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 |
|---|---|---|---|---|
| Mastectomy form HCPCS L8020 | not published | not published | $264.24 – $1,186.64 | 7 |
| Mastectomy partial CPT 19301 | not published | not published | $536.88 – $626.36 | 7 |
| Mast mod rad CPT 19307 | not published | not published | $955.98 – $1,115.31 | 7 |
| Mastoidectomy CPT 69501 | not published | not published | $547.23 – $638.43 | 7 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $723.56 – $844.16 | 7 |
| Mastoids complete CPT 70130 | $240.93 | $370.66 | $25.25 – $44.89 | 7 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,010.76 – $1,179.22 | 7 |
| Mastopexy CPT 19316 | not published | not published | $623.85 – $727.83 | 7 |
| Mast radical CPT 19305 | not published | not published | $930.54 – $1,085.63 | 7 |
| Mast rad urban type CPT 19306 | not published | not published | $997.83 – $1,164.14 | 7 |
| Mast simple complete CPT 19303 | not published | not published | $777.20 – $906.74 | 7 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $108.80 – $126.93 | 7 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $2,200.00 – $2,200.00 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $19.70 – $126.93 | 7 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $31.58 – $35.09 | 8 |
| M.avium-intra dna dir prob CPT 87560 | $68.37 | $105.19 | $24.56 – $258.47 | 9 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $38.56 – $42.84 | 8 |
| Maxillofacial fixation CPT 21100 | not published | not published | $287.29 – $335.17 | 7 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $132.05 | $203.15 | $13.01 – $136.96 | 9 |
| Mayo aathr protein s free CPT 85306 | $314.03 | $483.12 | $13.79 – $145.10 | 9 |
| Mayo activated protein c resistance assay CPT 85307 | $211.52 | $325.41 | $13.79 – $145.10 | 9 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $328.37 | $505.18 | $10.61 – $365.31 | 9 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $93.67 | $144.11 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $78.17 | $120.26 | $5.05 – $5.05 | 2 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $162.03 | $249.28 | $10.01 – $139.99 | 9 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $249.72 | $384.19 | $5.05 – $5.05 | 2 |
| Mayo alpha 1 antitrypsin CPT 82103 | $219.32 | $337.41 | $12.10 – $127.30 | 9 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $56.60 | $87.07 | $10.61 – $142.83 | 9 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $67.67 | $104.11 | $5.05 – $5.05 | 2 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $85.91 | $132.17 | $5.05 – $5.05 | 2 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $582.85 | $896.69 | $109.47 – $1,152.01 | 9 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $666.25 | $1,025.00 | $82.49 – $868.15 | 9 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $320.09 | $492.45 | $83.83 – $1,297.58 | 9 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,315.53 | $2,023.89 | $1,044.00 – $10,986.82 | 9 |
| Mayo androstenedione CPT 82157 | $109.90 | $169.08 | $26.35 – $277.32 | 9 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $144.20 | $221.85 | $13.14 – $138.28 | 9 |
| Mayo antithrombin iii antigen CPT 85301 | $255.82 | $393.57 | $9.73 – $102.39 | 9 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $36.25 | $55.77 | $8.11 – $142.54 | 9 |
| Mayo avwpr vw factor activity CPT 85397 | $74.35 | $114.38 | $9.49 – $292.29 | 9 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $84.54 | $130.06 | $21.64 – $332.35 | 9 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $150.64 | $231.76 | $5.05 – $5.05 | 2 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $59.96 | $92.25 | $8.11 – $96.42 | 9 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $366.99 | $564.60 | $130.36 – $1,371.84 | 9 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $142.49 | $219.21 | $193.16 – $2,032.75 | 9 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $29.67 | $45.65 | $8.11 – $122.18 | 9 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $465.85 | $716.69 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $77.34 | $118.98 | $8.11 – $124.93 | 9 |
| Mayo brcmg brucella antibody igm CPT 86622 | $130.55 | $200.85 | $8.04 – $84.58 | 9 |
| Mayo c1 esterase inhibitor CPT 83883 | $195.90 | $301.38 | $12.24 – $128.81 | 9 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $83.39 | $128.29 | $5.05 – $5.05 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $339.64 | $522.53 | $10.61 – $159.78 | 9 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $64.53 | $99.27 | $24.10 – $253.64 | 9 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $281.11 | $432.47 | $110.00 – $1,157.59 | 9 |
| Mayo ceruloplasmin CPT 82390 | $109.45 | $168.38 | $8.18 – $101.72 | 9 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $93.37 | $143.65 | $12.71 – $133.74 | 9 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $289.69 | $445.67 | $11.59 – $121.99 | 9 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $179.82 | $276.65 | $8.11 – $111.95 | 9 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $170.72 | $262.64 | $8.11 – $120.10 | 9 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $293.16 | $451.01 | $40.40 – $1,103.32 | 9 |
| Mayo chromium CPT 82495 | $152.47 | $234.57 | $18.25 – $192.08 | 9 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $360.20 | $554.15 | $5.05 – $5.05 | 2 |
| Mayo coccidioides antibody CPT 86635 | $212.81 | $327.40 | $8.11 – $108.64 | 9 |
| Mayo cocou cortisone urine CPT 82542 | $30.41 | $46.78 | $21.68 – $228.17 | 9 |
| Mayo cortisol free CPT 82530 | $45.18 | $69.51 | $15.04 – $158.27 | 9 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $86.86 | $133.63 | $25.28 – $399.03 | 9 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $41.76 | $64.25 | $8.11 – $114.79 | 9 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $109.92 | $169.10 | $5.05 – $5.05 | 2 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $5.05 – $5.05 | 2 |
| Mayo cyanide CPT 82600 | $46.74 | $71.90 | $17.46 – $183.75 | 9 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $453.33 | $697.43 | $179.38 – $486.17 | 7 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $186.34 | $286.67 | $5.25 – $125.50 | 9 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $333.11 | $512.48 | $22.74 – $239.34 | 9 |
| Mayo dihydrotestosterone CPT 82642 | $73.37 | $112.87 | $26.35 – $277.32 | 9 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $323.24 | $497.30 | $8.68 – $91.30 | 9 |
| Mayo efpo chloride stool CPT 82438 | $40.85 | $62.84 | $4.50 – $47.36 | 9 |
| Mayo estriol CPT 82677 | $60.81 | $93.55 | $17.68 – $229.02 | 9 |
| Mayo estrone CPT 82679 | $60.12 | $92.49 | $22.46 – $236.31 | 9 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $49.53 | $76.20 | $10.61 – $154.76 | 9 |
| Mayo everolimus therapeutic drug level CPT 80169 | $33.08 | $50.89 | $10.61 – $130.04 | 9 |
| Mayo factor ii CPT 85210 | $348.78 | $536.58 | $11.68 – $122.94 | 9 |
| Mayo factor v CPT 85220 | $63.21 | $97.24 | $15.88 – $167.17 | 9 |
| Mayo factor vii CPT 85230 | $67.22 | $103.42 | $16.11 – $169.54 | 9 |
| Mayo factor viii vw factor antigen CPT 85246 | $233.23 | $358.81 | $9.49 – $217.27 | 9 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $544.64 | $837.90 | $11.89 – $217.27 | 9 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $57.47 | $88.42 | $9.49 – $217.27 | 9 |
| Mayo factor x CPT 85260 | $376.14 | $578.67 | $16.11 – $169.54 | 9 |
| Mayo factor xi CPT 85270 | $67.22 | $103.42 | $16.11 – $169.54 | 9 |
| Mayo fat/lipids feces quantitative CPT 82710 | $149.00 | $229.23 | $15.12 – $159.12 | 9 |
| Mayo fbl culture fungi blood CPT 87103 | $134.63 | $207.12 | $11.48 – $193.78 | 9 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $7.66 – $762.07 | 9 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $7.04 – $74.07 | 9 |
| Mayo fibrinogen antigen CPT 85385 | $31.23 | $48.04 | $6.97 – $136.96 | 9 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $241.92 | $372.19 | $10.61 – $205.25 | 9 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $10,235.00 | $15,746.16 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | not published | not published | $4.28 – $44.99 | 9 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $87.92 | $135.26 | $21.64 – $332.35 | 9 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $31.58 – $332.35 | 9 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $212.81 | $327.40 | $12.41 – $130.61 | 9 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $182.87 | $281.34 | $23.23 – $244.46 | 9 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $22.28 | $34.28 | $8.00 – $84.20 | 9 |
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.