Visits & medical services prices at Banner Lassen Medical Center
Susanville, CA · every code in this section with a posted price and a Medicare benchmark.
104 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $207.04 | $297 | 0.7× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $81.70 | $113 | 1.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $80.98 | $112 | 5.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $435.74 | $801 | 0.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,295.16 | $1,720 | 4.7× |
| Cardiopulmonary resuscitation (92950) | $331.94 | $683 | 1.2× |
| Cardioversion (92960) | $974.43 | $2,005 | 1.1× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $92.54 | $128 | 3.6× |
| Chemo Anti-Neopl Sq/Im (96401) | $293.48 | $580 | 3.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $234.28 | $463 | 2.5× |
| Chemo IV infusion addl hr (96415) | $47.41 | $108 | 0.5× |
| Chemo IV push addl drug (96411) | $144.72 | $286 | 1.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $106.68 | $243 | 1.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $225.65 | $514 | 0.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $249.96 | $494 | 0.6× |
| Chest Wall Manipulation (94668) | $69.36 | $143 | 0.4× |
| Color/duplex Doppler, complete (93975) | $992.02 | $1,637 | 3.2× |
| Color/duplex Doppler, limited (93976) | $281.18 | $464 | 2.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $488.88 | $1,008 | 1.7× |
| Cpt initial (94667) | $53.84 | $111 | 0.3× |
| Critical care first hour (99291) | $1,663.58 | $3,423 | 1.6× |
| Debridement Open Wound 20 Sq Cm< (97597) | $180.08 | $258 | 0.7× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $632.66 | $1,044 | 2.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $313.30 | $517 | 2.3× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $472.68 | $780 | 3.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $723.56 | $1,194 | 2.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $666.60 | $1,100 | 5.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $757.50 | $1,250 | 2.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $714.47 | $1,179 | 5.3× |
| Duplex Scan Hemodialysis Access (93990) | $472.68 | $780 | 3.5× |
| Duplex up extrem art bilat (93930) | $765.38 | $1,263 | 2.5× |
| Duplex up extrem art unilat/ltd (93931) | $699.93 | $1,155 | 5.2× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$30.74–$388.22 | $53–$658 | varies |
| EEG awake and asleep (95819) | $542.52 | $937 | 2.0× |
| EEG awake drowsy (95816) | $455.09 | $786 | 1.6× |
| Electrical Stimulation Ea 15 Min (97032) | $83.14 | $115 | 5.7× |
| Electrocardiogram Tracing (93005) | $290.85 | $488 | 3.8× |
| Emergency Dept Visit Level 2 (99282) | $502.82 | $625 | 2.5× |
| Emergency Dept Visit Level 3 (99283) | $1,059.08 | $1,098 | 3.0× |
| Emergency Dept Visit Level 4 (99284) | $2,826.36 | $1,796 | 5.3× |
| Er level 1 (99281) | $311.68 | $342 | 2.9× |
| Er level v (99285) | $3,441.94 | $2,604 | 4.5× |
| Evaluate pt use of inhaler (94664) | $110.10 | $227 | 0.4× |
| External Ecg Scanning Analysis Report (93226) | $550.93 | $762 | 7.3× |
| Extracranial Bilat Study (93880) | $1,143.52 | $1,887 | 3.7× |
| Extracranial Uni/Ltd Study (93882) | $467.83 | $772 | 3.5× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $626.58 | $1,062 | 0.9× |
| Holter monitor recording (93225) | $347.04 | $480 | 2.0× |
| Immunization administration (90471) | $47.04 | $105 | 0.5× |
| Iontophoresis 15 min (97033) | $72.30 | $100 | 3.8× |
| Irrig Drug Delivery Device (96523) | $202.86 | $315 | 2.7× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$40.34–$55.53 | $83 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$249.80–$343.87 | $514 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$106.43–$146.51 | $219 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$49.57–$68.24 | $102 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$225.02–$298.17 | $463 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $325.30 | $314 | 2.0× |
| Low frequency non-thermal us (97610) range across 3 matching MRF lines |
$185.67–$192.32 | $266 | varies |
| Methacholine challenge (94070) | $380.26 | $699 | 0.8× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $284.42 | $408 | 0.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $256.86 | $368 | 0.5× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $487.20 | $698 | 0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $110.98 | $159 | 0.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $158.45 | $227 | 0.3× |
| Neuromuscular Reeducation (97112) | $112.79 | $156 | 3.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $108.45 | $150 | 2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $82.42 | $114 | 1.8× |
| Ot manual therapy 15 min (97140) | $115.68 | $160 | 4.2× |
| Ot paraffin bath (97018) | $31.81 | $44 | 5.3× |
| Penile Vascular Study,Ltd or F/U (93981) | $288.46 | $476 | 2.1× |
| Phlebotomy therapeutic (99195) | $157.14 | $244 | 0.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$225.04–$2,966.22 | $388–$5,123 | varies |
| Pt Eval High Complex (97163) | $356.24 | $486 | 3.6× |
| Pt eval low complex 20 min (97161) | $218.43 | $298 | 2.2× |
| Pt Eval Mod Complex (97162) | $288.07 | $393 | 2.9× |
| Pt gait training 15 min (97116) | $60.01 | $83 | 2.1× |
| Pt group caregiver training (97552) | $62.18 | $86 | 2.8× |
| Pt mechanical traction (97012) | $88.93 | $123 | 6.2× |
| Pt Re-Eval Est Plan Care (97164) | $218.43 | $298 | 3.2× |
| Pulm function test by gas (94727) | $272 | $500 | 1.0× |
| Respiratory flow volume loop (94375) | $178.98 | $329 | 0.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $168.92 | $242 | 0.7× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $73.02 | $101 | 2.8× |
| Self Care Mngment Training (97535) | $69.41 | $96 | 2.1× |
| Sleep study unattended (95806) | $601.92 | $581 | 2.2× |
| Slp caregiver training 1st 30 min (97550) | $185.09 | $256 | 3.5× |
| Spirometry (94010) | $285.60 | $525 | 1.0× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$84.68–$739.27 | $146–$1,253 | varies |
| Temp transcutaneous pacing (92953) | $604.10 | $1,243 | 0.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $53.50 | $74 | 1.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$62.69–$83.08 | $129 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$301.32–$414.78 | $620 | varies |
| Therapeutic Activities (97530) | $82.42 | $114 | 2.4× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$87.58–$1,141.65 | $151–$1,935 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$53.94–$627.76 | $93–$1,064 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$62.69–$83.08 | $129 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$192.10–$244.22 | $317–$403 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$268.46–$402.99 | $443–$665 | varies |
| Vasopneumatic device (97016) | $45.55 | $63 | 3.8× |
| Vent Mgmt Inpat Init Day (94002) | $967.09 | $1,994 | 1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $691.12 | $1,425 | 0.9× |
| Vital capacity, total (94150) | $53.86 | $99 | 0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $60.01 | $83 | 1.9× |
| Whirlpool Therapy (97022) | $52.06 | $72 | 3.3× |
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.