Banner Lassen Medical Center
Banner Lassen Medical Center in Susanville, CA publishes cash prices for 30 common procedures listed here, from its own machine-readable price file updated Feb 12, 2026. Click a procedure to compare it with other hospitals nearby.
1800 Spring Ridge Drive, Susanville, CA 96130 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN&PELVIS W CNT | $2,979.85 | $5,237.00 | 43% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN&PELVIS W CNT | $2,979.85 | $5,237.00 | 43% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CNT | $712.05 | $1,267.00 | 44% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CNT | $712.05 | $1,267.00 | 44% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CNT | $1,928.91 | $3,390.00 | 43% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CNT | $1,928.91 | $3,390.00 | 43% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DX W/WO CAD BI | $388.22 | $470.00 | 17% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DX W/WO CAD BI | $388.22 | $470.00 | 17% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CNT | $2,251.15 | $3,888.00 | 42% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CNT | $2,251.15 | $3,888.00 | 42% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CNT | $3,376.73 | $5,832.00 | 42% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W&WO CNT | $3,376.73 | $5,832.00 | 42% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CNT | $2,448.08 | $4,310.00 | 43% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO CNT | $2,448.08 | $4,310.00 | 43% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US UTERUS PREG 14+WK GEST SGL | $961.62 | $1,225.00 | 22% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US UTERUS PREG 14+WK GEST SGL | $961.62 | $1,225.00 | 22% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCRN W/WO CAD 2 VW BI | $264.42 | $374.00 | 29% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCRN W/WO CAD 2 VW BI | $264.42 | $374.00 | 29% |
| Sleep study in a lab (polysomnography) CPT 95810 PSG W 4+ PARAM 6+YRS | $2,834.20 | $4,895.00 | 42% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG W 4+ PARAM 6+YRS | $2,834.20 | $4,895.00 | 42% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $788.14 | $1,004.00 | 22% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $788.14 | $1,004.00 | 22% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN CMP | $832.10 | $1,060.00 | 22% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN CMP | $832.10 | $1,060.00 | 22% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LS 4+ VW | $670.43 | $1,022.00 | 34% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LS 4+ VW | $670.43 | $1,022.00 | 34% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 LAB PANEL METAB BASIC W CA TOTAL | $69.49 | $111.00 | 37% |
| Basic metabolic panel (blood test) inpatient CPT 80048 LAB PANEL METAB BASIC W CA TOTAL | $69.49 | $111.00 | 37% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB PANEL LIPID NS | $24.41 | $39.00 | 37% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB PANEL LIPID | $63.85 | $102.00 | 37% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB PANEL LIPID NS | $24.41 | $39.00 | 37% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB PANEL LIPID | $63.85 | $102.00 | 37% |
| Complete blood count (CBC) with differential CPT 85025 LAB HEMO PLT AUTO W AUTO SCAN | $14.30 | $24.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 LAB CBC AUTO W AUTO DIFF | $38.74 | $65.00 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 LAB HEMO PLT AUTO W AUTO SCAN | $14.30 | $24.00 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 LAB CBC AUTO W AUTO DIFF | $38.74 | $65.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 LAB CBC AUTO WO DIFF | $11.92 | $20.00 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 LAB CBC AUTO WO DIFF | $11.92 | $20.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 LAB PANEL METAB COMP | $85.76 | $137.00 | 37% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 LAB PANEL METAB COMP | $85.76 | $137.00 | 37% |
| Kidney function blood test panel CPT 80069 LAB PANEL FUNCTION RENAL | $97.66 | $156.00 | 37% |
| Kidney function blood test panel inpatient CPT 80069 LAB PANEL FUNCTION RENAL | $97.66 | $156.00 | 37% |
| Liver function blood test panel CPT 80076 LAB PANEL FUNCTION HEPATIC NS | $12.52 | $20.00 | 37% |
| Liver function blood test panel CPT 80076 LAB PANEL FUNCTION HEPATIC | $67.61 | $108.00 | 37% |
| Liver function blood test panel inpatient CPT 80076 LAB PANEL FUNCTION HEPATIC NS | $12.52 | $20.00 | 37% |
| Liver function blood test panel inpatient CPT 80076 LAB PANEL FUNCTION HEPATIC | $67.61 | $108.00 | 37% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 LAB PSA TOTAL | $35.06 | $56.00 | 37% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB PSA TOTAL | $35.06 | $56.00 | 37% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LAB PTT PLASMA/BLD WHL | $11.32 | $19.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB PTT PLASMA/BLD WHL | $11.32 | $19.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 LAB PROTHROMBIN TIME | $7.75 | $13.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 LAB PROTHROMBIN TIME NS | $8.94 | $15.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB PROTHROMBIN TIME | $7.75 | $13.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB PROTHROMBIN TIME NS | $8.94 | $15.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB THYROID STIMULATING HORMONE NS | $11.27 | $18.00 | 37% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB THYROID STIMULATING HORMONE | $92.02 | $147.00 | 37% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB THYROID STIMULATING HORMONE NS | $11.27 | $18.00 | 37% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB THYROID STIMULATING HORMONE | $92.02 | $147.00 | 37% |
| Urinalysis with microscope exam, automated CPT 81001 LAB UA AUTO W MICRO | $5.89 | $10.00 | 41% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 LAB UA AUTO W MICRO | $5.89 | $10.00 | 41% |
| Urinalysis without microscope exam, automated CPT 81003 LAB UA AUTO WO MICRO | $4.12 | $7.00 | 41% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 LAB UA AUTO WO MICRO | $4.12 | $7.00 | 41% |
| Urinalysis without microscope exam, manual CPT 81002 LAB UA NONAUTO WO MICRO | $21.79 | $37.00 | 41% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 LAB UA NONAUTO WO MICRO | $21.79 | $37.00 | 41% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 VISIT NEW LEVEL 3 | $216.63 | $415.00 | 48% |
| New patient office visit, about 30 minutes CPT 99203 VISIT OB TRIAGE NEW LEVEL 3 | $2,216.63 | $2,210.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 VISIT NEW LEVEL 3 | $216.63 | $415.00 | 48% |
| New patient office visit, about 30 minutes inpatient CPT 99203 VISIT OB TRIAGE NEW LEVEL 3 | $2,216.63 | $2,210.00 | — |
| New patient office visit, about 45 minutes CPT 99204 VISIT NEW LEVEL 4 | $294.93 | $565.00 | 48% |
| New patient office visit, about 45 minutes CPT 99204 VISIT OB TRIAGE NEW LEVEL 4 | $2,667.98 | $2,660.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 VISIT NEW LEVEL 4 | $294.93 | $565.00 | 48% |
| New patient office visit, about 45 minutes inpatient CPT 99204 VISIT OB TRIAGE NEW LEVEL 4 | $2,667.98 | $2,660.00 | — |
| New patient office visit, about 60 minutes CPT 99205 VISIT NEW LEVEL 5 | $339.30 | $650.00 | 48% |
| New patient office visit, about 60 minutes CPT 99205 VISIT OB TRIAGE NEW LEVEL 5 | $3,570.68 | $3,560.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 VISIT NEW LEVEL 5 | $339.30 | $650.00 | 48% |
| New patient office visit, about 60 minutes inpatient CPT 99205 VISIT OB TRIAGE NEW LEVEL 5 | $3,570.68 | $3,560.00 | — |