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 |
|---|---|---|---|---|
| Bone Age X-ray (hand and wrist) CPT 77072 | $220.20 | $338.77 | $13.92 – $16.24 | 7 |
| Bone biopsy open superficial CPT 20240 | $5,694.32 | $8,760.49 | $109.83 – $128.13 | 7 |
| Bone Density Scan (DEXA) CPT 77080 | $545.52 | $839.26 | $25.63 – $29.90 | 7 |
| Bone filler cerament 10cc HCPCS C1602 | not published | not published | $23,054.88 – $23,054.88 | 1 |
| Bone imaging (3d) CPT 78320 | not published | not published | $155.92 – $155.92 | 1 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $60.60 – $203.89 | 7 |
| Bone/joint imaging ltd area CPT 78300 | $640.19 | $984.91 | $60.60 – $170.66 | 7 |
| Bone marrow;aspiration only 38220 CPT 38220 | $463.88 | $713.66 | $48.49 – $56.57 | 7 |
| Bone marrow aspir bone grfg CPT 20939 | not published | not published | $51.72 – $60.34 | 7 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $522.92 | $804.49 | $50.46 – $58.87 | 7 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $148.56 – $173.32 | 7 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $136.86 – $159.67 | 7 |
| Bone marrow imaging body CPT 78104 | not published | not published | $60.60 – $184.57 | 7 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $45.45 – $131.92 | 7 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $45.45 – $140.58 | 7 |
| Bone marrow interpretation CPT 85097 | $224.13 | $344.81 | $20.42 – $40.16 | 7 |
| Bone mineral dual photon CPT 78351 | not published | not published | $10.58 – $64.64 | 2 |
| Bone mineral single photon CPT 78350 | not published | not published | $27.80 – $40.40 | 2 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $2,279.26 – $2,659.14 | 7 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $2,168.82 – $2,530.29 | 7 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,161.15 – $2,521.34 | 7 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $2,001.56 – $2,335.15 | 7 |
| Bone survey-lead poisoning CPT 77074 | $318.38 | $489.81 | $35.35 – $43.89 | 7 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $96.73 – $96.73 | 1 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $1.12 – $5.05 | 7 |
| Boot j walker l HCPCS L4386 | $346.79 | $533.53 | $171.14 – $768.57 | 7 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | not published | $181.13 – $813.43 | 7 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $171.14 – $768.57 | 7 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | not published | not published | $297.08 – $1,334.12 | 7 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | not published | $297.08 – $1,334.12 | 7 |
| Borrelia antibody CPT 86619 | $35.15 | $54.08 | $12.04 – $126.73 | 9 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $82.10 | $126.31 | $15.33 – $161.30 | 9 |
| Borrelia miyamotoi amp prb CPT 87478 | $84.54 | $130.06 | $21.64 – $332.35 | 9 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $8.57 – $8.57 | 1 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.09 – $32.49 | 9 |
| Bowel imaging CPT 78290 | $999.37 | $1,537.49 | $40.40 – $258.77 | 7 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $1,012.46 – $1,181.20 | 7 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $766.34 – $894.06 | 7 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $1,388.81 – $1,620.28 | 7 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $1,526.12 – $1,780.47 | 7 |
| Bpg iliorenal CPT 35634 | not published | not published | $1,359.42 – $1,585.99 | 7 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $871.70 – $1,016.99 | 7 |
| Bpg splenorenal CPT 35636 | not published | not published | $1,227.42 – $1,431.99 | 7 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $848.95 – $990.44 | 7 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $731.93 – $853.92 | 7 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $171.21 – $768.85 | 7 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $549.78 – $2,468.95 | 7 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $244.66 – $1,098.70 | 7 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $764.33 – $3,432.45 | 7 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $906.63 – $4,071.49 | 7 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $125.62 – $564.14 | 7 |
| Brace ank air stirrup univ HCPCS L4350 | $152.96 | $235.33 | $92.45 – $415.16 | 7 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $75.98 – $341.20 | 7 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $108.04 – $485.17 | 7 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $252.16 – $1,132.40 | 7 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $728.65 – $3,272.20 | 7 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $609.98 – $2,739.26 | 7 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $443.77 – $1,992.88 | 7 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $1,604.67 – $7,206.23 | 7 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $2,093.01 – $9,399.26 | 7 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $629.74 – $2,828.02 | 7 |
| Brace cust back lso HCPCS L0631 | not published | not published | $1,108.24 – $4,976.87 | 7 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $988.95 – $4,441.14 | 7 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $357.74 – $1,606.54 | 7 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $119.65 – $537.30 | 7 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $2,558.39 – $11,489.18 | 7 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $571.01 – $2,564.30 | 7 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $838.36 – $3,764.88 | 7 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $152.24 – $683.65 | 7 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $453.48 – $2,036.49 | 7 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $1,062.45 – $4,771.23 | 7 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $111.10 – $498.91 | 7 |
| Brace m arm board HCPCS L3809 | not published | not published | $245.67 – $1,103.26 | 7 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $72.96 | $112.25 | $40.09 – $124.26 | 8 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $1,159.74 – $5,208.13 | 7 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $1,073.69 – $4,821.71 | 7 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $245.67 – $1,103.26 | 7 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $114.58 – $514.55 | 7 |
| Brace wrist classic lft sm HCPCS L3908 | $133.75 | $205.77 | $80.84 – $363.03 | 7 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $624.42 – $728.49 | 7 |
| Brach/thor cath 1st CPT 36215 | not published | not published | $162.30 – $189.35 | 7 |
| Brach/thor cath 2nd CPT 36216 | not published | not published | $207.52 – $242.11 | 7 |
| Brach/thor cath 3rd CPT 36217 | not published | not published | $255.73 – $298.35 | 7 |
| Brach/thor cath addl CPT 36218 | not published | not published | $39.61 – $46.21 | 7 |
| Brachytx isodose complex CPT 77318 | not published | not published | $105.97 – $309.58 | 7 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $73.51 – $229.04 | 7 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $56.14 – $174.48 | 7 |
| Braf gene CPT 81210 | $1,115.76 | $1,716.55 | $157.86 – $1,661.28 | 9 |
| Brain aneurysm repr complx CPT 61697 | not published | not published | $3,323.51 – $3,877.43 | 7 |
| Brain aneurysm repr complx CPT 61698 | not published | not published | $3,627.17 – $4,231.70 | 7 |
| Brain aneurysm repr simple CPT 61700 | not published | not published | $2,670.49 – $3,115.57 | 7 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,155.80 – $1,348.43 | 7 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,023.52 – $1,194.10 | 7 |
| Brain flow imaging only CPT 78610 | not published | not published | $40.40 – $142.25 | 7 |
| Brain image < 4 views CPT 78600 | not published | not published | $60.60 – $145.92 | 7 |
| Brain image 4+ views CPT 78605 | not published | not published | $60.60 – $153.91 | 7 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $70.70 – $168.58 | 7 |
| Brain image w/flow 4 + views CPT 78606 | $4,507.28 | $6,934.27 | $70.70 – $258.11 | 7 |
| Brain imaging (3d) CPT 78607 | not published | not published | $232.09 – $232.09 | 1 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $1,544.71 | $2,376.48 | $221.89 – $258.87 | 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.