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 |
|---|---|---|---|---|
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $70.77 – $82.56 | 7 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $179.60 – $209.53 | 7 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $146.28 – $170.66 | 7 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $120.04 – $140.05 | 7 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $91.53 – $106.78 | 7 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $127.22 – $148.43 | 7 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $80.64 – $94.08 | 7 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $68.48 – $79.89 | 7 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $59.21 – $69.08 | 7 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $110.00 – $128.33 | 7 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $151.43 – $176.66 | 7 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $103.54 – $120.79 | 7 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $194.57 – $227.00 | 7 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $137.52 – $160.44 | 7 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $116.85 – $136.32 | 7 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $413.02 – $481.86 | 7 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $123.53 – $144.12 | 7 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $154.01 – $179.68 | 7 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $148.30 – $173.02 | 7 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $127.56 – $148.82 | 7 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $126.77 – $147.90 | 7 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $139.80 – $163.10 | 7 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,068.25 – $1,246.29 | 7 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $109.31 – $127.53 | 7 |
| Esophagus motility study CPT 91010 | not published | not published | $50.50 – $177.41 | 7 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $449.14 – $523.99 | 7 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $118.20 – $137.90 | 7 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $100.84 – $117.65 | 7 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $670.34 – $782.06 | 7 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $900.22 – $1,050.25 | 7 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $7.38 – $18.66 | 7 |
| Esoph imped function test CPT 91037 | not published | not published | $35.35 – $135.43 | 7 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $35.35 – $384.97 | 7 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $102.95 – $120.11 | 7 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $104.65 – $122.09 | 7 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $79.71 – $93.00 | 7 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $2,793.31 – $3,258.86 | 7 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $2,936.64 – $3,426.08 | 7 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $2,497.03 – $2,913.20 | 7 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $2,712.68 – $3,164.79 | 7 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $451.49 – $526.74 | 7 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $270.93 – $316.08 | 7 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $467.44 – $545.35 | 7 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $548.06 – $639.41 | 7 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $187.64 – $218.91 | 7 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $296.27 – $345.65 | 7 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $1,037.20 – $1,210.06 | 7 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $906.06 – $1,057.07 | 7 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $320.50 – $373.92 | 7 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $453.81 – $529.44 | 7 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $271.21 – $316.42 | 7 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $471.11 – $549.63 | 7 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $325.69 – $379.97 | 7 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $697.35 – $813.57 | 7 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $15.20 – $17.73 | 7 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $16.08 – $18.76 | 7 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $8.77 – $10.23 | 7 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $15.50 – $18.08 | 7 |
| Essure 58565 CPT 58565 | not published | not published | $346.92 – $404.74 | 7 |
| Establish access to aorta CPT 36160 | not published | not published | $92.41 – $107.81 | 7 |
| Establish access to artery CPT 36100 | not published | not published | $113.74 – $132.70 | 7 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $857.96 – $1,000.95 | 7 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,308.98 – $1,527.14 | 7 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $790.97 – $922.80 | 7 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $847.32 – $988.54 | 7 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,131.70 – $1,320.31 | 7 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $810.20 – $945.23 | 7 |
| Established Patient Office Visit (level 1) CPT 99211 | $239.21 | $368.02 | $6.77 – $33.00 | 9 |
| Established Patient Office Visit (level 2) CPT 99212 | $259.62 | $399.41 | $27.16 – $63.00 | 9 |
| Established Patient Office Visit (level 3) CPT 99213 | $294.07 | $452.41 | $50.41 – $101.00 | 9 |
| Established Patient Office Visit (level 4) CPT 99214 | $365.48 | $562.28 | $74.10 – $149.00 | 9 |
| Established Patient Office Visit (level 5) CPT 99215 | $482.21 | $741.86 | $110.02 – $199.00 | 9 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $142.47 – $166.22 | 7 |
| Estradiol total CPT 82670 | $352.66 | $542.56 | $25.15 – $264.63 | 9 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $31.86 – $31.86 | 1 |
| Estrogens total-sendout CPT 82672 | $208.05 | $320.08 | $19.53 – $205.53 | 9 |
| Etanercept injection HCPCS J1438 | not published | not published | $984.55 – $984.55 | 1 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $528.40 – $528.40 | 1 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $168.62 – $168.62 | 1 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $727.77 – $849.06 | 7 |
| Ethylene glycol -sendout CPT 82693 | $37.34 | $57.45 | $13.41 – $141.12 | 9 |
| Etonogestrel implant system HCPCS J7307 | $1,432.95 | $2,204.54 | $1,287.51 – $1,310.98 | 2 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $0.91 – $0.91 | 1 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $90.40 – $90.40 | 1 |
| Euflexxa inj per dose HCPCS J7323 | $507.49 | $780.75 | $420.15 – $420.15 | 1 |
| Euglobulin lysis CPT 85360 | $19.34 | $29.76 | $6.67 – $79.65 | 9 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $407.07 – $474.92 | 7 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $12.49 – $14.57 | 7 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $53.14 – $62.00 | 7 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $375.38 | $577.51 | $107.23 – $326.56 | 9 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $9.34 – $10.38 | 8 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $208.32 | $320.50 | $71.91 – $929.24 | 9 |
| Evaluation of speech fluency 92521 CPT 92521 | $179.64 | $276.37 | $34.63 – $286.72 | 9 |
| Evaluation psychiatric diagnostic CPT 90791 | $356.86 | $549.02 | $110.00 – $143.49 | 9 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $438.47 – $511.55 | 7 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $187.39 – $218.62 | 7 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $942.70 – $1,099.81 | 7 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $945.94 – $1,103.60 | 7 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $1,377.63 – $1,607.24 | 7 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $1,737.14 – $2,026.66 | 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.