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The Shriners' Hospital for Children - Boston

51 Blossom Street, Boston, MA 02114 · (617) 722-3000

ChildrensProprietaryBoston, MA-NH metroWebsite ↗

Price file

Prices published

File dated 2026-03-17

954 price rows for 30 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $25

$82
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $1,685

$4,176
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $913

$1,332
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,283

$2,029
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $82

$211
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $22

$75
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $31

$102
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 4 lines · metro median $285

$449
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $82

$211
cash
—
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $39

$130
cash
Liver function panel

CPT 80076 · lowest of 2 lines · metro median $24

$79
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,761

$3,657
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,828

$2,865
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,793

$6,655
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,381

$6,821
cash
—
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $1,306

$5,128
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines · metro median $184

$361
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 4 lines · metro median $240

$460
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $320

$681
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $18

$58
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $12

$38
cash
—
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $963

$5,358
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $48

$163
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $550

$798
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $9

$31
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $377

$514
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.