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 |
|---|---|---|---|---|
| Aflibercept injection HCPCS J0178 | $1,272.91 | $1,958.32 | $1,110.00 – $1,110.00 | 1 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $502.95 – $2,258.62 | 7 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $957.36 – $4,299.28 | 7 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $649.23 – $2,915.56 | 7 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $963.35 – $4,326.20 | 7 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $344.04 – $1,545.02 | 7 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $426.05 – $1,913.30 | 7 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $386.79 – $1,737.00 | 7 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $1,027.11 – $4,612.51 | 7 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $279.01 – $1,252.97 | 7 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $607.46 – $2,727.95 | 7 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $1,341.07 – $6,022.46 | 7 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $902.20 – $4,051.56 | 7 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $799.77 – $3,591.58 | 7 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $879.87 – $3,951.29 | 7 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $612.87 – $2,752.28 | 7 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $1,944.43 – $8,732.01 | 7 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $506.01 – $2,272.36 | 7 |
| After cataract laser surgery CPT 66821 | $1,542.77 | $2,373.49 | $238.46 – $278.21 | 7 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $236.29 – $236.29 | 1 |
| Air conduction bilat CPT 92552 | not published | not published | $5.05 – $77.66 | 9 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $68.30 – $79.68 | 7 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $13.46 – $35.56 | 7 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $2,700.23 – $12,126.15 | 7 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $1,775.22 – $7,972.13 | 7 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $617.35 – $2,772.36 | 7 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,323.20 – $5,942.19 | 7 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $645.49 – $2,898.75 | 7 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $88.45 – $397.22 | 7 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $221.44 – $994.42 | 7 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $144.31 – $648.05 | 7 |
| Ak open end sach HCPCS L5321 | not published | not published | $3,621.36 – $16,262.71 | 7 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $146.40 – $657.46 | 7 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $199.89 – $897.66 | 7 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $208.99 – $938.52 | 7 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $1,496.45 – $6,720.22 | 7 |
| Albumin body fluid quantitative each specimen CPT 82042 | $60.81 | $93.55 | $5.08 – $73.69 | 9 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $81.63 | $125.58 | $54.00 – $54.00 | 1 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $33.00 – $33.00 | 1 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $55.55 – $55.55 | 1 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $39.12 – $39.12 | 1 |
| Albumin ischemia modified CPT 82045 | not published | not published | $30.55 – $33.94 | 8 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $83.39 | $128.29 | $5.08 – $54.74 | 9 |
| Albumin serum plasma or whole blood CPT 82040 | $59.96 | $92.25 | $4.46 – $46.88 | 9 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.22 – $0.22 | 1 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.48 – $0.48 | 1 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.38 – $0.38 | 1 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.10 – $0.10 | 1 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $15.54 – $163.57 | 9 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $12.84 – $14.98 | 7 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | $64.35 | $99.00 | $25.38 – $29.61 | 7 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $48.56 – $56.65 | 7 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $6,168.30 – $6,168.30 | 1 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $112.95 – $125.50 | 8 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,707.21 – $2,707.21 | 1 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $5.23 – $42.40 | 7 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $21.10 – $94.74 | 7 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $2.64 – $30.39 | 7 |
| Alkaline phosphatase CPT 84075 | $63.43 | $97.59 | $4.66 – $49.06 | 9 |
| Allergen alpha lactalbumin ige CPT 86008 | $44.93 | $69.12 | $3.69 – $169.82 | 9 |
| Allergen egg white ige CPT 86003 | $31.28 | $48.12 | $3.69 – $49.44 | 9 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.17 – $75.49 | 9 |
| Allergy injections; 2 or more 95117 CPT 95117 | $74.33 | $114.36 | $10.49 – $12.24 | 7 |
| Allergy injection; single 95115 CPT 95115 | $47.61 | $73.25 | $8.78 – $10.24 | 7 |
| Allergy Skin Testing CPT 95004 | $45.18 | $69.51 | $3.08 – $3.59 | 7 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $4.21 – $4.91 | 7 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $1,006.32 – $1,174.04 | 7 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $108.80 – $126.93 | 7 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $108.80 – $126.93 | 7 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | not published | not published | $108.80 – $126.93 | 7 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $108.80 – $126.93 | 7 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $108.80 – $126.93 | 7 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $101.13 – $126.93 | 7 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $108.80 – $126.93 | 7 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $108.80 – $126.93 | 7 |
| Alloskin HCPCS Q4115 | not published | not published | $108.80 – $126.93 | 7 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $108.80 – $126.93 | 7 |
| All tstg perq&iq drugs/biol CPT 95018 | $36.75 | $56.54 | $5.27 – $6.15 | 7 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $2.60 – $3.03 | 7 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $7.82 | $12.03 | $6.20 – $6.20 | 1 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $57.97 – $610.05 | 9 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $10.10 – $161.01 | 9 |
| Alpha-fetoprotein tumor marker CPT 82105 | $375.59 | $577.83 | $6.57 – $158.84 | 9 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $11.38 – $11.38 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $127.60 | $196.31 | $96.43 – $96.43 | 1 |
| Alt/sgpt CPT 84460 | $69.08 | $106.28 | $4.77 – $50.20 | 9 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.67 – $4.67 | 7 |
| Aluminum - quest CPT 82108 | $85.86 | $132.10 | $22.93 – $241.33 | 9 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $194.39 – $226.79 | 7 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $255.55 | $393.15 | $30.67 – $35.78 | 7 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $41.18 – $48.04 | 7 |
| Ambl bp mntr w/sw a/r CPT 93788 | $327.61 | $504.02 | $5.07 – $5.91 | 7 |
| Ambl bp mntr w/sw i&r CPT 93790 | not published | not published | $15.90 – $18.55 | 7 |
| Amifostine HCPCS J0207 | not published | not published | $1,285.69 – $1,285.69 | 1 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $2.79 | $4.29 | $1.92 – $1.92 | 1 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $5.39 – $5.99 | 8 |
| Amino acid screen, urine CPT 82128 | not published | not published | $12.48 – $13.87 | 8 |
| Amino acid single qual CPT 82127 | not published | not published | $12.76 – $14.18 | 8 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $14.14 – $185.73 | 9 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.97 – $1.97 | 1 |
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.