CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Los Robles Hospital & Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $5,899
Cash Discount Price: $14,572
vs. Medicare Baseline: 10.57x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Los Robles Hospital & Medical Center is $5,899. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,572. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 10.57x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$14,572

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,899

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$558.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $558.25 (100%)

Cash / Self-Pay: $14,572 (2610%)

Insurance Median: $5,899 (1057%)

Cash: $14,572 (2610% of Medicare)

Ins. Median: $5,899 (1057% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $558.25 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 1057% of the Medicare baseline (a markup of 957%). 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	$195	35%
Gold Coast Health Plan	$195	35%
Medcare Partners	$2,186	392%
Aetna	$2,579 - $14,572	462%
Cigna	$3,760	674%
Bright Health	$4,016	719%
United	$4,095	734%
Blue Shield	$4,106 - $5,867	736%
Health Net	$5,931	1062%
First Health	$9,909 - $11,658	1775%
Choicecare Network	$10,201	1827%
Multiplan	$11,658 - $13,844	2088%
Ppo Next	$11,658	2088%
Interplan Corporation	$13,115	2349%
Ventura County Foundation	$13,115	2349%

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 $14,572.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93306.

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 93306.
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.