CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Los Robles Hospital & Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $3,953
Cash Discount Price: $12,116
vs. Medicare Baseline: 16.22x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Los Robles Hospital & Medical Center is $3,953. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,116. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 16.22x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$12,116

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,953

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $12,116 (4970%)

Insurance Median: $3,953 (1622%)

Cash: $12,116 (4970% of Medicare)

Ins. Median: $3,953 (1622% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1622% of the Medicare baseline (a markup of 1522%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Brand New Day	$111	46%
Gold Coast Health Plan	$111	46%
Blue Cross Blue Shield	$400 - $992	164%
United	$518 - $3,677	212%
Medcare Partners	$741 - $1,963	304%
Aetna	$1,263 - $13,085	518%
Blue Shield	$1,842 - $2,632	756%
First Health	$3,360 - $10,468	1378%
Choicecare Network	$3,459 - $9,160	1419%
Multiplan	$3,953 - $12,431	1622%
Ppo Next	$3,953 - $10,468	1622%
Interplan Corporation	$4,447 - $11,777	1824%
Ventura County Foundation	$4,447 - $11,777	1824%

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 $12,116.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Los Robles Hospital & Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.