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 mycophenolic acid therapeutic drug level CPT 80180 | $19.41 | $31.00 | $3.61 – $30.07 | 12 |
| Mayo myoglobin CPT 83874 | $5.63 | $9.00 | $2.58 – $18.94 | 12 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $33.80 | $54.00 | $2.46 – $5.82 | 11 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $70.11 | $112.00 | $2.46 – $5.82 | 11 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $33.80 | $54.00 | $2.46 – $5.82 | 11 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $8.76 | $14.00 | $4.24 – $24.22 | 12 |
| Mayo organic acids qualitative each specimen CPT 83919 | $29.42 | $47.00 | $3.29 – $45.59 | 12 |
| Mayo oxalate 24 hour urine CPT 83945 | $36.93 | $59.00 | $2.89 – $19.07 | 12 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $33.80 | $54.00 | $2.31 – $52.38 | 12 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $7.01 | $11.00 | $3.01 – $22.04 | 12 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $302.58 | $475.00 | $1.64 – $14.24 | 12 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $193.07 | $346.00 | $7.02 – $335.62 | 12 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $8.34 | $14.00 | $3.60 – $26.37 | 12 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $8.14 | $13.00 | $2.75 – $20.18 | 12 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $7.51 | $12.00 | $1.69 – $12.38 | 12 |
| Mayo pregnenolone CPT 84140 | $8.14 | $13.00 | $4.13 – $30.33 | 12 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $5.32 | $8.50 | $3.32 – $24.34 | 12 |
| Mayo proinsulin CPT 84206 | $8.76 | $14.00 | $5.34 – $31.99 | 12 |
| Mayo psaft prostate specific antigen free CPT 84154 | $3.76 | $6.00 | $2.46 – $21.24 | 12 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $262.92 | $420.00 | $3.68 – $20.25 | 12 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $4.17 | $7.00 | $2.67 – $19.59 | 12 |
| Mayo receptor assay transferrin soluble CPT 84238 | $281.70 | $450.00 | $5.33 – $53.62 | 12 |
| Mayo renin CPT 84244 | $8.14 | $13.00 | $4.40 – $32.26 | 12 |
| Mayo repu protein electrophoresis urine CPT 84166 | $13.15 | $21.00 | $3.57 – $26.15 | 12 |
| Mayo selenium CPT 84255 | $7.51 | $12.00 | $4.92 – $37.44 | 12 |
| Mayo serotonin CPT 84260 | $10.64 | $17.00 | $6.20 – $45.44 | 12 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $12.74 | $20.00 | $3.87 – $28.38 | 12 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $15.02 | $24.00 | $2.75 – $23.28 | 12 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $205.11 | $322.00 | $80.36 – $190.12 | 11 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $53.51 | $84.00 | $0.85 – $11.64 | 12 |
| Mayo tau phosphorylated 217 each CPT 84393 | $251.03 | $401.00 | $123.00 – $291.00 | 11 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $114.44 | $204.00 | $41.78 – $344.72 | 12 |
| Mayo tgrp testosterone free CPT 84402 | $3.76 | $6.00 | $2.46 – $37.36 | 12 |
| Mayo tgrp testosterone total CPT 84403 | $48.83 | $78.00 | $4.10 – $37.62 | 12 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $38.81 | $62.00 | $4.43 – $60.14 | 11 |
| Mayo thyroglobulin CPT 84432 | $20.03 | $32.00 | $2.87 – $23.56 | 12 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $19.11 | $30.00 | $2.04 – $29.10 | 12 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $14.01 | $22.00 | $2.48 – $18.17 | 12 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $10.64 | $17.00 | $2.46 – $5.82 | 11 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $17.53 | $28.00 | $10.26 – $75.21 | 12 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $31.85 | $50.00 | $2.83 – $48.50 | 12 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $38.81 | $62.00 | $2.71 – $60.14 | 12 |
| Mayo vasoactive intestinal peptide CPT 84586 | $68.86 | $110.00 | $7.07 – $106.70 | 11 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $15.02 | $24.00 | $4.05 – $29.68 | 12 |
| Mayo vitamin b3 (niacin) CPT 84591 | $68.86 | $110.00 | $3.41 – $20.84 | 12 |
| Mayo vitamin k CPT 84597 | $85.76 | $137.00 | $2.74 – $132.89 | 12 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $18.15 | $29.00 | $2.65 – $28.13 | 12 |
| #mec-opiates CPT 80356 | $3.76 | $6.00 | $2.46 – $5.82 | 11 |
| Metabolic Blood Panel (Basic) CPT 80048 | $69.49 | $111.00 | $1.69 – $107.67 | 12 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $85.76 | $137.00 | $2.11 – $132.89 | 12 |
| Methylphenidate CPT 80360 | $10.64 | $17.00 | $6.97 – $16.49 | 11 |
| Microsatellite instability CPT 81301 | $253.01 | $451.00 | $69.71 – $437.47 | 12 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $221.07 | $337.00 | $17.61 – $326.89 | 12 |
| Middle cerebral artery echo CPT 76821 | $633.50 | $807.00 | $21.27 – $782.79 | 12 |
| Mlh1 gene CPT 81288 | $88.08 | $157.00 | $38.46 – $317.33 | 12 |
| Mnl appl strs jt radiography CPT 77071 | $212.54 | $324.00 | $17.61 – $314.28 | 12 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $159.11 – $159.11 | 1 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $15,156.79 | $24,970.00 | $2,503.05 – $5,921.85 | 11 |
| Mopath procedure level 1 CPT 81400 | $19.07 | $34.00 | $12.79 – $105.53 | 12 |
| Mopath procedure level 3 CPT 81402 | $278.26 | $496.00 | $30.07 – $481.12 | 12 |
| Mopath procedure level 5 CPT 81404 | $342.77 | $611.00 | $54.97 – $453.47 | 12 |
| Mopath procedure level 6 CPT 81405 | $342.77 | $611.00 | $60.27 – $497.23 | 12 |
| Mopath procedure level 7 CPT 81406 | $932.94 | $1,663.00 | $19.27 – $466.75 | 12 |
| Mopath procedure level 8 CPT 81407 | $153.71 | $274.00 | $112.34 – $1,396.35 | 12 |
| Mopath procedure level 9 CPT 81408 | $757.35 | $1,350.00 | $400.00 – $3,300.00 | 12 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $212.27 | $503.00 | $34.27 – $487.91 | 12 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $321.56 | $762.00 | $71.94 – $739.14 | 12 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $136.73 | $324.00 | $12.30 – $93.62 | 12 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $202.25 | $456.54 | $187.18 – $1,057.58 | 12 |
| Motor &/ sens nrve cndj test CPT 95905 | $284.42 | $408.00 | $79.81 – $395.76 | 12 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $109.30 | $259.00 | $34.27 – $316.93 | 12 |
| M/phmtrc alysishquant/semiq CPT 88369 | $124.49 | $295.00 | $108.69 – $286.15 | 12 |
| MRA abdomen post contrast CPT 74185 | $3,583.89 | $5,141.00 | $547.85 – $3,325.16 | 12 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $3,706.59 | $5,317.00 | $544.58 – $3,437.68 | 12 |
| MRA pelvis CPT 72198 | $2,602.35 | $3,733.00 | $546.79 – $2,414.33 | 12 |
| MRI breast c- unilateral CPT 77046 | $1,050.84 | $1,512.00 | $344.52 – $1,466.64 | 12 |
| MRI breast c-+ w/cad uni CPT 77048 | $1,576.26 | $2,268.00 | $547.04 – $2,199.96 | 12 |
| MRI breast without cont bi CPT 77047 | $1,241.96 | $1,787.00 | $48.34 – $1,733.39 | 12 |
| MRI breast w IV cont bi CPT 77049 | $1,863.29 | $2,681.00 | $557.44 – $2,600.57 | 12 |
| MRI chest without contrast CPT 71550 | $1,495.64 | $2,152.00 | $48.34 – $2,087.44 | 12 |
| MRI chest without & w/contrast CPT 71552 | $2,243.46 | $3,228.00 | $71.43 – $3,131.16 | 12 |
| MRI chest w IV cont CPT 71551 | $1,869.55 | $2,690.00 | $158.01 – $2,609.30 | 12 |
| MRI guid ndl plc s&i CPT 77021 | $571.98 | $823.00 | $337.43 – $798.31 | 12 |
| MRI loex nonjt w IV cont CPT 73719 | $1,336.48 | $1,923.00 | $427.28 – $1,865.31 | 12 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,068.91 | $1,538.00 | $630.58 – $1,491.86 | 12 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,603.36 | $2,307.00 | $644.29 – $2,237.79 | 12 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,797.73 | $4,832.00 | $71.43 – $4,687.04 | 12 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,311.46 | $1,887.00 | $500.33 – $1,830.39 | 12 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,967.54 | $2,831.00 | $644.29 – $2,746.07 | 12 |
| MRI upper extremity w/dye CPT 73219 | $1,639.50 | $2,359.00 | $544.38 – $2,288.23 | 12 |
| Mr safety determination physician/other qhp CPT 76016 | $70.85 | $108.00 | $17.61 – $104.76 | 11 |
| Mr safety implant elec prepj CPT 76018 | $124.64 | $190.00 | $18.36 – $184.30 | 11 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $120.05 | $183.00 | $75.03 – $177.51 | 11 |
| Mr safety implt pos&/immoblj CPT 76019 | $190.24 | $290.00 | $11.88 – $281.30 | 11 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $24.93 | $38.00 | $4.90 – $36.86 | 11 |
| Mr sfty med physics xm cstmz CPT 76017 | $295.86 | $451.00 | $48.34 – $437.47 | 11 |
| Mthfr gene analy common variants CPT 81291 | $13.46 | $24.00 | $9.84 – $23.28 | 11 |
| Mumps antibody igg CPT 86735 | $7.64 | $12.00 | $1.64 – $19.12 | 12 |
| Mycoplasma antibody igm CPT 86738 | $2.55 | $4.00 | $1.64 – $19.42 | 12 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $154.28 | $275.00 | $35.08 – $266.75 | 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.