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 |
|---|---|---|---|---|
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $538.67 – $628.45 | 7 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $316.98 – $369.81 | 7 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | not published | $145.71 – $170.00 | 7 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $397.03 – $463.20 | 7 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | not published | not published | $752.21 – $877.58 | 7 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $629.30 – $734.18 | 7 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | not published | not published | $159.29 – $185.84 | 7 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | not published | not published | $112.50 – $131.25 | 7 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | not published | not published | $231.25 – $269.79 | 7 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | not published | not published | $227.16 – $265.02 | 7 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | not published | not published | $289.51 – $337.76 | 7 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | not published | not published | $173.71 – $202.66 | 7 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | not published | not published | $91.84 – $107.14 | 7 |
| Trnscath tx thromblytc vein ini day CPT 37212 | not published | not published | $252.87 – $295.02 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $660.21 – $770.25 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $156.78 – $182.91 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $495.92 – $578.57 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $604.37 – $705.10 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | $2,048.16 | $3,151.02 | $534.84 – $623.98 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $4,840.15 | $7,446.38 | $515.38 – $601.27 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $4,840.15 | $7,446.38 | $399.05 – $465.56 | 7 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $576.66 – $640.73 | 8 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $2,916.00 – $3,240.00 | 8 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $868.00 – $1,012.67 | 7 |
| Troponin quantitative CPT 84484 | $155.52 | $239.26 | $8.13 – $118.11 | 9 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $843.77 – $984.40 | 7 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $305.83 – $356.80 | 7 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $108.80 – $126.93 | 7 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $58.90 – $264.49 | 7 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $54.40 – $244.28 | 7 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $194.59 – $873.86 | 7 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $92.95 – $417.43 | 7 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,268.42 | $3,489.88 | not published | 0 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $285.80 – $333.44 | 7 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $14.51 – $65.15 | 7 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $60.34 – $270.96 | 7 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $8.41 – $37.75 | 7 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $60.89 – $273.46 | 7 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.07 – $0.32 | 7 |
| Tubular dressing HCPCS A6457 | not published | not published | $1.46 – $6.55 | 7 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $868.95 – $1,013.78 | 7 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $807.28 – $941.83 | 7 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $585.40 – $2,628.92 | 7 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $685.56 – $799.82 | 7 |
| Tx closed hip disl traumatic without anes CPT 27250 | $685.37 | $1,054.42 | $148.27 – $172.98 | 7 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $6,163.48 | $9,482.28 | $474.83 – $553.97 | 7 |
| Tx closed tib shaft fx without manip CPT 27750 | $633.26 | $974.25 | $285.19 – $332.72 | 7 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $82.35 – $96.08 | 7 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $53.30 – $62.18 | 7 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $715.84 – $835.15 | 7 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $678.57 – $791.67 | 7 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $221.66 – $258.60 | 7 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $589.43 – $687.67 | 7 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $416.35 – $485.74 | 7 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $448.76 – $523.55 | 7 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $355.29 – $414.51 | 7 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $501.26 – $584.81 | 7 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $483.10 – $563.62 | 7 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $352.77 – $411.57 | 7 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $524.10 | $806.30 | $167.10 – $194.95 | 7 |
| Tympanic membrane repair CPT 69610 | not published | not published | $215.28 – $251.16 | 7 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $427.27 – $498.48 | 7 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $12.89 – $22.19 | 7 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $1,140.33 | $1,754.36 | $102.98 – $120.14 | 7 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,104.60 – $1,288.70 | 7 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,008.02 – $1,176.02 | 7 |
| Tyms gene com variants CPT 81346 | not published | not published | $157.33 – $174.81 | 8 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $113.40 – $113.40 | 1 |
| U2af1 gene common variants CPT 81357 | not published | not published | $173.92 – $193.25 | 8 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $3.62 – $38.08 | 9 |
| Ue triple control harness HCPCS L6677 | not published | not published | $320.87 – $1,440.95 | 7 |
| Ugt1a1 gene analy common variants CPT 81350 | $538.36 | $828.25 | $210.60 – $2,216.31 | 9 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $4.21 – $4.91 | 7 |
| Ultrasound breast complete CPT 76641 | $543.76 | $836.55 | $32.79 – $66.21 | 7 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $535.08 | $823.20 | $26.93 – $51.89 | 7 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $267.40 | $411.39 | $12.92 – $20.91 | 7 |
| Ultrasound dx ophth b-scan CPT 76512 | $291.80 | $448.93 | $15.63 – $18.24 | 7 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $31.34 – $36.56 | 7 |
| Ultrasound elastography parenchyma CPT 76981 | $208.93 | $321.43 | $71.32 – $83.20 | 7 |
| Ultrasound encephalogram CPT 76506 | $469.05 | $721.61 | $30.30 – $79.21 | 7 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $522.92 | $804.49 | $60.60 – $108.11 | 7 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $608.90 | $936.77 | $35.35 – $50.80 | 7 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $314.87 | $484.42 | $27.91 – $32.56 | 7 |
| Ultrasound guidance for vascular access CPT 76937 | $292.32 | $449.72 | $22.07 – $26.56 | 7 |
| Ultrasound guide intraoperative CPT 76998 | $314.87 | $484.42 | $109.84 – $109.84 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $48.48 – $48.48 | 2 |
| Ultrasound hips infant dynamic CPT 76885 | $462.54 | $711.60 | $30.30 – $97.11 | 7 |
| Ultrasound infant hips ltd without stress CPT 76886 | $362.23 | $557.27 | $25.25 – $68.22 | 7 |
| Ultrasound joint complete left CPT 76881 | $302.30 | $465.08 | $9.35 – $10.91 | 7 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $256.80 | $395.08 | $13.00 – $16.24 | 7 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $365.98 | $563.05 | $35.33 – $41.22 | 7 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $493.40 | $759.07 | $17.99 – $20.99 | 7 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $681.62 | $1,048.65 | $72.72 – $91.04 | 7 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $532.49 | $819.21 | $25.25 – $70.21 | 7 |
| Ultrasound prostate/transrectal CPT 76872 | $541.59 | $833.22 | $60.60 – $88.12 | 7 |
| Ultrasound spinal canal and contents CPT 76800 | $463.88 | $713.66 | $60.60 – $125.52 | 7 |
| Ultrasound transabd ea addl gest CPT 76812 | $740.96 | $1,139.94 | $36.36 – $108.44 | 7 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $82.66 – $96.44 | 7 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $57.61 – $67.21 | 7 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.18 – $8.14 | 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.