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 |
|---|---|---|---|---|
| Placement of seton CPT 46020 | not published | not published | $317.59 – $317.59 | 1 |
| Platelet automated CPT 85049 | $8.34 | $14.00 | $0.90 – $7.76 | 12 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $361.84 | $731.00 | $97.42 – $824.22 | 12 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $389.56 | $787.00 | $135.13 – $1,030.69 | 12 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $49.45 | $79.00 | $5.21 – $76.63 | 12 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $2,966.22 | $5,123.00 | $159.08 – $590.24 | 12 |
| Potassium 24 hour urine CPT 84133 | $34.43 | $55.00 | $0.95 – $17.46 | 12 |
| Potassium serum/plasma/whole blood CPT 84132 | $24.41 | $39.00 | $0.95 – $8.73 | 12 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $431.23 – $431.23 | 1 |
| Prealbumin CPT 84134 | $5.63 | $9.00 | $2.92 – $20.58 | 12 |
| Pr ecg 12 lead report only CPT 93010 | $9.16 | $18.00 | $7.38 – $20.30 | 12 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $28.00 | $55.00 | $22.55 – $53.35 | 12 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.50 | $1.90 | $0.78 – $1.84 | 11 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $399.30 – $399.30 | 1 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $961.62 | $1,225.00 | $21.27 – $1,188.25 | 12 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $806.98 | $1,028.00 | $21.27 – $997.16 | 12 |
| Pregnancy Ultrasound (limited) CPT 76815 | $578.55 | $737.00 | $21.27 – $714.89 | 12 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $103.19 | $162.00 | $27.47 – $157.14 | 12 |
| Pretreat rbc absorption reference CPT 86978 | $144.60 | $227.00 | $11.88 – $220.19 | 12 |
| Pretreat rbc density gradient separation reference CPT 86972 | $280.26 | $405.00 | $27.47 – $392.85 | 12 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $69.20 | $100.00 | $11.88 – $97.00 | 12 |
| Pretreat rbc w enzyme reference CPT 86971 | $110.72 | $160.00 | $28.51 – $155.20 | 12 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $341.25 – $341.25 | 1 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | not published | not published | $321.98 – $321.98 | 1 |
| Pr incision & drainage abscess simple/single CPT 10060 | not published | not published | $70.03 – $70.03 | 1 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $225.09 – $225.09 | 1 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $309.68 | $490.00 | $76.97 – $475.30 | 12 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $737.15 – $737.15 | 1 |
| Procalcitonin CPT 84145 | $56.97 | $91.00 | $5.44 – $88.27 | 12 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $59.58 – $59.58 | 1 |
| Progesterone CPT 84144 | $8.76 | $14.00 | $4.17 – $30.20 | 12 |
| Prolactin CPT 84146 | $16.28 | $26.00 | $3.88 – $28.23 | 12 |
| _propoxygc/msur CPT 80367 | $3.76 | $6.00 | $2.46 – $5.82 | 11 |
| Prostate biopsy, any mthd HCPCS G0416 | $192.85 | $457.00 | $71.94 – $564.79 | 12 |
| Protein c activity CPT 85303 | $5.36 | $9.00 | $2.77 – $20.30 | 12 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $35.68 | $57.00 | $2.15 – $15.76 | 12 |
| Protein s total CPT 85305 | $4.77 | $8.00 | $2.32 – $17.03 | 12 |
| Protein total 24 hour urine CPT 84156 | $5.63 | $9.00 | $0.73 – $5.38 | 12 |
| Protein total body fluid CPT 84157 | $35.06 | $56.00 | $0.80 – $4.93 | 12 |
| Protein total serum plasma whole blood CPT 84155 | $35.06 | $56.00 | $0.73 – $4.88 | 12 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $34.57 | $58.00 | $0.79 – $56.26 | 12 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $684.32 – $684.32 | 1 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $139.44 – $139.44 | 1 |
| Pr removal intrauterine device CPT 58301 | $270.22 | $556.00 | $60.84 – $539.32 | 12 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | not published | not published | $467.73 – $467.73 | 1 |
| PSA (Prostate) Test CPT 84153 | $35.06 | $56.00 | $3.68 – $26.98 | 12 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $50.61 | $70.00 | $16.24 – $67.90 | 12 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $72.30 | $100.00 | $15.15 – $97.00 | 12 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $80.98 | $112.00 | $12.26 – $108.64 | 12 |
| Pt application of modality traction mechanical CPT 97012 | $88.93 | $123.00 | $18.38 – $119.31 | 12 |
| Pten gene dup/delet variant CPT 81323 | $224.40 | $400.00 | $60.00 – $388.00 | 12 |
| Pten gene full sequence CPT 81321 | $313.04 | $558.00 | $120.00 – $790.94 | 12 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $53.50 | $74.00 | $16.98 – $71.78 | 12 |
| Pt wheelchair management each 15 minutes CPT 97542 | $60.01 | $83.00 | $34.03 – $80.51 | 11 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $48.44 | $72.00 | $20.89 – $67.90 | 12 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $170.17 | $326.00 | $77.40 – $316.22 | 12 |
| Puncture spinal lumbar diagnostic CPT 62270 | $393.59 | $754.00 | $116.85 – $276.45 | 12 |
| Pyruvate CPT 84210 | $13.15 | $21.00 | $2.90 – $20.37 | 12 |
| Pyruvate kinase CPT 84220 | $85.76 | $137.00 | $1.89 – $132.89 | 12 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $829.36 | $1,236.00 | $107.65 – $1,198.92 | 12 |
| Quest t3 uptake CPT 84479 | $3.76 | $6.00 | $1.29 – $9.37 | 12 |
| Radical resection of elbow CPT 24149 | not published | not published | $268.45 – $268.45 | 1 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,683.54 | $2,509.00 | $261.10 – $2,433.73 | 12 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,158.82 | $1,727.00 | $261.10 – $1,675.19 | 12 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $803.86 | $1,198.00 | $261.10 – $1,162.06 | 11 |
| Radphm lcl tumor plr sgl day CPT 78800 | $550.89 | $821.00 | $80.37 – $796.37 | 12 |
| Rbc count only automated CPT 85041 | $13.11 | $22.00 | $0.60 – $8.73 | 12 |
| Rbc serum pretx incubj drugs CPT 86975 | $108.93 | $171.00 | $27.47 – $165.87 | 12 |
| Reconstruction knee CPT 27428 | not published | not published | $1,404.28 – $1,404.28 | 1 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $353.43 | $714.00 | $36.40 – $305.50 | 12 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $173.25 | $350.00 | $51.16 – $396.45 | 12 |
| Removal cerclage w/anes CPT 59871 | not published | not published | $222.39 – $222.39 | 1 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $168.92 | $242.00 | $39.74 – $234.74 | 11 |
| Removal of bone for graft CPT 20902 | not published | not published | $450.90 – $450.90 | 1 |
| Removal of implant deep CPT 20680 | not published | not published | $250.63 – $250.63 | 1 |
| Removal sutr and stapl no anes CPT 15854 | $90.04 | $129.00 | $52.89 – $125.13 | 11 |
| Removal sutr or stapl no anes CPT 15853 | $90.04 | $129.00 | $52.89 – $125.13 | 11 |
| Removal sutr/staple req anes CPT 15851 | not published | not published | $83.16 – $83.16 | 1 |
| Remove anal fist subq CPT 46270 | not published | not published | $248.18 – $248.18 | 1 |
| Remove esophagus obstruction CPT 74235 | $228.94 | $349.00 | $143.09 – $338.53 | 12 |
| Remove eyelid lesion CPT 67840 | not published | not published | $240.19 – $240.19 | 1 |
| Remove pilonidal cyst exten CPT 11771 | not published | not published | $97.68 – $97.68 | 1 |
| Remove vaginal foreign body 57415 CPT 57415 | not published | not published | $155.51 – $155.51 | 1 |
| Remove wrist tendon lesion CPT 25111 | not published | not published | $69.42 – $69.42 | 1 |
| Renal function panel CPT 80069 | $97.66 | $156.00 | $1.74 – $151.32 | 12 |
| Repair elbow deb/attch open CPT 24359 | not published | not published | $780.15 – $780.15 | 1 |
| Repair extns tendon finger without grft ea CPT 26418 | not published | not published | $96.44 – $96.44 | 1 |
| Repair hand joint CPT 26540 | not published | not published | $696.00 – $696.00 | 1 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $208.25 – $208.25 | 1 |
| Repair of thigh muscle CPT 27385 | not published | not published | $848.96 – $848.96 | 1 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | not published | not published | $742.07 – $742.07 | 1 |
| Reptilase test CPT 85635 | $23.84 | $40.00 | $1.97 – $38.80 | 12 |
| Resp virus 6-11 targets CPT 87632 | $314.15 | $563.00 | $43.61 – $546.11 | 12 |
| Reticulocyte direct measurement automated CPT 85046 | $10.13 | $17.00 | $1.11 – $16.49 | 12 |
| Revise hip joint replacement CPT 27134 | not published | not published | $528.30 – $528.30 | 1 |
| Revise/replace knee joint CPT 27487 | not published | not published | $2,357.06 – $2,357.06 | 1 |
| Revision of cervix CPT 59320 | not published | not published | $35.11 – $35.11 | 1 |
| Revision of knee joint CPT 27440 | not published | not published | $1,043.69 – $1,043.69 | 1 |
| Revision of knee joint CPT 27442 | not published | not published | $1,474.31 – $1,474.31 | 1 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $1,020.34 – $1,020.34 | 1 |
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.