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 |
|---|---|---|---|---|
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $108.80 – $126.93 | 7 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $28.69 – $126.93 | 7 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $55.48 – $126.93 | 7 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $108.80 – $126.93 | 7 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $108.80 – $126.93 | 7 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $72.71 – $84.83 | 7 |
| Drug assay caffeine CPT 80155 | $111.89 | $172.14 | $34.71 – $365.31 | 9 |
| Drug assay posaconazole CPT 80187 | $73.74 | $113.44 | $10.61 – $256.77 | 9 |
| Drug assay rufinamide CPT 80210 | $66.25 | $101.92 | $16.43 – $256.77 | 9 |
| Drug assay vedolizumab CPT 80280 | $106.39 | $163.68 | $10.61 – $365.31 | 9 |
| Drug assay voriconazole CPT 80285 | $74.89 | $115.22 | $10.61 – $256.77 | 9 |
| Drug asy hydroxychloroquine CPT 80220 | $45.55 | $70.08 | $10.61 – $176.55 | 9 |
| Drug of abuse screen urine CPT 80305 | $62.56 | $96.24 | $5.05 – $119.34 | 9 |
| Drug screening tapentadol CPT 80372 | $102.83 | $158.20 | not published | 0 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $24.40 – $27.11 | 8 |
| Drug/substance nos 4-6 CPT 80376 | $714.10 | $1,098.62 | not published | 0 |
| Drug test def 15-21 classes HCPCS G0482 | $604.39 | $929.83 | $178.87 – $1,882.35 | 9 |
| Drug test def 1-7 classes HCPCS G0480 | $69.32 | $106.65 | $15.15 – $1,083.81 | 9 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $222.23 – $2,338.68 | 9 |
| Drug test def 8-14 classes HCPCS G0481 | $392.36 | $603.63 | $140.93 – $1,483.13 | 9 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $55.93 – $588.55 | 9 |
| Drug test prsmv instrmnt CPT 80306 | $52.09 | $80.14 | $5.05 – $162.34 | 9 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $135.20 | $208.00 | $7.58 – $588.55 | 9 |
| Drvvt confirm - quest CPT 85597 | $103.81 | $159.71 | $16.18 – $170.30 | 9 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $187.11 – $218.30 | 7 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $115.98 – $135.31 | 7 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | $583.73 | $898.05 | $145.60 – $169.87 | 7 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | $537.04 | $826.21 | $122.60 – $143.03 | 7 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | $733.31 | $1,128.17 | $143.60 – $167.54 | 7 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | $1,293.53 | $1,990.04 | $195.06 – $227.57 | 7 |
| Ductogram sgl duct CPT 77053 | not published | not published | $30.30 – $36.22 | 7 |
| Duodenal exclusion CPT 48547 | not published | not published | $1,409.25 – $1,644.12 | 7 |
| Duodenal motility study CPT 91022 | not published | not published | $50.50 – $117.43 | 7 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $73.51 – $211.13 | 7 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $40.94 – $124.68 | 7 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $42.42 – $121.35 | 7 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $72.72 – $141.00 | 7 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $908.46 | $1,397.63 | $109.08 – $161.00 | 7 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $22.80 – $22.80 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $130.88 | $201.36 | $91.98 – $91.98 | 1 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $34.12 – $39.81 | 7 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $340.44 | $523.76 | $47.78 – $55.74 | 7 |
| Dx aly aud oi snd prcsr each CPT 92623 | $170.22 | $261.88 | $12.49 – $14.57 | 7 |
| Dx bronchoscope/brush 31623 CPT 31623 | $3,612.65 | $5,557.93 | $104.01 – $121.35 | 7 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $3,612.65 | $5,557.93 | $105.44 – $123.02 | 7 |
| Dx bronchoscope/wash 31622 CPT 31622 | $3,612.65 | $5,557.93 | $104.29 – $121.67 | 7 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $16.49 – $19.24 | 7 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $40.88 – $47.69 | 7 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $60.78 – $70.91 | 7 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $40.68 – $47.46 | 7 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $47.84 – $55.81 | 7 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $116.39 – $135.79 | 7 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $116.68 – $136.13 | 7 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $90.81 – $105.94 | 7 |
| Dynamic surface emg CPT 96002 | not published | not published | $15.80 – $18.44 | 7 |
| Ear and throat examination CPT 92502 | not published | not published | $75.36 – $87.92 | 7 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $49.55 – $57.81 | 7 |
| Ear cartilage graft CPT 21235 | not published | not published | $436.07 – $508.75 | 7 |
| Ear irrigation 69209 CPT 69209 | $143.81 | $221.25 | $14.49 – $16.90 | 7 |
| Ear protector evaluation CPT 92596 | not published | not published | $66.75 – $77.88 | 7 |
| Ecallantide injection HCPCS J1290 | not published | not published | $626.68 – $626.68 | 1 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $6.15 – $7.17 | 7 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $138.48 | $213.05 | $6.78 – $7.91 | 7 |
| Ecg < 30 days transmission & analysis CPT 93271 | $255.55 | $393.15 | $9.09 – $137.18 | 7 |
| Ecg external < 48 hours recording CPT 93225 | $211.52 | $325.41 | $15.34 – $17.90 | 7 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $211.52 | $325.41 | $29.63 – $34.57 | 7 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $138.48 | $213.05 | $4.78 – $11.57 | 7 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $260.58 | $400.89 | $4.78 – $11.57 | 7 |
| Ecg record/review CPT 93268 | not published | not published | $60.60 – $169.80 | 7 |
| Ecg/review interpret only CPT 93272 | not published | not published | $20.90 – $24.38 | 7 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,346.81 | $2,072.02 | $110.30 – $128.68 | 7 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $1,353.33 | $2,082.04 | $60.60 – $76.12 | 7 |
| Echocardiography doppler color flow mapping CPT 93325 | $332.24 | $511.14 | $17.42 – $20.33 | 7 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,727.24 | $2,657.30 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,622.14 | $2,495.60 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | not published | not published | $15.42 – $17.99 | 7 |
| Echo exam of eye CPT 76516 | not published | not published | $21.63 – $25.23 | 7 |
| Echo exam of eye CPT 76519 | not published | not published | $33.62 – $39.23 | 7 |
| Echo exam of eye CPT 76529 | not published | not published | $47.04 – $54.88 | 7 |
| Echo exam of eye thickness CPT 76514 | $36.50 | $56.15 | $3.36 – $3.92 | 7 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $25.25 – $182.32 | 7 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $25.25 – $118.44 | 7 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $25.25 – $42.23 | 7 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $19.34 – $22.56 | 7 |
| Echo exam uterus 76831- CPT 76831 | $630.62 | $970.19 | $28.28 – $82.20 | 7 |
| Echograp trans r pros study CPT 76873 | not published | not published | $60.60 – $102.11 | 7 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $24.49 – $28.57 | 7 |
| Echo guide cardiocentesis CPT 76930 | not published | not published | $79.53 – $79.53 | 1 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $13.35 – $15.57 | 7 |
| Echo guide for artery repair CPT 76936 | not published | not published | $146.85 – $171.33 | 7 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $25.25 – $25.25 | 2 |
| Echo guide for transfusion CPT 76941 | not published | not published | $39.39 – $39.39 | 2 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $42.76 – $49.89 | 7 |
| Echo guide villus sampling CPT 76945 | not published | not published | $32.32 – $32.32 | 2 |
| Echo stress CPT 93350 | not published | not published | $100.66 – $117.43 | 7 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $21.37 – $24.93 | 7 |
| Echo tee guidance CPT 93355 | not published | not published | $168.51 – $196.59 | 7 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,940.52 | $2,985.42 | $106.05 – $133.68 | 7 |
| Echo transesophageal CPT 93313 | not published | not published | $9.08 – $10.59 | 7 |
| Echo transesophageal CPT 93314 | not published | not published | $84.84 – $142.34 | 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.