CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Los Robles Hospital & Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $176
Cash Discount Price: $388
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Los Robles Hospital & Medical Center is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $388. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.39x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$388

Average discount available for prompt cash payment at this facility.

Insurance Median

$176

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)

Cash / Self-Pay: $388 (307%)

Insurance Median: $176 (139%)

Cash: $388 (307% of Medicare)

Ins. Median: $176 (139% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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.

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	$47 - $70	37%
Aetna	$55 - $464	44%
United	$88 - $217	70%
Brand New Day	$97 - $108	77%
Gold Coast Health Plan	$97	77%
Health Net	$106	84%
Alignment Health Plan	$108	86%
Blue Cross Blue Shield	$108 - $689	86%
Central Health Plan	$108	86%
Clever Care Of Golden State	$108	86%
Easy Choice Health Plan	$108	86%
Facey Medical Group	$108 - $140	86%
Humana	$108	86%
La Care	$108	86%
Scan Health Plan	$108	86%
Triwest Healthcare Alliance	$108	86%
Blue Shield	$110 - $2,061	87%
Care1St Health Plan	$110	87%
Corvel Corporation	$125	99%
Ventura County Foundation	$127 - $418	101%
First Health	$212 - $371	168%
Choicecare Network	$218 - $325	173%
Multiplan	$249 - $441	197%
Ppo Next	$249 - $371	197%
Interplan Corporation	$280 - $418	222%
Cigna	$339	269%

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 $388.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

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 77067.
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.