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 |
|---|---|---|---|---|
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $20.63 – $62.55 | 7 |
| X-ray exam entire spi 6/> vw CPT 72084 | $277.85 | $427.46 | $24.54 – $78.46 | 7 |
| X-ray exam of arm infant CPT 73092 | $203.85 | $313.62 | $10.10 – $22.90 | 7 |
| X-ray exam of femur 1 CPT 73551 | $241.18 | $371.05 | $8.47 – $21.24 | 7 |
| X-ray exam of jaw joint CPT 70328 | $203.85 | $313.62 | $12.63 – $25.23 | 7 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $35.35 – $54.56 | 7 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $15.15 – $29.90 | 7 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $25.25 – $44.23 | 7 |
| X-ray exam of penis CPT 74445 | not published | not published | $50.50 – $50.50 | 2 |
| X-ray exam of perineum CPT 74775 | not published | not published | $30.30 – $30.30 | 2 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $15.15 – $28.57 | 7 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $20.20 – $20.20 | 2 |
| X-ray exam of teeth CPT 70300 | not published | not published | $5.05 – $8.90 | 7 |
| X-ray exam of teeth CPT 70310 | not published | not published | $10.10 – $34.57 | 7 |
| X-ray exam si joints CPT 72200 | $273.61 | $420.94 | $12.63 – $25.23 | 7 |
| X-ray exam thorac spine4/>vw CPT 72074 | $277.85 | $427.46 | $27.91 – $32.56 | 7 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $241.18 | $371.05 | $18.35 – $23.90 | 7 |
| X-ray fallopian tube CPT 74742 | not published | not published | $57.57 – $57.57 | 2 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $8.21 – $9.58 | 7 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $273.20 | $420.30 | $15.75 – $49.22 | 7 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $520.34 | $800.52 | $17.26 – $46.56 | 7 |
| X-ray joint survey 1 view CPT 77077 | $277.85 | $427.46 | $26.49 – $30.90 | 7 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $256.69 | $394.91 | $15.15 – $22.90 | 7 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $273.20 | $420.30 | $20.20 – $31.23 | 7 |
| X-ray male genital tract CPT 74440 | not published | not published | $45.45 – $82.54 | 7 |
| X-ray mandible ltd <4 views CPT 70100 | $211.52 | $325.41 | $15.15 – $31.23 | 7 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $38.63 – $38.63 | 1 |
| X-ray nose to rectum for foreign body child CPT 76010 | $296.67 | $456.41 | $10.10 – $20.23 | 7 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $40.40 – $181.80 | 8 |
| X-ray optic foramina CPT 70190 | not published | not published | $15.15 – $26.23 | 7 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $133.83 – $133.83 | 1 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $152.90 – $152.90 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $511.64 | $787.14 | $25.25 – $56.22 | 7 |
| X-ray ribs 2 views left CPT 71100 | $305.77 | $470.41 | $15.15 – $25.57 | 7 |
| X-ray sella turcica CPT 70240 | not published | not published | $12.63 – $22.90 | 7 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,500.73 | $2,308.81 | $15.15 – $34.57 | 7 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $30.30 – $58.88 | 7 |
| X-ray small intestine follow-through study CPT 74248 | $246.26 | $378.86 | $17.26 – $47.23 | 7 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $211.52 | $325.41 | $20.20 – $30.90 | 7 |
| X-ray surgical specimen CPT 76098 | $257.59 | $396.29 | $12.23 – $28.23 | 7 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $224.13 | $344.81 | $11.84 – $31.23 | 7 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $75.89 – $75.89 | 1 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $113.44 – $113.44 | 1 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $340.14 | $523.29 | $20.20 – $63.88 | 7 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $239.18 – $279.05 | 7 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $60.60 – $70.71 | 7 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $108.80 – $126.93 | 7 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $11.62 – $12.91 | 8 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.54 – $1.54 | 7 |
| Yersinia antibody CPT 86793 | not published | not published | $8.11 – $124.93 | 9 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $74,124.43 – $74,124.43 | 1 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $108.80 – $126.93 | 7 |
| Ziconotide injection HCPCS J2278 | not published | not published | $11.31 – $11.31 | 1 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.75 – $1.75 | 1 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.31 – $1.31 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $118.58 | $182.43 | $46.18 – $485.98 | 9 |
| Zika virus igm antibody CPT 86794 | not published | not published | $15.16 – $159.59 | 9 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.61 – $7.23 | 7 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $19.67 – $19.67 | 1 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $19.20 – $19.20 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $0.38 | $0.59 | $24.30 – $24.30 | 1 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $255.20 – $255.20 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $173.92 – $193.25 | 8 |
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.