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 for mammo ductogram CPT 19030 | not published | not published | $55.95 – $65.28 | 7 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $2.41 – $2.41 | 1 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $819.82 – $819.82 | 1 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $3.38 – $3.38 | 1 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $60.00 – $60.00 | 1 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $24.00 – $24.00 | 1 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $6.34 | $9.75 | not published | 0 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $60.00 – $60.00 | 1 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $220.82 – $220.82 | 1 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $127.52 – $127.52 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $192.00 – $192.00 | 1 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $8.39 – $8.39 | 1 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $151.00 – $151.00 | 1 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $12.33 – $12.33 | 1 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $0.40 – $0.40 | 1 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $93.50 – $93.50 | 1 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $112.20 – $112.20 | 1 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | not published | not published | $34.52 – $40.27 | 7 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $38.27 – $44.65 | 7 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $40.35 – $47.07 | 7 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $19.84 – $23.14 | 7 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | not published | $19.28 – $22.49 | 7 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.52 – $1.52 | 7 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $16.37 – $16.37 | 1 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $80.28 – $80.28 | 1 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $2.72 – $2.72 | 1 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $82.60 – $82.60 | 1 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $524.00 – $524.00 | 1 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $112.65 – $131.43 | 7 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $45.60 – $45.60 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $47.61 | $73.25 | $20.96 – $24.45 | 7 |
| Inj intralesional > 7 lsns CPT 11901 | $440.09 | $677.06 | $31.78 – $37.08 | 7 |
| Inj ivig privigen 500 mg HCPCS J1459 | $90.80 | $139.70 | $97.55 – $97.55 | 1 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.91 – $1.91 | 7 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.65 – $2.65 | 7 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.58 – $1.58 | 7 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $96.47 – $96.47 | 1 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $88.93 – $88.93 | 1 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $1.03 | $1.59 | not published | 0 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $0.82 – $0.82 | 1 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $44.13 – $44.13 | 1 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.42 – $0.42 | 1 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $25.38 – $25.38 | 1 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $359.68 – $359.68 | 1 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $26.48 – $26.48 | 1 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $3,400.00 – $3,400.00 | 1 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | not published | $47.92 – $55.90 | 7 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $3.76 – $3.76 | 1 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $354.00 – $354.00 | 1 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $570.00 – $570.00 | 1 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $269.32 – $269.32 | 1 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $5.41 | $8.32 | $2.51 – $2.51 | 1 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $4.26 – $4.26 | 1 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.47 – $2.47 | 1 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $1.80 – $1.80 | 1 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $249.87 – $249.87 | 1 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $13.79 – $13.79 | 1 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $13.80 – $13.80 | 1 |
| Inj multihance HCPCS A9577 | $3.16 | $4.86 | $6.31 – $6.31 | 1 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $6.63 – $6.63 | 1 |
| Inj naloxone hydrochloride HCPCS J2310 | not published | not published | $18.81 – $18.81 | 1 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $658.17 – $658.17 | 1 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $592.42 | $911.41 | $51.26 – $59.81 | 7 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $113.97 – $132.96 | 7 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $90.12 – $105.14 | 7 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $1,185.20 – $1,185.20 | 1 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | not published | not published | $56.16 – $56.16 | 1 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $105.64 – $105.64 | 1 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $58.94 – $58.94 | 1 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $1.55 – $1.55 | 1 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $4.17 – $4.17 | 1 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $4.80 – $4.80 | 1 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $2,550,000.00 – $2,550,000.00 | 1 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $105.97 – $105.97 | 1 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $607.47 – $607.47 | 1 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $117.42 – $117.42 | 1 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | $237.25 | $365.00 | not published | 0 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $392.55 – $392.55 | 1 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $97.88 – $97.88 | 1 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $30.76 – $35.89 | 7 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $13.20 – $13.20 | 1 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $36.00 – $36.00 | 1 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.97 – $3.97 | 1 |
| Inj proc ankle arthr CPT 27648 | $261.18 | $401.82 | $37.78 – $44.08 | 7 |
| Inj proc elbow arthro CPT 24220 | $104.69 | $161.06 | $48.93 – $57.09 | 7 |
| Inj proc for lymphang CPT 38790 | not published | not published | $65.23 – $76.10 | 7 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $124.42 – $145.15 | 7 |
| Inj proc myelogram lumbar CPT 62284 | $462.54 | $711.60 | $62.47 – $72.88 | 7 |
| Inj proc sialogram CPT 42550 | not published | not published | $45.50 – $53.08 | 7 |
| Inj progesterone per 50 mg HCPCS J2675 | not published | not published | $3.75 – $3.75 | 1 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $3.86 – $3.86 | 1 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.26 – $2.26 | 7 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.64 – $0.64 | 1 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $1.32 – $1.32 | 1 |
| Inj retro urethrocysto CPT 51610 | $129.57 | $199.34 | $50.05 – $58.39 | 7 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $14.58 – $14.58 | 1 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $38.38 – $38.38 | 1 |
| Inj scleros sol mult veins CPT 36471 | $876.79 | $1,348.91 | $57.16 – $66.69 | 7 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $28.83 – $33.63 | 7 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $612.60 – $612.60 | 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.