Canton-Potsdam Hospital
50 Leroy Street, Potsdam, NY · Rochesterregional · · NPI 156854878|
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Suction socket HCPCS L6686 | not published | not published | $660.00 – $2,963.90 | 7 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $480.38 – $2,157.26 | 7 |
| Sugars multiple quant CPT 84379 | not published | not published | $10.38 – $11.53 | 8 |
| Sugars single quant CPT 84378 | not published | not published | $10.38 – $109.21 | 9 |
| Sulfonylurea screen qn-sendout CPT 80377 | $145.62 | $224.03 | not published | 0 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | not published | not published | $30.00 – $30.00 | 1 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $3.12 – $14.02 | 7 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $2.30 – $2.69 | 7 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $23.28 – $104.56 | 7 |
| Support clav 29.6-40.5in med HCPCS L3650 | not published | not published | $68.93 – $309.55 | 7 |
| Supprelin la implant HCPCS J9226 | not published | not published | $54,215.03 – $54,215.03 | 1 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $85.15 – $99.34 | 7 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $617.51 – $720.43 | 7 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $617.67 – $720.62 | 7 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $339.03 – $395.54 | 7 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $924.98 – $1,079.14 | 7 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $535.67 – $624.95 | 7 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $586.99 – $684.82 | 7 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $725.24 – $846.11 | 7 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $540.73 – $630.85 | 7 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $680.47 – $793.88 | 7 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,082.76 – $1,263.22 | 7 |
| Surgical opening esophagus CPT 43352 | not published | not published | $877.87 – $1,024.18 | 7 |
| Surgical opening of stomach CPT 43510 | not published | not published | $765.77 – $893.40 | 7 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $637.44 – $743.68 | 7 |
| Surgical opening of throat CPT 42955 | not published | not published | $598.99 – $698.82 | 7 |
| Surgical pathology level 1 gross examination only CPT 88300 | $62.44 | $96.06 | $10.21 – $11.91 | 7 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $116.85 | $179.77 | $19.50 – $25.57 | 7 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $162.86 | $250.56 | $25.58 – $30.57 | 7 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $190.26 | $292.70 | $29.91 – $78.50 | 9 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $317.04 | $487.75 | $171.91 – $200.56 | 7 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $442.16 | $680.25 | $238.09 – $277.77 | 7 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,074.46 – $1,253.54 | 7 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,204.82 – $1,405.62 | 7 |
| Surgical revision intestine CPT 44680 | not published | not published | $854.51 – $996.93 | 7 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $100.00 – $126.93 | 7 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $365.55 – $426.48 | 7 |
| Susceptibility agar dilution per agent CPT 87181 | not published | not published | $4.28 – $44.99 | 9 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $11.90 | $18.31 | $4.28 – $44.99 | 9 |
| Susceptibility mic per plate CPT 87186 | $88.61 | $136.32 | $6.66 – $81.93 | 9 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $5.98 – $6.64 | 8 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $786.22 – $917.26 | 7 |
| Suspension of testis CPT 54620 | not published | not published | $235.84 – $275.15 | 7 |
| Suspension of uterus CPT 58410 | not published | not published | $618.70 – $721.81 | 7 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $357.62 – $417.22 | 7 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $122.08 – $548.26 | 7 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $828.23 – $966.27 | 7 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,099.21 – $1,282.41 | 7 |
| Svc venogram s&i CPT 75827 | not published | not published | $40.40 – $65.88 | 7 |
| Swallowing Evaluation (Bedside) CPT 92610 | $222.77 | $342.73 | $51.28 – $185.43 | 9 |
| Swallowing Therapy Session CPT 92526 | $206.29 | $317.37 | $73.91 – $221.76 | 9 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $2.49 – $2.91 | 7 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $2,562.92 – $11,509.51 | 7 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $4,057.66 – $18,222.04 | 7 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $374.32 – $1,680.98 | 7 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $392.90 – $1,764.40 | 7 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $266.48 – $1,196.71 | 7 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $499.51 – $2,243.18 | 7 |
| Sympathectomy cervical CPT 64802 | not published | not published | $735.21 – $857.74 | 7 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $598.59 – $698.36 | 7 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $613.95 – $716.28 | 7 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $632.02 – $737.36 | 7 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $912.26 – $1,064.30 | 7 |
| Synch audio-only est high 40 CPT 98015 | $190.77 | $293.49 | not published | 0 |
| Synch audio-only est low 20 CPT 98013 | $138.14 | $212.53 | not published | 0 |
| Synch audio-only est mod 30 CPT 98014 | $155.60 | $239.39 | not published | 0 |
| Synch audio-only est sf 10 CPT 98012 | $134.14 | $206.37 | not published | 0 |
| Synch audio-only new high 60 CPT 98011 | $200.30 | $308.16 | not published | 0 |
| Synch audio-only new low 30 CPT 98009 | $145.05 | $223.16 | not published | 0 |
| Synch audio-only new mod 45 CPT 98010 | $163.38 | $251.36 | not published | 0 |
| Synch audio-only new sf 15 CPT 98008 | $140.85 | $216.69 | not published | 0 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $27.94 – $27.94 | 1 |
| Synthetic sentence id test CPT 92576 | not published | not published | $36.20 – $42.23 | 7 |
| Synvisc or synvisc-one HCPCS J7325 | $47.53 | $73.12 | $34.24 – $34.24 | 1 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $39.08 | $60.13 | $3.74 – $41.67 | 9 |
| T3 (triiodothyronine) free CPT 84481 | $338.34 | $520.53 | $9.09 – $160.45 | 9 |
| T3 (triiodothyronine) total CPT 84480 | $173.30 | $266.62 | $5.76 – $134.30 | 9 |
| T4 (thyroxine) free CPT 84439 | $79.06 | $121.63 | $8.12 – $85.43 | 9 |
| T4 (thyroxine) total CPT 84436 | $188.09 | $289.37 | $5.76 – $65.07 | 9 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.62 – $0.62 | 1 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.84 – $1.84 | 1 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.99 – $0.99 | 1 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $272.14 – $272.14 | 1 |
| Tacrolimus therapeutic drug level CPT 80197 | $312.29 | $480.44 | $10.61 – $130.04 | 9 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $15.06 – $15.06 | 1 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,701.67 – $1,985.28 | 7 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,574.08 – $1,836.43 | 7 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $936.39 – $1,092.45 | 7 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $256.69 | $394.91 | $15.15 – $23.57 | 7 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $71.80 – $71.80 | 1 |
| Talymed HCPCS Q4127 | not published | not published | $60.00 – $126.93 | 7 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.46 – $0.46 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $62.00 – $72.33 | 7 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $49.20 – $57.40 | 7 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.45 – $2.02 | 7 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,659.52 | $2,553.11 | $683.58 – $7,193.81 | 9 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $2,583.71 | $3,974.94 | $2,627.64 – $27,652.70 | 9 |
| Target gsa panel organ neop CPT 81445 | $1,761.58 | $2,710.12 | $538.12 – $5,663.04 | 9 |
| Tas congenital car anomal CPT 33741 | not published | not published | $551.76 – $643.72 | 7 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $99.32 – $115.88 | 7 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.