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 |
|---|---|---|---|---|
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $248.43 | $390.00 | $4.71 – $29.85 | 12 |
| Warde lipoprotein (a) CPT 83695 | $9.39 | $15.00 | $2.86 – $18.99 | 12 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $31.30 | $50.00 | $9.26 – $60.97 | 12 |
| Warde mitochondrial antibody each CPT 86381 | $16.56 | $26.00 | $5.09 – $41.99 | 12 |
| Warde neutralization rabies CPT 86382 | $49.05 | $77.00 | $3.38 – $24.80 | 12 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $11.89 | $19.00 | $2.65 – $19.44 | 12 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $31.30 | $50.00 | $4.59 – $48.50 | 12 |
| Warde protein c antigen CPT 85302 | $8.94 | $15.00 | $2.40 – $17.62 | 12 |
| Warde sex hormone binding globulin CPT 84270 | $8.76 | $14.00 | $4.35 – $30.89 | 12 |
| Warde somatomedin CPT 84305 | $8.14 | $13.00 | $4.25 – $30.34 | 12 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $8.76 | $14.00 | $1.10 – $13.58 | 12 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $5.63 | $9.00 | $3.15 – $23.12 | 12 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $29.42 | $47.00 | $10.17 – $74.58 | 12 |
| Warde topiramate therapeutic drug level CPT 80201 | $6.89 | $11.00 | $2.38 – $17.47 | 12 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $27.90 | $50.00 | $5.21 – $35.13 | 12 |
| Warde viscosity CPT 85810 | $17.88 | $30.00 | $2.33 – $29.10 | 12 |
| Warde vitamin a CPT 84590 | $7.51 | $12.00 | $2.32 – $16.85 | 12 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $6.89 | $11.00 | $4.25 – $31.14 | 12 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $7.51 | $12.00 | $4.92 – $41.20 | 12 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $5.63 | $9.00 | $1.98 – $14.50 | 12 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $11.27 | $18.00 | $7.38 – $54.75 | 12 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $7.51 | $12.00 | $2.84 – $19.80 | 12 |
| Warde zinc CPT 84630 | $7.51 | $12.00 | $2.28 – $16.70 | 12 |
| Wbc automated CPT 85048 | $4.77 | $8.00 | $0.51 – $7.76 | 12 |
| Western blot test CPT 84181 | $77.62 | $124.00 | $3.41 – $52.38 | 12 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $1,984.82 | $2,958.00 | $80.37 – $2,869.26 | 12 |
| Whole Skeleton X-ray Survey CPT 77075 | $289.30 | $441.00 | $21.27 – $427.77 | 12 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $180.08 | $258.00 | $39.74 – $250.26 | 12 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $256.86 | $368.00 | $79.91 – $356.96 | 11 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $487.20 | $698.00 | $79.91 – $677.06 | 11 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $110.98 | $159.00 | $39.74 – $154.23 | 11 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $158.45 | $227.00 | $79.91 – $220.19 | 11 |
| Wrist X-ray CPT 73110 | $357.52 | $545.00 | $41.48 – $528.65 | 12 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $148.91 | $227.00 | $28.55 – $220.19 | 12 |
| X-ray abdomen >=3 views CPT 74021 | $232.22 | $354.00 | $21.27 – $343.38 | 12 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $984.87 | $930.00 | $83.64 – $902.10 | 12 |
| X-ray bone length studies CPT 77073 | $409.34 | $624.00 | $21.27 – $605.28 | 12 |
| X-ray bone survey infant CPT 77076 | $422.46 | $644.00 | $21.27 – $624.68 | 12 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $461.82 | $704.00 | $21.27 – $682.88 | 12 |
| X-ray exam of arm infant CPT 73092 | $172.53 | $263.00 | $34.29 – $255.11 | 12 |
| X-ray exam si joints CPT 72200 | $240.10 | $366.00 | $21.27 – $355.02 | 12 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $172.53 | $263.00 | $40.72 – $255.11 | 12 |
| X-ray joint survey 1 view CPT 77077 | $238.13 | $363.00 | $21.27 – $352.11 | 12 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $164.66 | $251.00 | $34.29 – $243.47 | 12 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $407.38 | $621.00 | $21.27 – $602.37 | 12 |
| X-ray mandible ltd <4 views CPT 70100 | $154.82 | $236.00 | $17.61 – $228.92 | 12 |
| X-ray nose to rectum for foreign body child CPT 76010 | $118.74 | $181.00 | $17.61 – $175.57 | 12 |
| X-ray ribs 2 views left CPT 71100 | $342.43 | $522.00 | $44.81 – $506.34 | 12 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $287.98 | $439.00 | $68.95 – $425.83 | 12 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $429.02 | $654.00 | $21.27 – $634.38 | 12 |
| X-ray small intestine follow-through study CPT 74248 | $186.30 | $284.00 | $116.44 – $275.48 | 12 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $259.12 | $395.00 | $17.61 – $383.15 | 12 |
| X-ray surgical specimen CPT 76098 | $113.49 | $173.00 | $23.89 – $167.81 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $202.05 | $308.00 | $17.61 – $298.76 | 12 |
| Zika virus dna/rna amp probe CPT 87662 | $83.70 | $150.00 | $10.26 – $145.50 | 12 |
| Zika virus igm antibody CPT 86794 | $54.15 | $85.00 | $3.37 – $82.45 | 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.