CMS Price Transparency Data

X-ray, foot

Facility: Los Robles Hospital & Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $633
Cash Discount Price: $1,863
vs. Medicare Baseline: 7.12x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Los Robles Hospital & Medical Center is $633. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,863. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.12x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$1,863

Average discount available for prompt cash payment at this facility.

Insurance Median

$633

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: $1,863 (2095%)

Insurance Median: $633 (712%)

Cash: $1,863 (2095% of Medicare)

Ins. Median: $633 (712% 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 712% of the Medicare baseline (a markup of 612%). 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	$28	31%
Gold Coast Health Plan	$28	31%
Blue Cross Blue Shield	$40 - $186	45%
Medcare Partners	$57 - $579	64%
Aetna	$67 - $3,863	75%
United	$107 - $1,086	120%
Health Net	$155 - $1,572	174%
Blue Shield	$258 - $369	290%
First Health	$259 - $3,090	291%
Choicecare Network	$267 - $2,704	300%
Multiplan	$305 - $3,670	343%
Ppo Next	$305 - $3,090	343%
Interplan Corporation	$343 - $3,477	386%
Ventura County Foundation	$343 - $3,477	386%
Cigna	$350	394%

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 $1,863.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73630.

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 73630.
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.