CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Los Robles Hospital & Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,910
Cash Discount Price: $7,387
vs. Medicare Baseline: 16.24x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Los Robles Hospital & Medical Center is $2,910. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,387. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 16.24x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$7,387

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,910

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $7,387 (4122%)

Insurance Median: $2,910 (1624%)

Cash: $7,387 (4122% of Medicare)

Ins. Median: $2,910 (1624% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 1624% of the Medicare baseline (a markup of 1524%). 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	$180	100%
Gold Coast Health Plan	$180	100%
Blue Cross Blue Shield	$293 - $942	164%
United	$402 - $2,242	224%
Medcare Partners	$485 - $1,197	271%
Aetna	$1,263 - $7,978	705%
First Health	$2,199 - $6,383	1227%
Choicecare Network	$2,263 - $5,585	1263%
Multiplan	$2,587 - $7,579	1444%
Ppo Next	$2,587 - $6,383	1444%
Interplan Corporation	$2,910 - $7,180	1624%
Ventura County Foundation	$2,910 - $7,180	1624%
Blue Shield	$3,494 - $4,991	1950%

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 $7,387.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.