CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Los Robles Hospital & Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $5,321
Cash Discount Price: $12,603
vs. Medicare Baseline: 14.93x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Los Robles Hospital & Medical Center is $5,321. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,603. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 14.93x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$12,603

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,321

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $12,603 (3536%)

Insurance Median: $5,321 (1493%)

Cash: $12,603 (3536% of Medicare)

Ins. Median: $5,321 (1493% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 1493% of the Medicare baseline (a markup of 1393%). 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	$223	63%
Gold Coast Health Plan	$223	63%
Blue Cross Blue Shield	$419 - $1,639	118%
United	$828 - $3,825	232%
Medcare Partners	$998 - $2,042	280%
Aetna	$1,263 - $13,611	354%
Blue Shield	$3,515 - $5,022	986%
First Health	$4,523 - $10,889	1269%
Choicecare Network	$4,656 - $9,528	1306%
Multiplan	$5,321 - $12,931	1493%
Ppo Next	$5,321 - $10,889	1493%
Interplan Corporation	$5,986 - $12,250	1679%
Ventura County Foundation	$5,986 - $12,250	1679%

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 $12,603.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.