CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Boston Medical Center-Brighton

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$130
about 1.1× the $118 Medicare rate · typically $67–$212
modeled estimate · not a bill or quote
What this hospital charges insurers
$160
Above the fair price
about $30 over the fair price · 1.4× Medicare
Medicare pays $118 Fair price $130 This hospital $160 Cash price $112 Hospital's list price $248

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $27 Priciest $160

Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $130 (about 1.1× the $118 Medicare rate). Boston Medical Center-Brighton charges insurers about $160, or about $112 in cash — above the fair price. Located in Brighton, MA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $130. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $160 136%
Blue Cross Blue Shieldmajor $29 - $160 25%
Aetnamajor $160 - $182 136%
Cignamajor $34 29%
Humanamajor $160 136%
Harvard Pilgrim $87 74%
Tufts Health Plan $34 29%
UniCare $73 62%
+ 11 smaller / regional plans $98 - $475
Government programs also on file: Medicare, Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 736 Cambridge Street, Nevins Building, Brighton, MA 02135
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals