CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Los Robles Hospital & Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $155
Cash Discount Price: $557
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Los Robles Hospital & Medical Center is $155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $557. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.99x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$557

Average discount available for prompt cash payment at this facility.

Insurance Median

$155

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)

Cash / Self-Pay: $557 (355%)

Insurance Median: $155 (99%)

Cash: $557 (355% of Medicare)

Ins. Median: $155 (99% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 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.

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
Medcare Partners	$84	54%
Aetna	$99 - $557	63%
Brand New Day	$119 - $130	76%
Gold Coast Health Plan	$119	76%
Health Net	$128 - $227	82%
Alignment Health Plan	$130	83%
Blue Cross Blue Shield	$130 - $856	83%
Central Health Plan	$130	83%
Clever Care Of Golden State	$130	83%
Easy Choice Health Plan	$130	83%
Facey Medical Group	$130 - $169	83%
Humana	$130	83%
La Care	$130	83%
Scan Health Plan	$130	83%
Triwest Healthcare Alliance	$130	83%
United	$131 - $263	83%
Blue Shield	$133 - $2,033	85%
Care1St Health Plan	$133	85%
Corvel Corporation	$152	97%
Ventura County Foundation	$153 - $502	97%
First Health	$379 - $446	241%
Choicecare Network	$390	248%
Cigna	$411	262%
Multiplan	$446 - $529	284%
Ppo Next	$446	284%
Interplan Corporation	$502	320%

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 $557.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

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 77066.
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.