Tc-99m pentetate dtpa 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

$240.46

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.

$345.00

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.

$21.45 with Partnership HealthPlan of CA vs $334.65 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 $21.45 ↓ -91%
United Healthcare UHC Medicare Advantage $141.45 ↓ -41%
Banner Health Banner Choice Plus/Banner Select $141.45 ↓ -41%
Anthem Blue Cross California Medicare Advantage $141.45 ↓ -41%
Network Providers, LLC California Prison Health Care Services (CPHCS) $183.88 ↓ -24%
Imperial Health Plan of California, Inc Medi-Medi/Medicare Advantage $190.96 ↓ -21%
Blue Shield of California CalPERS PPO $300.15 ↑ +25%
Multiplan Commercial $310.50 ↑ +29%
United Healthcare Commercial $320.85 ↑ +33%
Cigna Healthcare & Life Insurance Company – WY Commercial $327.75 ↑ +36%
First Health Medical Rental $331.20 ↑ +38%
Coventry Commercial $331.20 ↑ +38%
Coventry Workers Comp $331.20 ↑ +38%
Health Net Commercial Exchange $334.65 ↑ +39%
Health Net Medicare $334.65 ↑ +39%

Visitor-reported prices

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Tc-99m pentetate dtpa at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $136.66 $19.67 – $243.36
Arroyo Grande Hospital Santa Maria $512.32 $13.00 – $1,173.06
Mark Twain Medical Center San Andreas $399.60 $13.00 – $501.76
French Hospital San Luis Obispo $725.99 $13.00 – $1,814.96
Mercy Hospitals – Bakersfield Bakersfield $197.01 $13.00 – $424.80
Bakersfield Memorial Hospital Bakersfield $194.88 $13.00 – $419.49
St. Joseph's Medical Center Stockton Stockton $190.52 $13.00 – $531.36
Mercy Medical Center Mt. Shasta Mt Shasta $245.85 $13.00 – $309.68

All California hospitals for this procedure →