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 |
|---|---|---|---|---|
| Glaucoma surgery CPT 66155 | not published | not published | $659.88 – $769.86 | 7 |
| Glaucoma surgery CPT 66160 | not published | not published | $736.24 – $858.95 | 7 |
| Glaucoma surgery CPT 66170 | not published | not published | $814.52 – $950.27 | 7 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $95.98 – $431.01 | 7 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $204.60 – $204.60 | 1 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $199.50 – $199.50 | 1 |
| Glucagon plasma - sendout CPT 82943 | $224.13 | $344.81 | $12.86 – $135.35 | 9 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $41.46 – $46.07 | 8 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $45.45 – $50.50 | 8 |
| Glucagon tolerance test CPT 82946 | not published | not published | $15.99 – $17.77 | 8 |
| Glucose 1 hr post dose CPT 82950 | $56.46 | $86.86 | $4.28 – $44.99 | 9 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $3.03 – $57.30 | 9 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $21.71 | $33.40 | $2.95 – $31.07 | 9 |
| Glucose blood quantitative CPT 82947 | $62.56 | $96.24 | $3.54 – $37.22 | 9 |
| Glucose body fluid CPT 82945 | $53.88 | $82.89 | $3.54 – $37.22 | 9 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $59.39 – $69.29 | 7 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $157.23 | $241.89 | $6.91 – $121.90 | 9 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $157.23 | $241.89 | $1.41 – $37.13 | 9 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $65.88 | $101.36 | $47.98 – $47.98 | 1 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $195.90 | $301.38 | $16.72 – $175.98 | 9 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $133.57 – $148.41 | 8 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $261.04 | $401.60 | $16.67 – $175.41 | 9 |
| Gonioscopy CPT 92020 | $28.68 | $44.13 | $8.08 – $16.87 | 7 |
| Goniotomy CPT 65820 | not published | not published | $626.57 – $731.00 | 7 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,231.50 | $1,894.62 | $940.33 – $940.33 | 1 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $99.03 | $152.36 | $54.41 – $126.93 | 7 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $108.80 – $126.93 | 7 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $100.00 – $126.93 | 7 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $766.37 – $894.10 | 7 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $108.80 – $126.93 | 7 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $897.50 – $897.50 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $61.18 | $94.12 | $75.36 – $126.93 | 7 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $108.80 – $126.93 | 7 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $882.12 – $1,029.14 | 7 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $108.80 – $126.93 | 7 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $108.80 – $126.93 | 7 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $108.80 – $126.93 | 7 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $108.80 – $126.93 | 7 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $108.80 – $126.93 | 7 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $108.80 – $126.93 | 7 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $3.60 – $3.60 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $1.14 – $1.14 | 1 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,539.98 – $2,963.31 | 7 |
| Great toe with reduction 28495 CPT 28495 | $513.36 | $789.78 | $132.92 – $155.07 | 7 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $390.08 – $455.09 | 7 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $405.68 – $473.29 | 7 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $108.28 – $126.33 | 7 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $388.58 – $453.35 | 7 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $8.84 – $10.31 | 7 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $10.87 – $12.68 | 7 |
| Group train without patient HCPCS G0543 | not published | not published | $8.27 – $9.65 | 7 |
| Growth hormone antibody CPT 86277 | not published | not published | $14.17 – $15.74 | 8 |
| Growth hormone panel CPT 80428 | not published | not published | $60.03 – $66.70 | 8 |
| Growth hormone panel CPT 80430 | not published | not published | $116.40 – $129.33 | 8 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $68.04 – $75.60 | 8 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $3.31 – $3.31 | 2 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $3.31 – $3.31 | 2 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,506.02 – $1,757.03 | 7 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,021.53 – $1,191.78 | 7 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,310.08 – $1,528.42 | 7 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,429.02 – $1,667.19 | 7 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $574.01 – $669.68 | 7 |
| G-tube reposition CPT 43761 | $424.61 | $653.24 | $76.54 – $89.30 | 7 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $70.82 – $83.87 | 7 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,507.51 | $2,319.24 | $102.53 – $119.62 | 7 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $613.34 – $2,754.38 | 7 |
| Guid loc target vol rad tx CPT 77387 | $192.89 | $296.75 | $31.92 – $37.24 | 7 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $362.92 – $423.40 | 7 |
| Hair analysis HCPCS P2031 | not published | not published | $4.46 – $4.95 | 8 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $191.28 – $223.16 | 7 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $260.12 – $303.47 | 7 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $46.67 – $209.60 | 7 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $2,233.97 – $10,032.27 | 7 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $2,709.04 – $12,165.72 | 7 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $3,243.06 – $14,563.86 | 7 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $15.88 | $24.43 | $26.68 – $26.68 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | not published | $3.60 – $3.60 | 1 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $232.68 – $1,044.90 | 7 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $24.67 – $136.97 | 7 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $103.83 – $466.29 | 7 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $1,932.38 – $8,677.89 | 7 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $2,009.20 – $9,022.85 | 7 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $689.77 – $3,097.60 | 7 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $1,955.70 – $8,782.61 | 7 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $98.83 | $152.04 | $24.27 – $71.42 | 8 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $703.92 – $821.24 | 7 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $586.92 – $684.74 | 7 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $636.71 – $742.82 | 7 |
| Hand X-ray CPT 73130 | $256.69 | $394.91 | $12.63 – $29.23 | 7 |
| Hand X-ray (2 views, both hands) CPT 73120 | $354.84 | $545.90 | $10.10 – $23.24 | 7 |
| Haptoglobin quantitative CPT 83010 | $117.72 | $181.11 | $11.32 – $119.15 | 9 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $225.85 – $1,014.22 | 7 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $160.74 – $721.85 | 7 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $149.76 – $672.54 | 7 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $60.43 – $70.50 | 7 |
| Harvest auto stem cells CPT 38206 | not published | not published | $59.21 – $69.08 | 7 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $97.49 – $113.74 | 7 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $311.19 – $363.06 | 7 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $259.96 – $303.28 | 7 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $243.02 – $283.52 | 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.