CMS Price Transparency Data

Review of medical records for care

Facility: Boston Medical Center

Billing Code: 90889 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90889
Insurance Median: $85
Cash Discount Price: $51
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Review of medical records for care at Boston Medical Center is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1 Boston Medical Center Place, Boston, MA.

Cash / Self-Pay

$51

Average discount available for prompt cash payment at this facility.

Insurance Median

$85

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medicaid / KanCare	$41	N/A
Uphams Corner Esp [1213]	$45	N/A
Workers Comp [5002]	$48	N/A
Zzzbu Employee Work Comp [5004]	$48	N/A
Zzzcity Of Boston Work Comp [5003]	$48	N/A
Aetna	$55	N/A
Meritain Health [1023]	$55	N/A
Mass General Brigham Health Plan Commercial [8009]	$61	N/A
Unicare [8004]	$85	N/A
Wellpoint [2034]	$85	N/A
Cigna	$96	N/A
Champva [9004]	$350	N/A
Tricare	$350	N/A
Tufts Conncare/Qhp [8020]	$431	N/A
Hsn Bad Debt [4003]	$513	N/A
Hsn Confidential [4007]	$513	N/A
Hsn Dental [4006]	$513	N/A
Hsn Partial [4002]	$513	N/A
Hsn [4001]	$513	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $51.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90889.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Boston Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90889.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.