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 |
|---|---|---|---|---|
| Molded inner boot HCPCS L2280 | not published | not published | $539.97 – $2,424.90 | 7 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $2,792.47 – $12,540.34 | 7 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $4,297.60 – $19,299.56 | 7 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,702.82 – $7,646.98 | 7 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $4,208.51 – $18,899.47 | 7 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $2.49 – $2.91 | 7 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $13.11 – $13.11 | 1 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $316.48 – $1,421.26 | 7 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $380.22 – $1,707.50 | 7 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $20,280.53 – $91,075.34 | 7 |
| Monovisc inj per dose HCPCS J7327 | $1,125.72 | $1,731.87 | $1,800.00 – $1,800.00 | 1 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $22.99 – $26.82 | 7 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $57.56 – $605.79 | 9 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $135.30 – $1,423.84 | 9 |
| Mopath procedure level 5 CPT 81404 | $835.79 | $1,285.83 | $247.35 – $2,603.02 | 9 |
| Mopath procedure level 6 CPT 81405 | $916.44 | $1,409.91 | $271.21 – $2,854.21 | 9 |
| Mopath procedure level 7 CPT 81406 | $860.28 | $1,323.50 | $254.59 – $2,679.27 | 9 |
| Mopath procedure level 8 CPT 81407 | $1,827.62 | $2,811.73 | $761.64 – $8,015.36 | 9 |
| Mopath procedure level 9 CPT 81408 | $4,319.25 | $6,645.00 | $1,800.00 – $18,942.80 | 9 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $3.36 – $3.36 | 1 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $3.66 – $3.66 | 1 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $7.13 – $7.13 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $21.88 – $21.88 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $330.25 | $508.07 | $179.38 – $226.14 | 7 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $25.62 – $73.88 | 7 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $99.89 | $153.68 | $25.62 – $80.87 | 7 |
| Motion analysis video/3d CPT 96000 | not published | not published | $62.53 – $72.95 | 7 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $76.73 – $89.52 | 7 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $26.20 – $30.57 | 7 |
| Mouth piece HCPCS A4617 | not published | not published | $0.25 – $17.86 | 7 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $228.07 – $266.08 | 7 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $33.91 – $39.56 | 7 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $415.64 | $639.45 | $179.38 – $322.26 | 7 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $82.75 – $96.54 | 7 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $52.69 – $61.47 | 7 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $135.30 – $150.33 | 8 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $18.05 – $20.05 | 8 |
| M.pneumon dna quant CPT 87582 | not published | not published | $272.36 – $302.62 | 8 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $216.17 – $252.20 | 7 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $215.03 – $250.87 | 7 |
| MRA chest w IV cont HCPCS C8909 | $2,273.03 | $3,496.97 | not published | 0 |
| MRA chest wo IV cont HCPCS C8910 | $2,273.03 | $3,496.97 | not published | 0 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $217.03 – $253.20 | 7 |
| MRA pelvis CPT 72198 | not published | not published | $217.03 – $253.20 | 7 |
| MRA pelvis wo IV cont HCPCS C8919 | $2,183.92 | $3,359.88 | not published | 0 |
| MRA spinal canal CPT 72159 | not published | not published | $217.60 – $253.87 | 7 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $209.60 – $244.53 | 7 |
| MRA w/cont, lwr ext HCPCS C8912 | $614.33 | $945.13 | not published | 0 |
| Mra, w/dye, upper extremity HCPCS C8934 | $614.33 | $945.13 | not published | 0 |
| MRA without cont, abd HCPCS C8901 | $4,189.21 | $6,444.94 | not published | 0 |
| MRA without cont, lwr ext HCPCS C8913 | $2,273.03 | $3,496.97 | not published | 0 |
| Mra, without dye, upper extr HCPCS C8935 | $486.02 | $747.73 | not published | 0 |
| MRA without fol w/cont, abd HCPCS C8902 | $3,105.38 | $4,777.51 | not published | 0 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $614.33 | $945.13 | not published | 0 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $1,860.62 | $2,862.50 | not published | 0 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $614.33 | $945.13 | not published | 0 |
| Mr elastography CPT 76391 | not published | not published | $125.79 – $146.76 | 7 |
| MRI brain w/dye CPT 70558 | not published | not published | $438.83 – $505.00 | 2 |
| MRI brain without dye CPT 70557 | not published | not published | $384.90 – $505.00 | 2 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $505.00 – $505.00 | 2 |
| MRI breast c- unilateral CPT 77046 | $462.95 | $712.23 | $125.50 – $146.42 | 7 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $202.54 – $236.29 | 7 |
| MRI breast without cont bi CPT 77047 | $3,306.99 | $5,087.67 | $122.36 – $142.76 | 7 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $199.68 – $232.96 | 7 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $146.93 – $171.41 | 7 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $209.39 – $244.29 | 7 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $249.37 – $290.93 | 7 |
| MRI chest without contrast CPT 71550 | $1,067.55 | $1,642.38 | $227.66 – $265.61 | 7 |
| MRI chest without & w/contrast CPT 71552 | $1,963.67 | $3,021.03 | $309.27 – $360.81 | 7 |
| MRI chest w IV cont CPT 71551 | $2,252.39 | $3,465.21 | $249.37 – $290.93 | 7 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,259.90 – $5,657.94 | 7 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $70.58 – $111.20 | 7 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $146.58 – $266.28 | 7 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $277.82 – $355.66 | 7 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $505.00 – $505.00 | 2 |
| MRI loex nonjt w IV cont CPT 73719 | $2,387.53 | $3,673.13 | $159.71 – $186.32 | 7 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,216.32 | $3,409.72 | $136.93 – $159.75 | 7 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,574.29 | $5,498.91 | $201.39 – $234.96 | 7 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,294.38 | $3,529.82 | $163.98 – $191.31 | 7 |
| MRI tmj CPT 70336 | $1,234.49 | $1,899.21 | $164.34 – $191.73 | 7 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,831.52 | $2,817.73 | $205.39 – $239.62 | 7 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,978.88 | $4,582.89 | $262.43 – $306.17 | 7 |
| MRI upper extremity w/dye CPT 73219 | $1,544.71 | $2,376.48 | $217.67 – $253.95 | 7 |
| MRI w/cont, breast, uni HCPCS C8903 | $1,987.67 | $3,057.95 | not published | 0 |
| MRI without fol w/cont, breast HCPCS C8908 | $3,306.99 | $5,087.67 | not published | 0 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $1,987.67 | $3,057.95 | not published | 0 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $37.55 – $43.81 | 7 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $68.75 – $80.21 | 7 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $44.96 – $52.46 | 7 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $107.02 – $124.86 | 7 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $9.35 – $10.91 | 7 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $159.41 – $185.98 | 7 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $191.97 – $213.30 | 8 |
| Msh2 gene full seq CPT 81295 | not published | not published | $153.23 – $3,615.23 | 9 |
| Msh2 gene known variants CPT 81296 | not published | not published | $303.96 – $337.73 | 8 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $214.20 – $238.00 | 8 |
| Msh6 gene full seq CPT 81298 | not published | not published | $290.71 – $6,079.22 | 9 |
| Msh6 gene known variants CPT 81299 | not published | not published | $277.20 – $308.00 | 8 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,096.79 – $2,446.26 | 7 |
| Mthfr gene analy common variants CPT 81291 | $407.41 | $626.79 | $58.81 – $618.86 | 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.