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 |
|---|---|---|---|---|
| Culture anaerobic additional method definitive id each CPT 87076 | $37.94 | $68.00 | $1.62 – $24.25 | 12 |
| Culture anaerobic except blood CPT 87075 | $16.18 | $29.00 | $1.89 – $17.46 | 12 |
| Culture bact stool aero addl path ea CPT 87046 | $16.18 | $29.00 | $1.64 – $4.31 | 12 |
| Culture body fluid CPT 87070 | $62.50 | $112.00 | $1.72 – $17.46 | 12 |
| Culture fungi definitive id mold CPT 87107 | $49.10 | $88.00 | $2.06 – $85.36 | 12 |
| Culture fungi other (except blood) CPT 87102 | $21.20 | $38.00 | $1.68 – $36.86 | 12 |
| Culture fungi skin/hair/nail CPT 87101 | $5.02 | $9.00 | $1.54 – $11.30 | 12 |
| Culture mycoplasma any source CPT 87109 | $7.25 | $13.00 | $3.08 – $22.57 | 12 |
| Culture quantitative aerobic other source CPT 87071 | $34.04 | $61.00 | $1.98 – $59.17 | 12 |
| Culture screening strep group a CPT 87081 | $32.92 | $59.00 | $1.33 – $13.58 | 12 |
| Culture typing immunologic CPT 87147 | $19.53 | $35.00 | $1.04 – $15.52 | 12 |
| Culture urine each isolate CPT 87088 | $13.95 | $25.00 | $1.62 – $24.25 | 12 |
| Cutter lead HCPCS C1773 | $2,049.00 | $4,397.00 | $464.12 – $1,098.04 | 11 |
| Cv stress test i&r only 93018 CPT 93018 | $15.78 | $31.00 | $12.71 – $31.09 | 12 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $10.02 | $16.00 | $2.86 – $21.00 | 12 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $0.08 | $0.29 | $0.12 – $8.46 | 12 |
| Cyclic citrullinated peptide antibody CPT 86200 | $6.37 | $10.00 | $2.59 – $11.71 | 12 |
| Cyclosporine 2 hour CPT 80158 | $45.07 | $72.00 | $3.61 – $26.47 | 12 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $39,882.33 | $65,704.00 | $2,002.85 – $4,738.45 | 11 |
| Cystatin c CPT 82610 | $8.14 | $13.00 | $3.70 – $24.42 | 12 |
| Cystic fibrosis cftr CPT 81223 | $1,207.83 | $2,153.00 | $99.80 – $2,088.41 | 12 |
| Cystine urine quantitative CPT 82131 | $40.06 | $64.00 | $4.60 – $39.77 | 12 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $272.24 | $415.00 | $54.71 – $402.55 | 12 |
| Cytogenetics 25-99 CPT 88274 | $18.64 | $20.00 | $8.20 – $55.94 | 12 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $3.82 | $6.00 | $2.46 – $20.43 | 12 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $3.18 | $5.00 | $2.05 – $23.69 | 12 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $27.96 | $30.00 | $10.69 – $100.52 | 12 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $20.50 | $22.00 | $7.85 – $42.60 | 12 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $27.96 | $30.00 | $10.69 – $85.77 | 12 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $449.43 – $449.43 | 1 |
| Dch validity tests CPT 81002 | $21.79 | $37.00 | $0.70 – $35.89 | 12 |
| Deamidated gliadin antibody iga CPT 86258 | $37.58 | $59.00 | $1.64 – $19.02 | 12 |
| Debridement (>20 cm) charge pt CPT 97598 | $43.28 | $62.00 | $25.42 – $88.23 | 12 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $171.39 – $171.39 | 1 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $23.96 – $23.96 | 1 |
| Decalcification CPT 88311 | $3.80 | $9.00 | $3.69 – $13.04 | 12 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $354.58 | $508.00 | $55.29 – $492.76 | 12 |
| Delivery of placenta 59414 CPT 59414 | $2,192.20 | $1,940.00 | $146.70 – $1,881.80 | 12 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $110.10 | $227.00 | $26.68 – $220.19 | 12 |
| Desoxycorticosterone CPT 82633 | $9.39 | $15.00 | $6.15 – $45.44 | 12 |
| Device sut capio slim opn HCPCS C2631 | $7,029.06 | $11,580.00 | $992.61 – $2,348.37 | 11 |
| Device tiss remov myosure reach HCPCS C1782 | $6,475.07 | $13,895.00 | $1,102.90 – $2,609.30 | 11 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $271.58 | $414.00 | $17.61 – $401.58 | 12 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $4.38 | $7.00 | $2.87 – $32.37 | 12 |
| Diabetes (HbA1c) Test CPT 83036 | $18.78 | $30.00 | $1.64 – $14.09 | 12 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $386.40 – $386.40 | 1 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $388.22 | $470.00 | $192.70 – $455.90 | 12 |
| Diagnostic Mammogram (one breast) CPT 77065 | $256.89 | $311.00 | $127.51 – $301.67 | 12 |
| Diffusing capacity CPT 94729 | $330.75 | $608.00 | $79.53 – $589.76 | 12 |
| Digoxin total therapeutic drug level CPT 80162 | $25.04 | $40.00 | $2.66 – $38.80 | 12 |
| Dilator fascial 10fx20cm HCPCS C2627 | $1,005.16 | $2,157.00 | $102.91 – $243.47 | 11 |
| Disability dlco CPT 94727 | $272.00 | $500.00 | $31.29 – $485.00 | 12 |
| Disaccharidases CPT 82657 | $195.31 | $312.00 | $4.43 – $60.14 | 12 |
| #d/lmeth-l-methamphetamine CPT 80374 | $10.64 | $17.00 | $6.97 – $16.49 | 11 |
| Dna antibody native/double stranded CPT 86225 | $3.18 | $5.00 | $2.05 – $20.15 | 12 |
| Dna trichomonas CPT 87660 | $72.54 | $130.00 | $4.01 – $126.10 | 12 |
| Doppler echo complete CPT 93320 | $395.30 | $670.00 | $15.58 – $126.34 | 12 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $402.99 | $665.00 | $31.29 – $429.71 | 12 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $244.22 | $403.00 | $25.78 – $307.49 | 12 |
| Dornhoffer fixed part w/window HCPCS L8614 | $132,935.43 | $219,004.00 | $39,509.24 – $93,473.08 | 11 |
| Dpyd gene common variants CPT 81232 | $154.28 | $275.00 | $34.96 – $266.75 | 12 |
| Drainage of kidney lesion CPT 50390 | $1,440.20 | $2,759.00 | $116.72 – $1,783.83 | 12 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $222.98 – $222.98 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $422.63 – $422.63 | 1 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $5,623.85 | $9,265.00 | $348.50 – $824.50 | 11 |
| Drug assay caffeine CPT 80155 | $17.53 | $28.00 | $7.71 – $27.16 | 12 |
| Drug assay posaconazole CPT 80187 | $42.57 | $68.00 | $5.42 – $65.96 | 12 |
| Drug assay vedolizumab CPT 80280 | $167.14 | $267.00 | $7.71 – $258.99 | 12 |
| Drug assay voriconazole CPT 80285 | $47.58 | $76.00 | $5.42 – $73.72 | 12 |
| Drug asy hydroxychloroquine CPT 80220 | $150.87 | $241.00 | $3.73 – $233.77 | 12 |
| Drug of abuse screen urine CPT 80305 | $23.79 | $38.00 | $2.52 – $36.86 | 12 |
| Drug screening tapentadol CPT 80372 | $3.76 | $6.00 | $2.46 – $5.82 | 11 |
| Drug test prsmv instrmnt CPT 80306 | $32.55 | $52.00 | $3.43 – $50.44 | 12 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $191.56 | $306.00 | $12.30 – $71.78 | 12 |
| Drvvt confirm - quest CPT 85597 | $71.52 | $120.00 | $3.60 – $116.40 | 12 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $472.68 | $780.00 | $21.27 – $756.60 | 12 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $765.38 | $1,263.00 | $48.34 – $1,225.11 | 12 |
| Dxa bone density axl vrt fx CPT 77085 | $503.81 | $768.00 | $21.27 – $744.96 | 12 |
| Ecg external < 48 hours recording CPT 93225 | $347.04 | $480.00 | $25.78 – $465.60 | 12 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $550.93 | $762.00 | $11.88 – $739.14 | 12 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,141.65 | $1,935.00 | $61.91 – $395.60 | 12 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $388.22 | $658.00 | $21.73 – $123.83 | 12 |
| Echocardiography doppler color flow mapping CPT 93325 | $311.52 | $528.00 | $2.87 – $128.50 | 12 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $198.83 | $337.00 | $6.56 – $64.25 | 12 |
| Echo guide for amniocentesis CPT 76946 | $522.81 | $666.00 | $47.27 – $646.02 | 12 |
| Echo stress CPT 93350 | $739.27 | $1,253.00 | $59.86 – $158.60 | 12 |
| Echo transthoracic CPT 93304 | $626.58 | $1,062.00 | $109.66 – $1,030.14 | 12 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $627.76 | $1,064.00 | $38.13 – $247.66 | 12 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $455.09 | $786.00 | $62.28 – $762.42 | 12 |
| Eeg recording awake and asleep CPT 95819 | $542.52 | $937.00 | $62.28 – $908.89 | 12 |
| E equine encephalitis igg CPT 86652 | $8.92 | $14.00 | $2.64 – $19.34 | 12 |
| Egd dilate stricture CPT 43245 | not published | not published | $399.30 – $399.30 | 1 |
| Egd remove foreign body CPT 43247 | not published | not published | $84.17 – $84.17 | 1 |
| Egfr gene com variants CPT 81235 | $126.79 | $226.00 | $64.92 – $297.00 | 12 |
| EKG (Tracing Only) CPT 93005 | $290.85 | $488.00 | $11.88 – $473.36 | 12 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $149.57 | $228.00 | $34.29 – $221.16 | 12 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $186.30 | $284.00 | $42.87 – $275.48 | 12 |
| Electrd sq emblem s-icd HCPCS C1896 | $7,029.06 | $11,580.00 | $2,849.50 – $6,741.50 | 11 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $83.14 | $115.00 | $14.29 – $111.55 | 12 |
| Electrical stimulation/unattended 97014 CPT 97014 | $67.24 | $93.00 | $18.38 – $90.21 | 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.