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 |
|---|---|---|---|---|
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $2.14 – $14.91 | 7 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $33.62 – $33.62 | 1 |
| Dermabrasion other than face CPT 15782 | not published | not published | $277.18 – $323.38 | 7 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $318.03 – $371.04 | 7 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $265.72 – $310.00 | 7 |
| Dermabrasion total face CPT 15780 | not published | not published | $488.90 – $570.38 | 7 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $520.99 – $607.82 | 7 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $108.80 – $126.93 | 7 |
| Dermagraft HCPCS Q4106 | not published | not published | $50.99 – $50.99 | 1 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $48.75 – $56.88 | 7 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $108.80 – $126.93 | 7 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $580.50 – $677.25 | 7 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $471.64 – $550.25 | 7 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $108.80 – $126.93 | 7 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $108.80 – $126.93 | 7 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $1,091.33 – $1,273.22 | 7 |
| Description not available HCPCS S0013 | not published | not published | $14.65 – $14.65 | 1 |
| Design custom breast implant CPT 19396 | not published | not published | $108.24 – $126.28 | 7 |
| Design mlc device for imrt CPT 77338 | $1,356.38 | $2,086.74 | $213.09 – $248.61 | 7 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $15.75 – $15.75 | 1 |
| Desoxycorticosterone CPT 82633 | not published | not published | $27.88 – $293.42 | 9 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $916.39 – $1,069.12 | 7 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $815.86 – $951.84 | 7 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $440.09 | $677.06 | $64.58 – $75.35 | 7 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $876.79 | $1,348.91 | $86.44 – $100.84 | 7 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $488.59 | $751.68 | $98.96 – $115.46 | 7 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $440.09 | $677.06 | $70.44 – $82.18 | 7 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $440.09 | $677.06 | $77.39 – $90.29 | 7 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $338.26 | $520.40 | $88.14 – $102.83 | 7 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $253.91 | $390.63 | $51.36 – $59.92 | 7 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $440.09 | $677.06 | $64.58 – $75.35 | 7 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $377.52 | $580.80 | $80.87 – $94.35 | 7 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $339.10 | $521.69 | $89.03 – $103.87 | 7 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,407.40 | $3,703.70 | $150.28 – $175.33 | 7 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $803.05 | $1,235.46 | $50.45 – $58.86 | 7 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $135.52 – $158.11 | 7 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $108.58 | $167.04 | $41.28 – $48.16 | 7 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $163.22 – $190.42 | 7 |
| Destroy vulva lesion simple 56501 CPT 56501 | $2,209.01 | $3,398.47 | $102.98 – $120.14 | 7 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $270.61 | $416.32 | $63.94 – $74.60 | 7 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $267.54 – $312.13 | 7 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $207.05 – $241.56 | 7 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $392.03 – $457.37 | 7 |
| Destruction 2-14 lesions 17003 CPT 17003 | $18.38 | $28.27 | $1.48 – $1.73 | 7 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $111.65 – $130.26 | 7 |
| Destruction anal lesion(s) CPT 46924 | $2,396.21 | $3,686.48 | $148.00 – $172.66 | 7 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $113.96 – $132.95 | 7 |
| Destruction benign lesions < 14 lesions CPT 17110 | $131.97 | $203.03 | $53.90 – $62.88 | 7 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $157.45 – $183.69 | 7 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $803.05 | $1,235.46 | $44.29 – $51.67 | 7 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,407.40 | $3,703.70 | $150.64 – $175.75 | 7 |
| Destruction ciliary body CPT 66700 | not published | not published | $291.28 – $339.82 | 7 |
| Destruction ciliary body CPT 66720 | not published | not published | $313.49 – $365.74 | 7 |
| Destruction ciliary body CPT 66740 | not published | not published | $291.28 – $339.82 | 7 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $105.83 – $123.47 | 7 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $104.02 – $121.36 | 7 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $112.74 – $131.53 | 7 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $487.76 | $750.40 | $99.55 – $116.14 | 7 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $548.98 | $844.58 | $120.81 – $140.94 | 7 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $1,093.55 | $1,682.38 | $94.89 – $110.70 | 7 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $857.10 | $1,318.61 | $110.89 – $129.37 | 7 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $83.67 – $97.62 | 7 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $1,697.14 | $2,610.99 | $130.56 – $152.32 | 7 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $436.81 | $672.02 | $71.87 – $83.85 | 7 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $579.38 – $675.94 | 7 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $142.49 – $166.24 | 7 |
| Destruction vag lesions simple 57061 CPT 57061 | $6,276.20 | $9,655.69 | $90.52 – $105.61 | 7 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $75.04 – $87.55 | 7 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $27.03 – $30.03 | 8 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $28.19 – $413.62 | 9 |
| Determination venous press CPT 93770 | not published | not published | $5.05 – $5.05 | 2 |
| Developmental screen/score/document 96110 CPT 96110 | $145.18 | $223.35 | not published | 0 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $27.80 – $109.89 | 7 |
| Device intraute mirena HCPCS J7298 | $1,773.21 | $2,728.02 | $1,259.09 – $1,259.09 | 1 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $19.98 – $36.81 | 7 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,121.15 – $1,308.01 | 7 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $10.49 – $12.24 | 7 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $12.59 – $46.76 | 7 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $18.28 – $22.24 | 7 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $166.50 – $166.50 | 1 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.38 – $1.38 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.09 – $0.09 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $0.31 | $0.48 | $0.25 – $0.25 | 1 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $228.51 – $228.51 | 1 |
| Dexamethasone panel CPT 80420 | not published | not published | $65.45 – $1,533.23 | 9 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $329.11 – $329.11 | 1 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $35.19 – $35.19 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $1.24 – $1.24 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $3.15 – $3.15 | 1 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $7.04 – $7.04 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $5.19 | $7.99 | $4.94 – $4.94 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $6.20 – $6.20 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $208.93 | $321.43 | $20.01 – $210.55 | 9 |
| Diabetes (HbA1c) Test CPT 83036 | $151.59 | $233.22 | $8.74 – $91.97 | 9 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $7.05 – $8.22 | 7 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $244.62 – $1,098.53 | 7 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $41.21 – $185.07 | 7 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $41.21 – $185.07 | 7 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $41.21 – $185.07 | 7 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $13.68 – $16.35 | 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.