How many shoppable procedure prices are published for Los Robles Hospital & Medical Center?

Los Robles Hospital & Medical Center in Thousand Oaks, CA currently has 127 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Los Robles Hospital & Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Los Robles Hospital & Medical Center's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Los Robles Hospital & Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Los Robles Hospital & Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 306 Beds · urban Updated: 2026-09-01

Los Robles Hospital & Medical Center

215 W Janss Rd, Thousand Oaks, CA 91360 · 127 Priced Procedures · 63% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.36×vs. Fair Market Price

Typical commercial prices here are +36% above the fair benchmark (1.36×) even after accounting for local nurse/doctor wages and patient complexity.

70/100 · Corroborated

70/100Self-Pay Cash Beats Insurance 15% of the Time

File Completeness100

Price Logic84

Peer Alignment55

Clean Billing93

Real Cash Discount6

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.36× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +97% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Los Robles Hospital & Medical Center prices routine shoppable procedures at 2.1× Medicare (median 1.02× Fair BaseRate) while upper-quartile commercial rates jump +97% to 2.01× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#177 of 240 in CA · 73rd State Percentile#2,372 of 3,385 in U.S. · 70th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.97× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 15% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 63% patient recommendation (61/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Commercial insurance median sits at 1.02× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.01×) jump +97% above the median procedure ratio (Q50 1.02×)
Unnegotiated chargemaster list prices average 19.2× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.52× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+97% Upper Tail

Q25 0.97× · Q50 1.02× · Q75 2.01×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

15% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 61/100Elevated

Procedure Prices at Los Robles Hospital & Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 127 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Trauma team activation HCPCS Code: `G0390`	$54,529	$54,529	$1,453	37.5×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$36,130	$30,775	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$21,697	$19,432	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$21,420	$19,087	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$19,858	$17,936	1.1×
Total hip replacement CPT Code: `27130`	—	$16,160	$13,413	1.2×
Total knee replacement CPT Code: `27447`	—	$16,160	$13,523	1.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$12,600	$6,109	2.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$10,705	$3,372	3.2×
Bunion correction surgery CPT Code: `28296`	—	$10,705	$3,446	3.1×
Inguinal hernia repair CPT Code: `49505`	—	$10,705	$3,629	2.9×
Breast lump removal CPT Code: `19120`	—	$10,705	$3,875	2.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,952	$8,223	1.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$7,693	$2,680	2.9×
C-section delivery (full package) CPT Code: `59510`	—	$7,693	$2,975	2.6×
Cataract surgery with lens implant CPT Code: `66984`	—	$7,044	$2,540	2.8×
Colonoscopy with biopsy CPT Code: `45380`	—	$6,675	$1,256	5.3×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$6,240	$981	6.4×
Upper endoscopy with biopsy CPT Code: `43239`	—	$6,240	$987	6.3×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$4,906	$1,021	4.8×
Blood transfusion CPT Code: `36430`	$3,156	$3,156	$498	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$16,896	$1,140	$511	2.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$12,603	$1,165	$448	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$8,137	$945	$272	unverified
MRI, knee or other leg joint CPT Code: `73721`	$11,775	$762	$369	2.1×
MRI, brain (no contrast) CPT Code: `70551`	$7,641	$687	$343	2.0×
MRI, lower back (no contrast) CPT Code: `72148`	$8,457	$663	$338	2.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$7,387	$616	$258	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$12,116	$555	$303	1.8×
CT scan, head (with contrast) CPT Code: `70460`	$6,965	$517	$242	2.1×
CT scan, sinuses CPT Code: `70486`	$3,473	$477	$166	2.9×
CT scan, pelvis CPT Code: `72192`	$6,667	$446	$163	2.7×
CT scan, chest (no contrast) CPT Code: `71250`	$7,338	$448	$167	2.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$6,993	$453	$169	2.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$6,993	$450	$168	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,693	$402	$134	3.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,721	$424	$132	unverified
CT scan, head (no contrast) CPT Code: `70450`	$6,424	$361	$160	2.3×
Ultrasound, pelvis CPT Code: `76856`	$2,328	$381	$130	unverified
Rabies immune globulin HCPCS Code: `90375`	$7,042	$308	$322	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,875	$308	$126	unverified
Care planning with family CPT Code: `90887`	—	$227	$107	2.1×
X-ray, lower back CPT Code: `72110`	$3,737	$225	$112	2.0×
X-ray, hip CPT Code: `73502`	$3,315	$199	$93	2.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$183	$183	$86	2.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$14,572	$195	$583	0.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$2,230	$162	$93	1.7×
X-ray, hand CPT Code: `73130`	$2,631	$162	$93	1.7×
X-ray, ankle CPT Code: `73610`	$2,968	$158	$93	1.7×
X-ray, shoulder CPT Code: `73030`	$3,592	$147	$92	1.6×
X-ray, foot CPT Code: `73630`	$2,901	$144	$92	1.6×
X-ray, chest (two views) CPT Code: `71046`	$1,266	$127	$93	1.4×
Hepatitis B immune globulin HCPCS Code: `90371`	$4,917	$152	$151	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$557	$133	$148	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$141	$185	0.8×
X-ray, chest (single view) CPT Code: `71045`	$1,147	$94	$92	1.0×
X-ray, pelvis CPT Code: `72170`	$1,720	$109	$110	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$388	$110	$123	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$546	$84	$86	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$1,129	$90	$110	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$108	$181	0.6×
Family therapy session CPT Code: `90847`	—	$99	$173	0.6×
Typhoid vaccine HCPCS Code: `90675`	$3,666	$352	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$211	$203	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$145	$145	$48	3.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$145	$145	$49	3.0×
Colorectal cancer screening HCPCS Code: `G0010`	$145	$145	$49	3.0×
Pneumococcal vaccine HCPCS Code: `90732`	$625	$147	$140	1.1×
Drug screening test HCPCS Code: `G0480`	$746	$117	$116	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$1,226	$105	$111	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$74	$166	0.4×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$36	$25	1.4×
Orthotic fitting and training CPT Code: `97760`	$292	$52	$51	1.0×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$21	$16	1.3×
Behavioral health living support HCPCS Code: `H2019`	—	$37	$34	1.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$82	$26	$25	1.0×
Prosthetic fitting and training CPT Code: `97761`	$292	$46	$45	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$714	$37	$37	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$27	$27	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$273	$14	$14	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$301	$39	$40	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$273	$37	$38	1.0×
Physical therapy (gait training) CPT Code: `97116`	$309	$32	$33	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$301	$36	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$292	$36	$38	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$880	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$1,481	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$140	$14	$14	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$202	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$208	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$506	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$203	$7	$7	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$285	$16	$16	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$63	$10	$10	1.0×
Blood test, magnesium CPT Code: `83735`	$157	$7	$7	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$293	$32	$35	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$903	$38	$87	0.4×
Psychological testing evaluation CPT Code: `96136`	—	$46	$128	0.4×
Blood test, potassium CPT Code: `84132`	$520	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$164	$19	$19	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$548	$44	$56	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$1,614	$59	$123	0.5×
Neurobehavioral status check CPT Code: `96116`	—	$61	$231	0.3×
Psychological testing by technician CPT Code: `96138`	—	$39	$395	0.1×
Blood test, sodium CPT Code: `84295`	—	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$118	$6	$6	1.0×
Culture, blood CPT Code: `87040`	$270	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$155	$9	$9	1.0×
Speech therapy (group session) CPT Code: `92508`	$309	$27	$27	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$159	$17	$18	0.9×
Blood test, liver function panel CPT Code: `80076`	$629	$8	$9	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$329	$30	$34	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$275	$33	$39	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$105	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$321	$2	$3	0.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$11	$11	$20	0.6×
Hepatitis C antibody test CPT Code: `86803`	$8	$8	$15	0.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$211	$17	$35	0.5×
Blood antibody screen CPT Code: `86850`	$47	$10	$46	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$1,049	$23	$201	0.1×
Blood test, calcium CPT Code: `82310`	$477	$5	$5	unverified
Blood test, lipase CPT Code: `83690`	$171	$7	$7	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$2,023	$9	$64	unverified

Showing top 25 high-impact procedures of 127 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Los Robles Hospital & Medical Center (Zero PHI Required)

CMS CCN: 050549

CPT G0390

Select Procedure to Audit:

Fair BaseRate™ $1,453

Medicare Rate $1,362

Self-Pay Cash $54,529

Insurer Median $54,529

1. Amount on Your Bill or Quote ($) Pre-filled with Los Robles Hospital & Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $54,529

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Los Robles Hospital & Medical Center's published 45 CFR § 180 self-pay cash rate is $54,529 (vs. $54,529 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$53,076 Above Fair BaseRate

Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)

Your bill ($54,529) is $53,076 above the denoised Fair BaseRate ($1,453) and 40.0× the $1,362 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 952321136

Public IRS & CMS ownership records classify Los Robles Hospital & Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite61/100

Would Recommend63%

Rated 9 or 10 (HCAHPS)62%

Median ER Wait164 min

Left ER Before Seen1%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate2.6%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (649 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Los Robles Hospital & Medical Center.

Price Index: 1.15× regional baseline

Quality: 55/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-59.4%

Brand New Day

-56.4%

Central Health Plan

-54.0%

Gold Coast Health Plan

-46.7%

Median Household Income$107,327U.S. Census ACS

Local Uninsured Share7.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 70/100 · Corroborated CMS CCN 050549 EIN 952321136

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 050549) ↗ Verify IRS Form 990 (EIN 952321136) ↗ CMS HCRIS Cost Reports ↗

Published MRF File95-2321136_LOS-ROBLES-HOSPITAL-AND-MEDICAL-CENTER_standardcharges.json

Publication / Vintage2026-09-01 · 513.31 MB

Validated Rate Rows7,349 (CMS v3.0.0)

File Integrity Digesta3d8ff4f7d0d7881be48…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy