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 |
|---|---|---|---|---|
| Bone survey-lead poisoning CPT 77074 | $266.99 | $407.00 | $21.27 – $394.79 | 12 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $9.55 | $15.00 | $3.41 – $24.98 | 12 |
| Bowel imaging CPT 78290 | $1,136.67 | $1,694.00 | $80.37 – $1,643.18 | 12 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $82.42 | $114.00 | $46.74 – $110.58 | 11 |
| Braf gene CPT 81210 | $78.54 | $140.00 | $35.08 – $135.80 | 12 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $838.35 | $3,105.00 | $71.43 – $3,011.85 | 12 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $698.76 | $2,588.00 | $71.43 – $2,510.36 | 12 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $558.90 | $2,070.00 | $48.34 – $2,007.90 | 12 |
| Brain MRI (with and without contrast) CPT 70553 | $3,376.73 | $5,832.00 | $71.43 – $5,657.04 | 12 |
| Brain MRI (with contrast) CPT 70552 | $2,813.94 | $4,860.00 | $71.43 – $4,714.20 | 12 |
| Brain MRI (without contrast) CPT 70551 | $2,251.15 | $3,888.00 | $48.34 – $3,771.36 | 12 |
| Brcassure comprehensive panel-sendout CPT 81162 | $1,435.04 | $2,558.00 | $364.98 – $2,676.48 | 12 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,264.44 | $4,338.00 | $1,012.97 – $4,207.86 | 12 |
| Breastbone (Sternum) X-ray CPT 71120 | $203.36 | $310.00 | $17.61 – $300.70 | 12 |
| Bronchial challenge CPT 94070 | $380.26 | $699.00 | $62.28 – $678.03 | 11 |
| Bundled special stain group 1 microorganisms CPT 88312 | $5.91 | $14.00 | $5.74 – $54.17 | 12 |
| Bundled special stain group 2 CPT 88313 | $5.91 | $14.00 | $5.74 – $56.53 | 12 |
| Buprenorphine and metabolite - sendout CPT 80348 | $49.45 | $79.00 | $2.46 – $5.82 | 11 |
| Bur rotalink 2.15mm HCPCS C1724 | $6,475.07 | $13,895.00 | $2,002.85 – $4,738.45 | 11 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,132.74 | $2,170.00 | $836.05 – $2,104.90 | 12 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $551.23 | $1,056.00 | $87.85 – $1,024.32 | 12 |
| C1 esterase inhibitor func - sendout CPT 86161 | $86.00 | $135.00 | $2.40 – $17.61 | 12 |
| Cable cath 22-pin diag HCPCS C1730 | $8,166.18 | $17,524.00 | $243.54 – $576.18 | 11 |
| Cad breast MRI w/r&i HCPCS C8937 | $55.60 | $80.00 | $32.80 – $77.60 | 11 |
| Calcium 24 hour urine CPT 82340 | $16.90 | $27.00 | $1.21 – $8.84 | 12 |
| Calcium ionized CPT 82330 | $3.76 | $6.00 | $2.46 – $20.06 | 12 |
| Calcium total CPT 82310 | $35.06 | $56.00 | $0.41 – $6.76 | 12 |
| Calprotectin fecal CPT 83993 | $159.00 | $254.00 | $3.93 – $246.38 | 12 |
| Campylobacter antibody CPT 86625 | $33.12 | $52.00 | $2.62 – $50.44 | 12 |
| Cannabinoid synthetic 7/more CPT 80352 | $78.25 | $125.00 | $51.25 – $121.25 | 11 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $67,798.26 | $111,694.00 | $68.06 – $161.02 | 11 |
| Cap nerve 2x15mm HCPCS C1763 | $29,247.69 | $48,184.00 | $348.50 – $824.50 | 11 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $325.58 – $325.58 | 1 |
| Cap trach decann 15mm HCPCS C1750 | $4,218.65 | $6,950.00 | $128.33 – $303.61 | 11 |
| Carbamazepine free CPT 80157 | $25.04 | $40.00 | $2.65 – $38.80 | 12 |
| Carbamazepine free -sendout CPT 80161 | $56.34 | $90.00 | $3.73 – $87.30 | 12 |
| Carbamazepine total therapeutic drug level CPT 80156 | $27.54 | $44.00 | $2.91 – $42.68 | 12 |
| Carbohydrate deficient transf - sendout CPT 82373 | $27.54 | $44.00 | $3.61 – $42.68 | 12 |
| Carbon dioxide CPT 82374 | $30.05 | $48.00 | $0.98 – $46.56 | 12 |
| Carboxyhemoglobin quantitative CPT 82375 | $23.16 | $37.00 | $2.46 – $24.25 | 12 |
| Carcinoembryonic ag (cea) CPT 82378 | $174.65 | $279.00 | $3.79 – $27.80 | 12 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $2,300.86 | $3,429.00 | $56.58 – $333.18 | 12 |
| Cardiolipin antibody iga CPT 86147 | $2.55 | $4.00 | $1.64 – $29.40 | 12 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $974.43 | $2,005.00 | $130.88 – $1,944.85 | 12 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $185.09 | $256.00 | $104.96 – $248.32 | 11 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $92.54 | $128.00 | $52.48 – $124.16 | 11 |
| Carotene CPT 82380 | $10.02 | $16.00 | $1.84 – $15.52 | 12 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,143.52 | $1,887.00 | $48.34 – $1,830.39 | 12 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $522.77 – $522.77 | 1 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $754.45 | $1,619.00 | $128.33 – $303.61 | 11 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $6,259.31 | $13,432.00 | $2,403.01 – $5,685.17 | 11 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,436.68 | $3,083.00 | $663.79 – $1,570.43 | 11 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $4,317.49 | $9,265.00 | $1,104.95 – $2,614.15 | 11 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $5,396.28 | $11,580.00 | $68.06 – $161.02 | 11 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $6,475.07 | $13,895.00 | $1,102.90 – $2,609.30 | 11 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $4,317.49 | $9,265.00 | $128.33 – $303.61 | 11 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $6,475.07 | $13,895.00 | $243.54 – $576.18 | 11 |
| Cath bi-dir df smarttouch HCPCS C1732 | $10,207.26 | $21,904.00 | $884.37 – $2,092.29 | 11 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $8,166.18 | $17,524.00 | $1,264.03 – $2,990.51 | 11 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $4,317.49 | $9,265.00 | $128.33 – $303.61 | 11 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $1,795.50 | $3,853.00 | $243.54 – $576.18 | 11 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $1,795.50 | $3,853.00 | $68.06 – $161.02 | 11 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $80.96 | $117.00 | $1.82 – $113.49 | 11 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $2,027.38 | $3,340.00 | $68.06 – $161.02 | 11 |
| Cath hawkone s directional HCPCS C1714 | $6,475.07 | $13,895.00 | $2,002.85 – $4,738.45 | 11 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $4,920.95 | $8,107.00 | $243.54 – $576.18 | 11 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $7,145.64 | $15,334.00 | $348.50 – $824.50 | 11 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $1,635.87 | $2,695.00 | $243.54 – $576.18 | 11 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $14,625.06 | $24,094.00 | $6,286.94 – $14,873.98 | 11 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $395.68 | $758.00 | $305.99 – $735.26 | 12 |
| Cath steerable flex adv 12f HCPCS C1766 | $2,276.41 | $4,885.00 | $2,002.85 – $4,738.45 | 11 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $11,966.40 | $19,714.00 | $1,102.90 – $2,609.30 | 11 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $1,317.38 | $2,827.00 | $128.33 – $303.61 | 11 |
| Cdna analysis for variants CPT 81403 | $318.09 | $567.00 | $37.04 – $549.99 | 12 |
| Cebpa gene full sequence CPT 81218 | $148.10 | $264.00 | $48.38 – $354.78 | 12 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $0.43 | $1.63 | $0.67 – $1.58 | 11 |
| #celiac hla-dq8 CPT 81383 | $20.20 | $36.00 | $14.76 – $160.07 | 12 |
| Cell count body fluid CPT 89050 | $10.38 | $15.00 | $0.94 – $14.55 | 12 |
| Cell count w differential body fluid CPT 89051 | $11.76 | $17.00 | $0.82 – $8.02 | 12 |
| Cell function assay w/stim CPT 86352 | $90.45 | $142.00 | $27.17 – $137.74 | 11 |
| Cerebrospinal fld flw imag CPT 78645 | $917.93 | $1,368.00 | $107.65 – $1,326.96 | 12 |
| #cf-97variants CPT 81220 | $31.98 | $57.00 | $23.37 – $297.00 | 12 |
| Cftr gene intron poly t CPT 81224 | $48.81 | $87.00 | $33.75 – $109.00 | 12 |
| Change cystostomy tube simple CPT 51705 | $207.76 | $398.00 | $48.64 – $386.06 | 12 |
| Chest 2 vws w oblique CPT 71048 | $418.79 | $669.00 | $21.27 – $648.93 | 12 |
| Chest apical lordotic proj CPT 71047 | $329.90 | $527.00 | $17.61 – $511.19 | 12 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,329.49 | $4,094.00 | $35.60 – $3,971.18 | 12 |
| Chest CT scan (with contrast) CPT 71260 | $1,941.43 | $3,412.00 | $35.60 – $3,309.64 | 12 |
| Chest CT scan (without contrast) CPT 71250 | $1,552.80 | $2,729.00 | $21.27 – $2,647.13 | 12 |
| Chest Physiotherapy (first session) CPT 94667 | $53.84 | $111.00 | $25.78 – $107.67 | 12 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $69.36 | $143.00 | $19.30 – $138.71 | 12 |
| Chest Ultrasound CPT 76604 | $458.44 | $584.00 | $21.27 – $566.48 | 12 |
| Chest X-ray CPT 71046 | $314.25 | $502.00 | $17.61 – $486.94 | 12 |
| Chest X-ray (single view) CPT 71045 | $286.08 | $457.00 | $17.61 – $443.29 | 12 |
| Chlamydia culture CPT 87110 | $11.72 | $21.00 | $3.92 – $28.53 | 12 |
| Chlamydia trachomatis ag if CPT 87270 | $18.41 | $33.00 | $2.40 – $32.01 | 12 |
| Chlamydia type CPT 87140 | $15.07 | $27.00 | $1.11 – $8.17 | 12 |
| Chlnggrphy intraop addl s&i CPT 74301 | $298.48 | $455.00 | $35.67 – $441.35 | 12 |
| Chloride CPT 82435 | $23.16 | $37.00 | $0.92 – $35.89 | 12 |
| Chloride 24 hour urine CPT 82436 | $4.38 | $7.00 | $1.15 – $7.24 | 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.