healthcosts.net

Canton-Potsdam Hospital

50 Leroy Street, Potsdam, NY · Rochesterregional · · NPI 156854878|

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 17, 2026

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
Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 not published not published $1.41 – $1.41 1
Lo rig pos pnl l1-l5 pre ots HCPCS L0641 not published not published $47.82 – $214.74 7
Lo sag rig pnl stays pre cst HCPCS L0626 not published not published $84.13 – $377.82 7
Loudness balance test CPT 92562 not published not published $41.90 – $48.89 7
Low back disk surgery CPT 63030 not published not published $756.99 – $883.16 7
Low-Dose Lung Cancer Screening CT Scan CPT 71271 $247.40 $380.61 $35.18 – $86.46 7
Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 $1,537.20 $2,364.93 $118.08 – $137.76 7
Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 $1,435.69 $2,208.76 $96.09 – $112.11 7
Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 $1,410.27 $2,169.64 $71.32 – $83.20 7
Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 $3,681.82 $5,664.34 $181.69 – $211.97 7
Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 $2,387.53 $3,673.13 $159.98 – $186.65 7
Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 $2,233.24 $3,435.75 $105.23 – $122.77 7
Lower Back (Lumbar Spine) X-ray CPT 72100 $319.68 $491.81 $15.15 – $29.57 7
Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 $535.08 $823.20 $30.30 – $40.56 7
Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 $552.91 $850.63 $30.30 – $47.23 7
Lower jaw bone graft CPT 21215 not published not published $623.44 – $727.35 7
Lower Leg (Shin) X-ray (both sides) CPT 73590 $509.02 $783.11 $10.10 – $23.57 7
Low frequency non-thermal Ultrasound CPT 97610 not published not published $13.65 – $15.93 7
Loxapine for inhalation 1 mg HCPCS J2062 not published not published $18.00 – $18.00 1
Lsh uterus 250 g or less CPT 58541 not published not published $558.04 – $651.05 7
Lsh uterus above 250 g CPT 58543 not published not published $637.59 – $743.85 7
Lsh w/t/o ut 250 g or less CPT 58542 not published not published $630.36 – $735.42 7
Lsh w/t/o uterus above 250 g CPT 58544 not published not published $689.00 – $803.84 7
Lso corset front HCPCS L0972 not published not published $117.93 – $529.58 7
Lso flex no ri stays pre ots HCPCS L0628 not published not published $51.46 – $231.10 7
Lso full corset HCPCS L0976 not published not published $165.38 – $742.66 7
Lso r post pnl sj-t9 pre cst HCPCS L0630 not published not published $174.83 – $785.14 7
Lso sag-coronal panel custom HCPCS L0638 not published not published $1,423.82 – $6,394.05 7
Lso sag-co shell pnl pre ots HCPCS L0651 not published not published $728.65 – $3,272.20 7
Lso sag ctr rigi pos pre ots HCPCS L0643 not published not published $99.34 – $446.12 7
Lso sagit rigid panel prefab HCPCS L0635 not published not published $1,052.39 – $4,726.04 7
Lso sagittal rigid panel cus HCPCS L0636 not published not published $1,560.76 – $7,009.04 7
Lso sc r pos/lat pnl pre cst HCPCS L0633 not published not published $309.57 – $1,390.22 7
Lso sc r pos/lat pnl pre ots HCPCS L0649 not published not published $175.91 – $789.99 7
Lso s/c shell/panel custom HCPCS L0640 not published not published $1,129.67 – $5,073.10 7
Lso s/c shell/panel prefab HCPCS L0639 not published not published $1,159.74 – $5,208.13 7
L/s ratio fetal lung CPT 83661 not published not published $19.79 – $21.99 8
Lubricant per ounce HCPCS A4402 not published not published $2.04 – $9.17 7
Lumbar bolster pad HCPCS L1030 not published not published $65.79 – $295.45 7
Lumbar derotation pad HCPCS L1240 not published not published $81.04 – $363.96 7
Lumbar diskogram s&i CPT 72295 not published not published $69.89 – $81.54 7
Lumbar or lumbar rib pad HCPCS L1040 not published not published $80.68 – $362.34 7
Lumbar sling HCPCS L1090 not published not published $104.04 – $467.22 7
Lumbar Spinal Fusion (single level) CPT 22612 not published not published $1,240.16 – $1,446.85 7
Lumizyme injection HCPCS J0221 not published not published $214.02 – $214.02 1
Lung Function Test Before and After an Inhaler CPT 94060 $481.24 $740.37 $25.25 – $32.90 7
Lung function test (mbc/mvv) CPT 94200 not published not published $10.10 – $13.58 7
Lung Function Test (Spirometry) CPT 94010 $363.87 $559.80 $15.15 – $21.24 7
Lung perfusion imaging CPT 78580 $405.25 $623.46 $60.60 – $174.90 7
Lung transplant double CPT 32853 not published not published $3,595.11 – $4,194.30 7
Lung transplant single CPT 32851 not published not published $2,585.39 – $3,016.29 7
Lung transplant with bypass CPT 32852 not published not published $2,827.37 – $3,298.60 7
Lung transplant with bypass CPT 32854 not published not published $3,811.56 – $4,446.82 7
Lung volume reduction 32491 CPT 32491 not published not published $1,194.38 – $1,393.44 7
Lurbinectedin 4 mg intravenous solution HCPCS J9223 not published not published $216.30 – $216.30 1
Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 $61.72 $94.96 $43.83 – $43.83 1
Lutetium lu 177 dotatat ther HCPCS A9513 not published not published $319.56 – $319.56 1
Lutetium lu 177 vipivotide HCPCS A9607 not published not published $255.00 – $255.00 1
Lvad shower bag heartmate HCPCS Q0501 not published not published $552.38 – $2,480.59 7
Lw ntsty Ultrasound stimj bone healg CPT 20979 not published not published $22.94 – $26.76 7
Lwr ext dynamic prosth pylon HCPCS L5985 not published not published $311.55 – $1,399.12 7
Lyme dis dna dir probe CPT 87475 not published not published $18.05 – $20.05 8
Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 not published not published $572.08 – $667.42 7
Lymphatics/lymph node imaging CPT 78195 $1,219.57 $1,876.26 $40.40 – $257.11 7
Lymphocyte culture mixed CPT 86821 not published not published $32.90 – $36.56 8
Lymphocyte transformation mitogen CPT 86353 $184.08 $283.20 $44.13 – $464.38 9
Lymphocytotoxicity assay CPT 86805 not published not published $170.56 – $189.51 8
Lymphocytotoxicity assay CPT 86806 not published not published $42.83 – $47.59 8
Lymph vessel x-ray arm/leg CPT 75801 not published not published $50.50 – $50.50 2
Lymph vessel x-ray arms/legs CPT 75803 not published not published $50.50 – $50.50 2
Lymph vessel x-ray trunk CPT 75805 not published not published $50.50 – $50.50 2
Lymph vessel x-ray trunk CPT 75807 not published not published $50.50 – $50.50 2
Lysis intranasal synechia 30560 CPT 30560 not published not published $119.89 – $139.87 7
Lysis of labial adhesions CPT 56441 not published not published $120.66 – $140.77 7
Lysis penil circumic lesion CPT 54162 not published not published $159.39 – $185.96 7
Macro exam dissect molec study ea CPT 88387 not published not published $6.21 – $7.24 7
Macroscopic exam arthropod CPT 87168 $88.61 $136.32 $3.84 – $40.44 9
Macroscopic exam parasite CPT 87169 $10.38 $15.97 $2.02 – $40.82 9
Magnesium CPT 83735 $59.96 $92.25 $5.08 – $63.46 9
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 not published not published $0.57 – $0.57 1
Magnetic image bone marrow CPT 77084 not published not published $205.11 – $239.30 7
Makena, 10 mg HCPCS J1726 not published not published $32.76 – $32.76 1
Malaria antibody CPT 86750 not published not published $11.87 – $124.93 9
Male sling procedure CPT 53440 not published not published $589.76 – $688.05 7
Management of liver hemorrhage 47361 CPT 47361 not published not published $2,348.50 – $2,739.92 7
Manipulate finger w/anesth CPT 26340 not published not published $312.81 – $364.95 7
Manipulate wrist w/anesthes CPT 25259 not published not published $373.88 – $436.19 7
Manipulation of hip joint CPT 27275 not published not published $152.77 – $178.23 7
Manipulation of spine CPT 22505 not published not published $128.31 – $149.70 7
Manipulat palm cord post inj CPT 26341 $75.78 $116.59 $62.61 – $73.05 7
Mannitol 12.5 gm/50 ml inj HCPCS J2150 not published not published $2.67 – $2.67 1
Mannitol for inhaler HCPCS J7665 not published not published $7.89 – $7.89 1
Man's shoe oxford brace HCPCS L3225 not published not published $75.23 – $337.85 7
Manual diff wbc count b-coat CPT 85009 not published not published $4.56 – $48.02 9
Mapping functional cort/subcort ea add'l hr CPT 95962 not published not published $107.80 – $125.77 7
Mapping io sentinel lymph node CPT 38900 not published not published $104.38 – $121.78 7
Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 not published not published $51.61 – $51.61 1
Marker biop eviva buckle ss HCPCS A4648 $479.38 $737.50 not published 0
Marsupialization liver lesion 47300 CPT 47300 not published not published $910.38 – $1,062.11 7
Mask full face lg af531 HCPCS A7030 not published not published $100.69 – $452.19 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.