CMS Price Transparency Data

X-ray, lower back

Facility: Los Robles Hospital & Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $646
Cash Discount Price: $3,737
vs. Medicare Baseline: 6.05x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Los Robles Hospital & Medical Center is $646. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,737. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.05x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$3,737

Average discount available for prompt cash payment at this facility.

Insurance Median

$646

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: $3,737 (3499%)

Insurance Median: $646 (605%)

Cash: $3,737 (3499% of Medicare)

Ins. Median: $646 (605% 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 605% of the Medicare baseline (a markup of 505%). 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	$48	45%
Gold Coast Health Plan	$48	45%
Blue Cross Blue Shield	$64 - $292	60%
Medcare Partners	$98 - $605	92%
Aetna	$116 - $4,036	109%
United	$184 - $1,134	172%
Health Net	$266 - $1,643	249%
Cigna	$424	397%
First Health	$445 - $3,229	417%
Blue Shield	$452 - $646	423%
Choicecare Network	$458 - $2,825	429%
Multiplan	$523 - $3,834	490%
Ppo Next	$523 - $3,229	490%
Interplan Corporation	$589 - $3,632	551%
Ventura County Foundation	$589 - $3,632	551%

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 $3,737.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72110.

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 72110.
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.