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 |
|---|---|---|---|---|
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $546.41 | $974.00 | $232.00 – $676.09 | 11 |
| Mayo androstenedione CPT 82157 | $5.63 | $9.00 | $3.69 – $42.93 | 12 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $4.38 | $7.00 | $2.87 – $21.42 | 12 |
| Mayo antithrombin iii antigen CPT 85301 | $10.73 | $18.00 | $2.16 – $17.46 | 12 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $3.18 | $5.00 | $2.05 – $22.08 | 12 |
| Mayo avwpr vw factor activity CPT 85397 | $67.94 | $114.00 | $6.17 – $110.58 | 12 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $67.61 | $108.00 | $2.46 – $5.82 | 11 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $7.01 | $11.00 | $2.04 – $14.93 | 12 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $49.37 | $88.00 | $28.97 – $119.30 | 12 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $99.86 | $178.00 | $42.92 – $198.23 | 12 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $17.84 | $28.00 | $2.58 – $27.16 | 12 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $3.76 | $6.00 | $2.46 – $5.82 | 11 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $12.74 | $20.00 | $2.64 – $19.40 | 12 |
| Mayo brcmg brucella antibody igm CPT 86622 | $10.19 | $16.00 | $1.79 – $15.52 | 12 |
| Mayo c1 esterase inhibitor CPT 83883 | $15.02 | $24.00 | $2.72 – $19.95 | 12 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $21.28 | $34.00 | $2.46 – $5.82 | 11 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $40.69 | $65.00 | $3.37 – $27.16 | 12 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $27.39 | $43.00 | $5.36 – $41.71 | 12 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $272.09 | $485.00 | $9.02 – $179.26 | 12 |
| Mayo ceruloplasmin CPT 82390 | $6.26 | $10.00 | $2.15 – $15.76 | 12 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $12.52 | $20.00 | $2.82 – $20.71 | 12 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $33.12 | $52.00 | $2.58 – $18.89 | 12 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $6.37 | $10.00 | $2.36 – $17.34 | 12 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $6.37 | $10.00 | $2.54 – $18.61 | 12 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $118.36 | $127.00 | $23.30 – $166.62 | 12 |
| Mayo chromium CPT 82495 | $27.54 | $44.00 | $4.06 – $42.68 | 12 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $61.97 | $99.00 | $2.46 – $5.82 | 11 |
| Mayo coccidioides antibody CPT 86635 | $40.13 | $63.00 | $2.29 – $16.83 | 12 |
| Mayo cocou cortisone urine CPT 82542 | $313.00 | $500.00 | $4.82 – $25.33 | 12 |
| Mayo cortisol free CPT 82530 | $3.13 | $5.00 | $2.05 – $24.50 | 12 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $41.41 | $65.00 | $8.43 – $69.51 | 12 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $4.46 | $7.00 | $2.42 – $17.79 | 12 |
| Mayo cyanide CPT 82600 | $17.53 | $28.00 | $3.88 – $28.45 | 12 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $1,054.09 | $1,131.00 | $34.27 – $1,097.07 | 12 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $15.29 | $24.00 | $2.65 – $23.28 | 12 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $15.65 | $25.00 | $5.05 – $37.08 | 12 |
| Mayo dihydrotestosterone CPT 82642 | $11.27 | $18.00 | $5.86 – $42.93 | 12 |
| Mayo efpo chloride stool CPT 82438 | $5.01 | $8.00 | $1.00 – $7.76 | 12 |
| Mayo estriol CPT 82677 | $13.15 | $21.00 | $4.84 – $35.46 | 12 |
| Mayo estrone CPT 82679 | $8.76 | $14.00 | $4.99 – $36.60 | 12 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $35.68 | $57.00 | $3.27 – $55.29 | 12 |
| Mayo everolimus therapeutic drug level CPT 80169 | $6.26 | $10.00 | $2.75 – $20.15 | 12 |
| Mayo factor ii CPT 85210 | $35.76 | $60.00 | $2.60 – $58.20 | 12 |
| Mayo factor v CPT 85220 | $30.99 | $52.00 | $3.53 – $50.44 | 12 |
| Mayo factor vii CPT 85230 | $36.95 | $62.00 | $3.58 – $60.14 | 12 |
| Mayo factor viii vw factor antigen CPT 85246 | $11.32 | $19.00 | $4.59 – $33.64 | 12 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $31.59 | $53.00 | $4.59 – $51.41 | 12 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $19.67 | $33.00 | $4.59 – $33.64 | 12 |
| Mayo factor x CPT 85260 | $41.12 | $69.00 | $3.58 – $66.93 | 12 |
| Mayo factor xi CPT 85270 | $23.24 | $39.00 | $3.58 – $37.83 | 12 |
| Mayo fat/lipids feces quantitative CPT 82710 | $16.28 | $26.00 | $3.36 – $25.22 | 12 |
| Mayo fbl culture fungi blood CPT 87103 | $42.97 | $77.00 | $4.09 – $74.69 | 12 |
| Mayo ffspg allergen clam igg CPT 86001 | $4.46 | $7.00 | $1.56 – $9.37 | 12 |
| Mayo fibrinogen antigen CPT 85385 | $15.50 | $26.00 | $2.89 – $25.22 | 12 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $16.28 | $26.00 | $4.33 – $25.22 | 12 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $520.61 | $928.00 | $78.31 – $185.27 | 11 |
| Mayo hemosiderin qualitative urine CPT 83070 | $20.66 | $33.00 | $0.95 – $32.01 | 12 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $32.36 | $58.00 | $7.02 – $56.26 | 12 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $40.18 | $72.00 | $7.02 – $69.84 | 12 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $11.47 | $18.00 | $2.76 – $18.33 | 12 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $8.92 | $14.00 | $5.16 – $37.85 | 12 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $23.57 | $37.00 | $1.78 – $35.89 | 12 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $32.49 | $51.00 | $2.70 – $49.47 | 12 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $51.33 | $82.00 | $5.43 – $39.48 | 12 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $375.60 | $600.00 | $2.46 – $16.90 | 12 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $58.60 | $92.00 | $0.41 – $17.31 | 12 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $6.37 | $10.00 | $3.69 – $30.52 | 12 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $15.93 | $25.00 | $4.16 – $30.52 | 12 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $13.95 | $25.00 | $3.21 – $24.25 | 12 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $56.92 | $102.00 | $2.40 – $98.94 | 12 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $49.10 | $88.00 | $7.02 – $85.36 | 12 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $13.39 | $24.00 | $7.02 – $57.90 | 12 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $17.86 | $32.00 | $7.02 – $51.46 | 12 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $207.02 | $371.00 | $7.02 – $359.87 | 11 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $18.41 | $33.00 | $8.57 – $62.83 | 12 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $53.30 | $95.00 | $14.44 – $95.29 | 12 |
| Mayo infliximab therapeutic drug level CPT 80230 | $135.22 | $216.00 | $7.71 – $209.52 | 12 |
| Mayo inhab inhibin a CPT 86336 | $16.56 | $26.00 | $3.12 – $25.22 | 12 |
| Mayo insft insulin free CPT 83527 | $18.15 | $29.00 | $2.59 – $28.13 | 12 |
| Mayo insulin antibodies CPT 86337 | $10.19 | $16.00 | $4.28 – $31.40 | 12 |
| Mayo iodine CPT 83789 | $12.52 | $20.00 | $4.82 – $26.96 | 12 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $50.71 | $81.00 | $5.42 – $78.57 | 12 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $13.77 | $22.00 | $5.42 – $35.79 | 12 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $6.89 | $11.00 | $2.65 – $19.44 | 12 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $5.63 | $9.00 | $2.56 – $18.76 | 12 |
| Mayo legionella antibody CPT 86713 | $13.38 | $21.00 | $3.06 – $22.44 | 12 |
| Mayo leptospira antibody igm CPT 86720 | $65.61 | $103.00 | $3.24 – $43.65 | 12 |
| Mayo lipoprotein electrophoresis CPT 83700 | $8.76 | $14.00 | $2.25 – $16.52 | 12 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $7.01 | $11.00 | $3.10 – $22.72 | 12 |
| Mayo manganese CPT 83785 | $15.02 | $24.00 | $5.33 – $36.07 | 12 |
| Mayo metanephrines plasma CPT 83835 | $9.39 | $15.00 | $3.39 – $24.85 | 12 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $71.99 | $115.00 | $2.46 – $5.82 | 11 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $267.54 | $420.00 | $2.41 – $407.40 | 12 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $12.74 | $20.00 | $3.68 – $30.36 | 12 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $11.47 | $18.00 | $2.05 – $21.33 | 12 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $110.18 | $176.00 | $3.73 – $20.77 | 12 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $329.31 | $587.00 | $7.38 – $226.05 | 12 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $81.35 | $145.00 | $37.04 – $244.46 | 12 |
| Mayo muramidase CPT 85549 | $2.98 | $5.00 | $2.05 – $27.51 | 12 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $414.05 | $650.00 | $3.68 – $630.50 | 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.