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 |
|---|---|---|---|---|
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $50.66 – $59.10 | 7 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $388.12 – $452.81 | 7 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $12,976.21 – $58,273.27 | 7 |
| Unlisted misc path test CPT 89240 | $125.45 | $193.00 | not published | 0 |
| Unlisted procedure microbiology CPT 87999 | $1,082.58 | $1,665.50 | not published | 0 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $688.77 – $803.56 | 7 |
| Unlisted px small intestine CPT 44799 | $2,172.75 | $3,342.69 | not published | 0 |
| Unlisted ultrasound procedure CPT 76999 | $203.85 | $313.62 | not published | 0 |
| Upgrade pm system CPT 33214 | not published | not published | $362.25 – $422.62 | 7 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $388.71 | $598.02 | $10.10 – $23.90 | 7 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $1,435.69 | $2,208.76 | $96.66 – $112.77 | 7 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,410.27 | $2,169.64 | $71.60 – $83.54 | 7 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,825.71 | $4,347.25 | $181.98 – $212.31 | 7 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,294.38 | $3,529.82 | $161.42 – $188.32 | 7 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,147.84 | $3,304.37 | $104.37 – $121.77 | 7 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $234.98 | $361.51 | $15.15 – $23.24 | 7 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $311.40 | $479.08 | $24.20 – $28.23 | 7 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $95.81 – $111.78 | 7 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $107.16 – $125.02 | 7 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $503.74 – $2,262.18 | 7 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $143.38 – $167.28 | 7 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $641.06 | $986.25 | $50.50 – $92.54 | 7 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $462.54 | $711.60 | $30.30 – $83.87 | 7 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $107.16 – $125.02 | 7 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $502.06 – $585.74 | 7 |
| Urea nitrogen CPT 84520 | $66.90 | $102.92 | $3.56 – $37.41 | 9 |
| Urea nitrogen 24 hour urine CPT 84540 | $77.34 | $118.98 | $5.00 – $52.66 | 9 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $6.48 – $68.19 | 9 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.62 – $5.13 | 8 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $138.77 – $161.90 | 7 |
| Ureteral reflux study CPT 78740 | not published | not published | $85.85 – $192.90 | 7 |
| Ureter endoscopy CPT 50970 | not published | not published | $281.63 – $328.57 | 7 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $268.29 – $313.00 | 7 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $358.42 – $418.16 | 7 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $272.36 – $317.75 | 7 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $269.78 – $314.75 | 7 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $241.96 – $282.28 | 7 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $353.46 – $412.37 | 7 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $270.66 – $315.77 | 7 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $867.32 – $1,011.87 | 7 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $882.92 – $1,030.07 | 7 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $559.38 | $860.59 | $20.20 – $20.20 | 2 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $579.88 – $676.53 | 7 |
| Urethrocystography void s&i CPT 74455 | $426.96 | $656.86 | $35.35 – $89.53 | 7 |
| Uric acid blood CPT 84550 | $59.96 | $92.25 | $4.07 – $42.81 | 9 |
| Uric acid urine CPT 84560 | $82.10 | $126.31 | $4.57 – $48.11 | 9 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.23 – $4.70 | 8 |
| Urinalysis microscopic only CPT 81015 | $43.43 | $66.82 | $2.02 – $28.89 | 9 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.95 – $20.55 | 9 |
| Urinalysis (with microscopy) CPT 81001 | $77.34 | $118.98 | $2.85 – $30.02 | 9 |
| Urinalysis (without microscopy) CPT 81003 | $40.85 | $62.84 | $2.02 – $21.31 | 9 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $25.25 – $65.22 | 7 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $3.42 – $17.66 | 7 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $4.64 – $34.64 | 7 |
| Urinary reflex study CPT 51792 | not published | not published | $163.12 – $190.31 | 7 |
| Urinary suspensory HCPCS A5105 | not published | not published | $52.30 – $234.86 | 7 |
| Urine Culture Test CPT 87086 | $83.39 | $128.29 | $7.26 – $76.43 | 9 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $5.07 – $5.91 | 7 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $7.35 – $37.55 | 7 |
| Urine pregnancy test CPT 81025 | $28.68 | $44.13 | $2.02 – $81.55 | 9 |
| Urine screen for bacteria CPT 81007 | not published | not published | $26.98 – $29.98 | 8 |
| Urine shunt to intestine CPT 50815 | not published | not published | $950.09 – $1,108.44 | 7 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $8.41 – $9.34 | 8 |
| Urography, antegrade CPT 74425 | $740.12 | $1,138.64 | $20.20 – $109.86 | 7 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $45.45 – $121.11 | 7 |
| Use 1st target lesion CPT 76982 | not published | not published | $55.04 – $64.22 | 7 |
| User adjustable heel height HCPCS L5990 | not published | not published | $1,962.37 – $8,812.56 | 7 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $24.10 | $37.08 | $17.11 – $17.11 | 1 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $339.96 – $339.96 | 1 |
| Vaccine Administration (one shot) CPT 90471 | $63.47 | $97.65 | $14.78 – $22.20 | 7 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $184.16 | $283.32 | not published | 0 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $169.03 | $260.05 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $191.10 | $294.00 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $122.85 | $189.00 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $91.57 | $140.87 | not published | 0 |
| Vaccine dtap < 7 years im CPT 90700 | $46.85 | $72.08 | $31.99 – $31.99 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $146.37 | $225.19 | $107.30 – $107.30 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $93.05 | $143.16 | $68.06 – $68.06 | 1 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $205.71 | $316.48 | $166.88 – $166.88 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | $144.44 | $222.21 | $126.66 – $126.66 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $41.94 | $64.52 | $34.49 – $34.49 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $19.17 | $29.49 | $14.25 – $14.25 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $58.44 | $89.90 | $91.86 – $91.86 | 1 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $368.60 | $567.07 | $139.85 – $139.85 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $43.48 | $66.90 | $41.67 – $41.67 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $75.49 – $75.49 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $104.40 | $160.62 | $74.08 – $74.08 | 1 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $160.08 – $160.08 | 1 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $51.88 | $79.81 | $31.45 – $31.45 | 1 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $481.83 | $741.28 | $322.38 – $322.38 | 1 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $388.79 | $598.14 | not published | 0 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $111.51 | $171.55 | $73.62 – $73.62 | 1 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $62.67 – $62.67 | 1 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $29.39 | $45.22 | not published | 0 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $31.49 | $48.45 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $26.44 | $40.67 | $21.56 – $21.56 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $75.46 – $75.46 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $22.78 – $22.78 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $91.73 | $141.13 | $22.65 – $22.65 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $10.78 – $10.78 | 1 |
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.