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 |
|---|---|---|---|---|
| Aquaporin-4 antibody cba each CPT 86052 | $191.10 | $300.00 | $2.41 – $169.75 | 12 |
| Aquaporin-4 antibody elisa CPT 86051 | $138.87 | $218.00 | $2.31 – $211.46 | 12 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $928.61 | $1,632.00 | $324.67 – $1,583.04 | 12 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $742.54 | $1,305.00 | $261.64 – $1,265.85 | 12 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $563.63 | $718.00 | $21.27 – $696.46 | 12 |
| Arterial blood draw/perc 36620 CPT 36620 | $250.78 | $516.00 | $69.42 – $197.88 | 12 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $302.24 | $579.00 | $82.73 – $374.42 | 12 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,340.16 | $1,920.00 | $87.24 – $1,241.60 | 12 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $290.75 | $557.00 | $79.58 – $359.87 | 12 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $170.78 – $170.78 | 1 |
| Arthrotomy glenohumeral jt CPT 23105 | not published | not published | $1,019.73 – $1,019.73 | 1 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $220.54 – $220.54 | 1 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $696.00 – $696.00 | 1 |
| Ascenda two piece catheter HCPCS C1772 | $31,108.75 | $51,250.00 | $2,503.05 – $5,921.85 | 11 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $1,638.56 | $3,139.00 | $409.70 – $3,044.83 | 12 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | not published | not published | $96.92 – $96.92 | 1 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,056.53 | $2,024.00 | $140.72 – $1,963.28 | 12 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $525.65 | $1,007.00 | $138.83 – $976.79 | 12 |
| Assay acid phosphatase CPT 84060 | $8.14 | $13.00 | $1.53 – $12.61 | 12 |
| Assay dir meas fr estradiol CPT 82681 | $8.76 | $14.00 | $5.59 – $36.88 | 12 |
| Assay free hydroxyproline CPT 83500 | $38.81 | $62.00 | $4.53 – $60.14 | 12 |
| Assay of breath ethanol CPT 82075 | $56.34 | $90.00 | $6.00 – $87.30 | 11 |
| Assay of corticosterone CPT 82528 | $20.66 | $33.00 | $4.50 – $33.03 | 12 |
| Assay of digoxin free CPT 80163 | $25.04 | $40.00 | $2.66 – $38.80 | 12 |
| Assay of interleukin-6 (il-6) CPT 83529 | $36.93 | $59.00 | $3.45 – $57.23 | 12 |
| Assay of osteocalcin CPT 83937 | $8.76 | $14.00 | $5.74 – $13.58 | 11 |
| Assay of procainamide w/metab CPT 80192 | $11.89 | $19.00 | $3.35 – $24.57 | 12 |
| Assay of prostaglandin CPT 84150 | $203.45 | $325.00 | $8.35 – $315.25 | 12 |
| Assay of somatostatin CPT 84307 | $20.03 | $32.00 | $3.66 – $31.04 | 12 |
| Assay of thiocyanate CPT 84430 | $20.66 | $33.00 | $2.33 – $32.01 | 12 |
| Assay of tyrosine CPT 84510 | $31.30 | $50.00 | $2.13 – $48.50 | 12 |
| Assay of urine sulfate CPT 84392 | $38.19 | $61.00 | $1.10 – $21.34 | 12 |
| Assay phosphohexose enzymes CPT 84087 | $53.84 | $86.00 | $2.15 – $83.42 | 12 |
| Assay toxin or antitoxin CPT 87230 | $16.18 | $29.00 | $3.95 – $28.96 | 12 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $2.77 | $4.00 | $0.85 – $6.27 | 12 |
| Ast/sgot CPT 84450 | $31.30 | $50.00 | $1.04 – $7.28 | 12 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | not published | not published | $176.70 – $176.70 | 1 |
| Bacterial meningitis antigen CPT 86403 | $19.75 | $31.00 | $0.82 – $15.23 | 12 |
| Bacterial vaginosis pcr CPT 87801 | $737.68 | $1,322.00 | $14.04 – $64.02 | 12 |
| #bac vag cand-c. albicans naa CPT 87481 | $104.35 | $187.00 | $7.02 – $181.39 | 12 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $112.79 | $156.00 | $20.16 – $151.32 | 12 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $585.15 | $892.00 | $35.60 – $865.24 | 12 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $352.93 | $538.00 | $35.60 – $521.86 | 12 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $438.86 | $669.00 | $35.60 – $648.93 | 12 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $334.42 – $334.42 | 1 |
| B cells total count CPT 86355 | $9.55 | $15.00 | $6.15 – $55.32 | 12 |
| #_benzodiazconfur CPT 80346 | $32.55 | $52.00 | $2.46 – $5.82 | 11 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $3.82 | $6.00 | $2.46 – $33.78 | 12 |
| Beta-2 microglobulin CPT 82232 | $5.63 | $9.00 | $3.24 – $23.73 | 12 |
| Beta-amyloid 1-40 CPT 82233 | $156.50 | $250.00 | $102.50 – $242.50 | 11 |
| Beta-amyloid 1-42 CPT 82234 | $251.03 | $401.00 | $164.41 – $388.97 | 11 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $509.81 | $1,049.00 | $59.04 – $678.03 | 12 |
| Bilicheck CPT 88720 | $10.02 | $16.00 | $1.00 – $15.52 | 12 |
| Bilirubin direct CPT 82248 | $25.67 | $41.00 | $1.00 – $39.77 | 12 |
| Bilirubin total CPT 82247 | $53.84 | $86.00 | $1.00 – $7.76 | 12 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,014.25 | $1,943.00 | $108.73 – $1,884.71 | 12 |
| Biopsy needle liver percutaneous CPT 47000 | $720.36 | $1,380.00 | $277.66 – $1,338.60 | 12 |
| Biopsy needle lymph node superficial CPT 38505 | $2,464.88 | $4,722.00 | $116.72 – $3,053.56 | 12 |
| Biopsy of salivary gland 42400 CPT 42400 | $854.51 | $1,637.00 | $82.93 – $1,587.89 | 12 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,040.87 | $1,994.00 | $116.72 – $1,289.13 | 12 |
| Biotinidase - quest CPT 82261 | $11.27 | $18.00 | $3.37 – $22.87 | 12 |
| Bladder Catheter Insertion (simple) CPT 51702 | $223.36 | $320.00 | $25.78 – $310.40 | 12 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $263.09 | $504.00 | $48.64 – $488.88 | 12 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $6,043.55 | $12,969.00 | $348.50 – $824.50 | 11 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $4,317.49 | $9,265.00 | $579.33 – $1,370.61 | 11 |
| Bln dil 900ml preperitnl HCPCS C1727 | $2,844.93 | $6,105.00 | $68.06 – $161.02 | 11 |
| Bln press regulation 71-80cm HCPCS C1815 | $15,422.66 | $25,408.00 | $4,747.80 – $11,232.60 | 11 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $21,271.71 | $35,044.00 | $183.27 – $433.59 | 11 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $244.31 | $441.00 | $120.54 – $285.18 | 12 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $234.34 | $423.00 | $115.62 – $273.54 | 12 |
| Block tap inj(s) w/wo img bi CPT 64488 | $176.17 | $318.00 | $130.38 – $308.46 | 11 |
| Block tap inj(s) w/wo img uni CPT 64486 | $142.93 | $258.00 | $105.78 – $250.26 | 11 |
| Blood Clotting (PT/INR) Test CPT 85610 | $8.94 | $15.00 | $0.86 – $12.61 | 12 |
| Blood Clotting (PTT) Test CPT 85730 | $11.32 | $19.00 | $1.20 – $8.81 | 12 |
| Blood Count (CBC) Test CPT 85025 | $38.74 | $65.00 | $1.55 – $23.28 | 12 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $11.92 | $20.00 | $1.29 – $19.40 | 12 |
| Blood Culture Test CPT 87040 | $17.30 | $31.00 | $2.06 – $30.07 | 12 |
| Blood draw capillary 36416 CPT 36416 | $23.53 | $34.00 | $13.94 – $32.98 | 11 |
| Blood Draw (Venipuncture) CPT 36415 | $23.53 | $34.00 | $1.82 – $32.98 | 11 |
| Blood gases o2 saturation direct measurement CPT 82805 | $148.36 | $237.00 | $15.75 – $229.89 | 12 |
| Blood gases ph venous CPT 82800 | $20.66 | $33.00 | $2.20 – $32.01 | 12 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $7.51 | $12.00 | $3.18 – $23.33 | 12 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $8.76 | $14.00 | $0.88 – $13.58 | 12 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $10.64 | $17.00 | $1.06 – $16.49 | 12 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $32.18 | $54.00 | $0.76 – $52.38 | 12 |
| Blood Transfusion CPT 36430 | $811.86 | $1,595.00 | $87.44 – $1,031.11 | 11 |
| Blood typing abo CPT 86900 | $190.30 | $275.00 | $0.60 – $30.07 | 12 |
| Blood typing ag donor ea ag CPT 86902 | $527.30 | $762.00 | $1.27 – $69.84 | 12 |
| Blood typing patient serum CPT 86904 | $71.28 | $103.00 | $3.27 – $99.91 | 12 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $71.28 | $103.00 | $0.77 – $69.84 | 12 |
| Blood typing rh (d) CPT 86901 | $58.13 | $84.00 | $0.60 – $20.37 | 12 |
| Blood typing rh phenotype complete reference CPT 86906 | $53.98 | $78.00 | $1.55 – $75.66 | 12 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $247.31 | $377.00 | $21.27 – $365.69 | 12 |
| Bone Density Scan (DEXA) CPT 77080 | $491.34 | $749.00 | $21.27 – $726.53 | 12 |
| Bone imaging multiple areas CPT 78305 | $1,541.96 | $2,298.00 | $80.37 – $2,229.06 | 12 |
| Bone/joint imaging ltd area CPT 78300 | $1,284.97 | $1,915.00 | $80.37 – $1,857.55 | 12 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $943.78 | $1,808.00 | $323.12 – $1,168.85 | 12 |
| Bone marrow imaging body CPT 78104 | $1,444.66 | $2,153.00 | $80.37 – $2,088.41 | 11 |
| Bone marrow imaging ltd CPT 78102 | $997.11 | $1,486.00 | $80.37 – $1,441.42 | 12 |
| Bone marrow imaging mult CPT 78103 | $1,256.78 | $1,873.00 | $80.37 – $1,816.81 | 11 |
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.