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 |
|---|---|---|---|---|
| Tacrolimus therapeutic drug level CPT 80197 | $8.76 | $14.00 | $2.75 – $20.15 | 12 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $223.04 | $340.00 | $17.61 – $329.80 | 12 |
| Tap block bilat cont infusion 64489 CPT 64489 | $198.33 | $358.00 | $146.78 – $347.26 | 11 |
| Tap block uni by cont infusion 64487 CPT 64487 | $162.88 | $294.00 | $120.54 – $285.18 | 11 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,315.55 | $2,345.00 | $151.91 – $2,274.65 | 11 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,823.25 | $3,250.00 | $583.92 – $3,853.87 | 12 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $28.03 | $44.00 | $18.04 – $115.14 | 12 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $19.11 | $30.00 | $12.30 – $71.59 | 12 |
| Tc-99m labeled rbc HCPCS A9560 | $479.54 | $688.00 | $85.47 – $667.36 | 12 |
| Tc-99m maa HCPCS A9540 | $204.92 | $294.00 | $49.50 – $285.18 | 12 |
| Tc-99m mebrofenin HCPCS A9537 | $533.20 | $765.00 | $74.84 – $742.05 | 12 |
| Tc-99m medronate HCPCS A9503 | $246.95 | $354.30 | $31.14 – $343.67 | 12 |
| Tc-99m mertiatide HCPCS A9562 | $307.38 | $441.00 | $180.81 – $506.52 | 12 |
| Tc-99m pentetate dtpa HCPCS A9539 | $240.46 | $345.00 | $21.45 – $334.65 | 12 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $85.73 | $123.00 | $50.43 – $119.31 | 11 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $193.70 | $277.90 | $113.94 – $269.56 | 12 |
| Tc-99m sulfur colloid HCPCS A9541 | $204.92 | $294.00 | $70.22 – $285.18 | 12 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,672.45 | $2,399.50 | $983.79 – $2,327.51 | 11 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $89.82 | $141.00 | $7.38 – $68.90 | 12 |
| T cells absolute cd 4 count CPT 86361 | $38.86 | $61.00 | $5.36 – $59.17 | 12 |
| T cells total count CPT 86359 | $72.62 | $114.00 | $6.15 – $55.32 | 12 |
| Team conf without pat by hc pro CPT 99368 | $110.62 | $153.00 | $51.88 – $148.41 | 12 |
| Team conf without pat by phys CPT 99367 | $143.61 | $223.00 | $79.63 – $216.31 | 12 |
| Team conf w/pat by hc prof CPT 99366 | $125.08 | $173.00 | $60.57 – $167.81 | 12 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $696.00 – $696.00 | 1 |
| Test stress cardiovascular tracing only CPT 93017 | $1,295.16 | $1,720.00 | $62.28 – $1,668.40 | 12 |
| Theophylline therapeutic drug level CPT 80198 | $15.65 | $25.00 | $2.83 – $24.25 | 12 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $82.42 | $114.00 | $18.38 – $110.58 | 12 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $110.62 | $153.00 | $10.51 – $148.41 | 12 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $251.90 | $384.00 | $48.10 – $372.48 | 12 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,090.98 | $2,090.00 | $152.34 – $1,351.21 | 12 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $2,282.74 | $3,402.00 | $80.37 – $3,299.94 | 12 |
| Thrombin time CPT 85670 | $23.84 | $40.00 | $1.15 – $38.80 | 12 |
| Thromboxane urine CPT 84431 | $73.87 | $118.00 | $7.02 – $114.46 | 11 |
| Thyroglobulin antibody CPT 86800 | $7.01 | $11.00 | $2.05 – $18.38 | 12 |
| Thyroid imaging CPT 78013 | $522.71 | $779.00 | $80.37 – $755.63 | 12 |
| Thyroid mets imag whole body CPT 78018 | $879.01 | $1,310.00 | $107.65 – $1,270.70 | 12 |
| Thyroid (TSH) Test CPT 84443 | $92.02 | $147.00 | $2.05 – $24.35 | 12 |
| Thyroid Ultrasound CPT 76536 | $826.60 | $1,053.00 | $21.27 – $1,021.41 | 12 |
| Thyroid uptake measurement CPT 78012 | $330.13 | $492.00 | $80.37 – $477.24 | 11 |
| Thyroxine binding globulin (tbg) CPT 84442 | $18.15 | $29.00 | $2.96 – $28.13 | 12 |
| Tissue culture skin/biopsy CPT 88233 | $221.82 | $238.00 | $28.15 – $230.86 | 12 |
| Tissue exam koh skin/hair/nails CPT 87220 | $92.07 | $165.00 | $0.85 – $62.08 | 12 |
| Tissue transglutaminase iga CPT 86364 | $3.82 | $6.00 | $2.31 – $19.02 | 12 |
| Tobramycin peak therapeutic drug level CPT 80200 | $10.64 | $17.00 | $3.23 – $23.64 | 12 |
| Toe X-ray (both feet) CPT 73660 | $183.02 | $279.00 | $25.72 – $270.63 | 12 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $47.91 | $58.00 | $23.78 – $78.41 | 12 |
| Tomosynthesis breast screen bilateral CPT 77063 | $41.01 | $58.00 | $23.78 – $78.41 | 12 |
| Total Hip Replacement CPT 27130 | not published | not published | $491.44 – $491.44 | 1 |
| Total hysterectomy CPT 58150 | not published | not published | $1,483.61 – $1,483.61 | 1 |
| Total Knee Replacement CPT 27447 | not published | not published | $2,457.18 – $2,457.18 | 1 |
| Total tau CPT 84394 | $251.03 | $401.00 | $164.41 – $388.97 | 11 |
| Toxoplasma antibody igg CPT 86777 | $11.47 | $18.00 | $2.88 – $21.10 | 12 |
| Toxoplasma antibody igm CPT 86778 | $8.28 | $13.00 | $2.88 – $21.12 | 12 |
| Tp53 gene full gene sequence CPT 81351 | $212.06 | $378.00 | $128.37 – $847.24 | 12 |
| Tpmt gene com vrnts CPT 81335 | $24.12 | $43.00 | $17.63 – $230.74 | 12 |
| Transferrin CPT 84466 | $24.41 | $39.00 | $2.55 – $24.25 | 12 |
| Transplant forearm tendon CPT 25310 | not published | not published | $132.07 – $132.07 | 1 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $788.14 | $1,004.00 | $21.27 – $973.88 | 12 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $663.32 | $845.00 | $21.27 – $819.65 | 12 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $655.46 – $655.46 | 1 |
| Treat knee fracture CPT 27535 | not published | not published | $979.80 – $979.80 | 1 |
| Treat lower leg joint CPT 27829 | not published | not published | $901.79 – $901.79 | 1 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | not published | not published | $217.45 – $217.45 | 1 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | not published | not published | $955.85 – $955.85 | 1 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | not published | not published | $535.23 – $535.23 | 1 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | not published | not published | $278.27 – $278.27 | 1 |
| Treatment of ankle fracture CPT 27792 | not published | not published | $625.96 – $625.96 | 1 |
| Treatment of ankle fracture CPT 27814 | not published | not published | $834.83 – $834.83 | 1 |
| Treatment of fibula fracture CPT 27784 | not published | not published | $556.54 – $556.54 | 1 |
| Treatment of miscarriage CPT 59821 | not published | not published | $640.73 – $640.73 | 1 |
| Treatment of tibia fracture CPT 27756 | not published | not published | $167.10 – $167.10 | 1 |
| Treatment of tibia fracture CPT 27759 | not published | not published | $238.34 – $238.34 | 1 |
| Treat metatarsal fracture CPT 28476 | not published | not published | $259.23 – $259.23 | 1 |
| Treat thigh fracture CPT 27235 | not published | not published | $270.29 – $270.29 | 1 |
| Treat thigh fracture CPT 27244 | not published | not published | $278.27 – $278.27 | 1 |
| Treponema pallidum antibody CPT 86780 | $33.76 | $53.00 | $2.65 – $18.81 | 12 |
| Trg gene rearrangement anal CPT 81342 | $152.59 | $272.00 | $40.30 – $263.84 | 12 |
| Trichinella antibody CPT 86784 | $12.10 | $19.00 | $2.51 – $18.43 | 12 |
| Triglycerides CPT 84478 | $33.80 | $54.00 | $1.15 – $8.28 | 12 |
| Troponin quantitative CPT 84484 | $86.39 | $138.00 | $2.49 – $133.86 | 12 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $378.41 – $378.41 | 1 |
| Ugt1a1 gene analy common variants CPT 81350 | $87.52 | $156.00 | $46.80 – $151.32 | 11 |
| Ultrasound breast complete CPT 76641 | $857.22 | $1,092.00 | $158.78 – $706.16 | 12 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $759.88 | $968.00 | $129.46 – $625.65 | 12 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $255.12 | $325.00 | $21.27 – $315.25 | 12 |
| Ultrasound elastography ea l target les CPT 76983 | $252.77 | $322.00 | $87.93 – $312.34 | 12 |
| Ultrasound elastography parenchyma CPT 76981 | $418.41 | $533.00 | $21.27 – $517.01 | 12 |
| Ultrasound encephalogram CPT 76506 | $506.33 | $645.00 | $21.27 – $625.65 | 12 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $423.90 | $540.00 | $21.27 – $523.80 | 12 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $442.74 | $564.00 | $58.63 – $138.71 | 12 |
| Ultrasound guidance for vascular access CPT 76937 | $219.02 | $279.00 | $46.45 – $270.63 | 12 |
| Ultrasound guide intraoperative CPT 76998 | $244.92 | $312.00 | $127.92 – $302.64 | 12 |
| Ultrasound hips infant dynamic CPT 76885 | $304.58 | $388.00 | $17.61 – $376.36 | 12 |
| Ultrasound joint complete left CPT 76881 | $483.56 | $616.00 | $21.27 – $597.52 | 12 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $555.00 | $707.00 | $132.68 – $685.79 | 12 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $304.58 | $388.00 | $90.95 – $376.36 | 12 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $649.98 | $828.00 | $48.34 – $803.16 | 12 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $569.12 | $725.00 | $21.27 – $703.25 | 12 |
| Ultrasound spinal canal and contents CPT 76800 | $313.22 | $399.00 | $21.27 – $387.03 | 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.