CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Los Robles Hospital & Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $5,396
Cash Discount Price: $7,641
vs. Medicare Baseline: 22.14x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Los Robles Hospital & Medical Center is $5,396. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,641. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 22.14x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$7,641

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,396

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: $7,641 (3135%)

Insurance Median: $5,396 (2214%)

Cash: $7,641 (3135% of Medicare)

Ins. Median: $5,396 (2214% 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 2214% of the Medicare baseline (a markup of 2114%). 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	$207	85%
Gold Coast Health Plan	$207	85%
Blue Cross Blue Shield	$340 - $1,063	139%
United	$518 - $2,230	212%
Medcare Partners	$1,102 - $1,190	452%
Aetna	$1,896 - $7,935	778%
First Health	$4,996 - $6,348	2049%
Blue Shield	$5,532 - $7,904	2269%
Multiplan	$5,877 - $7,538	2411%
Ppo Next	$5,877 - $6,348	2411%
Interplan Corporation	$6,612 - $7,141	2712%
Ventura County Foundation	$6,612 - $7,141	2712%

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 $7,641.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

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 70551.
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.