CMS Price Transparency Data

X-ray, hip

Facility: Los Robles Hospital & Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $541
Cash Discount Price: $1,919
vs. Medicare Baseline: 6.08x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Los Robles Hospital & Medical Center is $541. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,919. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.08x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$1,919

Average discount available for prompt cash payment at this facility.

Insurance Median

$541

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: $1,919 (2158%)

Insurance Median: $541 (608%)

Cash: $1,919 (2158% of Medicare)

Ins. Median: $541 (608% 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 608% of the Medicare baseline (a markup of 508%). 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	$30	34%
Gold Coast Health Plan	$30	34%
Blue Cross Blue Shield	$54 - $267	61%
Medcare Partners	$67 - $497	75%
Aetna	$79 - $3,315	89%
United	$125 - $931	141%
Health Net	$181 - $1,349	204%
First Health	$303 - $2,652	341%
Choicecare Network	$312 - $2,320	351%
Cigna	$350	394%
Multiplan	$357 - $3,149	402%
Ppo Next	$357 - $2,652	402%
Blue Shield	$398 - $568	448%
Interplan Corporation	$401 - $2,983	451%
Ventura County Foundation	$401 - $2,983	451%

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 $1,919.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

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 73502.
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.