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 |
|---|---|---|---|---|
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | not published | not published | $10.78 – $113.47 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $255.82 | $393.57 | $8.11 – $136.20 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $38.78 | $59.66 | $9.30 – $97.84 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $38.78 | $59.66 | $9.30 – $97.84 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $90.42 | $139.10 | $18.67 – $228.07 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $162.03 | $249.28 | $5.25 – $113.47 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $253.24 | $389.60 | $10.78 – $113.47 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $10.78 – $113.47 | 9 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $125.68 | $193.36 | $31.58 – $332.35 | 9 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $131.77 | $202.73 | $21.64 – $332.35 | 9 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $198.49 | $305.37 | $33.54 – $353.00 | 9 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $516.83 | $795.12 | $375.10 – $3,947.49 | 9 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $129.91 | $199.86 | $31.58 – $332.35 | 9 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $123.59 | $190.14 | $21.64 – $332.35 | 9 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $131.77 | $202.73 | $37.51 – $394.77 | 9 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $131.77 | $202.73 | $21.64 – $332.35 | 9 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $86.86 | $133.63 | $30.79 – $485.98 | 9 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $85.59 – $1,350.91 | 9 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $328.05 | $504.69 | $85.59 – $1,350.91 | 9 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $64.30 | $98.93 | $31.58 – $332.35 | 9 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $87.92 | $135.26 | $21.64 – $332.35 | 9 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $136.85 | $210.54 | $63.16 – $664.70 | 9 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $69.09 – $76.77 | 8 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $611.79 – $679.77 | 8 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,004.13 | $1,544.81 | $375.10 – $3,947.49 | 9 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $115.46 – $1,215.09 | 9 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $726.50 | $1,117.69 | $157.79 – $2,490.88 | 9 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $654.10 | $1,006.31 | $38.56 – $405.75 | 9 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $146.83 | $225.89 | $38.56 – $405.75 | 9 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $160.81 | $247.40 | $38.56 – $405.75 | 9 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $195.73 | $301.12 | $76.59 – $806.02 | 9 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $328.05 | $504.69 | $97.27 – $1,350.91 | 9 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $192.43 | $296.05 | $57.00 – $57.00 | 1 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $77.16 | $118.70 | $60.00 – $60.00 | 1 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $113.55 – $113.55 | 1 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $26.30 – $29.22 | 8 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $111.51 | $171.55 | not published | 0 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $38.74 | $59.60 | not published | 0 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $59.60 – $69.53 | 7 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,361.66 – $2,755.27 | 7 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,280.04 – $2,660.05 | 7 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $65.39 – $76.28 | 7 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $62.20 – $72.57 | 7 |
| Infuse radioactive materials CPT 77750 | not published | not published | $113.29 – $132.17 | 7 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $50.82 – $59.29 | 7 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $55.22 – $64.42 | 7 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $375.85 | $578.23 | $3.03 – $3.03 | 2 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $1,916.42 – $8,606.19 | 7 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,415.10 – $6,354.89 | 7 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $35.42 – $41.32 | 7 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $1,422.81 – $6,389.52 | 7 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $30.70 – $35.82 | 7 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $259.78 – $303.07 | 7 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $104.94 – $122.43 | 7 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $143.20 – $167.07 | 7 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $62.42 – $72.82 | 7 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $46.78 – $54.58 | 7 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $76.83 | $118.20 | not published | 0 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $29.56 – $34.48 | 7 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | $11.05 | $17.00 | not published | 0 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $12.88 | $19.82 | $7.66 – $7.66 | 1 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.15 – $0.15 | 1 |
| Inj acetaminophen -fresenius HCPCS J0134 | not published | not published | $0.25 – $0.25 | 1 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $6.77 – $6.77 | 1 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | $533.20 | $820.30 | not published | 0 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.58 – $1.58 | 7 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $86.23 – $86.23 | 1 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $150.00 – $150.00 | 1 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $35.75 | $55.00 | $18.68 – $18.68 | 1 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.96 – $3.96 | 1 |
| Inj. asceniv HCPCS J1554 | not published | not published | $556.31 – $556.31 | 1 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $54.60 – $54.60 | 1 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $82.32 – $82.32 | 1 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $52.96 – $52.96 | 1 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $301.44 | $463.75 | $214.04 – $214.04 | 1 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $41.95 – $41.95 | 1 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $87.40 | $134.46 | $45.60 – $45.60 | 1 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $234.00 – $234.00 | 1 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $54.96 – $54.96 | 1 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $54.96 – $54.96 | 1 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $9.74 – $9.74 | 1 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $89.40 – $89.40 | 1 |
| Inj brixadi, more than 7 day HCPCS J0578 | $2,858.76 | $4,398.10 | not published | 0 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $370.00 – $370.00 | 1 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $774.72 – $3,479.10 | 7 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.58 – $0.58 | 1 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $271.20 – $271.20 | 1 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $0.90 – $0.90 | 1 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $2.78 – $2.78 | 1 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $14.48 – $14.48 | 1 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $8.75 – $8.75 | 1 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.39 – $2.39 | 1 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $7.88 – $7.88 | 1 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $116.29 – $116.29 | 1 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $18.00 – $18.00 | 1 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | $433.16 | $666.40 | not published | 0 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $3.87 – $3.87 | 1 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $261.04 | $401.60 | $29.66 – $34.61 | 7 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $99.01 – $99.01 | 1 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,464.00 – $1,464.00 | 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.