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BANNER LASSEN MEDICAL CENTER

Critical Access Hospitals

3 out of 5 (CMS)

1800 SPRING RIDGE DRIVE

SUSANVILLE, CA, 96130

View on Google Maps →
Emergency Services: Yes
Voluntary non-profit - Private
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Procedure Prices at BANNER LASSEN MEDICAL CENTER

EKG Interpretation

CPT 93010

$18

ED COLLECT SPEC BLD VENIPUNCTURE BA

CPT 36415

$34

LAB HEMO PLT AUTO W AUTO SCAN

CPT 85025

$86

Echocardiogram

CPT 93307

$93

Therapeutic Activities

CPT 97530

$105

Mechanical Traction

CPT 97012

$120

Therapeutic Exercises

CPT 97110

$129

Echocardiogram w/ Doppler

CPT 93306

$151

LAB PANEL METAB COMP

CPT 80053

$182

Diagnostic Mammogram (unilateral)

CPT 77065

$266

Chest X-Ray (1 view)

CPT 71045

$303

Screening Mammogram (bilateral)

CPT 77067

$314

VISIT ESTABLISHED LEVEL 3

CPT 99213

$348

EKG Tracing

CPT 93005

$363

Chest X-Ray (2 views)

CPT 71046

$384

Diagnostic Mammogram (bilateral)

CPT 77066

$403

Thoracic Spine X-Ray

CPT 72072

$504

Abdominal Ultrasound — Limited

CPT 76705

$728

OB Ultrasound

CPT 76805

$860

Retroperitoneal Ultrasound

CPT 76770

$893

Abdominal Ultrasound

CPT 76700

$975

ER Visit — Low-Moderate Complexity

CPT 99283

$1,043

ER Visit — Moderate Complexity

CPT 99284

$1,711

CT Chest

CPT 71250

$2,152

ER Visit — High Complexity

CPT 99285

$2,479

MRI Brain w/o Contrast

CPT 70551

$2,586

MRI Joint of Lower Extremity

CPT 73721

$2,803

CT Abdomen & Pelvis

CPT 74177

$3,892

MRI Brain w/ Contrast

CPT 70553

$4,239

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.