CMS Price Transparency Data

X-ray, shoulder

Facility: Los Robles Hospital & Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $668
Cash Discount Price: $2,306
vs. Medicare Baseline: 7.51x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Los Robles Hospital & Medical Center is $668. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,306. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.51x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$2,306

Average discount available for prompt cash payment at this facility.

Insurance Median

$668

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: $2,306 (2594%)

Insurance Median: $668 (751%)

Cash: $2,306 (2594% of Medicare)

Ins. Median: $668 (751% 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 751% of the Medicare baseline (a markup of 651%). 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	$45 - $195	51%
Medcare Partners	$51 - $716	57%
Aetna	$61 - $4,777	69%
United	$96 - $1,342	108%
Health Net	$139 - $1,944	156%
First Health	$233 - $3,821	262%
Choicecare Network	$240 - $3,344	270%
Multiplan	$274 - $4,538	308%
Ppo Next	$274 - $3,821	308%
Blue Shield	$284 - $405	319%
Interplan Corporation	$308 - $4,299	346%
Ventura County Foundation	$308 - $4,299	346%
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 $2,306.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

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 73030.
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.