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 |
|---|---|---|---|---|
| Diab shoe for density insert HCPCS A5500 | not published | not published | $81.57 – $366.30 | 7 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $41.21 – $185.07 | 7 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $133.25 – $155.46 | 7 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $268.84 – $313.65 | 7 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $73.89 – $86.20 | 7 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $97.81 – $114.11 | 7 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $348.09 | $535.52 | $34.78 – $40.57 | 7 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $75.56 | $116.25 | not published | 0 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $79.23 | $121.89 | not published | 0 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $38.64 – $45.08 | 7 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $299.83 | $461.28 | $52.68 – $167.41 | 8 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $535.08 | $823.20 | $94.37 – $423.81 | 8 |
| Diagnostic Mammogram (one breast) CPT 77065 | $427.79 | $658.14 | $73.60 – $330.53 | 8 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $151.28 – $176.49 | 7 |
| Dialysis one evaluation CPT 90945 | not published | not published | $67.58 – $78.84 | 7 |
| Dialysis repeated eval CPT 90947 | not published | not published | $93.25 – $108.79 | 7 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.30 – $7.14 | 7 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.23 | $0.35 | $0.13 – $0.13 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $14.77 – $14.77 | 1 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $46.80 – $46.80 | 1 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.28 – $0.28 | 1 |
| Diffusing capacity CPT 94729 | $233.23 | $358.81 | $17.05 – $53.89 | 7 |
| Digital analysis of eeg CPT 95957 | not published | not published | $177.90 – $207.55 | 7 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $132.31 – $154.36 | 7 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $7.04 – $7.04 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $5,306.40 – $5,306.40 | 1 |
| Digoxin total therapeutic drug level CPT 80162 | $105.57 | $162.41 | $10.61 – $125.78 | 9 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $101.05 – $101.05 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $101.97 – $118.96 | 7 |
| Dilate esophagus CPT 43453 | not published | not published | $66.98 – $78.14 | 7 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,025.43 | $1,577.58 | $63.31 – $73.86 | 7 |
| Dilate tear duct opening CPT 68801 | not published | not published | $62.23 – $72.60 | 7 |
| Dilate urethra stricture CPT 53600 | not published | not published | $48.64 – $56.74 | 7 |
| Dilate urethra stricture CPT 53601 | not published | not published | $41.39 – $48.29 | 7 |
| Dilate urethra stricture CPT 53605 | not published | not published | $48.38 – $56.45 | 7 |
| Dilate urethra stricture CPT 53621 | not published | not published | $55.27 – $64.48 | 7 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $32.43 – $37.83 | 7 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $144.83 – $168.97 | 7 |
| Dilation of cervical canal 57800 CPT 57800 | $1,493.19 | $2,297.21 | $37.22 – $43.42 | 7 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $161.40 – $188.30 | 7 |
| Dilation of salivary duct CPT 42660 | not published | not published | $60.44 – $70.51 | 7 |
| Dilation of urethra CPT 53661 | not published | not published | $31.30 – $36.52 | 7 |
| Dilation of urethra CPT 53665 | not published | not published | $28.72 – $33.51 | 7 |
| Dilation of vagina CPT 57400 | not published | not published | $99.23 – $115.77 | 7 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $46.00 – $53.67 | 7 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $66.86 – $78.00 | 7 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $117.99 – $137.66 | 7 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $194.50 – $226.92 | 7 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $64.18 – $64.18 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $12.04 – $12.04 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,105.00 | $1,700.00 | $742.31 – $742.31 | 1 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $0.05 | $0.08 | $0.02 – $0.02 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $1.55 | $2.39 | $2.28 – $2.28 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $75.32 – $75.32 | 1 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $4.75 – $4.75 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $2.02 – $27.90 | 7 |
| Disability dlco CPT 94727 | $251.47 | $386.88 | $13.46 – $37.56 | 7 |
| Disaccharidases CPT 82657 | $368.74 | $567.29 | $19.95 – $209.98 | 9 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $392.15 – $457.51 | 7 |
| Disarticulation shoulder CPT 23920 | not published | not published | $883.26 – $1,030.47 | 7 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,119.73 – $1,306.35 | 7 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $156.28 – $182.33 | 7 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $75.03 – $87.54 | 7 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $83.35 – $374.30 | 7 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $202.49 – $909.34 | 7 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $72.15 – $84.18 | 7 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,251.77 – $1,460.40 | 7 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $872.78 – $1,018.24 | 7 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $921.84 – $1,075.48 | 7 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $612.74 – $714.86 | 7 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $259.43 – $302.67 | 7 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $223.85 – $261.16 | 7 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $251.10 – $279.00 | 8 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $247.35 – $274.83 | 8 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $83.83 – $1,297.58 | 9 |
| Dna antibody native/double stranded CPT 86225 | $130.30 | $200.46 | $5.25 – $130.14 | 9 |
| Dna gardnerella CPT 87510 | $50.24 | $77.29 | $14.09 – $189.90 | 9 |
| Dna probe chlamydia CPT 87490 | not published | not published | $8.11 – $215.47 | 9 |
| Dna probe gc CPT 87590 | not published | not published | $8.11 – $254.59 | 9 |
| Dna trichomonas CPT 87660 | $50.24 | $77.29 | $14.09 – $189.90 | 9 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $10.08 | $15.50 | $6.76 – $6.76 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $2.86 – $2.86 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $72.38 – $72.38 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.70 – $0.70 | 1 |
| Doppler echo complete CPT 93320 | $332.24 | $511.14 | $29.05 – $33.89 | 7 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $363.87 | $559.80 | $72.72 – $111.69 | 7 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $290.50 | $446.93 | $60.97 – $71.13 | 7 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $57.92 – $57.92 | 1 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $21,114.08 – $94,818.65 | 7 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $96.08 – $431.45 | 7 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $258.91 – $258.91 | 1 |
| Double transfer toe-hand CPT 26554 | not published | not published | $2,924.50 – $3,411.91 | 7 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $8.46 – $8.46 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $397.80 – $397.80 | 1 |
| Dpyd gene common variants CPT 81232 | $506.30 | $778.93 | $157.33 – $1,655.70 | 9 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $22.02 – $98.90 | 7 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $99.71 – $116.33 | 7 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $114.34 – $133.39 | 7 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $125.80 – $146.77 | 7 |
| Drainage external ear simple 69000 CPT 69000 | $1,925.76 | $2,962.71 | $101.01 – $117.84 | 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.