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 |
|---|---|---|---|---|
| Abscess imaging ltd area CPT 78805 | not published | not published | $117.79 – $117.79 | 1 |
| Abscess imaging whole body CPT 78806 | not published | not published | $216.82 – $216.82 | 1 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | not published | not published | $3.91 – $17.54 | 7 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | not published | not published | $4.18 – $18.75 | 7 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | not published | not published | $1.53 – $6.87 | 7 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | not published | not published | $2.56 – $11.48 | 7 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | not published | not published | $8.13 – $36.50 | 7 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $93.46 – $109.03 | 7 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $223.87 – $261.18 | 7 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.15 – $0.15 | 1 |
| Acetaminophen level CPT 80143 | $49.04 | $75.45 | $16.78 – $176.55 | 9 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $47.82 – $47.82 | 1 |
| Acetone qualitative CPT 82009 | $21.71 | $33.40 | $0.51 – $42.81 | 9 |
| Acetylcholine receptor modulating antibody CPT 86043 | $27.72 | $42.64 | $7.23 – $114.13 | 9 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $11.06 – $12.29 | 8 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $3.00 – $3.00 | 1 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $13.59 – $13.59 | 1 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $60.60 – $114.10 | 7 |
| Acne surgery 10040 CPT 10040 | $440.09 | $677.06 | $37.01 – $43.18 | 7 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $151.71 – $177.00 | 7 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $96.04 | $147.76 | $119.58 – $139.51 | 7 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $38.39 – $44.79 | 7 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $26.96 – $31.45 | 7 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $38.39 – $44.79 | 7 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $69.44 – $81.01 | 7 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $313.20 | $481.85 | $130.14 – $151.83 | 7 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $7.05 – $8.22 | 7 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $10.87 – $12.68 | 7 |
| Acoustic immitance testing CPT 92570 | not published | not published | $12.09 – $24.53 | 7 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $10.10 – $13.08 | 7 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $504.77 – $588.90 | 7 |
| Acth stimulation panel CPT 80402 | not published | not published | $78.26 – $86.96 | 8 |
| Acth stimulation panel CPT 80406 | not published | not published | $70.43 – $78.26 | 8 |
| Actigraphy testing CPT 95803 | not published | not published | $79.03 – $92.20 | 7 |
| Actinotherapy uv light CPT 96900 | not published | not published | $20.20 – $23.57 | 7 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $29.30 – $34.18 | 7 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | not published | not published | $18.48 – $21.56 | 7 |
| Acup 1/> without estim ea add 15 CPT 97811 | not published | not published | $18.17 – $21.20 | 7 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $24.04 – $28.05 | 7 |
| Acute hepatitis panel CPT 80074 | $175.89 | $270.60 | $42.87 – $451.12 | 9 |
| Acute venous thrombus image CPT 78456 | not published | not published | $60.60 – $237.46 | 7 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.14 – $0.14 | 1 |
| #acylcarnitineprfl CPT 82017 | $42.26 | $65.02 | $15.18 – $159.78 | 9 |
| Acylcarnitines qual CPT 82016 | not published | not published | $14.84 – $16.49 | 8 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $19.26 – $19.26 | 2 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $16.85 – $16.85 | 2 |
| Adding walker to prev cast CPT 29440 | not published | not published | $22.46 – $26.21 | 7 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $445.36 – $2,000.04 | 7 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $171.16 – $768.65 | 7 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $601.22 – $2,699.94 | 7 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $371.15 – $1,666.76 | 7 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $398.32 – $1,788.78 | 7 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $331.52 – $1,488.76 | 7 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $786.28 – $3,531.03 | 7 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $400.80 – $1,799.89 | 7 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $548.06 – $2,461.23 | 7 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $1.92 – $1.92 | 1 |
| Adenovirus ag ia CPT 87301 | not published | not published | $8.11 – $113.47 | 9 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $8.11 – $121.90 | 9 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $19.58 – $21.76 | 8 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $705.54 – $823.13 | 7 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $3.77 – $16.93 | 7 |
| Adh-sendout CPT 84588 | $127.43 | $196.04 | $30.55 – $321.46 | 9 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $368.62 – $430.06 | 7 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $564.39 – $658.46 | 7 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | not published | $0.59 – $0.59 | 1 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $30.69 – $35.80 | 7 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $191.97 | $295.34 | $5.05 – $28.48 | 7 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $328.37 | $505.18 | $56.92 – $66.41 | 7 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $301.84 | $464.37 | $35.35 – $132.82 | 7 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $475.14 | $730.99 | $15.15 – $104.18 | 7 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $186.97 | $287.64 | $33.26 – $38.81 | 7 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $258.41 | $397.56 | $61.42 – $71.65 | 7 |
| Administration immunization each additional component CPT 90461 | not published | not published | $7.62 – $8.89 | 7 |
| Administration immunization each additional vaccine CPT 90472 | $16.54 | $25.44 | $11.14 – $16.17 | 7 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $20.19 – $23.55 | 7 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $44.26 | $68.10 | $14.78 – $17.54 | 7 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $53.45 | $82.23 | $10.72 – $12.51 | 7 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $70.27 | $108.11 | $25.97 – $30.30 | 7 |
| Administration vaccine hepatitis b HCPCS G0010 | $26.93 | $41.43 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $43.43 | $66.82 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $43.43 | $66.82 | not published | 0 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $70.27 | $108.11 | $21.02 – $24.53 | 7 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $42.16 – $42.16 | 1 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $60.60 – $351.89 | 7 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $998.53 – $1,164.95 | 7 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $0.76 – $0.76 | 1 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $55.69 – $64.97 | 7 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $9.65 – $11.26 | 7 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $29.63 – $34.57 | 7 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $63.87 – $74.52 | 7 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $10.86 – $81.33 | 7 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $11.40 – $81.31 | 7 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $16.29 – $109.57 | 7 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $3,524.94 – $3,524.94 | 1 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $18.05 – $189.90 | 9 |
| #afb mycobacteria suscep. #1 CPT 87190 | $18.31 | $28.17 | $6.58 – $69.24 | 9 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $277.93 | $427.58 | $103.82 – $1,092.62 | 9 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $123.30 – $137.00 | 8 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $247.35 – $274.83 | 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.