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 |
|---|---|---|---|---|
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $23.67 – $23.67 | 1 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $24.20 – $24.20 | 1 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $4.38 – $4.38 | 1 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.18 – $0.18 | 1 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $6.00 – $6.00 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $116.72 – $136.17 | 7 |
| Inj dupuytren cord w/enzyme CPT 20527 | $304.02 | $467.72 | $50.04 – $58.38 | 7 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $20.09 – $20.09 | 1 |
| Inj dx for sinogram CPT 20501 | not published | not published | $27.15 – $31.68 | 7 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $63.80 – $74.43 | 7 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $187.21 | $288.02 | $50.20 – $58.57 | 7 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $54.10 – $54.10 | 1 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $479.64 – $479.64 | 1 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $20.01 – $20.01 | 1 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $828.22 – $828.22 | 1 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $277.11 | $426.33 | $42.39 – $49.46 | 7 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $192.00 – $192.00 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $76.82 – $76.82 | 1 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.57 – $0.57 | 1 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $1.20 – $1.20 | 1 |
| Injection during cath supravalvular aortography CPT 93567 | not published | not published | $27.53 – $32.12 | 7 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $24.46 – $24.46 | 1 |
| Injection epidural blood patch or clot CPT 62273 | not published | not published | $88.98 – $103.81 | 7 |
| Injection eye drug CPT 67028 | $205.46 | $316.09 | $65.83 – $76.80 | 7 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $1.07 – $1.07 | 1 |
| Injection for arthrography wrist (both sides) CPT 25246 | $104.69 | $161.06 | $53.62 – $62.56 | 7 |
| Injection for bladder x-ray CPT 51600 | $555.91 | $855.24 | $32.61 – $38.04 | 7 |
| Injection for hip x-ray CPT 27095 | $514.01 | $790.78 | $60.25 – $70.29 | 7 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $427.38 | $657.50 | $36.79 – $42.92 | 7 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $95.46 – $111.37 | 7 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $39.78 – $46.41 | 7 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $40.50 – $47.25 | 7 |
| Injection for ureter x-ray CPT 50690 | $643.42 | $989.87 | $53.93 – $62.92 | 7 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $86.40 – $86.40 | 1 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $42.00 – $42.00 | 1 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $69.00 – $69.00 | 1 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $439.78 – $439.78 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $18.84 | $28.98 | $13.73 – $13.73 | 1 |
| Injection into brain canal CPT 61026 | not published | not published | $88.59 – $103.35 | 7 |
| Injection into brain canal CPT 61055 | not published | not published | $85.39 – $99.62 | 7 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $166.76 – $194.55 | 7 |
| Injection into spinal artery CPT 62294 | not published | not published | $796.34 – $929.06 | 7 |
| Injection into vocal cord CPT 31513 | not published | not published | $98.03 – $114.37 | 7 |
| Injection intraop add-on CPT 48400 | not published | not published | $80.60 – $94.04 | 7 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.11 – $1.11 | 1 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $33.43 – $39.00 | 7 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $2.42 – $2.42 | 1 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $6.49 – $6.49 | 1 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $13.32 – $15.54 | 7 |
| Injection of sinus tract CPT 20500 | $3,205.47 | $4,931.49 | $72.16 – $84.19 | 7 |
| Injection,onabotulinumtoxina HCPCS J0585 | $10.51 | $16.17 | $7.61 – $7.61 | 1 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $117.24 – $117.24 | 1 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.90 – $1.90 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $71.98 – $83.98 | 7 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $951.59 | $1,463.98 | $23.84 – $27.81 | 7 |
| Injection, renflexis HCPCS Q5104 | $76.69 | $117.99 | $90.41 – $90.41 | 1 |
| Injection, ruconest HCPCS J0596 | not published | not published | $39.20 – $39.20 | 1 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,895.48 | $2,916.13 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,895.48 | $2,916.13 | $53.06 – $61.90 | 7 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,703.27 | $2,620.42 | $33.42 – $38.99 | 7 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,419.18 | $3,721.82 | $86.62 – $101.06 | 7 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $376.14 | $578.67 | $44.29 – $51.67 | 7 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,128.78 | $1,736.58 | $81.93 – $95.58 | 7 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $376.14 | $578.67 | $38.29 – $44.67 | 7 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,035.46 | $3,131.47 | $70.87 – $82.68 | 7 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $883.82 | $1,359.72 | $83.20 – $97.06 | 7 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,612.12 | $2,480.19 | $77.63 – $90.57 | 7 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $159.18 – $159.18 | 1 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $807.96 | $1,243.01 | $28.99 – $33.82 | 7 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $680.24 | $1,046.53 | $31.00 – $36.16 | 7 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $680.24 | $1,046.53 | $35.34 – $41.23 | 7 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $113.59 | $174.75 | not published | 0 |
| Injection treatment of eye CPT 66020 | not published | not published | $98.82 – $115.29 | 7 |
| Injection treatment of eye CPT 66030 | not published | not published | $84.63 – $98.73 | 7 |
| Injection treatment of nerve CPT 64605 | not published | not published | $353.38 – $412.27 | 7 |
| Injection treatment of nerve CPT 64610 | not published | not published | $378.32 – $441.37 | 7 |
| Injection treatment of nerve CPT 64681 | not published | not published | $168.38 – $196.44 | 7 |
| Injection treatment of nose CPT 30200 | not published | not published | $46.59 – $54.36 | 7 |
| Inject sacroiliac joint CPT 27096 | $1,522.96 | $2,343.02 | $64.24 – $74.95 | 7 |
| Inject/treat eye socket CPT 67500 | not published | not published | $48.26 – $56.30 | 7 |
| Inject/treat eye socket CPT 67505 | not published | not published | $50.82 – $59.29 | 7 |
| Inject/treat eye socket CPT 67515 | not published | not published | $33.49 – $39.07 | 7 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $405.24 – $405.24 | 1 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $57.43 – $57.43 | 7 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $76.19 – $88.89 | 7 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $64.56 – $75.32 | 7 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.18 – $1.18 | 1 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $4.24 – $4.24 | 1 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $192.00 – $192.00 | 1 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $195.00 – $195.00 | 1 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $38.38 – $38.38 | 1 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.91 – $9.91 | 7 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | $57.53 | $88.51 | $43.80 – $43.80 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $31.37 – $31.37 | 1 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $158.80 – $158.80 | 1 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.04 – $0.04 | 1 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.21 – $1.21 | 7 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $270.22 – $270.22 | 1 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $261.00 – $261.00 | 1 |
| Inj for ext venography CPT 36005 | not published | not published | $35.91 – $41.90 | 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.