Banner Lassen Medical Center
1800 Spring Ridge Drive, Susanville, CA · Banner Health · · NPI 1538197231
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $21.91 | $35.00 | $5.86 – $42.93 | 12 |
| 17-hydroxypregnenolone CPT 84143 | $8.14 | $13.00 | $4.56 – $33.46 | 12 |
| 17-ketosteroids CPT 83586 | $18.78 | $30.00 | $2.56 – $29.10 | 12 |
| 3d recon without postprocess indpndt CPT 76376 | $205.72 | $296.00 | $121.36 – $287.12 | 11 |
| 5' nucleotidase - sendout CPT 83915 | $30.67 | $49.00 | $2.23 – $47.53 | 12 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $13.38 | $21.00 | $2.40 – $20.37 | 12 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $992.02 | $1,637.00 | $48.34 – $1,587.89 | 12 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $281.18 | $464.00 | $21.27 – $450.08 | 12 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,266.90 | $3,984.00 | $35.60 – $3,864.48 | 12 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,889.08 | $3,320.00 | $35.60 – $3,220.40 | 12 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,511.26 | $2,656.00 | $21.27 – $2,576.32 | 12 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,402.72 | $4,896.00 | $71.43 – $4,749.12 | 12 |
| Abdominal MRI (with contrast) CPT 74182 | $2,835.60 | $4,080.00 | $71.43 – $3,957.60 | 12 |
| Abdominal MRI (without contrast) CPT 74181 | $2,268.48 | $3,264.00 | $48.34 – $3,166.08 | 12 |
| Abdominal paracentesis w/image guidance CPT 49083 | $840.39 | $1,204.00 | $148.04 – $1,167.88 | 12 |
| Abdominal Ultrasound (complete) CPT 76700 | $832.10 | $1,060.00 | $21.27 – $1,028.20 | 12 |
| Abdominal Ultrasound (limited) CPT 76705 | $814.83 | $1,038.00 | $21.27 – $1,006.86 | 12 |
| Abdominal X-ray (2 views) CPT 74019 | $198.77 | $303.00 | $21.27 – $293.91 | 12 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $275.52 | $420.00 | $21.27 – $407.40 | 12 |
| Abdominal X-ray (single view) CPT 74018 | $135.14 | $206.00 | $17.61 – $199.82 | 12 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $321.78 | $461.00 | $187.51 – $447.17 | 12 |
| Abl1 gene CPT 81170 | $314.16 | $560.00 | $60.00 – $543.20 | 12 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,584.27 | $3,035.00 | $304.08 – $2,943.95 | 12 |
| Acetylcholine receptor modulating antibody CPT 86043 | $17.84 | $28.00 | $2.41 – $27.16 | 12 |
| Acute hepatitis panel CPT 80074 | $93.90 | $150.00 | $9.53 – $145.50 | 12 |
| Acyclovir 400 mg tablet HCPCS J8499 | $0.27 | $6.10 | $0.04 – $0.09 | 11 |
| #acylcarnitineprfl CPT 82017 | $40.69 | $65.00 | $3.37 – $63.05 | 12 |
| Adapter b 8 channel 10cm HCPCS C1883 | $4,499.69 | $7,413.00 | $461.66 – $1,092.22 | 11 |
| Adenovirus antibody,serum - quest CPT 86603 | $7.01 | $11.00 | $2.57 – $18.88 | 12 |
| Adh-sendout CPT 84588 | $29.42 | $47.00 | $6.79 – $49.78 | 12 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $47.41 | $108.00 | $14.23 – $104.76 | 12 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $106.68 | $243.00 | $14.23 – $235.71 | 12 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $225.65 | $514.00 | $47.17 – $498.58 | 12 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $249.96 | $494.00 | $29.63 – $479.18 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $234.28 | $463.00 | $14.23 – $449.11 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $293.48 | $580.00 | $14.23 – $562.60 | 12 |
| Administration immunization each additional vaccine CPT 90472 | $16.58 | $37.00 | $15.17 – $35.89 | 11 |
| Administration vaccine hepatitis b HCPCS G0010 | $47.04 | $105.00 | $9.23 – $101.85 | 11 |
| Administration vaccine influenza virus HCPCS G0008 | $47.04 | $105.00 | $9.23 – $101.85 | 11 |
| Administration vaccine pneumococcal HCPCS G0009 | $47.04 | $105.00 | $9.23 – $101.85 | 11 |
| Aep hearing status deter i&r CPT 92651 | $207.04 | $297.00 | $62.28 – $288.09 | 12 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $77.00 | $138.00 | $14.76 – $169.19 | 12 |
| Albumin body fluid quantitative each specimen CPT 82042 | $7.51 | $12.00 | $1.56 – $11.64 | 12 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $13.15 | $21.00 | $1.16 – $8.38 | 12 |
| Albumin serum plasma or whole blood CPT 82040 | $24.41 | $39.00 | $0.99 – $11.64 | 12 |
| Alkaline phosphatase CPT 84075 | $30.67 | $49.00 | $1.04 – $6.81 | 12 |
| Allergen alpha lactalbumin ige CPT 86008 | $40.77 | $64.00 | $3.59 – $29.10 | 12 |
| Allergen egg white ige CPT 86003 | $32.49 | $51.00 | $1.04 – $7.66 | 12 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $5.73 | $9.00 | $1.59 – $8.73 | 11 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $2,338.77 | $3,853.00 | $1,104.95 – $2,614.15 | 11 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $28.17 | $45.00 | $12.88 – $94.48 | 12 |
| Alpha-fetoprotein amniotic CPT 82106 | $26.92 | $43.00 | $3.40 – $41.71 | 12 |
| Alpha-fetoprotein tumor marker CPT 82105 | $6.89 | $11.00 | $3.28 – $140.25 | 12 |
| Alt/sgpt CPT 84460 | $31.30 | $50.00 | $1.06 – $8.73 | 12 |
| Aluminum - quest CPT 82108 | $11.89 | $19.00 | $5.10 – $32.54 | 12 |
| Amantadine (symmetrel)-sendout CPT 80375 | $85.76 | $137.00 | $4.51 – $10.67 | 11 |
| Aminolevulinic acid delta CPT 82135 | $15.65 | $25.00 | $3.29 – $24.25 | 12 |
| Amitriptyline (elavil) -sendout CPT 80335 | $12.52 | $20.00 | $4.92 – $11.64 | 11 |
| Ammonia CPT 82140 | $40.69 | $65.00 | $2.91 – $42.68 | 12 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $433.26 | $830.00 | $94.48 – $805.10 | 12 |
| Amniocentesis therapeutic CPT 59001 | $956.30 | $1,832.00 | $60.84 – $1,777.04 | 12 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $512.94 – $512.94 | 1 |
| Amphetamine confirm urine -sendout CPT 80324 | $20.66 | $33.00 | $2.46 – $5.82 | 11 |
| Amylase CPT 82150 | $182.17 | $291.00 | $1.30 – $9.45 | 12 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $96.40 | $154.00 | $2.87 – $6.79 | 11 |
| Analysis gene f2 20210g>a variant CPT 81240 | $17.95 | $32.00 | $13.12 – $31.04 | 11 |
| Analysis gene f5 leiden variant CPT 81241 | $19.07 | $34.00 | $13.94 – $32.98 | 11 |
| Anca screen with reflex to titer -quest CPT 86021 | $4.46 | $7.00 | $1.23 – $22.08 | 12 |
| An cholangiogram percutaneous compl CPT 47531 | $341.39 | $654.00 | $268.14 – $705.81 | 12 |
| An fluoro guide for cvp CPT 77001 | $321.44 | $490.00 | $104.87 – $475.30 | 12 |
| Angiotensin ii CPT 82163 | $24.41 | $39.00 | $4.10 – $37.83 | 12 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $3,665.81 | $5,258.50 | $0.86 – $2.04 | 11 |
| Ankle X-ray CPT 73610 | $182.37 | $278.00 | $41.48 – $269.66 | 12 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $158.10 | $241.00 | $31.38 – $233.77 | 12 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $11.47 | $18.00 | $1.64 – $18.89 | 12 |
| Antibody elution rbc reference CPT 86860 | $80.26 | $126.00 | $32.72 – $122.22 | 12 |
| Antibody htlv/hiv confirm test CPT 86689 | $268.81 | $422.00 | $3.87 – $409.34 | 12 |
| Antibody htlv-i CPT 86687 | $11.47 | $18.00 | $1.82 – $17.46 | 12 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $152.24 | $239.00 | $3.67 – $26.94 | 12 |
| Antibody id rbc panel CPT 86870 | $527.30 | $762.00 | $27.26 – $71.94 | 12 |
| Antibody influenza virus CPT 86710 | $11.47 | $18.00 | $2.71 – $19.88 | 12 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $7.64 | $12.00 | $2.57 – $18.88 | 12 |
| Antibody screen rbc CPT 86850 | $78.89 | $114.00 | $1.95 – $104.76 | 12 |
| Antibody tetanus CPT 86774 | $7.64 | $12.00 | $2.96 – $21.70 | 12 |
| Anti mog serum - sendout CPT 86362 | $501.32 | $787.00 | $2.41 – $34.92 | 12 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $2.55 | $4.00 | $1.64 – $19.88 | 12 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $7.64 | $12.00 | $2.41 – $19.88 | 12 |
| Antinuclear antibodies CPT 86038 | $3.18 | $5.00 | $2.05 – $17.54 | 12 |
| Antinuclear antibodies titer CPT 86039 | $7.01 | $11.00 | $2.23 – $16.37 | 12 |
| Antiphosphatidylserine antibody CPT 86148 | $3.82 | $6.00 | $2.46 – $23.56 | 12 |
| Antistreptolysin o titer CPT 86060 | $8.28 | $13.00 | $1.46 – $12.61 | 12 |
| Antithrombin iii activity CPT 85300 | $3.58 | $6.00 | $2.37 – $17.28 | 12 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $349.32 | $445.00 | $21.27 – $431.65 | 12 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $450.90 – $450.90 | 1 |
| Application of paste boot 29580 CPT 29580 | $220.51 | $305.00 | $44.85 – $196.91 | 12 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $31.81 | $44.00 | $16.24 – $42.68 | 12 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $45.55 | $63.00 | $18.38 – $61.11 | 12 |
| Appl modality 1+lllt po pain CPT 97037 | $81.70 | $113.00 | $7.85 – $109.61 | 11 |
| #aptt mix-1:1 incubated CPT 87532 | $39.06 | $70.00 | $7.02 – $67.90 | 12 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $43.32 | $68.00 | $7.55 – $65.96 | 12 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.