Banner Lassen Medical Center
Susanville, CA · Critical Access Hospital
Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-03.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $712.05 | $1,267 | 5.3× |
| MRI brain without contrast (70551) | $2,251.15 | $3,888 | 7.3× |
| MRI brain with contrast (70552) | $2,813.94 | $4,860 | 6.3× |
| MRI brain without and with contrast (70553) | $3,376.73 | $5,832 | 7.5× |
| X-ray lower spine, 4+ views (72110) | $670.43 | $1,022 | 5.0× |
| MRI lumbar spine without contrast (72148) | $2,448.08 | $4,310 | 8.0× |
| CT pelvis with contrast (72193) | $1,928.91 | $3,390 | 8.6× |
| MRI lower-extremity joint without contrast (73721) | $2,345.62 | $3,375 | 7.6× |
| CT abdomen and pelvis with contrast (74177) | $2,979.85 | $5,237 | 6.6× |
| Ultrasound, abdomen complete (76700) | $832.10 | $1,060 | 6.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $961.62 | $1,225 | 7.2× |
| Ultrasound, transvaginal (76830) | $788.14 | $1,004 | 5.9× |
| Mammography, one breast (diagnostic) (77065) | $256.89 | $311 | 3.0× |
| Mammography, both breasts (diagnostic) (77066) | $388.22 | $470 | 3.5× |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$176.04–$264.42 | $249–$374 | varies |
| Basic metabolic panel (80048) | $69.49 | $111 | 8.2× |
| Comprehensive metabolic panel (80053) | $85.76 | $137 | 8.1× |
| Lipid panel (80061) range across 2 matching MRF lines |
$24.41–$63.85 | $39–$102 | varies |
| Renal function panel (80069) | $97.66 | $156 | 11.3× |
| Hepatic function panel (80076) range across 2 matching MRF lines |
$12.52–$67.61 | $20–$108 | varies |
| Urinalysis, non-automated, without microscopy (81002) | $21.79 | $37 | 6.3× |
| PSA, total (84153) range across 2 matching MRF lines |
$6.89–$35.06 | $11–$56 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 3 matching MRF lines |
$3.13–$92.02 | $5–$147 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$14.30–$38.74 | $24–$65 | varies |
| CBC, automated (85027) | $11.92 | $20 | 1.8× |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$7.75–$8.94 | $13–$15 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$2.38–$11.32 | $4–$19 | varies |
| Sleep study (attended polysomnography) (95810) range across 3 matching MRF lines |
$216.92–$2,834.20 | $374–$4,895 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $110.62 | $153 | 3.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$216.63–$2,216.63 | $415–$2,210 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$294.93–$2,667.98 | $565–$2,660 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$339.30–$3,570.68 | $650–$3,560 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 286 codes with posted prices and Medicare benchmarks
- Lab & pathology: 791 codes with posted prices and Medicare benchmarks
- Visits & medical services: 104 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 91 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 13 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 20.0 MB) ↓ — captured 2026-09-03
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.