healthcosts.net

Banner Lassen Medical Center

1800 Spring Ridge Drive, Susanville, CA · Banner Health · · NPI 1538197231

Source: hospital's published price file ↗ · Published Feb 12, 2026 · Ingested Aug 12, 2026

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
Infect ag if pneumocystis carinii CPT 87281 $14.51 $26.00 $2.40 – $25.22 12
Infect ag na hep b amp CPT 87516 $47.43 $85.00 $7.02 – $82.45 12
Infect ag na hpv high-risk types CPT 87624 $20.09 $36.00 $7.02 – $51.46 12
Infect ag na influenza r/amp 1st 2 types CPT 87502 $71.98 $129.00 $19.16 – $126.46 12
Infect ag na orthopoxvirus amp prb each CPT 87593 $19.53 $35.00 $10.26 – $57.90 12
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 $71.42 $128.00 $2.40 – $124.16 12
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 $13.39 $24.00 $2.76 – $23.28 12
Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 $20.09 $36.00 $2.40 – $15.52 12
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 $15.62 $28.00 $2.88 – $27.16 12
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 $5.02 $9.00 $0.82 – $15.05 12
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 $19.53 $35.00 $2.07 – $24.25 12
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 $48.55 $87.00 $4.82 – $84.39 12
Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 $59.71 $107.00 $2.40 – $14.55 12
Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 $22.88 $41.00 $2.40 – $39.77 12
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 $21.76 $39.00 $2.40 – $37.83 12
Infectious agent nucleic acid amplified probe CPT 87798 $261.14 $468.00 $4.92 – $49.75 12
Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 $5.58 $10.00 $4.10 – $42.22 12
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 $62.50 $112.00 $7.45 – $50.44 12
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 $195.30 $350.00 $83.36 – $611.28 12
Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 $20.09 $36.00 $7.02 – $40.52 12
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 $25.11 $45.00 $7.02 – $50.95 12
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 $36.27 $65.00 $8.34 – $63.05 12
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 $10.60 $19.00 $7.02 – $41.84 12
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 $85.93 $154.00 $10.26 – $84.66 12
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 $53.57 $96.00 $28.53 – $235.34 12
Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 $59.15 $106.00 $7.02 – $102.82 12
Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 $34.04 $61.00 $7.02 – $59.17 12
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 $371.63 $666.00 $83.36 – $646.02 12
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 $440.26 $789.00 $52.60 – $765.33 12
Infectious agent nucleic acid quantification bk virus CPT 87799 $125.55 $225.00 $3.69 – $62.83 12
Infectious agent nucleic acid quantification hepatitis b CPT 87517 $42.97 $77.00 $8.57 – $74.69 12
Infectious agent nucleic acid quantification hepatitis c CPT 87522 $54.13 $97.00 $8.57 – $51.99 12
Infectious agent nucleic acid quantification hiv-1 CPT 87536 $33.48 $60.00 $17.02 – $124.81 12
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 $238.82 $428.00 $28.53 – $100.77 12
Inj cntr knee arthro incl ct/mri CPT 27369 $210.89 $404.00 $110.29 – $260.93 12
Inj crotalidae im f(ab')2 eq HCPCS J0841 $425.29 $960.02 $393.61 – $1,721.86 12
Injection arthrography hip without anesthesia (both sides) CPT 27093 $236.47 $453.00 $123.82 – $332.33 12
Injection epidural blood patch or clot CPT 62273 $651.93 $934.00 $125.32 – $502.46 12
Injection for arthrography wrist (both sides) CPT 25246 $256.82 $492.00 $134.48 – $318.16 12
Injection for bladder x-ray CPT 51600 $277.70 $532.00 $218.12 – $516.04 12
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 $266.22 $510.00 $139.40 – $329.80 12
Injection for ureter x-ray CPT 50684 $456.75 $875.00 $239.03 – $565.51 12
Injection radioactive tracer sentinel node (both sides) CPT 38792 $375.32 $719.00 $196.39 – $464.63 11
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 $853.65 $1,223.00 $81.08 – $235.71 12
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 $162.88 $294.00 $80.36 – $190.12 12
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 $870.41 $1,247.00 $112.75 – $266.75 12
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 $2,068.87 $2,964.00 $198.03 – $468.51 12
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 $901.82 $1,292.00 $97.17 – $229.89 12
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 $1,909.73 $2,736.00 $168.10 – $397.70 12
Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 not published not published $86.76 – $86.76 1
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 $61.82 $96.00 $39.36 – $93.12 11
Inject sacroiliac joint CPT 27096 $1,083.67 $2,076.00 $484.67 – $1,342.48 12
Inj, epinephrine (belcher) HCPCS J0173 $2.04 $4.60 $1.89 – $4.46 11
Inj proc ankle arthr CPT 27648 $196.79 $377.00 $102.91 – $264.15 12
Inj proc elbow arthro CPT 24220 $247.43 $474.00 $129.56 – $337.24 12
Inj proc myelogram lumbar CPT 62284 $373.23 $715.00 $146.21 – $693.55 12
Inj retacrit esrd on dialysi HCPCS Q5105 $4.04 $5.80 $0.15 – $8.53 12
Inj retro urethrocysto CPT 51610 $189.49 $363.00 $148.83 – $453.96 12
Ins cerv dilator (sep proc) CPT 59200 $577.43 $511.00 $60.84 – $495.67 11
Insert cath pleura with image CPT 32557 $1,432.37 $2,744.00 $167.10 – $1,774.13 12
Insertion catheter bladder non indwelling CPT 51701 $110.28 $158.00 $25.78 – $181.22 12
Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 $216.61 $391.00 $122.25 – $629.50 12
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 $691.13 $1,324.00 $94.59 – $1,284.28 12
Insertion picc without port or pump with imaging guidance=>5y CPT 36573 $829.98 $1,590.00 $310.69 – $1,542.30 12
Insitu hybridization auto CPT 88367 $105.50 $250.00 $71.94 – $242.50 12
Insitu hybridization manual CPT 88368 $321.56 $762.00 $71.94 – $388.00 12
In situ hybridization per specimen each additional single probe stain CPT 88364 $168.80 $400.00 $53.30 – $144.51 12
In situ hybridization per specimen initial single probe stain CPT 88365 $154.03 $365.00 $34.27 – $144.51 12
Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 $896.80 $1,718.00 $123.65 – $1,666.46 12
Ins pq tunnld ip cath w/img CPT 49418 $3,279.73 $6,283.00 $321.90 – $6,094.51 12
Instillation anticarcinogenic agent bladder CPT 51720 $694.51 $995.00 $133.49 – $965.15 12
Insulin total CPT 83525 $4.38 $7.00 $2.29 – $13.20 12
Intrinsic factor antibody CPT 86340 $5.73 $9.00 $3.02 – $22.11 12
Intubation endotracheal emergency procedure CPT 31500 $364.53 $658.00 $46.44 – $638.26 12
Iron CPT 83540 $98.28 $157.00 $1.29 – $12.61 12
Iron binding capacity CPT 83550 $16.90 $27.00 $1.75 – $16.49 12
Irrigation implantable venous access device for drug delivery systems CPT 96523 $202.86 $315.00 $11.88 – $305.55 11
IV Fluids (each additional hour) CPT 96361 $55.53 $83.00 $9.23 – $80.51 12
IV Fluids (first hour) CPT 96360 $343.87 $514.00 $42.14 – $498.58 12
IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 $127.11 $190.00 $29.63 – $184.30 12
IV Medicine Infusion (additional drug) CPT 96367 $146.51 $219.00 $14.23 – $212.43 12
IV Medicine Infusion (each additional hour) CPT 96366 $68.24 $102.00 $9.23 – $98.94 12
IV Medicine Infusion (first hour) CPT 96365 $414.78 $620.00 $42.14 – $601.40 12
IV Push Injection (each additional drug) CPT 96375 $83.08 $129.00 $9.23 – $125.13 12
IV Push Injection (first drug) CPT 96374 $298.17 $463.00 $42.14 – $449.11 12
Ivp w/nephrotomography CPT 74415 $1,210.32 $1,845.00 $35.60 – $1,789.65 12
Ivp w/wo kub w/wo tomography CPT 74400 $617.30 $941.00 $35.60 – $912.77 12
Jak2 targeted sequence analysis CPT 81279 $95.37 $170.00 $37.04 – $244.46 12
Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 $375.89 $573.00 $17.61 – $555.81 12
Jaw (Mandible) X-ray (complete) CPT 70110 $284.05 $433.00 $21.27 – $420.01 12
John cunningham antibody CPT 86711 $890.53 $1,398.00 $3.38 – $1,356.06 12
Ketamine and metabolite screen - quest CPT 80357 $90.77 $145.00 $59.45 – $140.65 11
Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 $13.77 $22.00 $1.63 – $11.80 12
Kidney imaging morphology CPT 78700 $403.27 $601.00 $80.37 – $582.97 12
Kidney imag w/bld flow multi CPT 78709 $1,328.58 $1,980.00 $107.65 – $1,920.60 12
Kidney img w/bldflw sgl without rx CPT 78707 $860.89 $1,283.00 $107.65 – $1,244.51 12
Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 $826.60 $1,053.00 $21.27 – $1,021.41 12
Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 $520.46 $663.00 $21.27 – $643.11 12
Kit lead specify 5-6-5 HCPCS C1778 $18,613.05 $30,664.00 $2,849.50 – $6,741.50 11
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 $1,635.87 $2,695.00 $1,104.95 – $2,614.15 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.