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 |
|---|---|---|---|---|
| Myelogphy 2/> spine regions CPT 72270 | $1,491.09 | $2,273.00 | $158.01 – $2,204.81 | 12 |
| Myelography l-s spine CPT 72265 | $1,433.36 | $2,185.00 | $135.27 – $2,119.45 | 12 |
| Myelography neck spine CPT 72240 | $1,375.63 | $2,097.00 | $144.46 – $2,034.09 | 12 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $626.92 | $1,201.00 | $158.01 – $1,164.97 | 11 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $67.82 | $98.00 | $2.31 – $14.19 | 12 |
| Natriuretic peptide CPT 83880 | $73.87 | $118.00 | $7.85 – $94.09 | 12 |
| Natural killer cells total count CPT 86357 | $9.55 | $15.00 | $6.15 – $55.06 | 12 |
| Ndl round specialty proguide HCPCS C1715 | $274.01 | $588.00 | $68.06 – $161.02 | 11 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $311.60 | $475.00 | $17.61 – $460.75 | 12 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,712.12 | $3,009.00 | $35.60 – $2,918.73 | 12 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,427.05 | $2,508.00 | $71.43 – $2,432.76 | 12 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,141.41 | $2,006.00 | $21.27 – $1,945.82 | 12 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,070.36 | $3,645.00 | $71.43 – $3,535.65 | 12 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,725.58 | $3,038.00 | $71.43 – $2,946.86 | 12 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,380.24 | $2,430.00 | $48.34 – $2,357.10 | 12 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $378.51 | $577.00 | $17.61 – $559.69 | 12 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $490.69 | $748.00 | $21.27 – $725.56 | 12 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $619.26 | $944.00 | $21.27 – $915.68 | 12 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $1,407.51 | $5,213.00 | $71.43 – $5,056.61 | 12 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,172.88 | $4,344.00 | $71.43 – $4,213.68 | 12 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $938.25 | $3,475.00 | $48.34 – $3,370.75 | 12 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $1,105.45 | $1,967.00 | $35.60 – $1,907.99 | 12 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $921.12 | $1,639.00 | $35.60 – $1,589.83 | 12 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $736.78 | $1,311.00 | $21.27 – $1,271.67 | 12 |
| New Patient Office Visit (level 2) CPT 99202 | $1,479.42 | $1,475.00 | $69.70 – $164.90 | 12 |
| New Patient Office Visit (level 3) CPT 99203 | $2,216.63 | $2,210.00 | $94.38 – $402.55 | 12 |
| New Patient Office Visit (level 4) CPT 99204 | $2,667.98 | $2,660.00 | $231.65 – $548.05 | 12 |
| New Patient Office Visit (level 5) CPT 99205 | $3,570.68 | $3,560.00 | $136.46 – $630.50 | 12 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $237.11 | $428.00 | $116.85 – $276.45 | 12 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $226.03 | $408.00 | $111.52 – $263.84 | 12 |
| Njx interlaminar lmbr/sac CPT 62326 | $222.15 | $401.00 | $164.41 – $388.97 | 12 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,867.39 | $2,783.00 | $80.37 – $2,699.51 | 12 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,264.84 | $1,885.00 | $80.37 – $1,828.45 | 12 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $623.36 | $929.00 | $107.65 – $901.13 | 12 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $728.71 | $1,086.00 | $107.65 – $1,053.42 | 12 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $817.28 | $1,218.00 | $80.37 – $1,181.46 | 12 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $726.40 | $1,042.00 | $44.83 – $1,010.74 | 12 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $213.20 | $325.00 | $17.61 – $315.25 | 12 |
| Npm1 gene CPT 81310 | $122.30 | $218.00 | $49.30 – $325.40 | 12 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,154.83 | $6,192.00 | $66.42 – $574.40 | 12 |
| Nudt15 gene common variants CPT 81306 | $261.99 | $467.00 | $58.27 – $452.99 | 12 |
| Observation direct referral from physician office for admission HCPCS G0379 | $738.37 | $654.00 | $122.62 – $634.38 | 11 |
| Observation per hour HCPCS G0378 | $66.74 | $108.00 | $44.28 – $104.76 | 11 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $514.96 | $656.00 | $21.27 – $636.32 | 12 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $300.66 | $383.00 | $113.14 – $371.51 | 12 |
| Onco (ovar) two proteins CPT 81500 | $26.37 | $47.00 | $19.27 – $429.82 | 12 |
| Oncoprotein dcp CPT 83951 | $28.17 | $45.00 | $12.88 – $94.48 | 12 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $884.58 – $884.58 | 1 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $157.87 – $157.87 | 1 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $183.07 – $183.07 | 1 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $625.96 – $625.96 | 1 |
| Optx medial ankle fx CPT 27766 | not published | not published | $625.96 – $625.96 | 1 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $167.10 – $167.10 | 1 |
| Organic acids total quant ea spec CPT 83918 | $98.28 | $157.00 | $4.72 – $49.47 | 12 |
| Osmolality blood CPT 83930 | $10.64 | $17.00 | $1.32 – $16.49 | 12 |
| Osmolality urine CPT 83935 | $13.77 | $22.00 | $1.36 – $21.34 | 12 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $108.45 | $150.00 | $61.50 – $145.50 | 11 |
| Palb2 gene full gene seq CPT 81307 | $353.43 | $630.00 | $135.30 – $611.10 | 11 |
| Parathormone (pth) intact CPT 83970 | $77.62 | $124.00 | $2.87 – $57.49 | 12 |
| Parathyroid planar imaging CPT 78070 | $724.68 | $1,080.00 | $80.37 – $1,047.60 | 12 |
| Partial removal finger bone CPT 26236 | not published | not published | $87.85 – $87.85 | 1 |
| Pdgfra gene CPT 81314 | $117.81 | $210.00 | $65.90 – $434.94 | 12 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,314.69 | $4,068.00 | $35.60 – $3,945.96 | 12 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,928.91 | $3,390.00 | $35.60 – $3,288.30 | 12 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,543.13 | $2,712.00 | $21.27 – $2,630.64 | 12 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,470.72 | $3,555.00 | $71.43 – $3,448.35 | 12 |
| Pelvic MRI (with contrast) CPT 72196 | $2,059.28 | $2,963.00 | $71.43 – $2,874.11 | 12 |
| Pelvic MRI (without contrast) CPT 72195 | $1,647.15 | $2,370.00 | $48.34 – $2,298.90 | 12 |
| Pelvic Ultrasound (complete) CPT 76856 | $826.60 | $1,053.00 | $21.27 – $1,021.41 | 12 |
| Pelvic Ultrasound (limited) CPT 76857 | $655.48 | $835.00 | $21.27 – $809.95 | 12 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $336.53 | $513.00 | $21.27 – $497.61 | 12 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $402.78 | $614.00 | $21.27 – $595.58 | 12 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $13,295.73 | $21,904.00 | $2,002.85 – $4,738.45 | 11 |
| Penile vascular study CPT 93980 | $472.68 | $780.00 | $21.27 – $756.60 | 12 |
| Penile vascular study CPT 93981 | $288.46 | $476.00 | $21.27 – $461.72 | 12 |
| Pericardiocentesis wwo imaging CPT 33016 | $920.00 | $1,893.00 | $310.69 – $1,836.21 | 12 |
| Peritoneogram rs&i CPT 74190 | $409.34 | $624.00 | $56.97 – $605.28 | 12 |
| Perit-vens shunt pat tst CPT 78291 | $556.93 | $830.00 | $80.37 – $805.10 | 12 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $105.67 – $105.67 | 1 |
| Pertussis ag if CPT 87265 | $10.60 | $19.00 | $2.40 – $18.43 | 12 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $82,420.89 | $135,784.00 | $128.33 – $303.61 | 11 |
| Ph body fluid CPT 83986 | $33.80 | $54.00 | $0.72 – $10.67 | 12 |
| Phencyclidine (pcp) CPT 83992 | $50.71 | $81.00 | $2.46 – $5.82 | 11 |
| Phenobarbital therapeutic drug level CPT 80184 | $28.80 | $46.00 | $3.06 – $13.86 | 12 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $0.66 | $2.50 | $0.86 – $2.42 | 12 |
| Phenytoin total therapeutic drug level CPT 80185 | $5.63 | $9.00 | $2.65 – $19.44 | 12 |
| Phlebotomy therapeutic CPT 99195 | $157.14 | $244.00 | $25.78 – $236.68 | 12 |
| Phosphorus CPT 84100 | $29.42 | $47.00 | $0.95 – $15.52 | 12 |
| Phosphorus 24 hour urine CPT 84105 | $15.02 | $24.00 | $1.16 – $8.73 | 12 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $356.24 | $486.00 | $199.26 – $471.42 | 12 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $218.43 | $298.00 | $122.18 – $289.06 | 11 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $288.07 | $393.00 | $161.13 – $381.21 | 11 |
| Physical Therapy Re-Evaluation CPT 97164 | $218.43 | $298.00 | $122.18 – $289.06 | 12 |
| Pik3ca gene trgt seq alys CPT 81309 | $86.96 | $155.00 | $54.97 – $362.77 | 12 |
| Pin caspar distraction 12mm HCPCS C1821 | $21,271.71 | $35,044.00 | $2,002.85 – $4,738.45 | 11 |
| Pin finger fracture each CPT 26756 | not published | not published | $120.40 – $120.40 | 1 |
| Pinworm exam CPT 87172 | $11.16 | $20.00 | $0.85 – $19.40 | 12 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $0.24 | $0.92 | $0.38 – $0.89 | 11 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $509.99 | $977.00 | $356.28 – $947.69 | 12 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $303.80 | $582.00 | $238.62 – $564.54 | 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.