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 |
|---|---|---|---|---|
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $45.75 – $53.37 | 7 |
| Ghs nerve block axillary nerve CPT 64417 | $1,608.69 | $2,474.91 | $53.50 – $62.42 | 7 |
| Ghs nerve block brachial plexus CPT 64415 | $1,608.69 | $2,474.91 | $58.13 – $67.82 | 7 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $74.31 – $86.70 | 7 |
| Ghs nerve block interscaline CPT 64510 | $1,128.78 | $1,736.58 | $60.66 – $70.77 | 7 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,128.78 | $1,736.58 | $66.78 – $77.91 | 7 |
| Ghs nerve block sciatic nerve CPT 64445 | $883.82 | $1,359.72 | $57.47 – $67.05 | 7 |
| Ghs nerve block suprascapular CPT 64418 | $1,278.21 | $1,966.47 | $41.91 – $48.90 | 7 |
| Ghs ng placement w fluoro guidance CPT 43752 | $522.05 | $803.15 | $29.93 – $34.92 | 7 |
| Ghs o2 saturation CPT 82810 | not published | not published | $8.79 – $92.54 | 9 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $25.25 – $45.14 | 7 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $7.58 – $48.55 | 7 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $25.88 – $30.19 | 7 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $146.09 – $170.44 | 7 |
| Ghs optokenetic CPT 92544 | not published | not published | $3.07 – $3.58 | 7 |
| Ghs oscillating trac CPT 92545 | not published | not published | $3.07 – $3.58 | 7 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $67.52 | $103.87 | $17.31 – $20.19 | 7 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $68.86 | $105.94 | $26.15 – $30.51 | 7 |
| Ghs ot dds rom CPT 95851 | not published | not published | $2.53 – $6.86 | 7 |
| Ghs ot group caregiver training CPT 97552 | $16.15 | $24.84 | $8.27 – $9.65 | 7 |
| Ghs ot prosthetic training/15 min CPT 97761 | $130.62 | $200.95 | $35.24 – $105.88 | 8 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $109.45 | $168.38 | $52.62 – $130.30 | 8 |
| Ghs pacing - transcutaneous CPT 92953 | $1,338.96 | $2,059.94 | $0.80 – $0.93 | 7 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $376.14 | $578.67 | $44.72 – $52.17 | 7 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $376.14 | $578.67 | $39.43 – $46.00 | 7 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $134.02 | $206.18 | $8.38 – $24.34 | 7 |
| Ghs peritonsillar abscess i andd CPT 42700 | $577.96 | $889.17 | $110.18 – $128.54 | 7 |
| Ghs phenylketonurid CPT 84030 | $20.64 | $31.76 | $4.95 – $52.09 | 9 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $72.85 – $84.99 | 7 |
| Ghs plngl fx pm cl CPT 26725 | $730.52 | $1,123.88 | $275.05 – $320.89 | 7 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $3.88 – $4.31 | 8 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $757.92 – $884.24 | 7 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $3.36 – $3.92 | 7 |
| Ghs ppd (tb intradermal) CPT 86580 | $26.06 | $40.09 | $5.05 – $10.91 | 7 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $8.69 – $91.49 | 9 |
| Ghs protein, misc fluid CPT 84160 | $62.56 | $96.24 | $5.05 – $53.13 | 9 |
| Ghs protoporphyrins fract CPT 84202 | $53.86 | $82.86 | $9.09 – $135.91 | 9 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $3.91 – $16.53 | 7 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $11.02 – $116.02 | 9 |
| Ghs quinidine CPT 80194 | not published | not published | $10.61 – $138.28 | 9 |
| Ghs refill of implantable pump CPT 95990 | $308.19 | $474.14 | $15.15 – $97.52 | 7 |
| Ghs removal intranasal foreign body CPT 30300 | $289.82 | $445.87 | $99.22 – $115.75 | 7 |
| Ghs removal pharyngeal foreign body CPT 42809 | $873.15 | $1,343.31 | $100.59 – $117.36 | 7 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $512.06 – $597.41 | 7 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $402.88 – $470.02 | 7 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $14.30 – $15.89 | 8 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $1.44 – $40.82 | 9 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $8.11 – $131.75 | 9 |
| Ghs sedimentation rate CPT 85651 | $52.99 | $81.52 | $2.02 – $40.44 | 9 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $11.08 – $12.31 | 8 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $8.86 – $9.84 | 8 |
| Ghs sensitivity (per antimicro) CPT 87184 | $18.75 | $28.84 | $6.66 – $70.85 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $593.83 | $913.59 | $76.51 – $89.26 | 7 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $630.62 | $970.19 | $103.91 – $121.23 | 7 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $876.79 | $1,348.91 | $93.10 – $108.61 | 7 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $130.81 – $152.61 | 7 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $388.38 | $597.50 | $61.31 – $71.53 | 7 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $606.11 | $932.47 | $61.34 – $71.56 | 7 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $401.73 | $618.05 | $76.74 – $89.53 | 7 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $440.41 | $677.55 | $114.16 – $133.19 | 7 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $147.55 – $172.14 | 7 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $87.52 – $102.11 | 7 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $30.30 – $109.36 | 7 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $94.35 – $353.73 | 7 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $155.28 | $238.89 | $41.89 – $131.01 | 9 |
| Ghs sphenopalatine ganglion block CPT 64505 | $366.16 | $563.32 | $82.57 – $96.33 | 7 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $3.64 – $4.24 | 7 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $201.58 | $310.12 | $89.86 – $274.74 | 9 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $7.65 – $8.93 | 7 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $13.64 – $48.48 | 8 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $62.53 – $186.13 | 9 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $5.05 – $17.22 | 7 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $35.35 – $144.71 | 7 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,017.28 | $1,565.05 | $153.50 – $179.08 | 7 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $416.10 | $640.16 | $115.41 – $134.64 | 7 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $238.95 – $278.77 | 7 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $6.57 – $7.30 | 8 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $671.47 | $1,033.03 | $255.56 – $298.16 | 7 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $222.36 – $259.42 | 7 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $21.87 – $230.16 | 9 |
| Ghs urine, porphyrins quant CPT 84120 | $241.92 | $372.19 | $13.24 – $139.32 | 9 |
| Ghs vaginal delivery only CPT 59409 | $4,382.16 | $6,741.78 | $608.89 – $710.37 | 7 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $25.19 – $25.19 | 2 |
| Ghs windowing of cast CPT 29730 | not published | not published | $33.34 – $38.89 | 7 |
| Giardia ag if CPT 87269 | $34.10 | $52.46 | $12.25 – $128.91 | 9 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $13.25 – $14.72 | 8 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $30.30 – $30.30 | 2 |
| Gi inhouse confirmation CPT 87045 | $132.05 | $203.15 | $8.23 – $89.41 | 9 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $255.99 – $298.65 | 7 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,248.88 | $3,459.81 | $585.07 – $682.58 | 7 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $733.50 – $855.75 | 7 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $777.27 – $906.81 | 7 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $1,416.03 – $1,652.04 | 7 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $91.01 – $957.75 | 9 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $55.37 – $61.52 | 8 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $31.50 – $35.00 | 8 |
| Glassia injection HCPCS J0257 | not published | not published | $7.20 – $7.20 | 1 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $55.63 – $64.90 | 7 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $34.74 – $40.53 | 7 |
| Glaucoma surgery CPT 66150 | not published | not published | $660.18 – $770.21 | 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.