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 |
|---|---|---|---|---|
| Flt3 gene CPT 81245 | $82.47 | $147.00 | $33.10 – $218.46 | 12 |
| Flt3 gene analysis CPT 81246 | $39.83 | $71.00 | $16.60 – $109.56 | 12 |
| Fluidotherapy charges pt CPT 97022 | $52.06 | $72.00 | $18.38 – $69.84 | 12 |
| Fluid pressure muscle 20950 CPT 20950 | $470.93 | $969.00 | $140.72 – $939.93 | 11 |
| Fluorescent antibody titer dna CPT 86256 | $501.32 | $787.00 | $2.05 – $17.14 | 12 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $303.73 | $463.00 | $93.85 – $449.11 | 12 |
| Fluoroguide needle placement CPT 77002 | $581.87 | $887.00 | $109.74 – $860.39 | 12 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $556.29 | $848.00 | $46.13 – $822.56 | 12 |
| Fna bx w/ct gdn 1st les CPT 10009 | $911.93 | $1,747.00 | $140.72 – $1,694.59 | 12 |
| Fna bx w/ct gdn ea addl CPT 10010 | $866.52 | $1,660.00 | $423.87 – $1,610.20 | 12 |
| Folic acid CPT 82746 | $11.89 | $19.00 | $2.94 – $21.57 | 12 |
| Foot X-ray CPT 73630 | $343.09 | $523.00 | $39.96 – $507.31 | 12 |
| Foot X-ray (2 views, both feet) CPT 73620 | $148.91 | $227.00 | $28.55 – $220.19 | 12 |
| Forearm X-ray (both sides) CPT 73090 | $155.47 | $237.00 | $34.29 – $229.89 | 12 |
| Fracture assessment via dxa CPT 77086 | $173.18 | $264.00 | $17.61 – $256.08 | 12 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $46.03 | $93.00 | $14.22 – $128.58 | 12 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $46.03 | $93.00 | $16.86 – $110.60 | 12 |
| Fructosamine glycated protein CPT 82985 | $16.90 | $27.00 | $2.46 – $22.13 | 12 |
| Ftl cgen abnor four anal CPT 81511 | $246.84 | $440.00 | $30.70 – $449.41 | 12 |
| Fusion of finger joint CPT 26860 | not published | not published | $87.85 – $87.85 | 1 |
| Gabapentin non-blood CPT 80355 | $3.76 | $6.00 | $2.46 – $5.82 | 11 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $77.00 | $123.00 | $4.21 – $119.31 | 12 |
| Galactose transferase test CPT 82776 | $11.89 | $19.00 | $2.35 – $18.43 | 12 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $748.17 | $1,115.00 | $80.37 – $1,081.55 | 12 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,966.03 | $2,930.00 | $107.65 – $2,842.10 | 12 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $153.58 – $153.58 | 1 |
| Gammaglobulin iga CPT 82784 | $10.02 | $16.00 | $1.86 – $10.03 | 12 |
| Gammaglobulin ige CPT 82785 | $5.01 | $8.00 | $3.28 – $24.09 | 12 |
| Gamma glutamyltransferase CPT 82977 | $13.77 | $22.00 | $1.44 – $11.64 | 12 |
| Gardner vag dna quant CPT 87512 | $83.70 | $150.00 | $8.35 – $145.50 | 12 |
| Gastroesophageal reflux study CPT 78262 | $890.42 | $1,327.00 | $80.37 – $1,287.19 | 12 |
| Generator barostim neo2 2014 HCPCS C1767 | $66,468.93 | $109,504.00 | $11,672.70 – $27,615.90 | 11 |
| Generator emblem MRI sicd subq HCPCS C1722 | $61,070.50 | $87,604.00 | $17,958.00 – $42,486.00 | 11 |
| Genetic tstg severe inh cond CPT 81443 | $1,325.64 | $2,363.00 | $489.71 – $2,292.11 | 11 |
| Gentamicin peak therapeutic drug level CPT 80170 | $31.30 | $50.00 | $3.28 – $31.04 | 12 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | $194.12 – $194.12 | 1 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $5.63 | $9.00 | $1.96 – $12.94 | 12 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $32.55 | $52.00 | $3.42 – $50.44 | 12 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $437.58 | $780.00 | $20.45 – $756.60 | 12 |
| Ghs antibodies (torch) igm CPT 86694 | $10.19 | $16.00 | $2.88 – $17.18 | 12 |
| Ghs bladder cath - complex-foley CPT 51703 | $178.52 | $342.00 | $31.29 – $331.74 | 12 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $212.18 | $383.00 | $104.55 – $247.35 | 12 |
| Ghs chemo IV push, ea addtl CPT 96411 | $144.72 | $286.00 | $14.23 – $277.42 | 12 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $155.12 | $278.00 | $7.02 – $269.66 | 12 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $8.28 | $13.00 | $3.04 – $22.31 | 12 |
| Ghs fat & muscle CPT 89160 | $72.66 | $105.00 | $0.97 – $101.85 | 12 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $95.83 – $95.83 | 1 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $12.74 | $20.00 | $1.40 – $19.40 | 12 |
| Ghs fish cytogen CPT 88271 | $206.90 | $222.00 | $4.28 – $27.72 | 12 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $27.96 | $30.00 | $10.24 – $52.27 | 12 |
| Ghs flow volume loop CPT 94375 | $178.98 | $329.00 | $58.81 – $319.13 | 12 |
| Ghs hcv amplificaiton CPT 87521 | $35.15 | $63.00 | $7.02 – $61.11 | 12 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $126.76 | $199.00 | $3.10 – $193.03 | 12 |
| Ghs histoplasma antigen CPT 87385 | $56.36 | $101.00 | $2.65 – $97.97 | 12 |
| Ghs HIV antibody CPT 86703 | $26.75 | $42.00 | $2.74 – $40.74 | 12 |
| Ghs immun0electrophoresis CPT 86320 | $5.73 | $9.00 | $3.69 – $39.48 | 12 |
| Ghs inhibitor screen CPT 85335 | $104.30 | $175.00 | $2.57 – $94.09 | 12 |
| Ghs insertion of needle - bone CPT 36680 | $222.59 | $458.00 | $79.81 – $444.26 | 12 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | not published | not published | $139.44 – $139.44 | 1 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $154.80 – $154.80 | 1 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $484.80 – $484.80 | 1 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $165.25 – $165.25 | 1 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $171.39 – $171.39 | 1 |
| Ghs mbp CPT 83873 | $7.51 | $12.00 | $3.44 – $25.23 | 12 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $218.04 | $345.00 | $114.89 – $334.65 | 12 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $213.84 | $386.00 | $129.23 – $374.42 | 12 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $195.56 | $353.00 | $104.96 – $342.41 | 12 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $110.60 | $175.00 | $16.65 – $169.75 | 12 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $159.55 | $288.00 | $79.51 – $279.36 | 12 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $165.86 – $165.86 | 1 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,656.35 | $2,373.00 | $47.56 – $139.44 | 12 |
| Ghs nerve blk intercostal, single level CPT 64420 | $613.54 | $879.00 | $98.29 – $265.78 | 12 |
| Ghs nerve block axillary nerve CPT 64417 | $231.02 | $417.00 | $107.50 – $269.66 | 12 |
| Ghs nerve block brachial plexus CPT 64415 | $598.19 | $857.00 | $119.18 – $282.27 | 12 |
| Ghs nerve block interscaline CPT 64510 | $2,009.54 | $2,879.00 | $100.12 – $332.71 | 12 |
| Ghs nerve block sciatic nerve CPT 64445 | $802.00 | $1,149.00 | $101.27 – $239.59 | 12 |
| Ghs nerve block suprascapular CPT 64418 | $217.17 | $392.00 | $100.12 – $253.17 | 12 |
| Ghs ng placement w fluoro guidance CPT 43752 | $184.79 | $354.00 | $79.81 – $343.38 | 12 |
| Ghs ot dds rom CPT 95851 | $73.02 | $101.00 | $32.55 – $97.97 | 12 |
| Ghs ot group caregiver training CPT 97552 | $62.18 | $86.00 | $35.26 – $83.42 | 11 |
| Ghs pacing - transcutaneous CPT 92953 | $604.10 | $1,243.00 | $33.66 – $1,205.71 | 12 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $885.06 | $1,268.00 | $113.98 – $269.66 | 12 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $849.47 | $1,217.00 | $98.40 – $232.80 | 12 |
| Ghs phenylketonurid CPT 84030 | $10.02 | $16.00 | $1.10 – $15.52 | 12 |
| Ghs picc line insert < 5 CPT 36568 | $1,122.82 | $2,151.00 | $113.03 – $2,086.47 | 12 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $6.26 | $10.00 | $1.93 – $14.17 | 12 |
| Ghs protoporphyrins fract CPT 84202 | $38.19 | $61.00 | $2.87 – $59.17 | 12 |
| Ghs quinidine CPT 80194 | $6.26 | $10.00 | $2.92 – $21.42 | 12 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $13.38 | $21.00 | $3.18 – $20.37 | 12 |
| Ghs reticulocyte count CPT 85044 | $7.75 | $13.00 | $0.86 – $12.61 | 12 |
| Ghs sedimentation rate CPT 85651 | $7.75 | $13.00 | $0.85 – $12.61 | 12 |
| Ghs sensitivity (per antimicro) CPT 87184 | $35.15 | $63.00 | $1.50 – $61.11 | 12 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $282.58 – $282.58 | 1 |
| Ghs urine, porphyrins quant CPT 84120 | $7.51 | $12.00 | $2.94 – $21.58 | 12 |
| Giardia lamblia antibody CPT 86674 | $10.83 | $17.00 | $2.94 – $21.58 | 12 |
| Gi inhouse confirmation CPT 87045 | $7.25 | $13.00 | $1.89 – $12.95 | 12 |
| Glucagon plasma - sendout CPT 82943 | $10.64 | $17.00 | $2.86 – $20.95 | 12 |
| Glucose 1 hr post dose CPT 82950 | $9.39 | $15.00 | $0.95 – $14.55 | 12 |
| Glucose body fluid CPT 82945 | $50.71 | $81.00 | $0.79 – $5.43 | 12 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $24.41 | $39.00 | $2.57 – $37.83 | 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.