% 1.94% PHS x Northeast Hospital 0.92 2 0.93 34.67% 0.92 65.33% 1.72% x Quincy Medical Center 0.74 1 0.80 32.28% 0.69 67.72% 0.25% x x Saint Vincent Hospital 0.76 1 0.70 45.12% 0.81 54.88% 0.84% VHS x x Saints Medical Center 0.76 1 0.79 30.64% 0.73 69.36% 0.51% x x Signature Healthcare Brockton Hospital 0.81 1 0.82 37.88% 0.80 62.12% 0.63% x x South Shore Hospital 1.09 3 1.05 54.48% 1.12 45.52% 2.09% x Southcoast Hospitals Group 0.95 3 1.06 49.21% 0.85 50.79% 2.40% x x Steward Carney Hospital 0.89 2 1.00 36.61% 0.80 63.39% 0.23% SHS x x Steward Good Samaritan Medical Center 0.91 2 1.05 52.40% 0.79 47.60% 0.67% SHS x x Steward Holy Family Hospital 0.79 1 0.85 40.82% 0.74 59.18% 0.58% SHS x Steward Norwood Hospital 0.85 2 0.89 52.43% 0.81 47.57% 0.72% SHS x Steward Saint Anne's Hospital 1.08 3 1.34 28.37% 0.84 71.63% 0.44% SHS x x Steward St. Elizabeth's Medical Center 1.06 3 1.30 59.69% 0.86 40.31% 1.09% SHS x x Sturdy Memorial Hospital 1.19 4 0.90 25.11% 1.45 74.89% 0.84% x Tufts Medical Center 1.01 3 1.09 67.06% 0.95 32.94% 2.36% x UMass Memorial Medical Center 1.12 4 1.20 41.77% 1.06 58.23% 6.29% UMHS x Winchester Hospital 0.91 2 0.96 36.60% 0.86 63.40% 1.84% x Wing Memorial Hospital and Medical Centers 0.89 2 0.92 25.39% 0.86 74.61% 0.23% UMHS x x

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

A1 - 6 Fallon Health and Life Assurance Company Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 1.00 36.59% 1.00 63.41% Anna Jaques Hospital ------21.89% 0.46 78.11% 0.19% x Athol Memorial Hospital ------8.62% 1.03 91.38% 0.62% x x x Baystate Franklin Medical Center ------16.43% 1.11 83.56% 0.45% BYHS x x x Baystate Mary Lane Hospital ------17.79% 0.73 82.20% 0.32% BYHS x Baystate Medical Center 1.01 3 1.17 48.75% 0.93 51.25% 2.97% BYHS x x Berkshire Medical Center 1.17 4 1.17 23.98% 1.17 76.02% 0.64% BKHS x x x Beth Israel Deaconess Medical Center 0.66 1 0.88 66.37% 0.54 33.63% 1.02% CG x Boston Medical Center* ------1.57 63.90% --- 36.10% 0.17% x x Brigham and Women's Hospital 1.97 4 1.75 60.10% 2.08 39.90% 3.81% PHS x Cape Cod Hospital ------13.63% 1.46 86.37% 0.24% CCHS x x x Children's Hospital Boston 1.67 4 1.60 51.07% 1.70 48.93% 2.45% x x Clinton Hospital ------10.19% 0.77 89.81% 0.33% UMHS x x Cooley Dickinson Hospital 1.12 3 1.05 27.97% 1.15 72.03% 1.86% x Dana-Farber Cancer Institute* 2.71 4 2.12 4.59% 3.00 95.41% 3.95% x x Emerson Hospital 0.66 1 0.78 25.90% 0.61 74.10% 1.29% x Faulkner Hospital ------21.35% 1.15 78.65% 0.33% PHS x Hallmark Health ------7.46% 1.16 92.55% 0.46% x Harrington Memorial Hospital 0.87 3 0.86 13.35% 0.88 86.65% 3.25% x x Health Alliance Hospital 0.95 3 1.21 29.20% 0.81 70.80% 2.58% UMHS x Heywood Hospital 0.57 1 0.75 22.94% 0.49 77.06% 1.53% x Holyoke Medical Center ------18.29% 0.84 81.71% 0.37% x x Jordan Hospital ------30.51% 0.47 69.49% 0.14% x Lahey Clinic 0.92 3 1.19 26.88% 0.79 73.12% 1.92% x A1 - 7 Fallon Health and Life Assurance Company Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 1.00 36.59% 1.00 63.41% Lawrence General Hospital 0.66 1 0.74 32.50% 0.62 67.50% 0.25% x x Lowell General Hospital 0.59 1 0.61 24.11% 0.57 75.89% 1.24% x Marlborough Hospital 0.66 1 0.57 16.36% 0.71 83.64% 0.77% UMHS x Massachusetts Eye and Ear Infirmary ------11.13% 0.98 88.87% 0.16% x x Massachusetts General Hospital 2.00 4 1.65 38.29% 2.17 61.71% 4.66% PHS x Mercy Medical Center 0.67 2 0.96 54.00% 0.52 46.00% 0.46% x x MetroWest Medical Center 0.72 2 1.02 31.90% 0.58 68.10% 1.62% VHS x Milford Regional Medical Center 0.78 2 1.05 18.37% 0.64 81.63% 1.97% x Morton Hospital ------20.90% 1.14 79.10% 0.11% x x Mount Auburn Hospital 0.63 1 0.72 22.25% 0.59 77.75% 0.43% CG x Nashoba Valley Medical Center ------14.11% 0.64 85.89% 0.32% EHC x New England Baptist Hospital* ------0.74 76.36% --- 23.64% 0.19% CG x x Newton-Wellesley Hospital 0.79 2 0.40 25.20% 0.99 74.80% 0.59% PHS x Noble Hospital ------17.12% 1.86 82.88% 0.20% x x North Adams Regional Hospital* 1.51 4 1.63 26.07% 1.45 73.93% 0.50% x x x North Shore Medical Center ------29.30% 0.54 70.70% 0.17% PHS x Northeast Hospital 0.77 2 0.63 19.00% 0.84 81.00% 1.97% x Saint Vincent Hospital 0.84 2 1.14 49.91% 0.68 50.09% 18.10% VHS x x Saints Medical Center ------6.40% 0.60 93.60% 0.42% x x Signature Healthcare Brockton Hospital 0.95 3 0.70 14.49% 1.08 85.52% 0.57% x x South Shore Hospital 1.39 4 1.38 42.77% 1.39 57.23% 0.71% x Southcoast Hospitals Group 0.77 2 0.90 37.15% 0.71 62.85% 0.45% x x Steward Holy Family Hospital ------15.68% 0.95 84.32% 0.25% SHS x A1 - 8 Fallon Health and Life Assurance Company Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 1.00 36.59% 1.00 63.41% Steward Norwood Hospital ------25.75% 1.19 74.25% 0.12% SHS x Steward St. Elizabeth's Medical Center* ------3.47 77.90% --- 22.10% 0.23% SHS x x Sturdy Memorial Hospital* 1.14 3 1.35 16.11% 1.04 83.89% 0.52% x Tufts Medical Center 1.16 4 1.41 68.16% 1.03 31.84% 1.14% x UMass Memorial Medical Center 0.98 3 1.35 38.73% 0.79 61.27% 29.78% UMHS x Winchester Hospital 0.75 2 0.93 23.24% 0.66 76.75% 0.47% x Wing Memorial Hospital and Medical Centers 0.58 1 0.75 25.30% 0.49 74.70% 0.36% UMHS x x

A1 - 9 Harvard Pilgrim Health Care Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 1.00 43.78% 1.00 56.22% Anna Jaques Hospital 0.80 2 0.93 35.91% 0.70 64.09% 0.32% x Baystate Franklin Medical Center ------10.72% 1.60 89.28% 0.10% BYHS x x x Baystate Mary Lane Hospital ------1.98% 1.12 98.02% 0.05% BYHS x Baystate Medical Center 1.05 3 1.13 54.34% 0.98 45.66% 0.58% BYHS x x Berkshire Medical Center 1.56 4 1.51 25.20% 1.60 74.80% 0.56% BKHS x x x Beth Israel Deaconess Hospital - Needham 0.81 2 0.68 14.24% 0.92 85.76% 0.45% CG x Beth Israel Deaconess Medical Center 1.14 3 1.33 53.06% 0.99 46.94% 8.98% CG x Boston Medical Center 0.89 2 1.05 50.18% 0.77 49.82% 1.98% x x Brigham and Women's Hospital 1.32 4 1.43 64.50% 1.24 35.50% 9.96% PHS x Cambridge Health Alliance 0.60 1 0.69 23.54% 0.52 76.46% 0.33% x x Cape Cod Hospital 1.48 4 1.43 35.28% 1.53 64.72% 2.16% CCHS x x x Children's Hospital Boston 1.78 4 1.86 51.18% 1.71 48.83% 6.86% x x Clinton Hospital ------6.64% 0.80 93.36% 0.07% UMHS x x Cooley Dickinson Hospital 1.55 4 1.49 35.99% 1.61 64.01% 0.69% x Dana-Farber Cancer Institute 1.17 4 1.48 4.80% 0.91 95.20% 3.49% x x Emerson Hospital 0.79 1 0.83 29.25% 0.76 70.75% 0.96% x Fairview Hospital ------21.61% 1.54 78.39% 0.03% BKHS x x Falmouth Hospital 1.50 4 1.34 33.38% 1.62 66.62% 0.78% CCHS x x x Faulkner Hospital 1.09 3 1.21 26.72% 0.98 73.28% 1.63% PHS x Hallmark Health 0.93 3 0.92 29.92% 0.94 70.08% 1.16% x Harrington Memorial Hospital ------4.72% 1.00 95.28% 0.27% x x Health Alliance Hospital 0.77 1 0.66 23.65% 0.86 76.35% 0.43% UMHS x Heywood Hospital 0.74 1 0.48 13.60% 0.96 86.40% 0.22% x A1 - 10 Harvard Pilgrim Health Care Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 1.00 43.78% 1.00 56.22% Holyoke Medical Center ------16.84% 0.62 83.16% 0.03% x x Jordan Hospital 0.94 3 1.00 32.99% 0.89 67.01% 1.04% x Lahey Clinic 1.17 4 1.27 44.03% 1.08 55.97% 3.87% x Lawrence General Hospital 0.73 1 0.83 43.58% 0.65 56.42% 0.30% x x Lowell General Hospital 0.90 2 0.97 44.79% 0.85 55.21% 1.25% x Marlborough Hospital 0.78 1 0.61 20.12% 0.92 79.88% 0.24% UMHS x Martha's Vineyard Hospital 1.83 4 1.26 11.48% 2.30 88.52% 0.39% PHS x x Massachusetts Eye and Ear Infirmary 0.74 1 0.83 12.85% 0.66 87.15% 0.75% x x Massachusetts General Hospital 1.32 4 1.50 49.91% 1.17 50.09% 10.93% PHS x Mercy Medical Center 0.90 2 0.91 46.78% 0.89 53.22% 0.09% x x Merrimack Valley Hospital 0.69 1 0.69 28.96% 0.68 71.04% 0.11% EHC x x MetroWest Medical Center 0.87 2 0.92 33.12% 0.84 66.88% 1.37% VHS x Milford Regional Medical Center 0.90 2 0.90 25.05% 0.90 74.95% 1.51% x Milton Hospital 0.72 1 0.73 35.56% 0.72 64.44% 0.44% x Morton Hospital 0.75 1 0.85 35.96% 0.67 64.04% 0.53% x x Mount Auburn Hospital 0.97 3 1.07 38.02% 0.90 61.98% 1.71% CG x Nantucket Cottage Hospital ------9.71% 1.76 90.29% 0.06% PHS x x Nashoba Valley Medical Center 0.74 1 0.79 19.39% 0.70 80.61% 0.15% EHC x New England Baptist Hospital 0.76 1 0.89 66.52% 0.65 33.48% 1.48% CG x x Newton-Wellesley Hospital 1.10 3 1.17 36.74% 1.05 63.26% 3.85% PHS x Noble Hospital ------9.87% 0.77 90.13% 0.03% x x North Adams Regional Hospital ------12.32% 1.16 87.67% 0.02% x x x North Shore Medical Center 1.13 3 1.25 40.74% 1.03 59.26% 1.61% PHS x A1 - 11 Harvard Pilgrim Health Care Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 1.00 43.78% 1.00 56.22% Northeast Hospital 0.88 2 0.96 33.60% 0.82 66.40% 1.35% x Quincy Medical Center 0.63 1 0.78 38.72% 0.50 61.28% 0.41% x x Saint Vincent Hospital 0.86 2 1.16 56.69% 0.61 43.31% 0.73% VHS x x Saints Medical Center 0.63 1 0.49 21.89% 0.74 78.11% 0.28% x x Signature Healthcare Brockton Hospital 0.80 2 0.78 32.56% 0.83 67.44% 0.69% x x South Shore Hospital 1.43 4 1.54 49.20% 1.33 50.80% 4.04% x Southcoast Hospitals Group 0.98 3 1.28 51.90% 0.73 48.10% 2.64% x x Steward Carney Hospital 0.85 2 0.94 33.86% 0.77 66.14% 0.34% SHS x x Steward Good Samaritan Medical Center 0.91 3 0.87 42.15% 0.94 57.85% 0.82% SHS x x Steward Holy Family Hospital 0.84 2 0.89 35.03% 0.81 64.96% 0.46% SHS x Steward Norwood Hospital 0.87 2 0.84 42.26% 0.89 57.74% 0.92% SHS x Steward Saint Anne's Hospital 1.47 4 1.17 14.64% 1.71 85.36% 0.48% SHS x x Steward St. Elizabeth's Medical Center 1.13 3 1.33 56.32% 0.96 43.68% 1.35% SHS x x Sturdy Memorial Hospital 1.26 4 1.03 28.15% 1.44 71.85% 1.00% x Tufts Medical Center 1.01 3 1.09 58.80% 0.93 41.20% 2.25% x UMass Memorial Medical Center 1.17 4 1.40 39.40% 0.99 60.60% 6.78% UMHS x Winchester Hospital 1.00 3 1.13 33.31% 0.90 66.69% 1.67% x Wing Memorial Hospital and Medical Centers ------11.83% 0.99 88.17% 0.04% UMHS x x

‘---‘ Provider did not meet the reporting threshold. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

A1 - 12 Neighborhood Health Plan Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 41.05% 58.95% Beth Israel Deaconess Medical Center ------0.93 46.27% --- 53.73% 7.26% CG x Boston Medical Center ------1.17 36.42% --- 63.58% 11.86% x x Brigham and Women's Hospital ------2.02 62.29% --- 37.71% 13.94% PHS x Cambridge Health Alliance ------0.71 19.78% --- 80.23% 1.73% x x Children's Hospital Boston ------1.85 49.11% --- 50.89% 6.54% x x Dana-Farber Cancer Institute* ------1.51 9.60% --- 90.40% 4.37% x x Faulkner Hospital ------1.01 36.90% --- 63.10% 2.22% PHS x Lahey Clinic ------0.93 36.65% --- 63.35% 4.71% x Massachusetts General Hospital ------2.01 48.79% --- 51.21% 13.59% PHS x Mount Auburn Hospital ------0.81 26.22% --- 73.78% 1.14% CG x New England Baptist Hospital* ------0.57 49.56% --- 50.43% 0.62% CG x x North Shore Medical Center ------0.73 36.73% --- 63.27% 2.70% PHS x Northeast Hospital ------0.72 32.55% --- 67.45% 1.89% x South Shore Hospital ------1.26 49.00% --- 51.00% 2.61% x Southcoast Hospitals Group ------1.49 45.87% --- 54.13% 1.56% x x Steward Carney Hospital ------0.81 33.34% --- 66.66% 1.08% SHS x x Steward Good Samaritan Medical Center ------0.69 42.80% --- 57.20% 0.75% SHS x x Steward Norwood Hospital ------0.85 36.86% --- 63.14% 0.83% SHS x Steward St. Elizabeth's Medical Center ------0.91 67.72% --- 32.28% 1.07% SHS x x Tufts Medical Center ------0.98 33.01% --- 66.99% 4.91% x UMass Memorial Medical Center ------1.39 23.59% --- 76.41% 4.14% UMHS x Winchester Hospital ------1.06 46.50% --- 53.50% 0.77% x

A1 - 13 Neighborhood Health Plan Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 41.05% 58.95%

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Relative price values were not calculated for payer’s network due to data quality issues with the submitted information. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

A1 - 14 Tufts Associated Health Maintenance Organization, Inc. Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 1.00 38.10% 1.00 61.90% Anna Jaques Hospital 0.72 1 0.71 22.82% 0.73 77.18% 0.46% x Athol Memorial Hospital ------4.01% 0.75 95.99% 0.04% x x x Baystate Franklin Medical Center 1.01 3 0.94 19.71% 1.05 80.29% 0.28% BYHS x x x Baystate Mary Lane Hospital ------18.28% 0.95 81.72% 0.08% BYHS x Baystate Medical Center 0.86 2 1.01 54.98% 0.76 45.02% 1.42% BYHS x x Berkshire Medical Center 1.31 4 1.25 26.75% 1.36 73.25% 0.85% BKHS x x x Beth Israel Deaconess Hospital - Needham 0.88 2 0.67 9.27% 1.03 90.73% 0.45% CG x Beth Israel Deaconess Medical Center 1.23 4 1.36 51.07% 1.14 48.93% 6.15% CG x Boston Medical Center 0.78 2 0.91 50.41% 0.69 49.59% 1.35% x x Brigham and Women's Hospital 1.53 4 1.55 59.53% 1.51 40.47% 8.46% PHS x Cambridge Health Alliance 0.67 1 0.73 18.41% 0.62 81.59% 0.50% x x Cape Cod Hospital 1.15 4 0.66 13.65% 1.48 86.35% 2.63% CCHS x x x Children's Hospital Boston 2.11 4 2.09 43.63% 2.13 56.37% 5.74% x x Clinton Hospital ------10.23% 0.80 89.77% 0.09% UMHS x x Cooley Dickinson Hospital 1.53 4 1.51 29.14% 1.54 70.86% 0.81% x Dana-Farber Cancer Institute 1.20 4 1.51 6.95% 0.99 93.05% 2.51% x x Emerson Hospital 0.91 2 1.07 30.09% 0.80 69.91% 1.19% x Fairview Hospital ------13.88% 1.49 86.12% 0.06% BKHS x x Falmouth Hospital 1.31 4 0.80 17.64% 1.66 82.36% 0.98% CCHS x x x Faulkner Hospital 0.98 3 0.89 17.81% 1.04 82.19% 1.10% PHS x Hallmark Health 1.03 3 1.13 28.00% 0.96 72.00% 2.05% x Harrington Memorial Hospital 1.02 3 1.00 10.16% 1.04 89.84% 0.45% x x Health Alliance Hospital 0.76 1 0.84 24.40% 0.70 75.60% 0.53% UMHS x A1 - 15 Tufts Associated Health Maintenance Organization, Inc. Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 1.00 38.10% 1.00 61.90% Heywood Hospital 0.71 1 0.69 18.50% 0.72 81.50% 0.49% x Holyoke Medical Center 0.76 1 0.89 29.22% 0.67 70.78% 0.10% x x Jordan Hospital 0.87 2 0.95 33.53% 0.81 66.47% 0.86% x Lahey Clinic 1.06 3 1.27 34.76% 0.92 65.24% 4.71% x Lawrence General Hospital 0.76 1 0.78 37.06% 0.74 62.94% 0.54% x x Lowell General Hospital 0.81 2 0.80 30.95% 0.81 69.05% 1.17% x Marlborough Hospital 0.76 1 0.77 22.88% 0.76 77.12% 0.30% UMHS x Martha's Vineyard Hospital ------0.00% 1.92 100.00% 0.03% PHS x x Massachusetts Eye and Ear Infirmary 0.88 2 1.16 11.85% 0.68 88.15% 0.70% x x Massachusetts General Hospital 1.55 4 1.61 48.42% 1.51 51.58% 11.47% PHS x Mercy Medical Center 0.67 1 0.76 46.22% 0.60 53.78% 0.22% x x Merrimack Valley Hospital 0.70 1 0.71 18.79% 0.70 81.21% 0.14% EHC x x MetroWest Medical Center 0.89 2 0.99 32.32% 0.82 67.68% 1.21% VHS x Milford Regional Medical Center 0.91 2 0.99 21.65% 0.85 78.35% 0.78% x Milton Hospital 0.62 1 0.62 27.45% 0.63 72.55% 0.23% x Morton Hospital 0.72 1 0.61 17.44% 0.79 82.56% 0.44% x x Mount Auburn Hospital 1.12 4 1.22 27.83% 1.05 72.17% 2.61% CG x Nashoba Valley Medical Center 0.74 1 0.52 11.99% 0.90 88.01% 0.31% EHC x New England Baptist Hospital 0.92 2 1.05 62.15% 0.84 37.85% 1.25% CG x x Newton-Wellesley Hospital 1.04 3 1.08 29.25% 1.01 70.75% 3.55% PHS x Noble Hospital ------16.46% 0.98 83.54% 0.07% x x North Adams Regional Hospital 1.55 4 1.62 22.63% 1.51 77.37% 0.26% x x x North Shore Medical Center 1.07 3 1.17 37.10% 1.00 62.90% 2.23% PHS x A1 - 16 Tufts Associated Health Maintenance Organization, Inc. Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 1.00 38.10% 1.00 61.90% Northeast Hospital 0.93 3 1.02 30.69% 0.87 69.31% 1.83% x Quincy Medical Center 0.69 1 0.69 21.32% 0.68 78.68% 0.28% x x Saint Vincent Hospital 0.85 2 0.92 42.39% 0.80 57.61% 0.67% VHS x x Saints Medical Center 0.59 1 0.48 17.65% 0.66 82.35% 0.33% x x Signature Healthcare Brockton Hospital 0.87 2 0.81 31.23% 0.92 68.77% 0.79% x x South Shore Hospital 1.13 4 1.31 51.00% 1.00 49.00% 2.23% x Southcoast Hospitals Group 1.02 3 1.28 45.65% 0.84 54.35% 1.52% x x Steward Carney Hospital 0.97 3 1.01 18.72% 0.95 81.28% 0.51% SHS x x Steward Good Samaritan Medical Center 0.92 3 0.87 33.60% 0.96 66.40% 0.98% SHS x x Steward Holy Family Hospital 0.92 2 0.85 25.19% 0.97 74.81% 1.15% SHS x Steward Norwood Hospital 0.94 3 0.91 37.56% 0.96 62.44% 1.04% SHS x Steward Saint Anne's Hospital 0.93 3 0.88 18.32% 0.96 81.68% 0.51% SHS x x Steward St. Elizabeth's Medical Center 1.02 3 1.11 45.67% 0.96 54.33% 2.13% SHS x x Sturdy Memorial Hospital 1.43 4 1.69 23.74% 1.24 76.26% 0.86% x Tufts Medical Center 0.90 2 0.96 46.63% 0.87 53.37% 4.06% x UMass Memorial Medical Center 1.17 4 1.26 33.48% 1.12 66.52% 6.31% UMHS x Winchester Hospital 1.11 4 1.57 38.94% 0.80 61.06% 2.79% x Wing Memorial Hospital and Medical Centers ------14.86% 0.80 85.14% 0.14% UMHS x x

‘---‘ Provider did not meet the reporting threshold. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

A1 - 17 United Healthcare Insurance Company Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 33.26% 66.75% Southcoast Hospitals Group ------1.00 33.26% --- 66.75% 100.00% x x

‘---‘ Provider did not meet the reporting threshold. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

A1 - 18 UniCare Life and Health Insurance Company Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 1.00 40.40% 1.00 59.60% Anna Jaques Hospital 0.71 1 0.71 29.59% 0.72 70.41% 0.38% x Athol Memorial Hospital ------3.33% 0.65 96.67% 0.13% x x x Baystate Franklin Medical Center 0.80 2 0.76 14.49% 0.84 85.51% 0.59% BYHS x x x Baystate Mary Lane Hospital ------15.17% 0.56 84.83% 0.19% BYHS x Baystate Medical Center 1.20 4 1.24 40.85% 1.17 59.15% 7.94% BYHS x x Berkshire Medical Center 0.97 3 1.05 29.94% 0.90 70.06% 1.79% BKHS x x x Beth Israel Deaconess Hospital - Needham ------17.69% 0.67 82.31% 0.20% CG x Beth Israel Deaconess Medical Center 1.18 4 1.51 44.59% 0.88 55.41% 5.78% CG x Boston Medical Center 1.62 4 1.49 50.36% 1.74 49.64% 1.24% x x Brigham and Women's Hospital 2.02 4 2.60 63.17% 1.50 36.84% 12.19% PHS x Cambridge Health Alliance ------19.65% 0.72 80.35% 0.33% x x Cape Cod Hospital 0.83 2 0.84 27.58% 0.83 72.42% 0.99% CCHS x x x Children's Hospital Boston 2.13 4 2.97 56.06% 1.37 43.94% 2.10% x x Cooley Dickinson Hospital 0.86 2 0.94 33.63% 0.79 66.37% 2.23% x Dana-Farber Cancer Institute* 2.10 4 2.89 6.52% 1.37 93.48% 4.72% x x Emerson Hospital 0.85 2 0.81 32.78% 0.88 67.22% 0.40% x Falmouth Hospital 0.75 1 0.74 33.32% 0.76 66.68% 0.35% CCHS x x x Faulkner Hospital 1.80 4 1.19 17.90% 2.36 82.10% 1.32% PHS x Hallmark Health 0.77 1 0.73 25.15% 0.80 74.85% 1.31% x Harrington Memorial Hospital ------14.52% 0.65 85.48% 0.26% x x Health Alliance Hospital 0.83 2 0.76 20.19% 0.89 79.81% 0.42% UMHS x Heywood Hospital ------15.55% 0.66 84.45% 0.53% x Holyoke Medical Center 0.79 2 0.74 41.49% 0.83 58.51% 0.42% x x A1 - 19 UniCare Life and Health Insurance Company Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 1.00 40.40% 1.00 59.60% Jordan Hospital 0.88 2 0.83 28.95% 0.92 71.05% 0.74% x Lahey Clinic 1.08 3 1.14 32.99% 1.02 67.01% 3.01% x Lawrence General Hospital 1.01 3 0.75 39.02% 1.24 60.98% 0.40% x x Lowell General Hospital 0.71 1 0.66 27.05% 0.76 72.95% 0.81% x Marlborough Hospital ------14.69% 0.90 85.31% 0.14% UMHS x Martha's Vineyard Hospital ------7.37% 0.75 92.63% 0.10% PHS x x Massachusetts Eye and Ear Infirmary* 1.84 4 1.63 9.79% 2.03 90.21% 1.14% x x Massachusetts General Hospital 2.52 4 2.32 38.93% 2.70 61.07% 14.93% PHS x Mercy Medical Center 1.10 3 1.22 52.96% 0.99 47.04% 1.30% x x MetroWest Medical Center 0.80 2 0.82 37.12% 0.79 62.88% 0.62% VHS x Milford Regional Medical Center 0.66 1 0.67 34.82% 0.66 65.18% 0.43% x Milton Hospital 0.68 1 0.71 33.34% 0.66 66.66% 0.35% x Morton Hospital 0.67 1 0.74 33.26% 0.61 66.74% 0.84% x x Mount Auburn Hospital 0.92 3 0.86 36.27% 0.97 63.73% 0.83% CG x Nashoba Valley Medical Center 0.68 1 0.56 42.65% 0.79 57.35% 0.24% EHC x New England Baptist Hospital 1.10 3 0.90 64.63% 1.29 35.37% 1.45% CG x x Newton-Wellesley Hospital 1.05 3 1.09 34.05% 1.02 65.95% 1.60% PHS x Noble Hospital ------31.42% 0.66 68.58% 0.23% x x North Adams Regional Hospital 0.82 2 0.91 37.68% 0.73 62.32% 0.27% x x x North Shore Medical Center 1.16 3 1.40 41.78% 0.94 58.22% 1.93% PHS x Northeast Hospital 0.85 2 0.89 33.83% 0.80 66.17% 1.16% x Quincy Medical Center 0.74 1 0.77 45.11% 0.72 54.89% 0.35% x x Saint Vincent Hospital 0.99 3 1.01 45.43% 0.97 54.57% 0.62% VHS x x A1 - 20 UniCare Life and Health Insurance Company Acute Hospital Commercial (self and fully insured) Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 1.00 40.40% 1.00 59.60% Saints Medical Center 0.82 2 0.81 25.66% 0.83 74.34% 0.85% x x Signature Healthcare Brockton Hospital 0.78 2 0.82 40.47% 0.74 59.53% 0.51% x x South Shore Hospital 0.80 2 0.79 37.64% 0.81 62.36% 1.33% x Southcoast Hospitals Group 1.06 3 0.89 38.76% 1.22 61.24% 2.12% x x Steward Carney Hospital 0.74 1 0.81 40.08% 0.68 59.92% 0.27% SHS x x Steward Good Samaritan Medical Center 0.96 3 0.77 35.27% 1.13 64.72% 0.58% SHS x x Steward Holy Family Hospital 0.92 3 0.92 35.14% 0.93 64.86% 0.51% SHS x Steward Norwood Hospital 1.18 4 0.72 31.56% 1.59 68.44% 0.44% SHS x Steward Saint Anne's Hospital ------12.98% 1.70 87.02% 0.38% SHS x x Steward St. Elizabeth's Medical Center 1.23 4 1.08 52.31% 1.37 47.69% 0.92% SHS x x Sturdy Memorial Hospital 0.74 1 0.81 39.77% 0.68 60.23% 0.28% x Tufts Medical Center 1.72 4 2.18 65.06% 1.30 34.94% 3.35% x UMass Memorial Medical Center 1.26 4 1.62 45.45% 0.93 54.55% 7.52% UMHS x Winchester Hospital 0.73 1 0.67 29.43% 0.80 70.57% 0.82% x Wing Memorial Hospital and Medical Centers 0.75 1 0.81 17.66% 0.70 82.34% 0.64% UMHS x x

A1 - 21 BMC HealthNet Plan, Inc. Acute Hospital Commonwealth Care Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 37.52% 1.00 62.48% Anna Jaques Hospital ------0.85 34.26% 0.84 65.74% 0.42% x Baystate Franklin Medical Center ------0.85 28.89% 0.94 71.11% 1.71% BYHS x x x Baystate Mary Lane Hospital ------24.10% 0.94 75.90% 0.40% BYHS x Baystate Medical Center ------1.04 46.85% 0.92 53.15% 8.25% BYHS x x Berkshire Medical Center ------1.10 36.81% 0.8 63.19% 5.28% BKHS x x x Beth Israel Deaconess Medical Center ------0.89 50.29% 0.69 49.71% 2.86% CG x Boston Medical Center ------2.28 34.49% 1.34 65.51% 25.84% x x Cape Cod Hospital ------0.94 33.95% 0.85 66.05% 4.59% CCHS x x x Children's Hospital Boston* ------1.49 31.88% 1.26 68.12% 0.66% x x Cooley Dickinson Hospital ------0.82 34.03% 0.83 65.97% 2.07% x Fairview Hospital ------8.65% 0.8 91.35% 0.90% BKHS x x Falmouth Hospital ------0.80 28.29% 0.85 71.71% 1.74% CCHS x x x Hallmark Health ------1.03 29.47% 0.83 70.53% 0.67% x Harrington Memorial Hospital ------15.67% 0.79 84.33% 0.24% x x Holyoke Medical Center ------1.04 26.85% 0.88 73.15% 1.48% x x Jordan Hospital ------1.08 42.22% 0.84 57.78% 1.47% x Lawrence General Hospital ------1.01 40.14% 0.88 59.86% 0.77% x x Lowell General Hospital ------31.62% 0.84 68.38% 0.37% x Marlborough Hospital ------31.32% 2.54 68.68% 0.34% UMHS x Mercy Medical Center ------0.77 55.84% 0.70 44.16% 1.26% x x MetroWest Medical Center ------25.82% 0.78 74.18% 0.31% VHS x Morton Hospital ------0.86 14.65% 1.99 85.35% 2.53% x x Mount Auburn Hospital ------18.29% 0.84 81.71% 0.23% CG x A1 - 22 BMC HealthNet Plan, Inc. Acute Hospital Commonwealth Care Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 37.52% 1.00 62.48% Noble Hospital ------1.27 52.54% 0.77 47.46% 0.68% x x North Adams Regional Hospital ------0.74 26.40% 0.83 73.60% 0.93% x x x North Shore Medical Center ------0.83 30.44% 0.73 69.56% 0.60% PHS x Northeast Hospital ------0.86 41.10% 0.78 58.90% 1.31% x Quincy Medical Center ------1.06 37.44% 0.80 62.56% 0.52% x x Saint Vincent Hospital* ------0.89 46.38% 0.80 53.62% 0.33% VHS x x Signature Healthcare Brockton Hospital ------0.83 45.08% 0.76 54.92% 1.47% x x South Shore Hospital ------0.86 48.21% 0.70 51.79% 0.59% x Southcoast Hospitals Group ------1.78 46.67% 1.70 53.33% 13.11% x x Steward Carney Hospital ------1.25 47.89% 0.69 52.11% 0.53% SHS x x Steward Good Samaritan Medical Center ------0.80 44.40% 0.71 55.60% 0.91% SHS x x Steward Holy Family Hospital ------37.77% 0.71 62.23% 0.26% SHS x Steward Saint Anne's Hospital ------0.98 29.53% 0.69 70.47% 1.36% SHS x x Steward St. Elizabeth's Medical Center ------0.86 42.67% 0.69 57.33% 0.67% SHS x x Sturdy Memorial Hospital ------0.93 25.55% 0.79 74.45% 1.73% x Tufts Medical Center ------0.76 49.60% 0.69 50.40% 1.54% x UMass Memorial Medical Center ------2.28 37.55% 1.89 62.45% 6.54% UMHS x Wing Memorial Hospital and Medical Centers ------1.15 18.00% 2.61 82.00% 1.27% UMHS x x

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

A1 - 23 Fallon Health and Life Assurance Company Acute Hospital Commonwealth Care Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 39.41% 1.00 60.59% Boston Medical Center* ------3.53 95.02% --- 4.98% 3.03% x x Brigham and Women's Hospital* ------1.79 71.01% --- 28.99% 2.97% PHS x Dana-Farber Cancer Institute ------0.00% 0.96 100.00% 3.71% x x Emerson Hospital ------20.78% 0.52 79.22% 2.72% x Harrington Memorial Hospital ------12.35% 0.85 87.65% 4.20% x x Health Alliance Hospital* ------1.41 43.04% 0.75 56.96% 3.49% UMHS x Lahey Clinic ------1.55 43.46% 0.67 56.54% 9.33% x Lowell General Hospital ------13.91% 0.57 86.09% 2.85% x Marlborough Hospital ------41.02% 0.76 58.98% 2.44% UMHS x Massachusetts General Hospital* ------2.29 44.87% 1.59 55.13% 2.71% PHS x MetroWest Medical Center ------1.22 35.69% 0.50 64.31% 5.55% VHS x Milford Regional Medical Center ------22.87% 0.56 77.13% 2.82% x Mount Auburn Hospital ------16.65% 0.52 83.35% 2.64% CG x Northeast Hospital ------8.89% 0.71 91.11% 4.45% x Saint Vincent Hospital ------1.14 53.67% 0.55 46.33% 21.55% VHS x x UMass Memorial Medical Center ------1.55 44.92% 0.88 55.08% 13.84% UMHS x Winchester Hospital ------22.69% 0.57 77.31% 2.87% x

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

A1 - 24 Neighborhood Health Plan Acute Hospital Commonwealth Care Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 40.14% 59.86% Anna Jaques Hospital ------0.73 41.37% --- 58.64% 0.52% x Beth Israel Deaconess Medical Center ------0.88 37.86% --- 62.14% 7.03% CG x Boston Medical Center ------1.07 43.14% --- 56.86% 5.64% x x Brigham and Women's Hospital ------1.67 53.43% --- 46.57% 9.80% PHS x Cambridge Health Alliance ------0.82 18.08% --- 81.92% 2.66% x x Cape Cod Hospital ------1.19 49.21% --- 50.79% 0.81% CCHS x x x Children's Hospital Boston* ------1.73 21.95% --- 78.05% 1.01% x x Faulkner Hospital ------0.71 37.25% --- 62.75% 1.41% PHS x Hallmark Health ------1.00 33.95% --- 66.05% 1.70% x Lahey Clinic ------0.82 42.04% --- 57.96% 5.65% x Lawrence General Hospital ------0.86 42.58% --- 57.42% 1.59% x x Lowell General Hospital ------0.74 37.76% --- 62.24% 1.14% x Massachusetts General Hospital ------1.65 44.01% --- 55.99% 11.82% PHS x Mount Auburn Hospital ------1.13 43.54% --- 56.46% 1.34% CG x New England Baptist Hospital ------0.63 50.95% --- 49.05% 0.58% CG x x North Shore Medical Center ------0.72 28.38% --- 71.62% 3.27% PHS x Northeast Hospital ------0.68 45.49% --- 54.51% 1.61% x Quincy Medical Center ------0.90 26.32% --- 73.68% 0.80% x x Signature Healthcare Brockton Hospital ------1.11 52.29% --- 47.71% 2.55% x x South Shore Hospital ------0.68 31.38% --- 68.62% 3.46% x Southcoast Hospitals Group ------1.31 43.13% --- 56.87% 5.24% x x Steward Carney Hospital ------0.99 41.85% --- 58.15% 0.94% SHS x x Steward Good Samaritan Medical Center ------0.84 36.93% --- 63.07% 1.49% SHS x x A1 - 25 Neighborhood Health Plan Acute Hospital Commonwealth Care Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 40.14% 59.86% Steward Holy Family Hospital ------0.87 38.46% --- 61.54% 1.01% SHS x Steward Norwood Hospital ------0.57 35.46% --- 64.54% 1.30% SHS x Steward St. Elizabeth's Medical Center ------1.04 48.12% --- 51.88% 1.83% SHS x x Sturdy Memorial Hospital ------0.77 36.42% --- 63.58% 0.82% x Tufts Medical Center ------2.10 58.63% --- 41.37% 7.80% x UMass Memorial Medical Center ------1.15 33.05% --- 66.95% 4.86% UMHS x Winchester Hospital ------0.91 52.26% --- 47.74% 0.59% x

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Relative price values were not calculated for payer’s network due to data quality issues with the submitted information. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

A1 - 26 BMC HealthNet Plan, Inc. Acute Hospital Medicaid MCO Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 46.55% 1.00 53.45% Anna Jaques Hospital ------0.89 69.20% 0.8 30.80% 0.28% x Baystate Franklin Medical Center ------0.62 29.48% 1.01 70.52% 1.16% BYHS x x x Baystate Mary Lane Hospital ------0.56 20.70% 1.04 79.30% 0.36% BYHS x Baystate Medical Center ------0.98 46.36% 0.84 53.64% 21.04% BYHS x x Berkshire Medical Center ------0.90 30.21% 1.27 69.79% 5.10% BKHS x x x Beth Israel Deaconess Medical Center ------1.13 61.68% 0.69 38.32% 1.23% CG x Boston Medical Center ------1.34 38.48% 0.96 61.52% 16.01% x x Cape Cod Hospital ------1.10 51.50% 0.71 48.50% 1.62% CCHS x x x Children's Hospital Boston ------2.12 56.38% 0.93 43.62% 7.54% x x Cooley Dickinson Hospital ------0.62 38.64% 1.46 61.36% 1.64% x Fairview Hospital ------0.84 30.51% 1.00 69.49% 0.52% BKHS x x Falmouth Hospital ------0.86 48.54% 0.71 51.46% 0.71% CCHS x x x Hallmark Health ------0.93 55.70% 0.80 44.30% 0.14% x Harrington Memorial Hospital ------1.03 34.36% 0.77 65.64% 0.28% x x Health Alliance Hospital ------0.97 42.06% 1.33 57.94% 0.25% UMHS x Heywood Hospital ------0.83 59.33% 0.80 40.67% 0.24% x Holyoke Medical Center ------1.04 45.49% 0.73 54.51% 2.91% x x Jordan Hospital ------1.01 54.81% 0.82 45.19% 0.62% x Lawrence General Hospital ------1.21 67.33% 0.77 32.67% 1.14% x x Lowell General Hospital ------0.96 65.98% 0.80 34.02% 0.19% x Marlborough Hospital ------7.21% 3.03 92.79% 0.12% UMHS x Mercy Medical Center ------0.86 47.33% 1.22 52.67% 3.88% x x Merrimack Valley Hospital* ------0.92 40.67% 0.76 59.33% 0.09% EHC x x A1 - 27 BMC HealthNet Plan, Inc. Acute Hospital Medicaid MCO Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 46.55% 1.00 53.45% MetroWest Medical Center ------0.94 53.86% 0.76 46.14% 0.32% VHS x Milton Hospital* ------1.30 54.56% --- 45.44% 0.07% x Morton Hospital ------0.91 51.06% 0.81 48.94% 1.44% x x Mount Auburn Hospital ------1.15 60.66% --- 39.34% 0.12% CG x Noble Hospital ------1.01 52.10% 0.74 47.90% 0.71% x x North Adams Regional Hospital ------0.84 31.66% 1.35 68.34% 1.43% x x x North Shore Medical Center ------0.86 63.44% 0.70 36.56% 0.26% PHS x Northeast Hospital ------0.88 66.66% 0.77 33.34% 0.46% x Quincy Medical Center ------21.70% 1.24 78.30% 0.15% x x Saint Vincent Hospital ------1.19 66.17% 0.78 33.83% 0.41% VHS x x Signature Healthcare Brockton Hospital ------0.92 38.02% 1.35 61.98% 3.19% x x South Shore Hospital ------0.91 65.66% 0.70 34.34% 0.65% x Southcoast Hospitals Group ------0.97 57.69% 0.90 42.31% 9.21% x x Steward Carney Hospital ------1.01 34.23% 1.48 65.77% 0.54% SHS x x Steward Good Samaritan Medical Center ------1.11 53.38% 0.82 46.62% 0.91% SHS x x Steward Holy Family Hospital ------0.92 59.81% 0.76 40.19% 0.53% SHS x Steward Norwood Hospital ------0.91 60.83% 0.73 39.17% 0.16% SHS x Steward Saint Anne's Hospital ------0.93 22.92% 1.06 77.08% 2.53% SHS x x Steward St. Elizabeth's Medical Center ------1.13 74.01% 0.74 25.99% 0.29% SHS x x Sturdy Memorial Hospital ------0.92 45.02% 0.65 54.98% 0.88% x Tufts Medical Center ------1.51 82.45% 0.73 17.55% 2.03% x UMass Memorial Medical Center ------1.63 50.43% 1.33 49.57% 5.73% UMHS x Wing Memorial Hospital and Medical Centers ------0.99 25.08% 1.76 74.92% 0.79% UMHS x x A1 - 28 BMC HealthNet Plan, Inc. Acute Hospital Medicaid MCO Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 46.55% 1.00 53.45%

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

A1 - 29 Fallon Health and Life Assurance Company Acute Hospital Medicaid MCO Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 56.24% 1.00 43.76% Brigham and Women's Hospital* ------3.59 91.38% --- 8.62% 4.65% PHS x Children's Hospital Boston* ------3.05 76.37% --- 23.63% 4.26% x x Harrington Memorial Hospital ------0.58 21.95% 0.50 78.05% 4.03% x x Health Alliance Hospital ------1.31 31.44% 0.89 68.56% 7.42% UMHS x MetroWest Medical Center* ------0.83 38.77% 0.59 61.23% 1.80% VHS x Milford Regional Medical Center ------27.32% 0.40 72.68% 2.29% x Saint Vincent Hospital ------1.34 67.06% 0.39 32.94% 35.81% VHS x x Tufts Medical Center* ------1.58 71.56% --- 28.44% 1.49% x UMass Memorial Medical Center ------1.43 55.66% 0.82 44.34% 30.44% UMHS x

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

A1 - 30 Neighborhood Health Plan Acute Hospital Medicaid MCO Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 51.01% 48.99% Anna Jaques Hospital ------1.03 60.08% --- 39.92% 0.42% x Beth Israel Deaconess Medical Center ------0.90 55.48% --- 44.52% 3.77% CG x Boston Medical Center ------1.46 60.69% --- 39.31% 8.06% x x Brigham and Women's Hospital ------1.57 64.59% --- 35.41% 10.79% PHS x Cambridge Health Alliance ------1.01 22.80% --- 77.20% 2.20% x x Cape Cod Hospital ------1.67 70.61% --- 29.39% 0.62% CCHS x x x Children's Hospital Boston ------1.46 48.38% --- 51.62% 16.63% x x Emerson Hospital ------0.85 55.09% --- 44.91% 0.24% x Falmouth Hospital ------1.13 73.86% --- 26.14% 0.19% CCHS x x x Faulkner Hospital ------0.96 50.19% --- 49.81% 0.79% PHS x Hallmark Health ------0.95 48.40% --- 51.60% 1.00% x Harrington Memorial Hospital ------0.76 32.22% --- 67.78% 0.15% x x Health Alliance Hospital ------1.50 34.77% --- 65.23% 0.41% UMHS x Holyoke Medical Center ------1.86 56.80% --- 43.20% 0.58% x x Lahey Clinic ------0.84 42.24% --- 57.76% 1.56% x Lawrence General Hospital ------1.17 40.42% --- 59.58% 3.08% x x Lowell General Hospital ------1.15 69.97% --- 30.03% 2.59% x Marlborough Hospital ------0.79 26.03% --- 73.97% 0.21% UMHS x Massachusetts General Hospital ------1.43 49.07% --- 50.93% 8.76% PHS x Mercy Medical Center ------0.62 60.91% --- 39.09% 0.23% x x Merrimack Valley Hospital ------0.43 100.00% --- 0.00% 0.04% EHC x x Milford Regional Medical Center ------1.97 50.82% --- 49.18% 0.50% x Mount Auburn Hospital ------0.99 58.50% --- 41.50% 0.77% CG x A1 - 31 Neighborhood Health Plan Acute Hospital Medicaid MCO Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 51.01% 48.99% Newton-Wellesley Hospital* ------1.37 100.00% --- 0.00% 0.05% PHS x North Shore Medical Center ------0.92 43.01% --- 56.99% 2.98% PHS x Northeast Hospital ------1.04 58.44% --- 41.56% 1.15% x Quincy Medical Center ------0.58 41.96% --- 58.04% 0.40% x x Saints Medical Center ------0.41 13.54% --- 86.46% 0.66% x x Signature Healthcare Brockton Hospital ------1.00 52.52% --- 47.48% 1.85% x x South Shore Hospital ------0.83 47.66% --- 52.34% 2.67% x Southcoast Hospitals Group ------1.34 53.94% --- 46.06% 5.51% x x Steward Carney Hospital ------0.85 46.93% --- 53.07% 0.65% SHS x x Steward Good Samaritan Medical Center ------0.75 45.52% --- 54.48% 0.88% SHS x x Steward Holy Family Hospital ------0.74 32.94% --- 67.06% 1.00% SHS x Steward Norwood Hospital ------0.60 35.68% --- 64.32% 0.45% SHS x Steward Saint Anne's Hospital ------0.81 25.85% --- 74.15% 0.89% SHS x x Steward St. Elizabeth's Medical Center ------1.10 69.45% --- 30.55% 1.19% SHS x x Sturdy Memorial Hospital ------0.64 33.10% --- 66.90% 0.43% x Tufts Medical Center ------1.65 61.74% --- 38.26% 7.78% x UMass Memorial Medical Center ------1.05 38.81% --- 61.20% 4.57% UMHS x Winchester Hospital ------1.04 69.63% --- 30.37% 0.68% x

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Provider did not meet the reporting threshold./Relative price values were not calculated for payer’s network due to data quality issues with the submitted information. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

A1 - 32 Aetna Health Inc. (PA) - Aetna Health Ins. Co. Acute Hospital Medicare Advantage Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 69.14% 30.86% Brigham and Women's Hospital* ------1.31 72.04% --- 27.96% 46.47% PHS x

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

A1 - 33 Blue Cross Blue Shield of Massachusetts Acute Hospital Medicare Advantage Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 65.97% 1.00 34.03% Anna Jaques Hospital ------1.14 61.98% 1.14 38.02% 1.03% x Athol Memorial Hospital ------44.56% 1.06 55.44% 0.17% x x x Baystate Franklin Medical Center ------1.27 59.43% 0.96 40.57% 2.28% BYHS x x x Baystate Mary Lane Hospital ------1.57 58.69% 1.02 41.31% 1.08% BYHS x Baystate Medical Center ------0.89 76.37% 1.06 23.63% 14.50% BYHS x x Beth Israel Deaconess Hospital - Needham ------1.41 54.55% 1.09 45.45% 0.82% CG x Beth Israel Deaconess Medical Center ------0.62 63.60% 1.09 36.40% 3.90% CG x Boston Medical Center ------1.10 29.19% 1.11 70.81% 1.33% x x Brigham and Women's Hospital ------0.57 80.97% 1.11 19.03% 2.51% PHS x Cambridge Health Alliance ------1.02 33.34% 1.10 66.66% 0.39% x x Cape Cod Hospital ------1.40 49.42% 1.32 50.58% 3.47% CCHS x x x Clinton Hospital ------0.65 74.65% 0.83 25.35% 0.51% UMHS x x Cooley Dickinson Hospital ------0.87 54.66% 0.94 45.34% 1.22% x Dana-Farber Cancer Institute ------8.52% 1.29 91.48% 0.91% x x Falmouth Hospital ------1.40 62.96% 1.31 37.04% 0.51% CCHS x x x Harrington Memorial Hospital ------1.12 51.27% 0.99 48.73% 0.29% x x Health Alliance Hospital ------0.75 53.09% 0.95 46.91% 0.71% UMHS x Heywood Hospital ------21.58% 0.95 78.42% 0.24% x Holyoke Medical Center ------0.78 69.56% 1.06 30.44% 1.96% x x Jordan Hospital ------0.71 37.56% 0.94 62.44% 0.31% x Lahey Clinic ------0.96 61.38% 1.07 38.62% 3.74% x Lawrence General Hospital ------1.18 73.68% 1.05 26.32% 0.92% x x Marlborough Hospital ------0.68 48.30% 0.92 51.70% 0.73% UMHS x A1 - 34 Blue Cross Blue Shield of Massachusetts Acute Hospital Medicare Advantage Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 65.97% 1.00 34.03% Massachusetts Eye and Ear Infirmary ------2.74% 1.25 97.26% 0.29% x x Massachusetts General Hospital ------0.79 58.75% 1.23 41.25% 3.33% PHS x Mercy Medical Center ------0.67 60.11% 1.08 39.89% 3.14% x x Merrimack Valley Hospital* ------0.59 65.86% 1.04 34.14% 0.22% EHC x x MetroWest Medical Center ------0.83 51.93% 0.88 48.07% 1.86% VHS x Milton Hospital ------0.91 59.62% 0.94 40.38% 0.75% x Morton Hospital ------0.81 70.44% 0.85 29.56% 0.40% x x Mount Auburn Hospital ------0.88 75.48% 0.88 24.52% 0.42% CG x Nashoba Valley Medical Center ------1.20 50.71% 0.92 49.29% 1.06% EHC x New England Baptist Hospital ------1.75 86.53% --- 13.47% 0.61% CG x x Newton-Wellesley Hospital ------1.17 78.26% 0.90 21.74% 0.70% PHS x Noble Hospital ------0.49 61.86% 0.92 38.14% 0.29% x x North Shore Medical Center ------0.71 69.89% 0.85 30.11% 1.58% PHS x Northeast Hospital ------1.61 73.97% 0.99 26.03% 0.24% x Quincy Medical Center ------0.80 75.80% 0.92 24.20% 0.57% x x Saint Vincent Hospital ------0.80 60.87% 0.92 39.13% 1.33% VHS x x Saints Medical Center* ------2.00 46.36% 1.11 53.64% 0.25% x x Signature Healthcare Brockton Hospital ------0.99 66.74% 0.91 33.26% 1.99% x x Southcoast Hospitals Group ------1.00 76.92% 0.83 23.08% 1.98% x x Steward Carney Hospital ------25.65% 1.12 74.35% 0.14% SHS x x Steward Good Samaritan Medical Center ------1.12 77.40% 0.85 22.60% 4.81% SHS x x Steward Holy Family Hospital ------0.79 69.20% 0.74 30.80% 1.00% SHS x Steward Norwood Hospital ------0.88 74.99% 0.87 25.01% 2.02% SHS x A1 - 35 Blue Cross Blue Shield of Massachusetts Acute Hospital Medicare Advantage Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 65.97% 1.00 34.03% Steward Saint Anne's Hospital ------0.73 62.40% 0.77 37.60% 1.45% SHS x x Steward St. Elizabeth's Medical Center ------0.90 79.97% 0.81 20.04% 1.78% SHS x x Tufts Medical Center ------0.62 66.74% 1.12 33.26% 1.26% x UMass Memorial Medical Center ------0.81 68.25% 1.00 31.75% 21.75% UMHS x Wing Memorial Hospital and Medical Centers ------1.04 74.87% 0.91 25.13% 1.16% UMHS x x

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

A1 - 36 Fallon Health and Life Assurance Company Acute Hospital Medicare Advantage Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 65.92% 1.00 34.08% Athol Memorial Hospital ------0.67 39.46% 0.66 60.54% 1.58% x x x Baystate Mary Lane Hospital ------0.84 72.69% --- 27.32% 0.17% BYHS x Baystate Medical Center* ------1.04 79.55% --- 20.45% 0.27% BYHS x x Beth Israel Deaconess Medical Center* ------0.76 68.63% --- 31.37% 0.27% CG x Brigham and Women's Hospital ------1.73 68.39% 3.98 31.61% 1.10% PHS x Clinton Hospital ------1.18 71.11% 0.60 28.89% 1.24% UMHS x x Dana-Farber Cancer Institute* ------3.41 6.55% 3.44 93.45% 1.89% x x Harrington Memorial Hospital ------0.92 48.90% 0.62 51.10% 4.17% x x Health Alliance Hospital ------1.31 65.79% 1.04 34.21% 5.13% UMHS x Heywood Hospital ------0.78 51.13% 0.76 48.87% 6.77% x Lahey Clinic* ------0.85 67.50% --- 32.50% 0.24% x Lowell General Hospital ------0.92 51.05% 0.76 48.95% 1.69% x Marlborough Hospital ------0.92 59.17% 0.69 40.83% 0.41% UMHS x Massachusetts General Hospital ------2.75 83.73% 3.56 16.27% 2.53% PHS x Mercy Medical Center ------0.97 68.12% 0.62 31.88% 0.59% x x MetroWest Medical Center* ------0.61 50.93% 0.70 49.07% 0.30% VHS x Milford Regional Medical Center ------0.87 52.86% 0.77 47.13% 3.32% x Newton-Wellesley Hospital* ------0.84 99.21% --- 0.79% 0.18% PHS x Saint Vincent Hospital ------0.93 70.97% 0.80 29.03% 50.48% VHS x x Saints Medical Center* ------0.83 41.61% 0.88 58.39% 0.36% x x Tufts Medical Center* ------0.90 64.03% --- 35.97% 0.39% x UMass Memorial Medical Center ------1.17 71.32% 0.71 28.68% 16.14% UMHS x

A1 - 37 Fallon Health and Life Assurance Company Acute Hospital Medicare Advantage Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 65.92% 1.00 34.08%

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

A1 - 38 Harvard Pilgrim Health Care Acute Hospital Medicare Advantage Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 56.41% 1.00 43.59% Anna Jaques Hospital ------0.92 54.07% 1.07 45.93% 1.00% x Baystate Medical Center* ------1.08 64.26% --- 35.74% 0.23% BYHS x x Beth Israel Deaconess Hospital - Needham ------0.85 45.13% 1.01 54.87% 0.92% CG x Beth Israel Deaconess Medical Center ------1.01 63.34% 1.05 36.66% 12.20% CG x Boston Medical Center ------1.61 63.60% 0.59 36.40% 1.66% x x Brigham and Women's Hospital ------1.10 73.55% 1.15 26.45% 5.36% PHS x Cambridge Health Alliance ------1.35 69.28% 1.03 30.72% 0.88% x x Cape Cod Hospital ------1.11 59.92% 1.08 40.08% 1.30% CCHS x x x Dana-Farber Cancer Institute ------0.84 5.47% 1.33 94.53% 4.08% x x Emerson Hospital ------0.87 49.89% 0.96 50.11% 1.01% x Falmouth Hospital ------0.93 53.75% 0.98 46.25% 0.34% CCHS x x x Faulkner Hospital ------0.96 51.02% 1.06 48.98% 0.79% PHS x Hallmark Health ------1.11 67.59% 0.99 32.41% 1.76% x Jordan Hospital ------0.89 57.93% 0.98 42.07% 0.72% x Lahey Clinic ------0.87 46.31% 0.99 53.69% 28.61% x Lawrence General Hospital ------1.05 76.05% 1.12 23.95% 0.90% x x Lowell General Hospital ------1.12 64.52% 1.36 35.48% 1.01% x Marlborough Hospital ------0.86 46.01% 0.99 53.99% 0.33% UMHS x Massachusetts Eye and Ear Infirmary ------9.53% 0.60 90.47% 0.58% x x Massachusetts General Hospital ------1.09 60.94% 1.19 39.06% 7.66% PHS x Merrimack Valley Hospital ------0.94 72.56% --- 27.44% 0.48% EHC x x MetroWest Medical Center ------0.89 51.59% 1.06 48.41% 1.23% VHS x Milford Regional Medical Center ------0.89 51.15% 1.06 48.85% 0.83% x A1 - 39 Harvard Pilgrim Health Care Acute Hospital Medicare Advantage Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 56.41% 1.00 43.59% Milton Hospital ------0.80 72.22% --- 27.78% 0.36% x Mount Auburn Hospital ------0.93 65.42% 1.04 34.59% 1.80% CG x Nashoba Valley Medical Center* ------0.80 53.38% --- 46.62% 0.27% EHC x New England Baptist Hospital ------0.93 82.79% 1.04 17.21% 1.36% CG x x Newton-Wellesley Hospital ------0.85 51.95% 1.08 48.05% 1.25% PHS x North Shore Medical Center ------1.01 70.61% 1.08 29.39% 2.45% PHS x Northeast Hospital ------0.93 64.20% 1.05 35.80% 4.52% x Quincy Medical Center ------1.01 79.48% --- 20.52% 0.35% x x Saint Vincent Hospital ------0.88 74.36% --- 25.65% 0.27% VHS x x Saints Medical Center ------0.94 61.12% 1.13 38.88% 0.86% x x Signature Healthcare Brockton Hospital ------0.99 65.72% 1.26 34.28% 0.42% x x South Shore Hospital ------0.88 69.76% 1.11 30.24% 0.85% x Southcoast Hospitals Group ------0.97 76.34% 0.62 23.66% 1.30% x x Steward Carney Hospital ------1.16 71.18% --- 28.82% 0.36% SHS x x Steward Good Samaritan Medical Center ------1.14 66.76% 1.07 33.24% 0.81% SHS x x Steward Holy Family Hospital ------0.94 61.24% 0.81 38.76% 0.96% SHS x Steward Norwood Hospital ------1.01 72.61% 1.02 27.39% 0.86% SHS x Steward St. Elizabeth's Medical Center ------1.24 77.51% 1.14 22.49% 1.17% SHS x x Sturdy Memorial Hospital* ------0.90 48.13% --- 51.87% 0.27% x Tufts Medical Center ------1.21 68.92% 1.05 31.08% 1.49% x UMass Memorial Medical Center ------1.02 68.66% 0.99 31.34% 1.93% UMHS x Winchester Hospital ------0.84 53.90% 0.91 46.11% 1.23% x

A1 - 40 Harvard Pilgrim Health Care Acute Hospital Medicare Advantage Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 56.41% 1.00 43.59%

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

A1 - 41 United Healthcare Insurance Company - Medicare Advantage Acute Hospital Medicare Advantage Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 65.19% 1.00 34.81% Anna Jaques Hospital ------0.65 70.37% --- 29.63% 0.85% x Baystate Medical Center ------1.24 79.65% 0.77 20.35% 2.86% BYHS x x Berkshire Medical Center ------1.72 63.43% 0.73 36.57% 1.00% BKHS x x x Beth Israel Deaconess Medical Center ------1.31 65.41% 0.90 34.59% 7.25% CG x Boston Medical Center ------0.97 65.52% 0.98 34.48% 4.61% x x Brigham and Women's Hospital ------1.39 77.13% 0.87 22.87% 3.15% PHS x Cambridge Health Alliance ------0.95 58.30% 0.86 41.70% 0.99% x x Cape Cod Hospital ------1.21 66.29% 0.82 33.72% 1.10% CCHS x x x Dana-Farber Cancer Institute ------4.14% 1.08 95.86% 1.55% x x Emerson Hospital ------1.06 54.00% 1.16 46.00% 1.16% x Faulkner Hospital ------1.11 77.49% --- 22.51% 1.14% PHS x Hallmark Health ------0.90 67.29% 0.98 32.71% 1.47% x Harrington Memorial Hospital* ------0.93 45.58% 0.81 54.42% 0.57% x x Heywood Hospital* ------0.94 71.25% --- 28.75% 0.35% x Holyoke Medical Center ------0.77 65.57% --- 34.43% 0.47% x x Jordan Hospital ------1.02 70.70% --- 29.30% 0.64% x Lahey Clinic ------1.19 53.50% 0.76 46.50% 3.79% x Lawrence General Hospital ------0.90 71.60% 0.79 28.40% 5.77% x x Lowell General Hospital ------0.95 71.73% 0.82 28.27% 2.47% x Marlborough Hospital ------0.93 57.10% --- 42.90% 0.63% UMHS x Massachusetts Eye and Ear Infirmary ------8.67% 1.05 91.33% 0.42% x x Massachusetts General Hospital ------1.45 70.20% 0.94 29.80% 5.89% PHS x Mercy Medical Center ------0.97 81.21% 0.69 18.79% 2.81% x x A1 - 42 United Healthcare Insurance Company - Medicare Advantage Acute Hospital Medicare Advantage Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 65.19% 1.00 34.81% Merrimack Valley Hospital ------0.75 70.68% --- 29.32% 0.89% EHC x x MetroWest Medical Center ------1.04 61.11% 0.99 38.89% 3.01% VHS x Milford Regional Medical Center ------1.10 61.25% 1.04 38.76% 1.55% x Morton Hospital* ------0.96 57.75% --- 42.25% 0.41% x x Mount Auburn Hospital ------1.13 62.38% --- 37.62% 0.69% CG x New England Baptist Hospital* ------1.47 85.92% --- 14.08% 0.53% CG x x Newton-Wellesley Hospital ------1.11 74.01% --- 25.99% 0.80% PHS x Noble Hospital ------1.11 63.87% --- 36.13% 0.51% x x North Shore Medical Center ------1.03 71.68% 0.95 28.32% 2.10% PHS x Northeast Hospital ------0.89 67.95% 0.87 32.05% 0.98% x Quincy Medical Center ------1.01 69.58% --- 30.42% 0.41% x x Saint Vincent Hospital ------1.15 64.60% 0.85 35.40% 3.02% VHS x x Saints Medical Center ------1.05 53.81% 1.09 46.20% 2.66% x x Signature Healthcare Brockton Hospital ------0.83 72.77% --- 27.23% 0.68% x x South Shore Hospital ------1.04 73.96% 0.95 26.04% 1.76% x Southcoast Hospitals Group ------0.95 76.22% 0.88 23.78% 2.79% x x Steward Carney Hospital ------0.97 60.33% 1.03 39.67% 1.50% SHS x x Steward Good Samaritan Medical Center ------0.96 77.33% --- 22.67% 1.10% SHS x x Steward Holy Family Hospital ------0.93 49.13% 1.14 50.87% 2.57% SHS x Steward Saint Anne's Hospital ------0.77 32.51% 0.87 67.49% 1.81% SHS x x Steward St. Elizabeth's Medical Center ------1.21 60.69% 1.22 39.31% 2.48% SHS x x Sturdy Memorial Hospital ------0.77 49.39% 0.93 50.61% 0.67% x Tufts Medical Center ------1.21 73.93% 0.84 26.07% 1.72% x A1 - 43 United Healthcare Insurance Company - Medicare Advantage Acute Hospital Medicare Advantage Inpatient Outpatient Hospital Blended Blended Inpatient Percent of Outpatient Percent of Percent of Quartile Relative Relative Hospital Relative Hospital Network Hospital Price (4 - High) Price Payments Price Payments Payments System A C D G S T Network Average 1.00 65.19% 1.00 34.81% UMass Memorial Medical Center ------1.29 67.52% 0.83 32.48% 11.28% UMHS x Winchester Hospital ------1.03 66.52% --- 33.48% 0.80% x

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

A1 - 44 Appendix A2 Multiple Regressions for Acute Hospital Relative Prices: Commercial Plans Multiple Regression Results for 2010 Hospital Blended Relative Price

Variable Aetna BCBS Fallon HPHC Tufts Unicare Teaching status 0.202* 0.231* 0.516* 0.199* 0.182* 0.551* DSH status -0.226* -0.223* -0.204 -0.223* -0.209* -0.150 Discharges** 0.032 0.002 -0.020 0.007* 0.019* 0.054 Region 1*** -0.023 0.188* 0.112 0.485* 0.328* -0.135 Region 2 -0.052 -0.026 -0.084 -0.052 -0.041 -0.310 Region 3 0.079 -0.008 -0.169 0.017 -0.041 -0.077 Region 5 0.130 0.374* 0.189 0.475* 0.282* -0.033 Region 6 -0.061 0.047 -0.112 0.091 0.031 -0.092 Observations 43 65 32 54 57 51 R2 value .402* .470* .310 .493* .427* .584*

* Indicates statistically significant results, defined as a p-value less than .05. ** Discharges were treated as a continuous variable, grouped by 100 intervals. ***Region analysis is each region as compared to Region 4 (Boston). Region 1 = Western MA; Region 2 = Central MA; Region 3 = Merrimack Valley; Region 4 = Boston Metro; Region 5 = Southeastern MA; Region 6 = North Shore. The regions used are those defined by CMS as hospital service areas.

Appendix A3 Relative Price versus Relative Payments for Acute Hospital Commercial Plans

Relative price and relative payment data is presented here to serve a comparative purpose between the two methodologies.

Relative price compares hospitals using a standard market basket of services, a standard volume of services and a standard insurance product mix. The relative price approach compares differences in “pure price” levels negotiated between payers and providers.

Relative payment is calculated in a manner that uses each hospital’s individual service mix, actual service volume and insurance product mix to develop a payment value. Each hospital’s payment value can then be compared to the network average payment value to develop a relative payment value. The relative payment approach essentially compares hospitals’ payments for the services they actually provided, to other hospitals’ payments for the services they actually provided. Acute Hospital Blended Relative Price and Relative Payments Commercial (self and fully insured) Aetna Blue Cross Fallon HPHC Tufts UniCare Relative Relative Relative Relative Relative Relative Relative Relative Relative Relative Relative Relative Hospital Price Payment Price Payment Price Payment Price Payment Price Payment Price Payment Anna Jaques Hospital 1.47 1.24 0.76 0.76 --- 0.46 0.80 0.78 0.72 0.72 0.71 0.64 Athol Memorial Hospital ------0.76 0.72 --- 1.01 ------0.74 Baystate Franklin Medical Center 0.88 0.86 1.08 1.06 --- 1.13 --- 1.61 1.01 1.02 0.80 0.81 Baystate Mary Lane Hospital --- 0.55 0.99 0.94 --- 0.66 --- 1.01 ------0.65 Baystate Medical Center 0.88 0.85 1.20 1.22 1.01 1.08 1.05 1.07 0.86 0.89 1.20 1.13 Berkshire Medical Center 1.06 1.06 1.23 1.17 1.17 1.19 1.56 1.63 1.31 1.30 0.97 0.90 Beth Israel Deaconess Hospital - Needham --- 0.72 0.83 0.85 ------0.81 0.88 0.88 0.96 --- 0.65 Beth Israel Deaconess Medical Center 1.16 1.14 1.11 1.12 0.66 0.73 1.14 1.15 1.23 1.24 1.18 1.05 Boston Medical Center 1.00 0.96 0.90 0.92 --- 1.49 0.89 0.90 0.78 0.79 1.62 1.66 Brigham and Women's Hospital 1.66 1.61 1.42 1.41 1.97 2.10 1.32 1.37 1.53 1.52 2.02 2.06 Cambridge Health Alliance 0.70 0.76 0.73 0.83 ------0.60 0.54 0.67 0.62 --- 0.68 Cape Cod Hospital 1.12 1.06 1.32 1.33 --- 2.74 1.48 1.48 1.15 1.31 0.83 0.82 Children's Hospital Boston 1.52 1.65 1.94 1.80 1.67 1.76 1.78 1.80 2.11 2.03 2.13 2.11 Clinton Hospital --- 1.50 0.94 0.91 --- 0.58 --- 0.75 ------Cooley Dickinson Hospital 0.91 0.91 1.15 1.22 1.12 1.13 1.55 1.57 1.53 1.63 0.86 0.82 Dana-Farber Cancer Institute 1.75 1.48 1.23 1.33 2.71 1.20 1.17 1.34 1.20 1.10 2.10 1.91 Emerson Hospital 0.90 0.87 0.91 0.95 0.66 0.61 0.79 0.77 0.91 0.87 0.85 0.77 Fairview Hospital --- 1.32 1.35 1.30 ------1.66 ------Falmouth Hospital 1.03 1.03 1.30 1.31 ------1.50 1.49 1.31 1.35 0.75 0.77 Faulkner Hospital 0.99 0.98 1.09 1.05 --- 1.41 1.09 1.05 0.98 0.99 1.80 1.66 Hallmark Health 1.00 0.95 0.94 0.95 --- 1.23 0.93 0.93 1.03 1.00 0.77 0.68 Harrington Memorial Hospital 0.92 0.98 1.04 1.10 0.87 0.80 --- 0.97 1.02 1.12 --- 0.67 Health Alliance Hospital 0.96 1.00 0.81 0.80 0.95 0.87 0.77 0.77 0.76 0.75 0.83 0.82 Heywood Hospital --- 1.02 0.72 0.71 0.57 0.52 0.74 0.80 0.71 0.71 --- 0.66 Holyoke Medical Center --- 0.77 0.75 0.73 --- 0.76 --- 0.63 0.76 0.70 0.79 0.73 A3 - 1 Aetna Blue Cross Fallon HPHC Tufts UniCare Relative Relative Relative Relative Relative Relative Relative Relative Relative Relative Relative Relative Hospital Price Payment Price Payment Price Payment Price Payment Price Payment Price Payment Jordan Hospital 1.13 1.08 0.93 0.92 --- 0.44 0.94 0.93 0.87 0.85 0.88 0.78 Lahey Clinic ------1.09 1.12 0.92 0.96 1.17 1.16 1.06 1.01 1.08 0.95 Lawrence General Hospital 0.81 0.87 0.80 0.77 0.66 0.64 0.73 0.70 0.76 0.74 1.01 0.97 Lowell General Hospital 0.85 0.79 0.80 0.79 0.59 0.56 0.90 0.91 0.81 0.80 0.71 0.66 Marlborough Hospital --- 1.14 0.86 0.83 0.66 0.62 0.78 0.80 0.76 0.76 --- 0.85 Martha's Vineyard Hospital --- 1.15 1.81 1.95 ------1.83 2.12 ------1.37 Massachusetts Eye and Ear Infirmary --- 0.80 1.01 1.04 --- 0.83 0.74 0.68 0.88 0.67 1.84 2.62 Massachusetts General Hospital 1.42 1.36 1.44 1.38 2.00 1.99 1.32 1.32 1.55 1.53 2.52 2.25 Mercy Medical Center 0.84 0.85 0.73 0.75 0.67 0.64 0.90 0.77 0.67 0.66 1.10 1.11 Merrimack Valley Hospital --- 1.04 0.83 0.84 ------0.69 0.67 0.70 0.69 ------MetroWest Medical Center 1.51 1.32 0.84 0.83 0.72 0.66 0.87 0.87 0.89 0.87 0.80 0.74 Milford Regional Medical Center 0.94 0.96 0.91 0.96 0.78 0.68 0.90 0.89 0.91 0.87 0.66 0.69 Milton Hospital --- 0.93 0.81 0.84 ------0.72 0.73 0.62 0.61 0.68 0.69 Morton Hospital 0.83 0.80 0.86 0.84 --- 0.91 0.75 0.72 0.72 0.74 0.67 0.70 Mount Auburn Hospital 0.95 0.91 0.93 0.93 0.63 0.59 0.97 0.98 1.12 1.07 0.92 0.84 Nantucket Cottage Hospital --- 1.00 1.45 1.76 ------1.72 ------Nashoba Valley Medical Center --- 1.52 0.84 0.81 --- 0.54 0.74 0.70 0.74 0.81 0.68 0.63 New England Baptist Hospital 1.19 1.19 1.03 1.17 --- 0.72 0.76 0.80 0.92 0.97 1.10 0.99 Newton-Wellesley Hospital 0.85 0.84 1.06 1.07 0.79 0.98 1.10 1.10 1.04 1.03 1.05 1.06 Noble Hospital --- 0.57 0.71 0.69 --- 2.96 --- 0.70 ------0.66 North Adams Regional Hospital --- 1.82 0.94 0.95 1.51 1.80 --- 1.16 1.55 1.58 0.82 0.81 North Shore Medical Center 1.03 0.96 1.09 1.07 --- 0.50 1.13 1.12 1.07 1.06 1.16 1.03 Northeast Hospital 0.79 0.77 0.92 0.95 0.77 0.76 0.88 0.87 0.93 0.93 0.85 0.79 Quincy Medical Center --- 0.65 0.74 0.76 ------0.63 0.59 0.69 0.67 0.74 0.75 Saint Vincent Hospital 0.89 0.94 0.76 0.72 0.84 0.86 0.86 0.86 0.85 0.85 0.99 0.94 Saints Medical Center --- 1.08 0.76 0.72 --- 0.85 0.63 0.64 0.59 0.60 0.82 0.78 Signature Healthcare Brockton Hospital 0.63 0.61 0.81 0.82 0.95 0.97 0.80 0.80 0.87 0.87 0.78 0.76

A3 - 2 Aetna Blue Cross Fallon HPHC Tufts UniCare Relative Relative Relative Relative Relative Relative Relative Relative Relative Relative Relative Relative Hospital Price Payment Price Payment Price Payment Price Payment Price Payment Price Payment South Shore Hospital 0.96 0.97 1.09 1.09 1.39 1.45 1.43 1.43 1.13 1.15 0.80 0.78 Southcoast Hospitals Group 0.97 0.93 0.95 0.94 0.77 0.80 0.98 0.99 1.02 1.05 1.06 1.07 Steward Carney Hospital --- 0.89 0.89 0.89 ------0.85 0.82 0.97 0.96 0.74 0.76 Steward Good Samaritan Medical Center 0.96 1.03 0.91 0.92 ------0.91 0.89 0.92 0.92 0.96 0.93 Steward Holy Family Hospital 0.92 0.97 0.79 0.82 --- 0.80 0.84 0.84 0.92 0.93 0.92 0.91 Steward Norwood Hospital 0.87 0.95 0.85 0.88 --- 0.85 0.87 0.86 0.94 0.94 1.18 1.10 Steward Saint Anne's Hospital --- 0.81 1.08 0.95 ------1.47 1.59 0.93 0.94 --- 1.30 Steward St. Elizabeth's Medical Center 0.85 0.90 1.06 1.13 --- 3.34 1.13 1.15 1.02 1.02 1.23 1.27 Sturdy Memorial Hospital 0.78 0.79 1.19 1.16 1.14 1.09 1.26 1.24 1.43 1.41 0.74 0.77 Tufts Medical Center 1.28 1.40 1.01 1.06 1.16 1.33 1.01 1.03 0.90 0.90 1.72 1.85 UMass Memorial Medical Center 1.18 1.15 1.12 1.13 0.98 0.91 1.17 1.19 1.17 1.14 1.26 1.22 Winchester Hospital 0.76 0.70 0.91 0.89 0.75 0.69 1.00 0.99 1.11 1.02 0.73 0.68 Wing Memorial Hospital and Medical Cent --- 1.07 0.89 0.88 0.58 0.52 --- 1.02 ------0.75 0.68 ‘---‘ Provider did not meet the reporting threshold.

A3 - 3 Appendix B Physician Groups

– Physician Group Relative Prices: Commercial Plans

– Physician Group Relative Prices: Commonwealth Care Plans

– Physician Group Relative Prices: Medicaid MCO Plans

– Physician Group Relative Prices: Medicare Advantage Plans Blue Cross Blue Shield of Massachusetts Commercial (self and fully insured)

Relative Price Provider Relative Quartile Percent of Provider Price ( 4 - High ) Network Acton Medical Associates 0.84 2 0.20% Atrius Health 1.99 4 9.45% Baycare Health Partners, Inc. 0.83 1 2.86% Berkshire Medical Center 0.81 1 1.01% Beth Israel Deaconess Physician Hospital Organization (PHO) 0.99 3 4.69% Central Massachusetts Independent Physician Association (CMIPA) 0.83 1 1.20% Connecticut River Internists 0.91 2 0.02% Cooley Dickinson Physician Hospital Organization, Inc. 0.82 1 0.79% Fallon Clinic, Inc. 1.01 3 0.70% Hampden County Physician Associates, LLC 1.24 4 0.28% Health Alliance with Physicians, Inc. 0.89 2 0.63% Highland Healthcare Associates Independent Physician Association (IPA), Inc. 0.84 2 1.98% Lahey Clinic 0.91 2 1.83% Lawrence General IPA (d/b/a Choice Plus Network) 0.84 2 0.24% Lowell General PHO 1.06 4 1.48% MetroWest Health Care Alliance, Inc. 0.84 2 0.69% Mount Auburn Cambridge IPA 1.40 4 1.93% MWA PC d/b/a Riverbend Medical Group 1.03 3 0.49% Nashoba IPA, Inc. 0.84 1 0.17% New England Baptist Health Systems 0.87 2 0.78% New England Quality Care Alliance (NEQCA) 1.01 3 2.43% Northeast PHO (NEPHO) 0.95 3 1.95% Partners Community HealthCare, Inc. (PHO) 1.12 4 26.69% Physicians of Cape Cod, Inc. 0.84 1 1.13% Signature Healthcare Brockton Hospital Physician Hospital Organization, Inc. 1.07 4 0.62% South Shore Physician Hospital Organization (SSPHO) 0.95 3 2.65% Southcoast Physicians Network, Inc. 0.97 3 0.62% Steward Network Services, Inc. 0.86 2 4.56% Sturdy Hospital Physicians (Physician Group) 0.81 1 0.64% The Childrens Hospital Corporation 2.07 4 7.70% UMass Memorial Health Care 1.03 4 3.92% Valley Health Partners PHO at Holyoke Medical Center 0.82 1 0.19% Valley Medical Group, PC 0.86 2 0.10% Whittier IPA Physician Group 0.83 1 0.80% B - 1 Blue Cross Blue Shield of Massachusetts Commercial (self and fully insured)

Relative Price Provider Relative Quartile Percent of Provider Price ( 4 - High ) Network Williamstown Medical Associates 1.02 3 0.11%

Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%.

B - 2 Fallon Health and Life Assurance Company Commercial (self and fully insured)

Relative Price Provider Relative Quartile Percent of Provider Price ( 4 - High ) Network Fallon Clinic, Inc. 0.98 --- 26.36% UMass Memorial Health Care 1.02 --- 9.46%

'---' Relative price quartiles were not calculated. Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%.

B - 3 Harvard Pilgrim Health Care Commercial (self and fully insured)

Relative Price Provider Relative Quartile Percent of Provider Price ( 4 - High ) Network Acton Medical Associates 1.21 4 0.51% Atrius Health 1.29 4 10.96% Baycare Health Partners, Inc. 0.93 2 0.92% Berkshire Medical Center 0.80 1 1.03% Beth Israel Deaconess Physician Hospital Organization (PHO) 1.08 4 7.86% Boston Medical Center Management Service 0.81 1 1.46% Central Massachusetts Independent Physician Association (CMIPA) 0.93 2 1.34% Cooley Dickinson Physician Hospital Organization, Inc. 0.90 2 0.69% Health Alliance with Physicians, Inc. 0.89 2 0.69% Heywood Physician Hospital Organization 0.89 2 0.10% Lahey Clinic 1.00 3 2.26% Lawrence General IPA (d/b/a Choice Plus Network) 0.88 2 0.49% Lowell General PHO 0.97 3 1.19% Lower Merrimac Valley Physician Hospital Organization (LMVPHO) 0.84 1 0.48% Mount Auburn Cambridge IPA 1.13 4 2.15% Nashoba IPA, Inc. 0.82 1 0.17% New England Quality Care Alliance (NEQCA) 0.94 3 7.23% Northeast PHO (NEPHO) 1.06 3 1.58% Partners Community HealthCare, Inc. (PHO) 1.22 4 32.51% Physicians of Cape Cod, Inc. 0.92 2 1.81% Signature Healthcare Brockton Hospital Physician Hospital Organization, Inc. 0.91 2 0.54% South Shore Physician Hospital Organization (SSPHO) 1.01 3 4.22% Southcoast Primary Care, LLC 0.94 3 0.36% Southern New England Health Alliance 0.81 1 0.52% Steward Network Services, Inc. 1.01 3 4.06% Sturdy Hospital Physicians (Physician Group) 0.83 1 0.81% The Childrens Hospital Corporation 2.11 4 9.62% UMass Memorial Health Care 1.13 4 4.41% Valley Health Partners PHO at Holyoke Medical Center 0.79 1 0.04%

Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%.

B - 4 Tufts Associated Health Maintenance Organization, Inc. Commercial (self and fully insured)

Relative Price Provider Relative Quartile Percent of Provider Price ( 4 - High ) Network Acton Medical Associates 1.31 4 0.41% Atrius Health 1.29 4 7.82% Baycare Health Partners, Inc. 0.95 3 2.80% Beth Israel Deaconess Physician Hospital Organization (PHO) 1.17 4 6.98% Boston Medical Center Management Service 0.82 1 0.80% Central Massachusetts Independent Physician Association (CMIPA) 0.92 2 1.23% Cooley Dickinson Physician Hospital Organization, Inc. 0.77 1 0.63% Fallon Clinic, Inc. 1.16 4 0.48% Hampden County Physician Associates, LLC 0.86 2 0.33% Harrington Physician Organization 0.76 1 0.22% Health Alliance with Physicians, Inc. 0.98 3 1.02% Heywood Physician Hospital Organization 0.76 1 0.37% Highland Healthcare Associates Independent Physician Association (IPA), Inc. 1.08 4 3.52% Lahey Clinic 0.86 2 2.00% Lawrence General IPA (d/b/a Choice Plus Network) 0.87 2 0.71% Lowell General PHO 0.88 2 1.31% MetroWest Health Care Alliance, Inc. 0.85 2 0.98% Mount Auburn Cambridge IPA 1.01 3 2.24% Nashoba IPA, Inc. 0.77 1 0.24% New England Quality Care Alliance (NEQCA) 0.98 3 3.67% Northeast PHO (NEPHO) 1.12 4 2.20% Partners Community HealthCare, Inc. (PHO) 1.24 4 30.22% Signature Healthcare Brockton Hospital Physician Hospital Organization, Inc. 1.07 3 0.59% South Shore Physician Hospital Organization (SSPHO) 0.95 2 2.51% Southcoast Primary Care, LLC 0.77 1 0.29% Southern New England Health Alliance 0.75 1 0.37% Steward Network Services, Inc. 1.07 3 6.39% Sturdy Hospital Physicians (Physician Group) 0.77 1 0.47% The Childrens Hospital Corporation 2.13 4 7.33% UMass Memorial Health Care 1.06 3 3.93%

Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%.

B - 5 UniCare Life and Health Insurance Company Commercial (self and fully insured)

Relative Price Provider Relative Quartile Percent of Provider Price ( 4 - High ) Network Partners Community HealthCare, Inc. (PHO) 1.19 --- 14.27% UMass Memorial Health Care 0.81 --- 3.57%

'---' Relative price quartiles were not calculated. Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%.

B - 6 Fallon Health and Life Assurance Company Commonwealth Care

Relative Price Provider Relative Quartile Percent of Provider Price ( 4 - High ) Network Fallon Clinic, Inc. 1.01 --- 26.05% UMass Memorial Health Care 0.99 --- 3.75%

'---' Relative price quartiles were not calculated for non-commercial insurance categories. Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%.

B - 7 Network Health, LLC Commonwealth Care

Relative Price Provider Relative Quartile Percent of Provider Price ( 4 - High ) Network Beth Israel Deaconess Physician Hospital Organization (PHO) 0.66 --- 7.03% Health Alliance with Physicians, Inc. 0.69 --- 2.68% Lawrence General IPA (d/b/a Choice Plus Network) 0.70 --- 2.32% Lowell General PHO 0.66 --- 2.16% Partners Community HealthCare, Inc. (PHO) 0.97 --- 31.00% The Childrens Hospital Corporation 2.64 --- 0.58% UMass Memorial Health Care 0.68 --- 7.54%

B - 8 Fallon Health and Life Assurance Company Medicaid MCO

Relative Price Provider Relative Quartile Percent of Provider Price ( 4 - High ) Network Fallon Clinic, Inc. 1.11 --- 68.82% UMass Memorial Health Care 0.89 --- 8.45%

B - 9 Network Health, LLC Medicaid MCO

Relative Price Provider Relative Quartile Percent of Provider Price ( 4 - High ) Network Beth Israel Deaconess Physician Hospital Organization (PHO) 0.64 --- 2.90% Health Alliance with Physicians, Inc. 0.70 --- 5.01% Lawrence General IPA (d/b/a Choice Plus Network) 0.69 --- 3.70% Lowell General PHO 0.69 --- 4.35% Partners Community HealthCare, Inc. (PHO) 0.88 --- 17.32% The Childrens Hospital Corporation 2.68 --- 8.46% UMass Memorial Health Care 0.70 --- 9.82%

B - 10 Blue Cross Blue Shield of Massachusetts Medicare Advantage*

Relative Price Provider Relative Quartile Percent of Provider Price ( 4 - High ) Network Acton Medical Associates 0.98 --- 0.00% Atrius Health 0.98 --- 0.06% Baycare Health Partners, Inc. 1.24 --- 17.15% Berkshire Medical Center 0.98 --- 0.08% Beth Israel Deaconess Physician Hospital Organization (PHO) 1.18 --- 7.24% Central Massachusetts Independent Physician Association (CMIPA) 0.88 --- 4.83% Connecticut River Internists 0.98 --- 0.27% Cooley Dickinson Physician Hospital Organization, Inc. 1.08 --- 3.00% Fallon Clinic, Inc. 0.98 --- 0.10% Hampden County Physician Associates, LLC 0.98 --- 0.25% Health Alliance with Physicians, Inc. 0.98 --- 1.09% Highland Healthcare Associates Independent Physician Association (IPA), Inc. 0.98 --- 0.15% Lahey Clinic 0.98 --- 1.75% Lawrence General IPA (d/b/a Choice Plus Network) 0.98 --- 0.37% Lowell General PHO 0.98 --- 0.10% MetroWest Health Care Alliance, Inc. 0.98 --- 1.19% Mount Auburn Cambridge IPA 1.00 --- 0.24% MWA PC d/b/a Riverbend Medical Group 0.98 --- 5.50% Nashoba IPA, Inc. 0.98 --- 0.96% New England Baptist Health Systems 0.98 --- 0.40% New England Quality Care Alliance (NEQCA) 0.98 --- 1.80% Northeast PHO (NEPHO) 0.98 --- 0.25% Partners Community HealthCare, Inc. (PHO) 0.98 --- 9.81% Physicians of Cape Cod, Inc. 0.98 --- 1.55% Signature Healthcare Brockton Hospital Physician Hospital Organization, Inc. 0.98 --- 0.99% South Shore Physician Hospital Organization (SSPHO) 0.98 --- 0.62% Southcoast Physicians Network, Inc. 1.08 --- 0.55% Steward Network Services, Inc. 0.98 --- 10.24% Sturdy Hospital Physicians (Physician Group) 0.98 --- 0.12% The Childrens Hospital Corporation 0.98 --- 0.01% UMass Memorial Health Care 0.98 --- 11.57% Valley Health Partners PHO at Holyoke Medical Center 0.98 --- 1.33% Valley Medical Group, PC 0.98 --- 0.51% Whittier IPA Physician Group 0.98 --- 0.90% B - 11 Blue Cross Blue Shield of Massachusetts Medicare Advantage*

Relative Price Provider Relative Quartile Percent of Provider Price ( 4 - High ) Network Williamstown Medical Associates 0.98 --- 0.00%

*The payer may not have contracts with certain physician organizations, but individual physicians of these organizations may have individual- level contracts for Medicare. This information reflects data for physicians assigned to the physician organization

B - 12 Fallon Health and Life Assurance Company Medicare Advantage*

Relative Price Provider Relative Quartile Percent of Provider Price ( 4 - High ) Network Fallon Clinic, Inc. 1.21 --- 66.51% UMass Memorial Health Care 0.79 --- 5.01%

*The data presented here is submitted by private payers for calendar year 2009. Some payers may have certain Medicare products that at the time did not have a provider network requirement.

B - 13 Harvard Pilgrim Health Care Medicare Advantage*

Relative Price Provider Relative Quartile Percent of Provider Price ( 4 - High ) Network Acton Medical Associates 1.04 --- 0.17% Atrius Health 1.04 --- 0.51% Baycare Health Partners, Inc. 1.11 --- 0.44% Berkshire Medical Center 1.14 --- 1.94% Beth Israel Deaconess Physician Hospital Organization (PHO) 1.00 --- 15.56% Boston Medical Center Management Service 0.90 --- 1.82% Central Massachusetts Independent Physician Association (CMIPA) 1.00 --- 0.64% Cooley Dickinson Physician Hospital Organization, Inc. 1.02 --- 0.12% Health Alliance with Physicians, Inc. 0.97 --- 0.27% Lahey Clinic 0.85 --- 26.36% Lawrence General IPA (d/b/a Choice Plus Network) 0.99 --- 1.23% Lowell General PHO 1.14 --- 1.11% Lower Merrimac Valley Physician Hospital Organization (LMVPHO) 0.96 --- 0.96% Mount Auburn Cambridge IPA 1.01 --- 2.03% Nashoba IPA, Inc. 1.04 --- 0.32% New England Quality Care Alliance (NEQCA) 1.00 --- 6.42% Northeast PHO (NEPHO) 0.94 --- 5.21% Partners Community HealthCare, Inc. (PHO) 1.03 --- 25.47% Physicians of Cape Cod, Inc. 1.00 --- 1.39% South Shore Physician Hospital Organization (SSPHO) 1.02 --- 3.04% Southern New England Health Alliance 0.95 --- 0.16% Steward Network Services, Inc. 1.01 --- 2.77% Sturdy Hospital Physicians (Physician Group) 0.94 --- 0.33% The Childrens Hospital Corporation 0.97 --- 0.02% UMass Memorial Health Care 0.96 --- 1.69% Valley Health Partners PHO at Holyoke Medical Center 0.96 --- 0.03%

*The data presented here is submitted by private payers for calendar year 2009. Some payers may have certain Medicare products that at the time did not have a provider network requirement.

B - 14 United Healthcare Insurance Company - Medicare Advantage Medicare Advantage*

Relative Price Provider Relative Quartile Percent of Provider Price ( 4 - High ) Network Beth Israel Deaconess Physician Hospital Organization (PHO) 1.01 --- 4.78% Fallon Clinic, Inc. 1.05 --- 3.46% Partners Community HealthCare, Inc. (PHO) 1.01 --- 9.66% UMass Memorial Health Care 0.93 --- 7.34%

*The data presented here is submitted by private payers for calendar year 2009. Some payers may have certain Medicare products that at the time did not have a provider network requirement.

B - 15 Appendix C Psychiatric Hospitals and Acute Hospital Behavioral Health Units

– Psychiatric Hospital/Unit Relative Prices: Commercial Plans

– Psychiatric Hospital/Unit Relative Prices: Commonwealth Care Plans

– Psychiatric Hospital/Unit Relative Prices: Medicaid MCO Plans

– Psychiatric Hospital/Unit Relative Prices: Medicare Advantage Plans Aetna Health Inc. (PA) - Aetna Health Ins. Co. Psychiatric or Substance Abuse Hospital or Acute Hospital Behavioral Health only Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 99.64% 0.36% Arbour-Fuller Hospital --- 0.94 100.00% --- 0.00% 3.39% Baystate Medical Center* --- 1.02 100.00% --- 0.00% 4.88% Beth Israel Deaconess Medical Center* --- 0.95 100.00% --- 0.00% 2.62% Cambridge Health Alliance --- 0.97 100.00% --- 0.00% 5.04% Children's Hospital Boston* --- 1.28 100.00% --- 0.00% 3.20% Faulkner Hospital* --- 1.17 100.00% --- 0.00% 2.43% Massachusetts General Hospital* --- 1.01 100.00% --- 0.00% 2.56% McLean Hospital --- 0.94 99.09% --- 0.91% 38.14% Newton-Wellesley Hospital* --- 0.96 100.00% --- 0.00% 2.46% Steward Holy Family Hospital* --- 1.01 100.00% --- 0.00% 2.40% Walden Behavioral Care, LLC* --- 1.00 99.83% --- 0.18% 3.00% Westwood Lodge --- 1.00 100.00% --- 0.00% 5.19%

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

C - 1 Blue Cross Blue Shield of Massachusetts Psychiatric or Substance Abuse Hospital or Acute Hospital Behavioral Health only Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 AdCare Hospital of Worcester 0.85 ------2.70% Anna Jaques Hospital 0.96 ------1.52% Arbour Hospital 1.00 ------2.00% Arbour-Fuller Hospital 1.00 ------2.06% Arbour-HRI Hospital 1.01 ------2.07% Baldpate Hospital 0.94 ------1.62% Baystate Franklin Medical Center 1.08 ------0.59% Baystate Medical Center 1.25 ------1.51% Berkshire Medical Center 0.94 ------0.77% Beth Israel Deaconess Medical Center 0.81 ------0.49% Bournewood Hospital 0.99 ------2.00% Cambridge Health Alliance 0.69 ------2.10% Cape Cod Hospital 1.01 ------0.52% Children's Hospital Boston 1.51 ------3.75% Cooley Dickinson Hospital 1.01 ------0.49% Emerson Hospital 0.88 ------1.83% Faulkner Hospital 1.19 ------1.99% Franciscan Hospital for Children 1.00 ------3.30% Hallmark Health 0.91 ------0.90% Harrington Memorial Hospital 0.87 ------0.17% Health Alliance Hospital 1.02 ------0.35% Heywood Hospital 0.80 ------0.31% Holyoke Medical Center 0.88 ------0.58% Marlborough Hospital 1.07 ------1.06% McLean Hospital 1.24 ------30.84% Mercy Medical Center 0.99 ------1.36% MetroWest Medical Center 0.96 ------2.10% Newton-Wellesley Hospital 1.15 ------2.32% Noble Hospital 0.95 ------0.43% North Adams Regional Hospital 1.08 ------0.21% North Shore Medical Center 1.17 ------2.52% Northeast Hospital 1.03 ------4.05% Saint Vincent Hospital 0.90 ------0.46% C - 2 Blue Cross Blue Shield of Massachusetts Psychiatric or Substance Abuse Hospital or Acute Hospital Behavioral Health only Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 Signature Healthcare Brockton Hospital 0.82 ------0.36% Southcoast Hospitals Group 0.94 ------0.56% Steward Carney Hospital 1.02 ------0.42% Steward Good Samaritan Medical Center 1.06 ------1.12% Steward Holy Family Hospital 1.08 ------0.50% Steward Norwood Hospital 0.99 ------0.97% Steward St. Elizabeth's Medical Center 1.09 ------1.75% Tufts Medical Center 1.03 ------0.71% UMass Memorial Medical Center 1.23 ------1.75% Walden Behavioral Care, LLC 1.08 ------3.35% Westwood Lodge 0.98 ------8.02% Whittier Rehabilitation Hospital - Bradford 1.03 ------0.69% Wing Memorial Hospital and Medical Centers 1.00 ------0.27%

‘---‘ Payer reported data in the format used for outpatient hospital data due to provider contracting structures so only blended relative price values were calculated. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

C - 3 Fallon Health and Life Assurance Company Psychiatric or Substance Abuse Hospital or Acute Hospital Behavioral Health only Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 1.00 70.04% 1.00 29.96% AdCare Hospital of Worcester 0.55 0.26 41.51% 0.96 58.49% 12.29% Arbour Hospital --- 0.69 97.91% --- 2.09% 3.69% Saint Vincent Hospital --- 0.60 75.65% --- 24.35% 6.14% UMass Memorial Medical Center 1.57 1.94 60.54% 1.03 39.46% 18.62% Westwood Lodge --- 0.80 99.62% --- 0.38% 5.82%

‘---‘ Provider did not meet the reporting threshold.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

C - 4 Harvard Pilgrim Health Care Psychiatric or Substance Abuse Hospital or Acute Hospital Behavioral Health only Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 1.00 89.49% 1.00 10.51% AdCare Hospital of Worcester 0.37 0.37 72.76% 0.45 27.25% 2.09% Anna Jaques Hospital --- 0.70 98.32% --- 1.68% 1.11% Arbour Hospital --- 0.54 93.63% --- 6.37% 3.92% Arbour-Fuller Hospital --- 0.61 90.60% --- 9.40% 2.30% Arbour-HRI Hospital 0.51 0.48 37.86% 0.96 62.14% 1.40% Baldpate Hospital --- 0.35 95.03% --- 4.97% 1.03% Beth Israel Deaconess Medical Center --- 0.92 78.51% --- 21.49% 1.08% Bournewood Hospital --- 0.64 83.18% --- 16.82% 2.37% Cambridge Health Alliance --- 1.11 99.23% --- 0.77% 1.66% Cape Cod Hospital --- 0.77 79.80% --- 20.20% 0.73% Children's Hospital Boston* --- 2.57 90.04% --- 9.96% 1.12% Cooley Dickinson Hospital* --- 1.04 96.85% --- 3.15% 0.31% Emerson Hospital --- 0.84 90.37% --- 9.63% 2.27% Faulkner Hospital --- 1.02 90.93% --- 9.07% 4.20% Heywood Hospital* --- 0.77 97.77% --- 2.23% 0.32% Marlborough Hospital --- 1.45 91.48% --- 8.52% 1.43% Massachusetts General Hospital 3.27 3.43 74.35% 0.89 25.65% 3.97% McLean Hospital 1.58 1.60 93.64% 1.18 6.36% 37.41% MetroWest Medical Center --- 1.00 90.96% --- 9.04% 3.45% Newton-Wellesley Hospital --- 1.22 99.92% --- 0.08% 2.30% North Shore Medical Center --- 1.48 91.50% --- 8.50% 2.31% Northeast Hospital --- 0.73 83.65% --- 16.35% 2.63% Pembroke Hospital 0.66 0.64 82.62% 0.99 17.38% 4.49% Saint Vincent Hospital* --- 0.72 100.00% --- 0.00% 0.36% Signature Healthcare Brockton Hospital --- 0.82 98.97% --- 1.04% 0.76% Southcoast Hospitals Group --- 0.84 96.80% --- 3.20% 0.97% Steward Carney Hospital --- 0.86 96.79% --- 3.21% 1.41% Steward Good Samaritan Medical Center --- 0.31 88.96% --- 11.04% 0.81% Steward Holy Family Hospital --- 0.75 100.00% --- 0.00% 0.75% Tufts Medical Center --- 0.79 97.54% --- 2.46% 1.37% UMass Memorial Medical Center* --- 1.77 86.61% --- 13.39% 1.35% Walden Behavioral Care, LLC 0.81 0.80 81.67% 0.97 18.33% 3.55% Westwood Lodge 0.65 0.63 82.85% 0.98 17.15% 3.81% C - 5 Harvard Pilgrim Health Care Psychiatric or Substance Abuse Hospital or Acute Hospital Behavioral Health only Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 1.00 89.49% 1.00 10.51%

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

C - 6 Neighborhood Health Plan Psychiatric or Substance Abuse Hospital or Acute Hospital Behavioral Health only Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 58.13% 41.87% McLean Hospital* --- 3.04 81.73% --- 18.27% 26.58%

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Relative price values were not calculated for payer’s network due to data quality issues with the submitted information.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

C - 7 Tufts Associated Health Maintenance Organization, Inc. Psychiatric or Substance Abuse Hospital or Acute Hospital Behavioral Health only Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 1.00 70.73% 1.00 29.27% Arbour-Fuller Hospital* --- 0.81 90.18% --- 9.82% 0.86% Bournewood Hospital --- 0.89 79.86% --- 20.14% 5.53% Cape Cod Hospital --- 0.81 89.80% --- 10.20% 1.19% Children's Hospital Boston* --- 1.56 91.00% --- 9.00% 1.38% Emerson Hospital --- 0.81 89.88% --- 10.12% 4.54% Faulkner Hospital --- 0.93 81.66% --- 18.34% 4.05% Massachusetts General Hospital* 0.93 0.85 38.18% 1.25 61.82% 5.84% McLean Hospital 0.91 0.84 62.23% 1.18 37.77% 15.88% MetroWest Medical Center --- 0.68 91.79% --- 8.21% 4.85% Newton-Wellesley Hospital --- 0.72 88.31% --- 11.69% 2.33% North Shore Medical Center 0.88 0.83 61.63% 1.08 38.38% 5.32% Northeast Hospital --- 0.79 81.42% --- 18.58% 5.29% Pembroke Hospital 0.82 0.81 83.40% 0.85 16.60% 10.74% Steward Good Samaritan Medical Center --- 0.81 86.39% --- 13.61% 1.12% Steward Norwood Hospital --- 0.66 87.67% --- 12.33% 4.90% Steward St. Elizabeth's Medical Center 0.92 0.85 69.63% 1.22 30.37% 9.69% UMass Memorial Medical Center --- 1.03 78.47% --- 21.53% 2.35% Walden Behavioral Care, LLC* 1.07 0.97 50.44% 1.48 49.56% 3.19%

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

C - 8 BMC HealthNet Plan, Inc. Psychiatric or Substance Abuse Hospital or Acute Hospital Behavioral Health only Commonwealth Care Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 76.98% 23.02% AdCare Hospital of Worcester ------0.85% 1.21 99.15% 12.01% Arbour Hospital --- 0.91 77.05% --- 22.95% 7.53% Arbour-Fuller Hospital --- 0.90 59.12% --- 40.88% 8.29% Arbour-HRI Hospital --- 0.94 75.43% --- 24.57% 5.13% Baystate Franklin Medical Center --- 0.82 100.00% --- 0.00% 2.63% Baystate Medical Center --- 0.89 100.00% --- 0.00% 2.35% Berkshire Medical Center --- 1.17 100.00% --- 0.00% 7.93% Bournewood Hospital --- 0.71 85.44% --- 14.57% 5.39% Cape Cod Hospital* --- 0.76 100.00% --- 0.00% 1.28% Cooley Dickinson Hospital --- 0.69 100.00% --- 0.00% 2.02% McLean Hospital* --- 3.22 85.78% --- 14.22% 7.34% Noble Hospital* --- 1.04 100.00% --- 0.00% 1.47% Northeast Hospital --- 0.96 100.00% --- 0.00% 3.60% Southcoast Hospitals Group* --- 0.99 100.00% --- 0.00% 1.24% Steward Norwood Hospital* --- 1.23 100.00% --- 0.00% 1.63% Steward St. Elizabeth's Medical Center* --- 1.78 100.00% --- 0.00% 1.40% UMass Memorial Medical Center* --- 1.17 100.00% --- 0.00% 1.56% Walden Behavioral Care, LLC --- 1.36 81.47% --- 18.53% 6.67% Westwood Lodge --- 0.91 88.72% --- 11.28% 10.41% Wing Memorial Hospital and Medical Centers* --- 1.18 100.00% --- 0.00% 2.04%

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

C - 9 Neighborhood Health Plan Psychiatric or Substance Abuse Hospital or Acute Hospital Behavioral Health only Commonwealth Care Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 73.78% 26.22% Arbour Hospital --- 0.81 75.75% --- 24.25% 8.80% Arbour-Fuller Hospital --- 0.75 82.59% --- 17.41% 7.10% Arbour-HRI Hospital --- 1.27 61.81% --- 38.19% 6.47% Bournewood Hospital --- 1.12 78.45% --- 21.55% 6.95% Cambridge Health Alliance --- 1.22 62.72% --- 37.28% 6.02% Faulkner Hospital --- 0.60 84.75% --- 15.25% 2.49% Massachusetts General Hospital* --- 2.38 42.46% --- 57.54% 5.16% McLean Hospital --- 2.99 86.75% --- 13.25% 13.84% Northeast Hospital --- 0.62 68.78% --- 31.22% 6.00% Pembroke Hospital --- 0.95 82.19% --- 17.81% 8.74% Signature Healthcare Brockton Hospital* --- 0.74 99.84% --- 0.16% 1.81% Steward Holy Family Hospital --- 0.65 100.00% --- 0.00% 2.31% Steward Norwood Hospital --- 0.49 100.00% --- 0.00% 1.47% Tufts Medical Center* --- 1.24 77.19% --- 22.81% 1.59% UMass Memorial Medical Center* --- 1.69 82.29% --- 17.71% 1.62% Walden Behavioral Care, LLC --- 0.81 85.61% --- 14.39% 4.49%

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Provider did not meet the reporting threshold./Relative price values were not calculated for payer’s network due to data quality issues with the submitted information. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

C - 10 BMC HealthNet Plan, Inc. Psychiatric or Substance Abuse Hospital or Acute Hospital Behavioral Health only Medicaid MCO Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 80.97% 19.03% AdCare Hospital of Worcester ------0.93% 1.36 99.07% 10.20% Anna Jaques Hospital* --- 0.75 100.00% --- 0.00% 0.70% Arbour Hospital --- 0.85 80.72% 0.81 19.29% 7.67% Arbour-Fuller Hospital --- 0.84 72.23% 0.86 27.77% 7.46% Arbour-HRI Hospital --- 0.89 92.93% --- 7.07% 4.97% Baystate Franklin Medical Center --- 0.68 100.00% --- 0.00% 1.57% Baystate Medical Center --- 0.75 100.00% --- 0.00% 4.15% Berkshire Medical Center --- 0.92 100.00% --- 0.00% 6.14% Bournewood Hospital --- 0.64 92.61% --- 7.39% 4.71% Cambridge Health Alliance --- 0.95 98.09% --- 1.91% 2.72% Cape Cod Hospital --- 0.70 100.00% --- 0.00% 0.94% Children's Hospital Boston* --- 6.23 100.00% --- 0.00% 1.10% Cooley Dickinson Hospital --- 0.50 100.00% --- 0.00% 1.52% Holyoke Medical Center --- 0.87 100.00% --- 0.00% 2.28% McLean Hospital* --- 1.61 61.74% --- 38.26% 2.92% MetroWest Medical Center* --- 1.24 100.00% --- 0.00% 0.63% Noble Hospital --- 0.91 100.00% --- 0.00% 2.67% North Adams Regional Hospital --- 0.87 100.00% --- 0.00% 2.71% North Shore Medical Center* --- 1.31 100.00% --- 0.00% 0.72% Northeast Hospital --- 0.73 100.00% --- 0.00% 1.10% Signature Healthcare Brockton Hospital --- 0.69 100.00% --- 0.00% 1.66% Southcoast Hospitals Group --- 1.02 100.00% --- 0.00% 2.31% Steward Carney Hospital --- 0.87 100.00% --- 0.00% 1.52% Steward Holy Family Hospital --- 0.57 100.00% --- 0.00% 1.21% Steward Norwood Hospital* --- 0.77 100.00% --- 0.00% 0.68% UMass Memorial Medical Center --- 0.89 100.00% --- 0.00% 1.48% Walden Behavioral Care, LLC --- 0.71 83.49% --- 16.51% 2.25% Westwood Lodge --- 0.90 86.79% 0.89 13.21% 16.25% Wing Memorial Hospital and Medical Centers --- 0.96 100.00% --- 0.00% 1.82%

C - 11 BMC HealthNet Plan, Inc. Psychiatric or Substance Abuse Hospital or Acute Hospital Behavioral Health only Medicaid MCO Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 80.97% 19.03%

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

C - 12 Fallon Health and Life Assurance Company Psychiatric or Substance Abuse Hospital or Acute Hospital Behavioral Health only Medicaid MCO Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 81.64% 18.36% AdCare Hospital of Worcester --- 0.44 64.10% --- 35.90% 17.88% Harrington Memorial Hospital* --- 1.55 63.93% --- 36.07% 13.72% UMass Memorial Medical Center* --- 1.61 84.41% --- 15.59% 19.27%

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

C - 13 Neighborhood Health Plan Psychiatric or Substance Abuse Hospital or Acute Hospital Behavioral Health only Medicaid MCO Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 69.84% 30.16% Anna Jaques Hospital --- 0.87 99.59% --- 0.41% 1.38% Arbour Hospital --- 0.99 71.81% --- 28.19% 9.69% Arbour-Fuller Hospital --- 0.93 85.37% --- 14.63% 4.35% Arbour-HRI Hospital --- 1.08 74.74% --- 25.26% 4.55% Bournewood Hospital --- 0.96 80.43% --- 19.57% 4.09% Cambridge Health Alliance --- 0.98 78.09% --- 21.91% 6.72% Children's Hospital Boston* --- 2.83 23.86% --- 76.14% 6.83% Faulkner Hospital --- 0.83 90.06% --- 9.94% 1.70% Hallmark Health --- 1.21 93.78% --- 6.22% 1.51% Massachusetts General Hospital* --- 1.93 26.88% --- 73.12% 5.03% McLean Hospital --- 2.16 71.55% --- 28.45% 8.53% Mercy Medical Center --- 0.87 100.00% --- 0.00% 1.20% MetroWest Medical Center* --- 0.68 98.17% --- 1.83% 0.70% Newton-Wellesley Hospital* --- 1.25 100.00% --- 0.00% 0.96% North Shore Medical Center --- 0.99 52.13% --- 47.87% 3.62% Northeast Hospital --- 0.68 75.49% --- 24.51% 3.46% Pembroke Hospital --- 1.12 71.64% --- 28.36% 17.55% Signature Healthcare Brockton Hospital* --- 0.86 100.00% --- 0.00% 0.68% Steward Carney Hospital --- 0.82 92.51% --- 7.49% 2.36% Steward Holy Family Hospital --- 0.79 100.00% --- 0.00% 1.81% Steward Norwood Hospital --- 0.78 99.13% --- 0.88% 1.29% Tufts Medical Center* --- 1.02 68.50% --- 31.50% 1.25% UMass Memorial Medical Center* --- 1.73 97.65% --- 2.35% 0.88% Walden Behavioral Care, LLC --- 0.88 96.12% --- 3.88% 4.07%

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Provider did not meet the reporting threshold./Relative price values were not calculated for payer’s network due to data quality issues with the submitted information. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

C - 14 Fallon Health and Life Assurance Company Psychiatric or Substance Abuse Hospital or Acute Hospital Behavioral Health only Medicare Advantage Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 92.09% 7.91% Clinton Hospital --- 1.93 99.51% --- 0.49% 25.35% Heywood Hospital --- 1.00 99.27% --- 0.73% 30.80% Saint Vincent Hospital --- 1.35 88.28% --- 11.72% 18.61%

‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

C - 15 Harvard Pilgrim Health Care Psychiatric or Substance Abuse Hospital or Acute Hospital Behavioral Health only Medicare Advantage Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 88.59% 1.00 11.41% Anna Jaques Hospital --- 0.76 68.16% --- 31.84% 2.68% Beth Israel Deaconess Medical Center --- 1.02 87.16% 1.13 12.84% 17.65% Cambridge Health Alliance --- 1.38 92.65% --- 7.35% 4.67% Cape Cod Hospital* --- 1.26 87.82% --- 12.18% 2.78% Emerson Hospital* --- 0.79 84.86% --- 15.14% 1.87% Faulkner Hospital* --- 0.71 72.02% --- 27.98% 1.90% Massachusetts General Hospital --- 1.23 90.86% --- 9.14% 12.80% McLean Hospital* --- 1.13 81.99% --- 18.01% 2.91% Merrimack Valley Hospital* --- 0.81 92.92% --- 7.08% 1.93% MetroWest Medical Center --- 0.70 82.92% --- 17.08% 2.63% Mount Auburn Hospital --- 0.68 92.96% --- 7.04% 3.86% Newton-Wellesley Hospital --- 0.79 82.92% --- 17.08% 2.45% North Shore Medical Center --- 1.10 93.81% --- 6.19% 7.64% Northeast Hospital --- 0.70 87.42% --- 12.57% 10.74% Quincy Medical Center* --- 0.80 98.08% --- 1.92% 1.28% Signature Healthcare Brockton Hospital* --- 0.86 96.26% --- 3.74% 1.40% Southcoast Hospitals Group --- 0.95 94.37% --- 5.63% 3.26% Steward Good Samaritan Medical Center* --- 1.11 94.91% --- 5.09% 2.16% Steward Holy Family Hospital --- 0.70 88.04% --- 11.96% 2.04% Steward Norwood Hospital --- 1.03 93.61% --- 6.39% 3.44% UMass Memorial Medical Center --- 0.98 95.22% --- 4.78% 2.76%

*This hospital met the revenue threshold for inpatient services. However, the number of discharges from this hospital for this payer's network was equal to or less than 25. Although patient acuity was adjusted when developing the hospital inpatient price relativity, if these cases were paid as outlier payments, the hospital's inpatient relative price value may be skewed. ‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

C - 16 Appendix D Rehabilitation Hospitals

– Rehabilitation Hospital Relative Prices: Commercial Plans

– Rehabilitation Hospital Relative Prices: Commonwealth Care Plans

– Rehabilitation Hospital Relative Prices: Medicaid MCO Plans

– Rehabilitation Hospital Relative Prices: Medicare Advantage Plans Aetna Health Inc. (PA) - Aetna Health Ins. Co. Rehabilitation Hospital Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 1.00 61.97% 1.00 38.03% Spaulding Rehabilitation Hospital 1.30 0.98 51.67% 2.09 48.33% 67.80% Whittier Rehabilitation Hospital - Westborough* --- 1.28 93.51% --- 6.49% 13.92%

‘---‘ Provider did not meet the reporting threshold.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

D - 1 Blue Cross Blue Shield of Massachusetts Rehabilitation Hospital Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 1.00 77.70% 1.00 22.31% Braintree Rehabilitation Hospital 0.92 0.90 58.91% 1.03 41.09% 10.81% Franciscan Hospital for Children 0.97 0.99 96.71% 0.84 3.29% 1.55% HealthSouth Fairlawn Rehabilitation Hospital --- 0.84 90.55% --- 9.45% 3.60% HealthSouth Rehabilitation Hospital of Western MA 0.91 0.87 53.67% 1.06 46.33% 1.78% Kindred Hospital Boston --- 1.13 100.00% --- 0.00% 0.56% Kindred Hospital Boston North Shore --- 1.13 100.00% --- 0.00% 1.44% Kindred Hospital Northeast - Stoughton --- 1.06 99.81% --- 0.19% 2.79% Kindred Hospital Park View --- 1.06 100.00% --- 0.00% 2.16% New Bedford Rehabilitation Hospital --- 0.96 99.76% --- 0.25% 0.93% New England Rehabilitation Hospital 0.90 0.86 73.20% 1.09 26.80% 5.68% New England Sinai Hospital and Rehabilitation Center --- 1.17 98.51% --- 1.49% 0.62% Rehabilitation Hospital of the Cape and Islands 1.15 1.03 48.52% 1.68 51.48% 6.99% Shaughnessy-Kaplan Rehabilitation Hospital 1.04 0.98 59.65% 1.31 40.35% 5.56% Spaulding Hospital Cambridge --- 1.10 100.00% --- 0.00% 10.77% Spaulding Rehabilitation Hospital 1.13 1.08 75.58% 1.31 24.42% 34.74% Whittier Rehabilitation Hospital - Bradford 0.93 0.92 88.98% 0.93 11.02% 4.97% Whittier Rehabilitation Hospital - Westborough 0.88 0.92 95.30% 0.70 4.70% 5.05%

‘---‘ Provider did not meet the reporting threshold.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

D - 2 Fallon Health and Life Assurance Company Rehabilitation Hospital Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 87.97% 12.03% HealthSouth Fairlawn Rehabilitation Hospital --- 0.69 98.84% --- 1.16% 25.49% Spaulding Rehabilitation Hospital --- 0.81 96.92% --- 3.08% 16.26% Whittier Rehabilitation Hospital - Westborough --- 0.81 99.36% --- 0.65% 33.46%

‘---‘ Provider did not meet the reporting threshold.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

D - 3 Harvard Pilgrim Health Care Rehabilitation Hospital Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 1.00 70.77% 1.00 29.23% Braintree Rehabilitation Hospital 1.22 1.39 60.72% 0.78 39.28% 17.59% New England Rehabilitation Hospital 1.31 1.48 75.38% 0.87 24.62% 6.84% Rehabilitation Hospital of the Cape and Islands 1.48 1.38 47.98% 1.73 52.02% 16.24% Spaulding Rehabilitation Hospital 1.45 1.60 75.61% 1.05 24.39% 46.56% Whittier Rehabilitation Hospital - Bradford --- 0.64 91.08% --- 8.92% 3.31% Whittier Rehabilitation Hospital - Westborough --- 0.76 95.19% --- 4.81% 6.30%

‘---‘ Provider did not meet the reporting threshold.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

D - 4 Neighborhood Health Plan Rehabilitation Hospital Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 76.80% 23.20% Spaulding Rehabilitation Hospital* --- 0.98 73.90% --- 26.10% 48.47%

‘---‘ Relative price values were not calculated for payer’s network due to data quality issues with the submitted information.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

D - 5 Tufts Associated Health Maintenance Organization, Inc. Rehabilitation Hospital Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 1.00 60.97% 1.00 39.03% Braintree Rehabilitation Hospital 1.04 1.12 60.65% 0.93 39.35% 16.66% Franciscan Hospital for Children ------22.46% 1.82 77.54% 4.39% New England Rehabilitation Hospital 0.95 1.05 76.13% 0.83 23.87% 12.56% Rehabilitation Hospital of the Cape and Islands* 0.93 0.92 49.16% 0.96 50.84% 6.56% Shaughnessy-Kaplan Rehabilitation Hospital ------0.00% 0.97 100.00% 4.43% Spaulding Rehabilitation Hospital 1.06 1.20 68.88% 0.89 31.13% 44.66%

‘---‘ Provider did not meet the reporting threshold.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

D - 6 UniCare Life and Health Insurance Company Rehabilitation Hospital Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 1.00 77.88% 1.00 22.12% Braintree Rehabilitation Hospital* --- 1.07 69.33% --- 30.67% 8.06% HealthSouth Rehabilitation Hospital of Western MA* --- 0.88 77.52% --- 22.48% 8.09% New England Rehabilitation Hospital --- 0.76 88.06% --- 11.94% 12.61% Spaulding Rehabilitation Hospital 1.34 1.36 75.74% 1.19 24.26% 46.31% Whittier Rehabilitation Hospital - Bradford* --- 0.97 89.86% --- 10.14% 7.24%

‘---‘ Provider did not meet the reporting threshold.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

D - 7 BMC HealthNet Plan, Inc. Rehabilitation Hospital Commonwealth Care Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 90.55% 9.45% Braintree Rehabilitation Hospital* --- 1.33 87.90% --- 12.10% 33.03% Radius Specialty Hospital - Boston* --- 0.84 100.00% --- 0.00% 20.49%

‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

D - 8 Neighborhood Health Plan Rehabilitation Hospital Commonwealth Care Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 74.49% 25.51% Spaulding Rehabilitation Hospital* --- 1.71 77.71% --- 22.29% 47.85%

‘---‘ Relative price values were not calculated for payer’s network due to data quality issues with the submitted information.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

D - 9 BMC HealthNet Plan, Inc. Rehabilitation Hospital Medicaid MCO Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 77.07% 22.93% Braintree Rehabilitation Hospital --- 1.00 77.46% --- 22.54% 22.48% Franciscan Hospital for Children --- 1.78 85.83% --- 14.17% 35.13% Radius Specialty Hospital - Boston* --- 0.93 100.00% --- 0.00% 12.13%

‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

D - 10 Neighborhood Health Plan Rehabilitation Hospital Medicaid MCO Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 61.62% 38.38% Spaulding Rehabilitation Hospital* --- 1.95 68.09% --- 31.91% 48.16%

‘---‘ Relative price values were not calculated for payer’s network due to data quality issues with the submitted information.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

D - 11 Blue Cross Blue Shield of Massachusetts Rehabilitation Hospital Medicare Advantage Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 94.76% 1.00 5.24% Braintree Rehabilitation Hospital --- 0.90 89.78% --- 10.22% 9.08% HealthSouth Fairlawn Rehabilitation Hospital --- 0.84 94.27% --- 5.73% 11.43% Kindred Hospital Northeast - Stoughton --- 1.06 98.86% --- 1.14% 8.17% Rehabilitation Hospital of the Cape and Islands --- 1.03 93.73% --- 6.27% 7.11% Whittier Rehabilitation Hospital - Bradford --- 0.92 94.40% --- 5.60% 9.25% Whittier Rehabilitation Hospital - Westborough --- 0.92 99.12% 0.65 0.88% 24.40%

‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

D - 12 Fallon Health and Life Assurance Company Rehabilitation Hospital Medicare Advantage Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 96.85% 3.15% HealthSouth Fairlawn Rehabilitation Hospital --- 1.42 99.89% --- 0.11% 48.40% Whittier Rehabilitation Hospital - Westborough --- 0.78 99.61% --- 0.39% 43.26%

‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

D - 13 Harvard Pilgrim Health Care Rehabilitation Hospital Medicare Advantage Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 93.55% 6.45% Braintree Rehabilitation Hospital --- 0.88 94.42% --- 5.59% 13.63% Kindred Hospital Boston North Shore* --- 1.66 100.00% --- 0.00% 9.57% New England Rehabilitation Hospital --- 0.76 96.67% --- 3.33% 45.52% Spaulding Rehabilitation Hospital --- 0.97 79.38% --- 20.62% 15.05% Whittier Rehabilitation Hospital - Bradford* --- 1.01 96.58% --- 3.43% 6.01%

‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

D - 14 United Healthcare Insurance Company - Medicare Advantage Rehabilitation Hospital Medicare Advantage Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 93.12% 6.88% Spaulding Rehabilitation Hospital* --- 0.82 92.08% --- 7.92% 52.17%

‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

D - 15 Appendix E Chronic Hospitals

– Chronic Hospital Relative Prices: Commercial Plans

– Chronic Hospital Relative Prices: Commonwealth Care Plans

– Chronic Hospital Relative Prices: Medicaid MCO Plans

– Chronic Hospital Relative Prices: Medicare Advantage Plans Blue Cross Blue Shield of Massachusetts Chronic Hospital Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 1.00 88.00% 1.00 12.00% Franciscan Hospital for Children ------15.38% 1.03 84.62% 7.71% Hebrew Rehabilitation Center 0.98 0.97 96.73% 0.99 3.27% 3.26% Kindred Hospital Boston --- 1.09 100.00% --- 0.00% 12.73% Kindred Hospital Northeast - Stoughton --- 1.02 99.96% --- 0.04% 9.49% Kindred Hospital Park View --- 1.02 100.00% --- 0.00% 11.53% New Bedford Rehabilitation Hospital --- 0.93 97.21% --- 2.79% 14.88% New England Sinai Hospital and Rehabilitation Center 1.11 1.13 85.69% 0.99 14.31% 34.59% Radius Specialty Hospital - Boston --- 0.93 100.00% --- 0.00% 3.87%

‘---‘ Provider did not meet the reporting threshold.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

E - 1 Harvard Pilgrim Health Care Chronic Hospital Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 1.00 90.50% 1.00 9.50% Franciscan Hospital for Children* --- 1.66 91.48% --- 8.52% 7.48% New England Sinai Hospital and Rehabilitation Center --- 1.48 92.03% --- 7.98% 25.15% Shaughnessy-Kaplan Rehabilitation Hospital 1.00 0.98 65.23% 1.40 34.77% 15.84% Spaulding Hospital Cambridge --- 1.75 97.17% --- 2.83% 46.00%

‘---‘ Provider did not meet the reporting threshold.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

E - 2 Tufts Associated Health Maintenance Organization, Inc. Chronic Hospital Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 100.00% 0.00% Kindred Hospital Northeast - Stoughton --- 0.88 100.00% --- 0.00% 14.45% Kindred Hospital Park View* --- 0.82 100.00% --- 0.00% 4.85% New England Sinai Hospital and Rehabilitation Center --- 1.39 100.00% --- 0.00% 12.64% Shaughnessy-Kaplan Rehabilitation Hospital* --- 0.94 100.00% --- 0.00% 6.60% Spaulding Hospital Cambridge --- 2.12 100.00% --- 0.00% 30.01% Whittier Rehabilitation Hospital - Bradford* --- 1.01 100.00% --- 0.00% 5.32% Whittier Rehabilitation Hospital - Westborough --- 1.09 100.00% --- 0.00% 13.85%

‘---‘ Provider did not meet the reporting threshold.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

E - 3 UniCare Life and Health Insurance Company Chronic Hospital Commercial (self and fully insured) Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 91.28% 8.72% Kindred Hospital Northeast - Stoughton* --- 0.98 100.00% --- 0.00% 10.22% Kindred Hospital Park View* --- 0.87 100.00% --- 0.00% 9.61% New England Sinai Hospital and Rehabilitation Center* --- 1.36 94.22% --- 5.78% 18.81% Shaughnessy-Kaplan Rehabilitation Hospital* --- 0.89 74.56% --- 25.44% 17.10% Spaulding Hospital Cambridge --- 0.89 100.00% --- 0.00% 37.08%

‘---‘ Provider did not meet the reporting threshold.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

E - 4 Neighborhood Health Plan Chronic Hospital Medicaid MCO Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 87.47% 12.53% Franciscan Hospital for Children --- 1.99 84.51% --- 15.49% 59.39% Radius Specialty Hospital - Boston* --- 0.65 100.00% --- 0.00% 19.21%

‘---‘ Provider did not meet the reporting threshold./Relative price values were not calculated for payer’s network due to data quality issues with the submitted information. Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

E - 5 Blue Cross Blue Shield of Massachusetts Chronic Hospital Medicare Advantage Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 98.16% 1.00 1.84% Kindred Hospital Northeast - Stoughton --- 1.02 100.00% --- 0.00% 15.76% New England Sinai Hospital and Rehabilitation Center --- 1.12 96.78% 1.00 3.22% 56.91%

‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

E - 6 Harvard Pilgrim Health Care Chronic Hospital Medicare Advantage Blended Inpatient Inpatient Outpatient Outpatient Hospital Hospital Relative Relative Percent of Relative Percent of Percent of Price Price Hospital Price Hospital Network Payments Payments Payments Network Average 1.00 98.20% 1.80% Hebrew Rehabilitation Center --- 0.41 98.63% --- 1.37% 15.87% Kindred Hospital Northeast - Stoughton* --- 2.18 100.00% --- 0.00% 20.38% New England Sinai Hospital and Rehabilitation Center* --- 1.00 92.43% --- 7.57% 9.52% Shaughnessy-Kaplan Rehabilitation Hospital --- 0.64 94.63% --- 5.37% 16.12% Spaulding Hospital Cambridge --- 1.20 100.00% --- 0.00% 37.11%

‘---‘ Provider did not meet the reporting threshold./Blended relative price values were not calculated for non-commercial insurance categories.

Providers not meeting the revenue reporting threshold were not listed so provider percent of network payments reported may not sum to 100%.

E - 7 Appendix F Other Providers

– Other Providers Relative Prices: Commercial Plans

– Other Providers Relative Prices: Commonwealth Care Plans

– Other Providers Relative Prices: Medicaid MCO Plans

– Other Providers Relative Prices: Medicare Advantage Plans

The Division examined the relative prices of eight other provider groups, including: chronic hospitals , community health centers, community mental health centers, freestanding ambulatory surgical centers, freestanding clinical labs, freestanding diagnostic imaging centers, home health agencies, and skilled nursing facilities. The services provided within each provider type may differ substantially between providers. This may limit comparisons of providers within the same provider type. Aetna Health Inc. (PA) - Aetna Health Ins. Co. Commercial (self and fully insured) Relative Provider Percent of Provider Price Network Payments Ambulatory Surgical Centers

ARC Worcester Center d/b/a Worcester Surgical Center 0.43 3.23% Boston Eye Surgery and Laser Center, Inc. 0.69 5.19% Boston Outpatient Surgical Suites, LLC 0.88 21.99% Cape Cod Ambulatory Surgical Center, LLC 1.82 3.25% Pioneer Valley SurgiCenter, LLC 1.19 28.24% Community Mental Health Centers

Gosnold, Inc. 1.02 13.54% Health & Education Services, Inc. 0.99 36.31% South Shore Mental Health Center, Inc. 0.99 12.66% Freestanding Clinical Labs

Calloway Laboratories, Inc. 1.12 3.34% Quest Diagnostics (in Cambridge) 0.88 86.34% Freestanding Diagnostic Imaging

Baystate MRI & Imaging Center (Main Street) 1.26 7.64% Imaging Consultants, Inc. 0.97 4.19% Lahey Clinic MRI Service 1.08 6.51% Merrimack Valley MRI 0.69 4.17% Premier Diagnostic, Inc. 0.79 3.72% Shields Center of Brockton, LLC 0.99 3.12% Shields MRI Framingham, LLC 1.18 4.27% Shields MRI Imaging Central Cape 1.11 3.61% The MRI Center of Chelsea 0.85 6.96% UMass Memorial MRI/Imaging 1.07 10.29% Home Health Agencies

Home Health Visiting Nurse Association (VNA), Inc. 0.79 7.35% Partners Home Care, Inc. - Waltham 1.40 15.97% VNA Care Network, Inc. - Worcester 0.81 11.28% Skilled Nursing Facilities

Golden Livingcenter - Cohasset 0.72 37.99% Kindred Nursing & Rehabilitation-Timberlyn Heights 0.97 4.65% Kindred Transitional Care & Rehabilitation-Hammersmith 1.13 7.27% Kindred Transitional Care & Rehabilitation-Newburyport 0.99 5.20% Life Care Center of Nashoba Valley 1.20 4.52% Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%. F - 1 Blue Cross Blue Shield of Massachusetts Commercial (self and fully insured) Relative Provider Percent of Provider Price Network Payments Ambulatory Surgical Centers

ARC Worcester Center d/b/a Worcester Surgical Center 1.00 3.81% Boston Endoscopy Center 1.00 3.17% Boston Eye Surgery and Laser Center, Inc. 1.00 3.16% Boston Outpatient Surgical Suites, LLC 1.00 7.11% Eastern Massachusetts Surgery Center 1.00 3.09% Hawthorn Endoscopy Service, LLC 1.00 4.50% Orthopaedic Surgical Center of the North Shore, LLC 1.00 4.65% Pioneer Valley SurgiCenter, LLC 1.00 5.27% Same Day SurgiCare of New England, Inc. 1.00 4.62% Community Health Centers

Family Health Center of Worcester 1.00 4.67% Harbor Health Services, Inc. 1.00 26.62% Roxbury Comprehensive Community Health Center 1.00 5.28% South Cove Community Health Center 1.00 3.17% Community Mental Health Centers

Community HealthLink, Inc. 1.03 10.76% Family Continuity Program, Inc. (d/b/a FCP) 0.81 3.64% Health & Education Services, Inc. 0.94 10.31% South Bay Mental Health, Inc. 0.70 3.25% South Shore Mental Health Center, Inc. 1.12 5.46% Spectrum Health Systems, Inc. 1.51 4.41% Wayside Youth & Family Support Network, Inc. 0.89 5.19% Freestanding Clinical Labs

Calloway Laboratories, Inc. 1.00 19.29% Genzyme Genetics 1.00 9.97% Quest Diagnostics (in Cambridge) 1.00 35.58% Freestanding Diagnostic Imaging

Baystate MRI & Imaging Center (Wason Avenue) 1.02 3.67% Central Massachusetts Magnetic Imaging Center, Inc. 0.96 3.50% Lahey Clinic MRI Service 1.03 3.95% Premier Diagnostic, Inc. 0.96 3.13% Shields Center of Brockton, LLC 1.04 3.74% The MRI Center of Springfield 0.96 3.88% UMass Memorial MRI/Imaging 1.03 6.24%

F - 2 Blue Cross Blue Shield of Massachusetts Commercial (self and fully insured) Relative Provider Percent of Provider Price Network Payments Home Health Agencies

Home Health Visiting Nurse Association (VNA), Inc. 0.98 6.73% Overlook Visiting Nurse Association, Inc. - Worcester 0.98 2.34% Partners Home Care, Inc. - Waltham 1.12 16.55% South Shore Visiting Nurse Association 0.98 3.76% Steward Home Care at Norwood 0.98 2.72% UMass Memorial Home Health 0.98 2.40% Visiting Nurse Association of Boston 0.98 3.61% VNA Care Network, Inc. - Worcester 0.98 8.78% Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%.

F - 3 Harvard Pilgrim Health Care Commercial (self and fully insured) Relative Provider Percent of Provider Price Network Payments Ambulatory Surgical Centers

ARC Worcester Center d/b/a Worcester Surgical Center 0.88 3.19% Boston Endoscopy Center 1.10 3.26% Boston Eye Surgery and Laser Center, Inc. 1.11 3.72% Boston Outpatient Surgical Suites, LLC 0.85 9.47% Cape and Islands Endoscopy Center, LLC 1.26 3.37% Cape Cod Ambulatory Surgical Center, LLC 0.80 3.73% Eastern Massachusetts Surgery Center 0.88 3.74% Hawthorn Endoscopy Service, LLC 1.25 10.13% Orthopaedic Surgical Center of the North Shore, LLC 0.91 4.84% Same Day SurgiCare of New England, Inc. 1.33 3.79% South Shore Endoscopy Center, Inc. 0.96 3.83% West Suburban Eye Surgery Center, LLC 0.74 3.17% Weymouth Endoscopy, LLC 0.93 3.07% Community Health Centers

Dimock Community Health Center 1.00 95.37% Greater Lawrence Family Health Center, Inc. 1.00 4.63% Community Mental Health Centers

Brookline Community Mental Health Center 1.01 7.57% Health & Education Services, Inc. 0.98 7.84% Jewish Family and Children's Services, Inc. 0.99 3.89% Riverside Community Care, Inc. 0.99 6.53% South Bay Mental Health, Inc. 0.97 6.32% South Shore Mental Health Center, Inc. 1.06 16.21% Freestanding Clinical Labs

Quest Diagnostics (in Cambridge) 1.00 53.91% Freestanding Diagnostic Imaging

Brockton Regional MRI Center 1.00 4.07% Premier Diagnostic, Inc. 1.00 3.68% Shields MRI Imaging Central Cape 1.00 3.69% Sleep Health Centers, LLC (Beverly) 1.00 8.80% Sleep Health Centers, LLC (Stoughton) 1.00 6.34% UMass Memorial MRI/Imaging 1.00 4.26%

F - 4 Harvard Pilgrim Health Care Commercial (self and fully insured) Relative Provider Percent of Provider Price Network Payments Home Health Agencies

CareGroup Home Care 1.04 3.94% Home Health Visiting Nurse Association (VNA), Inc. 0.95 4.84% South Shore Visiting Nurse Association 0.96 5.69% Visiting Nurse Association of Boston 0.99 6.66% VNA Care Network, Inc. - Worcester 1.06 11.42% Skilled Nursing Facilities

Coolidge House 1.00 5.24% Sherrill House 1.00 3.70% Spaulding Nursing & Therapy Center-West Roxbury 1.00 9.09% Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%.

F - 5 Neighborhood Health Plan Commercial (self and fully insured) Relative Provider Percent of Provider Price Network Payments Ambulatory Surgical Centers

Cataract and Laser Center, Inc. 1.37 3.43% Commonwealth Endoscopy Center 0.71 9.11% New England Eye Surgical Center 1.38 3.57% New England Pain Care, Inc. 0.99 14.58% North Shore Cataract and Laser Center 1.25 9.46% Same Day SurgiCare of New England, Inc. 0.69 5.25% Weymouth Endoscopy, LLC 0.62 13.54% Community Health Centers

Brockton Neighborhood Health Center 0.81 0.79% Codman Square Health Center 1.30 10.35% Dorchester House Multi-Service Center 1.22 8.84% East Boston Neighborhood Health Center 1.09 15.53% Edward M. Kennedy Community Health Center, Inc. 0.90 0.53% Family Health Center of Worcester 0.95 1.70% Greater Lawrence Family Health Center, Inc. 0.89 1.08% Greater New Bedford Community Health Center, Inc. 0.91 0.83% Lowell Community Health Center 0.93 1.02% Lynn Community Health Center 0.85 2.72% South Cove Community Health Center 1.03 3.03% South End Community Health Center 1.10 3.86% Whittier Street Health Center 1.04 3.06%

F - 6 Neighborhood Health Plan Commercial (self and fully insured) Relative Provider Percent of Provider Price Network Payments Community Mental Health Centers

Bay State Community Services, Inc. 0.64 1.00% Child & Family Services, Inc. 1.04 2.66% Children's Friend & Family Services, Inc. 0.86 2.87% Community HealthLink, Inc. 0.90 3.28% Eliot Community Human Services, Inc. 1.09 1.93% Family Continuity Program, Inc. (d/b/a FCP) 1.38 2.89% Health & Education Services, Inc. 0.74 10.84% North Suffolk Mental Health, Inc. 0.65 7.09% Riverside Community Care, Inc. 0.92 3.33% South Bay Mental Health, Inc. 1.10 11.54% South Shore Mental Health Center, Inc. 1.06 12.10% Spectrum Health Systems, Inc. 0.92 5.14% The Home for Little Wanderers 1.11 4.58% Wayside Youth & Family Support Network, Inc. 1.60 2.28% Freestanding Clinical Labs

Center for Human Genetics, Inc. 2.63 3.61% Franey Medical Lab, Inc. 0.94 1.87% Lab USA, Inc. 0.78 4.52% Pentucket Medical Associates, LLC 0.30 9.29% Precision Testing Labs, Inc. 0.98 0.98% Quest Diagnostics (in Cambridge) 0.34 68.39% SECON of New England, LLC 1.03 1.30% Freestanding Diagnostic Imaging

Central Massachusetts Magnetic Imaging Center, Inc. 1.42 1.76% Imaging Associates, Inc. 0.21 1.78% The MRI Center of Chelsea 1.51 4.39% West Suburban Imaging Center 0.85 5.68% Home Health Agencies

Centrus Homecare - Franklin 1.00 0.50%

F - 7 Neighborhood Health Plan Commercial (self and fully insured) Relative Provider Percent of Provider Price Network Payments Skilled Nursing Facilities

Life Care Center of Stoneham 0.24 2.29% Milton Health Care Facility/Skilled Nursing Facility (SNF) 1.46 9.17% Sherrill House 0.27 2.98% Spaulding Nursing & Therapy Center-North End 2.35 7.37% Spaulding Nursing & Therapy Center-West Roxbury 0.76 36.59% The Guardian Center, Inc. 0.92 5.77% Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%.

F - 8 Tufts Associated Health Maintenance Organization, Inc. Commercial (self and fully insured) Relative Provider Percent of Provider Price Network Payments Ambulatory Surgical Centers

ARC Worcester Center d/b/a Worcester Surgical Center 1.04 3.96% Boston Endoscopy Center 1.10 3.73% Boston Eye Surgery and Laser Center, Inc. 1.08 3.23% Boston Outpatient Surgical Suites, LLC 0.86 6.73% Boston Surgery Center, LLC 0.91 3.42% Central Masssachusetts Ambulatory Endoscopy Center, LLC 1.04 3.55% DHA Endoscopy, LLC 1.06 3.47% Eastern Massachusetts Surgery Center 0.96 3.19% Hawthorn Endoscopy Service, LLC 1.01 3.23% Orthopaedic Surgical Center of the North Shore, LLC 0.86 4.87% Pioneer Valley SurgiCenter, LLC 1.00 3.68% South Shore Endoscopy Center, Inc. 1.04 3.26% West Suburban Eye Surgery Center, LLC 1.06 4.08% Community Mental Health Centers

Brockton-Area Multi-Services, Inc. 1.02 5.71% Brookline Community Mental Health Center 1.00 3.45% Health & Education Services, Inc. 0.99 8.35% Riverside Community Care, Inc. 0.99 6.22% South Shore Mental Health Center, Inc. 1.01 12.29% Freestanding Clinical Labs

Genzyme Genetics 1.36 9.31% Quest Diagnostics (in Cambridge) 0.64 49.04% Freestanding Diagnostic Imaging

Fallon Clinic, Inc., Imaging Center 0.98 3.43% Lahey Clinic MRI Service 1.07 4.70% Shields Center of Brockton, LLC 1.07 3.50% Sleep Health Centers, LLC (Brighton) 0.78 5.97% UMass Memorial MRI/Imaging 1.10 5.13% Home Health Agencies

All Care Visiting Nurse Association of Greater Lynn 1.00 3.27% Hallmark Health Visiting Nurse Association and Hospice, Inc. 1.00 3.49% Home Health Visiting Nurse Association (VNA), Inc. 0.98 6.53% Visiting Nurse Association of Boston 1.00 3.60% VNA Care Network, Inc. - Needham 1.03 10.23%

F - 9 Tufts Associated Health Maintenance Organization, Inc. Commercial (self and fully insured) Relative Provider Percent of Provider Price Network Payments Skilled Nursing Facilities

Transitional Care Unit at Spaulding Hospital North Shore 1.00 4.01% Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%.

F - 10 United Healthcare Insurance Company Commercial (self and fully insured) Relative Provider Percent of Provider Price Network Payments Freestanding Diagnostic Imaging

BIH Radiological Foundation 1.00 97.20% Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%.

F - 11 UniCare Life and Health Insurance Company Commercial (self and fully insured) Relative Provider Percent of Provider Price Network Payments Ambulatory Surgical Centers

ARC Worcester Center d/b/a Worcester Surgical Center 0.69 3.67% Berkshire Endoscopy Center, LLC 0.17 3.69% Boston Endoscopy Center 0.64 3.46% Boston Outpatient Surgical Suites, LLC 2.60 4.63% Boston Surgery Center, LLC 1.08 6.12% Eastern Massachusetts Surgery Center 2.02 9.05% Hawthorn Endoscopy Service, LLC 0.38 3.75% Orthopaedic Surgical Center of the North Shore, LLC 0.66 4.85% Pioneer Valley SurgiCenter, LLC 0.90 29.29% The Endoscopy Center of Southeast Massachusetts, LLC 0.72 3.36% West Suburban Eye Surgery Center, LLC 1.15 4.12% Freestanding Clinical Labs

Calloway Laboratories, Inc. 0.96 5.88% Center for Human Genetics, Inc. 0.96 4.00% Laboratory for Clinical Medicine 0.96 4.67% Valley Medical Group Lab 1.11 9.85% Freestanding Diagnostic Imaging

Brockton Regional MRI Center 1.01 7.15% Fall River - New Bedford MRI Center 1.01 6.86% Franklin MRI Center 1.01 4.13% Imaging Consultants, Inc. 0.94 6.08% Lahey Clinic MRI Service 1.01 9.66% Merrimack Valley MRI 1.01 4.07% Shields Health Care of Weymouth 1.01 3.44% Shields MRI Imaging Central Cape 1.01 3.45% Home Health Agencies

Home Health Visiting Nurse Association (VNA), Inc. 0.96 4.63% Partners Home Care, Inc. - Waltham 1.14 11.56% South Shore Visiting Nurse Association 0.96 3.74% Visiting Nurse Association of Boston 0.96 5.10% VNA Care Network, Inc. - Needham 0.96 7.81% Skilled Nursing Facilities

Kindred Transitional Care & Rehabilitation-Hammersmith 0.77 9.41% Recuperative Services Unit 1.23 7.08%

F - 12 UniCare Life and Health Insurance Company Commercial (self and fully insured) Relative Provider Percent of Provider Price Network Payments Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%.

F - 13 Neighborhood Health Plan Commonwealth Care Relative Provider Percent of Provider Price Network Payments Ambulatory Surgical Centers

Cataract and Laser Center, Inc. 1.38 8.48% Commonwealth Endoscopy Center 0.77 5.88% New England Eye Surgical Center 1.09 8.15% New England Pain Care, Inc. 0.84 8.18% North Shore Cataract and Laser Center 1.31 7.59% Same Day SurgiCare of New England, Inc. 0.93 16.13% Weymouth Endoscopy, LLC 0.69 11.47% Community Health Centers

Brockton Neighborhood Health Center 0.88 4.90% Codman Square Health Center 1.21 3.68% Dorchester House Multi-Service Center 1.09 3.33% East Boston Neighborhood Health Center 1.05 6.58% Edward M. Kennedy Community Health Center, Inc. 0.94 2.34% Family Health Center of Worcester 0.92 2.65% Greater Lawrence Family Health Center, Inc. 1.01 8.92% Greater New Bedford Community Health Center, Inc. 0.97 5.20% Lowell Community Health Center 1.01 3.14% Lynn Community Health Center 0.99 5.89% South Cove Community Health Center 1.00 9.91% South End Community Health Center 0.93 1.43% Whittier Street Health Center 0.99 1.89%

F - 14 Neighborhood Health Plan Commonwealth Care Relative Provider Percent of Provider Price Network Payments Community Mental Health Centers

Bay State Community Services, Inc. 0.58 1.91% Child & Family Services, Inc. 1.42 3.98% Children's Friend & Family Services, Inc. 0.91 0.59% Community HealthLink, Inc. 1.67 4.17% Eliot Community Human Services, Inc. 0.75 3.92% Family Continuity Program, Inc. (d/b/a FCP) 1.11 1.17% Health & Education Services, Inc. 0.77 11.37% North Suffolk Mental Health, Inc. 0.72 3.40% Riverside Community Care, Inc. 0.79 2.85% South Bay Mental Health, Inc. 1.09 12.92% South Shore Mental Health Center, Inc. 1.55 9.06% Spectrum Health Systems, Inc. 0.79 8.59% The Home for Little Wanderers 1.08 0.20% Wayside Youth & Family Support Network, Inc. 0.77 0.17% Freestanding Clinical Labs

Center for Human Genetics, Inc. 1.84 1.08% Franey Medical Lab, Inc. 1.06 10.72% Lab USA, Inc. 1.13 14.94% Pentucket Medical Associates, LLC 0.26 2.23% Precision Testing Labs, Inc. 1.16 19.32% Quest Diagnostics (in Cambridge) 0.39 36.50% SECON of New England, LLC 1.16 5.82% Freestanding Diagnostic Imaging

Central Massachusetts Magnetic Imaging Center, Inc. 1.47 2.70% Imaging Associates, Inc. 0.21 1.42% The MRI Center of Chelsea 1.33 4.03% West Suburban Imaging Center 1.00 2.54% Home Health Agencies

Centrus Homecare - Franklin 1.00 0.29%

F - 15 Neighborhood Health Plan Commonwealth Care Relative Provider Percent of Provider Price Network Payments Skilled Nursing Facilities

Bourne Manor Extended Care Facility 1.58 9.55% Life Care Center of Stoneham 0.75 9.06% Milton Health Care Facility/Skilled Nursing Facility (SNF) 0.53 0.81% Sherrill House 0.33 2.49% Spaulding Nursing & Therapy Center-North End 2.38 3.59% Spaulding Nursing & Therapy Center-West Roxbury 0.99 17.03% The Guardian Center, Inc. 0.43 1.30% Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%.

F - 16 Neighborhood Health Plan Medicaid MCO Relative Provider Percent of Provider Price Network Payments Ambulatory Surgical Centers

Cataract and Laser Center, Inc. 1.28 1.09% Commonwealth Endoscopy Center 0.70 3.72% New England Eye Surgical Center 1.17 0.33% New England Pain Care, Inc. 1.00 12.45% North Shore Cataract and Laser Center 1.18 4.69% Same Day SurgiCare of New England, Inc. 0.92 28.10% Weymouth Endoscopy, LLC 0.75 6.38% Community Health Centers

Brockton Neighborhood Health Center 0.98 3.60% Codman Square Health Center 1.13 4.33% Dorchester House Multi-Service Center 1.04 3.41% East Boston Neighborhood Health Center 0.97 8.58% Edward M. Kennedy Community Health Center, Inc. 0.95 3.33% Family Health Center of Worcester 0.96 3.51% Greater Lawrence Family Health Center, Inc. 1.00 17.38% Greater New Bedford Community Health Center, Inc. 0.95 3.91% Lowell Community Health Center 1.12 6.76% Lynn Community Health Center 0.97 9.40% South Cove Community Health Center 0.99 2.35% South End Community Health Center 0.95 3.75% Whittier Street Health Center 0.99 2.92%

F - 17 Neighborhood Health Plan Medicaid MCO Relative Provider Percent of Provider Price Network Payments Community Mental Health Centers

Bay State Community Services, Inc. 0.80 3.54% Child & Family Services, Inc. 1.04 4.56% Children's Friend & Family Services, Inc. 0.38 4.42% Community HealthLink, Inc. 1.83 2.82% Eliot Community Human Services, Inc. 0.79 5.61% Family Continuity Program, Inc. (d/b/a FCP) 1.40 3.02% Health & Education Services, Inc. 0.95 13.63% North Suffolk Mental Health, Inc. 0.82 4.32% Riverside Community Care, Inc. 0.93 5.87% South Bay Mental Health, Inc. 1.03 14.68% South Shore Mental Health Center, Inc. 1.95 7.78% Spectrum Health Systems, Inc. 0.74 1.51% The Home for Little Wanderers 0.44 6.51% Wayside Youth & Family Support Network, Inc. 0.91 2.83% Freestanding Clinical Labs

Center for Human Genetics, Inc. 1.98 7.36% Franey Medical Lab, Inc. 1.07 9.63% Lab USA, Inc. 1.17 10.87% Pentucket Medical Associates, LLC 0.21 3.12% Precision Testing Labs, Inc. 1.13 12.11% Quest Diagnostics (in Cambridge) 0.31 38.37% SECON of New England, LLC 1.13 4.88% Freestanding Diagnostic Imaging

Central Massachusetts Magnetic Imaging Center, Inc. 1.44 5.45% Imaging Associates, Inc. 0.16 5.34% The MRI Center of Chelsea 1.63 4.47% West Suburban Imaging Center 0.77 2.57% Home Health Agencies

Centrus Homecare - Franklin 0.96 12.47% New England Home Health Services 1.47 3.54% PSA Home HealthCare - Brockton 0.57 8.93%

F - 18 Neighborhood Health Plan Medicaid MCO Relative Provider Percent of Provider Price Network Payments Skilled Nursing Facilities

Bourne Manor Extended Care Facility 1.81 1.15% Life Care Center of Stoneham 0.58 1.11% Milton Health Care Facility/Skilled Nursing Facility (SNF) 1.26 7.08% New England Pediatric Care 1.03 6.78% Sherrill House 0.72 3.67% Spaulding Nursing & Therapy Center-North End 1.00 1.21% Spaulding Nursing & Therapy Center-West Roxbury 0.93 11.14% The Guardian Center, Inc. 0.66 3.76% Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%.

F - 19 Aetna Health Inc. (PA) - Aetna Health Ins. Co. Medicare Advantage Relative Provider Percent of Provider Price Network Payments Freestanding Clinical Labs

Quest Diagnostics (in Cambridge) 1.00 99.99% Home Health Agencies

VNA Care Network, Inc. - Worcester 1.00 38.11% Skilled Nursing Facilities

Golden Livingcenter - Cohasset 1.00 99.69% Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%.

F - 20 Blue Cross Blue Shield of Massachusetts Medicare Advantage Relative Provider Percent of Provider Price Network Payments Ambulatory Surgical Centers

ARC Worcester Center d/b/a Worcester Surgical Center 1.00 10.56% Boston Endoscopy Center 1.00 0.56% Boston Eye Surgery and Laser Center, Inc. 1.00 3.38% Boston Outpatient Surgical Suites, LLC 1.00 0.11% Eastern Massachusetts Surgery Center 1.00 1.88% Hawthorn Endoscopy Service, LLC 1.00 0.26% Orthopaedic Surgical Center of the North Shore, LLC 1.00 0.20% Pioneer Valley SurgiCenter, LLC 1.00 2.97% Same Day SurgiCare of New England, Inc. 1.00 1.65% Community Health Centers

Family Health Center of Worcester 1.00 46.61% Harbor Health Services, Inc. 1.00 1.06% South Cove Community Health Center 1.00 3.96% Community Mental Health Centers

Community HealthLink, Inc. 1.05 15.93% Health & Education Services, Inc. 0.95 4.59% Freestanding Clinical Labs

Genzyme Genetics 1.00 2.00% Quest Diagnostics (in Cambridge) 1.00 41.01% Freestanding Diagnostic Imaging

Baystate MRI & Imaging Center (Wason Avenue) 1.02 11.08% Central Massachusetts Magnetic Imaging Center, Inc. 0.96 4.57% Lahey Clinic MRI Service 1.03 1.92% Premier Diagnostic, Inc. 0.96 0.37% Shields Center of Brockton, LLC 1.04 4.17% The MRI Center of Springfield 0.96 2.59% UMass Memorial MRI/Imaging 1.03 20.03%

F - 21 Blue Cross Blue Shield of Massachusetts Medicare Advantage Relative Provider Percent of Provider Price Network Payments Home Health Agencies

Home Health Visiting Nurse Association (VNA), Inc. 0.96 4.30% Overlook Visiting Nurse Association, Inc. - Worcester 0.96 6.65% Partners Home Care, Inc. - Waltham 1.29 4.56% South Shore Visiting Nurse Association 0.96 2.05% Steward Home Care at Norwood 0.96 6.38% UMass Memorial Home Health 0.96 11.27% Visiting Nurse Association of Boston 0.96 1.33% VNA Care Network, Inc. - Worcester 0.96 7.09% Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%.

F - 22 Harvard Pilgrim Health Care Medicare Advantage Relative Provider Percent of Provider Price Network Payments Ambulatory Surgical Centers

Boston Eye Surgery and Laser Center, Inc. 1.02 16.71% Cape Cod Eye Surgery and Laser Center, LLC 0.99 3.35% Cataract and Laser Center of the North Shore, LLC 0.93 8.09% Cataract and Laser Center, Inc. 0.96 4.13% New England Eye Surgical Center 0.99 4.40% North Shore Cataract and Laser Center 0.96 13.63% Orthopaedic Surgical Center of the North Shore, LLC 1.17 3.32% West Suburban Eye Surgery Center, LLC 0.96 15.07% Community Health Centers

Greater New Bedford Community Health Center, Inc. 1.00 66.04% Neponset Health Center 1.00 33.48% Community Mental Health Centers

Brookline Community Mental Health Center 0.91 18.28% Catholic Charitable Bureau - Archdiocese of Boston 0.95 3.17% Child & Family Services, Inc. 0.87 22.16% Family Service Association of Greater Boston 1.18 3.16% Health & Education Services, Inc. 0.95 43.01% South Middlesex Opportunity Council, Inc. 1.07 3.02% The Psychological Center, Inc. 1.09 6.26% Freestanding Clinical Labs

Diagnostic Laboratory Medicine 1.01 12.42% Faulkner Medical Laboratories 1.07 4.61% Quest Diagnostics (in Cambridge) 0.90 66.26% U.S. Laboratory Corporation 1.02 9.15% Freestanding Diagnostic Imaging

Anna Jaques / Lawrence General (Alliance) 0.93 4.37% Brockton Regional MRI Center 1.00 3.49% Imaging Consultants, Inc. 1.00 4.65% Lahey Clinic MRI Service 0.98 29.45% MRI of Chemlsford 1.13 3.94% Navix Diagnostix, Inc. 1.02 3.72% Radiology Associates Norwood 0.95 5.31% Shields MRI Imaging Central Cape 0.94 3.41% Sleep Health Centers, LLC (Weymouth) 1.04 4.26%

F - 23 Harvard Pilgrim Health Care Medicare Advantage Relative Provider Percent of Provider Price Network Payments Home Health Agencies

Parmenter VNA and Community Care, Inc. 1.00 76.97% Visiting Nurse Association of Southeastern Massachusetts, Inc. 1.00 21.10% Skilled Nursing Facilities

Ledgewood Rehabilitation & Skilled Nursing Center 1.00 3.18% Lexington Health Care Center 1.00 3.24% Woburn Nursing Center 1.00 3.61% Woodbriar of Wilmington Rehabilitation & Skilled Nursing Center 1.00 3.03% Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%.

F - 24 United Healthcare Insurance Company - Medicare Advantage Medicare Advantage Relative Provider Percent of Provider Price Network Payments Ambulatory Surgical Centers

Boston University Eye Associates, Inc. Surgery and Laser Center 0.82 6.95% North Shore Cataract and Laser Center 1.13 3.92% The Endoscopy Center of Brookline 0.83 28.60% West Suburban Eye Surgery Center, LLC 1.22 3.22% Community Health Centers

Edward M. Kennedy Community Health Center, Inc. 1.02 10.89% Family Health Center of Worcester 1.03 6.02% Greater Lawrence Family Health Center, Inc. 0.95 69.03% Community Mental Health Centers

Community HealthLink, Inc. 0.93 14.26% Valley Psychiatric Service, Inc. 1.16 3.72% West Central Family and Counseling, Ltd. 0.91 14.63% Freestanding Clinical Labs

Diagnostic Laboratory Medicine 1.01 32.42% Tolman Clinical Laboratory 0.98 14.47% U.S. Laboratory Corporation 1.00 39.83% Freestanding Diagnostic Imaging

BIH Radiological Foundation 1.31 3.95% Imaging Consultants, Inc. 1.00 24.23% Lahey Clinic MRI Service 0.99 3.16% Mobil Medical Diagnostic Services (MMDS) of Boston, LLC 0.94 7.23% North Shore PET Imaging 0.62 4.72% Saints Medical Center/Merrimack Valley Health Services 0.62 12.95% Shared Diagnostic Services 1.46 5.90% Shields Health Care of Weymouth 1.39 4.91% Sleep Health Centers, LLC (Boston) 0.88 3.24% Steward PET Imaging, LLC Saint Elizabeth's 0.78 8.09%

F - 25 United Healthcare Insurance Company - Medicare Advantage Medicare Advantage Relative Provider Percent of Provider Price Network Payments Home Health Agencies

Acclaim Home Health Care, Inc. 0.87 3.69% Home Health Visiting Nurse Association (VNA), Inc. 1.06 14.92% Interim HealthCare of Worcester 1.00 25.91% Medical Resources Home Health Corporation 0.79 3.10% Multicultural Home Care, Inc. 1.02 8.09% Partners Home Care, Inc. - Braintree 1.03 6.38% PSA Home HealthCare - Brockton 1.03 3.02% Visiting Nurse Association of Boston 1.21 10.45% VNA Care Network, Inc. - Needham 1.00 3.59% Skilled Nursing Facilities

Beaumont Rehabilitation & Skilled Nursing Center Westborough 0.95 8.05% Elizabeth Seton Residence 0.99 4.07% Kindred Nursing & Rehabilitation-Blue Hills Alzheimer'S 1.02 12.83% Notre Dame Health Care Center 1.04 3.41% Penacook Place, Inc. 1.12 4.97% Sunny Acres Nursing Home 0.92 4.75% The Oxford 1.07 5.17% Wingate at Belvidere Rehabiliation & Skilled Nursing Residence 0.89 3.63% Providers not meeting the revenue reporting threshold are not listed so provider percent of network payments reported may not sum to 100%.

F - 26 Acknowledgements The Division wishes to acknowledge the analytic support provided by Oliver Wyman Actuarial Consulting, Inc., in particular, Dianna Welch, F.S.A., M.A.A.A.

Division staff for this report:

Dorothy Zirkle, Senior Policy Analyst, lead author

Elizabeth Arnold, Senior Policy Analyst

Sonja Lee-Austin, Senior Policy Analyst

Po-Yu Lai, Director of Health System Finance

Elaine Goldman, Communications Specialist, Publication Design and Production

Christina Wu, Communications Specialist, Communications

Center for Health Information and Analysis

Center for Health Information and Analysis Two Boylston Street Boston, Massachusetts 02116

Phone: (617) 988-3100 Fax: (617) 727-7662

Website: www.mass.gov/chia

Publication Number: 12-319-CHIA-02 Authorized by Gary Lambert, State Purchasing Agent

Printed on Recycled Paper