Banner Lassen Medical Center

1800 Spring Ridge Drive, Susanville, CA 96130 · (530) 252-2000

Critical Access HospitalsVoluntary non-profit - PrivateCMS rating 3/5Susanville, CA metro Part of Banner Health · 6 hospitals

Price file

Prices published

File dated 2026-09-12

1,343 price rows for 38 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $63

$63

cash

$2 to $97

24 negotiated rates

$100

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $2,980

$2,980

cash

$71 to $5,080

24 negotiated rates

$5,237

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $962

$962

cash

$21 to $1,660

24 negotiated rates

$1,711

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,718

$1,718

cash

$36 to $2,929

24 negotiated rates

$3,020

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $6

cash

$4 to $42

24 negotiated rates

$10

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$190 to $487

4 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$245 to $545

2 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$245 to $660

2 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $14

$14

cash

$2 to $23

48 negotiated rates

$24

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $78

$78

cash

$2 to $120

24 negotiated rates

$124

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $224

$224

cash

$111 to $263

24 negotiated rates

$271

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 4 lines · metro median $177

$177

cash

$94 to $3,109

48 negotiated rates

$340

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$769 to $1,235

2 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $11

$11

cash

$7 to $42

24 negotiated rates

$19

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$568 to $732

2 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$669 to $909

2 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 4 lines · metro median $12

$12

cash

$3 to $89

48 negotiated rates

$19

list

Liver function panel

CPT 80076 · lowest of 4 lines · metro median $13

$13

cash

$2 to $95

48 negotiated rates

$20

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $3,085

$3,085

cash

$71 to $5,168

24 negotiated rates

$5,328

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $2,059

$2,059

cash

$49 to $3,516

24 negotiated rates

$3,625

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,864

$1,864

cash

$49 to $3,183

24 negotiated rates

$3,281

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines · metro median $141

$141

cash

$111 to $2,144

48 negotiated rates

$270

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 4 lines · metro median $193

$193

cash

$114 to $2,580

48 negotiated rates

$370

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 4 lines · metro median $245

$245

cash

$193 to $3,453

48 negotiated rates

$470

list

PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $7

cash

$4 to $54

48 negotiated rates

$11

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $8

cash

$1 to $18

48 negotiated rates

$14

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $808

$808

cash

$21 to $998

24 negotiated rates

$1,029

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $8

cash

$5 to $13

46 negotiated rates

$13

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $238

$238

cash

$135 to $326

24 negotiated rates

$336

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$696 to $696

1 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $3,474

$3,474

cash

$175 to $5,820

24 negotiated rates

$6,000

list

TSH test (thyroid)

CPT 84443 · lowest of 6 lines · metro median $3

cash

$2 to $143

72 negotiated rates

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $649

$649

cash

$21 to $802

24 negotiated rates

$827

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $786

$786

cash

$21 to $971

24 negotiated rates

$1,001

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$185 to $370

2 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$185 to $386

2 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $6

cash

$4 to $10

23 negotiated rates

$10

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $529

$529

cash

$21 to $782

24 negotiated rates

$806

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://images.pricetransparency.healthcare/public-mrfs/banner/680422620_banner-lassen-medical-center_standardcharges.csv
Banner Lassen Medical Center · parsed · tall v3.0.0 · file dated 2026-09-12 · 20.6 MB · 1343 price rows read · read Nov 2026