Cta upper extremity w &/or without contrast left at Banner Lassen Medical Center

1800 Spring Ridge Drive, Susanville, CA · Banner Health · · NPI 1538197231

Source: hospital's published price file ↗ · Published Feb 12, 2026 · Ingested Aug 12, 2026

$1,169.86

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$2,056.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$480.23 with Partnership HealthPlan of CA vs $1,994.32 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 →

Payer
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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
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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 $480.23 ↓ -59%
United Healthcare UHC Medicare Advantage $842.96 ↓ -28%
Banner Health Banner Choice Plus/Banner Select $842.96 ↓ -28%
Anthem Blue Cross California Medicare Advantage $842.96 ↓ -28%
Network Providers, LLC California Prison Health Care Services (CPHCS) $1,095.85 ↓ -6%
Imperial Health Plan of California, Inc Medi-Medi/Medicare Advantage $1,138.00 ↓ -3%
Blue Shield of California CalPERS PPO $1,788.72 ↑ +53%
Multiplan Commercial $1,850.40 ↑ +58%
United Healthcare Commercial $1,912.08 ↑ +63%
Cigna Healthcare & Life Insurance Company – WY Commercial $1,953.20 ↑ +67%
First Health Medical Rental $1,973.76 ↑ +69%
Coventry Commercial $1,973.76 ↑ +69%
Coventry Workers Comp $1,973.76 ↑ +69%
Health Net Commercial Exchange $1,994.32 ↑ +70%
Health Net Medicare $1,994.32 ↑ +70%

Visitor-reported prices

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Cta upper extremity w &/or without contrast left at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $919.80 $226.19 – $1,638.00
Petaluma Valley Hospital Petaluma $11,077.71 $236.37 – $1,759.72
Queen of The Valley Medical Center Napa $2,927.40 $249.04 – $2,223.85
Providence St Joseph Hospital Eureka Eureka $3,364.98 $225.59 – $2,521.86
Redwood Memorial Hospital Fortuna $3,026.34 $2,527.75 – $2,527.75
Santa Rosa Memorial Hospital Santa Rosa $9,633.39 $244.06 – $1,891.97
Providence Mission Hospital - Mission Viejo Mission Viejo $2,612.64 $191.76 – $417.35
Providence Cedars-Sinai Tarzana Medical Center Tarzana $1,239.70 $225.59 – $955.61

All California hospitals for this procedure →