Banner Lassen Medical Center
1800 Spring Ridge Drive, Susanville, CA 96130 · 85 Priced Procedures · 60% Patient Recommendation
Typical commercial prices here are 37% below the fair benchmark (0.63×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 0.63× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Banner Lassen Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (0.6× Medicare, p50 0.60× Fair BaseRate) and emergency/ancillary services (0.8× Medicare, p75 0.77× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 37% below peer Fair BaseRate (0.63×)
- Self-pay cash beats commercial insurance on 74% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (67/100 safety score) with 60% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (83.9% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.63× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Captive ER (0.9×) & laboratory (0.5×) services average 1.33× higher multiples than routine shoppable care (0.6×)
- Upper-quartile procedures (Q75 0.77×) jump +28% above the median procedure ratio (Q50 0.60×)
- Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Banner Lassen Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 85 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $2,540 | 0.2× |
| Total knee replacement CPT Code: 27447 | $2,540 | 0.2× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,002 | 0.2× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $789 | 0.2× |
| Inguinal hernia repair CPT Code: 49505 | $650 | 0.2× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $375 | 0.4× |
| Colonoscopy with biopsy CPT Code: 45380 | $395 | 0.3× |
| MRI, knee or other leg joint CPT Code: 73721 | $325 | 0.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $339 | 0.3× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $268 | 0.6× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $292 | 0.6× |
| Upper endoscopy with biopsy CPT Code: 43239 | $286 | 0.3× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $254 | 0.4× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $244 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $157 | 0.6× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $163 | 0.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $168 | 0.6× |
| MRI, brain (no contrast) CPT Code: 70551 | $181 | 0.5× |
| MRI, lower back (no contrast) CPT Code: 72148 | $178 | 0.5× |
| Screening mammogram (both breasts) CPT Code: 77067 | $166 | unverified |
| New patient office visit (30-44 min) CPT Code: 99203 | $167 | unverified |
| CT scan, pelvis CPT Code: 72192 | $116 | 0.7× |
| CT scan, chest (no contrast) CPT Code: 71250 | $116 | 0.7× |
| CT scan, sinuses CPT Code: 70486 | $112 | 0.7× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $114 | 0.7× |
Audit a Bill or Quote at Banner Lassen Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $5,115
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (83.9% of gross = $5,115).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Banner Lassen Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($13,413).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (83.9% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Banner Lassen Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-07-23·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (82 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Banner Lassen Medical Center.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.