CMS Price Transparency Data

X-ray, chest (single view)

Facility: Los Robles Hospital & Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $197
  • Cash Discount Price: $1,147
  • vs. Medicare Baseline: 2.22x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Los Robles Hospital & Medical Center is $197. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,147. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.22x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.
Cash / Self-Pay
$1,147

Average discount available for prompt cash payment at this facility.

Insurance Median
$197

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: $1,147 (1290%)
Insurance Median: $197 (222%)
Cash: $1,147 (1290% of Medicare)
Ins. Median: $197 (222% 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 222% of the Medicare baseline (a markup of 122%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $11 12%
Gold Coast Health Plan $11 12%
Medcare Partners $36 - $308 40%
Blue Cross Blue Shield $42 - $138 47%
Aetna $43 - $2,053 48%
United $68 - $577 76%
Health Net $98 - $836 110%
Blue Shield $141 - $202 159%
First Health $164 - $1,643 184%
Choicecare Network $169 - $1,437 190%
Multiplan $193 - $1,950 217%
Ppo Next $193 - $1,643 217%
Interplan Corporation $218 - $1,848 245%
Ventura County Foundation $218 - $1,848 245%
Cigna $350 394%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 215 W Janss Rd, Thousand Oaks, CA 91360
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals