Biopsy muscle percutaneous needle at Banner Lassen Medical Center
1800 Spring Ridge Drive, Susanville, CA · Banner Health · · NPI 1538197231
$1,014.25
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,943.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$108.73 with Partnership HealthPlan of CA vs $1,884.71 with Health Net — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Partnership HealthPlan of CA | Partnership Medi-Cal | $108.73 | ↓ -89% |
| Anthem Blue Cross California | Medicare Advantage | $324.05 | ↓ -68% |
| United Healthcare | UHC Medicare Advantage | $796.63 | ↓ -21% |
| Banner Health | Banner Choice Plus/Banner Select | $796.63 | ↓ -21% |
| Network Providers, LLC | California Prison Health Care Services (CPHCS) | $1,035.62 | ↑ +2% |
| Imperial Health Plan of California, Inc | Medi-Medi/Medicare Advantage | $1,075.45 | ↑ +6% |
| Blue Shield of California | CalPERS PPO | $1,690.41 | ↑ +67% |
| Multiplan | Commercial | $1,748.70 | ↑ +72% |
| United Healthcare | Commercial | $1,806.99 | ↑ +78% |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $1,845.85 | ↑ +82% |
| Coventry | Commercial | $1,865.28 | ↑ +84% |
| First Health | Medical Rental | $1,865.28 | ↑ +84% |
| Coventry | Workers Comp | $1,865.28 | ↑ +84% |
| Health Net | Medicare | $1,884.71 | ↑ +86% |
| Health Net | Commercial Exchange | $1,884.71 | ↑ +86% |
Visitor-reported prices
Comments
Biopsy muscle percutaneous needle at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $833.52 | $93.01 – $3,763.88 |
| Petaluma Valley Hospital | Petaluma | $3,014.10 | $1,921.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $2,163.12 | $75.62 – $2,822.40 |
| Mark Twain Medical Center | San Andreas | $1,374.63 | $75.62 – $884.94 |
| French Hospital | San Luis Obispo | $1,901.60 | $75.62 – $2,723.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,719.22 | $75.62 – $3,707.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,700.68 | $75.62 – $3,660.86 |
| Queen of The Valley Medical Center | Napa | $1,859.97 | $2,345.04 – $9,858.00 |