Online Second Opinions

As of July 26, 2021, we are temporarily not able to accept cases for families seeking an opinion from a stroke expert. Please check back in the future for updated information. We apologize for the inconvenience and appreciate your patience.

Expert opinions delivered quickly

An expert online second opinion from the #1 children's hospital can offer you reassurance that you are getting the best care for your child — from the comfort of your home. Everything is done online and securely, saving you the time and expense of traveling to Boston.

  • 20% of all second opinions we provide result in a change in diagnosis.*
  • 68% result in some change in recommended treatment.
  • 33% of treatment recommendations are major changes.

* — reflects data for all completed opinions from the time period of January 1, 2016, through December 31, 2019

How does it work?

We've partnered with Grand Rounds, a leading healthcare organization in connecting patients to experts, no matter where you are. When you request an online second opinion:

  1. You will be assigned a personal care coordinator and staff physician from Grand Rounds.
  2. They will guide you through the medical records collection process and help you draft the questions you need to ask the Boston Children’s expert.
  3. A Boston Children’s Hospital pediatric specialist will review your child’s records and answer your questions.
  4. You will receive a detailed report seven to 10 business days after all medical records are received.

Please do not start an online second opinion if:

  • the patient has surgery scheduled or treatment starting in less than four weeks
  • the patient/family is also pursuing an appointment at Boston Children's Hospital (virtually or in-person)
  • the patient is currently hospitalized or in the ICU
  • the patient is diagnosed with PANDAS/PANS

If the Boston Children’s expert assigned to your request determines that the case is not appropriate for an online evaluation, he/she will let your Grand Rounds care coordinator know and they will work with you on next steps.

A second opinion brings hope

Caroline’s parents feared the worst after an early pregnancy anatomy scan, but they pushed on. "Do everything you can. Get a second opinion," her mom said.

Baby Caroline

How much does it cost?

An online second opinion from Boston Children’s costs:

  • $1,150 for Cancer & Blood Disorder conditions (for more detail please see the FAQ section)
  • $850 for all other conditions

Currently, most health plans do not cover online second opinions or consultations, but you may elect to use your Health Care Saving Account (HSA) or Flexible Spending Account (FSA).

If the Boston Children’s physician reviewing the case suggests another review of pathology results, your personal care coordinator will contact you regarding next steps. Please note that an additional fee may be charged.

How long will it take?

The turnaround time for this service is 7 to 10 business days from the time Grand Rounds receives medical records. This program is not designed to handle medical emergencies, or provide treatment guidance if decisions need to be made within the next four weeks.

  • If you live and have received care in the U.S., the Grand Rounds team will work with the physician practices and hospitals that you designate to collect all of your relevant medical records and information. This process can take up to four weeks.
  • International patients are required to collect and upload their medical records. Grand Rounds will be available to guide you through this process. Please ensure you have a recent clinic note or comprehensive summary in English within the last year before starting your online second opinion process.
  • If your case is recommended for conference review where multiple providers are commenting on your case, the turnaround time could take between three and six weeks to complete.

If you wish at any time to stop the online second opinion process, please contact your personal care coordinator. However, once you have authorized us to proceed (upon completion of the online steps), we have received payment, and we have begun working on your request, we will not be able to refund payment.


If this is a medical emergency please immediately call your local emergency service number (911 in the U.S.) to get prompt medical attention, or go to your nearest hospital, emergency room, or urgent care center.