CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Los Robles Hospital & Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $892
Cash Discount Price: $2,693
vs. Medicare Baseline: 8.35x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Los Robles Hospital & Medical Center is $892. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,693. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.35x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$2,693

Average discount available for prompt cash payment at this facility.

Insurance Median

$892

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $2,693 (2521%)

Insurance Median: $892 (835%)

Cash: $2,693 (2521% of Medicare)

Ins. Median: $892 (835% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 835% of the Medicare baseline (a markup of 735%). 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	$91	85%
Gold Coast Health Plan	$91	85%
Medcare Partners	$167 - $436	156%
Blue Cross Blue Shield	$188 - $622	176%
Aetna	$197 - $2,909	184%
United	$245 - $817	229%
Cigna	$424	397%
First Health	$758 - $2,327	710%
Choicecare Network	$781 - $2,036	731%
Multiplan	$892 - $2,763	835%
Ppo Next	$892 - $2,327	835%
Blue Shield	$976 - $1,395	914%
Interplan Corporation	$1,004 - $2,618	940%
Ventura County Foundation	$1,004 - $2,618	940%

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 $2,693.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

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 76700.
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.