CMS Price Transparency Data

X-ray, ankle

Facility: Los Robles Hospital & Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $647
Cash Discount Price: $1,905
vs. Medicare Baseline: 7.28x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Los Robles Hospital & Medical Center is $647. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,905. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.28x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$1,905

Average discount available for prompt cash payment at this facility.

Insurance Median

$647

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $1,905 (2143%)

Insurance Median: $647 (728%)

Cash: $1,905 (2143% of Medicare)

Ins. Median: $647 (728% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 728% of the Medicare baseline (a markup of 628%). 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	$29	33%
Gold Coast Health Plan	$29	33%
Blue Cross Blue Shield	$42 - $203	47%
Medcare Partners	$59 - $592	66%
Aetna	$69 - $3,949	78%
United	$110 - $1,110	124%
Health Net	$159 - $1,607	179%
Blue Shield	$258 - $369	290%
First Health	$266 - $3,159	299%
Choicecare Network	$274 - $2,764	308%
Multiplan	$313 - $3,751	352%
Ppo Next	$313 - $3,159	352%
Cigna	$350	394%
Interplan Corporation	$352 - $3,554	396%
Ventura County Foundation	$352 - $3,554	396%

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 $1,905.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

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 73610.
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.