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 |
|---|---|---|---|---|
| Tavr perq femoral CPT 33361 | not published | not published | $916.58 – $1,069.34 | 7 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $1.00 – $1.00 | 1 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $123.30 – $137.00 | 8 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $34.06 – $39.74 | 7 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $8.79 – $10.26 | 7 |
| Tbs techl calculation only CPT 77091 | not published | not published | $22.77 – $26.56 | 7 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.49 – $2.91 | 7 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $213.69 | $328.75 | $50.50 – $947.14 | 9 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $221.95 | $341.46 | $50.50 – $587.04 | 9 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $446.51 – $446.51 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1,834.52 – $1,834.52 | 1 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $1,834.52 – $1,834.52 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $112.08 – $112.08 | 1 |
| Tc-99m maa HCPCS A9540 | not published | not published | $36.00 – $36.00 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $61.89 | $95.21 | $66.38 – $66.38 | 1 |
| Tc-99m medronate HCPCS A9503 | $181.40 | $279.08 | $15.60 – $15.60 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $635.21 | $977.24 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $1.92 – $1.92 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $76.86 – $76.86 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $350.14 | $538.67 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $719.30 – $719.30 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $420.15 | $646.39 | $320.84 – $320.84 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $102.33 – $102.33 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,549.94 | $2,384.53 | $563.76 – $563.76 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $309.34 – $360.90 | 7 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $71.71 – $305.26 | 7 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $73.73 – $246.87 | 7 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $160.28 | $246.58 | $42.28 – $444.97 | 9 |
| T cells absolute cd 4 count CPT 86361 | $67.10 | $103.23 | $23.40 – $253.64 | 9 |
| T cells total count CPT 86359 | $150.72 | $231.87 | $23.40 – $357.36 | 9 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $417.50 – $487.08 | 7 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $789.82 – $921.46 | 7 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $225.12 – $225.12 | 1 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $58.76 – $263.88 | 7 |
| Telavancin injection HCPCS J3095 | not published | not published | $9.54 – $9.54 | 1 |
| Telethx isodose plan cplx CPT 77307 | $972.85 | $1,496.69 | $85.35 – $137.59 | 7 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $43.75 – $76.12 | 7 |
| Temozolomide HCPCS J8700 | not published | not published | $3.19 – $3.19 | 1 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $12.04 – $12.04 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $61.91 – $61.91 | 1 |
| Tendon lengthening CPT 26476 | not published | not published | $553.83 – $646.14 | 7 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $463.05 – $540.22 | 7 |
| Tendon shortening CPT 26477 | not published | not published | $525.34 – $612.90 | 7 |
| Tendon transfer with graft CPT 26492 | not published | not published | $770.82 – $899.29 | 7 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $166.27 – $166.27 | 1 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $2,995.14 – $2,995.14 | 1 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $498.72 – $581.84 | 7 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $517.54 – $603.80 | 7 |
| Tenolysis triceps CPT 24332 | not published | not published | $503.74 – $587.70 | 7 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $622.92 – $726.74 | 7 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $416.90 – $486.38 | 7 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $576.14 – $672.16 | 7 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $240.05 – $280.06 | 7 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $200.23 – $233.60 | 7 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $3,455.28 – $15,516.89 | 7 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $11.59 – $52.06 | 7 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $4.80 – $4.80 | 1 |
| Teriparatide injection HCPCS J3110 | not published | not published | $59.88 – $59.88 | 1 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $4,422.09 – $19,858.61 | 7 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $3,414.93 – $15,335.71 | 7 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $1,355.07 – $6,085.30 | 7 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $1,012.18 – $4,545.50 | 7 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $1,510.42 – $6,782.98 | 7 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $384.44 – $1,726.45 | 7 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $440.05 – $1,976.15 | 7 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $477.58 – $2,144.73 | 7 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $205.52 – $922.96 | 7 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $646.49 – $2,903.23 | 7 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $94.17 – $1,754.10 | 9 |
| Test for chlorohydrocarbons CPT 82441 | $12.98 | $19.97 | $5.41 – $56.92 | 9 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.24 – $5.82 | 8 |
| Test for urine cystines CPT 82615 | not published | not published | $8.60 – $9.55 | 8 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $50.50 – $156.58 | 7 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $126.16 – $126.16 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $46.48 – $51.64 | 8 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.49 – $2.49 | 1 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $102.18 | $157.20 | not published | 0 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $345.49 – $1,551.53 | 7 |
| Test socket above knee HCPCS L5624 | not published | not published | $462.82 – $2,078.40 | 7 |
| Test socket below knee HCPCS L5620 | not published | not published | $362.42 – $1,627.55 | 7 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $549.28 – $2,466.69 | 7 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $525.33 – $2,359.14 | 7 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $532.58 – $2,391.72 | 7 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $490.45 – $2,202.48 | 7 |
| Test socket symes HCPCS L5618 | not published | not published | $326.58 – $1,466.61 | 7 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $322.14 – $1,446.65 | 7 |
| Test stress cardiovascular tracing only CPT 93017 | $622.39 | $957.53 | $30.30 – $38.81 | 7 |
| Test urine for lactose CPT 83633 | not published | not published | $10.12 – $11.25 | 8 |
| Test urine for porphyrins CPT 84119 | not published | not published | $12.02 – $13.36 | 8 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.02 – $42.34 | 9 |
| Tetanus ig im CPT 90389 | not published | not published | $734.28 – $734.28 | 1 |
| Tetanus immune globulin inj HCPCS J1670 | $848.58 | $1,305.50 | $734.28 – $734.28 | 1 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $25.14 | $38.68 | $20.76 – $20.76 | 1 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $123.30 – $137.00 | 8 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $683.58 – $759.53 | 8 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,627.64 – $27,652.70 | 9 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $538.12 – $597.91 | 8 |
| Theophylline therapeutic drug level CPT 80198 | $109.45 | $168.38 | $8.08 – $133.93 | 9 |
| Therapeutic procd strg endur HCPCS G0237 | not published | not published | $10.78 – $12.58 | 7 |
| Therapy activation ipnss CPT 93150 | not published | not published | $9.14 – $37.17 | 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.