CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Los Robles Hospital & Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $688
Cash Discount Price: $1,721
vs. Medicare Baseline: 6.44x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Los Robles Hospital & Medical Center is $688. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,721. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.44x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$1,721

Average discount available for prompt cash payment at this facility.

Insurance Median

$688

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: $1,721 (1611%)

Insurance Median: $688 (644%)

Cash: $1,721 (1611% of Medicare)

Ins. Median: $688 (644% 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 644% of the Medicare baseline (a markup of 544%). 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	$73	68%
Gold Coast Health Plan	$73	68%
Blue Cross Blue Shield	$132 - $594	124%
Medcare Partners	$159 - $358	149%
Aetna	$187 - $2,386	175%
United	$245 - $671	229%
Cigna	$424	397%
Blue Shield	$705 - $1,008	660%
First Health	$719 - $1,909	673%
Choicecare Network	$740 - $1,670	693%
Multiplan	$845 - $2,267	791%
Ppo Next	$845 - $1,909	791%
Interplan Corporation	$951 - $2,148	890%
Ventura County Foundation	$951 - $2,148	890%

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 $1,721.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76536.

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 76536.
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.